Standing By My Decision – I Actually Did It!

I was very nervous about my psych appointment yesterday; I was so nervous that I even had an anxiety attack. I’m not used to telling anyone what I want, especially when it’s different from others want. Standing up for my own desires is nerve-wracking for me. I prepared for my psych appointment yesterday by writing down exactly what I wanted to say. I told my psychiatrist that I wanted to stop ECT because it has become too hard on my body and my mind. I’ve been doing ECT for close to a year and a half, and I just can’t take it anymore. I explained my reasons and to my surprise, he was okay with my choice. He explained that he respects my choice; I couldn’t ask for more than that. I’m very happy with the outcome of that appointment.

He gave me several options about what we could do moving forward. He told me I probably wouldn’t like a couple of the options, but he was going to mention them anyway. I’m glad he did mention them (without any pressure). It was nice to see all of my options at once, even though I didn’t like most of them. Together, we decided to slowly increase my Clozapine up to 400mg a night. We will increase the dose by 25mg each week until we reach our target goal of 400mg. We are increasing slowly to hopefully avoid some negative side effects such as dizziness, fevers, and drowsiness. It will take two months to reach our goal. I will see him in three months. This gives me time to get to the target dose and then allow my body to adjust to the dose for a while. I’m really hoping that this change will help. The Clozapine has helped quite a bit so far, I have a feeling that it will continue to help.

My husband pointed out to me that this is the first time that I made my own decision regarding my mental health, and stuck by it. He was proud of me. To be honest, I’m proud of myself. I know it sounds a little ridiculous to be so happy about this decision, but it’s a huge step for me.

Depression Triggers

This depressive episode has me dealing with some depression symptoms that are not normal for me. My symptoms include weight gain, hopelessness, inability to feel pleasure, lack of interest, sadness, extreme fatigue, sleeping more than normal, excessive hunger, restlessness, and suicidal ideations. I push myself to get through this every day. I make myself get out of the house because I know it’s good for me. Just because it’s good for me doesn’t mean it’s easy to do.

I’m trying to figure out why this depressive episode is even happening. Normally, I can pinpoint the reason or trigger for an episode, either depressive or manic. Some of the reasons are medication induced, situational, or emotional. The problem is that I can’t find the reason for this depressive episode. I’m wondering if it’s possible that my recent ECT treatment could have caused this depression. I had already started to feel slightly depressed when I had the treatment, but I have felt so much worse ever since I woke up from it. It feels like ECT was a jumpstart into depression.

Does it even really matter what the cause is for any episode? I suppose the reason to know what triggered an episode is to help for the future. If you know what caused a depressive episode, then you can avoid that trigger in the future. I’ve been doing ECT treatment for over a year, and this is the first time I’m having problems like this. It may not be a trigger for me, but it may have been the thing that pushed me over the edge. Other things I’ve been experiencing that can cause depression are poor sleep habits, poor diet, weight gain, other health problems, and feeling home sick. I wonder, with this such as weight gain and poor diet, which was first. Did they occur first as a symptom of bipolar depression or were they triggers for the bipolar depression?

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.

Feeling Tired and Useless

I still feel messed up today; as if something isn’t right. I’m dealing with physical pain and being emotional distraught. Normally, when I wake up, words flow from my fingertips. Today, when I woke up, I felt empty. I have felt empty since I woke up from my last ECT treatment; it happens after every treatment, but this one is lasting much longer. This past ECT was the hardest that I’ve ever done. My husband told me that I say that every time. I told him that every time it gets harder. I have been doing this for more than a year. I can’t keep this up. I can’t continue. I’ve said that so many times; however, I think I’m serious about it this time. The memory loss, emptiness, confusion, and the chaos are too much for me anymore. I’m tired and I don’t think I can keep doing this to myself.

I don’t have much to do today, but I’m still wondering if I can get it done. The only thing I must do is get my blood work done at 2pm today. Hopefully I don’t run into that rude phlebotomist. I also want to clean the house today. It has been on my to-do list for a while now, but I can’t seem to get it done. It’s the ECT that’s holding me back from getting things done. I’m so tired; I feel useless. I hope that will change today.

