Archive for the ‘ depression ’ Category

Depression without sadness

Once again, doing nothing with myself. I think I’m depressed. Not emotionally, but intellectually. I’m apathetic, deeply apathetic. Is it possible to be depressed without the emotional component? For me, it’s all about getting something done – I’m off work this week, and rather than starting a staycation, I’m sitting around, staring at the computer, doing nothing. I should be writing, reading, watching good movies and TV, going out to explore the city, but I’m not. I don’t want to do any of those things, and I nearly don’t care if I don’t. The couch calls out to me for naps. I wake up early, raring to go – but go where, and do what then? Motivation is something the meds do not provide. They’ve got my sadness, loneliness, hopelessness covered very well. Those horrible emotions are squashed. But the get up and go? Nowhere, nothing.

I think real depression, the keep-you-in-bed-weeping kind, when it leaves, leaves you with some bad habits of mind. In my case, it’s a torpor. My previous therapist could only say, “just do it,” not realizing that he was quoting the Nike ads. He almost uttered the phrase, “baby steps.” I could tell he wanted to say it.

I know what the solution is. Take on one small project per day, give myself a gold star for doing it, then move on to the next day, and the next, and before I know it, I’ll be moving and doing. But the initial inertia is so difficult, the habit of mind so ingrained, I don’t care about making the first step.

Perhaps a sunny self-help book? First, I gotta get up the motivation to go to the book store and read the fucking thing…

When depression was shyness

What made me do that? I imagine people (and by people I mean me) with a less-than-life-destroying case of bipolar have complicated memories of the time before they knew they were bipolar, when it seemed normal to be a little off, when it was your personality, not your diagnosis.

I don’t think it even enters into it whether or not you were miserable during that time. There’s a pre and post-diagnosis life, two lives in one, good or bad, and it’s useful to think about the world on the other side, before the diagnosis, before the veil fell.

But you can’t go home again. I’m thinking about my teen years, before this crazy really got started up, when it was mild. The thing you can do is try to remember: through the years, scrapbook moments when the crazy took hold in a — what other way to put it — more innocent way. When depression was shyness and hypomania was excitement.

Nostalgia settles into me. Remember adolescent dark spells deeper than everyone else’s, sometimes fascinating me with their blacker-than-black mood. Or then the way staying up all night felt like an interesting way to reset the wildly spinning mechanisms in my head, like a watch you quickly wind 12 hours ahead just to set one minute back.

Oh yeah, that’s what made me do that.

Late diagnosis

Looking back a few years, to journal entries from December 2007, I see someone with bipolar who doesn’t know he’s got it and who’s floundering, trying to make sense of the emotional turmoil. I had to make lists like, “Things I’m not doing that I should,” and “Things I should be doing to make things better,” and “Things I have not been doing that previously worked.”

I went through months of irritable mania and despairing depressions searching for the reason why things should feel so terrible all the time, and why I should feel like doing nothing all the time. It ate up all my attention – I journaled for thousands of words on this topic, always looking for the answer to the question, “Why?” Why am I feeling the way I do right now, as opposed to just a few days ago when I felt completely differently? Why do the depressions come on so fast and saddle me with unclear reasoning and paralysis? Why are my responses to normal events heightened in a very negative way? What’s the mechanism for this?

I came up with theory after theory. The investigations came up with unsatisfying answers, like loneliness, bad upbringing, leaving grad school, paired with descriptions of the minute-by-minute of my “spirals,” which was the word I used to name my paranoid depressions. “The spiral has me today and I feel like hell,” or, “I’m not in a spiral and thank god for that.” The spiral. I had no better word for it at the time. But the word’s bipolar, and I’m glad I know it now.

Tweaking the medications?

