Tag Archives: musings

Euphoric or Dysphoric? Ramblings… I’m Probably Nuts.

Looking at this post in the daylight I can definitely tell it’s been hypomaniacally induced. Sorry to anyone who read this post earlier, to those reading it now – it could’ve been worse.

*CRINGES* What an awful week. It’s been is an emotional riot, my emotions lashing out, stress setting them free (or the anti-depressant which has been added to my cocktail…), the dissent is definitely making itself at home.

I’m pretty sure I experienced a hypomanic episode for all of one day, I think. Wanting to rearrange all my furniture at 9pm at night and starting to sand back other furniture for my DIY projects is usually a giveaway for me. It’s like I have to do something, but not any of the things I’m meant to be doing (sorry university work, you will still be there in the morning). After recognising this and my annoying/over the top behaviour which my partner told me was annoying, not to mention talking too fast and having snowball like ideas – they are always great ideas, anyway – point being I quickly took all my medication because I didn’t want to sleep (doubling the sleep meds) and proceeded to knock myself out. Waking up the next morning I felt extremely normal, except the following days I became so discontent that I’m just not happy with anything, it’s usually furniture (I swear I can be obsessive compulsive sometimes). I’m still discontent, I don’t want to go home and deal with my head being even more unhappy. I’m currently in my university’s 24hr library at 1am, who needs sleep anyway?!

I actually had a point to this post which wasn’t meant to be drowning in my current whinging and whining state. POINT: I liked to believe that to experience hypomanic symptoms you were meant to have the episode for 4+ days, they failed to mention that these mood extremities could take place daily and leave as quickly as they came without being classified as an ‘episode’. Some people only experiencing (hypo)mania once, others (apparently) have daily mood swings regardless of their diagnosis into our ‘categories’, each individuals pattern is distinctive. My only hypomanic episode was one which lasted around a week, I’m now realising that other times I have experienced the same symptoms for shorter durations – “hypomanic episodes tending to last a few hours or a few days”. I’m under the firm belief that I don’t have rapid cycling; instead I have fluctuating moods based on stress levels.

John Preston, PsyD, Psychology: “During euphoric hypomanic episodes, people have a heightened sense of well-being and are very productive and gregarious. During dysphoric episodes, people are agitated, pessimistic, and restless.

Even people who always take their medication and are careful with their health can still have mood swings from time to time. That’s why it’s important to catch changes in your mood, energy levels, and sleeping patterns before they develop into something serious.” – What arseholes.

People with bipolar disorder are seven to eight times more likely to experience an unwanted, extended period of extreme mood shift — failure of their usual coping mechanisms — in response to a stressful life event,” says Dr. Bennett.

Ramble: Appetite suppressants have been linked to manic episodes…great, no quick fix skinny pills for me then.

Interesting abstract from a site I found:

“Anxiety, mood and energy, all waving up and down, sometimes with each other, sometimes one going off without the others:  a total mess, right?

People with such instability have big changes in their mood, or energy, or creativity over time. Here the green curve represents mood, the red curve represents energy, and the black curve represents “intellect” (speed of thought, creativity, ability to connect ideas).

KraepelinWavesAs you can see, if they all go up together — and far enough “up” — this would be what is commonly called a manic or hypomanic episode, as shown at point A on the graph. If they all come down together, far enough, that would be an episode of “major depression”, as shown at point B. But now we can see how “agitated depression” could be part of a bipolar problem, when the energy curve is up while the others are down, as at point D.

Point C represents an unusual combination usually recognized only on inpatient psychiatry units, when a person is agitated yet hardly moves, so-called “manic stupor”. But imagine what a milder version of this would look like: the person would know she needed to get moving, indeed she would be thinking of many things she needed to be doing, and she might really want (in a very powerful way) to be doing them, and yet her body would refuse to go along. She would be lying there on the couch, miserable yet not really depressed, wondering what was wrong with her and why she couldn’t get herself going.

Point B represents another very important combination we psychiatrists see commonly: the energy wave is up, but the mood wave is down (in this case, the timing is such that the intellect wave is up too, but not as high as the energy — yet there are many combinations, as you’ll see in a moment). This could be called “dysphoric mania”: energized, as in a usual manic phase, but mood is very negative.”

