Friday 7/15/22 Estes

 It's Friday again and we're half way through July already. Crazy how fast time is flying by this summer. But still going so. Slow. 

I was supposed to see my psychiatrist this past Tuesday but had to reschedule for next Monday (the 18th). The office called me Tuesday about an hour before my appointment, needing to cancel because they had lost power to the building. The receptionist told me they were sitting in the dark, calling people, and canceling appointments for the day. Which is a bummer that I had to reschedule, but things happen. At least I don't have to wait too long. I'm not sure what good the appointment is going to do anyway. I went back down to 300mg on my Wellbutrin (from 450mg) because the urinary side effects were too much. I've tried pretty much every medication there is. So I have no idea what the next step is going to be. There might not be a next step - this might be it. I don't know. 

I've still been down/depressed pretty much every day. No motivation to do anything. All I want  to do is sleep or mindlessly scroll social media. Which I don't even really pay attention to. Sleeping is easier. I kept myself from going back to bed this morning, we'll see if I can keep myself from napping. 

The only reprieve from this was yesterday. Yesterday we (hubs, son, and I) went to Estes Park and went horseback riding. It was a gorgeous ride into Rocky Mountain National Park. Narrow, rocky trails, waterfalls, a river, beautiful mountain scenery . . . one of my favorite things to do, in one of my favorite places to be. While riding I was able to stay in the moment and enjoy myself. Not think about how I was feeling that morning or the past week. Just enjoy myself. Which was so nice. When the ride was done we walked around the shops in Estes Park and had lunch. It started pouring so we hunkered down in a candy shop until the storm passed (it was only like 15 minutes). It was refreshing. We finished touring the shops, got some ice cream, and headed back to the car. 

But my better mood didn't last long. After seeing some of the pics my hubby took of our ride I was shocked to see just how fat I still am. My mood really did plummet. I've lost 40 pounds, but I still would like to lose another 40. And those extra 40 pounds are definitely showing up in the photos. There's no denying it or hiding from it. And it makes me feel like a horrible failure. And I have, in fact, gained 5 pounds over the last few weeks. Which doesn't seem like much, but when you still have 40 to lose . . . well, a 5 pound gain can seem devastating. And for me it was. I'm so self conscious of how I look, even more so now. I think I was fooling myself into thinking I wasn't as big as I am and seeing the proof was a bit too much for me to handle. 

I'm trying to to better with my eating but have gotten pretty lax over the past several weeks. Couple that with no exercise . . . recipe for disaster. I started a 14 day "jumpstart" into changing my thinking around food, which will hopefully change my actions around it (I tend to emotionally eat and binge eat). And I paid for and am starting a program to change my thinking about myself. To love myself more and to have confidence in myself. I'm really hoping these two things help me. I need all the help I can get. And see, I keep thinking my depression wouldn't be so bad if I wasn't so heavy. If I lost weight and was able to love myself I wouldn't struggle so much. I don't know if this is true or not . . . but I'm thinking it is. And sadly, when I'm feeling how I have been feeling, I have no motivation to eat healthy or exercise. I eat junk because it gives me a dopamine kick and helps me feel slightly better for a moment (but lousy in the long run). And working out . . . it just seems like so much work. When all I want to do is sleep and hide away, the last thing I want to do is go to the gym where there are people (and no motivation makes it difficult to workout at home). 

So I'm just stuck right now. Hating my body, hating myself, depressed, no motivation, and generally doing poorly. And of course I work all weekend, so I get to hide all of this away so that I'm functional. Joy.

Tuesday 7/5/22 It's already July

Wow. July just kind of crept in there. Fast. This summer seems like it's flying by (but the days are moving slow as molasses - how is that possible?). Yesterday was the 4th, and I worked. Did 4 deliveries and it was a weird day. Just . . . weird. Today I'm off, I volunteer from 5:15 - 6:15pm. I don't feel like going, but I will. I haven't done anything today. Like, nothing. Unless you count listening to 2 webinars doing something (I don't). Well, laundry. I did finally start a load of laundry.

These past several days have been rough, mood wise. I've been more depressed, more down, more quiet, more withdrawn. And I hate it. It sucks. The increased dose of Wellbutrin seems to be having no effect except for my peeing issues. I still have a week before I see my psychiatrist again, but I'm pretty darn positive I'm going to drop back down to 300mg. I just don't know what more we will do. I don't know what else there is. Which is disheartening. And bleak. 

It's hard to go through the motions when all I want to do is hide away or sleep. I feel like I need to cry but I can't. I tear up, but, nothing comes. I think, maybe if I had an emotional release I'd feel better. But I just can't seem to do it. 

