And Away She Rides

I'm soaring right now. It's 11:53pm and my eyes want sleep, but inside, inside I'm wired. I've been like this most of the day, neither here nor there, not able to concentrate on any one thing. Spurts of productivity followed by spurts of a scatter shot mind. Tonight's trigger is Carbon Leaf, "Under the Wire," "Love, Loss, Hope, Repeat" and "The Girl and Her Horse." When Dar Williams used to send me flying with songs like "The Ocean" and "Iowa," I used to wonder if certain chords triggered certain states. If there was a correlation between sound and mood. If songs in the key of G were the ones most likely to set me galloping, and maybe those in the key of E, maybe those were the ones that sunk me. Sure, stress, seasonal change, major life changes, these are all triggers, but I swear that my daily triggers are much smaller: music, poetry, books, writing, ideas. I'm two for two today. I'm reading the kind of good, effortless writing that kills, sets the characters off in my head, until I'm doing as much fantasizing about the book as I am reading it. Ten pages read, twenty minute intersessions, lost in make believe and a vast inner world that's all too easy to slip into. And music, if it strikes me, I listen to over, and over, and over, ad nauseum. I can't get enough of the high it sends me on, of the thought of an open road, an open window, wind whipping fresh in my face. It's the runaways, and they're worse at night. Night drives are as much a trigger as the result of a trigger. They're my great escape, my run for the border. Something has to fill me up inside, freedom, miles, lights. And I want one tonight, but Jb can't keep up with me tonight. So I'll lie in bed, good and sweet, and my mind will go 'round and 'round, setting up scenarios, letting characters come to the fore, focusing on phrases, the repetition of words, until words are only sound, and the sounds become foreign, and I keep repeating them, repetition bringing them back 'round to meaning. But there's no sleep in that, not until my body simply gives way, or my mind runs out.

Lost

There's a Firefly quote that's coming to mind today:

Inara: (to Simon) You're lost in the woods - we all are, even the captain. The difference is he likes it that way.
Mal: No, the difference is the woods are the only place I can see a clear path.

I feel like I'm lost in the woods these days, like I can't see my clear path. I stumble around my days, the apartment, looking for things to do, but unable to focus enough to do them. Jb's on my case again about not doing anything around the apartment other than cooking, bills, and groceries. These days, that's a lot to me. It's difficult enough for me to sit down and write up a list of groceries for 13-14 days worth of meals, but now that our budget's so tight, I have to add in the math, the coupon/circular, the adjusted cost, how many meals I can stretch one pound of meat. I know useless things, like eggs cost $2, milk $3.50, butter $4.50, cheese $5, unless you find a 2 for $6 sale. Sales on meat are deceiving, and unless you get there early, they're gone. It takes me all day to create a list.

I'm also lost as to what to do with myself. I once saw a clear path: Master's in Writing, writer. Then that diverged and I threw a possible PhD in Rhetoric in there, afraid I couldn't write. Then even that branched off to library work, my job at the library downtown, thoughts about a Master's in Library Science. But every time I saw a clear path, it split on me, until I had no path, only the woods closing in around me, and the knowledge that I was scared and unhappy. Now, I've lost everything: all direction, any clear path. And shouldn't that be freeing? But now I'm pigeonholed: "unstable," "bipolar," "irrational," "emotional," "depressed," "anxious," "unemployed." It's a loss of control and power, and I'm floundering. I can't see the tress for the forest.

I re-read those first two paragraphs, and they don't even make sense to me. Everything is disjointed. I'm starting to sleep more, later. Napping. I am swinging back down into a depression. In one of McMann's web pages he talks about going into the doctor to talk about his moderate depression, or his major depression, or the minor depression on top of his major depression, as if depression were a house of blocks that could be built. It's like a Dave Carter song:

One fine morning when my ship comes in
Gonna pack my fortune, take it home again
Stack my sorrows like stones until
I've built me a mansion on a high, high hill.

Depression is so full of metaphor. And sometimes I wonder if that isn't why while depressed and even manic, I've read that so many of us turn to music, poems, lyrics, like magpies, constantly murmuring others words in our heads, over and over, as if they could speak for us when we can't even speak for ourselves. It's like the butterfly in Peter S. Beagle's The Last Unicorn:

You know better than to expect a butterfly to know your name. All they know are songs and poetry, and anything else they hear. They mean well, but they can't seem to keep things straight. And why should they? They die so soon.

