Worst Case Scenarios

I’ve been told that I always tend to think of the worst case scenarios. I easily jump to the worst possible conclusion instead of the most likely conclusion. I try not to panic, but it happens so easily. I think that part of it is just the way I’m wired. I’m a worrier, it’s what I do. The other part is that I’ve experienced a lot of trauma over the years. My father died when I was 18 and shortly after that my boyfriend died. I have also lost numerous friends to drug and alcohol addiction and to mental illness. I suppose I just expect to hear bad news at this point. I would rather expect something bad to happen and end up being pleasantly surprised when it’s not true, than to expect good news and be disappointed with sad or scary news.

Maybe this is a terrible way to look at and deal with life, but it’s how I do things at this time. I don’t know how to do it any other way. I am learning to gather information before drawing a conclusion. For example, I heard that there was some type of incident in my home town where someone lost their life. That was all the information I could find. Instead of assuming that it was a friend or family member, I called someone to see what they knew. Turns out, it was not about anyone that I knew. Another example is that I become scared when someone I don’t know talks to me or comes up to me. I am terrified of anything I don’t know. I’ve been able to get better at this over time. Hopefully, I will continue to grow and be able to reduce my anxiety.

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.

I Feel Like Two Different People

I often feel like I’m two different people. This is the ‘pretend’ or ‘fake’ person. It’s not that I’m being fake, I’m just holding back. I’m one person when I’m around people I trust, such as my husband and my mom. I can fake being okay and my paranoia, anxiety, and fears decrease. This is the person that I make up; the person I let others see. I can also be this person around other people such as family members and friends. It’s just harder for me to keep up this person. But for some reason, I always feel like I need to put on this other persona. I don’t exactly know why, especially with the people I trust the most. Maybe, I’m just trying to give myself a break from the other person that I am; allowing myself to release some of my anxiety and paranoia. I usually need the help of Valium to do this with people other than my husband and mom.

Then, there’s this second person, the real me. I’m the person who jumps at every little noise. This is the person who sometimes keeps a baseball bat by the door and keeps a knife in my pocket when out for a walk, just in case. My paranoia increases when I’m alone. I have more auditory hallucinations when I’m by myself, although I’m learning to tell which things I hear are real and which are hallucinations. When I leave the house by myself, I’m constantly looking around, especially behind me, so I can see everything that’s happening. I never want to be caught off guard. I rarely ever take anti-anxiety medication when I’m by myself in my house. I prefer to use it when I leave my house or when I with others, that way I can be that other ‘pretend’ person.

I wonder if I’ll ever feel safe again when I’m by myself. Despite the fact that I’m pretending when I’m around others, I do feel safer than I feel when I’m alone. I feel like two different people. Each ‘person’ comes naturally. People I trust tell me I don’t have to pretend to be anyone or anything, but it just happens. For some reason, I don’t feel like I have control over which person appears, it’s just instinctive. Does anyone else have this issue or feel this way?

Home Maintenance Means Strangers In My House

While I was away visiting my family, I get a phone call from my husband telling me that the ceiling fan and garbage disposal stopped working. Of course it had to happen when I was gone, but I put in a maintenance request (we rent this house) and then had to wait. The maintenance man called a couple of days ago and scheduled an appointment to come over yesterday. I wasn’t too worried about it because my husband was going to be home with me. However, it’s still difficult for me to have a stranger in the house. My anxiety tends to skyrocket when there are people in my house I don’t know. I have my husband and my dog (who looks mean but is far from it) to make me feel safe and protect me.

Of course, it can’t be just one problem at a time. Apparently, while I was gone, all of the television shows we record on local channels won’t play. It gives an error message saying that there is no audio or video available. The weird part is that all of our other channels had no issues at all. I called DirecTV and they were very polite on the phone. Their technical support staff did all they could, but were unable to fix the issue, so they are sending someone out here today. I’m happy to have them come fix the issue, and it’s great that they can do it so quickly, but that means another person in my house.

I’m really hoping that my husband will still be home when they get here, but it’s a four-hour window when they will arrive. My husband will probably have to go to work at some point during that window. When he’s home, I’m much more calm. When he’s gone, my anxiety goes through the roof, especially when someone knocks on the door or when the dog starts barking, usually for no reason. I wish I was able to feel safe. I’m pretty sure that I am safe; I just don’t feel like I am. Safety, for me, is a feeling that must come from inside. The best way for me to start feeling safe is by continuously telling myself, ‘I can do this’.