I'm trying to be proactive while I'm not in therapy (probably won't have a session until the beginning of August, maybe later). I read the book Perfect Daughters, which is a book about daughters of alcoholics. Wow did it hit home. And I'm doing a workbook for adult children of alcoholics. I'm just doing it slowly so as not to overwhelm myself. I listened to a webinar on becoming comfortable with being uncomfortable. And one on binge eating (yeah - I binge eat. I don't purge, but I binge). I'm trying to do things that will be helpful to me to heal my childhood trauma. Because maybe, just maybe, if I can move forward in this it will help my depression. And because it's something I just need to do. 

But I'm struggling. Really struggling. I'm beating myself up over being depressed. I'm beating myself up over binging yesterday at work (and every other time I binge). I'm beating myself up over everything. How I look, how I act, what I say, what I do . . . you name it, I'm probably beating myself up over it. Which, obviously, doesn't help at all on the depression front. I'm just so fucking miserable and I'm sick of it. I just want to be better. I want to be content and to experience happiness sometimes. I want to be free of self loathing. But I don't know what to do. I try to squash all of these negative thoughts when they come, which is difficult and exhausting. And they keep coming - they don't stop. 

And I'm tired of hiding my true self from everyone. I'm hiding my depression, albeit not very well right now. At work I've been quiet, withdrawn, and even standoffish. I can keep up a charade with my patients but am having a hard time with coworkers. It's so much work. And I'm tired. So very tired. 

I know all of my posts have been depressing as of late. But that's my reality. And, lets be honest, this blog gets like one view per post so . . . fuck it. I'm going to write what I feel like.   

Tuesday 6/28/22 Peeing is a Chore

 No really - it is. Peeing has become a chore for me. Why? Let me explain. 

About 2 weeks ago now, my psychiatrist upped my dosage of Wellbutrin from 300mg to 450mg. I apparently like to get the rare and obscure side effects from medications. With Wellbutrin that looks like urinary hesitancy. I've been on Wellbutrin for a while and the urinary hesitancy started slowly and got worse with time - so much so that I saw a urologist to figure out what was going on. The hesitancy means that it takes me a bit of time to start my flow of urine (yes, probably TMI, I'm aware). Sometimes even a full minute or more before I can pee. Which is annoying. But now, with being on 450mg, I'm also having trouble emptying my bladder. So I can end up sitting on the toilet for 4 or 5 minutes just trying to pee like a normal person. This is beyond annoying and might be a deal breaker for the increased dose. And I haven't noticed a change in my mood yet from being on the increased dose. I'm giving it the full 4 weeks that my psychiatrist wants, but I'm probably going to have to go back down to 300mg and hope the new bladder issues go away. It's very frustrating.

And my mood? It hasn't been great. I've been feeling down more often, instead of just blah. I have more instances of feeling like I'm going to cry, especially at work. I'm trying so hard to be social. I'm forcing myself to interact with people, even though all I want to do is withdraw. And it's making me so tired. Keeping up a façade that everything is okay is exhausting. 

On Friday, Jer and I went to one of his friend's houses for a game night. It was just 4 of us - 2 couples - but it was difficult for me. I was able to join in and have an okay time, but I still struggled. I tried to appear upbeat and outgoing, which is the complete opposite of how I was feeling (I've become much more of an introvert than I ever was in the past). Saturday was work, running on about 3 hours of sleep. Sunday we went to the going away party for Father Baron, meaning I had to interact with a LOT of people. And yesterday, work. So much interacting over the past few days, I'm running on empty. And then I work Wednesday, volunteer all day Thursday, and work Friday. Today is my only day of rest and I volunteer tonight (so it's not a whole day to myself). My saving grace is that today I'm getting a massage - a little gift from Jer as he knows how much I struggle. 

When I feel like this, I get by by having things to look forward to. But after my massage today, I have nothing to look forward to. It's work and volunteering for the foreseeable future. I don't even have a therapy appointment to look forward to (and which I truly need), because Mike is out on medical leave (it'll probably be another 4-6 weeks before I see him). I need little things to look forward to. And I really have nothing. It makes everything seem bleak. 

So anyway, that's where I'm at this week. Struggling and tired. Having issues peeing. But at least getting a massage.  

Monday 6/20/22 Drowning

 I'm not really sure what I want to write about today. I'm feeling pretty down. I had all of the intentions of sleeping in today but was up at 6am (I actually woke up at 4am and laid in bed for two hours, trying to fall back asleep). I had an idea for a drawing so after breakfast I took my coffee downstairs with me to my studio and got to it. I spent 3 hours on it, between sketching and inking it. Then I took the dog on a short walk, showered, started laundry, and had lunch. And now, now I'm writing. I'm trying to keep myself busy so I don't have to deal with how I'm feeling. 

I'm at the "go-to-sleep-and-not-wake-up-until-I-feel-better" stage. Quite honestly I'm surprised at what I've accomplished today because I truly have no motivation. I forced myself to go on my walk. I didn't want to go. But I figured getting out of the house would be good for me. It didn't help. Nothing helps.

