Cycling

Cycling into and out of deep depression over the last couple of days.

Open the Toolbox.   Stay away from people.  Cancel everything.  Pull art supplies and cats into the Nest.  Keep As Time Goes By running on the DVD player.

Wait.

 

 

 

Advertisements

Doilies and Flickers in the Dark

Our Social Justice Minister, Erin Gingrich, asked me to participate in her service a couple of weeks ago.  Her topic was “Hope Rekindled,” and she’d heard enough of my story to think some version of it might add something “powerful.”

I loved crafting a speech to fit the theme and metaphors we chose—visions of high school speech competitions made me smile as I worked.  Even better was the opportunity to pull out parts of my story that could be told in an uplifting way.  I wasn’t nervous that Sunday, just honored.

The third member of our service team that day, Martha Shen, crocheted a huge doily for Erin some time ago.  She included a poem with her gift that became our service’s central theme.

a single strand

masterfully intertwined

whose beauty is defined

as much by the empty spaces

as by the strand itself.

 

Here’s my Reflection.  If you’d like to hear Erin’s homily, you can click here.

Waiting

Out-Out Patient Care at my mental health clinic came with pluses and minuses, like everything in life.  Was it better than going through a hospital program?  I think so.  Maybe.  It gave structure to my day, a safe place to be, no red tape or ridiculous bureaucracy, no crazy-making group therapy.  It also left me too much alone, no program except what I brought with me—my art supplies, a book about mindful depression that I never read, worksheets from my therapist on dialectic behavioral skills that irritated me in their simplicity.  Mostly, it was a different way to wait out the storm, which is really the most important skill in dealing with bipolar disorder.

I’m not right.  Not yet.  I still feel disconnected, separated from the rest of the world by a transparent, sound-muffling barrier.  People seem alien and unappealing.  The nightmares still come.  Agitation keeps me fidgeting between making my Solstice cards, playing Farm Heroes Saga or Cookie Jam on my phone, and jumping in my car to stalk the perfect binge food.  I’m not done with bronchitis, either, which adds another layer of weariness and self-pity.

So, more waiting.  And accepting each day as it comes.  Today I will do laundry, sort letters cut out of magazines, give my cats treats, watch Fringe on my bed with a cup of squash soup, sew beads.
 
And I will wait.

Out-Out Patient

Triggered by a traumatic event a few weeks ago, bipolar depression brought its bags and settled in for a long visit.  This past week I started going to my therapists’ clinic every morning to break up depression’s momentum and build my own form of Out-Patient Care.  I arranged the little alcove they set aside for me—a folding screen and white noise machine to make the patients in neighboring offices feel safe in their privacy plus the high table and chairs.  I brought in my art supplies and a large cushion to sit on the floor, and went about filling the tall, gray walls with words and colors that I needed.  But that wasn’t enough.

Yesterday, my therapist and I discussed how to create a real program that would help me tolerate this depression without resorting to hospital out-patient care.  I find the hospital programs themselves to be helpful, but interacting in the large group model difficult to the point of undoing any good done there.  So here’s what we’re trying first:

My daily schedule will be from 8:30-1:30, five days a week.  Daily, I will work on DBT (Dialectical Behavioral Therapy) worksheets dealing with tolerating distress, read one of Megan’s many children’s books and journal about it, and make art—either for the space or in my journal.

I feel a lot of dread and the usual suicidal litany gallops through my mind.  I’m uncomfortable and scattered.  My calendar empties out as I can’t tolerate most people or the pressure of going somewhere at a designated time.  But I did ask a friend to lunch yesterday, even though I phased out after twenty minutes.  Concentration doesn’t last long.

At home, I’ve put my TV in the bedroom, so the cats and I camp out on the bed as I try to work on my Solstice cards while half-listening to my go-to depression binge, Fringe (I just started Season Three).

I’ve also returned to Pinterest, where I can look at pretty pictures and hoard new photos of my Pretend Boyfriends.

Later today, I hope to go see the new Murder on the Orient Express and do my laundry.  That feels like a lot in my current condition, but I’ll try.  It’s really all I can ever do, keep trying, keep looking for new ways to get through the worst of the illness while waiting for the shift to come.

