Archive for the ‘ abilify ’ Category

After Midnight Effects

4:30 am, buds, and you know what that means. Electric fire on the brain. Not just awake but really really awake – but not aware that this is very out of whack. I think I’ll make it all day on less than 5 hours of sleep, every time. I guess not this time. I almost bought some clothes online that I can’t afford atm.

I do the most insane things. I drink coffee almost every time, without sanity. Sometimes somehow pot gets involved, without sanity. Things are bought, etc.

So I’m beginning to have almost daily cycles – up and ecstatic in the early morning, fucked by anxiety and paranoia the rest of the day. The real kind, not the loopy pot kind. There’s a major difference. The real kind has always been here before.

And the shrink says, Why do you think you call it the “real” kind, making those quotation marks with his voice and eyebrows rising.

So I’m learning After Effects instead of sleeping or spending. Seems a relatively manicky thing to do, but safe. Nobody gets hurt except for design and aesthetics – I mess them up pretty regularly.

 

Roller coaster

Wow but am I on a roller coaster these days. I fly into fits of interest in things and then not only abandon them a day or two later, I even forget all about them. I’ll come across a profusion of bookmarks and possibly even books on the subject and think, now did I really get into that? Or, did I really do that? And I’ll haven’t the slightest memory of it all.

Obviously I need to talk to my mental health care professional, but he’s outta town tomorrow. And there doesn’t seem to be anything to worry about. Getting away from work stress over the holidays will soothe everything.

My Insomnia Can Beat Up Your Insomnia

It’s the other kind – not the one where you can’t fall asleep, but the deal where you wake too early. I started out slowly: wake up just before the alarm, day after day, then a half-hour, then an hour before the alarm. Then I just stopped with alarms altogether. And all my life I’ve been an alarm guy, you could say. A guy who needed prodding to wake up no matter what time of morning. I’d sleep in by three hours, if I could.

The massive rift cut through my life by bipolar disease has separated from that time. Time is something I have plenty of now that I’ve gone earlier and earlier to the point at which my insomnia becomes something transcendent. I’m now waking up at 2am regularly, completely awake, totally all there. I crash in the mid-morning hours of 8-10. I’m going to bed around 10:30 and face-planting, falling immediately to sleep. And then I essentially take a nap. Wake up 4 hours before dawn.

This is why my insomnia is such an ass-kicker, ninja, street fighter. I’m timing the meds to reduce it, but I always have breakthroughs. I can break through clonazepam. When take it and still break through I’m a ghostly mess, drugged out of my mind by the clonazepam and sleeplessness combined with hypomania. I’ll leave the burner on after making tea. I’ll eat way too much. One time I sleepwalked out of the apartment, and woke up to the ding of the elevator.

I don’t know how to end this post, probably because it’s 5:30 and I’m beginning to feel the first effects of the coming crash. Sunrises can either be inspiring or deadly to your outlook. There’s one coming. Let’s hope it’s the former.

5 … 4 … 2 … 1 — wait, 3 … 2 … 1

It’s a countdown till I next see my pdoc. I see him once every three or four weeks, during which time I download as much as I can in 25 minutes about what’s going on with my meds. Oh yes, he does take my insurance, but he wants more on top of that for a full 50-minute hour. So I have short appointments.

This Wednesday I’m going to bring up ADD. This isn’t quite true, though. He brought it up last time I saw him and complained of lack of focus, never getting anything done, hardly leaving the apartment, etc. So he said something like, “Did you have trouble sitting still and concentrating as a child?” I knew he was beginning the diagnostic part of the session (who wouldn’t know what was going on, with that question?). I hemmed and hawed. I was a focused kid, driven, and concentrated well. It’s just now that I’m feeling the symptoms of ADD, which may explain the countdown feeling I’ve got: he may not diagnose me, and then where will I be? In the “just do it” world of the therapist I fired last Spring. His advice was just … a bit rich. He very nearly said to me once, “baby steps.” I could see the words forming themselves in his head.

I don’t want to go back to that. I want to be evaluated clinically and try medication. I’m always up for medication tests, because who knows what’ll work and plug yet another hole that’s sprung in the dam?

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whoops … comments fixed

I’d been messing around with wordpress, trying to make the comments appear below the post, instead of hiding them behind a link, but all I managed to do is block access to them! They should be fixed now. … But now I’ve lost the masthead, damn…

Inactivity

I’ve had long stretches of inactivity, writing this blog. This may make me like many who start blogs: tapering-off writers. Titrating down on the word count until there’s nothing there, a flat silence. I start to forget about the blog altogether. Then a comment will come in and I’ll feel like writing again. So thank you, you who commented — you got me back on track.

Increasing Abilify

I’ll be taking my Abilify back up to 20 milligrams from 15. I spent 3 weeks at 15 milligrams and did not enjoy myself. Paranoia, mostly, as you can see from the prior posts. I highly recommend it for anyone noticing these symptoms. I just hope that going down and then back up again doesn’t have any weakening effect on the drug, as I’ve heard it can sometimes do.

That’s the rub — stop the drugs and then start them again and they don’t work as well. I’ve heard this from every quarter. It’s better to just leave well enough alone and only go off the drugs if you’re meaning to stay off them.

Lowering the dose

OTS0008Z_105742_5It’s been one week since I lowered my Abilify (its chemical structure is the mascot of this blog) to 15 mg from 20 mg at the urging of my psychiatrist.  He feels that 20 mg is too large a dose.  So I took him at his word, figured why not?  Lower it, and see what happens.  What happens is a collapse, a deflation of mood the likes of which I haven’t seen in about a half-year.  Were those 5 mg so important?  I had a terrible week: would the week have been less terrible had I been taking those 5 extra milligrams?  That’s something I can’t answer.  I’ll have to go another week at least, monitoring my moods (how boring!) until I can get an answer.  Time will tell, and other cliches.  Going down on meds isn’t half as fun as going up on them.  The hope, the glimmer, that this time the meds are really going to make everything better, when you’re upping the dose, is intoxicating.  The waiting for them to “kick in.”  The excitement as the side effects begin — “something must be working!”  No, going down isn’t much fun at all.  There’s no hopeful side of things.  I’m not trying to reduce some current side effects, just the long-terms ones that the psychiatrist suggested, darkly, may be lurking in my future.  Didn’t even want to ask what those were.  I should have asked, and will ask next time.  No, going down holds no promise.  Can you tell I’m a pharma addict?  My mother just started Abilify and I haven’t heard her voice over the phone sound so clear, so full of life, in years.  We share 50% of our genes, after all.  There’s something in that stuff that works magic on our lives.

Going off meds

Am I taking medication simply because everyone else is, because I’m just caught up in a fad, a decades-long fad, or because I really need them? Had I been born in a different time, would I be considered mentally unwell? I think so, yes, but that doesn’t stop me wondering what life would be like off meds again. And then I get a warm, protective feeling in my heart for these meds; I miss them already at just the thought of leaving them behind. How many people would I horrify if I went off the medications? Everyone who knows me. This is how I know that I should stay on medications — because saner people recognize a need for them in me.

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