"O"!!!

"What is the message you have for me?" I asked this out loud, as I watched two crows fly over me. They fluttered to a landing spot directly in front of me; their glossy iridescent blue/black feathers shining brilliantly in the sun. As I stood there it seemed their message was to enjoy the company of others. Hmmm...

Later during this day a third crow flew down and landed in front of me. I asked again, "What message do you have for me?" He turned to me with an "O" in his beak...(maybe a Cheerio?), but an "O" nonetheless .

"O", I pondered. What does that mean?

I am making an effort to see differently than I have seen before. To listen to the messages. To see myself as part of the bigger picture.

That night I found myself still wide awake at 2:00am. For a week I had been eating a 1/4-1/3 of a marijuana cookie before bed to see if it would help me sleep. That night I had no cookie...and sleep was seemingly impossible.

I generally do not use pot. I had a couple bad experiences with it when I was younger...one that ended in my breaking my leg while fleeing pot induced "hallucinations"?/"visions". I was afraid to try it again, but in cookie form, and in small amounts I really am finding it helps my sleep both in terms of how long I stay asleep and how restful my sleep feels.

So, at 2:00am, laying in bed, with no sleep to be found I was feeling a bit desperate...so I ended up taking a BIG toke off a friends joint. Then I crawled into bed to try again.

As I lay there I began to feel like my throat was swelling up. I was finding it increasingly difficult to breathe. It seemed to be getting worse. I tried to get out of bed, but I couldn't move. It was like I was paralysed.

I began having "visions". Not hallucinations, but nightmare like thoughts...you know how while you are having a nightmare it seems real? Like that. I was being encased in a net like object? (or being?) that looked like thick mohair-like gray and black wool. It was holding me down on the bed.

I tried to call out to my boyfriend again and again, but no sound would come out of my mouth. I was unable to get up and help myself, my throat was swelling so much I was suffocating and I could not call for help.

My mind decided I was about to die. (REALLY!)...my brain thought this was the case.

I started to panic, but suddenly my brain said to me, "Death is inevitable. You have no choice. You wanted to die before. Let it go." Suddenly, I became so relaxed. I stopped worrying, let myself "die" . I felt incredible.

As I let go, stopped panicking, accepted my fate and my situation I felt myself able to breathe again. Ohhhhhhh...!

Stop fighting. Stop struggling. Accept my fate. Perhaps, this is the way; the path I need to follow. It seems so clear now that this is what the crow meant when it brought me the "O".

Do You Ever Feel...???

(Please note: I the following post I use the words, "crazy, insane, mad etc. loosely in describing only myself. I in no way intend, or even ever feel, that others having similar symptoms are anything but beautiful, though at times tragic), examples of the breadth of human experience). I'm just exhausted and weirded out and scared, and probably bitter and angry, about my own experience)

Do you ever feel like it doesn't really matter how you feel, because you are fucking insane, and everyone thinks you are crazy, so no one "really" listens anyways? And even if they did, the way you are would make absolutely no more sense to them than it does to you?

I feel like I am losing touch with reality. Yet, how can I be losing touch with reality if I know I am losing touch with reality? I am seeing more and more things around me, and inside me that are passing me some kind of meaning filled message/s...(though can't quite figure out the message/s...), that are making me feel like I am being sent messages, or things are showing themselves to me in order that I find some deep meaning in their presence.

(Eg., mood switching up after going to the front of the church and praying every night, mystical animals (crows) appearing when I need them to appear, pictures of wolves falling off my bookshelves, another wolf appearing on a torn out page of a children's book, right in front of me on the sidewalk, and then the terrifying wolves showing up in my nightmare, then the number 3: three pictures, the 3 nightmares, each nightmare made up of 3 parts)

Thing is, although my mind really does believe this "messages are being passed to me" idea pretty deeply...I can also see that maybe I'm crazier than I thought or something is happening whereby things just "happen", or "show up" at truly random times and places and for some reason my brain is seeing all these things as signs or patterns of meaning that I am MEANT to see??? God help me...

Since I got out of the hospital I have been severely depressed, almost more severely than when I went into the hospital...except last Wed evening my mood started to rise and I had a really great week. All week the rapid onslaught of negative and suicidal thoughts completely stopped, and I felt hope again. I felt like I was cared for, had tons more energy, felt talkative and social. I pretty much felt like I was on the mend. In fact, I felt sure I was becoming well.

...Until Sunday at 5pm.

You read that correctly.

Somewhere around 5pm on Sunday the voice inside my head returned with no warning and no reason behind it returning. {note: Although for the two nights prior, I had really two really bad nightmares, the likes of which I haven't had for a long time (and last night my wolf returned to me in another nightmare}

Just as I was entering the 5 rd bridge the voice/thought, (It has no sound...so it is not really a "voice", but it seems external), said to me:

"You have failed everyone. You have disappointed your dad so much, what a waste of life you are". And I started to cry.

Ever since then the voice has been going on and on about every bad thing I do, or mistake I make, how everyone really is sick of me, how I am not really loved by my boyfriend, how he is pulling away from me, how I have disappointed him and destroyed our relationship, etc.,

Then the voice switches to telling me how fucked up and wrong my thinking is, and how I am just imagining all this stuff and if I would just stop thinking it would all go away...but either way the voice goes on and on and on...maybe it is two voices?? I don't know anymore what is real, and what is my brain having crazy talk.

These thoughts/voices intensify and speed up or slow down. I believe they are magnified when my anxiety gets worse...as I have been having really bad anxiety/panic attacks. It may be though that the voices/thoughts are causing the anxiety as they begin to race faster and faster, and seem to be pushing me to change or die...whichever.

Either way there is an OCD like quality to them...including having a song I have recently listened to play relentlessly over and over and over in my head, as a torturous accompaniment to the thoughts that continue, and often race, faster and faster, harder and harder, over, and over and over, and over. Unstoppable. Unrelenting.

Sometimes I get so much "bad energy" inside me that the voice starts to speed up and it talks at me, over and over and over, at mach speed; incessant, punishing, shame inducing, and guilt producing. Often the voice has suicidal plots and plans, and reasons to die . Lately this is much much worse than any time I can remember before. It is like the thoughts are trying to push me.

If I wasn't crazy before...something inside me is aware I am crazier now. This is not right. I can see I am having strange thoughts...but my brain cannot seem to stop thinking (and while I am having them), believing these thoughts. Please, help me!!! Am I completely losing my mind?