Last week - Tuesday - I saw my psychiatrist. He upped my dose of Wellbutrin from 300mg to 450mg - the max dose. I am an idiot for how I tried to go off of the Pristiq, and he's keeping me on it for now. I see him again July 12th to see how the increased dose is working. So far no change in my mood. Except I feel a wee bit more cranky. Irritable. Maybe that's a coincidence. We'll see. If there's no real change in my mood in a month I'm going to talk to him about going off the Pristiq. Maybe with one less antidepressant I'll have a greater range of moods. I don't know. Maybe I'm talking out of my ass. I just don't know what to do. And I'm tired of feeling this way. 

On the up side, I'm getting my hair cut tomorrow morning. I'm growing it out from a pixie cut (which is a long and arduous process), but it needs a trim desperately. I'm starting to get a mullet in back, not the look I'm going for. So at least that's something small I can look forward to.

I wish I could see Mike. It's only been two weeks since his surgery, so it'll be at least another 4-6 weeks before I can see him. I hate that. I wish it was sooner. But I have no choice but to wait. I need some support. I know he said if I needed anything to email him, but I don't want to be a needy burden. So I wait. 

I'm reading a book on adult daughters of alcoholics. And I have an ACOA workbook to work through. Fun times. But the book on adult daughters, Perfect Daughters, is spot on. It's like the story of my life. Which is scary and sad and infuriating and comforting all at the same time. Maybe, just maybe I can find some closure to this chapter of my life. As my mom continues to drive me crazy. It's in her head now that I'm her best friend and therapist and I'm going to help her through all life's obstacles. Fighting with her husband? Call Cami. Worried about grandma? Call Cami. Have a bad dream? Call Cami. Every. Little. Thing. I AM NEITHER YOUR FRIEND NOR THERAPIST. I am basically your estranged daughter who truly wants nothing to do with you. And I feel horribly guilty for feeling this way. But I have no real relationship with her. Talking to her is torture - especially since 99 times out of 100 she's drunk when she calls me. But I feel bad and guilty because I'm not a "good daughter". I don't know what to do. 

So that's where I'm at. Feeling like crap about everything and not having motivation to do anything. What a glorious place to be. I guess I could share the artwork I did this morning:

It's titled "Drowning". It's 8X10, watercolor and ink. Mostly ink. I like how it turned out. 

 

Tuesday 12/7/21 Shit's Getting Real

 Why is shit getting real? Well, yesterday I texted my therapist and made an appointment with him. I haven't seen him in about a year because I had been doing so well. And now . . . I'm not. Luckily he had an opening this Thursday - I was thinking I might have to wait a couple of weeks. So glad I don't have to. 

You may be thinking, "why is it such a big deal that you made an appointment with your therapist?? You saw him consistently for over 8 years!!" And yeah, you're right. Why is it such a big deal? Mainly because I feel like a failure now. Because I can't do this on my own. I need help. I was so proud of myself for doing so well, stopping therapy, going off of Lithium, going back to working full time . . . and now? Now I need help again. I need to see my therapist again. I had to increase the dose of my Wellbutrin. And it makes me feel like a failure which doesn't help the depression at all. 

I worked yesterday, on mom/baby, and it was busy. But the day dragged on and on and on. I honestly didn't think I was going to make it through the shift because I felt so low. Well, low isn't necessarily the right word. Anhedonic is. I was so flat and withdrawn and unfeeling that it physically hurt. All I wanted to do was curl into a ball and not exist. I tried interacting with coworkers. I tried really hard with my patients to engage and joke and laugh . . . but everything fell flat. Everything was fake. I often just stared off into space. My bestie was charge nurse yesterday and I could hardly even say anything to her. There was nothing to say. I was so withdrawn I couldn't come up with any conversation starters. The anhedonia is awful. To feel nothing. I couldn't even feel anger or sadness . . . it's just . . . nothing. I didn't care about anything. I don't care. It's like I'm incapable of having feelings right now. And I don't know how to describe how horrible that is. To not feel.

Today I'm feeling more of the same. Flat, empty, withdrawn. I made a list of things I wanted to get done today. Little things. Things that would be easy to check off. I got on my spin bike for 15 minutes, hoping the endorphins of working out would help. It didn't. I showered and shaved my legs. I cut and filed my nails. I started a load of laundry. I still have to go to the post office - and I will - but later. Little things to get done to try and help my mood. I even put on makeup because I was hoping I'd feel better about myself. I don't. And as I'm typing all of this out, reading through it, it should make me feel sad. Or at least feel something. But I'm too empty. There's nothing there. 

I'm considering calling in sick tomorrow. I don't want to leave my coworkers high and dry, but I don't want a repeat of yesterday. We're already short at least one person tomorrow so if I call in sick we'll be really short. Ugh. What to do. I'm sure I'll end up working because of the guilt of calling in sick. That guilt will just make everything worse. And who knows - maybe having to interact with people will help. I doubt it, but we'll see. 

