What to Say?

My mind's gone dumb. I have no wish to write anymore. I don't even know what to say. I seem to be all right, and then I'm arguing with my boyfriend. He's extremely hurt and upset, and I almost don't care. I do, but it's this far away part of me. But it's the up front, face to the world, part of me that wants to sleep, that doesn't want to cook dinner, that doesn't want to play the new WoW expansion, who doesn't want to get up early to drive Jb to work, or drive to the therapist or psych, or drive to pick Jb up from work.

I'm smoking more. Almost half a pack a day. I have a bad smoker's cough going, too. It's another sign that I'm in this holding pattern, circling around and around the airport tower not sure if I'm going to land or be sent around for another lap. The thing is that I felt fine last week. I did. Then Jb and I argued Sunday--well, not argued, per se, but something happened that upset me--and it set me off later that night all over again. Now I don't give a shit. About much of anything, and I hate being in that place. I hate feeling so distant.

I'm more into Spore than the World of Warcraft expansion that Jb's been dying for. He's upset I'm not as excited and all-consumed as he is, and... I'm not. I don't know why. I don't know if it's because nothing really excites me, or if his excitement sets me off, triggers me into this overwhelmed anxiety that I can't deal with well. And shouldn't I be able to after all this time? Spore is easy. You sit in your little editor and make your little creations and it's like art therapy in the hospital. It's private, personal, no one rushes you.

Anyway, I go see the psych tomorrow. Woo. /sarcasm. I have no enthusiam for anything.

Throw Out a Lifeline

The last I wrote here I'd had a breakdown. A pretty good one. I didn't take my meds for a week. I wasn't eating. I had hit apathy so hard that nothing mattered at all to me. Part of this, Jb and I am sure is that I lost my therapist for about three weeks while she was nursing her son who'd shattered his foot and had to have multiple surgeries. I don't think I understood how very important therapy had become for me. How balanced it helped to keep me.

My dose has changed again. 100MG of Zoloft, 300MG of Lamictal twice a day, and Klonopin 3 times a day. We're winnowing the meds down, which is one of the reasons I like this psych. He had tried me on Lithium, and I couldn't stay hydrated enough to keep up with the shakes and disoriented, vertigo-like sensations. So we dropped as not a good drug for me.

In between, I've been moving along as well as I'm able. I had a week and a half after the major depression where I couldn't sleep. I'd be up until 5 am and running on 4 hours of sleep a day. I was restless in bed, could not fall asleep, thinking and thinking and thinking. I think I might have swung up into a bit of a hypo mode. Anyway, now that's gone, as if hypo episodes burn my body out, and now I'm feeling exhausted and unmotivated and all around... feh.

An amazing thing happened last night, though. Jb came with me to therapy. He actually wanted to. How many guys would do that for you? My therapist thinks he's the best thing on two legs. It was a productive session. I think he got to say a lot of things that were on his mind, and none of them exactly hurt or were negative toward me, but I couldn't help feeling guilty, and ashamed, and humbled by how much he truly cares for me, regardless of my condition. There was so much love and worry there that it really made me tear up.

So. Apparently, I have the best boyfriend in the world.

Last tidbit about what I've been dealing with. Balance issues. I'm still having them. In fact, right after the therapy appoint when we got home, I literally fell on my ass when I got out of the car and rolled down the grassy slope. I'm always tottering. I almost fell on Jb while he was lying on the bed, and when I was cleaning the other week, I feel smack on the metal garbage can we keep in the front room. I've bruises on my arm, bruises on my foot where I dropped a fan on it, and I've fallen into the closet door in the bathroom more times than I can count.

What else. I've a DHHS appointment to review my foodstamps and temporary disability. It's at 8am, and there's really no way we can work the single car situation with Jb working. I've called to see if they'll reschedule, but I had to leave a message. I'll try again later because frankly, I don't trust them to get back to me.

And the SSDI. I got the info about my doctors, though I couldn't get all the dates of tests and visits. I had to fudge and guess years of when I saw some of them. Best I could do. But I can't seem to get further than that. I brought up the online application page and just sat there looking at it for an hour, overwhelmed and unable to start it.

Lost It, Again

I lost it in the office at the psych's. Completely, utterly broke down. Shaking, sobbing. I think I used half his tissue box. I couldn't stop. And he just sat there and let me cry, which made me feel stupid and dumb and broken. I admitted I hadn't been med compliant and that I couldn't keep up with the hydration on the Lithium to offset the side effects. And when he suggested Abilify, I had to shoot that down because I'd been on it and gained 50lbs. And that's when my last psychiatrist suggested bariatric surgery rather than meds. What the fuck?

So I'm out in the parking lot outside the office, calling Jb, because I suddenly realize what day it is and that he's not getting paid 'til next Friday, and I blew all our foodstamps on food for, like, 4-5 days and a bunch of crap, and we've a whole other week we need groceries for. So I fucked up. And I'm bawling on the phone to him about that. And I can't stop. I can't stop crying. Up and down, up and down, up and down. Fucking roller coaster, and I want off. But no, the psych says, "That seems to be symptomatic of your illness." So it's official: I'm a rapid cycler.

Anway, prescription changes: off the Lithium. Still on the Lamictal and Klonopin. Wellbutrin is now gone. Zoloft has been up from 50 to 100MG.

Meh.

I haven't been writing in a while. Haven't been taking my meds lately either. I just can't be buggered. Which sounds blithe, but really, I mean that there's something inside me that simply doesn't care. I don't know what motivates it, what brings it into being, but there's a level of apathy that's so profound that I, very honestly, do not care. Last week, I didn't care enough to eat. This week and last, I don't care enough to take my meds. Tell me how that works?

Then there are days I'm fine, except for a mild Eeyore down. Something constant and stable in its own way. But that's a day or two, and it's deceiving. I feel like I don't need all this kid glove handling. Still, Jb says I've been up and down. And I haven't been doing things I normally do. I'm trying to lose myself in books and sleep. And it pisses me off. Because I thought I was better. I wanted to be better. I want to be better. I just want this all to end.

How Deep is Your Well?

A day best slept through than lived. You can only understand that if you've ever been truly depressed. Made myself shower. It had been a week since I'd washed my hair. Made myself refill my pill boxes and take my morning meds. It'd been three days.

I confessed to my therapist that I hadn't been med compliant. And she asked me why, which is a reasonable question, and I surprised myself by saying, "It's not really intentional. Last week, I was so high I didn't think I needed them. And then when I crashed, I couldn't be bothered to care."

There's a lot of that last lately. Can't be bothered to eat. Can't be bothered to care about food, groceries, money, bills, pills. As if they will all, somehow, magically take care of themselves. Don't care about my hygiene, how the apartment looks, if I'm able to get anything done.

I've started having the gas mask fantasy again.

They're Back

Psych took me from 600 Lithium to 300 because I was showing side effects. And while Lithium at 600 seemed to stabilize my mood, it stabilized it at a moderate depression. The 300 Lithium, however, doesn't stabilize me. I've had one 3-4 day period of hypo/mania, and I crashed afterward into a moderate depression. This is hell on my relationship with Jb. It's hard to feel close--for him, as well, I imagine. I don't know how to get closer to him when I feel like this. I feel so self-centered and day-to-day. The financial situation doesn't help. We argue over spending $5. That's how bad things have become. And the IBS just gets worse and worse.

Med Update

Therapist is going to help me fill out my SSDI form. My psychiatrist is behind this as well, which helps having the two behind you.

As for meds, psych is dropping me down to 300MG Lithium. I was showing side effects: shaking hands, disoriented, walking like a sailor. He suggested I hydrate more.