Inside My Depression

I’m in it, inside the depression; it has taken my energy, my thoughts, and my will. I’m not myself, but I can’t even remember who I normally am. I can’t seem to get things done. It has been weeks since I’ve cleaned my house. Normally I clean the whole house once a week. I keep putting it on my to-do list, but I never seem to be able to get it done. Anything and everything is close to impossible. Every moment is a fight against myself, and it feels as if I’m losing.

I’ve done this many times before. It’s not my first depression, or my second, or third, and so on. I was diagnosed with bipolar disorder when I was 14 years old. It’s been 17 years that I’ve been trying to manage my diagnosis. I just wish that I could find the peace and keep it just a little bit longer instead of going from one episode to another. I’ve lost track of how many times I’ve been depressed or manic. The most important part is that I get through it every time. No matter how deep the episode is, no matter how hopeless the depression gets, I’ve gotten through it before and I’ll get through it again.

I wish I could get through this quicker. I know this sounds weird, but a part of me wishes I was manic. Then I would at least have energy and be productive. I’m not thinking about the negative aspects of mania, I’m just thinking that I don’t want to feel the depression I’m in. Right now, I’m sleeping way to much (I keep falling asleep on the couch), I feel worthless, I feel empty, I’m overeating, I have a decreased interest in almost everything, and just about everything is irritating. I’m lucky that I haven’t started crying yet, hopefully it will stay that way; I hate it when I cry. When I say I want to be manic, it’s just because I don’t want to deal with this depression. I want what I currently don’t have. It would be best if I could just be even, not depressed or manic, but I don’t know if that’s reasonable.

I will get through today; I always do. I have a great support system. Everyone I know offers their help. My husband just asked me if he could do anything. I thanked him for offering, but there’s nothing he could do. I wish there was something that other people could do, but I can’t think of anything. Simply knowing that people close to me truly care is helpful. Just knowing that they are there to support me makes me feel a little better; right now, every little bit counts.

It’s All Too Much

I’ve completed a few things so far today that needed to get done. I went and got my weekly blood work, this week it included a Clozapine level. I also emailed my psychiatrist to let him know how I’m doing. I let him know that I think my weakness and exhaustion is from ECT, not from Clozapine. For every step I take, it feels like I’m taking a thousand steps. Every single task I work on, even when I don’t complete them, requires a major effort. And it seems to be never-ending. Once I finish one task, there are three new ones to finish. It keeps increasing. Can’t people tell I’m not up for this right now? I know that I normally fake being okay, but I’m not even trying to fake anything right now. To fake being okay requires energy, and that is not something that I have at this time. All I can do is be myself; tired, confused, and distraught.

My husband has decided to look for a new car. Actually, my mother-in-law wants to get my husband a new car and give his current car to his brother. His immediate family is pretty much computer illiterate. His brother once told me it was amazing how I was going back and forth between two windows. So any time they want to do something, they always ask me. “Why don’t you ask Jodi? She could easily do that for you.” My only problem with that is I struggle to say no to anyone. I especially struggle to say no when I’m asked in front of a group of people. This time, it felt as if it was assumed that I would do whatever I was told to do or whatever was “asked” of me. It’s hard enough to get something done when you have one person telling you what they want, but when the decision is between two different people who aren’t in the same room, it becomes a major challenge. It is not something I want to get myself in the middle of.

Maybe I would feel a little better if I could get a few more things done that need to be done for me. Tasks such as cleaning the house would help me feel good. I even break that task down into smaller tasks so I feel productive as I’m cleaning. I already cleaned the kitchen and the bathrooms a couple of days ago. All that’s left is to dust, vacuum, and mop. I wish I could get rid of my depression. It’s making life so difficult; every little task is a massive job. I just don’t want to do it anymore.