Becoming Me Again...and then losing myself all over again...

These beginning statments were written Jan. 28, 2010:
I cannot think of any other way to describe the transformation of my "self" that has taken place over the past 7 weeks. Over the past two or three weeks I have witnessed my rebirth.

Until the past three weeks I believed I was gone forever. I believed my depression had taken me over, taken me away, destroyed my self. I was giving up. My hope had disappeared. I never believed I would find hope again. I was wrong. There is hope. It is possible for me to feel better. There is a chance I will become well again. Thank God!!!!


I have been gone for a long while. I went to the hospital the first week of January, because I could not manage my depression anymore. I asked to have Electroconvulsive therapy again (ECT) to try to lift my mood a bit. I was hospitalized for it, because I did not have anyone to help me do it as an outpatient. I really believe I needed to be in the hospital, and that the stay helped me too.

First, in the hospital I met so many wonderful people. My first two roommates were sent to me by God, I am sure. They helped me find so much hope in such a difficult circumstances. It is really incredible what the love and care of another human being can do for another person's soul. Second, in the hospital I could let go of my responsibilities and just do things for me. I have a hard time taking care of "me" in the outside world. I don't know how to just be. I am always so worried about everything. I can't seem to just let go anymore, and just be. Something about being in the hospital gave me the "permission" I needed to just be. That seemed to help me.

The afternoon I wrote the above, for the first time in years I actually felt like the real me, the happy me, the enthusiastic, happy to be alive me, for more than 2 or 3 days at a time. As I wrote about my "rebirth, I felt I was truly at the beginning of my rebirth. Then the last few days happened....I have not felt like that at all.

I feel myself sinking again. Even after ECT (maintenance ECT) yesterday a.m. I did not seem to feel any better. Today I feel so depressed again, I am afraid I am slipping back into my old patterns. I feel no hope. I feel alone. I feel like a burden. I feel hard to be around. I feel overwhelmed and overwhelming. I feel like I am sinking back into the black pit and sinkhole from which, only a few days ago, I believed I had escaped.

I am so scared my "rebirth", was just a blip; scared I am returning from whence I came. I cannot manage that idea.

Disorganized, Disconnected and Despondent

I had an appointment with Dr. X. yesterday. Thank god. I am not feeling well at all. Sometimes it really helps to just sit across from him and know even if I give up, he won't. That is what he told me yesterday. He never gives up, even if nothing seems to work there are always other things to try. He will never give up on me, maybe change the plan, but never stop trying to help me.

I feel like giving up. I cannot mange to do my housework. My dog is completely overwhelming me and I find myself sitting in a daze starring at the wall, or breaking out into tears because I can't keep up with life.

This is extraordinarily embarrassing, because I want so badly to have a clean house and to be seen as tidy and organized; or "together and a desirable human being. However, since I moved into my place in mid-April I have vacuumed once, I have made periodic attempts to tidy my house, but if I tidy the living room I return to the kitchen and it is a disaster. If I manage to clean my studio area I walk into the living room and it is a mess again.

I am having a difficult time grocery shopping for myself, and even if I buy groceries I cannot seem to cook anymore, or eat well. I feel exhausted all the time, so when I am hungry I grab something I can just eat.

On Wednesday my food intake consisted of 1/2 a cinnamon bun, 7-8 crackers with peanut butter on them, a very white sandwich consisting of turkey, white cheese and white bread, a store bought chocolate milk, and a very stiff drink. The piece of lettuce on my sandwich was my only vegetable that day. I barely had the energy to make the drink. Lame.

Dishes, dirty clothes, art supplies, books, newspapers, dog toys and treats, art props, easels and unfinished paintings litter my house. Anything I pick up, look at or use remains wherever I last touched it. Nothing gets put away. The mess grows in leaps and bounds.

My dog completely overwhelms me right now. He is big, powerful and extremely headstrong and disobedient at 1 year old. I thought I had been working so hard to train him and ensure he becomes a well behaved dog. I spend so much time with him, I socialize him with other dogs and people. I try to teach him the basics; sit, down, stay, leave it and come. He follows my requests when he wants to. When we are alone at home. The instant another canine steps into the picture I become a invisible and ignored. I get so frustrated with his jumping and tugging on the leash; his general unruliness and his misbehaviour. I do not have the energy, or patience for a misbehaving dog. Sometimes I just break out in tears at how much my training and love has failed. I am crying just thinking about it. How could I have tried so hard, worked so hard, spent so much time and energy to ensure I have a good dog, and failed so miserably,

My husband (we have separated) used to tell me everyone has to do all the things I have trouble with; everyone has to do things they did not like to do. He used to tell me I wasn't sick, just lazy, or angry at having to do all these things. He said it so often that I started to believe it.

My new partner is so supportive and understands. Last night when I was crying about how I cannot keep up with the housework he said, "It is okay, your house isn't that messy, and it's clean. your mess is a clean mess, just some things out of place, but it's not that bad".

He's sweet. I don't believe his assessment of the situation,, but it's nice to not be berated for being to depressed to clean. It's good to know someone is understanding and gets how hard it is to keep up with the basics in life.

Paranoia and Social Anxiety

Last night I went with my boyfriend to his house to celebrate a friend's birthday. I felt anxious about going beforehand, but have wanted to get to know his friends more so really felt it was important I go.

The party was taking place in the garden. When we arrived there was an incredible local bluegrass band playing. Instantaneously I loved their music. I really wanted to experience their songs fully. However, as I stepped onto the deck and was introduced to a few people I had this intense sense of panic and fear. I wanted so badly to leave, get out of there, disappear.

I stayed. I continued to panic. no one talked to me and I was to scared to talk to anyone. In fact I felt too frightened to even moved lest someone was watching me. I felt like if I move everyone would look at me. When they looked at me they would think bad things about me.

The more I experienced these thoughts the more socially awkward I became. The more socially awkward I became, the more anxious I became. After about 1/2 an hour of this I went into my boyfriend's room too calm down and get myself together. As I stepped into the room and shut the door tears began to well up in my eyes and I began to sob.

I cannot manage these feelings. I was feeling like everyone was waiting for me to do something bad. I felt as though the second I moved or talked or tried to participate I was going to do something intensely embarrassing or stupid.

