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Trying to put words to feelings

By Of-Two-Minds about it Wednesday, January 18, 2012

My moods have been fluctuating quite a bit over the past few weeks and I don't know how to respond to it. One day, one moment I can be feeling, "I am ok, life is good, I think I can do this" and then, anxiety begins to crawl into my head. The world starts to get dark around the edges of my peripheral vision, and I feel like the air is getting thicker or heavier. My thoughts start getting negative. "I am so tired of this. Why am I so weak?" or "I can't do my job. I am going to screw up and they will know my brain isn't working right" and "My husband must be getting so sick of me like this; I would if I were him. He is probably better off without me. He shouldn't have to put up with this all the time." and "Jesus, I hate myself like this". I get paranoid, walking around my job waiting for the shoe to drop. I avoid making eye contact with other teachers, hurry through the halls to get to my office, and expect to see my principal at the door. I sit in my car or lay in my bed at night and visualize myself angrily using an exacto knife to punch holes in my arms and legs. Then.. the mood will shift again. Usually when I am asleep or focused on something for a long period of time. My chest feels lighter, the room seems brighter, and my brain feels more relaxed. I am consciously aware of this shift. I feel love for my husband and kindness for myself. I am able  to take a step back and see life and myself more clearly. I can breathe easier. What is this? Is it a mixed state or rapid cycling? Should I try and tell my prescribing doctor about this? Try different meds? Or is this just the nature of the beast with or without the right medication? It is hard to put my hands around this and try to make meaning out of it and to know definitively what it is I am experiencing, particularly if you throw menopause into the mix. Can anyone help me to understand this better?

Anxiety Meltdown
1/19/12 4:25am

I like the way that you write.  You are so honest.  I was feeling quite angry with my children the other day.  They are very  dysfunctional.  They love me for giving them what they want and they are 26 and 28 so that should be over by now with them, it's just not.    So in the course of feeling very angry I went to my psychiatric apointment scheculed long ago, and after letting him know how I was feeling he decided that I was probably in an irritable manic state and needed Ivega (Paliperidone) and it did quiet the deamons.  I no longer have the urgent need to disown my children.  So I would recommend that you vistit your prescribing physician and see if he can be objective about your current mood(s).  Godd luck to you.

1/20/12 3:01pm

You know, Cathryne, when I talk to my prescribing doctor (who also diagnosed me), he never really makes reference to the BP in terms of tying it to certain behaviors or mood swing. He just listens to me talk, makes some comments, validates how I am feeling, and writes my prescriptions. Don't get me wrong, he is a nice man, but I really need some help in identifying my mood/behaviors so that we can determine if my meds are working the way they should. Any ideas how I can communicate this to him without putting him of the defensive? I really need him to be on my side.

 

On a different note, it sound very difficult and frustrating dealing with grown children who have such a sense of entitlement. You know that you will never make them happy and even run the risk of enstrangement when you say no. I am learning that we cannot control the behaviors of others; we can only set up boundaries and try to redirect a person's angry/negative feelings and words in a more positive direction that allows that person to get control of themselves as you both try to seek some resolution, a positive outcome.  

1/19/12 7:17pm

I go through cycles like that too...although not as severe now as in the past.  I believe (Peri)Menopause has a great deal to do with it...our brains have such a fine balance with neurotransmitters that can go out of kilter quite easily.  Have you figured out which tools work best most of the time for you?  I use a combination of things...journaling, therapist visits, massage, exercise, deep breathing.  I have practiced mindfulness...I took a mindfulness based stress reduction class this fall and find that to be quite helpful in dealing with the spiraling down thoughts.  I agree with Catharyne, check in with your psychiatrist...may need a med adjust.  Good Luck.  Thanks for your honesty, I learn a lot from you.

 

1/20/12 5:47pm

Shelly,

Thank you for your suggestions. As far as tools go, prayer and reading the Word used to be the most powerful and effective tools in my tool box. When I would feel that anxiety, those negative thoughts and feelings, the depression setting in, I would run to the Lord. I looked for His strength in my weakness. God how I miss that. I haven't been in that place for a long time, probably a good 5 years. I know it is the only way that I have survived, succeeded, and had peace during the storms in my life. But, now I have drugs. I don't know if I can manage with bipolar without them. I don't know if that is something that God would even want me to do, although the belief system I used to live by might have encouraged me to walk by faith and not by drugs. Can prolonged use of these drugs permanently orient your brain's chemical balance to only work properly with the help of the drugs? It is Friday, my brain is tired, but it won't stop and take a break. Heading home. Maybe a walk with the dog will help.  

