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?

Why Self-injuious Behavior?

A response to carlanee’s post about self-destructive behavior. It expands upon the basic concepts noted in the reply.

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Most of the time, in the clinical world, it’s referred to as “self-injurious behavior”. That includes all kinds of harmful behaviors directed toward oneself across all diagnoses.

It’s fact that SIB (self-injurious behavior) is often a behavioral expression for emotions that have no other outlet. Many children with autism spectrum disorder engage in SIB. Most often, it is because they are developmentally delayed in the social and language domains. However, many times it does have the function of attention seeking behavior – but not in the way that some perceive it. It does not carry sole intentions of “acting out” in the role of negative reinforcement. It is a way of communicating, “I’m hurting. Please attend to the situation.”

But, SIB has many different functions in other diagnoses. SIB is absolutely complex in development, function, and reinforcement. Some people engage in the behavior as an outward expression of inward suffering, others do it for the adrenaline that it releases. But, most people who engage in SIB are never aware of the root cause that sparks the behavior, nor are they aware of the function.

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Reader beware: The following section may be disturbing and trigger inducing. Discretion is advised.

I have been engaging in SIB since the onset of symptoms in my early teens. Nowadays, SIB is a widely covered social issue through media outlets. So, it is pretty easy for children and teens to get some ideas and tips. However, when I was young, SIB was very hush-hush. I did not get the idea from anywhere in particular. It just occurred to me.

It became a regular and highly ritualized behavior. Dark room, so it would look like I was sleeping. Music in the background, nothing in particular. Just some background noise not to raise suspicions. My knife and me. Because, it was easier to get a hold of a kitchen knife than it was to obtain a razor. Besides, that didn’t occur to me until later on.

I will refrain from detailing it any further. The development is obvious, and needs little explanation. However, I will explain the function and reinforcement. I have had well over a decade to study it and witness it in for myself, through myself.

SIB has multiple functions for me. First, for me alone, it is a physical manifestation of the pain I experience. Sometimes, there are no words to pair with it. There are no words in the world to make the feeling go away, and the behavior has become an impulse, rather than a carefully planned, ritualistic behavior.

Second, it is a form of self-punishment. This is the behavioral response to emotional neglect and abuse as a child. I had no confidants. There were no adults that existed in my life that I could relate this awful depression to. And when I attempted to do so with my own parents, it was dismissed. PMS, a phase, attention seeking behavior, imaginary, excuses. I’ve heard all of the rationalizations there are for depressive symptoms.

As a form of self-punishment, much like those of the clergy in the old church, it represented all of the punishment I deserved for being a bad person. A failure. For being insignificant and terrible enough to be unworthy of love. All that a despicable person like myself deserves is wounds. Terrible wounds that will bleed, and scab, and scar so that I might be reminded every time I look upon them.

SIB also serves as a mechanism for control. I have always noticed a pattern about the stimuli that prompts this behavioral reaction. I get to a point where I am overwhelmed, and my life is spinning out of control. I feel helpless and hopeless. The only thing I have control over is my own body, even when I cannot temper my emotions. This mechanism is dangerous, because it is the gateway to an abundance of other methods of SIB.

It is also a small part of the lingering, highly romanticized desire for death. Suicide is something else entirely, so I will leave that at that for the moment. In a way, it is like blood letting of the barbaric medicine practiced in medieval times. When a person was afflicted, blood letting was a common practice. It was though to purge toxins and evil from the body and mind.

And lastly, and most importantly is the addictive component. The act of SIB releases endorphins in the body. It allows the mind to focus on the most immediate pain it perceives, distracting from emotional suffering. Instead of being trapped with those emotions, the mind can be set free from that cage. It focuses on the real pain and the real injury. These endorphins, once the climax of the pain has been reached, take over. For a moment, a brief moment in time, the mind is empty. Everything is numb, with the exception of the radiating pain from the wound. It is similar to taking a drug to escape.