**********

Okay, new point:

  • Bipolar Disorder is clearly handled with medication first, bipolar-specific psychotherapies coming second.
  • Self-harm: Isn’t always about the excessive depressive/self-hate/suicidal times, sometimes it’s an attempt to ‘treat’ severe agitation or as a punishment. The behaviour often disappearing quickly when the agitation is reigned in.
  • It’s getting sadder, the more I have to face my own reality, I can’t deny Bipolar Disorder anymore, it’s becoming too blatant and overbearing
  • Caffeine can cause hypomania ‘like’ symptoms…yay…
  • Current evaluation: I get super excited for particular activities (DIY/buying furniture etc), start doing a bunch of things, only to run out of steam, spending way too much money, asking myself why am I doing this?! I have much more important other things that need to be completed – needless to say, I’m here typing instead of doing all the important things, looking up journal articles about Bipolar Disorder to seek comfort in knowledge.

♩ ♪ ♫ ♬ ♭ “Everything that kills me makes me feel alive…Everything that drowns me makes me wanna fly” ♩ ♪ ♫ ♬ ♭

Medication: 400mg Lamictal, 25mg Quetiapine & 3mg Haloperidol. Mostly taken consistently.
*image by angrymikko

 

Dear Sleep: You Suck. Love Alice. (Happiness And Other Stuff, You’re Still Cool)

Are you coffee or vodka? Maybe you’re both. Happiness, hormones and sleep. 

Swallowing my sleep chemical cocktail, wishing it was wine. The booze was better than this tablet induced hangover. My elusive sleep plagued by parasomnia.

1 tablet
Nothing.

2 tablets
Nothing.

3 tablets
Nothing.

4 tablets
Sleep.

On the bright-side I’ve taken a proactive approach towards a healthier lifestyle…minus the drugs, but other than that I’ve been exercising and eating right. Fighting the bulge of medication, 1kg at a time. Life is better, the positives out weighing any negatives. I know I complain a lot about medication, but truth be told I’m too scared to go off them, afraid that it might ruin my nice new balance I have going. I’m vain enough that I care about my weight, my BMI normal, but that is never enough, I’m a perfectionist, I want my mind and body to reflect my current happiness. Sometimes it’s a hopeless intangible pursuit, other times anything can be possible. I’m writing less, no longer driven by the need to put my emotional turmoil of feelings into words, no longer motivated by depression. Depression makes good writing. Whinging is unbecoming, but it is also the recognition of dissatisfaction. Maybe I am just on the upwards spin of the bipolar spectrum, but all the same: I just don’t care; life can be good without it having to be on any emotional spectrum.

In the context of Bipolar Disorder there are high comorbidities associated between perfectionism/ anxiety and their relationship with bipolarity. Bipolar Disorder has a high co-occurrence with eating disorders, eating disorders often linked with a need for perfection. I’m not sure if people diagnosed with Bipolar Disorder have a higher likelihood of being perfectionists (would love to hear people’s personal experiences), the perfectionism of Bipolar Disorder is often motivated through anxiety, anxiety causing the person to see the inadequacies of their life. More often than not, binge eating is common among people with Bipolar Disorder, I will admit I have binge eaten, often in the search for a quick endorphin fix which will starve off negative emotions for a short time. The quick “fix” of endorphins can be seen through, sex, drugs and over eating/exercising, becoming a quest for endorphins. We try to manufacture our own happiness, these addictions often a response to depressive emotions. Through endorphins we experience contentment and euphoria. Realising that you can’t be a seeker for the bigger endorphin rushes, endorphins should become a more natural balance to encourage long term contentment.

endorphin_by_lepusplus-d80chg6Apparently people who are deficient in endorphins should eat protein with each meal, but I’m not sure how scientific that belief is. However, dopamine is released by foods with high protein, dopamine being a positive mood enhancing hormone. Looking at the more natural ways to deal with anxiety/depression – sunlight (serotonin),  exercise (endorphins), protein (dopamine), Phenylethamine (chocolate) and Ghrelin (for relief of stress – released when we are hungry, although this needs to be balanced by normal food intake, over-eating doesn’t maintain good levels). All these hormones can only be long term effective if you fix the root cause of your unhappiness, over doing it with any one hormone will not be beneficial in the long run. Moderating and persistence is key.

This was meant to be a post that focused more on sleep, as usual I get side tracked, and I also intended the post to be short…whoops.

Image by ElusiveDreams07 titled ‘Sleep Paralysis’

Image by Lepusplus titled ‘Endorpin’

Go Away Anxiety, You Have No Friends.

