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.

Bipolar Disorder and Sleep Patterns

Kevin from Voice of Glass has asked other bloggers to reblog so that this could get maximum exposure. Please take these surveys contained within.

Voices of Glass

Ok here is something different and please understand that this is new to me and so I am still muddling my way through it all – so please bear with me.

As a result of my own experiences, an article I read recently and a subsequent post that I published here on Voices of Glass, the whole question of sleep patterns within people who suffer from Bipolar Disorder has started to really interest me.

So in response to this I thought I would draw up a little poll or three and invite folk to share their own experiences.

I really hope you enjoy doing this and that I haven’t messed up the design of it.

Below you will find three very short polls.  All you have to do is choose one answer that is most accurate for you personally in each of the three sections.

Due to the way the…

View original post 147 more words

My Liebster Blog Award

The insightful and talented fracturedangel, who writes The Mirth of Despair, has generously nominated me for the Liebster Blog Award!

What does “Liebster” mean?

Liebster is a German word that literally translates to “dearest”, “favorite”, and “beloved”.  By giving this award, one blogger says to another, “This is a favorite and beloved blog.”  I am honored to receive it, knowing that I am “dear”, “favored”, and “loved” by other bloggers.  (At least one other!).  Also, it is only awarded to blogs with under 200 subscribers.  I refuse to throw numbers, but I assure you that I am eligible.

I have seen others receive this award, and was elated with their success. It really is an incredible privilege to be among the others that proudly display this badge.

The rules of this award are more simple than others.

  • Thank your Liebster Blog Award presenter on your blog. “done”
    Link back to the blogger who awarded you.
  • Pick (up to) 5 other blogs who fit within the award parameters (less than 200 followers).
  • Inform them that you have chosen them by leaving a comment on their blog.
  • Post the award on your blog.

Now, (insert fanfare), I’d like to introduce a few older and newer blogs that I enjoy.

A Taxi Dog Diary
TD, as I affectionately refer to him, writes about his life after stroke, aphasia, bipolar disorder, politics, marriage, and a variety of other topics. He always has interesting topics and incredible ideas, though he is challenged with the act of writing. His struggle is admirable, and his words are often thought provoking. He is more than deserving of this award.

I Was Just Thinking…
Written by Ruby Tuesday, who has become a wonderful friend to me. Ruby shares her experience with a variety of mental health challenges insightfully and eloquently. Her words are powerful, and emotionally riveting. She and her blog are possibly the most deserving of this award!

Manic Monday
Manic Monday focuses on life in the professional world with bipolar disorder and physical maladies. She documents her struggle and her experience with work, surgeries, and mental health. (Among other things). Manic Monday is one of the few blogs that explore life in the work place with special mental and physical health concerns.

A Canvas of Minds
This blog is a collaborative for mental health bloggers to address disorder, how disorder affects our lives, symptoms, and treatments. It promotes honesty, mental health education and awareness, and advocacy in the effort to reduce and / or eliminate stigma. The efforts alone are worth the award.

Ending the Stigma
Ending the Stigma is also a collaborative blog aimed at dialogue about mental health topics, focused into exploring mental health topics to use a collective voice in helps of ending the stigma. I commend this group of bloggers for their dedication to the cause and the mental health community at large.

I am thrilled and flattered by this award. I hope that I can inspire the same emotions in others by showing them that are beloved by me. Don’t fret if you were not included on this list. I am limited by five. Believe me, I could go on all day!

Again, thank you, fracturedangel!

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:

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!

The Bipolar Language

How do you describe bipolar disorder to others who do not have it?

Most of the population experiencing bipolar disorder have heralded it as something “people can’t fully understand unless they have been through it.”  Being a member of that group, I can wholeheartedly agree. In my personal attempts to convey the complexity of bipolar disorder to a non-Dx person, I have found myself at a loss for words that would do it justice. Describing emotions is putting the intangible into context.

And so much more.

