Protected: On the Outside: Truths

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Protected: On the Inside : DBT and Talk Therapy

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Protected: On the Inside : Life After Abuse

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Protected: Impatient Inpatient

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Protected: Taking a Fall

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Sorting It Out

I have always felt like I had a “base mood”, which is the state I’m in. Depressive, hypomanic, stable. I noticed that there was kind of an “atmospheric mood”, which was a wispy, temporary mood state that would come through. I’ve always characterized this as weather.

This emotional weather is just about as predictable as meteorological weather. Forecasts can go out based on current information and predictable outcomes. But, things can change quickly, and suddenly, storms crop up. Unfortunately, they don’t make an emotional barometer. There are no external instruments to sound an alarm on the emotional accuweather forecast.

I considered the weather to be just regular “moods”. I know one thing that is difficult for all people who have bipolar disorder is to draw the line between typical and symptomatic. It becomes a nearly impossible task when a person is actually symptomatic. That’s why it’s considered a disorder.

Over the last three years, I’ve become pretty familiar with episodic behavior. I cannot always identify it straight away. But, eventually, I tease it out. What I encountered in January was genuine symptoms, starting with an ultradian cycle I wasn’t even aware of until I reviewed my logs.

What I started to experience toward the end of that depressive episode was uncharacteristic. I hadn’t experienced those types of symptoms in some time. It didn’t look as if it was a coincidence that my mood chart started jumping at the same time my marriage got thrown on the rocks. And now, two months later, I’ve seem to hit some semblance of a period of stability coinciding with the start of my husband’s admissions and treatment.

He broke the silence. Now, I’m breaking it too.

Criteria 1: Fear of abandonment:
My fear of abandonment isn’t typically characterized, because of the keen awareness of the consequences. My fear is very real. The frantic efforts are a little unusual. It’s not outwardly frantic, because I know that behavior actually drives people away. Instead, I take huge strides to make myself more appealing. That feeds into the destabilization of self-image.

There’s a hidden switch, though. At some point, when I’m overloaded with anxiety, I shut down. I will shut down on a person, and it will be over. It will be difficult for me to feel anything for them until they have been out of my life for awhile, or they take a big leap of faith to me.

This disrupts my ability to make friends. I keep everyone at a distance, because I know that I will drive them away. I know that I am intense and strange. And I know that most people are passing ships in my life.

Criteria 2: Unstable Relationships and intense relationships:
I’ve been in a serious relationship with two different psychopaths, one diagnosed (Avi, the abusive one), and I’m now in a marriage with a man with MI. I always swore that these men found me. I think it was a little bit of both.

But, the catch about my marriage is however intense it is, it is stable. Go outside my romantic relationships. Looking at the intense dysfunction between my parents and me tells the tale.

Those people hurt me. And yet, I still love them. I hate them for everything, but I still vacillate between pandering for their affections and shutting them out. I know that they had their hand in this. And still, I blame it exclusively on myself.

Criteria 3: Identity Disturbance:
I used to dye my hair everytime I had a serious mood shift. When my first ex and I broke up, it shattered my whole world. And I said “F*ck the world.” At that point, I let go of everything. It was at that point in time that I started partying my life away.

That wasn’t me. I was a control freak. I always wanted control of my reality. I wanted control of the direction of my life and was always goal oriented.

My ex, Avi, was the worst agitation. I let him tell me who I was, what I should and shouldn’t be doing, and how I should live my life. I let him victimize me, because he told me I was a victim.

C.S. helped me find my way back to me. The me that I liked and was used to. The me that read, wrote, played music, and enjoyed artistic expression, not mindless video games. He helped me find my way back to goal-orientation and showed me that he could love me. That was the only reason I could even be me. Because that’s what he loved.

Criteria 4: Impulsivity:
After I had experienced sexual assault for the first time, I had come to the conclusion that I was a slut. So, I started to act like a slut by having sex with any man who looked at me sideways. I wanted to convince myself that I was at least good for something.

I have alcoholism. It is mostly controlled now. That’s no secret.

Now, here’s the big secret. I likely have an eating disorder. In times of serious distress, I deny myself food. I don’t deserve to eat. I’m a fatass. No one loves a fatass.

I have pindged and purged. It’s not often. In times of depression and self-depreciating behavior, I will binge to feel good. And then I’ll purge, because I worry about my weight. But worse than that. I’ll purge, because getting rid of that overstuffed feeling feels good. There is no better feeling than an empty belly.