How do you know what’s working is working in the highest degree possible? You can’t know absolutely that the medication you’re taking for major depression or bipolar disorder is the best for you, and that drives me nuts. Whenever I’m feeling better — right now, for instance — I tend to get greedy: But I could be feeling so much better than this, I reason. Because getting better always involves a gaining of perspective, it invariably follows that, getting better, you look around yourself, see the devastation that the disease has caused, and think, I have to run from this as fast as possible. That’s when you start questioning your medication choices. Are they doing enough? How happy am I supposed to be? What’s my baseline? Am I getting better quickly enough to gain some ground, to gain some momentum to get me over the next hurdle? Because getting better isn’t good enough. What’s well? Greedy thoughts again. It can only be measured by time, how much time you get to feel better. Quality of life questions come into play — is my life so much better than when I was depressed, or am I just fooling myself into feeling better about things? I tend to forget about stressful questions, like how I’m going to do my taxes now that I’ve set myself up as an LLC, and just begin to float, so thankful that I’ve Gotten Better. It’s like a vacation: don’t bother me with the tricky stuff, I’m feeling better and I’m going to hold onto this sensation for as long as possible. Sensation. That’s what it feels like, like a strange sensation, a rare emotion, this smoothness of mood, and I’m so sensitive to it that it only takes a good morning to make me think — hope — that it’s going to be the way I’m going to feel for the rest of my life, or at least for the rest of the day. And I start to wonder, again, is this the best I can possibly be? I make resolutions, plans, for how to maximize my time feeling this way. I’m going to start this and that good habit, I’m going to be like a better person from now on, I’m going to show myself a better time. Better and better. I suppose this is hypomania expressing itself again, or I’ve drunk just the right amount of coffee this morning, who can tell? I just want more. Now I’m thinking that I should be more self-sufficient. Wait — that’s not the word. I’m just thinking that I shouldn’t be mentally challenged, mentally ill, whatever you want to call it. I’m just tired of it, so I’m not going to be that way today. I’m going to be well today, and get some work done and be happy, or at least normal, average, level, sane.

Leaving something good behind

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I’ve not been one to divulge much about my identity on this blog, fearful that people who know me and may employ me might find it. But this time I’ll give a little hint about what I’ve been going through. I used to live in Los Angeles, unmedicated and untreated. It got into my head, after taking a couple of writing classes at UCLA, that I should be able to make it into Columbia’s MFA program. I applied and got in. I left behind a burgeoning career. I was really on track to make great strides early in life — I was something of a prodigy in a field I don’t feel comfortable divulging right now. Suffice it to say, I was doing well.

But I didn’t see any of that. All I saw was the escape toward a writing life. I didn’t listen to others’ advice, their knitted brows when I described what I was about to do. I didn’t think about the insanity of throwing away my young career for writing school. In fact, it seemed kind of cool — there I was, succeeding, and I wanted more for myself in some other area so there I went, off into the wild blue with nary a plan or an idea of what was going to happen to me. This, to me, is hypomania in its purest form. I simply would not listen to the practical voices in my own head. I took a major chance.

I haven’t found any work writing — haven’t looked for any, in fact. So I’m back to doing what I used to as prodigy at in LA, several years later and several rungs lower on the ladder. I’m no longer that young, and the stuff I’m working on, in a word, sucks. This leaves me little time to write, so it’s the worst of both worlds. Throw in student loans and you’ve got world-class stress building up. Sometimes I wonder whether my diagnosis of Bipolar II has more to do with my situation and less to do with biology. My doctors have always scoffed at the idea that there’s a difference — they’re there to treat both, and consider both reasonable causes for the disorder. Stress-induced madness, I guess you could call it.

Daily, I try to get back into that headspace I had before I left Los Angeles: heady, self-confident beyond all belief, willing to throw caution to the winds. I could use some of that right now. Music and light drug use are the best I seem to be able to do. Oh yeah — and the milligrams.

Trying to try

There’s an intermediate stage, a step before the first step that gets wiped away by depression. The trying to try. The memory that things can get better and had better be done by a certain point in time. Time flies while you’re depressed. I’m talking about the long-range look at time, the month-by-month passage, not the minute-by-minute, which can be, of course, an eternity. So, an eternity in a day, but months that fly by. You’re expecting the world to stop along with you. Then, when you get better, God willing, you poke your head up and look around and see that time has passed you by and that the world has not stopped but rather it has sped up, as the world always does.