Even when I am successful at touching upon the idea, I am largely incapable of even scratching the surface. The intensity, duration, debilitation, and so many other aspects seem to get lost in translation. Non-Dx people are mystified. “I feel those things, too.” Every human being has emotions akin to those that are experienced within the spectrum of bipolar disorder. Non-Dx people cannot wrap their heads around the magnitude of what creates the dysfunction. “I can control them. Why can’t you?”

Frustration ensues. Such miscommunication is an extreme aggravation. Tempers may flare. “It’s not the same thing!” It’s the same animal of a different color. In essence, similarities can be drawn, but a fault line exists between the two.

I am empathetic to the plight of a person who suffers with bipolar disorder. I have experienced the rage that boils when I feel as if I a being dismissed or preemptively judged against an unjust standard. The words above send me into elevations, like a volcano spitting lava high into the sky. At this precise moment, communications break down entirely. All hope is lost. If the villagers don’t evacuate now, total destruction is eminent.

On the other hand, using descriptive language devoid of passion fails to drive the point home. To a non-Dx person, it is any regular conversation. Words are words. It does not have the demonstrative power of action. However, action is often misinterpreted more so than words. Too many questions arise. Why? Now, we’re right back where we started.

And extreme action is likely to be met with animosity or apathy. It is ironic that when a person has a severe bipolar episode, others often fall short of providing the appropriate responses. I’ve often encountered loved ones who laid certain claims; “I am not going to tolerate this behavior.” – “Get a grip.” – “I refuse to talk to you when you’re like this.” – “Get over it.” – “Are we going to go through this, again?” Resentment. That is what perpetuates throughout repeated episodes.

The schism between people with bipolar disorder an non-Dx people grows in breadth and depth. Communication is endangered, if not completely extinct. Isolation begins, and episodes worsen. Without a support system, a non-Dx person is likely to crumble. A support system that is non-existent in the life of a person with bipolar disorder is the quickest route to utter annihilation of oneself.

I have been there. Then, I managed to navigate my way back again.

Back to the original question. How do you describe bipolar disorder to a person that doesn’t have it?

In my experience, I have worked it out. Non-Dx people do have strong emotions. These are in response to serious situations. To them, they are overwhelming; to me, it would knock me flat.

I allow the non-Dx person to draw the comparison between emotions. It is a good jumping point, although it is likely meant as a retort coming from their end. “This is not an argument. This is a discussion,” I remind myself repeatedly when tempers start to flare. I continue with the following points:

My brain chemistry is unique in the way that I become particularly reactive. That is one of many facets of bipolar disorder. Extreme sensitivity to situations that provoke strong emotion.

This may be met with a usual, “Grow a thicker skin.” or “Let it slide.”

I continue:

Recall a situation where you felt strongly about something. Like, when someone very close to you died. Or, you lost your job. Or, you found out that the love of your life cheated on you.

Okay.

Weren’t you very distraught? Even extremely sad?

Yes.

Imagine having those feelings arise without cause. Then, consider what it would be like to live months like that.

That is how I relate depression. Extreme feelings of worthlessness, sadness, and despair for long periods of time.

For hypomania, I continue like this:

Now, remember a time where you felt the best you ever did. You got a promotion or bought your first car or house. Maybe the day your spouse said yes to your proposal or the day you got married.

Yeah, those were some great times.

Now, think of what it would be like to feel that way for a long time.

That sounds awesome!

Sure, but think of a time where you were the most angry you could ever be. Someone you love lied to you or stole from you. A co-worker betrayed you and threw you under the bus. Your boss unjustly blamed you. Think of a time where you just wanted to scream and break things.

That’s the other side of the feeling good. It is being really irritable or angry constantly for a long time.

Oh, that’s not good.

No. But that’s not all. What would it be like to never really know for sure how you’re going to feel? Pretty scary, maybe? And worse, you may never know how long you’re going to feel that way.

That’s part of living life with bipolar disorder. Did you ever have a time that you did or said something you regret because you lost control for a minute?

Of course!

That’s what an episode is like. Struggling for control, every single day, because you can’t help the way you feel.