I would excessively spend. But, you can’t spend without money in the bank. As a teen, I used to shoplift. And I got caught and got in the worst trouble of my life with my parents. I get the impulse now and again, but the fear and embarrassment is enough to keep me from doing it.

Criteria 5: Recurrent Suicidal / Self-Injurious Behavior:
Admittedly, as a teen, I was more satisfied with cutting with a steak knife than a razor. A razor was too easy, and the cuts were always thin, sleek, and healed without incident. The serrated knife left jagged cuts that never healed right.

I used to pick at the scabs. I only recently started scraping them with a luffa.

I take scalding showers for two reasons. First, there is the whole germ part. But, secondly, sensitive skin burns easily. Scrub it with a luffa, and it flakes and peels. It hurts so nicely, I can’t think about anything else.

I don’t ever threaten. I warn. Because I know certain stressors will set it off.

I used to attempt suicide. I have probably a dozen serious attempts under my belt. I probably have about a dozen more half-assed attempts where I hoped I’d die of alcohol poisoning. Or, if I let an infection go long enough, I’d cause organ failure. (I almost did that with my kidneys that started as a UTI).

I don’t anymore. It’s pointless. I have never come close to succeeding. And I’m convinced that there is a reason for that. Besides, I’m not so cruel as to leave my husband and son like that. Not now. My son is old enough to remember me. My husband might actually go down with me, although he’s never indicated as much.

Criteria 6: Affective Instability
Rage. I’m almost always irritable. I’ve always thought that irritability and reactivity were hallmarks of bipolar disorder. I was wrong.

I have bouts of intense anxiety. Especially when I feel like I’m not in control. It is expressed in OCD-like symptoms when it goes critical. I start hoarding. Or purging items. I check constantly. I do mental checks. I fear contamination.

Dysphoric moods. It’s always been suicidal ideation in the past. It’s only recently that I’ve had homicidal ideation, and it’s enough to scare me. But, I don’t imagine harming loved ones. No, I imagine harming people who are a perceived threat to my family and me.

That emotional weather, that was affective instability. When it produces serious storms, it becomes separate from bipolar disorder completely. Layered moods.

Criteria 7: Chronic Feelings of Emptiness:
Curiously, I don’t have the typical definition of this. Most of the time, I feel too full. I’m full of emotion, turmoil, life. I’m bursting at the seams.

But, if you examine the criteria a little closer, it can be characterized by never feeling good enough. I’m bad. I have never achieved anything noteworthy. No one really loves me. I feel as if I am worthless, rather than empty.

Criteria 8: Inappropriate Anger / Difficulty Controlling Anger
Sometimes, yes. I have a temper. I try to be careful at expressing this anger. It’s usually restricted to times when I am alone. I scream. I break things.

I don’t want to scare my family. I don’t want the shame and guilt I would suffer from such impulsive, inappropriate behavior. I don’t want anyone to leave me, because they fear me. I try so hard to practice restraint. I’m not always very successful.

Criteria 9: Transient, Stress-related paranoid ideation, delusions, or severe dissociation symptoms
This was the key to finally prove the potential for BPD to me. I’ve always had delusions. I’ve always had the berating voice. But, my paranoia has always turned out to be justified in the end.

When C.S. and I were very rocky, I was convinced that a man, who I would never otherwise suspect, was cheating on me. The voice separated into a an auditory hallucination, free of any rational mind, feeding me horrible things. I had my first real break from reality.

But, it was in fits that never lasted longer than a few hours to maybe a few days. And it could be broken by immediate distraction.

I’m nowhere near as volatile as I used to be. Medication has tamed my symptoms, and nearly domesticated me. There are a lot of behaviors that I don’t engage in anymore.

But, I am a far cry from ridding myself of all of them. And if I keep going on this course of alienating people, disabling my supports, and self-sabatoging, I’m going to end up in a very bad place.

So, I made an impulsive move yesterday morning. Finally, a good one. I called and made an appointment to start meeting with a qualified professional with an objective eye. I could’ve gotten in today, but my hours are restricted right now due to work.

So, next Thursday. In one week, I will take my first baby steps back into the world of therapy. Honestly, I don’t have high hopes. Thankfully, I have a number of therapists to choose from. And if it doesn’t work out, at least I gave it a try.

I want to keep trying and not get discouraged. But, I’m so picky about my professionals. I know there has to be some hope for recovery.

Working Up To It

I have always thought of myself as a pretty open book. I don’t flat out lie. If I am asked a question, I will always try to answer it honestly and to the best of my ability. Any misinformation is either from a miscommunication or an accidental omission.