Never stop trying to try, trying to take that first step toward keeping up with time’s arrow as it flies through space unendingly.

Space

I don’t mean to say that I’m a loser. I mean to say that I feel like one most of the time. Losers are those who give up trying, and I haven’t given up trying yet. It’s on those weeks, though, when I don’t do any writing, that I feel worse about myself. I’ve found something out. The weeks when I wasn’t writing neatly coincide with the time when I was doing badly at my work. Almost as though I needed to write in order to have a good life in the other things that I did. I think that’s a truth I can go on. Should I want to have a healthy relationship to my paying work during the week, I should write during the week as well. That’ll give me the space I need between myself and the rest of the fucking world that I kind of fucking hate right now.

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Inertia

My medication is preventing crying jags.  The move from our old neighborhood to our new one is preventing them, too.  Normally, (normally meaning unmedicated and living back in the old hood — which was the norm for three years) I would be crying or going into irritable flights of hypomania, obsessing over something I or my wife did.  My god, the last one, when I was obsessed over her  getting online to read blogs in her career path, was a bit over the top.  I’m so much better off now than I was back then, and yet… and yet I can’t get much pleasure out of this knowledge because I want so much more for myself.

Here’s my point for going back over this stuff again and again.  I was sick for a long time, and now I’m a lot better.  But I’ve been better for only a short period of time and I need to remind myself of this fact daily.

It’s so easy to see yourself defined by your illness.  And it’s so hard to keep track of the progress.  When I get a little bit better, I expect my whole life, the whole world, to open up and the clouds to part and I expect myself to be fully functioning again.  Forgetting, as I always do, that recovery takes a long time.  If I was sick for going on 10 years (and I think that’s the minimum), then how can I expect the past three months to bring me back entirely from the dead?  And yet there are things I miss from those days when I was sick — those productive times when my mood and the hypomania aligned perfectly to make me both happy and energetic at the same time.   More often than not, though, they wouldn’t align nicely, wouldn’t play well with one another, and I’d end up with a nasty case of agitated depression, irritability and incredible impatience.  I’m still capable of being incredibly impatient, and I’m irritated with myself most of the time.  So the habits of mind persist.

Sleep and depression

Remember when sleep was normal?  High school, maybe, when going to bed at midnight or later and waking up at 6:30 was OK?  Sure, you wanted more sleep.  You slept like a goddam rock on the weekends, didn’t emerge from your bedroom until noon.  But during the week those 6 hours got you through a high school day.

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Now, depressive bipolar has thrown my rhythm off to the point that I need 8, sometimes 9 hours of sleep each night.  And it’s not as if I wake up refreshed from those long slumbers, either: I need multiple cups of coffee to get myself moving in the morning.

These days I’m forcing myself awake at 6:30 am to write.  This means I crash at 10 pm each night — barely enough time to get home from work, eat some dinner and do a couple of things before dropping off in the middle of whatever it is I’m doing.  The doctor says I shouldn’t need this much sleep, that 8-9 hours are excessive.  I’d love to join the rest of America in its 6-hour slumber, but it just won’t work. The big D wins again.

Last year, when I first started taking Abilify for depression, I’d wake up at 4 am ready to go.  Wide awake, full-on like bright headlights.  I didn’t even seem to have bedhead when I woke up in the middle of the dark night; it was as if I hadn’t gone to bed at all, yet I was refreshed and alert.  This mania subsided after about two or three months.  I miss it.  If I could go off Abilify then go back on again and feel that way, I’d do it.  But I know it doesn’t work that way.

The most frustrating thing about my illness is how little I’m able to rely on myself.  I don’t know what my mental state will be from day to day.  Will I be sleepy-headed and cottony today or sharp and anxious?  Those are my poles and the swing rate is about one week.  One week on, one week off.  But day to day variations sneak in to baffle my predictions and my plans for myself.

At least the illness spared me my high school years.