It puts the person in your shoes for a second. It helps them cultivate an understanding of the intensity and duration of human emotion that creates the dysfunction. This dysfunction has a name. It’s called bipolar disorder.

Now, I want to know. How have you gone about relating your disorder to others? It doesn’t have to limited to bipolar disorder. Non-Dx people and people of different Dx’s all have trouble relating to disorders. How do you explain what you experience?

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!

Taunts of Absolution : 30 Days of Truth

Day 4 : Something you have to forgive someone for.

In years past, my relationship with my parents was far beyond dysfunctional. Although we are building a mutually respectful relationship as adults, I do not feel as if I am considered a daughter. I am a family friend, the mother of their grandson. That extraordinarily detrimental relationship created a schism too great to have a distinct parent-child relationship. I have resigned myself to the notion that I will never be my parents daughter, and they will never be my mother and father.

I have touched upon the subject in prior posts, One Day, I’m Going to Grow Wings, Spitting Fire, and The Real Demons. Mostly, I fear I will remain unable to absolve them of the responsibility for the suffering they caused me, directly and indirectly.

I have to question every aspect of my childhood. The problem arises, because I don’t remember the greater majority of my childhood prior to age twelve. I could never figure out the reason for such an impenetrable block. It was only very recently that I discovered the numerous reasons for such incredible repression.

My brother has moderate autism. My mother was a raging alcoholic. And my father is a war veteran with Post-Traumatic Stress Disorder. As if that wasn’t dysfunctional enough, it accumulated into an overall bad home life. I have fragmented memories, drudged up by raising my own son.

My father was largely absent prior to age twelve. Most of his time was spent in the psychiatric ward in the Veteran’s Affairs Hospital. And when he released back home, he isolated himself from the family. I was far too young to understand what was happening. All I knew was that my daddy was sick, and he was never going to get any better. To me, it felt like my daddy didn’t love me. He didn’t love any of us.

required special accommodations. I was lonely, and felt as if I were nonexistent to them. Completely transparent in their world. I did everything I could for recognition. My grades were perfect, and my standardized scores were well into the 98th percentile. I had taught myself my instrument in one summer and My parents were busy handling my brother. He had special needs that ]gained first chair. My attendance in Sunday School was spotless, and I was a devout Episcopalian. What more could a parent ask for in their own daughter?

All of these achievements bred resentment among my classmates, and they alienated me from their social groups. My mother made it crystal clear when I was just a little girl that she had no desire to play with me. My brother was nowhere near my level of functioning to participate in games. I spent many nights in solitude, alone in my room with only my dolls and stuffed animals.

When I began middle school, I finally began to make friends. It was the best thing that ever happened to me! Finally, I wouldn’t be so alone. I was incredibly enthusiastic about the prospect of friendship and all of the wonderful kinship it entailed.

It was short lived. Only a year later, I began to suffer my first symptoms of bipolar disorder.

And that is the precise time my father emerged from his decade long hibernation. The man was disgusted with everything about me. He was certainly a far cry from shy about vocalizing his opinions. The criticisms ranged from my appearance, to my friends, to my music, and my hobbies. I was hurt. It was more evidence to strengthen my theory of his lack of love for me, as I was, instead of his idea of me.

I was also enraged. Who was he to come bursting into my life after so many years of absence?

He was merciless in his punishments. The greater majority of my teen years were spent incarcerated in the very same room I was isolated in as a girl. These were typically for minor infractions – “talking back” (which I considered to be expressing an opinion), disrespect, messy room, “feigning illness”, lying, etc. All because I wanted some independence and to assert myself as an individual.

In heated arguments, he would rough me up. He was careful not to do this when my mother was around, or leave any evidence. One time, I called him an asshole. Insistently, he got in my face and demanded I take a free swing at him. I refused. It would only provide him with an opportunity to lay his hands on me.

Ultimately, it didn’t matter. He grabbed my throat in one hand and pinned me against the wall, and lifted me high into the air. I tried to scream, but there was not enough air in my lungs. He screamed in my face, leaving me soaked in spit. He let me go, and I crumpled to the ground, nearly in tears.