Zone Meal Plan

In the past 6 months, I have gained 32.5 pounds. Bipolar weight gain is terrible and extremely difficult to control. The weight gain began when I was in the midst of yet another depression, before I started taking Clozapine. Then, during the first couple weeks on Clozapine, I noticed that my hunger was never-ending and as a result, my weight was increasing even more. It was one thing when it was just 10 pounds, but now it’s more than 30. I have been through many depressive episodes, and I’ve gained weight during each of them. The largest amount of weight I gained during a depressive period was 80 pounds; that was when I was taking Risperdal. I will never take that medication again. During most of my other depressive episodes, I gained somewhere between 40 and 60 pounds. I always manage to lose the weight and get back in shape; I even keep the weight off, as long as I’m not in a major depression.

I decided, while I was on vacation, that I would start a new food plan when I returned. My husband said he wants to lose weight as well. It always helps to have another person in the house eating healthy and exercising. I have decided to go back on a zone (block) food plan from CrossFit, which I was given several years ago from my personal trainer at the time. It requires a lot of measuring and weighing. Breakfast, lunch, and dinner are all 3 block meals, and both of my snacks are 2 blocks each. After a couple of weeks, I will lower my snacks to 1 block each. I just want to give myself time to get used to eating on a schedule again. I think that starting with 2 block snacks will give me a bigger chance for success. If anyone is curious about the CrossFit Meal Plan, just follow this link, Crossfit Meal Plan PDF. The document explains what a zone meal plan is, what blocks are, it has a block chart showing what foods are worth, and example meal plans.

The meals are plenty for me to eat and they taste good; I’m not hungry. I still want to eat, but that’s just because I always want to eat. I eat compulsively; I overeat pretty much all the time. I wonder how long I’ll be able to follow the plan without overeating. Once I eat off my meal plan, the rest of the day is doomed. My mind doesn’t work right in so many ways, and food is one of those ways. I’m particularly proud of myself for choosing to start this meal plan. I really hope I stick with it and follow through. It’s a sign that my depression could be improving. I still feel depressed and have suicidal ideations, but even the smallest improvement can make a huge difference. My husband suggested that we work out together; he used to be my workout partner years ago, and we had a lot of fun. It sounds like a great idea; I just have to figure out how to manage my anxiety. Plus, I should probably only do one thing at a time; maybe I should wait until I’ve been on the new food plan for a couple of weeks before adding in a workout at the gym.

“Better to have, and not need, than to need, and not have.” – Franz Kafka

My favorite quote comes from Franz Kafka, possibly from his book, “The Metamorphosis”, but it could have been from another one of his works. I’m not positive that it’s originally from him or not, but that’s as far back as I can trace it. Kafka said, “Better to have, and not need, than to need, and not have.” I actually try to live my life based off of this quote. I’m not sure exactly what the quote was originally meant to explain. To me, it means to plan and be prepared for life, because anything can happen at any time. It’s important to always be prepared for any situation. For example, I don’t always know how long I’m going to be out, so it’s best to bring my medications with me just in case. I also take pain medication and see my doctor every 3 weeks for treatment. Sometimes, I get a refill on my pain meds before I’m out, because I don’t want to run out before I see her again. It’s better to have them and not need them, than need them and not have them. I can apply this quote to just about any aspect of my life. Being prepared, in my opinion, is always helpful.

The quote is popular it was even made into a song called, “It’s better to have, and don’t need” sung by many different artists including Don Covay, Huey Lewis & The News, Barbara Lynn, Sam Moore & Bruce Springsteen to name a few. I can see than many people interpret this quote to be about protecting oneself. For me, the quote can mean something as simple as remembering to grab my keys when I leave the house, just in case my husband doesn’t have his. This quote reminds me to be prepared in every aspect of my life, which is something I struggle with, especially when I’m dealing with depression.

Franz Kafka (1883 – 1824) is from Prague; he was a German speaking novelist and also wrote many short stories. I had to read a lot of his works throughout college, and I actually enjoyed them, at least the parts that I understood. I’m curious what this quote means to others people. How do you feel about it? How can/do you apply it to your own life?

Insecure, Insignificant, and Worthless Feelings

Going out, whether it’s for fun or to get things done, can be very difficult. I like to isolate, I prefer to be by myself. I’m also extremely hard on myself. Whenever I go out, I have to get dressed, and that is always a reminder of my weight gain. Due to my bipolar, my weight has fluctuated over the years. Right now, I’m gaining weight, which makes me feel bad about myself. Weight gain really messes with my self-confidence. When I stay home, I don’t have to worry about other people judging me; I only have to worry about my own judgments, which is hard enough.

