Tag Archives: bipolar affective disorder II

Big Black Drop Sheet 

13 Apr

 

Over the past month and a half depression has come over me like a big black drop sheet. Big black drop sheet is the way I described my depressions when I was first diagnosed with bipolar in 2004. This particular depression has surprised me, almost come out of nowhere but not: having to stop my meaningful plans, change tack, lie in bed for days, have insomnia, tolerate crying unexpectedly and uncontrollably. Depression has hit me again, and I thought I was an old hand at picking up the signs.

This time sadness, shame and self-hatred have been the most overwhelming emotions surrounding me. For someone so clearly capable to keep banging up against a crashing amount of self loathing has been hard to take. I cry like a little girl, so I’m told, and that is probably true. For the things that I am presently mourning for today are the very same things child-Nicky was attempting to deal with years ago. I know that this is not unusual, maybe something we are all faced with at some point.

I have bipolar II which means I have hypomanias and not manias (hypomanias are energy-based and not psychotic). You also have more depressions than ups.  With bipolar II if you track back there is usually a history of the depressions getting increasingly more severe with fewer and fewer hypomanias in between. Bipolar II is also not regular. There are no regular cycles. It can spring up on you at anytime. You can’t predict it, so it is therefore quite hard to manage.

Since my diagnosis, and the therapy that followed, I’ve gone about my life trying to emphasise the well parts of it, which can make you, and others, almost forget that you have an ongoing illness that sits behind your well periods. I’ve come to realise that this attitude isn’t necessarily healthy for me although it might seem like it should be. My capability and energy can unhelpfully mask what illness I have. Over the last 20 + years I have been regularly depressed after anything I have achieved: jobs, creative projects-you name it. Stress triggers my bipolar. It’s hard for me to consistently hold anything down for a length of time.  This is a bitter pill to swallow and face. This is further complicated by the fact my self-worth isn’t derived from what I do. It’s derived from how well I look after myself, and generally I do that pretty poorly as I tend to ‘become’ things when I do anything. All my self-care subtly vanishes as I flounder, sabotage and watch my self worth ebb away.

 

Brain

 

Out of what has happened to me lately I can see that the strategy of treating myself like I don’t have an illness, that I am a ‘well person’, doesn’t necessarily work for me despite its inherent positivity. To keep myself well and catch things early I have to have the fact I have bipolar right in front of me so I can catch things. This is important because symptoms can appear from out of nowhere, escalate and dig-in and before you know it I’m a ‘goner’. I forget that. Like in the summer last year, when all of The Nine Realms threads were coming together and I was very stressed and working 60 hour weeks. I started to change: started hitting myself and becoming very aggressive whilst still feeling full of energy and highly functioning. I became a different person for a while, which I came to understand in hindsight was me in a mixed state (where you are both depressed and energised at the same time). For about three weeks I was not myself, felt dreadful, but was fully able to work and was driven by my intention to follow through on every aspect of The Nine Realms. This state incremently and subtly crept up on me, and from that state the seeds of depression were sown.

I didn’t catch the change in my behaviour because we weren’t being vigilant enough. Maybe if we (and by we, I mean my mother and I) had been actively on the lookout for changes I might not be lying in bed right now. I’m not saying that I need to be treated with kid gloves or stopped from doing anything that might trigger me. No, I’m not saying that, but maybe a new strategy needs to be put in place. A few signs in my house need to be put up that remind me that it’s a good responsibility to manage my illness. That I have an illness, that despite being on medication, comes up and slaps me merrily on the rear. It’s not nice, it’s not pretty but it is the cold stone truth.

This depression is the first time I haven’t been comatose, which you would think would be a turn up for the books, but it doesn’t feel like that. The extensive period of Cognitive Behavioural Therapy  I had for 7 years has taught me that there is distance between myself and my thoughts. I know I am not my thoughts, and I also know how to challenge my thoughts. However, despite having this knowledge, because of my miswiring, it doesn’t stop me from feeling the negative emotions attached to them which then spirals me downwards. So I still get powerfully locked into the negative loops in my schemas (established, entrenched patterns of thinking). In this last week I have just started to use again the CBT techniques I was taught. I think the fact, that this time, I haven’t become my thoughts is what has saved me from becoming comatose. It’s lessened my feelings of helplessness. I have mind tools to deploy. My therapist (who was a specialist in persistent severe depression) taught me well.

This is the moment (you would think) I would be cracking open the champagne (if I drank), pulling the party poppers and celebrating the fact I have been given these tools, but I have found this half-processing state to be far worse than the familiar comatose depression state. In the comatose state you’re out of it at least, you’re not feeling anything other than awful; or you’re so out of it it doesn’t matter. In what I’m feeling now- this half-state- you feel so consciously cornered by your head and your schemas. You feel everything, and you are constantly batting off negative thought processes and delving into, and staying with, emotions. It’s tiring, all-consuming and scary (even if the process has the hidden positive of reminding you you can still feel). This strangely makes the thought of the comatose state more attractive. Tackling my negative thinking constantly is wearisome. Writing things down, charting why I feel what I’m feeling. It’s tiring, even though I do know in my heart of hearts it’s probably a healthy responsibility but……nevertheless. It just doesn’t feel like it. If I take on the new ‘I have bipolar’ strategy, I have a lifetime of charting and managing ahead of me, and sometimes (in all honesty) it feels like it would be better for it all to stop. These types of thoughts are the worst and still come back again and again.

It usually takes me a year to recover fully from a depression. Getting through this bit where my constant rumination and negative processing get in the way of me moving forward. However, I absolutely intend to put my ‘I have bipolar’ signs in the house so I don’t forget (even if it looks a bit bonkers). With a new strategy maybe I can catch my negative core beliefs and thoughts more quickly, treat myself more kindly and live a little bit more of an honest life that actually knowingly supports my vulnerability (which is something we all share). This might help prevent the big black drop sheet from dropping down so quickly in the future. It will come back but maybe the next time it might be a little bit more translucent.

 

Nicky

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