I managed to go back to the party and sit on the garden wall, alone on the outside edge of the garden; an outsider looking in. I listened quietly to the band and tried to remain as innocuous, as invisible, as possible. I do not understand feeling like this given earlier in my life I loved parties, meeting new people, and experiencing new things.

My boyfriend came and sat next to me. He seemed to feel the social anxiety too. He invited me upstairs to the upper deck, away from the people, but still technically, at the party, albeit from a distance. I became so intensely relieved I began to cry again. He understood, and said he felt the same way.

He asked if I wanted to leave. I did not really want to, because I understand how I need to face these fears to get over them. I said as much. He told me he could not stay any longer and needed to get out of there as he was intensely anxious.

Secretly I was relieved he wanted to go. We came home and took my dog for a late night walk. Quietly, alone together on a warm spring night; only the darkness surrounding us...that was relaxing and fun.

Homeless

I am very worried and anxious.

My husband came back in the house and told me to get out with the dog by the time he came back to the house. So as of now we are "homeless". While Skookum and I have no home anymore we did check into the best hotel in the city. They allow dogs...even have a hotel dog you can take for a walk...very cute.

Yesterday I began the process of trying to find a place to rent. Thank god I have a great friend , E, who has been helping me. She is amazingly supportive. I hope I can return the favour someday (hopefully not for these circumstances though)...no one should have to ever go through this.

I called both my sisters to let them know where I was. Both of them are extremely angry at me, with my one sister saying: "What did you expect" and "You could have thought of me and the kids. We really love (my husband). I feel very distraught and alone; so scared that I keep disappearing into my bubble. It isn't helped by the fact that the two people in the world that I need to help me think I'm a bitch.

It is hard to explain to anyone why I cannot remain married to my spouse. He is a good man in so many ways. He just is not good for me. I need someone who lets me in; someone who is caring towards me in a nurturing way, someone who allows me to be the creative, loving, accepting, caring, singing, painting, teaching being I am meant to be.

Two of my readers, Shock and Jcat, two incredibly supportive people towards me, have given me good advice in my previous post...to seek counselling, and tell Dr. X. I did tell Dr. X yesterday. He was so caring and supportive. There is a huge part of me that feels so ashamed of what I have done. I asked him if I had destroyed his perception of me, (because I feel I want so badly to be, and be seen as, a good person). What I have done to my husband is shameful. Dr X said no, but he had the saddest look on his face. I don't know if he felt sad that I would think that, or if he felt sad about what I had done. I think probably the former. I have a hard time believing anyone cares for me as much as he seems to. I don't feel I deserve so much compassion and lovingkindness. I always feel I am such a bad person. I guess what I have done pretty much reinforces that.

I called my husband yesterday and asked if he wanted to try counselling. He said, "no, counselling is out of the question because I have destroyed his trust in me, and that is the only thing that matters. He said he would never be able to forgive me, or trust me again. He also told me that his friends had been asking him for years why he stayed with me. He said he always loved me and believed in me. He told them I was a good person. He said ALL his friends had been trying to talk him into leaving me for years,

This really hurts me, as I felt they did not like me, but went into my relationships with them, believing I was just sick and paranoid...that despite my fears I was an outcast, they did like me as my husband told me over and over again.

To know I spent 18 years visiting with, and developing "friendships" with people who really abhorred me all this time is really distressing. It feels like abandonment. It feels like all my relationships except the ones with my personal friends have been completely false. It hurts me very very deeply.

anyways...I managed to get my own phone yesterday and called a few places, but no one accepted pets. So I will try again today. Please send positive energy my way. I really, really need it,

Fears of Abandonment?

Last night I had a dream:

...I dreamed that a friend of mine decided to stop taking her medications (in the dream MAOI's and Ativan). She phoned me and told me to watch for them in the water flue beside my house. Every morning, first thing in the morning I would go to the flue and there I would find her 4 perfectly preserved pills sitting on the edge of the water. I felt suicidal, so I began hoarding these pills.

One day when I went to pick up the pills there was a note beside them. It had been torn in two, along the bottom. I pieced it together. It was written by my friend and read: "Dr X will be seeing only 9 patients a week. He will no longer take new patients and will stop seeing the patients he has until he sees only 9 original patients"

I was desperately sad, and severely depressed. I needed help. I wanted to kill myself. I was planning on taking the hoarded medication, not because I thought he was leaving me, but because I was depressed. The only hope I felt was in my therapy sessions with Dr. X.

I had an appointment the next day. I got to his office and found a man in his office. Dr X walked in and didn't say anything to me. Inside I was getting angry, because clearly he knew he was going to dump me as a patient and he wouldn't get rid of the other man in the room. Someone knocked on the door and two women came in. Dr. X began reading the paper, the 3 others began talking amongst themselves. I tried to talk, but no one was listening and I felt uncomfortable bringing up Dr. X's impending departure and my impending suicide.

I was becoming both distraught and absolutely furious for the way I was being treated in my appointment (i.e. ignored, other people in the room, no respect for my privacy, Dr. X obliviously reading the paper). I could not bring up my suicidal thoughts, or my hoarding medication, because I was afraid he would think I was being manipulative and trying to make him not leave me. No matter how much I knew this was not true, I could not stop believing this is how the information would be perceived.

I started yelling very loudly at him..."Are you leaving your practice? Am I one of the 12 patients? Why are you ignoring me? Can't you see I am having trouble? Can't you see I am not well yet?

He looked at me and said he had found money in his child's account. $45,800.00 (maybe $43,800.00??unsure). He had figured out that financially he did not have to work like he did anymore.

I asked him if I was going to be able to see him. He ignored every question I had, and everything I said except he told me I was being unreasonable for wanting the others out of the room. That if they stayed in the room maybe I would get better.
I raced out of the room, climbed out an open window and took all the pills I had hoarded.

Thank You

Dear Dr. X,

Thank you. I felt completely understood and immensely cared for in my session today. I really needed to experience belonging and connection. You really helped me feel less alone than I was /am feeling.

At one point when I was telling you about something intensely personal and highly embarrassing for me to admit out loud I saw your face change to sudden sadness....not about what I was talking about, but at my expression of fear that you might judge me, or feel I was a bad person for things I have done.

At that moment I knew you would never be judgemental of anything I have done, or might do; that I need not fear speaking any of my truths, past or present. The encouragement you gave me was incredible.