I really hate bipolar disorder. I'd kick it in the junk if I could. 

Friday 12/3/21

 Well hello again. It's December. Which is pretty crazy. What's even more crazy is that we've had no snow here in Colorado Springs yet. I mean, we've had some flurries, but no real snow. Which is just weird. I don't mind not scraping off my truck every morning, but damn! We could use the moisture!

Anyway, I saw my psychiatrist yesterday and we are indeed going up on my Wellbutrin dose. From 150mg to 300mg. I'm hoping this helps as I've been doing everything else in my power to fight this stupid depression and it's just not enough. I was hoping it was the new supplement I was trying but after being off of it for a week I feel no difference. I'm going to stay off of it for now though, just in case.

Last night I was supposed to go to bible study. I did not, however, go. My mood was pretty crappy and putting on a mask for everyone didn't sound like a whole lotta fun. I messaged L, the gal who puts it on, and told her the truth as to why I wasn't going. I don't know her too well, so opening up about being bipolar and depressed was a little nerve wracking. I was met with empathy and prayers though. I still feel awful about not going, like I'm flaking out or something. Like I'm not reliable. Which, honestly, right now I'm not. 

I haven't done anything creative in a month. I have no motivation or inspiration. Mainly motivation - I can do art even when I'm not inspired. But no drawing, painting, or sewing. It's pretty sad. I've always loved spending time in my office and now I just don't want to. Which really sucks because art is such a good outlet for me. I go down there and just sit and stare off into space. I look at my unfinished projects and feel overwhelmed. I don't feel like I'm at a point where I can do anything. And it sucks. I want to create and I can't right now. 

In other news, I've decided to let my hair grow out a little. Not a lot - I don't want long hair - but a little. Right now I have kind of a shaggy pixie cut and I'm thinking a short, messy bob. It's going to take a while to grow out. It might take a year or more to get it where I want it. This is very daunting. I've grown out pixie cuts before and there's all these awkward stages in between. But I'm determined to grow it a bit and not cut it again because it's awkward and annoying. We'll see how this goes. 

Monday 11/29/21 It's Almost December

 It's crazy but true - it's almost December. I hope everyone had a good Thanksgiving last week. Mine was . . . it was okay, I guess. We went up to hubby's aunt's house in Denver. There were lots of people and lots of good food. It's just that I was overwhelmed and depressed so . . . yeah. 

Feeling down seems to be the new norm for me. I'm hoping to change this, go back to feeling good, feeling like myself. I have a theory that I'm testing out: about a month and a half ago I started taking a new supplement called Female Factor. It's supposed to help with perimenopause and menopause symptoms. And I've been feeling down for about a month. I started wondering if maybe something in this supplement is causing it. I've had reactions to supplements before. So I've stopped taking it. Today is my third day without it. I haven't noticed anything so far. What a wonderful and simple fix it would be if the supplement were the problem! I'm giving it time, so we'll see.

I see my psychiatrist on Thursday this week. I'll have to give him the bad news of how I've been feeling. And I'm going to talk to him about going up on my Wellbutrin. Back up to 300mg. I don't want to have to, but if the supplement thing isn't the problem then I'll probably need to increase my dose, see if that helps. It's about the only thing we can do. There really isn't anything else out there for me to try. I've literally done it all. Well, I guess that's not true - I haven't tried ketamine. That's the only thing I haven't tried. And I really don't want to. 

Otherwise, I'm doing everything I can to overcome this. I've been going over my notes from the mental and emotional mastery course I did, I've been reading articles and watching videos from the Depression Project (which is a series of online "classes" designed to help you overcome depression). I'm doing a daily journal that is designed to help you think more positively. I'm doing everything in my power to beat this. To not let it get me down. Like this morning - instead of laying back down in bed (which is what I really wanted to do), I changed and got on the spin bike. I plan on going to the gym this afternoon. I'm doing everything I know how to do. Which is why feeling down right now is so frustrating. I'm fighting it tooth and nail and I'm still not feeling right. I'm at a loss. I don't know what else to do. 

In other news, we haven't put up our Christmas tree yet. I'll be honest - I don't really want to. We have to put it up downstairs as there's not enough room for it upstairs. So it's not like we'll enjoy it that much. I'd rather get a small tree (like 2-3 ft tall) and put it on the coffee table. But then, of course, it would block the TV probably. So that doesn't really work either. Maybe on the side table by the railing . . . we could move some stuff around and put it there. I just think that if we're going to put a tree up it should be in a location where we can enjoy it. 

Anyway, I'll stop rambling on for now. 

Monday 11/15/21 Look, it's Monday

 Well it's Monday. A new week. A new start. A new day. 

I'm off today, having worked the last 3 days (and of course I work tomorrow). I haven't done anything today except start laundry. I plan on doing the dishes as well, but I don't know if much else will get accomplished. I've been doing a lot of sitting and staring off into space. I have no motivation. Surprise! That's the story of my life right now. No motivation. Feeling down. Accomplishing nothing. 