Having an anxiety attack is no walk in the park, it’s really quite disturbing, you believe that something is physically wrong with your body. I begin by having non-stop over-analytical thoughts followed by light headiness, limp arms and heartburn/palpitations that can last hours (I never get heartburn unless I’m experiencing anxiety), to say the least it isn’t a cup of tea. In my own way I triggered my anxiety by having distrust in another, I couldn’t stop myself. Anxiety can be like a dictating sovereign, ruling your moves and planting seeds of doubt in your foundations. I start to see every opposing and unbalancing situation in my life as a battle, a battle that has to be won, sacrificing your casualties and making the most of the fighting force that you have left. Why does everything have to be war though, bleak, desolate and crippling.

The aftermath of a war sometimes having more devastating consequences than the actual battle. We learn from war, we learn what we can do better next time, we learn what worked and what didn’t and how to best remain afloat. To be brutally honest during this war on anxiety I was a bitch, leaving causalities strewn in my wake. Today I realized what I had done, the thick curtain of anxiety lifting, the storm had past, now I need to workout what I do and don’t have to apologize for. I’ve been trying to get off my medication, but I’ve failed and the embedded reliance and unsubstantiated belief in the worth of psychiatry and psycho-pharmacology has won out.

anxiety-girl-funny-quotes

Lemonade Is Hard.

When life gives too many lemons, say “fuck off lemons, I ordered pie.”

It’s becoming way too hard to make lemonade. Life keeps throwing lemons your way but you can’t be bothered to make stupid lemonade. When you simply lack the strength and motivation to go through the motions.

When lemonade is simply too hard to make, you know that depression has definitely set in. It usually means you aren’t leaving bed or even buying groceries.

STAY POSITIVE 🙂 buy a juicer.

 

Humanity’s Icarus Complex.

Firstly a brief tale of Icarus:

Icarus needed to escape from Crete, constructing wings to fly to safety, the wings were made of feathers and wax. He was warned not to fly to low lest his wings get wet and not too high lest the sun melts the wax. The young Icarus was thrilled by the flight, but did not heed the warnings; he flew too close to the sun, at which point the wax melted and he fell into the sea.

Psychology has termed a concept the ‘Icarus complex’ which centers on a person’s insatiable ambition and the need to achieve excess in all things. To the Greeks the Icarus complex was known as hubris, the excessive pride and ambition usually leading to the downfall of the hero in a classical tragedy. The Icarus complex psychologically becomes a pattern that humanity exhibits through burning ambition and exhibitionism, often understood through the subjective lens that depicts a precipitous fall whilst craving immortality. The psychological characterisation of Icarus before his fall becomes an inevitable connection between the ascensionist and the narcissist cynosure.  Finally when Icarus has attained an excessive height he falls as his waxen wings have been melted by the sun. Stanley Kubrick taking the Apollonian stance towards Icarus’ flight: “I’ve never been certain whether the moral of the Icarus story should only be, as is generally accepted, ‘don’t try to fly too high,’ or whether it might also be thought of as ‘forget the wax and feathers, and do a better job on the wings”. Contrasting to Kubrick is Oscar Wilde and his stance that one should:

“Never regret thy fall,
O Icarus of the fearless flight
For the greatest tragedy of them all 
Is never to feel the burning light.”

The fall of Icarus becomes a cautionary tale to understand the value of moderation. Henry Murray first coined the term ‘Icarus complex’, later the complex has been associated to mania, whereby a person exhibits grandiosity or narcissistic inclinations and a fascination for heights. The tale of Icarus is to take the middle way, cautioning against the heedless pursuit of instant gratification. The concept of the Icarus complex reveals that when the gap between the idealised goal and reality is great, there is a greater chance that the endeavour will end in failure. Icarus represents the sin of hubris, which can be interpreted through biblical texts which state that pride goes before a fall.

Imagery of Icarus shows him smiling as he descends as his father watches in horror, the painting illustrates that life goes on, the plight of Icarus is irrelevant, the farmer will continue to plough and the ship captain will continue on his voyage without a care as Icarus drowns in the water. The image of Icarus conveys the joy in flight, the value in his triumph, no matter how short-lived. The complex associated with Icarus conveys the pendulous emotional polarities, mania is exhibited by flying too high, whereby he got “burned”, followed closely by his inevitable emotional crash that followed his flight of mania into depression – drowning in the ‘sea’ of depression.