Everyone judges themselves, especially women, but I take it too far and let my thoughts interfere with my activities. I wish it was something that I could fix. If I’m not self-conscious about my weight, then it’s something else. I’m always going to find some way to judge myself. All women struggle with confidence, but not everyone lets those fears and thoughts interfere with their lives. Actually, everyone struggles with confidence, it’s not just women.

I’m not so sure how to get past these insecurities and fears. I’m not sure if I can handle some of the activities that I’ve been asked to do. Not all of my insecurities are due to my weight. I’m also terrified to go to large public events. I have anxiety attacks when I feel trapped and when I’m surrounded by people. There’s something coming up that my husband wants me to go to, and it does sound like fun, as long as I’m going with him. My husband is like my security net, he makes me feel safe no matter where I am. However, we’re not sure if he can go to the event because of work. I tried to explain to him how difficult it would be for me to go without him or with anyone else, but I’m not sure if he understands. I know that he really just wants me to get out of the house more and do healthy things; however, there is a big difference between trying more things and pushing yourself too far.

I wonder all the time if I’ll ever have my old life back; the life where I enjoyed going out to public events and I could manage my life without too many problems. I just want to feel free again; instead, I feel trapped by my fears and insecurities. I’m not sure if I will have that freedom again, but I’m still trying. I feel as if I’m wearing masks to cover up my feelings of insecurity, insignificance, and worthlessness. I pretend to feel good about myself, even when I don’t. I may feel bad about myself, but at least I know that those thoughts are not really accurate. I know that I’m better that I believe myself to be, I just wish I could really believe in myself. Hopefully I will one day, but until then, pretending to be okay is better than nothing at all.

Overwhelmed and Anxious

I have so many things to get done in a limited amount of time. So many things, such little time to do it in; we’ve all heard that before, we’ve all probably said that before. Right now, that seems to be my life, except I feel frozen. I’m struggling to get things done, even some of the smallest things. All I can think about is all of the other tasks I need to complete. It’s weird to have your brain running so fast but also be frozen at the same time. What do I do now? Where do I start? Sometimes I feel as if I’m outside of my own body. I feel as if I’m looking at myself and all the things I need to do, and still can’t get it all done.

I feel off, something feels off and I can’t pinpoint it. Is it because I forgot to take my Clozapine two nights ago? Maybe it’s because I’m on a time schedule? It could be because I’m dealing with what appears to be a minor depressive episode, hopefully it doesn’t get worse. It could just be because I’m about to go on another trip to visit my family. I love my family and we get along wonderfully, but it’s still stressful. I’m really looking forward to seeing my family. I can’t wait to have one-on-one time with my mom, nieces, nephew, aunt, grandma, and more. There are so many people to see, and I have only one week to get it all done in.

My best friend from high school just reached out to me and she wants to get together for lunch while I’m back where I grew up. I haven’t seen or talked to this girl since I was 17 or 18 years old. Now, she wants to catch up and that worries me. Now that I think about it, this is probably why I’m having so many issues right now. This is overwhelming. I tend to have anxiety attacks when I go visit my friends that I see regularly, what will happen when if I visit with someone I haven’t seen or talked to in over a decade. Thank goodness for Valium. I don’t take it that often when I’m in my normal surroundings, but I know I will go through quite a lot while I’m away. I won’t take more than I’m supposed to, but I’m allowed two 10 mg pills a day, and that is a lot to me.

Rapid Cycling

Rapid cycling is described as a pattern in an individual’s bipolar disorder. The individual must experience at least four or more episodes in one year. These episodes can be either manic or depression, I’m not sure if mixed episodes count. My specific diagnosis is Bipolar 1, rapid cycling, with psychosis. Maybe, my previous post where I was wondering if I was crashing is just another part of my rapid cycling. That could be why it feels like my episodes come in waves; they happen so often I have a hard time keeping track of them all.