Some days it doesn’t seem like much of a life.  The distorted thinking makes that view darker and more hopeless.  Even then, I can see my courage at work, even when the list of obstacles grows like a Bugs Bunny nightmare.

This is my life.  Mine.  For better or worse.

Learning

Learning how to write with watercolors

 

Learning how to use my Wanting

 

Learning how to stay when all I want to do is go.

 

Take-Aways

anton/compassion

…be attentive to what is arising within you, and place that above everything else… What is happening in your inner most self is worthy of your entire love; somehow you must find a way to work at it.

—Rainer Maria Rilke (from the cover of an IOP handout on PTSD)

•Mindfulness and Self-Compassion change the  physical structure and chemistry of the brain.  Now there is scientific proof.

•Books I’ve ordered on the studies and effects of neuro-plasticity that have been referenced in IOP:

  1. Seeking Safety: A Treatment Manual for PTSD and Substance Abuse by Lisa M. Najavits
  2. Buddha’s Brain: The Practical Neuroscience of Happiness, Love, and Wisdom by Richard Mendius and Rick Hanson
  3. Bouncing Back: Rewiring Your Brain for Maximum Resilience and Well-Being by Linda Graham
  4. Into the Magic Shop: A Neurosurgeon’s Quest to Discover the Mysteries of the Brain and the Secrets of the Heart by James Doty
  5. The Mindful Way Through Depression: Freeing Yourself from Chronic Unhappiness by Mark G. Williams, John D. Teasdale, Zindel Segal, John Kabat-Zinn and John Teasdale
  6. Self-Compassion: Stop Beating Yourself Up and Leave Insecurity Behind by Kristin Neff

I’ll be in the program one more week.

Putting the Libra to Sleep

grateful-%22i%22

I’ve completed six days in the Lutheran Hospital outpatient program, and I can’t tell yet if it’s making me better or worse.

There are two designations—IOP (Intensive Outpatient Program) 1 and 2.  None of the literature explains the difference between the groups, but, basically IOP1 is for more functional, more acutely symptomatic folk.  IOP2 is for more severely ill folk who maybe require other services (home care, rehab, medical, etc.).

grateful-%22j%22

The first two days I attended IOP1.  The group was HUGE, 14-18 people with the usual one or two who dominated every conversation and folks talking over each other.  I thought I would lose what little mind I had left.

I watched my intolerance and irritation skyrocket.  My Libra penchant for fairness blew up into a neurotic need to silence the blabbermouths so that the silent suffers might get a second to squeak out a comment.  But I also realized this was all my shit.  If the facilitators felt no need to shut down the usurpers or redirect the tangential wanderers, then it wasn’t my place to step in.  Instead I clutched my purse to my chest and took deep breaths.

grateful-%22k%22

After the second day (and no sleep that night), I knew I needed to talk to my designated handler.  I told her through bitey, frantic, tear-and-snot laden spew that I couldn’t take another day of it.  She listened with a beatific smile and commented in a gentle don’t-spook-the-Tasmanian Devil voice.  Perhaps I should move to the other group.  And feel free to find a quiet place to breathe whenever the desire to punch a talky-talker in the face arose.

grateful-%22l%22

My first day at “the other end of the hall” felt restful in comparison.  There were only five of us in group, and I learned things about PTSD—one of my diagnoses, though something my therapist and I have never really explored.  We usually have other immediate shinola to deal with, so we’ve only ever just touched on it.  THIS was what I was hoping for—some new information, some new tools, a direction.

But, the next day the group expanded to 13, and the whole issue of blatherers and time-sucks reappeared on a crazier level.  I tried to be compassionate, but that well seems to be dry at the moment.  I know folks talk out of nervousness, insecurity, etc., so I tried to reason with myself.  I still ended up out in the hall with my earbuds firmly in place, listening to Billy Joel sing “Innocent Man.”

grateful-%22m%22

I blame the insurance industry and our butt-head Governor, Terry Branstad.  Most insurance coverage only allows three days a week in outpatient care, so Mondays, Wednesdays and Fridays end up with twice the group size as Tuesdays and Thursdays.  It’s stressful to go from a small, intimate group where folks feel safe enough to open up, to a mob where everyone talks at the same time.

