I’ve been playing on my computer since I woke up, failing to realize that the clock was ticking on taking my next dose of medication. My head started to hurt in that old familiar way, and I thought, “I should write about this…. just a stream-of-consciousness entry as chemicals flood my bloodstream.”
I generally need to eat before I take any meds, particularly Lamictal. I look in the fridge and the only thing I’ve got left is four and a half brownies. I get out a paper towel and take all of them upstairs, where I proceed to inhale them like an angry Dustbuster.
I open my blog post editor and get out my pill bottles, which brings us to the present. I have just taken Lamictal, Lexapro, and Klonopin. That means, at this very moment, I feel as if I am capable of tearing out my hair. I will not, and wouldn’t even if I hadn’t taken my meds. The feeling, though, echoes from a scene in one of my favorite movies:
Distraction isn’t always a bad thing. Works every time.
Well, actually….. there’s nothing that can distract me enough from this kind of pain to just let it go. A corner of my mind will be stuck there, wondering if I am about to cry or vomit, or better yet, cry and vomit. It seems physically impossible, but I have done it on multiple occasions. The best way I’ve found to explain the type of physical pain I feel during withdrawal from my psych meds comes from the eighties. Remember those tests of the emergency broadcast system that would come on your TV, and for what seemed like eight hours but was only in reality about 20 seconds the most annoying sound on earth blared loud enough to clear your sinuses? Now, imagine this sound coming from you internally so you can’t lower the volume:
The longer I go without medication, the louder the sound gets, and the louder the sound gets, the more violent my physical reaction. When the medication kicks in, everything becomes blessedly quiet. I am grateful that it is not just a dimmer switch and I don’t have to live like this all the time. Withdrawal creates the worst physical symptoms of my mental illness, because when I remember to take everything on time, I am generally very happy and healthy. All the highs and lows are gone, so I can get on with my day and not think about being sick anymore.
But that’s not where we are right now. I haven’t even begun to feel a twinge of relief. The good news is that I don’t have to take any additional medication. My brain chemicals will sort themselves out, I don’t need a painkiller or an anti-inflammatory on top of it. Sometimes I do think of Tylenol and ibuprofen as my “dessert,” you know, just to put a cherry on top of the sundae, but it doesn’t matter. My psych meds aren’t going to kick in any faster because I took something for the headache, and because the headache is psychiatric in nature, the painkiller won’t do much. I know this because when I’ve been truly up shit creek because I’ve left the house without medication and taken painkillers and anti-inflammatories on their own, I would have had equal luck getting rid of the pain by throwing five dollars against a wall.
I swallowed the pills this time before I started shaking, so I got that goin’ for me. It’s involuntary when I’m in this much pain. My brain feels like it’s trying to pull itself apart, and my body reacts by trying to “get away from the noise.” Reminds me of one of my favorite jokes:
Q: Why do bagpipers walk when they play?
A: To get away from the noise.
A. Moving targets are harder to hit.
I can tell that I’m not depressed because wit can still make an appearance. It’s just withdrawal, and that’s a relief. Managing Bipolar II is hard enough without having to deal with mood swings…. and by that, I mean it’s hard enough staving them off. I don’t have to be in depression or hypomania for Bipolar II to be a total pain in the ass.
It’s not unlike a physical disease, though. Diabetics have complicated lives without symptoms, just maintenance alone is enough. I know myself well enough that I would much rather deal with the inconvenience of maintenance than the full-blown effects of going untreated.
The way my college psychiatrist figured out I was on the bipolar rather than unipolar spectrum was that I was getting way, way, way too much sleep, and then for about three or four days a month, not able to sleep at all. My productivity level was through the floor, and on the days I couldn’t sleep, would shoot through the roof, where I would try to fit in as much activity as I could before the next wave of depression hit.
Before my Bipolar II diagnosis, I couldn’t understand why I was taking depression medication and never getting any better. My behavior changed dramatically when a mood stabilizer was added to what I was already taking. I was able to sleep normally, and the world looked quite different. It was in color all the time, instead of when the color channel decided to flip on after a series of black and white shows… but never fun ones, like I Love Lucy. Every day was akin to the worst Perry Mason rerun on repeat.
It’s been 10-15 minutes, so any time now, I will be back to my regularly scheduled program. I’m not feeling as much better by now as I thought I would, so perhaps it’s time for a hot shower.
I have brownie crumbs in my lap.