1/20/12 10:58pm

My faith has always been an important part of my life but before 'drugs', I had a desperate and almost scary need for the Lord; I could never be sure that I was good enough.  I also struggled with the thought that I shouldn't need drugs...I thought my faith could heal me and if I wasn't getting better than my faith was just not deep enough. I even had some people close to me allude to that...I felt so guilty thinking that I was so weak. Until I really embraced that mental illnesses are just that, an illness of the brain with a definite biological component, I couldn't get better.  I have done so much research and study of the brain and the chemicals, hormone, neurotransmitters...I would encourage you to read the book My Stroke of Insight by Jill Bolte Taylor.  Eye opening...she has a wonderful way of explaining what the parts of the brain and how everything works together.

 

I now have a much heathier relationship with God...I believe it was only through him that I have found the tools that really help me. I don't ever want to go back to how it was before I got on the right medication.  I look back and can see how very distorted my thoughts were.  I am so thankful!  I no longer have doubts.  Occasionally I'll wonder about tapering off the meds but I just don't want to chance it.

 

One of the best tools for me is my therapist.  After I worked through so much and learned how to use CBT, I am so much healthier.  I now see one for 'maintenance' every couple months at the recommendation of the psychiatric nurse facilitator of the bipolar support group that I attend.  It's good to have someone to check in with to review my relapse prevention plan and talk through different issues.  She helps me to see when my thoughts are getting distorted again.  We discuss what has worked, what I may need to work on again. 

 

As a person with bipolar, I know that I will react to stressors in a much different way than others.  I will have a greater response.  I feel deeper and the moods swing more during really stressful times.  It's OK; I accept that now.  I don't get too stuck anymore.  In the midst of a bipolar episode I know that it will be short lived.  I don't believe the thoughts that try invade and stick like 'this is forever' or 'I'll never be ok'.  I tell myself that 'yes, it's not fun, it even sucks', but I know that it's going to be better in just a few hours or a couple days.  I also know that if I can't see a way out, it might be a time to visit with my psychiatrist about a med adjustment.  I can always call my therapist and see her sooner. 

 

Being kind to me and taking extra time and pampering allows for a shorter duration and recovery from an episode.

 

Keep on keeping on...you're ok!

1/21/12 9:30am

my thoughts and only that... only that

 

you want drugs to alleviate or reduce the symptom intensity

 

go to a psychiatrist

 

you want to learn how to manage your anxiety, your stress, learn your triggers and your stressors so as to perhaps avoid them OR be able to positively react and respond to them

 

go to a psychotherapist

 

but if you are only going to the psychiatrist... with want and desire for the other to be managed as well

then you are missing something

 

docs are there to "maybe" listen, while they scribble, and they hand out the meds to "maybe" assist you with the physical symptoms that you'll continually have

they are also there to keep a paper trail should you ever go for full on disability

 

therapists are there to "maybe" listen and to help you to figure out how to help & learn yourself

 

1/21/12 6:31pm

So, in other words, I need to take responsibility for managing this disorder. Jeez, I can't tell you how much stress that puts on an already full plate of things I need to be responsible for and areas where I am failing miserable at it. Physical health, spiritual health, financial health, career health, relationships health, and now mental health. The pity party is in full swing now. Sorry.

1/22/12 10:46am

of 2 minds:

you are in a very vulnerable state of mood cycling... so you, because of illness manifesting, are not able to "see the forest for the trees".

 

You really do need to talk with your doc in February IF NOT sooner... cause see...

i, as well as many others, do know what this is and we've all gone through this

over and over and over again

 

you are not alone but the website can not offer any sense of help other than folks understanding where you are, where you are coming from, and "getting it"

 

sug... really, you need to talk with your doc and February 8th is nearly 2 weeks away.  You may want to put in a call before then.

 

Maybe, just a thought that spun in my head... you and your doc and your husband all 3 could come up with a sort of IEP for you to help you in managing your illness.  That way it would ultimately be your responsibility BUT with the assistance and support laid out... of your medical team and your love team :)

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By Of-Two-Minds about it— Last Modified: 01/22/12, First Published: 01/18/12