I won’t cry. I won’t give him the satisfaction.

My mother found an even better excuse to take figurative and literal swings at me. She’d get belligerently drunk and deliberately provoke me. I would attempt escape, but there was nowhere to go. I wasn’t even allowed the privacy of a door on my room.

There was an instance where she followed me around the house, insulting me as I went. I begged her to leave me alone. I attempted escape to somewhere, anywhere I could possibly manage in the house. I ended up heading to my room, of course. She taunted me, saying, “You’re just a lot of fucking talk, you little bitch. I’ll teach you a lesson about that mouth of yours.”

She swung at me, and caught me across my right jaw. Instinctively, I pulled my right hand back, and swung down toward her face, backhanding her as hard as I could. Disoriented by the blow, she stumbled backward, nearly falling down a flight of stairs. (It wasn’t the first time, and wouldn’t be the last). I grabbed her arm and pulled her forward to standing.

A look of shock and malice spread across her face as she spewed, “Just wait until I tell your father.”

So many things were said. Hurtful, awful things.

My father:

This is not a democracy. This is a dictatorship, and I’m the dictator!

I wish you were never born!

How dare you defy me, you little bitch!

Go on! Run up to your room and play that gloomy noise you call music. I dare you to cut yourself! Cut to your hearts content, I don’t give a shit!

My mother:

You are the little bitch that ruined my life!

Go on out there and be the little slut that you are.

I am ashamed to even take you out in public.

If it weren’t for you, your father and I would never fight. You’re going to tear our family apart. I hope you’re happy.

These haunting words still have a faint echo in certain corridors of my mind.

- Staind

I cried out for help. I was dismissed as spoiled, going through a phase, and attention-seeking. I did need attention. By the time I was in high school, I had attempted suicide twice and was cutting at least weekly. And still, they turned a blind eye to it. I had to force their hand to get the help I needed. I can’t help but feel if they were more involved, they would have noticed my behavior was amiss. They failed to get me diagnosed correctly.

For a great duration, I held them accountable for my screwed up mind. In my eyes, all of the neglect and abuse made me crazy. I went on to have dysfunctional and abusive relationships. I was devoid of self-esteem and vulnerable. My baggage would have been too much to check at the airport.

As I have grown, I have come the realization that certain things were beyond their capacity for parenting. They could not have been better parents, given the circumstances. It’s not as if there weren’t moments where they tried. By that point, the damage had been done.

I have tried desperately to forgive them for those awful behaviors. But, each time I find myself getting close, another hurtful experience comes to pass, reviving old memories that I relive in my mind over and over again. Some scars will never fade. I can never forget. But perhaps, one day, I will have the capacity to forgive all of their wrongdoings.

The Heath Ledger Paradox

Warning: This post has contents that may be hazardous to mental health.  It contains strong themes of suicide, suicidal behavior, and substance abuse.  Reader discretion is advised.

Have you ever had a moment where you heard the distinct and deafening sound of your own clock ticking down?

I have only heard this sound a handful of times. The first few times, it was difficult to distinguish from the other garble in my mind. But, the last time this occurred, the sound was unmistakable.

Tick.
Tock.

It happens when my physical state is badly threatened, but I’m not mentally aware. That is my defense mechanism that seems to be biologically programmed to protect me. It is what creates the Heath Ledger paradox.

And that’s what I experienced.

The Heath Ledger Paradox

Some things happen by accident

Personally, not proudly, I have attempted suicide between a half of a dozen and a dozen times in my life. I don’t really keep score; there is no tally anywhere. In fact, in total, I have only left a handful of notes behind. They don’t always correspond to the actual attempt, though.

I am not a violent woman. My method of choice was almost always centered around substances. My very first attempt landed me in a bathtub with a belly full of pills. It was an unintentional coincidence between Sylvia Plath’s and Virgina Woolf’s suicides. I know this to be truth, because I was only in my early teens at the time. I had yet to read about these authors. And despite these attempts, even some carefully orchestrated with blatant drug interactions, I never succeeded.