When I felt like an outsider you helped me recognize that often it is the outsiders who are talented and interesting beings. You encouraged me to embrace my "outsiderness" rather than try to fit in. You helped me become aware that often my being an outsider is a gift, a talent, it is (ironically) what draws others to me. That was a great lesson. You are a great mentor for me.

Thanks,
...aqua

At What Point is There No Hope Left?

I volunteered to teach a class today. I was dreading teaching the whole time beforehand, even as I drove to the studio. While I was teaching I felt some relief; I was too distracted by the complexities of the lesson to think about how much I wanted to die. The second I touched the door to leave I was exhausted and fell once again into myself and all the hell that brings with it.

When I look objectively at what I have tried to do to to help myself make the depression go away it frightens me. It scares me that I have tried so much, and so many things, and still nothing is consistently helping my depression dissipate. My mood still continues to cycle, I still feel angry and frustrated and depressed, anxious and panicky, and can't sleep, or sleep too much, eat too much, avoid everything, have difficulty leaving the house, doing things, cleaning, cooking, laundry, dishes, sex, lose interest in everything, lose hope...All this never goes away for any length of time. When it does it feels like temptation threatening to drown me as soon as I begin enjoying myself. I feel like Satan sits and waits for a good mood to begin inside me...and then BLAMO! he whacks me upside the head just to show me I am still lost to hell. Paradise; a life of enjoyment and happiness, is lost.

It gets to the point where I begin to ask: Is it worth it? Am I worth it? There is a lot of money, medication, time and effort, both on my part, and the part of others, going into helping me become well. If, as I suspect, I will always cycle in and out of depression: What is the point of all this trying? From a utilitarian perspective it makes no sense at all to keep me here.

Why take medications? Why continue in therapy? Why continue living? If life is going to be as hard as it has been these last 7.5 years and the two years, with a two month reprieve before that...and the too numerous to remember episodes of depression before that, if life is going to be this hard a struggle forever...why keep trying? At some point don't you just give up and say it will never get better. Live with it, accept it, give in, or die. Dr. X said let him carry my hope, but at what point is that futile? At what point to we both concede to having been beaten by this illness? If you review all I have tried you will think the same thing:

1. 19: Journals filled with writing

2. 304: Number of blog entries

3. 425: Psychotherapy sessions with Dr. X. (give or take a few)

4. 21250: Minutes of therapy with Dr X

5. 14.75: years in my life lost to depression (conservative estimate)

6. 6.2: Number of years spent unemployed because of my depression

7. 104: Number of days on top of the 6.2 years lost employment because I could only manage working 4 days/week

8. 29: Number of years underemployed because of my depression

9. More than 8640: Number of pills bought to try to treat my depression if prescriptions were all one pill per day (many weren't/aren't)

10. 288: Number of bottles of pills purchased

11. Hundreds: of Visits to the pharmacy

12. 33: Number of psychotropic medications tried**

13. 9: Number of different vitamin/supplements tried

14. 8: Number of ECT sessions received

15. 177: Approximate number of months I have spent depressed in my lifetime

16. 5384: Approximate number of days spent depressed

17. 40: Number of years spent anxious and wanting to hide

18. 36: Number of years I remember having difficulty sleeping

19. 6: Number of therapists I have seen

20. 3: Number of psychiatrists I have seen

21. 2: Number of psychiatrists/ therapists I connected with

22. 1. Number of Psychiatrists, Doctors, Health Care Workers I trust.

Supplements/Vitamins I have tried/++Supplements/Vitamins I am currently taking:

1. St. John's Wort


2. Valerian


3. Salmon Oil (took 6 grams/day)


4. L-Tryptophan 2grams/day


5. Iron supplement twice daily++


6. B100 Complex (B1 100mg) ++


7. B12


8. Folic acid 1.0 mg


9. 100mgs of each B vitamins++


10. Multivitamin++

SSRI's

1. Prozac 60 mgs
2. Paxil
3. Celexa
4. Effexor
5. Luvox
6. Zoloft

Novel Anti-depressants:
7. Wellbutrin.
8. Remeron
9. Moclobemide

Tricyclic Antidepressants:
10. Nortriptyline
11. Amtrytiline (took for trauma symptoms...for 5 days after a traumatic incident)
12. Desiprimine

Anticonvulsants/Mood Stabilizers:
13. Lamotrigine 200mg
14. Lithium
15. Epival
16. Gabapentin
17. Lithium (800-1200mg)
18. Carbamazepine (800-1000mg)

Benzodiazepines:
19. Clonazepam
20. Diazepam
21. Lorazepam
22. Temazepam

Beta blocker:
23. Propranolol

Other:
24. Low dose Doxepine
25. Clonidine

Atypical Antipsychotics:
26. Seroquel
27. Risperdal
28. Olanzapine

Hypnotics/Sleep Medication

29. Trazadone (25/50mg/100mg/200mg/300mg)
30. Zopiclone (7.5mg/15mg)

Stimulants:

31. Ritalin
32. Dexedrine (tablets and spansules 5-20mgs)
33. Modafinil

Note: Also tried numerous combinations of above medications

Am I doing something wrong? Am I making things not work? If so What? and Why? Does this happen to other people? Am I the only one who never gets better? Why? I used to want so badly to live a beautiful life. Now I have no desire to live.

Ambivalence

I know I am not alone in thinking about suicide. Numerous people get to my blog everyday by googling "I want to Die". I find it sad there are so many people who feel like me. I find it strange that, with so many people thinking like this, we rarely hear about people who actually commit suicide.

When I feel like this I become obsessed with looking for people in the obituaries who have left this world by their own hands. I'm not sure why, but I look for the key words "Died Suddenly", or I look for requests for donations in lieu of flowers, to a mental health organizations. Sadly, I also look for, and find, obituaries for kids, or young adults; people who have died far to young for the death to have been natural.

I find, for me, the idea of death relieves my anxiety about my depression. When I am depressed thoughts of suicide, and my having the means to commit suicide, allow me to feel I am not completely choiceless. I am not completely without the means to take charge of and get rid of my depression. With death it would end.

With this in mind I hoard all my unused medications, pill bottles of everything I took, that didn't work, and even pill bottles of Tylenol 3's from medications my husband took for a while and did not finish. I hoard everything...just in case I need to go.

