Week 1

For longer than I can put my finger on I have always had horrible mood swings.  Either I am hyper active or I am depressed.  When I am hyper active I would spend too much money and get into debt, I would go out and be overly social and meet lots of people, join lots of groups and volunteer for things.  I could do my household chores but not nescessarily in one go.  I would put a wash on then start on the washing up, get half way through that and decide that my bedroom would need cleaning, then part way through decide I needed to sort out my kitchen cupboards and so on and do forth.  It would take a long time for me to complete any job I completed, and I am talking a days not hours.  I wouldn't really sleep, may a few hours every few days.  People liked me when I was like this, I was happy and a joy to be around.  Although, as I got more hyper people would ask if I was on something, or if they could take what I was on because I just didn't stop, ever!  I would also get cranky and become very sarcastic and people would struggle with that, but I never saw an issues I would just carried on going.  When I was really hyper I would start cutting myself to bring me down a bit.

Then I would, what I termed, crash.  This is when I got into a depressed state.  I would not want to get out of bed, I would sleep all the time, I would eat very little and loose a lot of weight.  I would not socialise unless I absolutely had too, I wouldn't wash, I wouldn't do any house hold chores, I hated talking to people, I would just shut down.  I would also start cutting myself a lot to bring my mood up.  It would help me get up in the morning to go to work or do what ever job I needed to do.

I of course dealt with this in the only way I knew how, I would but myself when I could, sometimes take an overdose of painkillers and alcohol to get high, I would change jobs, I would move house, I would break of friendships and acquaintances.  I would do near enough anything other than deal with what ever was going on.

I was told I had depression, I would take antidepressants but was never convinced they would work.  I went through Cognitive Analytical Therapy (CAT) for 24 weeks and helped me a lot and for a while, although I still went up and down, I didn't hurt myself in ways.  But I still changed jobs and moved around then things got too much.

These mood swings got worse, then this year was a bad year.  I was hyper at the beginning of the year, got all my work done, was sociallising, was even a head of myself on the paper work.  Until in March/April I attempted suicide but failed.  I just ended up vomiting all night.  I was so angry and upset the next day that I was horrible to work with.  A friend cornered me and asked what was wrong, I said to them 'I shouldn't be here, I should have died' and walked off.  She watched as over the following months I withdrew from people and started to shut myself down.  She became worried, what she didn't know what that I was planning another attempt and that I was self harming.  All she knew what that I had attempted and failed a suicide attempt and that I was shutting myself down.

She got worried and told our management what she knew.  She was not wrong to do this, but I was not ready to acknowledge the place I was at.  So I was forced to.  I went through a suspension, I went to the doctor, who refereed me to the Community Mental Health Team (CMHT).  I was put on citalopram and went as high as a kite.  I was so hyper it was funny.  Then I crashed as didn't get out of bed.  So I was put on mirtazapine so that I could sleep, it has a sedative affect.  For three days I got 10 hours sleep a night.  More than I had in three months, and then I went hyper again and this was intense.  I couldn't sit still for more than 1 minute, I couldn't concentrate on any conversation more than a minute.  I would walk for three or four hours to try and burn off my energy.  Then I crashed and I wanted to die.  It was horrible.  So I was given an emergency appointment with the CMHT and was a psychiatrist and Community Psychiatric Nurse (CPN).

The initial report they sent me was full of inaccuracies of the conversation we were having that I didn't believe I had been there in the room.  I honest didn't think I had been there.  It was crazy so I started to doubt this team.  Still, because I knew I had to, I carried on going to see the CPN.  She talked me through things and gave me a mood questionnaire to fill in.  It was 15 pages long but I filled it in.

The psychiatrist looked over the questionnaire, the conversations we had had, the edits to the report I had made, and with the notes my CPN had made from our sessions.  It was decided that I have Bipolar Disorder.

This is a big diagnosis and life changing. I was put on quetiapine but I had a bad reaction to that.  Although it made me very tired to the point I could barely move I could not sleep.  Then I hallucinated all night that something was licking me. It was a horrible, horrible night.  So now I am on lamotrigine which has calmed me down.  I can now sit still, I can concentrate for longer periods of time and the need to talk has decreased.  I am defiantly calmer.  My sleep has doubled from 1.5 - 2 hours a night to 3-4 hours a night, but I am more tired.  I doze during the day because I can't keep my eyes open, but I don't sleep.  I usually doze after I take my medication.  I am on 25mgs at the moment but as of Christmas Day it gets doubled to 50mgs.  I see my psychiatrist in January for a more complete conversation about what it means to Bipolar and how best to manage it. 

I don't know how soon I will return to work, if I go back full time or if I go part time or just find a new job.  I just don't know.  Right now I need to think about what I need to control my Bipolar and how to mange this condition.  It is something that will never go away, I have to learn to live with it and it scares me stupid.

It will be interesting to see what the new year brings.  

This is end of week 1 since my diagnosis and being on medication.