What was different about me that made me a survivor of my own wretched malice? Many a person has done these things accidentally! Marilyn Monroe, Michael Jackson, Elvis Presley, Janis Joplin, Jimi Hendrix, Bruce Lee, Brittany Murphy, and many others are examples in our modern culture of how accidental overdose happens.

I met a guy in college that I stayed friends with. Eventually, we ended up working together. He was dismissed for failure to attend, and we all suspected he had a drug problem. A few days later, he was found dead in his apartment from a multiple-drug interaction. The guy ended his own existence with his own carelessness. How could he do it by accident and I couldn’t possibly do it on purpose?

That’s the Health Ledger Paradox. It is easier to succeed when the mind is unaware.

Last night, I accidentally set my foot onto the other side of the fence for a moment.

I still have impacted wisdom teeth on both the bottom left and right sides. These wisdom teeth have risen up partially in the back, causing skin pockets to form. Occasionally, I will get something trapped back there and a small infection will form. If I treat it immediately with a rinse and keep the pain manageable, I can usually escape a trip to the doctor and an antibiotic.

I detest going to the doctor to hear the same thing repeatedly. Yes, I know I need to have those teeth out. Though, I now have dental insurance, I do not have the money for a serious co-pay there. I just had a major surgery a month and a half ago. I don’t have the time or energy to spend in recovery. And I always feel worse on the “cillan” antibiotics than I did with the infection. Other women will feel me here. I usually end up with a worse infection in the end.

I had some Vicodin remaining from my surgery. Admittedly, I hadn’t taken many. I had a problem where the Vicodin would cancel the Temazepam out. I would be up for hours, sleepless and still aching. I decided that my body needed rest more than I needed pain relief. I had to heal. Last evening seemed like a good time to take it. I don’t know how I let the situation with my teeth go from uncomfortable to agonizing. But, it happened more quickly than my mind could have processed. So, I took the Vicodin.

Bad choice.

I spent the rest of the night staring at the white porcelain bottom of a toilet bowl. At first, it was akin to other bad reactions I had to other narcotics. I do not respond well to Oxycontin or Percocet. And this was a similar episode. But, by the sixth hour, I knew there was something terribly wrong. My stomach had already emptied itself twice and was going for a third. This time, only water remained.

By the seventh hour, it became clear to me. I leaned forward and wretched. It felt like my stomach was turning itself inside out, in hopes to vacate an invader. I literally felt empty, as if I had evacuated every ounce of anything I’d eaten in the last 36 hours. And it dawned on me. My body was having a reaction – but why? I had taken Vicodin before with great success. I took it after my surgery and this didn’t happen.

I couldn’t muster the strength until the morning. I had only slept five hours out of fear that I’d never awaken again. I decided to refer to the almighty Medscape Mutli-Drug Interaction Checker. I thought I remembered doing this. Typically, I screen all new medications coming in. As I was trying to rattle my brain for all of my prescriptions, it occurred to me. I did do this, but I had forgotten a very important medication, Wellbutrin.

Significant – Monitor Closely

bupropion + hydrocodone

bupropion will increase the level or effect of hydrocodone by affecting hepatic enzyme CYP2D6 metabolism. Significant – Monitor Closely.

lamotrigine + acetaminophen

lamotrigine decreases levels of acetaminophen by increasing metabolism. Minor or non-significant interaction. Enhanced metabolism incr levels of hepatotoxic metabolites.

That’s just the tip of the iceberg there. That’s among four additional interactions. Those are the most important though. That’s the reason I was hugging the toilet, wondering why my sedation was outrageous and my pain relief was minimal.

And I realized, I just set foot on the other side of The Heath Ledger Paradox. If it wasn’t for that mechanism, that beautiful inborn, DNA encoded device inside me, I would have been dead. Something in me told me not to take more medication when my pain relief was marginal. And that same thing kept me safe by alerting my body that there was a dangerous toxin that needed to be rejected from my stomach. There was still a tiny bit of knowledge encoded from some source that this was life-threatening.