Out Of It and Perplexed

Yesterday was a rough day, but the interesting part is that I don’t remember most of it. I don’t even remember going to bed. It has to be from the ECT. I feel still pretty messed up today, and that’s not how it normally happens. Apparently, I need another day to rest after this past ECT treatment. That’s very abnormal; usually I’m back my normal self the next day, but not this time. I’m trying to continue on with my day, getting things done, but I’ve having a more difficult time than normal. I’ve crossed a couple of things off of my list, but I don’t know if I can keep going. I was going to change my weekly blood work to Thursdays instead of Fridays, but I’ll do that next week. I can’t handle having another thing to do today. I’m even struggling in my writing today. My brain just is not all there. I’m perplexed, confused, baffled, and puzzled today. Hopefully, I’ll get part of my brain back as my day goes on.

After ECT

ECT went well today. I’ve done it more than 30 times; it’s become normal for me. When I woke up from anesthesia, I felt fine, no pain. By the time I got home, the pain set it, so I had to take a Percocet. I have a pounding headache and my jaw hurts terribly. I’m just waiting for the pain meds to kick in. I wish I could go to sleep, but for some reason, I can’t, I’m just not tired. If I could sleep, it would probably make me feel even a little bit better.

My memory is back to being crappy. I can’t remember where my husband is, although I know I knew his plans before the ECT treatment today. I looked in my calendar and saw that I recently went to visit my family in Connecticut, but I don’t remember any of it. I can’t remember my wedding, that one really bothers me. I went through my wedding album; it brought back some of the memories. That was helpful, but still not enough. I’ll probably watch my wedding video later today. I hate the memory loss. Every time it finally starts to improve, it’s time for another treatment that causes memory loss again. It’s a vicious cycle.

I don’t want to continue (I think I’ve mentioned that many times), but I just do what I’m told to do. One of these days, I’m going to stop being so compliant. I know that my being compliant regarding my psychiatric treatment is extremely helpful, but it’s also exhausting. I’m afraid that one day I’m just going to do what I want to do instead of what I’m told to do. Following my bipolar treatments is overwhelming. I’m going to rest today, or I’m going to clean the house and go play cards with my family. I know I should rest, but I doubt that will happen.

Another ECT

I have another ECT treatment today. I do them every 4 weeks; I can’t believe it’s already been that long. I hate going and doing this. It is helpful, but I guess I’m just tired of it. Maybe I would feel okay about it if doing ECTs made me able to reduce the amount of medicine I took, but it doesn’t. The people there are very nice and know me well since I’ve been doing this for more than a year. The procedure doesn’t take long, but I do feel somewhat crappy the rest of the day; mostly headaches, body aches, and memory loss.

I’m too scared to stop. What happens if I stop and it turns out that it was the one thing that was holding me together, in a way. I don’t want to go, but I always go because I’m afraid not to go and because it’s the right thing to do at this point for my treatment. Sometimes, I wish I wasn’t so compliant. Time for me to go now.

Monthly ECT

At 8:15am I had my 32nd ECT treatment (I miscounted before). I now do the treatments every 4 weeks; they’re maintenance treatments. They’re done under general anesthesia; the treatments only take a couple of minutes. I usually leave the hospital within 90 minutes of getting there. Normally, I get home and go to sleep for a little while. When I first started the treatments, I could go back to sleep for a couple of hours, but the amount of time I’m able to rest afterwards has been decreasing with every treatment. Today, I got home from my treatment and was unable to go back to sleep at all for the first time.

I’m not a fan of the recovery and after effects. My jaw hurts so bad that it hurts to chew anything and my entire body is muscle sore. It feels as if I just ran a marathon, or two days after a massive workout, when you have to brace yourself for every movement you make. My memory gets even worse than normal after the treatments; the memory issues last longer than the physical ones. The memory issues make me feel like an idiot. I’m constantly asking questions, and I usually ask the same questions over and over again.

I’ve been doing these treatments for so long now, I wonder if I will ever be able to stop them. My psychiatrist wants me to be stable for 6 months before stopping, and I just don’t see that happening. I could just tell him I want to try stopping the treatments, but then what happens if I end up in a huge depressive or manic episode? Then I would have to go back to doing the treatments 3 times a week. I don’t want to do that, and I’m not sure if my body can even handle that. I wonder what the long-term effects are of ECT; maybe that’s something I should look into.

My Side of the Pole

Bipolar – Mental Health

Category: ECT