SIB is really a dangerous behavior for all of those reasons, and many more in the realm of somatic damage. I have incredible amounts of scar tissue, some still visible more than ten years later. Other bloggers have related worse to me. Nerve damage, lasting pain, etc. For those that engage in other types of SIB, the risk becomes even greater. Especially with ED and promiscuous behaviors. I am typically a very faithful person, remaining monogamous. (I am completely monogamous in my marriage. Don’t get the wrong idea. That was then, and this is now.) And I still ended up with HPV, causing me to have cervical cancer and two surgeries. The more partners, the higher the risk.

In summation, SIB has an seriously addictive component, and is not a substance, so it makes it harder to control. With a substance, a person can refrain from the substance itself. SIB is a little different because devices of self-harm exist everywhere, and can be carried out in a variety of ways. SIB can be most effectively treated with ABA techniques, mostly behavioral replacement with positive reinforcement. It is a long and difficult process, but it can be accomplished.

I Made a Promise

There is no escape.

I made a promise. And I don’t make promises that I can’t keep.

(Stream of consciousness. It has to come out quickly.)

Knock on wood. I think I might be turning a corner!

A corner in the labyrinth of depression may lead one to –

* a straight and narrow path, brightening as one draws near to the exit.

* deeper into the dark, twisted heart of the very malevolent creature we whisper of.

And there are moments, moments such as these, where we are thrust into a corridor by an errant –

Force. Something completely unseen. Others go completely undisturbed, maybe slightly gusted, but completely unharmed. And they walk along.

The world is upside down and I am inside out. In this place, there are no rules. Gravity? Puh. Things are magnetised to another without reason. But, there is always causation. Life, living, any plane of existence is contingent upon cause and effect. The question why goes largely unfulfilled. Is there ever a complete answer?

I want to eradicate why from my vocabulary, and live as if it never existed. I want to be. But, that is deeply nested within the strong desire not to be. Again, nested, rooted deeply within one another, life-death, life-death, life-death.

I died so I could live, and I lived so I could die.

Dozens, upon dozens, upon dozens of times.

Why always the threes? Psychologically, three is the liars number.

It’s true. Interrogation of a liar will prove it. Lies. 3AM. Only 3 times. Even for someone to remember something, it will have to be repeated six times. Six divide two (because there are usually two people in that situation) is three. It happens in threes. Everything in the whole world happens in threes. Births. Deaths. Bad luck. Good luck. Two people plus an outside catalyst is three. We live in a sea of threes.

But, for me, it’s not a sea anymore. I stared blankly for awhile, overcome by it all, drowning in it. I watched it break apart, like fractured, old drywall. Piece by piece, with the reality of it still flickering within the shattering images, I watched it fall away.

My head hurts. I have this funny feeling in my head, and my words on this screen are as loud as a stadium speaker system in my head. The whole thing makes me tender and nauseous, completely fucking raw, blistered, and splintering.

I am loading up on benzos. I don’t want to do anything regrettable. I am twitching, and the air is being vacuumed out of my lungs. I am in a silent room, save for the overburdened furnace. I need to know if this is real.

My head is blank. The stadium is completely empty, while I blair into it. On my soapbox, spinning whimsical tales that the Grimm Brothers would envy. My life, all of this, the various realities I live in are stranger than any fiction. I don’t lie. That’s the strangest fact of them all. The threes are some sick obsession, some fact that keeps me grounded. Maybe I am a liar. Maybe I lie to myself.

I know the pieces fit, because I watched them fall away.

I need to cry, but the tears won’t come. I admonish my mother for being stoic, and yet, I will not release whatever this is. When did I stop being good at any of this? When did I stop being good at my life? My chest aches as it caves around my withering heart.

I want to blurt everything out, vulgarity intact. I need to smoke a cigarette before I come apart. Before this disintegration pulls the stitching right out. Because, you know that’s all that I am made of, right? Leftover parts, stitched and stuffed. Ragdoll to rule the ragdolls. I’m hardly fit to be the dog’s chew toy.

Now, I will write the words I fear will be true. But worse, I fear the reproach from others, and all of the criticisms that I cannot sustain.

I do not make this world a better place. It is futile for me to try, not because one person can’t make a difference. Because I am not the person who can lead the way.

I am of little worth outside of my tangible self. And not so much in the other respect. I earn money. I care for my son. I clean house. I cook. And all of those are just plain piss poor jobs.