It can be argued that mania can therefore be interpreted as a form of ambition, an excessive ambition that ends in disaster. Another interpretation of Icarus regards his pursuit of enlightenment by transcending the Earth, this suggests grandiosity. The story of Icarus also embodies every humans potential to have differing levels of manic-depressive states, our moods fluctuating. The psychoanalysis of Icarus suggests that he was in a manic state, dominated by hyperactivity and euphoria. Icarus’ state of mind remaining unchecked, progressively losing his sense of reality and oblivious to the potentially fatal risk associated with his flight. His grandiose belief and overestimation of his personal capabilities allow a never ending energy and illusion to drive him onwards.

“It is not a matter of indifference whether one calls something a ‘mania’ or a ‘god’. To serve a mania is detestable and undignified, but to serve a god is full of meaning.” C. G. Jung.

Fall_of_Icarus_-_Brueghel_-Museum_van_Buuren Joos_de_Momper_Icarus

Setting The Fox to Guard The Hen House. The Blind Leading The Blind. Psychiatry’s Grand Confession.

I don’t understand how I’m so late to this uptake.

Psychiatric drugs are now a commodity, consumers passively learning to live with and in many instances enjoy. Discovered by accident and lacking an explanation in relation to why they worked. Initially it appeared that psychiatry had found magical pills which ‘fixed’ depression. Doctors attributed the success of psychiatric drugs to chemical imbalances in their patient’s brains which were fixed as a result. Friedman told Times readers, “just because an S.S.R.I. antidepressant increases serotonin in the brain and improves mood, that does not mean that serotonin deficiency is the cause of the disease”.

I now see my psychiatrist as my state-licenced drug dealer. Specialising in ‘mood-altering’ drugs just like street dealers. “Irving Kirsch’s meta‑analysis of antidepressant trials revealed as being just as efficacious as the SSRIs was … heroin”. The chemical imbalance theory is a sham; used merely to reassure people.  No test result can demonstrate that your brain has a chemical imbalance. The pharmaceutical companies appear to have no idea how exactly their psychiatric drugs work, with no confirmable tests that there is a chemical imbalance.

I have always said that psychiatry and psychology were areas of grey, I misunderstood that our complete diagnosis was based on theories and not concrete scientific data. We are medicated based on our symptoms and the current DSM.  I feel violated by the advertisements, a victim of marketing programs, nicely hiding their lack of knowledge about why their treatments work. I’ve been actively sold repeatedly by the psychiatry industry on the concept that bipolar disorder was a chemical imbalance.

Ronald Pies’ article in Psychiatric Times “Psychiatry’s New Brain-Mind and the Legend of the Chemical Imbalance” acknowledges that the chemical imbalance theory is falsified, merely promoted by pharmaceutical companies even though the psychiatry community were aware that this theory was incorrect. Many patients are given the rationale that the illness is based off a chemical imbalance. The concept of chemical imbalance is definitely last-century thinking, low serotonin levels aren’t likely to cause depression as a study has shown that a normal person depleted on serotonin doesn’t become depressed, maybe an abnormality in the serotonin system instead.

Psychiatry has failed to debunk the chemical imbalance hypothesis which misled public opinion. We have been collectively labelled bipolar, restricted to categorisations and a diagnosed ‘box’ of people with a variety of different aetiologies, believing us to be all the same. It’s becoming an over-common diagnosis; the frequency of both legal and illicit drugs playing a vital role in facilitating mania and the diagnostic criteria for a bipolar diagnosis which has expanded with each new DSM.

I’m going to begin the road to un-diagnose myself, believing that I suffered from Iatrogenesis in relation to drug-induced hypomania. My hypomania was a reaction from anti-depressants, I am aware of the counter argument that I was still hypomanic after the medication had completely left my system, but I still believe there is a point to be argued. I’m going to conduct a new search for holistic well-being and medication free approaches.

FEB 2015 update: A holistic approach has currently failed,  send reinforcements.

The Anti-Grinch.

There are so many people posting that they hate Christmas, I love Christmas, the inner child in me loves the concept and I still get presents from Santa even at 22. I get to see my extended family that I only get to see once a year because I work crappy hours and they always seem genuinely happy to see me, with only the occasional comment about all the black clothing I wear. Happy holidays x

#foxysanta

Here in Australia Christmas is hot and Santa is extremely fat 😉