I have been having symptoms far enough outside of the scope of BP II that it made me start challenging my diagnosis.

A diagnosis is a label. A label is just a label, and it shouldn’t make much of a difference, right? The point is that I’m gulping down pills of every color that should apply to every disorder under the sun.

Wrong.

At first, I didn’t want to question it, and I prayed that the extreme symptoms would subside. I had hoped they were circumstantial and as soon as the situation was resolved, the symptoms would resolve. Somehow, I forgot a key element of disorder. It doesn’t resolve when a situation resolves. That’s why it’s termed “disorder” instead of “moodiness”.

C.S’s appointment came and went without change. No relief came for either of us. In fact, we were both more distraught than ever with the news that we would be waiting another five weeks until there was a definitive diagnosis. And even then, that’s just the start a treatment. It could be years before things start to turn around.

In the meantime, I’ve found myself in agony, like a person huddled in a cold cave, waiting out the storm. I have always been in the habit of putting others first, because they rely on me in times of need. I know what it’s like to have the rug pulled out from under me when I’m in the most desperate of need. I’d never leave a person near and dear to me to fend for themselves. Especially when they have explicitly asked for my help.

Things get better. Things get worse. It is rollercoaster of daily twists and turns, ups and downs. And I couldn’t understand why my mood and behavior were so unstable. The medication works when I’m not particularly sensitive to external stressors. The inner turmoil doesn’t exist without it. But once a person has stirred the pot, it puts things in motion.

I started my excavation. I started reading old journals, some as far back as twelve years ago. Certain recurring symptoms emerged, and these were exactly the ones plaguing me now. The ones I find exist somewhere outside of BP II.

I examined my mood chart that I began in the tail end of my most recent depressive episode. Consistently low scores. And then, suddenly, the points were very high one day, and very low the next. I am careful to chart at the same time each day, so that the scores can be considered consistent.

When I noticed the trend as it was happening, I termed it “dysphoric hypomania”. The lows weren’t sadness, it was rage and anxiety. That was, until it went beyond the definition of “hypomania”.

Energetic despair. That’s the only way I can describe it in retrospect. I started running to burn off some energy, anxiety, and emotion. I clung so hard to anger, because I couldn’t cry. And when I did cry, it was in unpredictable bouts. I would start, and everything would come flooding out.

Then, there were the fits of rage. I would find myself beyond irritable – extremely agitated is closer to the term. I became more obsessive than usual. Things had to be a certain way. My anxiety was so far through the roof that I found myself trembling at times. Chunks of memory started to fall away, and I began frequently misplacing important items. It was a recipe for recurring explosions and tantrums.

Then, I began terming what I was seeing as a “mixed episode”. Impossible for BP II, right? So, BP I? It shouldn’t matter.

The question plagued me again. Why has my medicine afforded me shorter episodes and longer stability if I’m “getting worse”? Why all of a sudden?

It didn’t add up. Obsessions and compulsions, as they were happening, were not within the criteria for anything on the BP spectrum. I started having full-blown psychotic episodes in short bursts. But, I still didn’t quite meet the criteria for a full blown “manic” episode, required in a mixed state.

As things became rockier between C.S. and I, old, very painful memories started emerging. I’d feel the pang of the emotional reaction to a situation that was “familiar”, and then I’d have the flashback. But, the flash wasn’t always strong enough for me to pin it down completely. For a millisecond, I was in that moment in my past. Not always long enough to identify it.

But, they were plaguing me at times unprovoked. Times that I allowed my mind to wander. Awful feelings would come out of acts that hardly pinged me in the past. But then again, I had been drunk and numb.

That’s not BP anything. Not even close.

I had been wanting so desperately to solve this on my own. There are so many things I can’t imagine speaking out loud to anyone. Even harboring the flicker of the memory and the attached emotion is hard enough.

I took some inventories online. I started to put labels on things.

OCD – for the obsessions, the thoughts that kept recurring, the compulsive need to check, wash, count, have certain items on my person, etc.

PTSD – for all of the flickers and flashes of things in that dark closet. For all of the things rattling the inside of the Pandora’s box that has been dormant for so long. For all of the hurt, neglect, and abuse I had never spoken a word to any professional about.

BP I – to cover the “mixed” behavior and paranoid delusions, and auditory hallucinations.

Then, there was a label for the jar that shocked me.

Borderline Personality Disorder???? What?