Meds, Moods, and (Hypo)Mania

For the past several weeks, it’s been there. Lurking below the surface, hiding behind the pills and the effort and the struggle to find a new routine – one that would work for me.

Every day I have faced the same fight – the same urge to let it go and take over filling me as I try to remind myself of the reasons why I can’t do that. The reasons why I have to stay in control and be obedient and keep putting in the effort.

Insomnia.

I’m not tired.

Emotionally I’m completely drained and yet for the most part I’m physically wide awake almost all of the time. The past couple of days it hasn’t been as prominent as I battle a sore throat and head cold – but it’s still there, taunting me at night, pulling me into a fantasy world that I want so badly to be real.

Logically I remind myself to take my pills daily – and I manage to make myself obey. Every morning I take what I need to without a second thought, never even thinking about disobeying that one. But in the evenings as the house is winding down, the kids are in bed, and my husband tells me that he is turning in as well – the battle begins.

I’m supposed to take my mood stabiliser at night – it also puts me to sleep. And every night I do take it… but not before a battle of wills takes place. Because every night I can feel it, the hypomania that is hovering just below the surface. The creative energy that is flowing – the ideas, the ambition, the beginnings that happen when I am in that state beyond appealing to me. It’s a feeling that I honestly love. And it’s there right now… waiting for me to miss a pill, to forget… or to simply choose not to take it. But every night I do.

Every night I lie awake and wait for the pills to make me drowsy enough to want to close my eyes. Sometimes it’s an hour, sometimes it’s three. And then I do sleep – the kind of sleep that I can only ever get if it’s induced with the help of a med.

And now, several weeks in to this mess in my mind, I’m starting to feel the effects – I’ve been staying up later and later, waiting to take my pill until I know I have to get at least a little bit of sleep. I’m agitated because I’m tired of the fight – I’m tired of fighting what in a way feels natural to me, what my body wants to do. I’m angry and I’m bitter that I can’t just take my pills regularly and forget that I have this illness that can take over at any time if I’m not careful.

I want to say screw it.

I want to just give in and let whatever will be, be.

But more than that – I actually want stability.

I want the kind of stability for myself where I don’t have to argue with myself to take the medications that I know keep me level.

I want the kind of stability where I don’t have to think about my illness every day, and include it in every decision that I make.

I want the kind of stability where I feel ‘normal’ or at least as close to it as possible.

I want the kind of stability where I don’t have to try and figure out which part of me is right – the logical part or the wild part or the emotional part.

I want to be able to sleep without medications.

I don’t want to worry about manic episode which when over could plummet me into a depressive episode.

I don’t want others to constantly worry and question my behaviour – to doubt what I’m saying and refuse to listen because I’m just the ‘Bipolar Woman’.

But this is who I am.

These are the things I think about constantly.

This is the way that I have to live my life.

This is the only way for me to be stable.

I need to think things through. I need to be strong and determined and willing to pit my logical side against the creative or the emotional one. I need people to remind me why. I need to remind myself.

It isn’t easy.

But some days… days like today where it’s 5:00am and I have yet to close my eyes… I wish it was. I wish there was a simple fix. I wish I wasn’t like this. I wish I could focus on the kids - on the Birthday we're celebrating today. I wish I was just normal.

And yet, here I am. Still awake. Still wondering what it would be like if I just didn't have to deal with this every minute of every day. 

And then I know. I know I'm not alone. I know it is difficult at times. But I also know I've made it this far. I can make it one more day - everyday.

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Amid the Quiet and the Darkness

I should be asleep right now. Eyes closed, mouth open, snoring softly and dreaming deeply. I should wake up in the morning rested and energized, ready to face another day, fight another battle, and smile another smile. I should be able to close my eyes without my mind racing a million miles a minute – ideas and sparks of restless energy plaguing me as a tiredness sweeps into my brain, just out of my grasp.

As is typical, I laid down to rest tonight – electronics shut off, calming thoughts, quiet, and darkness surrounding me. But I did not fall asleep… could not fall asleep. My mind has been going non-stop for several days now, my heart racing constantly, my brain flipping around like a fish out of water. I’m exhausted but I’m wide awake.

It’s one symptom of bi-polar disorder and for me it is one of the earliest warning signs of a massive shift in mood occurring. It started with a mild depression and some anxiety following Christmas – my sleep becoming disturbed and then I began the upswing. I noticed it one night suddenly… the way that my brain changed complete direction. I couldn’t stop talking – I couldn’t stop thinking – and I felt good – really good. I suddenly felt like showing off – spending a little extra effort on my appearance, working a little harder, taking on a little more. I dove into some work on mental health – on my history, on recovery, on management and skills. I tackled each thing I did with a newfound energy and a vengeance. Most of all, I completely stopped sleeping at night – struggling to get an hour here and an hour there.

A couple of days passed. I saw my family physician who prescribed me something to help me to relax – something that had absolutely no effect on me whatsoever. Finally, I became agitated, the lack of sleep getting to me even though I had all of this energy and I knew it was time. If I didn’t get it managed quickly, it would blossom out of control... it was better to catch it early so that it didn't get too far out of my hands.

Taking a risk and facing a nervous anxiety I took myself to the emergency room – not an easy task when you are frustrated and tired, and you have an irrational fear of (being kept in) the hospital. Thankfully it was a good visit – speaking to the crisis worker and the ER doctor on call I was given a prescription for something to help me sleep – something I had been on in the past and that had usually worked well. Going home with a scheduled appointment with the psychiatrist I was almost excited to get to sleep and get back into a ‘normal’ routine. I should have known better.

That first night, I did sleep. It was broken and I awoke several times, but it was something more than I had experienced in several days. The next night I wasn’t so lucky.

It’s a tricky thing – a mood disorder. You want to live simply – take your meds and get better. You don’t want to have to think about whether you are too close to depression or too close to mania all of the time – but you do. You want to be able to fall asleep like everyone else… but you also have your best thoughts and ideas amid the quiet and the darkness – when the rest of the world is asleep.

I’m thankful for the doctors and nurses, the psychiatrists and the counselors, the crisis teams and all of those people who advocate for better mental health care and knowledge. I am thankful that they take me seriously now when I say I need to level out – when I can recognize the symptoms before they get too severe, and I am thankful that the good ones will work with you for a treatment plan that works for you.

Tonight I’m still struggling with Insomnia and I still worry about entering a full blown manic phase. I’ve seen the psychiatrist and we are upping a medication to hopefully get me to sleep before the insanity begins to set in. I wish I didn’t need meds for that – I wish I could sleep – I wish that sleep wasn’t a requirement so that I could act on all of my great ideas – I wish that my mind wasn’t built this way. But wishes aren’t reality.

And the reality is that sometimes life just sits you down on an out of control roller-coaster and you learn how to hang on tightly at all of the important hills and valleys – knowing that eventually it will slow down and you’ll be able to take control back again.

Until then – I’ll control what I can, pray for what is out of my hands, help end the stigma by talking about it, and rely on the support from friends, family, and professionals to help me get back on track.

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