People who are rapid cyclers can still crash; I guess the crash just doesn’t last as long. However, rapid cycling is a diagnosis that is not necessarily permanent. It can change as time goes on. A person’s bipolar symptoms tend to change with time, generally based on their experiences and treatment. This makes it possible for the rapid cycling diagnosis to be temporary for most individuals, although the diagnosis can come and go.

I find rapid cycling difficult to manage. Just when it seems as if I’m getting a handle on current emotional status and its symptoms, my episode changes to something else. Lately, it’s changing slowing, which is nice, but it’s hard to keep up with. One day, I can be cleaning, getting stuff done, and reaching out to others, and then the next day I can’t get off the couch. It usually takes me a couple of days to mentally realize and accept my current state, and that is extremely difficult when things are always changing.

I have a couple of questions. Is it even possible to cycle daily or weekly? What I find tells me that rapid cyclers usually cycle at least four times a year. Are there any other individuals diagnosed with rapid cycling bipolar? Do mixed episodes count towards rapid cycling? It would be great if anyone wanted to tell me about their experiences; I would appreciate hearing from you and finding out how often you cycle and how you handle your cycles.

What’s Coming? I Hope It’s Not A Crash

I wouldn’t necessarily say that I’ve been manic lately; I’ve been in a mixed episode more or less. Everything changes day by day; whether or not I’m able to get things done, how much energy I have, my emotional state, how much I reach out to others, if I can complete my goals, and how impulsive I am. These are my major signs that show what state I’m in; manic, depressive, or mixed. Since I had an ECT treatment yesterday, I generally slow down for at least a few days as my body recovers.

When I’m manic or mixed, I tend to get a lot of household responsibilities done. I can go all day without stopping. I make sure that I can complete every goal I set out for myself. I can’t stand not being able to cross off every item on my to-do list. I also usually reach out to others, both friends and family, when I’m manic or mixed. I withdraw as the depression sets in. I usually don’t have elated feelings to begin with during mania or mixed episodes; I still tend to feel bad about myself, unable to see the good things that I have done.

Every day, I see certain symptoms changing. For example, today I’m having a hard time getting things done. It is the day right after ECT, so I’m trying to give myself a break, but reaching out to others is also very hard. I’m also feeling the emotional depressive symptoms, wishing I wasn’t around is a common feeling for me. I’m not sure if there’s a crash coming, or if I’m just reacting to life’s circumstances. The worst part, in my opinion, is I keep gaining weight. It’s been happening for a few months now. I’m up 30 pounds, and I don’t have the will power to fight it. I have been wondering what’s coming for a little while now. Sometimes I think my episodes happen in waves; often never-ending and they don’t often last long enough to realize what’s happening, which is an improvement from before, now that I think about it.

If this is a crash coming, then it’s probably the easiest one I’ve gone through. Or maybe the new medication, Clozapine, is helping ease the fall a little bit. Other times, I have spent all my money, gained 80 pounds, or withdrawn completely from my loved ones. I’m still productive, no matter how difficult it is, and I’m working at keeping my relationships healthy, which is extremely difficult for me. I’m still trying, that’s what matters. Maybe I should just be grateful that I am still able to work at it. When my depression hits, it doesn’t matter how hard I try, I still don’t get things done like I want to.

Treatment-Resistant Bipolar Disorder

Treatment-resistant bipolar, also known as med-resistant, is something that most of us know too much about. Sadly, it’s extremely common. Being diagnosed as treatment-resistant generally depends on the number of medications a person has tried during the phase that individual is in. Many individuals have been through all sorts of different medications without much success. And then of course, if a person finally finds a medication that helps even a little, it comes with side effects that are too much to handle. I have been considered treatment-resistant by my doctors many times throughout my diagnosis. I have taken so many medications that I’ve lost track of them all. I’ve even lost track of the horrible side effects. I know that for me, Abilify sends me into a huge manic episode, Depakote causes me to lose my hair, and I gained 80 pounds on Risperdal. Those are just a couple examples of medications that I couldn’t handle.

