Archive for the ‘ hypomania ’ Category

Forged in Retail

It’s nature plus nurture, it’s genes expressing themselves within a particular environment, it’s ending up like your parents. We’ve both got something that’s gone wrong with our heads, my mom and I, and have each shuffled through several medications to squash it, whatever it is (something on the bipolar spectrum). In the meantime, something must be done to have a reasonably good time.

My mom taught me to shop.

Shopping takes the down mood and turns it around, initially … a little bit. All our trips to the mall together, to buy me school clothes? A little grim for me, because I always felt guilty over making my mom spend all this money, and I was something of a preppy little shit, and my mom must have broken the budget a few times to keep me in Alexander Julian. But for both of us, a chance to get outside our selves for a while, to stop being so quiet all the time, and to engage in the world. Left to our own devices, we’d be holed up somewhere in the house with our books. (but these were the days before Amazon, so we did have to actually go out to buy books.)

Some of my fondest memories are of going out to eat at any restaurant connected to a mall, with my mom and stepfather, bringing along a book because when you’re 11, your parents are boring when compared with reading The Sword of Shannara series. After dinner, we’d shop a little, wander the lanes of the mall. Bookstores, computer software stores. These were formative times. I was forged in retail. And so I have trouble understanding people who don’t like to shop. Shopping is sanity!

And it just happens to be something I’m impelled to do when I’m hypomanic, which I’m starting to be again, after about a month of lows and exhaustion. I’m waking up early again, usually around 4am. I find myself opening up Amazon just to see what they’ve recommended to me. (Always either something I already have, or something so close to it I don’t know why they think I’d buy the blue one, too.)

I used to get spendy only at the end of a freelance assignment. I thought back then it was leaving the job, and the fun of knowing it had been a job well done, that triggered the money spending. Now, looking back through these manic-depressive glasses, I can see that finishing a stressful assignment and heading off into the land called freelancer’s vacation (unemployment) triggered hypomania. Never knew what it was at the time, and had I been in therapy – and had a good shrink – I would have recognized what my up times and their split decisions were about, and my life might have turned out very very differently. But that’s for another post.

Happy end-of-January.

I call him Spendy

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I call him Spendy. This is what I feel like on some of those mornings when I wake up at 4:30 am, wired and hypomanic. The urge to spend is strong, and my mind is wired for acquisition. When I played World of Warcraft years ago, I’d spend most of my time in the auction houses, browsing the market on Swords of the Monkey, or whatever, it didn’t matter that I wasn’t buying anything real, it took care of the urges. Now that I’m not playing WoW, I have to watch myself more carefully.

And Spendy is art from this article.

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.

300

That’s the number of milligrams of Lamictal I’ve been taking, like a human pill bottle tipped upside down. The titration up to 150 took weeks, then I felt that I needed more. I seem to have a pretty good instinct for the dosage of medications I need, according to my psychiatrist — a sort of compliment, I guess. So I jumped to 300 milligrams from 150. And whoo, did I respond.

Waking up at 3:00 am every night wide awake, ready for the day and hungry to do something. Namely, to buy something. And so I did: a $400 camera for one. But the strange thing came before the camera.

I’ve always been obsessed with writing instruments. As a kid, I’d spend long stretches at a downtown office supply store that catered to executives who wanted the fanciest pens and pencils. I lusted after those fountain pens, those complicated mechanical pencils. Flash-forward to today and naturally the obsession has transferred to computer keyboards. Apple’s slim keyboard looked good, but in the long run I didn’t like it. MacAlly’s keyboard the same: pretty, but the keys didn’t click just right, didn’t feel the way I wanted them to. This see-sawing has been going on for about 3 years, but it flew into manic gear after I increased the Lamictal.

Over a week of crazed nights I bought 5 keyboards. The one I was after is out of production, so I scoured eBay and other resellers for my model. I bought the wrong one, then a right one arrived with faulty “a-s-d” keys. The next? Bad space bar. I was able to return all these glitchy keyboards and eventually ended up with the right one, the alpha and omega of computer keyboards. For a few days there, I had at least two keyboards on hand at any given time. Crazy-time.

But at the same time I was becoming happier and happier. At first, I mistook my rabid consumerism for the spring of that contentedness, but now I realize that it was the power of Lamictal that lifted me from a malaise, and it was a side-effect of the drug that threw me into the spending spree.

I was vaguely aware that the massive jump in milligrams was responsible. Like a middling middle manager of my moods, I was responsible and ultimately failed to keep watch over what the 3 a.m. version of myself was up to.

So, a warning: Lamictal, a mood stabilizer purportedly good at preventing relapses into depression, has the potential to trigger the crazy. I’m over it now. But I’m still drawn to those luscious pens and pencils and keyboards.

You can take the boy out of the office supply store…

Zevon

Many nights in the past few weeks with less that 4 hours of sleep. I guess …

I’ll Sleep When I’m Dead

 

 

 

Adding an antidepressant

I’ve read in many, many places that antidepressants can pitch a person with bipolar into mania. I was willing to risk it. I’d been coming down in mood, sleeping terribly, and waking up hungry at 2am. I asked my doc about getting on an anti-depressant to counter this. My up-moods are controllable, so I wasn’t afraid of what might happen should I get kicked into hypomania.

He was game. He’s a tinkerer, just like me. We like to adjust the medication. I get a burst of hope, and I’m not sure what he gets out of it. It just works out this way.

Hypomania did come: I found myself waking at 3am with an urge to work on something, shop, do something. I thought I was able to go without sleep, that I had too many interests to waste time sleeping. At work I was chatty yet nervous all the time, with sweaty palms. Coffee was consumed at a massive scale.

But the depression went away further. I could laugh more freely and getting out of the apartment (when I wasn’t going to work) became easier.

I reduced the dose. This is Celexa, and I had gone up to 60 milligrams 20 milligrams per jump, so I took it back down to 40. The hypomania eased, though there’s still a little left, and my sleep has been remarkably better.

Tinkering sometimes works, although I think I’m too into it. That hope of finding the right drug this time presses my buttons. Continually looking for that productive, happy, chatty hypomania without the nerves and urges, which I get so rarely – that Teddy Roosevelt vim and vigor.

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.

Tech as distraction from boredom

The shiny new gadgets — they’re always referred to as shiny — seduce in times of boredom. Not to say that all who love gadgetry are bored or boring people, but, like sports, electronics fill in life’s smaller gaps. Shopping for them as entertainment. I go to the tech section of the newspaper first, after the front page, because its news is so neutral. I always want something, a newer version of what I already have that works just fine. The blogs don’t help matters, and I say “help” because it’s an addiction like any other, concerning myself with tech well out of my needs. A harmless addiction, except when I’m hypomanic, as I’m trending now, and I spend hours on the internet, shopping for gadgets, reading reviews. They’re so full of promises of a more productive, smoother life. They promise an end to boredom, and boredom is the first sign that I’m getting hypomanic. That, and writing too much in my journal. Is 1200 words per day too much? I think so. So I look at the new Mac mouse, and buy it in my imagination over and over again. Juicy rationalizations bounce around my head like electrons circling the nucleus of my rational brain, clouding it, fuzzying the picture of reality. I want, I need.

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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.

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.