And because our Governor closed most of the mental health hospitals, took away funding for behavioral services, and basically told folks with mental illness to “get over it,” the programs that are left are bursting at the seams.

I watch the kind and knowledgable staff at Lutheran run around like headless chickens, trying to accommodate everyone’s needs, shore up folks enough to leave so that those who have been waiting a month for an opening in the program can take their place.  The nurse practitioner who talked to me about medication laughed long and loud when I called it “a three-ring shit show.”  This seems to be my new favorite phrase.

grateful-%22n%22

I came home every day more exhausted and people-avoidant than ever.  I feel like an Introvert In Extremis, only able to function after hours of silent cat time, a couple episodes of Fringe and a frozen pizza from Costco (they have the best thin crust sausage pizzas…).  Even then, “functional” may mean taking a four-hour nap or washing the dishes.

grateful-%22o%22

Yesterday I did my laundry at 3:00 in the morning, because I couldn’t stand the thought of going to the laundromat on the weekend when everyone else goes there.  So, because I was already awake at 3:00, I did laundry for the first time in my apartment complex’s washer/dryer.  Granted, one is not supposed to use the machines until 8:00 out of respect for the tenants who live next to the Common Room.  But since I hate people right now, I didn’t care.  And I tried to be quiet.  No one came after me with a knife, and no one slashed my tires later, so I think I got away with it.

grateful-%22p%22

In between tippy-toeing, I sat at the nice dining table and worked on my journal.  Along with my wheeled laundry hamper, I brought my traveling studio (everything should be on wheels) and a big mug of hot chai.  I sat at my own little coffee shop with my earbuds in and the smell of clean wafting around me, and even through the itchy buzz of being up at 3:00 doing something illicit, I could feel my mind smooth out.

grateful-%22q%22

The same nurse practitioner who laughed so hard with me suggested a new strategy for next week.  Bring my wheely cart and when group bugs me too much, take it to this out-of-the-way lounge I found and do art until I feel like coming back.  I tried that on Friday, and I left the hospital less drained.  I met my two meditation buddies for lunch and lasted about 30 minutes before I completely faded.  My well is dry.  That’s all there is to it.

grateful-%22s%22

I think the trick is to not panic.  I feel myself considering the new drugs this kindly nurse practitioner suggests, even though I sat with my own NP before I started IOP and recounted my long list of Drugs Tried and why they didn’t work.  She reminded me that there really is nothing new in psychotropics, just tweaks to the same old formulas.  If they didn’t work then, they won’t now.

I’m grateful that the Lutheran staff is so willing to work with me.  It’s ironic that the adaptability and flexibility I need from them is part of what makes me so irritable there.  It’s a very loose, laissez-faire set-up for people who have different special needs.  I must try to give my Libran craving for fairness, order and rules a rest.  Maybe I can give her a Xanax.

The Justice League—Bipolar Style

Merely AgogI’ve been in trouble for a while now, mental health-wise.  The amnesia that comes with severe symptoms keeps me from remembering that this is normal.  My brain yammers that I’m getting worse, that my social skills are devolving, that all my tools are useless, and that, maybe, by brain is starting to liquify.  But, the reality is I’ve been here before.

One of the many vital roles my therapist assumes is that of Archivist.  She starts a sentence by saying, “When you’ve been like this before…” and suddenly I can breathe again.  I spend so much energy and attention on navigating the whip-quick changes of the rapid cycling aspect of my illness, it’s very hard to pull focus and take in the larger picture.  Shifts happen in the slow time of seasons.  My Richter Scale rarely registers a catastrophic event, but like earthquakes, the tension builds over time to an inevitable break.

Recovering this broader perspective helps.  I’ve survived 8.9 quakes before, so how do I do that again?  Before, I would check into Mercy Hospital’s Out-Patient program (day-care for the neuro-diverse), but like so many other mental health care programs and hospitals in Iowa, it no longer exists.  The programs that are left focus on folks who need functional help.  I don’t need help doing my laundry (usually).

