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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Deep Grooves

These days it’s been a premonition, a dread creeping in that things aren’t going to be okay. Not depression, no, but something like it. Fear of depression. I thought that when my depression went into remission two months ago I’d be free to think my own thoughts again. I was wrong. Because depression cuts deep grooves in the mind and the mind plays itself out over those grooves, being the easiest of all options, I’m having depressive thoughts even though I don’t feel depressed. The mind is nothing if not efficient. So I’ve become excellent at worrying a problem into something larger than it needs to be, excellent at exacerbating my problems by thinking about them so frequently and with such self-hatred at the core of each of these thoughts. Where this ends, I have no idea. I thought I was out of the woods, but they’re still all around me and might be forever.

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Which causes which? Situation or milligrams?

I apologize for the dip lately, I thought I’d come out of something only to slide back into it. It’s really a matter of drinking coffee in the evening or taking that second Wellbutrin. That’s all its about, for the most part. These evening depressions are avoidable. My wife and I haven’t walked in quite a while, the neighborhood, sampling anything. It’s high time we did that. This weekend we’re going to paint the walls yellow in the kitchen. I’ve got to get more serious about my job, got to get more creative in there. I’m not using half of my creativity in there. I’m just… a worker. That’s the way I walked in there, though, with the exception of that one story, Slovenia, which I felt some connection to, something about the story grabbed me and made me want to think creatively and so something good. Was it the location? The people, a little of both probably. And I was flying mentally, really doing really well. Which caused which? Does doing well at work put away the bipolar, or does the bipolar make one do well at work, when you’re up? When you’re up, you’re up in every sense of the word, in every category of your life.

So, which is it – the situation, or the milligrams?

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Planning

Planning gets hammered by bipolar. Where there used to be an overabundance of resolutions and schemes often there’s suddenly nothing. An emptiness that feels like depression even when you’re out of it, the depression, and renders your life aimless. You see the aimlessness and you panic. This is the danger of coming out of a depression: seeing things for how they have ended up. They say that depressives see the world more clearly, but I can’t think of a time when the world’s more sharp that when I’ve just come out of a depression. Depression is illusion, all the time illusion, and reacting to that for months and months builds up bad habits, like never planning, never making a plan.

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Pandora

Not Going Dark

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The lifting of spirits coming at the end of a long summer, when Fall is all around, is always a surprise. It comes, it comes on like a gust of light wind with a bite in it. Rusted iron in New York City, some of these early fall smells, the rain that isn’t really a rain, the cradling darkness of early evening. My moods always lift during this time. And they’ve absolutely lifted higher than I hoped for. I’m not just feeling good, I’m feeling better. Better as in, a better person than I used to be, having come out of a nervous breakdown and learned something about myself. I’m thinking that you only really learn about yourself until after you’ve gone through something intense, and my intense experience was going dark.

Now I’m back but not completely. I’ve got a lot of the habits I had back then (not so long ago – one, two months) that are adapted to life in a depression. You see, all my muscle memory is wrapped up in depression. I’m keyed into it, it’s the way I work now. That has to be stripped away in the same way the depression itself needed to be swept away. It’s in the way.

I don’t know how to unlearn habits. I stopped smoking, but that was a more physical battle, not like this one in front of me at all. This one is about learning a new way of thinking.

Other Moods

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I don’t feel like I have bipolar anymore. I’ve started disbelieving. It’s beyond belief that I would have this disorder. I’m not going through the extreme highs and lows, I never get the massive manias. Plus, my life is enough to make me look crazy. Not that my life is bad, but it has its extremely bad moments. Being asked my age at work. Being asked about my recent history and not being able to include the depression, the big D, in the story. The life-changing event in my head that leaked out into my life in ways I never thought a mood could. It was more than mood, it was spirit and it was identity.

But I’m not feeling the depression now. I’m not feeling the highs or the lows, and I miss them. I’ve reduced my Lamictal dose 50%. This is in hopes that a light mania (if one exists in me) can make its way out. I’m considering going down even further, but I’m wary for one reason: if the mania does come back, and it comes back in a black form as major depression, I want to be able to take more Lamictal immediately. If I’m on an extremely low dose, I risk getting the rash by going up in dosage quickly. And so I wait with this uncertainty: do I have the disease, and does the answer matter very much?

The almost-cry

The almost-cry. Coming close to weeping. Maybe even a little heave of the chest. Anxiety about coming so close, even. A closing off of certain abilities to feel, in any way, good. The coming on of the cry will put you into your place, nail you to where you are and strip away all your defenses, the ones you didn’t know you had. A life review. A stock-taking comes into sharp focus – I really should get down to brass tacks – and you descend on yourself with a ferocity unmatched by the ferocity with which you could ever come down on any other person. Just squeezing words about it out takes a too much effort.

How you take it

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How you take it in the ribs, in the ribcage, day in, day out. How the darkness engulfs you like a heavy rubber suit, squeezing the life out. How when it’s 80 degrees out and people are ecstatic, you’re lifeless. How when you think you’re peering over the wall at the world, you get vertigo. How far you’ve gone. How you talk to yourself about yourself, how you self-regard, and how that’s working out for you. How you stare at your arm and sometimes both arms, legs, feet, your reflection, the whole of your face, and how it looks so much like a stranger.

Going Dark

Going dark is bad. Going dark is counterproductive. The thoughts that bubble to the surface seem to be all negative all the time, even when I’m up, hypomanic. Eternal damnable pessimism. It gets dull. Always the same responses – in the negative: going dark.

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Unlike some other bloggers, I don’t have a 10-point step-by-step for avoiding going dark. I can’t offer advice on this habit; I am in its cage. It’s what we’re best at, bipolars, I believe: accessing the dark side and bringing back into the world a little for others to oggle. I’ve brought much darkness on myself and my family, moments I’ve gone cold in shock over how I’ve acted. How not-myself I can become. And how not-myself I can write and imagine.

Down with 10-point steps for recovery, blog chaff that leaves you mourning the time spent reading them. Who have they ever helped? Perhaps the new-to-bipolar use some of those tips, but for the rest of us, those who’ve lived with BP for at least a year, have already read what’s in those entries in books and on other websites so many times – and have heard the advice from our doctors – these lists are less than helpful.

This doesn’t mean I don’t still read them.