I may never actually believe that I am worthy of love, admiration, affection, or any of the sort. That is why I don’t take compliments well. I cannot believe them, not for the sake of worrying about ulterior motives. It’s worse when they are truth, and I simply cannot absorb them.

I will never get out of this. I rarely use the word never, but it is appropriate here. I may cycle up, but only to tumble back down. I will spend my whole life doing this. I will fail at everything because of this. Or, I will shuffle through everything, doing a half-assed job, because I don’t have it in me. I am kidding myself when I think that there is something besides this.

And if I could wish myself out of existence now, I would use the first two wishes to bless my dearest of friends. All of you. Each encouraging message, lovely compliment, endearing sentiment, and empathetic passage. They have been my world in the last nine months.

There is no way out. And I want to feel. I want to feel the pain I cannot express. I want the punishment of what I have done and have failed to do. I want the streaming tears and the rooftop screams.

I want out of my fucking tortured brain!

Instead, I will eat milligram after milligram of benzos until I am either numb enough to just be, or unconscious. It’s not really my choice.

But was any of this ever my choice?

A Spectrum of Depression

Blank.

Each time I go to write, I get a blank.  Is it a blank, because I feel as if I don’t have anything important to say.  Or is it a blank, because if I make a certain statement, then it is real.  It becomes something tangible in this world, not only for me, but for others, and I will eventually have to come nose to nose with it.

I’ve grappled with this before.  Making certain admissions.  I do not lie as much as I turn a blind eye.  I rationalize.  I attempt to will it out of existence.  But, it is just not that easy.

Simply – I am in the midst of a depressive episode.

Why was that so hard?

There is a certain hesitation for me to use the word depression.  It is not a word that I use loosely; others use it as a part of their regular vernacular to describe sadness.  Depression is not sadness.  Depression has a depth beyond that of sadness, loneliness, isolation, self-loathing, or any other word.  No amount of words arranged in any way can accurately depict depression, and do it any kind of justice.

The hesitation to term it as depression stems from the idea that, if it doesn’t feel like the worst I’ve ever felt, then it’s not depression.  I have faced more gruesome depressions than this one.  With the admission comes a certain fear.  If I am to term it as a depressive episode, then it really will be such, in the worst sense of that word.  It could worsen the episode itself by acknowledging it.

Blank.  Again.

I have found it so interesting that Bipolar Disorder has this grandiose spectrum to encompass so many different types and symptoms.  However, they are exclusive to mania.  Depression is just depression, and it by itself is MDD, or unipolar depression.  Except, now psychologists are starting to recognize symptoms that are related to atypical depression.  However, by reading through these symptoms, it seems as if it may be exclusive to unipolar depression.

How much research has been done to distinguish unipolar depression from bipolar depression?  So far, the only thing that separates the two is the existence of hypomania / mania.  In theory, there wouldn’t be a difference.  I get the feeling that there is, and it is significant enough to have a separation between the two.

So far, the mood spectrum looks like this:

But, I really think that’s being too broad about it.  I fall smack dab in the middle of Bipolar II, no full on psychosis equals no full on mania, even if I have delusions.  I wouldn’t even suspect that I have full on mania, anyway.  Even with delusional thinking, I can honestly say that there has never been a time where I have been hypomanic where I lost touch with reality.

People with mood disorders are familiar with the depressive symptoms.  But, I’ll sum them up:

Sadness, anxiety, irritability,  Loss of energy,  Feelings of guilt, hopelessness, or worthlessness,  Loss of interest or enjoyment from things that were once pleasurable,  Difficulty concentrating,  Uncontrollable crying,  Difficulty making decisions,  Increased need for sleep,  Insomnia, Change in appetite causing weight loss or gain, Suicidal ideation, and / or Attempting suicide.

Symptoms of atypical depression:

Increased appetite, Unintentional weight gain. Increased desire to sleep. Heavy, leaden feeling in the arms and legs, Sensitivity to rejection or criticism that interferes with your social life or job, Relationship conflicts. Trouble maintaining long-lasting relationships, Fear of rejection that leads to avoiding relationships, Having depression that temporarily lifts with good news or positive events but returns later

These are all familiar.  I’ve bolded the ones that I’m experiencing at the moment.  It seems that I’m bordering on the more atypical part of depression.  This is the kind of depression that no one really tells you about.