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.

Happy To Be Home

My flight got in a few minutes late, and I’m just happy to be home. I took my time going from the plane to baggage claim. When I got to baggage claim, it was so crowded, it scared me. Luckily, just as I walked up to the carousel, my bag appeared. I didn’t have to wait there with that huge crowd of people for more than two minutes. My husband picked me up at the airport and it was great to see him. When I got home, my dog was excited to see me, which is always a good feeling. It’s been a long day. I’ll have to get used to the time change again. I was just starting to get used to the time change while I was back in Connecticut, now I have to get used to Arizona time again. Why is traveling so exhausting? I still have to unpack, but I don’t think I have the energy for it tonight. I think I’ll have to add it to my huge list of things to do tomorrow.

That’s probably the thing I hate the most about traveling. When I get back home, there are so many things to do and they all have to get done right away. Normally, I push myself to get everything done right away. However, I don’t see the point in pushing myself even further than I already have. Simply traveling, dealing with airports, and getting through the crowds should be enough for one day. I’m done for now.

Off To The Airport

Not the airport again. I really hate airports, but I love planes. It’s just the people who I hate. People you don’t even know invade your personal space. I’m always afraid that I’m going to have to get a pat down when going through security. I panic when strangers touch me, sometimes even when people I know touch me. So the thought of a pat down is terrifying. In all of the times I’ve flown, it’s only happened to me twice. Most likely, everything will go smoothly (despite people invading my personal space) and I will have worried for nothing. I can’t help it.

I hate it when people tell me, just relax or calm down. The worst is when people say, there’s no reason to be nervous. Maybe there’s no reason to be nervous for them, but for me, it’s horrifying. I wish there was a better way to travel long distances. I have driven cross-country twice, but it is a 37 hour drive one way. I’m not really up for that. It’s like when people tell you how great you look or how great you’re doing when you’re going through a major depression. I know people are just trying to be polite, but it’s not helping. It generally feels more like someone telling me how I should feel instead of accepting how I actually feel. I don’t know if that was confusing or not. I tried to explain it all including how I feel. Does anyone else have this same issue? Does anyone else feel insulted or discredited when people try to tell you how great you look? All I want is to be accepted as I am. I hope that’s not too much to ask.

All Messed Up Inside

Right now, I feel like a mess inside. Life is chaotic. I’m getting ready to go back home and I’m almost all packed, but I’m not ready to leave. I wish I could take my mom with me. At the same time, I can’t wait to go home and see my husband. He ended up having a radio frequency ablation on his spine today. I’m still waiting to hear how it went. Waiting is not my best quality, it is making me nervous. I wish I had been there to take him and make sure everything was okay. Maybe I’m being a bit overprotective, but I just want to be sure he has everything he needs. Being a caregiver is something I’m good at.

I went to see my grandma once more before I leave. I have a hard time saying no to anyone, so I ended up staying and having dinner with her. Many of the things she says make no sense at all. I did my best to ignore the ridiculous things she said, but they have stayed with me all evening. At least this time I didn’t snap at her, but I’m still mad at myself for feeling the way I do. I get so frustrated and irritated with her. I don’t know why I’m mad at myself because of how I feel, especially since I was nice to her despite the comments she made and questions she asked.

I also received a phone call from an unknown number yesterday. I answered it thinking it was a doctor; I was waiting for a few calls. Turns out, it was my husband’s ex, the mother of his children. I’ve never spoken with her before and I’ve never wanted to. She was extremely nice to me on the phone, overly nice. From what I hear, she is manipulative and holds things over everyone’s head, even her own children. Once I realized it was her, I started to freak out, but I tried to remain calm and polite on the phone. Why was I so polite? It’s just my automatic reaction. She wants all of us to get together for a meal some time. All I could think of was that I would let my husband know. I hope I never have to have another conversation with her. I told my husband about it right away, and he reacted much better than I did. I wish I could go back in time and not answer that phone call. The situation is tearing me up inside. I don’t really know why, the situation is over. I put the phone number to my automatic reject list, that way I don’t accidentally answer a call from her again.

I don’t feel like I can handle my emotions or life right now. I just feel overwhelmed; I feel like I’m drowning. I’m capable of getting things done and I can fake being okay, but the fact is that I’m not really okay. However, I’ve been pretending I’m okay for so long that it’s just become the natural thing to do. Everything is in chaos and I am defenseless.

Challenges Show Us What We’re Made Of

I’ve heard it said many times before, ‘Challenges aren’t there to stop us; they’re there to show us what we’re made of.’ If that’s true, then I’m made of medications. It’s my daily medications and my as needed meds (such as Valium) that allow me to face my challenges. Okay, maybe I’m being a little dramatic, but I honestly don’t think I would be able to do anything without my meds. I can do a lot without Valium; it’s just there in case I need it. While on vacation, I have needed it more, but there have been times this past week when I did things without taking any. I’m going out with my mom and grandma this afternoon for mother’s day and I’m going to do it without taking any Valium, or at least that’s the plan. I can do it, I can do it. I tell myself over and over and eventually it helps. Everyone faces challenges on a daily basis, big and small. Even if I have to take daily medications and some other medications as needed to get through these challenges, at least I’m getting through them. At least I give it a try.

One challenge I’m dealing with right now is getting my weekly blood test results over to the pharmacy so I can get my prescription for Clozapine. I had my blood drawn at the local hospital and then I was told that they could not send my results to the pharmacy even though my psychiatrist requested it on the lab order, he gave them the pharmacy fax number and everything. All labs are closed on Sundays where I am, even the one in the hospital. So tomorrow morning, I have to call the hospital lab and Quest labs and explain the entire situation to them. Hopefully they will have my results and will fax it over to my pharmacy. If not, then I’m going to have to go to the hospital to talk to someone in person. The hospital is 40 minutes away. If that doesn’t work, then I don’t know what I’m going to do, but I will find a way to keep trying. There has to be a solution.

This is a huge challenge for me. I’m extremely uncomfortable talking to people. My anxiety increases, I start rocking back and forth, I lose my words, my heart rate increases, and I start shaking. Maybe no one else notices it, but I feel exposed. I feel as if everyone in the world can see that I can’t even ask people questions. I’m getting a little better at it, but it’s still terrifying to me. Sometimes, I write down my questions in case I lose my focus due to the anxiety. That way, no matter what, I can get my questions answered. I need to at least try to do it. The times that I try and it works out, I feel so proud of myself. It’s a huge accomplishment. I do my best not to let my challenges stop me; I try to find my way around them, one thing at a time.

I Pushed Myself and I’m Grateful

I pushed myself today, much further than I normally do. I took a Valium before I left with my mom, but the event was more than I expected. A friend of the family was putting on a fundraising party and we wanted to go and support it. We got there, and the parking lot was full. My heart started to beat out of my chest. We sat in the car for a little bit while I got the courage to go in. It only took about 5 minutes, and we went inside. I looked around and people were everywhere, both upstairs and downstairs. I stayed close to my mom, she makes me feel safe. I saw a couple of family friends that I wanted to see. We stayed about 30 minutes. I’m surprised I made it that long. People kept bumping into me and others were looking at me. I was terrified inside, and then my mom put her arm around me. I felt safe again. I was ready to go; I hate crowds and did not want to be there anymore. My mom knew by my body language that I was ready to leave, so she helped me make it out the door.

I was also worried that I was going to run into someone I grew up with, someone who I used to get high with. It really doesn’t matter, but I’m always afraid to run into some of these people. It’s really just a trigger, seeing people from my past. I have enough triggers already; I don’t need to add in people from my past. Luckily, I went to the event, stayed for 30 minutes, and left without running into a single person that I used to get high with. There were lots of people I know, but they were family friends, so that was okay.

We got to the car and my mom told me how well I did and how proud she was that I pushed myself to do that. I was still a little freaked out, but after a little while I was able to get myself to calm down. At that point, I was happy and grateful that I went to this event. I did it to show the person running in how much I care about her. Friends and family are important, and it is vital that we show them how much we care. I did the best that I could tonight. Everything was terrifying and felt awkward, but I did it. It was such a huge accomplishment for me. It’s okay to say no to some things, but it’s also okay to say yes. Today, I said yes, and I’m happy I did.

My Side of the Pole

Bipolar – Mental Health

Tag: Anxiety Attack