Options

Options

My psychiatrist gave me three options. Option #1 is to go back on the Mirapex. Option #2 is to restart ECT twice a week. My psychiatrist says that ECT in combination with Clozapine has good data and experiences. Option #3 is to try IV Ketamine. I’m starting by going back on Mirapex. If that doesn’t help in a few weeks, I will probably try IV Ketamine. The IV Ketamine scares me, but it does have really good results.

Lately, I’m sleeping a lot, more than 12 hours a day. I’m having a really hard time doing anything. All I want to do is just lay down and fall asleep. I can’t seem to get enough sleep. I know it’s the depression. Hopefully it will get better in a week or so, now that I restarted the Mirapex.

Further Down The Rabbit Hole

Further Down The Rabbit Hole

I had a medication change two weeks ago. I went off my Mirapex, as directed by my doctor, because I stopped caring about things. I was numb, and had been for a while. I started to go deeper into a depression about a week ago. I started sleeping a lot, taking naps (which is very abnormal for me), having a hard time getting things done, forgetting a lot, and caring even less. I waiting to hear back from my psychiatrist as to what my next step is.

A Hard Time Being Productive

A Hard Time Being Productive

I’ve had a hard time getting things done this past week. My regular tasks seem to be more difficult that normal. Even just keeping my house organized is hard. I can’t figure out how to clean things up or where to put them. I let things slide for one day, and then it just piles up to the point where I’m overwhelmed and don’t know where to start.

A couple of days ago I was worried that I was on a downward spiral, but today I’m pretty sure that is not true. I think I’m still stuck, emotionless. Hopefully, that will be changing soon. I took my last dose of Mirapex today. I will check in with my psychiatrist next week after being off the Mirapex completely for one week.

Downward Spiral?

Downward Spiral?

I had a medication change about 5 days ago because I was feeling numb, flat, and empty. My psychiatrist said that he has seen this happen to people who reach a therapeutic level of Clozapine that are also taking Mirapex. We decided together to taper off the Mirapex. I will take my last dose of Mirapex on Wednesday, I’m currently taking half the dose.

I feel worse than I did a week ago. I’m hoping that this is just me adjusting to the medication change. I really hope that it’s not the beginning of another downward spiral. I took a nap this evening because I just couldn’t stand being awake anymore. When I woke up, I was hoping that at least a couple hours had passed, but instead, it had only been about 30 minutes. What a disappointment. It’s getting harder each day to fake being okay.

Feeling Like Crap

Feeling Like Crap

Today just sucks. I feel like crap, both emotionally and physically. People keep asking me how I’m doing, and I have the same response as always, “I’m hanging in.” It’s not a lie, but it doesn’t exactly reveal anything. What I don’t like is when people ask me why I’m feeling crappy. I think that’s a stupid question. Sometimes I just feel something without any reason. That’s a huge part of bipolar disorder.

My husband and I were invited to go out with friends to a showing of Rocky Horror Picture Show tonight. I’m really nervous about it. I want to go, but I also feel pressured to go. Maybe if we drive separately, it would make me more comfortable. I wouldn’t be stuck somewhere without a way to escape if I have a panic attack. I hope I can get myself to go tonight. It would probably be good for me.

Emotionless

Emotionless

I don’t feel like myself. In fact, it’s been a while since I’ve felt like myself. I’m numb, emotionless, disconnected. I can’t figure out if this is better or worse than feeling the depths of depression. I’m still able to fake being ‘okay’ when I need to, but pretending is exhausting. It takes everything I’ve got to put on a fake smile and talk to others.

I keep moving forward, one step at a time. I have no clue how I do it or how I continue to get things done. I spend most of my days alone while my husband is at work. Being alone is so much easier for me than being around people. Every once in a while, I get urges of frustration. I vent for a minute and then it’s back to feeling nothing.

Emotionally Numb, Uncomfortably Numb

Emotionally Numb, Uncomfortably Numb

Do you ever feel stuck? As if no matter what you do or how hard you try, nothing will end up working out in your favor? That’s how I feel right now. There are too many things going on in life and I’m having a hard time processing them all. I’m emotionally numb; uncomfortably numb (not because of drugs, because of my mental health).

I’m weighed down with life in general. I feel like a failure; like I keep doing the wrong thing. I just want a break from all of the doctor appointments for a little while. I want a break from not knowing how I feel and not knowing how to respond when people ask me how I’m doing. Even my therapist has told me that I’m much quieter than I used to be, I’m not talking very much. That’s just because I’m so overwhelmed, I don’t know what to say.

World Suicide Prevention Day

World Suicide Prevention Day

Today is the World Suicide Prevention Day. I have been dealing with suicidal ideations for most of the past year. Besides taking my medication, the thing that has been the most helpful is communicating. It really seems to help when I talk or write about what’s going on with me. I remind myself that my life will continue to have ups and downs. I think that one good thing about having bipolar disorder is that I won’t feel depressed forever. Things will change, nothing is forever. Connect. Communicate. Care.

Holding On For Dear Life

Holding On For Dear Life

Right now, I am holding on with all I’ve got. The Clozapine has caused a huge weight gain. I’ve gained more than 30 pounds in 3 months. It doesn’t matter how much I workout or what I eat, I just keep gaining weight. I know I made a committment to keep trying Clozapine until I reach my goal dose of 400 mg. I still have another month of dosage increases until I get to my goal. When I say I’m going to do something, I mean it. I want to hold myself to my committment. However, it’s easier said than done.

I told my psychiatrist about the weight gain. He told me that there are some measures we can take. However, he is on vacation, so I have to wait until next week.  So I know that there is something that could possibly help with my weight gain, but I have to wait another week. I understand that everyone is entitled to go on vacation, but waiting even another day is extremely hard, a week is close to impossible. But somehow, someway, I will do it.

The problem with going off of Clozapine, is that there aren’t many other options for me. I’ve already tried ECT for over a year. I don’t want to do IV Ketamine because the thought of dissociation is terrifying for me. I’ve taken so many medications, there aren’t many options left. I keep questioning my future since my treatment options are getting fewer and fewer. This is when I really rely on my friends and family. So far, I have been shown nothing but love and support. I can do this; I can get through this. That’s what I need to keep telling myself.