I'm over it.

But I don't know what to do about it. I really don't. I'm trying, I really am. And I'm failing. Everything that I did in my mental and emotional mastery program . . . it's not helping. Thinking positively . . . not helping. Trying to change habits . . . not helping. Forcing myself to do things . . . not helping. Praying . . . not helping. I'm at my wits end. 

I'm supposed to see my psychiatrist in December. Maybe I should see him sooner. Maybe I should go back up on my Wellbutrin (I'm on 150mg - I used to be on 300mg). Maybe I should see my therapist. Maybe I should do all of this. And continue doing everything else. Throw everything I can at this. I'm tenacious. I'm not giving up. And I'm not going back to being depressed. I'm not. It's not an option. 

The past 4 days I've been a lifeline for a friend who's going through a rough patch. A really rough patch. She reached out to me and I've been trying to help her. Giving her words of encouragement, pulling her back from the ledge. She asked me about my sparrows and I sketched one for her which she got tattooed on her yesterday. She had a ketamine infusion today and is starting to feel a little bit better. Her trials remind me of what I've gone through in the past. And what I could potentially go through again. It scares me. I'm so glad I can be there for her though. It helps to have someone who understands. 

Today I'm down and flat. I just want to sleep. Take a nap until hubby gets home and we go to the gym. Because yeah, I'm forcing myself to go to the gym. I have to. I'll feel worse if I don't go. I'm trying to eat healthy again and count my macros. I'm trying to make working out a habit. I'm trying. 

Anyway, here's my friend's little sparrow:

Sparrows are a symbol of hope for me. I have a few tattooed on me, too. Hopefully this little sparrow can help guide my friend out of the dark. 

Thursday 10/21/21 Ugh

 I hate it when I feel compelled to write. I really do. Because usually the only time I feel compelled to write is when I'm not doing so good. Well, I'm not doing so good. 

I woke up this morning feeling like something had shifted, but I wasn't sure what. I took the boy to school, came home and made breakfast. It was while eating that I noticed the shift again. Staring off into space, feeling . . . down. Feeling . . . overwhelmed. Feeling . . . burnt out. Feeling not at all like myself, the self I've gotten so used to for the last year and a half. The self I sometimes take for granted. 

I ate my breakfast, drank my coffee, all the while feeling the weight of everything on me. I went back to bed. It's all I could do. I went back to bed and slept for another hour. When I woke up, I told myself everything was fine, it was going to be fine. I showered. I shaved my legs. I washed my hair. All the while feeling empty and lost. I posted about it on Instagram and texted my two best friends about it. And then? Then I lost it. I started sobbing. And God bless my dog Moya, she came running into the bedroom whining, licking my face, trying to make me feel better. Only, it didn't help. I sobbed harder. This was the snot everywhere kind of sobbing, the makeup-running-down-the-face kind of sobbing. Thank goodness my mascara is water proof. 

I did, eventually, pull myself together. Blew my nose, cleaned myself up. And now I sit here typing this out, my eyes burning and swollen from the tears, wondering what the hell happened. Wondering, why do I feel like this? I don't have an answer for myself. I think it's a combination of things. I'm burnt out at work. I feel overwhelmed by everything. My weight is not where I want it to be. I have no motivation. I'm in perimenopause. And I feel like this will never end. I find myself trying to pick out little things to look forward to - a coping mechanism from when I'm depressed. Right now I'm looking forward to the 30th because I'm getting my hair cut (it's far too long right now and annoying me). 

Maybe I need to go up on my Wellbutrin. Maybe I need a therapy appointment. Maybe I simply need a vacation. I don't know what I need. All I know is that I've had this underlying feeling of unease that I've been effectively ignoring and today it's come to a head. Today it's come to the surface and broken through and quite honestly I'm scared. I'm scared because I can't go back to the way things were. The way things were when my depression was out of control. 

I know I might be reading too much into this. I may very well be catastrophizing this . . . this breakdown I've had today. Lord knows I'm an expert in doing that. It's just that I feel so awful. And I haven't felt this way for so long. 

So anyway, that's where I'm at. Feeling down and stuck and on the verge of tears again. 

 

Tuesday 10/5/21 It's October

 It's October people! How did that happen?? Time is just flying by!

I'm supposed to be at work today. In fact, I was positive I'd be at work and 90% sure I'd be floating to another unit. But I got a glorious text this morning putting me on call instead. So what did I do? I went back to be of course! (After I dried my hair). I don't often get put on call, so it was quite a lovely surprise. Now I'm just hoping I don't get called in (it's 1:13pm as I'm writing this). We'll see.