I had mentioned my diagnosis of Bipolar II, resulting from non-psychotic “manias” clinically termed “hypomania”.  Fair enough.  Let me put a question out there.  Has anyone ever experienced a psychotic depressive episode?

I have.  And I have mentioned this to doctors on several occasions.  I will have breaks with reality when I am depressed.  I have severe delusions, almost completely the opposite of delusions of grandeur.  I will have severe paranoid episodes – in fact, I just had one.  I can have myself convinced that everyone hates me and is out to destroy my life.  It makes me combative.  I will sometimes invent conversations that never happened, just because my brain contorts a criticism.

Mayo Clinic appended this in fine print below their list of classical depressive symptoms:

When a person with psychosis is depressed, there may be delusions of guilt or worthlessness — perhaps there is an inaccurate belief of being ruined and penniless, or having committed a terrible crime.

Perhaps?  I’m nearly positive that exists because not enough research on bipolar depression versus unipolar depression exists to accurately differentiate between the two.

There are a few questions that remain.  Again, not to just the bipolar population but the unipolar population as well, have you ever experienced a psychotic depressive episode?  Is this more commonly found in MDD, BP II, or BP I?

Because if this is common amongst all populations, then the mood spectrum should look more like this:

Perhaps a more accurate model

Invitations to Narnia : 30 Days of Truth

Day 05 : Something you hope to do in your life.

As it stands, one can find me within the wardrobe amongst the coats, between the real world and my Narnia. This is not the Narnia as others know it. It is the absolutely surreal, ever shifting landscape, containing both horrific monsters and beautiful, majestic creatures. All of that world is tucked away, within a wardrobe, in an innocuous cranny of my home. Many unsuspecting people could stroll up to it, jam their coat in, and never give this unassuming wardrobe another thought.

Lunaria

But, this world is not meant to exist tucked away.  This world lives inside of me, wrapped up in an old world map, tied with a satin ribbon.  It waits to unfurl for all of the world to see.

Snapshots of this map are contained within every word, in each piece that I carefully create.  Some have been privy to view them, scanning the terrain, gazing upon the horrors and magesty.  Others have been lucky enough to set foot on the Terra Amici, The Land of Friends, specifically set aside to welcome guests who have braved the Sea of Aliquim.  And others, those closest to me, have journeyed through the deepest, darkest places of Lunaria.

I dream of the day that I allow Lunaria to emerge from the wardrobe.  This is the day that the earth will quake around me to birth Lunaria from within.  I will invite others to explore at will, without the requirement of the confines to Terra Amici.  To brave the fiery mountains, volcanoes spewing molten rock,shifting and shaping the landscape daily.  The mountains grow higher, only to be whittled away by the erosion.  Bask in Bad Wolf Bay.  Peer deeply into Mare Demersi, but still fear to tread too closely.  Lose themselves in Vac Saltus, and navigate the sullen, sunken lands of Val Mergullado.

All of this, one day will be accessible to all.  Lunaria will rise.  I can openly narrate the tales and history of Lunaria without fear of persecution and ostracism.  I hope to accomplish my quest of bringing this all out of the wardrobe.  I want others to see what my world, one world of a woman with Bipolar Disorder looks like.  It possibly connects to other places, to weave a global patchwork of personal worlds, connecting us all, to encompass every single person who has been hiding their own Narnia.

I hope to have a voice that can bring this all to the world.  And I hope to build the strength to do it.

Mommy Cries Too

Warning: This post has controversial and potentially disturbing content surrounding suicide, psychic trauma, and child abuse. Reader’s discretion is strongly advised.

It started as a whimpering, jaw tight with a lip curled over. Soft, pattering, high pitched little noises, not much to even notice over the ambient noise. The realities of what played out in front of these oceanic colored eyes, glistening with anticipating tears, struck hard, and relentlessly roared inward and outward. The sheer force gusted forth a sharp wail, the same violently held hostage in the same dusty box of voices moments earlier.