And this is where it begins to get tragic for me. This whole post--useless. Rambling. Incoherent. I can't remember my point, I can't remember my metaphors, all I hear in my head are lyrics, poignant quotes, and all I feel is this upwelling need for meaning, somewhere, somehow. Sometimes I think the only thing that mattered to me was the stint I spent teaching. Peter S. Beagle again:

Only reason I've lasted this long is I had this stupid job teaching beautiful, useless stuff to idiots.

And what writer would depend on every other writer to supply her own words? But I can't use them now, and I fumble. Everything is subject-verb-object with a conjunction thrown into the mix, usually the same conjunctions. So I might as well end this with one last quote from The Little Hours by Dorothy Parker:

I'm never going to be famous. My name will never be writ large on the roster of Those Who Do Things. I don't do any thing. Not one single thing. I used to bite my nails, but I don't even do that any more.

And that's my mind these days. That's me.

7:15 a.m. Triggers

One of the things I've begun to worry about is the possibility of a downward trend. The more I've gone over my past in my mind, trying to find the truth of my diagnosis, the more I've seen trends. Example? I get the Runaways in spring and fall. And my triggers tend to be major life events: going to college, switching my major, leaving college, getting married, moving, new jobs, buying a house, leaving graduate school, moving out of state, separating from my ex, beginning a new life with a new boyfriend, my father's illness, death, loss of a job.

Jb and I move in one week. Moving is always stressful for me, especially now when my motivation is low, and it seems a monumental task to get all of our junk into boxes and out of here. I'm worried it'll trigger something, send me up into a hypomania, where I couldn't be more thrilled with our new place, everything is wonderful, everything is fabulous! Or it could send me down into depression, where everything is new, everything needs to be learned over. There's no nearby store I can walk to, all the bus routes are different, a less than easy commute to the metro, everything is strange, and there I'll sit, without a job, without t.v. or internet for days because Comcast screwed up, surrounded by boxes I've no idea what to do with.

I think I'll be thrilled at first, a new start, a fresh apartment: hardware floors, white light coming from three windows, a bright new world. And no one loves a fresh start like me. I feel the need for them periodically, a sudden irrepressible urge to pack it all up, throw it all in, and start over, as if I could outrun my problems, my moods, my responsibility. Build a new life, rebuild myself, find my better self, one who doesn't screw up, one who doesn't mess things up. A better relationship, a better me, a better, brighter look on life. Like Annie Gallup says, "Anything Is Possible (Reprise):"

It was a phone booth in the middle of the Midwest
It was raining like the devil. I was depressed
I watched a pickup truck slowly float by with its hazards blinking
Windshield wipers slapping, I said, "I keep thinking
If I can hold it all together just one day maybe two
It'll all make sense and I'll believe it's really true
I wish I could take comfort in steady slow improving
But I'm scared most of the time. I don't feel safe
Unless I'm moving"
Ooh, yeah, anything is possible

Too much of that rings home: "I keep thinking: if I could hold it all together, just one day, maybe two. It'll all make sense, and I'll believe it's really true. I wish I could take comfort in this steady slow improving, but I'm scared most of the time. I don't feel safe, unless I'm moving." That's the depression, the Runaways, and my frustration with the long haul of recovery and meds. It's all there in one verse. And I don't know why, suddenly, my head is full of verses and lyrics, poems and lines. I've read in a couple of blogs that bipolar patients seems caught up in music, poems, latching onto lines the way they latch onto sanity, repeating things over and over in their mind. When I began this blog, all I could think about was Dorothy Parker's poem, "The Veteran:" "Inertia rides and riddles me," repeating that one line over and over. Inertia rides and riddles me, inertia rides and riddles me, inertia rides and riddles me. There's something compulsive in that, and something delusional in the way I put so much emotional investment into lyrics and lines, as if they could speak for me when I'm too befuddled to find the words myself.

9:59 a.m. Morning

Crawled back into bed around 7 and slept until 9:59 a.m. I don't know if this is a good sign, or if it's merely the fact that the phone rang three different times waking me each time. I assume the latter, but I could be wrong. The credit card companies are beginning to call, circling like dogs, hoping to get blood from a stone.

And that's the problem with being mentally ill for a long period of time. You lose almost everything. This particular bout of depression started in June 2008 and was coupled with IBS (Irritable Bowel Syndrome), which made the whole thing twice as difficult. I'd have anxiety attacks on the way to work, I'd throw up outside the metro, I'd have to stop halfway to work to use the bathroom, I even had an "accident" once. Sometimes, I couldn't even leave the house. There's nothing more humbling and incapacitating than being unable to control your bodily functions. Then there was the depression on top of it, or wound up in it, and there were days the depression was so thick it was like struggling through deep water, and I couldn't leave the bed.