Treatment-resistant doesn’t mean that there’s no answer; there are several individuals that are treatment-resistant that have gone into ‘remission’ for multiple years. I am one of those individuals. Somehow, I was able to live a regular life, work a full-time job, and have a full-time social life. I don’t know what happened or what changed, but after a little more than 2 years, something changed. I was still taking my medication and seeing my doctors, but it was as if I was a ticking time bomb. Then I exploded into such a massive manic phase that I had to leave my job and go live with family. I haven’t been stable since that time, but I do know it’s possible. Sometimes I wonder if I can ever get back to the place in life that I was at before. Honestly, I don’t know if it will or will not happen, but I haven’t given up.

There is always hope, even for those that are treatment-resistant. New treatments and medications are always coming out that could help. Sometimes, a certain combination of medications or treatments is the key to remission. It’s not easy to be patient, or willing to try new treatments, but you never know when one of these new methods will be the key to our health. I am always willing to research and usually try new treatments and medications. I am doing ECTs, electroconvulsive therapy, every month (I’m doing the maintenance treatments at this point), and I am doing a rechallenge of the Clozapine medication. The ECTs helped me get out of a major depressive episode. The Clozapine is supposed to help take away my suicidal ideations; it’s too soon to tell how effective it will be. My conclusion regarding treatment-resistant bipolar is that you never know when some new treatment or medication is going to help; don’t give up before the miracle happens.

What Caused My Bipolar Disorder?

No one really knows what causes bipolar disorder, but there are several known possibilities. Some of the circumstances include genetic inheritance, brain chemistry, life events, substance abuse, and childhood trauma. I’ve always wondered what caused my bipolar disorder and if it was it something that could have been avoided. In my case, and in most cases, there are multiple situations that cause bipolar disorder. For me, I think that all of the known possible causes had something to do with the reasons for my bipolar disorder.

Genetic inheritance definitely had a part in my bipolar disorder. My father had a brother and a sister that both had some form of mental health disorder. I don’t know what the diagnosis was, if any, but I do know that they used to and still do struggle with mental health. There is also at least one person on my mother’s side that deals with depression. Having family members that deals with mental health makes it more likely that I would have some form of mental illness because it’s something that could have been inherited.

Individuals with bipolar disorder also often have different brain chemistry than those without bipolar disorder; their brains often work differently allowing them to be predisposed to both manic and depressive episodes. The brain structure of those with bipolar disorder is different from those without bipolar. This may help doctors diagnose and treat bipolar in the future.

Certain life events can also be a cause of bipolar disorder because of the stress that they cause. I had a fantastic childhood with loving parents. I felt loved every moment of every day. The only life event that could have had an effect was the diagnosis of my father’s cancer when I was 12 years old and his death when I was 18 years old. It was very hard for me; my father was my best friend. Stressful life events can cause manic or depressive episodes; they can also influence kids, such as myself, to turn to drugs or alcohol.

Substance abuse most likely played a huge part in my mental health diagnosis. I did anything and everything that was available; all I wanted to do was forget how I was feeling. I used drugs and alcohol to the extreme from the ages of 12 to 19, when I got sober. Gratefully, I’m now coming up on 12 years sober, which probably makes a big difference in the treatment of my bipolar disorder.

Childhood trauma is also a factor for many. The traumatic events I experienced were in my teenage years. I lost my father at age 18. I was also in a physical and emotionally abusive relationship from the age of 17 to 18. That year and a half was difficult for me; it has also made the rest of my life exceptionally difficult. I still have many fears and am hesitant to do a lot of things because of events that occurred during that relationship.

Over the years, I wondered what happened; how could such a happy childhood turn into such a difficult life. I had a wonderful childhood; I was pretty popular in school, I had a great relationship with my entire family, and we were lucky enough to have more than necessary. I used to wonder if maybe I did something differently in my life, then I wouldn’t have ended up with this diagnosis. I used to think that it was my fault, that I was to blame for my mental health problems. However, after writing this post, I realized that I experienced most of the possible circumstance that could cause mental illness. It wouldn’t have mattered what I did, I was bound to end up diagnosed with bipolar disorder. It’s no one’s fault. No one is responsible for their mental health diagnoses. What we are responsible for is helping ourselves get better over time. We can take control of our disorders; it’s not easy, but it is possible.

My Side of the Pole

Bipolar – Mental Health

Category: Depression