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First Hospitalization

By orrb4 Monday, August 11, 2008

After being diagnosed with Bipolar disorder at the age of 18, I had been able to manage, for the most part, my illness without intervention other than outpatient treatment and medications until last month, when I was hospitalized at the age of 46 for the first time.

 

Initially admitted to the locked psych hospital on July 11th, I received extensive medication adjustments and then ECT (Electroconvulsive therapy), and was discharged to my husband's care on Saturday evening, August 9th. My doctor was not originally in favor of discharging me, but since my insurance benefits had been exhausted, and I was only remaining inpatient in order to have the ECT treatments, AND, more importantly, yesterday was my parent's 50th wedding anniversary and everyone in the original bridal party, not to mention everyone else in the family was going to be in attendance- he let me come home just in time for the ceremony and reception.

 

Last evening I was absolutely exhausted, and today I got up, took a half hour walk followed by a breakfast of yogurt and all of my medications( lamictal, luvox, cymbalta, multivitamin, omega 3 fish oil, and b complex vitamins) and then visited the local library.

 

I've been looking for every resource possible on Bipolar disorder, and found that I especially have been appreciative of  "Take Charge of Bipolar Disorder: a Four step plan for you and your loved ones to manage the illness and create lasting stability" by Julie A. Fast and John Preston. (They have also authored "Loving someone with bipolar disorder" which I would highly recommend to all family members, spouses, or concerned friends.

 

Now that I am slowly coming to grips with not only the hospitalization, but the fact that I need to remain off work for awhile, getting outpatient ECT, I am facing all of my worst nightmares at once- being on even short-term disability,  being hospitalized for a month, having ECT- and the truth is that I have survived all of them so far. I may have to develop some new worst case scenarios :)  In any case, the stigma may prevent me from returning to my previous job, as an ANCC credentialed psychiatric nurse on a locked inpatent unit, but I am doing my best to be very matter of fact about the entire issue. Has anyone else got stories that they are willing to share on how they navigated the return to normal life after a lengthy inpatient admission? Or perhaps, a book or other resource that you have found particularly valuable?

 

Just as a side note, for all of the parents who worry so about what their children will think- on our way to the hospital I tried to explain where I was going, and why, to my 8 year old son. He said "Oh, I knew you were sick" , and when I asked him what he had noticed he replied" You sit all slumped over, your eyes don't open all the way, your voice is really dark, and when you do talk, it is like it isn't you inside there". God bless the child.

 

Susan

Anonymous
tabby
8/12/08 7:14am

Not that you have to answer and I'd certainly respect you if you didn't want to but, why in the haities did you have to have ECT upon your first hospitalization ever?

 

 

 

8/12/08 7:28am

Fair enough question. Very aggressive medication management was inneffective on an outpatient basis, and during the initial part of my inpatient admission. My grandmother had responded very well to ECT in the past, and so I agreed to try it in the hopes of having a similar positive response. Fortunately, I did respond very well to the ECT, with the exception of post-treatment headaches. ( I don't think calling them headaches does them justice, they feel more like a kidney stone in the brain).

8/13/08 5:18am

Good question Tabby. It used to be that ECT's was a last ditch effort long after any and all medications options were exhausted, not so true now with the modern advancements that have been made in this area. I think the criteria still holds true of the patient being either severely depressed or manic…no in-between and at least trying a few medication cocktails with no results.

 

Orrb, I am glad the treatment worked for you and hopefully will turn things around. Keep in mind that ECT is not a cure all (I am pretty sure you know this with being a psych nurse) and a relapse within 6 months in 30 to 50% of all patients having it done is the norm.

 

Personally I would think if anyone would have compassion in the work place, it would be from within our own community. The majority of people that work in these units either have a mental illness or someone really close to them does. Make up a story like….well, I contracted VD from my husband that was carrying on an affair with three other women thinking he was a born again Mormon and became depressed because I was considered the 4th wife and not the first.

8/14/08 5:23pm

My dear,

 

A young child who responds with such savvy and understanding had to have had a very compassionate teacher/example.  It's a pretty safe bet that that person is you.  It's your heart, not your disease, that will be your guide in resuming your life.  Listen to it.

 

With profound respect,

 

Mary

8/14/08 5:54pm

Notice the people around you

. Are they sending bad messages or good? Try to filter out the bad ones.

Also, my psychiatrist of old, Dr. Richard Warner, wrote a book called : The Environment of Schizophrenia, which is similar to bipolar.  He is a good mentor and a good psychiatrist.  Maybe pick up the book for a peek.  One last thing is, a documentary called :  People Say I'm Crazy, is a real-to-life experience of a man dealing with mental illness.

Sincerely hope you're doing well.

 

Rose

Anonymous
denise
8/31/08 11:08pm

Kids are amazing, really.  I was struck by your son's observation of the whole thing.  I was diagnosed almost a year ago and I have 4 kids aging from 3-16.  They all knew something wasn't right no matter how I tried to hide it.  Sometimes I  look at them as a barometer of where I am at because I often have no insight whatsoever. 

 

I, too, am a nurse and I am was open about what happend to me.  I didn't advertise it, but told the truth when asked.  I couldn't believe how accpeting my co workers were and how many of them had a relationship (family or social) with someone who has bipolar or other mental illness. 

 

Hang in there.  This episode is only one episode in a lifetime of living with this illness.

 

Denise

Anonymous
Andy
12/18/08 6:14am

I am amazed that you survived 16 yrs without a major episode.

You got to thank God for that. How I wish I can survive for that long.

 

Andrew

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By orrb4— Last Modified: 12/20/10, First Published: 08/11/08