Not everyone has that, and most people with it can bypass the safeties with enough of a loading dose. That’s the aim in a suicide – to get past the safety, just like a gun. Except, when most people knowingly stand on that ledge and look into the void, they turn back. The point with accidental overdose is that all of that is gone. It’s like playing with a gun without knowing if it’s loaded or if the safety is on.

That gun was loaded last night. Thank the powers that be in the universe that I have a safety.

High School Never Ends: Unfair Game

Sing it again!

Four years you think for sure
That’s all you’ve got to endure
All the total dicks
All the stuck up chicks
So superficial, so immature
Then when you graduate
You take a look around and you say HEY WAIT!
This is the same as where I just came from!
I thought it was over!
Aww that’s just great!

I had theorized for years that high school was boot camp for life. Some people are assigned to the hot zone, and others end up behind a desk. And most of the time, just like in the military, you don’t end up in the place you signed up for. Usually, the place you end up wasn’t quite as bad as training.

I was mistaken.

High school is actually the kiddie pool for life.

When I was in high school, all I wanted was to graduate and get the eff out of there. In fact, I wanted out so badly that I dropped out at 17, entered the pilot cyber-charter school, and finished out 11th grade that way. The only reason I was coaxed back to my high school was the fact that I could enroll in five music classes and only needed one gym. It was way better than the option of a purely academic senior year.

I missed a record amount of days that year. A whopping sixty-two, when the fail limit was twenty-one. I missed almost three times the maximum amount. I actually missed one day over half of the school year.

(It was a miracle I graduated at all).

Yes, I had a severe case of senioritis. It was more than that. The whole ordeal of high school made me ill. It was a jungle of mini-adults, preying on one another in the attempt to establish social superiority. All for what? To be openly adored and envied by many and secretly despised by everyone that was trampled?

I was easy prey, far down the food chain of the high school food chain. Don’t be mistaken. I was not at the very bottom. I created a new breed of outcast and made it fashionable. It was a fabulous alternative to being hated for being a poser. I flaunted my flaws in hilarious self-loathing. It was quite a show to behold. Best of all, I helped push it so far from popular culture that it was enticing. A geeky, intelligent rebel? Who knew?!

It caught on. This was before emos existed, during the time of goths. I was neither. Sure, I was adorned with black clothes covered in pins. But, I was determined to give a permanent home on the social ladder to every kid that didn’t quite fit the mould. I wanted to challenge every social norm, and show everyone that different was actually better.

Just that alone put me in the line of fire. But what could they possibly gossip about that I hadn’t already broadcasted myself? I was poor as hell! My family was an absolute wreck! It was clear to see that I was a fat band geek. My wild eyes glared at the cliques behind thick lenses. Plainly said, I was a crazy freakshow!

I lied. I smiled when people gossiped about me. I’m too poor to afford new clothes every school year. I’m a whore, because I have sex. I see a crazy doctor and take crazy meds. My mother is a drunk, my brother is a tard, and my father is crazier than me. I don’t actually have friends, I have followers and worshippers. I acted like I fed on it, and turned to preach to my flock to do the same.

Truthfully, I felt like less than garbage. There was a drop of truth in every story. I felt ugly and ostracized. I didn’t like people’s perceptions of me, but I knew I never would. I should at least put on a show! Turn your own self-loathing and insecurities into something inspirational to some and controversial for most. It worked for Howard Stern, right?

Every jock, priss, prom queen, cheerleader, dancer and intellectual took their own shots at me. We were so far removed toward the end that it didn’t really affect me anymore. The shots from the artists, thespians, and fellow musicians hurt the most. You would think there would be at least a little bit of camaraderie. I suppose it is every (wo)man for themselves in the urban jungle.

I didn’t even plan on walking at graduation. My plan was to finish finals and disappear into the ether. But, parents get what parents want. I walked across that stage decorated with honors, and extreme gratitude that all of that was behind me.

Today, I learned that it is still exists, maybe even more so, right ahead of me.