Well, I’ve been avoiding writing here for a few reasons — the main reason being a fear of putting my thoughts into concrete words. Because my thoughts have been far from positive these past few weeks.
Nothing has really changed, except that I’m off work now so I have more time to sleep (or to not sleep, as I will get into momentarily) or to completely cut myself off from the outside world.
Let’s see — after my last freelance gig ended, I hibernated for a few days; sleeping all day, staying up all night, etc. But at the beginning of last week, I ran out of my sleeping pills (Seroquel). I had two nights’ worth in my purse (I keep a few days’ worth of all my meds in my purse in case I get stuck somewhere without my supply — which happened a couple of times, making me realize carrying them with me would make sense). I knew I was spending a night at my parents’ house mid-week, and writing an exam at the end of the week. I also knew from experience that not being able to sleep at my parents’ house sucks ass. The few times I ended up there with no sleeping pills, I had to contend with an uncomfortable bed and not being able to leave for a smoke when it got really frustrating (I don’t smoke at their house). I also knew that I’d need a good night sleep before the exam, so I decided to keep those extra pills for those nights. Luckily, they also happened to fall a few days apart, so I knew I’d only have a couple of nights in a row without sleep, max.
Of course, the max is exactly what I got, and more. I went 24 hours with no sleep, followed by 6 hours of sleep, followed by 36 hours with no sleep — all before taking the first set of extra pills. Then, after a looong sleep at my parents’ house thanks to Seroquel, I had 24 hours with no sleep, followed by the second set of pills, followed by 50 hours without sleep — yes, I said 50. It was by far the worst few days ever. I won’t go into details as it’s not very exciting. I did manage to catch up on a lot of TV shows thanks to On Demand, or as I like to call it, the poor man’s PVR.
After that I finally had my appointment with Dr. A. It was far from a good appointment. He asked me how I’d rate my mood out of 10, one being the worst and 10 being the best — I said 1.5. He immediately had me fill out this little questionnaire that always pops out when I’m super low or suicidal. I told him I’d been having thoughts of suicide multiple times per day, every day. I stressed that I didn’t have a plan, and we talked a bit about the last attempt. Which prompted him to ask me, after we re-established the fact that I’d tried to overdose on codeine, if I’d been stashing my meds for the purpose of overdosing. I’ll admit that it crossed my mind before he said that. A few times. I stress again — I do not have a plan. These are all just thoughts. Thoughts that have crossed my mind every now and then. More than usual.
Anyway, my 1.5 led him to ask me about in-patient treatment again. That was the other thing that had been on my mind the past few weeks. I knew he’d bring it up and that he’d think it was the best thing for me. I just can’t get past having to go in so close to Christmas. It’s not the kind of thing where you get to say, okay, I’m here for one week or two weeks, or however long you want to stay. Once you’re in, you don’t get to leave until “they” decide you’re ready to leave.
I asked him, would that mean that if “they” didn’t think I was ready to leave, I might have to be there over Christmas? He said yes. So I told him no.
There’s no way I’m going to spend the saddest time of the year (for me) alone in a mental hospital. There’s no way! Being at home, with my cat (who can make me smile even when I’m in the worst mood ever), with the ability to see my friends and family at a time of the year when friends and family mean the most to you means more to me than whatever I might get from the hospital. (And I’m not completely convinced I’ll get anything from the hospital.)
So we agreed that we’d adjust my medication and re-evaluate asap in January. I told him if I’m not feeling above a 3.5 by January 2 (completely arbitrary, I’ll admit), I’d go into the hospital for as long as they told me to. Actually, I hesitated, telling him I didn’t want to miss my friend’s wedding at the end of January, but as my other friend told me when I relayed this conversation, I have to keep my priorities in mind.
Which brings us to — you guessed it!! — yet another change in medication. Nothing drastic, for now. Raising the dose of Cipralex (anti-depressant) and adding a thyroid hormone replacer (turns out my bloodwork, which I finally had done, showed my thyroid was getting worse, possibly causing the worsening depression). We’ll meet in another week to see how I’m doing, and if it’s not any better, we’ll raise the dose of the lithium.
Soooo, that’s what’s been going on. Except I’m still not working and my sleep is just as erratic as it was before I got my refill of the sleeping pills. In fact, I haven’t slept since Thursday night (it’s Saturday), even though I took my Seroquel like a good little girl last night. I cancelled a few plans last week (the week before? Time is really running together for me these days) because I was feeling my cold coming back (I was meant to visit some friends with super young babies — no germs allowed!). I’m 100% in terms of being “sick” sick. At about 30% in terms of mental health. But I’m trying to make plans for the next couple of weeks so I can get through December in one piece. I figure if I don’t overload myself with visiting (considering I haven’t gone further than a block from home in about a month and only with great personal effort and sometimes hours of psyching myself up for it) I might be able to handle it.
Here’s hoping.
November 27th, 2010 by "Alice" | No Comments »