My Integrated Health Caseworker said something like this yesterday, “You’re so high-functioning, you fall through the cracks.”

It’s a Catch-22, being a Bipolar Bad-Ass.

img_0977Friday, I went early to my therapy appointment.  I brought my wheely cart of art supplies and camped out at their little corner table in the waiting room.  They thought that was a brilliant idea, and invited me back whenever I felt the need.  So, I went again yesterday and stayed all day.

There’s no therapy, no expectation of interaction beyond a quick hello, but it’s a safe place that’s quiet and welcoming.  Sorta like going to a coffee shop, except the baristas love and understand me.  I call it “Out-Out-Patient Care.”

My therapist and I are also exploring alternatives.  What about a Mindfulness class that would provide structure and an emphasis on Doing The Work?  What about some sort of spiritplantjourneys.org retreat?  These things cost money, so we pulled in my caseworker to help hunt for grants.

I am grateful everyday that I function as well as I do.  AND it’s hard work to find services that fit me.  AND it’s hard to think outside the box when thinking is most difficult. But, I have an actual team helping me now—my own little Mental Health Justice League.  I’m not feeling much like Wonder Woman at the moment, but with a little help, I might be able to find that lasso.

there-is-10-wonder-woman-border-free-cliparts-all-used-for-free-1ilm0d-clipart

Brain-Sick

I'm Not OkayThere’s nothing new to say about rapid cycling mixed states.  I’ve railed against them and given in, pulled out every tool in my toolbox and given up, called for help and stayed silent, pushed against the maggoty words they whisper in my ear and believed every word.  My response to the turmoil in my head has been as varied as my illness.

But if anything is new, it must be the time it takes me to accept, breathe, and allow whatever my head and body chemistry need to do.  And I’ve gathered a larger support network around me, so that when I call for help (usually a few texts back and forth) I don’t have to burden the same few friends over and over.  Spread the Horror, that’s my emergency motto.

Thank you, all my Go-To People, who get those scary/sad/frantic texts and respond with such kindness and love.  You make all the difference.

Thank you for riding shot-gun on my Adventure.

 

Welcome Home, Old Friend

Rage

Rage seems to be intrinsic to my flavor of bipolar disorder.  In a mixed state, where symptoms of both depression and mania manifest, my “manic” is some form of agitation—anxiety, compulsive behavior, or rage.

I made the journal spread above in the midst of anger so black and sharp I could barely breathe.  I painted over the picture on the right—mini-me with my dog, Rebel—then slashed at it with a steak knife.  The violence stunned me, violence aimed at myself, at the innocent and vulnerable part of me.  I painted in the gouges, then echoed the savagery on the opposite page.

I left it that way for several days, coming back to take in the images and process the layers of Truth I’d uncovered.

I used to believe there must be a reason I got so mad.  I used to sort through all the old betrayals, snubs, and layers of unfairness in my cheesecloth memory.  But, there’s no reason for my rage other than funky brain chemistry.  Trying to justify it only throws napalm on the fire.

Rage is just another part of me, like the creeping hopelessness that sits on the other end of the spectrum, like my blue eyes, like the way I put words or colors together.  And like everything else, the only thing to do with it is welcome it home.  That’s when I pulled Thich Nhat Hahn’s Anger off my bookshelf and found the words my Rage needed.

Today, this moment, contains no rage.  This morning I wrote in my journal next to The Dalai Lama:

Dalai Lama

“When the symptoms are big, there’s always this base undercurrent of failure, a deep Mariana Trench of wrongness, that awful and vague sense that I should be doing something else/more, that I should be something else/more.  It negates all that I do and all that I am.  It robs me of any satisfaction or sufficiency.  Maybe that’s why I’m so drawn to these journals now.  They are so immediate.  The rush of rightness washes over me without any censor.  Pictures together tell an immediate story.  Color bypasses thought.  The soft texture of the Pan Pastels signals instant comfort, and I feel masterful… I feel incredibly lucky and grateful for this tool.”

Yes, I do.

The Adventure Continues.

Primatives

Previous Older Entries

Blog Stats

  • 142,197 hits
%d bloggers like this: