** Trigger warning. This site contains descriptions of mental health crisis', sensitive topics and mentions of suicide.

Tuesday 7 February 2017

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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