I haven't let my day go to waste either! No, I've been sewing. Sewing up a Soul Sucker! Don't know what a soul sucker is? Here, let me show you:

This is Ned, the soul sucker. He's a critter out of my own mind. Soul suckers float around with their tentacles, being all cute, and then they steal your soul when you're least expecting it. Ned sits about 8in tall and his tentacles are 20in long. His fluffy tail is actually a coyote tail. See, soul suckers are all soft with their fluffy tails . . . it's how they lure you in. So be careful!

Hubs and I went on a lovely drive this past Saturday in the mountains to see the fall colors. Not all of the aspens were changed yet, but it was gorgeous none the less (even though we did get rained on). It was nice to get away for several hours and enjoy ourselves. 

I feel I should update too on my mental status, as I haven't really done that in awhile. I've been stable now for a year and 3 months. Stable. Happy. Content. It's amazing. Something I never thought possible, but it's true. No depression, no hypomania, no anxiety (well, maybe a tiny bit of anxiety, rarely). But I've been doing amazingly well. I'm still on 3 meds (Vraylar, Wellbutrin, and Prestiq), and I'll probably be on them indefinitely, but I'm okay with that. Small price to pay for stability. I'm so thankful and grateful for this. I only see my psychiatrist every 6 months now and I haven't seen my therapist for around 8 months (considering I saw him weekly to monthly for 8 years, this is downright amazing).  It's hard to believe that I'm doing so well! Now if I could only get over being burnt out at work . . . Having days off like I do today does help some. But I feel like I need a vacation. A real vacation. Some day . . . 

Tuesday 6/22/21 Two Weeks

 Wow. It's been two weeks since my last post. I meant to blog last week but just didn't get around to it. Maybe because there's nothing much exciting going on.

Work is still busy and we're back to mandatory floating again. Which sucks. I hate floating to other units. But the whole hospital is busy. In fact, most days we're at capacity. On all units. And there have been a lot of psych patients apparently because our nurses and CNAs are floating to be "sitters" (you basically "sit" in the patient's room and watch them if they're a risk to themselves or others). Great fun. Ugh. But you do what you gotta do I guess. It just sucks. 

My brain is still being an asshole on occasion. If I'm busy I seem to do okay. But when I have downtime I tend to trend downwards. I've had a couple days where I've been pretty down. Depressive symptoms. Which really annoys me. I'm fighting it as much as I can because I don't want to lose my foothold on stability. So I fight it. And sometimes fighting it means taking a nap. Sometimes I need to escape. 

I saw my psychiatrist today, I haven't seen him in 7 months. He's very happy with how well I'm doing. We're not changing any of my meds and I'll see him again in 6 months (sooner, of course, if I need to, but I'm hoping I don't). Being on the Wellbutrin I'm still having trouble peeing. I can pee, it just takes me a couple of minutes to start going sometimes (usually worse at night). Dr. M said that now I know what it feels like to be an old man with an enlarged prostate! Yes, I guess I can sympathize now. Ha! We had a good laugh over that. Although, that's something I'd rather not sympathize with . . .

Aaaaaand, I'm getting my next tattoo July 23rd! Hooray!! I'm so excited! I'm seeing a new artist (my old one can't be bothered to call me back). He's a little more pricey but I think he'll be worth it. His work is amazing. Soon I'll have a little chickadee on my forearm. I can't wait! I wish I was getting it sooner, but I guess I can wait a month (I really have no choice . . . ). 

On the weight loss front I seem to be stuck where I'm at. Nineteen pounds lost. I had started a new plan called G Plans and since I've been following it I haven't lost any weight. It's very frustrating. It has me eating quite a bit of food. Too much I think. I know it's supposed to "ignite my fat burning potential", but now I'm just stuck. For two weeks now. I'm thinking I might stray off of it and do what I was doing before - modified paleo diet, cutting refined carbs and sugars, and watching my calories. Admittedly, I need to move more. In some manner I need to be working out. I still haven't started my yoga app and I've slipped behind on my face yoga. Last week I did however use my spin bike twice. It's a start. I'll get there. I know I will. One way or another.  

Tuesday 3/9/21 Test Results

 Well, another week has gone by. My son turned 14 yesterday, which is crazy. He's going to be driving soon! Aaaaaaaaa! We went to a Japanese ramen place for dinner Saturday night to celebrate and got ice cream after. He got lots of Manga books, games for his Switch . . . But yeah. Makes me feel old. And time definitely seems to be flying by.

Do you remember me having lots of lab work drawn? For my fatigue and other symptoms? I got the results in the mail the other day and I'm a little disappointed. Because everything is "normal" (well, my iron was high, and my triglycerides are slightly elevated). But "normal". I was so sure something was going  to come back out of whack. This is frustrating. I see my doc this Thursday to go over the results which just seems pointless. She's going to want to do a sleep study to look for sleep apnea. Because I snore sometimes. The really frustrating thing is, sure, sleep apnea could explain why I'm so tired, but it doesn't explain hair thinning, dry scalp, dry skin, cold sensitivity, and hot flashes. What about my other symptoms? This is annoying. And stupid. I have symptoms of hypothyroid but my levels are "normal". So I won't be treated. Or probably taken seriously. After all, blood tests don't lie, right? So I'm annoyed and frustrated and angry. 

And I have another reason I could be feeling tired: depression. Yeah. Stupid, fucking depression. I think that because I tried going off of Wellbutrin my depression is trying to come back. I've had a lot more negative thoughts, heavy sighs (lame, I know, but it's a symptom I get), not wanting to go to work, not wanting to get out of bed, and wanting to sleep the day away. All are symptoms of depression for me. Now, I don't really feel depressed. But I think I was on my way there before restarting the Wellbutrin. I'm, of course, hoping I don't advance further. And I think the depression is most likely the cause of the fatigue, rather than sleep apnea. But depression doesn't explain the other symptoms either. Which is, again, frustrating. I wish there was a clear cut answer. 

In other news, I mentioned last week that I was going to try to go paleo with my eating. Well, I'm doing it. I ate healthier last week and we bought tons of paleo foods on Sunday (like almond and coconut flour, almond butter, coconut milk, almond milk, lots of nuts and seeds . . . you get the idea). So of course shopping was expensive because we had to get all of the staples. And I'll be eating more meat and fruits and veggies, so lots of fresh produce. I've done amazing over the past week at not snacking on crap (especially at work) and avoiding refined sugar. And I even lost 2 pounds. I'm really hoping this will be a good change for me. My therapist would be proud - he told me to go paleo 2 years ago. 

Going paleo will take a lot more planning though. For all meals - not just dinner. I can't just make myself a sandwich and call it good - because I can't have bread (unless I make a paleo version myself). So there's going to be a lot more cooking on my part. And some baking. And I'm going to have to learn to like almond butter. It's definitely different than the Skippy peanut butter I'm used to. But I know I can do it. I want to get healthy, I want to lose weight. I got this! And hey, who knows, maybe it will help with the fatigue and depression. One can hope. 

Thursday 12/3/20 Doc appt and a Christmas Fox

 Let's just get down to it.

I had an appointment yesterday with a urologist for urodynamic testing because I'm having trouble peeing (probably TMI, you're welcome). So yeah, especially at night, sometimes it takes several minutes of sitting on the toilet before I can actually go. Which is freaking annoying, to say the least. So I saw a urologist and she recommended this test. Urodynamic testing, in case you don't know, consists of putting a catheter in the urethra and in the rectum (along with several electrodes) to measure muscle contractility and some other stuff (like strength of your stream, how much you pee after your bladder is filled, etc). Let me tell you, it's uncomfortable. 

So they insert the catheters and begin filling my bladder with water. They fill it until I feel like I can't absolutely hold it for any longer and have to pee. Then they have you pee around the catheter. Which is actually kind of difficult to do because 1. you're peeing around a catheter, 2. you're not peeing into an actual toilet, and 3. because I have trouble peeing. So I wasn't able to pee much and what I did go I had to force out. But, thankfully, the urologist was able to get the info she needed from the test. And what did we find out? My bladder muscle is weak and isn't contracting like it should, making it difficult for me to pee and to empty my bladder. Fantastic. And she had a theory as to why this is happening - my Wellbutrin. 

I was started on Wellbutrin last June or July and started having trouble peeing in August. Apparently, antidepressants can cause the bladder muscle to weaken and not contract. So I have four options: 1. try going off my Wellbutrin and see if this helps, 2. go on another medication that could help me pee (only works in about 50% of people), 3. straight cath myself instead of actually peeing (um, NO), or 4. have surgery to implant a stimulator that forces my bladder to contract so I can pee. I'm choosing to try going off my Wellbutrin and see if that helps. I see my psychiatrist on the 14th and I'll talk to him about it then. To be honest, I'm scared to death to go off the Wellbutrin because I've been doing so well and I don't want to backslide mood wise. But I also don't want to go on another medication - especially if it only works in 50% of people - and I certainly don't want to cath myself or have surgery. I probably couldn't even have the surgery if I wanted it because of covid. 

So yeah. I'm going to try going off of Wellbutrin, as scary as that is. And I'll pray that I don't backslide and that it actually helps with being able to pee. Ugh. My body and brain hate me. 

In other news, I painted a fox with a santa hat and people really liked it. Enough so that I painted 3 more of the same picture because people were wanting it and I don't have a print shop as of right now. 

The original painting is the one in the upper left. The other three are my copycats. Pretty darn good, yeah? So I need to find a print shop so that I can make prints of my popular paintings, and I need to start charging more for the originals. Because I can't keep doing this. It's just dumb. 

Oh yeah - and at work now it's mandatory for us to float to other units to help out. We've never had to float before and it's a little nerve wracking. I haven't done med/surg nursing in 13 years. As of right now we're only supposed to be "helping hands" - meaning we're not supposed to take an assignment. But that could all change depending on how high the covid numbers get. I'm not looking forward to this, but I'm also not letting it ruin my mood. It is what it is, even if it's scary. 