Thoughts, voices, dialogues, monologues, scenes, words, swamped and overwhelmed this consciousness. Bits swarming together and fashioning a patchwork quilt for the minds eye to finally behold. Nowhere to turn, the newly formed blanket enveloped every last portion. Inescapable, imprisoned in truths, half-truths, past, present, and future. Sobs and tears erupted like a furious geyser, spattered with guttural words.

Why?

I can’t make you happy.

Please, stop crying.

Mommy cries too.

. . . dissolving nearly as soon as they came into reality.

The tiny voice murmured indistinguishable speech, only heard through the hitches. His presence shifted, but only once removing himself to procure a gift. Eyes squeezed shut, tears slithering though hands to fall where they may. Again, he joined the wailing, wolves howling in the night. He fashioned himself as a koala, and held tight.

– – –

Curled on the bed in sullen agony, with lead curling in tendrils up and down each limb. The tiny voice said, “Juice?” A raw, numb voice replied, “Go get your cup.” “My cup, my cup,” he repeated for a scant few moments.

A frustrated cry, and a strike on the back. Another. Laying there, absorbing the blows in hopes they would soon cease for good. Another, then a few in succession. A pause. A warm circle in the direct center of the back, a scrape of teeth.

A memory flashed, and I shot right up. Without thought, I slapped him on his right cheek, but in a nanosecond held back, but couldn’t entirely stop the motion. His face pucked, tears welled and spilled from his eyes, and he screamed. I pounced.

“We do not bite! We do not bite! We do not bite! We do not bite! No bite! No biting! No! We do not bite!” I belted until I ran out of air.

Stop! Before you hit the X in the corner, and do your mandated reporting, read this. This is an isolated incident. I has never occurred before. I had no malice or ill intention for my child. This was a snap reaction that I am now extremely cognizant of. So please, at least read the rest of it before you contact authorities.

We both were there, staring at one another, gasping for breath. He threw himself into my arms. I enbraced him for a second, only a second, and put him on his bed. I stood and sighed, “We both need a time out.”

I started for the door, and his screams grew wilder. I turned to look, and he was now curled in the bed, hysterical. Poisonous daggers jammed deep into my heart. His pain was mine, but the urgency for me to abandon him was too great. Stay and harm him, or leave and harm him?

I sat down at my desk, and lit a cigarette. As I exhaled, I choked back more tears. Sinking, cigarette smoke swirling around me, all of the menacing thoughts rose to prey on my guilt to intensify my pain.

I am a bad mother.

I am. Another monster in a history of monsters. What was the flash in my mind that drove me to these horrific actions?

He was enraged, tearing through the house, screeching. I became smaller than small, for I already was small. I clutched my plastic cup, hoping I could disappear. I was in the basement, and the elephants trumpeted and stampeded back and forth, trampling throughout the house.

When his feet hit the cement floor, his eyes fixed on me. He made a run for me, and I dashed for the stairs, for the safety of my parents, a room with a lock, anything. And in that stairwell, he lunged on me. He sunk his teeth hard into the center of my back and I let out a blood curdling scream.

I screamed and screamed, tears pouring out. It had been the worst pain I had ever experienced up until that point. My parents were removing him from my back before even addressing me or my wound.

My father helped me to my feet and my mother was nowhere to be found. The pain intensified anytime I moved.

And all he could say was: “It doesn’t hurt that bad.”

 

I made a painful realization. I cannot remember a childhood before eleven for a reason: My parents let my autistic brother brutalize me.

It’s no excuse. None. This is no feasible And as I furiously dragged on that cigarette, I determined that my son, my family, would be better off without me.

It could be done with ease. I would call into work and tell my boss I couldn’t make it in. I’d neglect to tell my parents, and my son could be safe with them. And, I’d empty the Vicodin bottle with the Wellbutrin bottle into my mouth, and wash it down in one big gulp.

Then, I’d prepare my note. I would not want to leave this world without at least a few words to as a testament to my own failures, not anyone else’s.

My sister called, before that train of thought could steam along into action. Sometimes, there is a such thing as divine intervention. She rarely calls that late in the morning. While idly listening, I mustered the courage to face my son. I nervously peeked into his room.