Twice now I have given up my stash to Dr. X. Each time it did not feel right. I felt I was left with no safety net. Dr. X has said my safety net (the pills) is unhealthy. Use the other safety nets available to me, him, the hospital, emergency mental health services etc.

To me, those safety nets are only available if you have the ability to use them. I have the ability to see him, but I would never take myself to the hospital, or call 911. I would die before doing that.

I would rather kill myself that face the dismissiveness of an emergency room physician, or a mental health worker other than Dr. X. Why? I would get to the hospital, talk with a doctor/nurse and the talking would LOOK as though it increased my mood, and they would send me home. I would be humiliated and feel rejected, and I would kill myself anyways.

I simply cannot face the rejection of someone who does not understand me. My mood always lifts when I am talking with others, partly because I put a mask on to protect them from me, and partly because I automatically want people to be comfortable with me. Also, I want to look like I am not completely insane. I want people to respect me.

Last night I kept thinking over and over of how I could leave this world without others knowing I committed suicide. I want out, but I can't think of a way out without leaving my family with the burden of a sister, daughter, or wife who has taken their own life. I stared at all the pills and kept thinking of how easy it would be to go in my sleep. Something keeps me here. Maybe my duty as a family member and friend, maybe I don't want to disappoint Dr. X. I have survived 7 years with these thoughts in my head. Maybe I really want to live?

I Can't.

I thought, if I focused on what made me happy, if I did all the things on my schedule I committed to, if I had a benevolent schedule set up, and if I kept pushing and pushing through my decrease in mood; I thought I could stave of falling into the black hole of depression again.

I tried, and am trying, but I can't change the direction I am headed, farther and farther into another cycle of depression. I am so tired right now I feel literally sick. Driving the last two blocks on my way home today I could barely stay awake. All I want to do is sleep. I am weepy, and anxious and irritable. I feel dead again. I can't keep trying anymore.

Who AM I?

Today has been a strange day. I have felt my mood going all over the map, from feeling joyously happy, to grieving the loss of, and missing, my Mom (I felt her near me, and had reminders announcing themselves to me, all day today...it began to feel eerie and frightening...like I was having a premonition).

I was very anxious most of the day; so anxious I could not breathe properly most of the time. Even when I felt joyous, I was also feeling really, really agitated, or intensely filled with energy.

I felt paranoid I am being spied on numerous times today. I feel lonely; alone, uncared for. Some moments during the day I felt relief I have been feeling better. Some moments I felt the fear that tells me I am slipping into my old ways.

When I say I feel agitated/energetic it is hard to tell which it is. I feel compelled to move, to tap my fingers, to tap my fit, to move my toes, to squirm and fidget. There is some force inside me pushing me to constantly have some part of my body tapping out rhythms at a quick pace. Drumming, tapping, tapping, drumming, squirming, swaying, knees moving up and down...annoying, but I can't seem to stop. I feel wired in the mornings and early afternoon and tired in the late afternoon.

All day I was "obsessively" singing. I say obsessively because I couldn't stop. I kept having a song go through my head, and felt compelled to sing it, over and over and over and over and over...ad infinitum. "Willow weep for me, willow weep for me, bend your branches green into the stream and cover me, listen to my plea, listen O willow and weep for me." I kept singing those lines over and over all day. No matter that I wanted to stop, it was like I was stuck on repeat. This seems similar to when music was stuck in my head before when I first began Prozac.

Then I have a strange noises in my ear/s. It's hard to describe. sort of a crinkly, tinny, sharp sound that happens beats or clicks loudly for a few seconds then disappears. It is happening in my left ear, but I think I heard a similar sound in my other ear yesterday...but maybe I am mistaken and it was the same ear. Its really high pitched. Almost like a crickety sound. It scares me when it happens, because it seems like it might stay, or not go away.

Speaking of going away...I feel lonely, not because I am literally alone as my husband is away for the week. I feel lonely and alone because he's been gone since Saturday and he hasn't called me. I am not really one to talk too much on the phone, or even to expect my husband to call me, but for some reason his not calling makes me feel unimportant. When I go away for a week I usually call for a few minutes every few days, just to tell him I love him and am thinking of him. I think there is something about not having that kindness returned that is urksome. Is it too controlling of me to want a call from him when it's only a week?

Sad thing is I am actually glad he is away. The break is good for me. So not sure why I care if he calls. It is amazing how self sufficient I am when I'm by myself. Without him telling me I'm a loser all the time, without him pointing out all the mistakes I make and all the things I don't do well, without him trying to control my every move consciously, or unconsciously, without him trying to force me to do the things he wants done, I begin to feel I actually CAN do things, and AM good at things.

So...happy to sad, to grieving, to anxious and so agitated I can't stop moving, to angry and frustrated and lonely...to okay again. My mood is as labile and unpredictable as the weather in the city where I live. Who am I? What do I feel?

Am I the Only One?

**Addendum added: I just went for a walk and I realized that another reason I don't understand is because of my difficulty understanding, or accepting anything that is not black and white. I get completely confused when something is in a gray area. It makes absolutely no sense to me.

I often feel annoyed, frustrated, and maybe like I am being lied to when my pdoc and I discuss my diagnosis. I was talking to a friend about this and she asked me, "Why does it matter?"

That is a good question, and at first I really couldn't think of why it mattered to me. All I knew was that it did. It really did. It really, really did. It annoyed me, frustrated me, made me question my illness, made me worry about my illness, and made me not understand my illness.

Here is a "stream of consciousness" discussion with myself about WHY this bothers me so much. (***I have not edited it, because I was feeling a bit angry as I was writing...and if I edit I will remove some of the feelings):

First my pdoc says, I have major depressive disorder with cycling that takes me almost to hypomania, but not quite. Fine...I think that is close to accurate, although I can think of many times when my own feelings were that I was way to high for this to be "normal". Not that I want to 'be" a label, or be labelled, but it is kind of like when a person is diagnosed with something, they want it to be the right diagnosis...for example, if I have liver cancer, I don't want to be told I have kidney cancer, only to find out later I have liver cancer. I just want to know.

My confusion is compounded when my pdoc and I decide to use medications that work for BP disorder, when he expresses that I have a "bipolarlike": depression...(huh?) ...and when I find my mood increasing dramatically, my not sleeping more than a few hours a night and my mood ranging from super high, to wired, to happy, to high again and back. When I see myself doing more than I have done in years, all initiated within the time I have not been sleeping, and yet felt high and energetic.

