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.

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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.

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