My little boy was sleeping, with the angelic, peaceful look all children have while slumbering. Eased for a moment, but then sinking again. I knew I would not be able to apologize before I left for work.

He may never know how incredibly ashamed, guilty, monstrous, and sorry I feel. He may never know how much I hate myself for seemingly not loving him enough to stop myself. I won’t try to justify it. The only thing I can see is the traumatized look on his face, the tears glistening as they poured down. And all I want to do is to walk to a bridge, any bridge in Pittsburgh will do, and leap from that great height to plunge into water that would guarantee near instantaneous death if the fall didn’t do it first.

This is not a testament. I am miserably, but safely at work. This is my aching, broken heart pouring out. This is my confession.

 

Note: There was a lot of hesitation about posting this once it was written. If you have harsh reprimands, please keep them to yourself. I’m in a very fragile state right now.

I Ain’t Afraid of No SOPA

Emblazoned on the frontpage of Wikipedia:

Imagine a World Without Free Knowledge

It didn’t take a lot of imagination yesterday. When you went to Google, there is a giant black censor block. I logged onto WordPress, and found myself staring at a page filled with censored blogs, where there should have been featured blogs. Upon clicking, this headline sits before me:

http://sopastrike.com/strike to stop SOPA

You may not be aware of the pending legislation called SOPA (Stop Online Piracy Act) and PIPA (Protect IP Act).  It sounds good in theory.  I would know, because Representative Tim Murphy from Pennsylvania got to me first.  He declared it to be in our best interest to stop cyber terrorism.  This legislation is heralded as the great protector of our sensitive information in banks, hospitals, etc.  After I had several fraudulent charges on my joint bank account within two days of each other, two sliced and diced debit cards and no way for easy access to my money, I considered this a great thing!

Until yesterday, January 18th, 2012.  Until I was forced to open my eyes and do my civic duty by actually reading what these bills are all about.  (Thank you, President Obama for the Freedom of Information Act).

As usual, we’ve been duped.  Essentially, these bills equate to the US Patriot Act, in a manner of speaking.  The US Patriot Act is there to deny civil liberties guaranteed by our Amendments, if they suspect you as a terrorist.  They’ve set it up so that if you speak out, it can be very easy for you to disappear.

This is another step toward totalitarianism.  SOPA and PIPA seek to criminalize our freedom for information.  By doing that, they also grossly violate our First Amendment rights to write, create, and pass on information as we wish.  It grants permission to Internet Service Providers to block any information they wish.

Doesn’t this seem suspicious that these were pushed on the dawn of the Occupy Movement?  The Occupy Movement consists of local grassroots organizations that rely on the internet to make international connections between them.  What happens to all of the grassroots organizations, such as Occupy and Blog for Mental Health 2012, when our voice is stifled?

And that’s what Pendulum would look like if certain politicians had their way.  It is bad enough that many of the mental health bloggers feel the societal pressure to take refuge behind glowing monitors and clever pseudonyms.  Now, our medium and content are being threatened.  Extreme discrimination could take place.  If one party, just one, find our content to be vile, disturbing, irresponsible, or amoral, then we are likely to get shut down.

I won’t stand for that.  Personally, I want to stop this thing dead in it’s tracks.  This is my own forum to discuss mental health.  In the days of old, families would lock up their “insane” in basements, cellars, and attics.  What we would experience would be the modern equivalent.  I was tired of hiding and being disguised.  That’s why, exactly seven months ago today, I came here to be on display for all of the world to see.

It saved my life.  And, I wouldn’t know what to do without it.

If you feel that your civil liberties to talk about your mental health and special concerns are in danger of being violated, take a stand.  Do it now before it’s too late.

Google wants you to take action.

Even certain parties in the White House want you to take action.

Around the world, in the UK, individuals are taking action.

And millions of others all want you to take action against SOPA and PIPA.

Every signature on every petition counts.  Shout it out, loud and clear!

SOPA WON’T SILENCE ME!

Blog for Mental Health 2012 – A Hit!

