Why Do I Keep Talking?

Why Do I Keep Talking?

I don’t know why I keep talking. I’m getting better at controlling it, but I still seem to annoy others when I talk. I even annoy myself when I talk sometimes. I tend to repeat myself over and over. I ask a lot of questions, too many questions. I wish I could blame it all on my memory loss, but I would talk too much even before I started having memory problems. Every time I try to talk less, I end up not talking at all instead. I suppose I’m an all or nothing kind of person; I’ve never really been able to find any middle ground.

I have noticed that I tend to talk when there is silence. I get uncomfortable and for some reason, I decide that talking will make the situation more comfortable. It never works out that way. I usually end up saying the wrong thing. I think it would be okay if I decided to be a little more quite, if it is my decision and not because of someone else. Life would be easier if I started making decisions for myself instead of for everyone else. I don’t know if I can do that, but I can start trying.

My Lab Results Finally Improved

My Lab Results Finally Improved

For the past several weeks, my blood work results have been getting worse. My white blood cell (WBC) count, eosinophils, and absolute eosinophil have all been high and increasing every week. My WBC should be somewhere between 4 and 11 k/mm3, instead, it got as high as 13.6 k/mm3. My eosinophils should be between 0 and 7%, but it maxed out at 26%. My absolute eosinophil should be in the range of 0 and 0.7 k/uL, but my got to be as high as 2.9 k/uL.

I don’t really know what these levels mean, except that it makes it very difficult for me to get my Clozapine prescription filled every week. My psychiatrist and my pharmacist get copies of my blood work results every week, and every week my pharmacist questions whether or not to fill my prescription. It becomes a huge deal and I usually have to have my psychiatrist call my pharmacy to tell them it is okay to fill my prescription. It’s never an easy task, and starting next month, it’s about to get even more difficult. My pharmacist told me there are new protocols being put in place starting in May. If blood work results are off, like they have been every week, then they have to be sent to the central Clozapine database. The database will decide if the prescription can be filled instead of the pharmacists and doctors making the decision.

Luckily, I think all of these problems might be coming to an end for me, hopefully. For the first time in a month, my levels are finally going back to normal. It might take a little while to completely return to normal, but at least it’s headed in the right direction. My WBC is within normal limits at 9.7 k/mm3. My eosinophils are down to 17% and my absolute eosinophil is down to 1.7 k/uL. Those are all huge improvements for me; I’m hoping my pharmacist will see this and fill my prescription without question.

I have been living week to week for the past month, never knowing if I’m going to be able to stay on this medication. Every week, I wait for blood work results and then wait to find out if my prescription can be filled. My bipolar disorder already causes me not to have control over my own life. The Clozapine blood work, test results, and weekly prescription fills have allowed me to have even less control than I normally have. I’m hoping that since my blood work results are finally improving, I won’t have to keep worrying about whether or not I can get my prescription every week. I am concerned about what will happen when he increases my dosage again, but I can only worry about some many things at one time. I don’t want to add this to my long list of worries, especially since it is also something I have no control over.

Honesty Helps Fix My Lack of Control

It’s extremely difficult for people to manage their bipolar disorder. In fact, for me, it’s probably the hardest thing I’ve ever had to handle. I’ve dealt with the death of my father as a teenager, a drug and alcohol addiction, maintaining sobriety, a previous relationship that was physically and emotionally abusive, and the loss of several friends due to suicide or drug addiction; these things are only a few of the circumstances I’ve dealt with, and for me, none of them compare to dealing with my bipolar disorder on a daily basis.

To me, it feels as if I often don’t have control over my own brain, mouth, and even my body. I frequently find myself saying things that should not be said or doing things that I should not do. My brain is always running, always thinking, it doesn’t take a break. I’m generally thinking about all of the things I did wrong, but I also think about different options I have, I’m on overload. My mind has no balance. It feels as if I have no control over my own mind. It jumps from subject to subject, never thinking any thought completely through. I often act on my emotions instead of logical thinking. I do the best I can to make the right choices, but when it’s left up to my brain, I never know what the results will be like.

I know this sounds weird, but I love rules; any set of instructions or guidelines that I can follow make my life easier. I don’t have to listen to my brain or attempt figure out what the right thing to do is. I don’t worry about my lack of control over myself, I simply do what I’m told is the right thing to do. I have a hard time being dishonest about anything. I know that honesty is the best policy, but sometimes there is such a thing as too much honesty. If I’m not completely honest with others, my mind keeps telling me how horrible I am, and then I can’t function or sleep. I’ve lived the majority of my life without control, following rules gives me control; it gives me power.

I no longer have to struggle to organize my mind to figure out what I should and should not do, I no longer have to worry if every single thing I did was right or wrong, and I no longer have to worry if I can live with the choices I made. As long as I am honest to the best of my ability, I feel free from the bipolar restraints and the lack of control that comes along with it; I can find balance in my life. Following rules and being honest is so much easier than doing anything else; there are already a set of instructions laid out for me, giving my mind some peace and quiet, which is something that almost never occurs. Of course my mind doesn’t stop, and there are still so many thoughts going on in there, but at least I don’t have to figure everything out on my own. I encourage others to try being honest and follow rules if they’re comfortable doing so, even if it’s as simple as following the instructions on a recipe or game. Maybe it will work for you, maybe it won’t, but I hope that it does, because I would really love to share the peace that it brings me.