But I still haven't figured out WHY it matters to me so much...partly sometimes I feel like the truth is withheld because of the stigma many attach to bipolar disorder, partly it seems my pdoc doesn't really put much emphasis on diagnosis, rather he looks at symptoms and how to address those (which makes sense)...but what happens if something happens to him and suddenly people who do base their treatments on diagnosis, see I am on a "bipolar" medications combo, yet I do not have bipolar. What if they decide I don't need the medications I am on? what if they don't recognize that I cycle despite not having bipolar?

I still don't understand why I feel frustrated that my mood disorder doesn't fit into a simple descriptive diagnosis. I can't be the only one. Some people have Major depression with no cycling, some have cyclothymia: "The highs of cyclothymia are called hypomania, a milder form of mania. The lows consist of mild or moderate depression"...Mayo clinic), some have BPII Mayor depression and hypomania, some have BPI, major depression and mania...where are the people who have major depression and a milder form of hypomania...sort of a reverse of cyclothymia? It doesn't make sense. And if people exist along some kind of spectrum, why don't they simply have some kind of, for example, 1-10 rating for mood cycling of all different kinds?

Also, how do you explain to your family what is going on? to your spouse? your friends? if there is officially no such thing as what you have? How do they find out information that might help you if what you have does not exist in any "official" context? How do they know you are just not making it all up?, or that you struggle both with the highs and lows?

I'm not sure if any of this makes sense, or if it even matters to anyone. Am I the only person confused by a psychiatric diagnosis? I guess the big reason I feel irritated is that I just want to know. I need to attach a name to how I feel. I want to know if my mood cycling is my fault, if I am in control of changing it, if I have done something wrong to create this type of mood hell. Or do I have an illness that causes me to feel this way? Is change my responsibility completely? Or are parts of my highs an illness which I need to control with medicine/therapy/lifestyle changes? Do I really go high...or do I imagine it? For some reason right, or wrong, I need to understand more than I do.

Short Fuse

It is possible that I was angry and not recognizing it. My husband brought it up again last night, saying I was really short, defensive, and a little to quick to snap angrily at him for certain things. This morning I feel the way he was saying I am...except worse.

While much of my mood is still bubbly, I am also feeling explosive. I have this gnawing feeling in my stomach that I might mistake for extreme hunger, if I hadn't encounter the mood state before. I'm not sure if others know what I mean. It's like when you are famished and inside you feel cranky and short, and about to begin raging on someone if you don't get some food...now!

However, I'm not hungry. I ate breakfast and afterwards still felt the feeling. Plus my shoulders feel tight, there is a sense of anxiety...not being able to breathe properly, and an irritability and anger that is simmering and steaming into a rage.

I have tons of energy, my mood feels both hyper and angry. This is a very uncomfortable feeling. The worst part is I cannot understand why I feel this way, because I don't think I am mad at anything, or anyone.

Soaring

I am really "over the top". I can see I'm going to fast, but I cannot slow down. It is strange, but in many ways I feel like myself again. I am ebullient, chatty, charismatic, and "on". I have tons of energy and feel really good. However, I can see I might be a little annoying too.

I am catching myself talking to loud, too fast, over speaking people, talkling on and on to people I don't even know (people on the ferry, at the store, etc.) ,interrupting, and too enthusiastic (yes, that is possible). I can see I need to back off a bit, but I try and then I do it again. I both hate and love this side of me...the bursting with stories is good, until I find myself dominating the conversation. My energetic self is good, until I find that energy turning into anxiety, irritability, or worse yet, agitation. My effervescent self is good until I overwhelm people with my thoughts and ideas. My energy to do things is good, until I plan a trillion things and manage to do none.

All in all, while I wish I were a bit calmer and quieter, but I certainly would rather be this way than my depressed self. Right now I want to LIVE. It has been a long time since I have felt up for more than a few days here and there.

I slept last night...I think because I took 1000mgs Tegretol and 100 mgs Trazadone, but now...at 12:14am I am wide awake and can't get to sleep. I have to get up early tomorrow too. Yikes. Here's hoping my energy will subside ASAP (for the night) and will return with the sunshine. (Well the fog actually...it is thick and solid right now...scary to drive in)

The Nightmare, Henri Fuseli 1741-1825

I actually slept last night. Thank god. I increased my Tegretol to 800mgs, took 125mgs of Trazadone and had a couple big martinis. I fell asleep within an hour of going to bed (12:30) and stayed asleep until close to 5am. I still feel wired for sound today, but I am very happy I slept.

I can't explain why sleeping is important to me when, although I wasn't sleeping, I had tons of energy. I guess there is some relief in knowing I got some sleep and in not spending all night trying to force and coax myself into sleep.

This whole experience is making me wonder how much I may need a mood stabilizer. I was trying to go off Tegretol because I thought maybe it was keeping my mood down; not allowing my antidepressant (Prozac) to lift my mood as much as I wanted. I also felt like maybe it was causing my fatigue.

Now, given my insomnia and hyperactive mood after I decreased Tegretol from 1000mg to 200mgs, I am rethinking whether it is wise to go off Tegretol. I guess I am afraid now that the Prozac is maybe lifting me too high on its own. Its not a good high either. There is so much energy behind my increase in mood that while I am "activated", or energized, I am also agitated and anxious. So much so that I do not think I can manage it much longer.

I will take 800mgs Tegretol again tonight and see if I can sleep with 100mgs Trazadone. Maybe if I get sleep for a few nights I will calm down. My brother-in-law and his wife are coming to visit next week. I have avoided them for a couple years now. Always opting out visiting them when my husband goes East to visit. I just get too stressed out trying to put on a face for everyone. It is exhausting.

My husband insists I spend time with them when they visit. I really do not want to be this high when I see them next week. They are really nice, but I'm sure they already think I am crazy. The last thing I need is to be speed talking, interrupting, agitated, irritable and anxious around them.

Unfortunately, we have to visit them away from our house. Travelling and staying away from my own bed is another stressor that contributes to my not sleeping well, and usually to a drop in mood. I am trying to go with the flow, but am really not looking forward to being away from home.

Vibrating

I wonder if you can sit on this thing? Imagine! Hmmm.