A few days ago, I started a project I call Blog for Mental Health 2012.  I suppose, by now, the greater majority of mental health bloggers are aware of it.  I am amazed by the overwhelming response to it!  In this small amount of time, I have received a great deal of feedback, as well as the spread of it around the blogosphere.  I am nearly in tears by the enormity of it!

Thank you to everyone who is participating.  Through every writer’s participation, we are spreading awareness through our dedication.  We are openly saying that we support mental health awareness and are working our hardest to erase the stigma for every person who carries a diagnosis worldwide.  I am proud to carry a diagnosis today.  And I hope everyone who carries this badge is proud of themselves and / or someone else, too.

In addition, I’ve decided that I wanted to keep an active blogroll open to index bloggers who support Blog for Mental Health 2012.  If you would like to be on the blogroll, leave me a comment and I will be happy to add you to the list!

Currently, our participants are:

Want in? Click it and stick it.

• As the Pendulum Swings
• The Mirth of Despair
• Voices of Glass
• Manic Muses
• Helena Handbasket
• Adventures in Borderline Land
• MM172001’s Blog
• Thee Truth is

Again, if I missed a blog, please leave me a comment.  If you’d like to take the pledge and display your badge proudly, just leave me a comment with a link to your pledge page.

Again, thanks to all who took the pledge and continue to put the word out there!

Blog for Mental Health 2012

Blog for Mental Health 2012 Project
Clearly, I am a mental health blogger. I have been dedicated to sharing my experiences with bipolar disorder for nearly seven months now. That is my primary focus, though I have a tendency to get a little off topic from time to time.  Not only is this therapeutic for me, but I hope that is can be an inspiration for others who suffer with mental health issues.  This is especially the ones who do so in silence.  Every voice is important, as it collects and makes our community’s voice stronger.

This is the premise for Pendulum, as written in the About This Blog page:

Many people suffering from Bipolar Disorder do so in silence. Prior to this blog, I could have included myself. This blog is meant for others to experience living with this disorder the way I, and many others, do. It is also for others to find their voice here and to know that they are not alone in their struggle. Lastly, it is to encourage dialogue and community between bipolar bloggers.

Sometimes it’s interesting. Sometimes it’s sad and at other times it sounds crazy. Grab the pendulum, and hold on for dear life. Otherwise, you just might end up in the pit.

This morning, I found myself interested in an official blogging project to raise awareness for mental health education. I sifted through Google for awhile, unable to find anything like it. And I thought, “Why don’t I start one?” It would be easy! All I would need to do is produce a graphic and some instructions.

The badge above is featured on Pendulum’s homepage, because I am dedicated to continue blogging throughout 2012 for mental health. So, here are the rules.

1.) Take the pledge by copy and pasting the following into a post featuring “Blog for Mental Health 2012”.

I pledge my commitment to the Blog for Mental Health 2012 Project. I will blog about mental health topics not only for myself, but for others. By displaying this badge, I show my pride, dedication, and acceptance for mental health. I use this to promote mental health education in the struggle to erase stigma.

2.) Link back to the person who pledged you.

3.) Write a short biography of your mental health, and what this means to you.

I have been symptomatic of Bipolar Disorder and Anxiety for most of my life. I was incorrectly diagnosed with MDD in my teens, and suffered in silence. After my son was born in 2008, I went on to experience a severe relapse in symptoms considered to be postpartum psychosis. Several months later, I sought treatment and was diagnosed with Bipolar Disorder II.

That was almost three years ago now. Today, I am experiencing the longest stable state I’ve ever had, going on three months now. I am still hesitant to say that I am in remission.

This pledge is my opportunity to commit to mental health awareness. I can publicly display this badge to instantly tell my audience what this is all about. And, I can encourage others within the mental health community that have a Dx to do the same.

4.) Pledge five others.

I am pledging give of my fellow bloggers who have stood with me, and have proven their medal in my eyes as mental health bloggers.

1. Ruby – I Was Just Thinking…
2. FracturedAngel – The Mirth of Despair
3. Monday – Manic Monday
4. Vivien – Manic Muses
5. Sarah – bi[polar] Curious

If you happen upon this without being pledged, I still pledge you. Feel free to take the pledge! Promote awareness!