Soon enough, I had exhausted my Family Medical Leave, though my doctor supported my need to be out of work intermittently as I dealt with both the IBS and the depression. But work only has so much patience with these matters, and I could see the moment my boss and HR began to treat me as if I was a liar and lazy, instead of incredibly sick. My boss began withholding work from me, and my job satisfaction plummeted. So did my self-esteem. It was cyclic, and only fed the depression. Eventually, she took me down to HR to formally reprimand me for what she called "abuse of sick leave," the terms of which said I was not to miss work or be late for over a month. That effectively severed any ability for me to make follow-up appointments with my PCP or my psychiatrist. I was so overwrought at my loss of control, at how far the illness had taken me, and my inability to live up to my supervisor's expectations that I had my breakdown in the HR office. I went into the hospital that night. It took them nearly nine hours to admit me.

When the psychiatric intake social worker began asking me about how I felt, about whether I had suicidal ideation, if I had a plan, I had to ask Jb to leave the room. I didn't want him to know how far down I'd gone, how very lost I was, how out of control. It was after the Heath Ledger overdose, and overdose was foremost in mind. I remember her asking me, "Why?" And I remember replying, rather bitterly, "It worked for Heath Ledger, didn't it?" She said, chastised, "Yes, yes, it did." And I could tell she took me more seriously then. I admitted to thoughts about cutting, about knives and razors, and fantasies about my sleep apnea machine, my CPAP. I'd lie in bed at night, put my mask on, wait for that first rush of air, and pretend it was a sort of poison gas, an euthanasia of sorts, from which I wouldn't have to wake up ever again.

I was in the hospital for nearly a week, partly because I entered right before a weekend and they don't discharge patients over the weekend, and partly because for the first five days, I didn't even consider going home, much less ask if I could. Instead, I wandered from room to room: the day room, the activities room, my room, the dining room, back and forth, down the halls and back. I didn't speak for the whole first day, and then I couldn't stop crying. I was shaky and in shock. They'd taken me off all my meds, waiting for a diagnosis from the doctor and psychiatrist who made their rounds in the ward. Not everyone knows this, but even patients who go in voluntarily are put in a locked ward. You sign away the responsibility of your life for at least three days. After that, you can make a formal request to be discharged.

The hospitalization was my first, and while humbling beyond anything I'd experienced, it was also freeing -- to be in a place with people who understood, to know I wasn't alone, to know I wasn't even as bad off as some of the patients who'd been in the hospital again and again and again. Being depressed, having suicidal thoughts, it was normal in the ward, and something that us patients often talked about at night before snack and after our meds. Group therapy was a laugh, something I often left to go curl up in my bed, but those late night sessions with the other patients, those helped far more than anything else could have. I'd like to write more about the hospitalization, but I think that'll be another post. There's simply too much to tell.

Anyway, it was three months after the hospitalization that I could even begin to think about a future, and that's when my job forced me into a voluntary resignation. I'd already been on unpaid leave of absence, but without money for all that time, there was nothing to do but let the credit cards go, to batten down and focus on the necessities: food, rent, my meds. And all the while, Jb supported me, even when I lost everything, even when I took him down with me. Now we're on food stamps, the county has me on temporary disability and cash assistance, and that in itself is a coup, as I've found they'd rather not help you than help you.

I've lost my train of thought now, and so I'll end this post here. I know I'll have to write more about the hospitalization at some point, but I think it'll come in fits and starts. My writing is shoddy at best these days, but I am writing, and that consoles me. Still, as I start feeling better and better, I worry about the day when I'll have to retake a useful position in society. And a fear flutters somewhere near my heart, and my stomach clenches to think about it. So not quite yet. Not quite yet. But maybe soon. Sooner than I'm ready for. I can't help but think: What if I can't hack it? What if the anxiety, the IBS, the stomach pain, the depression all come back? I know I'll be nearly manic the first few months: overworking, proving myself, charismatic among the other employees, perfectly charming with the customers. But then there'll come that fall, like a fall from grace, and I don't know how many more times I can handle that.

It reminds me of the Yeats poem, "The Second Coming":

Things fall apart; the center cannot hold

It's lines like that my brain seizes on, repeating them like a morbid mantra, over and over: things fall apart; the center cannot hold; things fall apart; the center cannot hold; things fall apart; the center cannot hold; I fall apart; I cannot hold.