I was looking for a video of a song called "vibrating, by Robyn Hitchcock, but the only one online was really poor quality...so this is what you are stuck with...a woman on a vibrating exercise machine...funny though I am almost vibrating as much as she is...maybe I will lose weight? Do these things really work?

Picture a tall blonde bouncing off the walls and you are seeing me as I am right now. Ohh God...I am literally vibrating! (...get your minds out of the gutter;>) I slept a bit last night, but still far less than I need to and was awake much of the night despite having increased my Tegretol. By the middle of the night I had to take some Trazadone to try to help me sleep because I was tapping and singing and humming when I needed to sleep. The energy I have inside me is over the top. If I could bottle it and use it for electricity I might be able to power my whole house with it...for weeks.

I love having energy, but I am also feeling overwhelmed by the agitation/anxiety that my body seems full of. I cannot seem to stop moving and my heart is pounding and I'm breathing fast and shallow. It feels so physical. I have a really short fuse too and have been getting annoyed at people easily. I am so anxious my entire upper body is hard like a rock with all the tension I feel. I hate anxiety.

I think I will increase the Tegretol a bit more because I am wired and having a hard time focusing or concentrating on anything. I went to the Studio today to prep for my Printmaking class that begins Tuesday and staying on task was extremely difficult. Rather than do what I needed to do I found myself flitting about like a social butterfly and doing everything except what was required for me to be ready for Tuesday. I hope I calm down before my class starts.

I phoned my sister today to tell her about my singing lessons and within seconds she was saying "slow down, you are talking so fast I can't understand what you are saying". I was just excited about how my singing lessons went. I feel like a kid inside again. I haven't felt this much excitement about anything in a long while.

Ahhhhhhhhhhhhhhhhhhhh! "Calm blue ocean, Calm blue ocean, Calm blue ocean..." (that's my calming mantra).

Singing Lessons

Eva Cassidy - Somewhere Over the Rainbow

Just came home from my first singing lesson. It was not easy to either go, or to actually get myself to sing in front of someone, but I know this will be so good for me if I can manage not to run away with my tail between my legs.

First off....all day I have been BEYOND wired. I have so much energy inside me I feel like trying to contain it is creating a bomb. I am afraid I will explode any second. Because I am trying hard to be and appear 'normal' I am so tense inside and I can barely breathe.

This was the big problem I had in my singing lesson; not the fact that I didn't know how to breathe properly for singing, but I was so anxious...close to panic, that I kept FORGETTING to breathe. Since when did breathing become a non-automatic thing to do? God anxiety is brutal. I swear I feel like I have shoulders as stiff and hard as rocks and my lungs want to clamp shut on me.

Anxiety aside, and I am still extremely anxious 2.5 hours later, and was anxious the whole time, ...anxiety aside I am so glad I went.

The teacher is really into old Blues/Jazz songs and our tastes in Blues/Jazz are the same. She taught me some cool exercises to help my voice loosen up and get myself breathing properly, while at the same time practicing scales.

Oh yeah...in one of the exercises I get to howl, as loud as I can like a wolf. Start as high as I can and go as low as I can. How fitting is it that I get to howl given how much wolves figure in my anxiety and fears. Maybe now I get to talk back to them!!! Look out!

After that I went down to the music store, bought a couple Jazz music books and looked into taking piano lessons (eeeeeehhhhh!) (Loud high school girl scream of excitement!) I really, really want to do this. I love music so much. More than any art form in the world. I really want to sing, and learn to play the piano.

P.S. The video above is the rendition of "Somewhere Over the Rainbow" I am going to practice and learn with my new teacher. I am singing "Blue Moon too...it is beautiful.

Oh yeah...the best part:

My teacher said I have a "gorgeous voice" ..."powerful" (quotes), she said. She said my tone is great and my pitch is good...My range is good. It's a matter of learning to breathe and train what I already have going for me.

She really did go on about how much she liked my voice. I could tell she was being honest too by the way she kept telling me. She is thrilled to have a student who wanted to learn the kinds of songs she wants to teach...And I am thrilled she likes those songs. Fifteen minutes into the lesson she asked me if I wanted to join the choir she teaches on Wednesday nights at a big arts centre in town. I am going to do that after I take a few private lessons.

This is so good for me. I think next time will be easier as hopefully in two weeks I will have slowed down a bit. Dr. X said I am still having Valium withdrawal and that's why I am so agitated. Regardless, I am going to be afraid and do it anyways.

Arghhhhhhhhhhh! I feel so angry for NO reason.

Something is wrong. I feel so wired I am buzzing. My husband says I am talking fast and extremely irritable. He says I am talking over him and interrupting, being "pushy" and loud he says. I see it too. I feel out of control.

Yesterday I woke up and inside I felt like blowing up. I felt rage like I have not felt for a long time. The rage where I want to destroy the house or beat down all the bushes in the yard. I feel speedy inside; like I am FULL of adrenaline. It is not a good feeling. My heart is racing in my chest to the point that sometimes it is feeling like it is jumping, "buddle ump", or fluttering.

I feel confused and find myself pacing back and forth in the house...it seems like I am pacing in preparation to do something, but I always get into the room and forget why I went there and what was so urgent that I get there NOW.

This morning I woke with the same feeling: extreme anger, rage filled, irritable, cranky, speedy, get out of my way or I will run you over and keep going. I haven't been sleeping at all. Dr. X gave me a prescription for 10mg Doxepin to help me sleep. He says it can help with the later sleep cycles. So it helps people SATY asllep. Which has always been my big problem. Usually I fall asleep no problem. I just cannot stay asleep. Recently though that has changed too. I lay in bed awake for what seems like forever and cannot get to sleep, or stay asleep. It is getting worse.

I was taking 100 mg Trazadone and it was doing nothing. I don't think the doxepin is helping and even though the dose is small I think it is contributing to some of my feelings of strangeness in the morning. I feel buzzy, speedy, off kilter, tippy, unfocused...strange, fuzzy, a bit of a sleep med hangover even though I can't sleep? There is a feeling of depersonalization on some level...like I am not completely in my body. I am not me.

Previously, I thought maybe I was staying awake because the dog was on the bed, but last night I put the dog on the floor and realized it has probably been me keeping the dog awake, rather than him keeping me awake. He slept like the baby he is. I on the other hand rolled around and tried to sleep all night; catching snippets of sleep here and there only to find myself awake not long later. I was awake almost all night last night and the night before.

Maybe I am just not used to this much energy. I have been off Valium for about 3 - 4 weeks now and I am going off Tegretol (I am down to 400mgs from 1000mgs). Maybe the Prozac and Dexedrine is energizing me in a way it couldn't when I was on a mood stabilizer. That is the point of my going off the Tegretol and Valium, to energize me. Why is it when I get more energy I start worrying it is too much energy?

I think maybe because it doesn't feel like the good energy I have when I am well, or when I am even "high". It feels uncomfortable, obsessive, speedy and really irritating and negative. Arghhhhhhhhhhhh!

Discontinuing Valium - Cold Turkey

**Note: I am NOT condoning anyone go off Valium this way. From what I have read it can be dangerous, even life threatening, to do this if you are on a high dose of any of the benzodiazepines. (Although for the life of me I never could find out Why...If anyone knows I'd like to know too) Please work out a schedule with your pdoc if you want to stop any of your medications.

I am not exactly sure, but I think I am on my 8th or 9th day of no Valium. I tried to go off it by slowly lowering my dose, but as soon as I had any side effects I would take more Valium and eventually I ended up taking more than prescribed, just so I did not have to deal with the stress of stopping it. I don't know if I feel psychologically afraid, or if physiologically I was becoming more tolerant of higher doses. Probably both. I always seem to have this pattern after having been on Valium, or any other Benzodiazepine, for a while.

Valium definitely helps me in a number of ways, but it also makes me tired and (I think) apathetic. Dr. X and I have decided I slowly go off all my medications as he says it is not clear they are helping me. To some degree I agree. I am not sure if they help or not.

I still seem to have mood swings/unstable moods and much of the time I feel extremely depressed and anxious, sometimes I feel moderately depressed and anxious, sometimes I feel only depressed and sometimes only anxious and some of the time I feel hopeful. This is the best I have ever been in 7 years, so it is hard to say my medicine is NOT working. I think at best it is sort of, at times helping. Other times I think it is my changing life and therapy that has lifted me a bit. If it were the medication wouldn't I feel hopeful at least most or much of the time?

Anyways... I discontinued Valium cold turkey about 8 or 9 days ago. It has been both uplifting and brutal, but I simply could not manage to lower the dose slowly.

The uplifting part is that I seem to have an increase in energy and, at least part days I have had more energy. The brutal part has been and continues to be (maybe even worse now than the first few nights) the withdrawal side effects I have been experiencing:

Not sleeping. The first 4 days I did not sleep more than a couple hours, in increments of a few minutes here and there, each night. By Christmas Eve my mood was great...probably due to sleep deprivation. However, by 1:30 am that night, having gone to bed at 10:15 and finding myself at 1:30 am increasingly wired, twitching and clenching my teeth and more I broke down and decided I needed to take something to help me sleep. I took 50mgs of Trazadone and at least I slept part of the night. The next day I felt so much better, except for feeling like I was dazed. I have continued to take Trazadone as it is at least partially helping me sleep.

Twitching...my muscles are twitching and my hands shaking. The twitching seems to be getting worse and is really annoying. It is almost like the feeling of reflexes when someone taps your knee, except it is all over...in my hands, arms, legs, torso...very annoying.

Mouth movements are back with a vengeance. I began taking the Valium to stop these mouth movements that began shortly after I started taking Prozac. I was getting extremely stressed because I was worried it was tardive dyskenesia. The Valium really helped them slow down and mostly go away (at least I wasn't noticing them as much). Now they are back full force...My mouth is making weird semi-controllable movements. If I focus really hard I can stop them, but the second I stop focusing on stopping them they come back...the movements are things like sucking motions, pursing my lips tightly, my tongue is moving in my mouth to the point that it is sore in numerous places from rubbing up against and pushing on my teeth and my jaw is clenched so tightly (especially in the evenings) that I have been getting massive headaches from the tension in my jaw and neck muscles. I have had to take 600mgs of Advil a couple times a night to lessen my headaches.

Toes tapping/moving It is like they are beating to a different drummer than me. "Tap, Lift, Tap, Lift, Tap, Lift...quickly, then slowly, then quickly, then ploddingly. They do not seem to want to stop (at least when I am noticing them). I can stop them if I focus on stopping, but a few minutes/seconds later I notice I am doing it again.

Anxiety/Bad Energy: Tight chest/back/jaw. Difficulty getting to sleep because I feel like I can't breathe. More energy, but it feels bad, like agitated energy, feel overwhelmed by small things, or things that are even the least bit difficult for me.

Irritability: Noises are annoying. It feels like sensory overload if the music at home is too loud, or it isn't the music I want to hear, or the t.v. is too loud, or people are talking to much. It is almost like the auditory equivalent of bright, relentless sunshine in your eyes when you are not wearing a hat or sunglasses.

Increased eating: (not sure if this is a side effect, the holiday season, or if it is happening at times my mood is down), but I have gained more than 12 pounds in the last 3-4 weeks...and I can't seem to stop eating bad food.

Balance problems: Falling, tipping, slipping. It may be the weather conditions (snow and ice), but I feel completely off balance, even inside.

Memory problems: Not sure I can remember the bizarre things I have been doing, but I remember saying "huh" to myself numerous times a day...Let me think...

spending a lot of time staring at things I pull out to do and wondering why I have them in my hand or on the counter. (Eg: pull out vodka and juice to make a drink and I keep looking at them both unsure of what they are and unsure of what I am to do with them, or find myself in a room and not knowing why, or putting the juice in the microwave instead of the fridge etc...

forgetfulness/carelessness

Stuttering/word finding: I have a phrase or sentence in my head. I go to speak and different words come out. Sometimes it takes me 3-4 tries to get the right statement out. I have done this numerous times while speaking with my husband. The words that come out wrong are usually associated in some way (they rhyme or have something to do with the topic...eg./ topic is strawberries and the word "tomatoes" comes out instead ...both are fruits). The other example of this problem is pure stuttering...where I have to try numerous times for the entire word to come out of my mouth correctly. I can't remember exact examples, (despite meaning to each time it happens), but my husband is making fun of me when I do it, because it is happening regularly.

Depersonalization/dissociation...I am "disappearing" a lot.