Monday 9/14/20 Doctor Day

 I saw my psychiatrist today. And I broke the news to him that I took myself off of lithium (and have been off of lithium for about 3 weeks now).  I was a little nervous as to what he would say (seeing how I didn't consult him on it). To my surprise he was okay with it. 

See, I've had side effects from the lithium for a long time. Years. Tremors in my hands and legs, swelling in my feet and ankles, insatiable thirst (which leads to me drinking a gallon of water a day and then peeing all the time), zero libido . . . And, quite honestly, I'm tired of it. Which is why, with the blessing of my hubby, I started weaning myself off 2 months ago. I went slow, going from 3 pills to 2, from 2 to 1, and then taking 1 every other day, to finally being off of it. And so far? I feel good. No ill effects. No hypomania. My tremors are almost gone. My swelling has gone down. My libido is coming back! 

I'm still on a mood stabilizer (Vraylar) and 2 antidepressants (Pristiq and Wellbutrin). Hopefully these will keep me stable. I think they will. Dr. M and I discussed what to look for that would warrant going back on lithium (mainly hypomania) and agreed for me to see him again in 3 months unless something pops up. I'm hoping nothing pops up. I like being stable. It's a nice place to be. 

In other news, I'm still having some anger here and there. Yesterday was an anger day. Not a horrible anger day, but the anger was there, bubbling below the surface. It was also an "off" day. A day where I felt a bit down and empty on top of the anger. To put it bluntly, I hated it. I know I'm not going to be sunshine and rainbows every day - that's not realistic for anyone - but I get a little anxious in spite of myself that these days are signalling a resurgence of my depression. It's hard for me not to think like that, even when I try desperately not to. 

I'm having these days about once a week, which in my opinion is too frequently. But then, I don't know how people who don't have mental illness feel, how often they have crappy days, or what they think of them. So I'm not a good judge. But I'm pushing myself through them, reminding myself how far I've come, and that I have all the tools I need to fight these days. And in the long run, I do okay. 

Although I'd still rather not have these days at all. Oh well. I'd like to talk to my therapist about it, but sadly, I don't see him until October 8th. Ugh. He texted me today and said he needed to cancel our appointment next week and reschedule. Of course the days he's available I work. So now it's not until the 8th. That's still 3 weeks away. It's already been 5 weeks since I last saw him. This is probably the longest I've gone between sessions in the last 8 years. How freaking crazy is that?? I'll answer for you - it's freaking crazy! But also a testament to how well I'm actually doing. So I guess I'll wear that as a badge of honor.  

Thursday 7/23/20 Therapy and stuff

Hello my little weirdos! How is everyone doing today? I hope you all are doing well :)

It's been about a week and a half since I last wrote and not too much has changed. I'm still feeling pretty dang good. More than good some days (like today). I feel like myself again! Which is AMAZING! I attribute this partly to being on Wellbutrin and mostly Ty Hicks' Mental and Emotional Mastery program that I've been working. This program has opened my eyes to my own toxic habits and is helping me change them permanently. It's the bomb diggity! So yeah, feeling better.

Anyway, I had therapy today and I had a good session. M and I talked about a myriad of topics including my continued good mood, how work is going (great), and, of course, my mom. Ugh. I hate talking about her, but considering I continue to have issues with my relationship with her, I need to continue to talk about her (my mom is an alcoholic, btw, has been since before I was born). I did drop a bomb on M too - I decreased my lithium dose without consulting my psychiatrist. 

Yep. 

I decreased my own medication without talking to my doc first. Might be a stupid move, we'll find out. I've been on my lower dose for 9 days and I don't feel a difference (yet). Why did I do this? Because my tremor (a side effect of lithium) has been getting progressively worse. I didn't want to decrease my dose at the same time I was starting Wellbutrin as two med changes at the same time can be dangerous. And I didn't decrease by much. I usually take 3 tablets a day, I decreased it to 2 (the tablets are 450mg each). We'll see how this plays out. I see Dr. M in September. I'm guessing he won't be pleased. Oh well. 

That's about it. Not much this week. I'm thinking about posting some of my artwork here . . . we'll see.  

Monday 7/6/20 Stuff and Things

Hello all my little weirdos (like, 2 people who actually read this blog)! How are you all doing?

I have officially been in my Mental and Emotional Mastery program for two weeks! I've gone through a lot of modules and have learned a lot of stuff. I've actually almost gotten through half of the material - which is supposed to take 2-3 months. So yeah . . . maybe I'm spending a little too much time on it. I'm going to slow my pace down and re-watch some of the beginning videos to make sure I really grasp the concepts. I spoke with Ty on the phone today (the mental health coach who created this program) to touch base on how I'm doing. Which is good. I'm doing good. 

Now last week when I wrote I was hypomanic. Well, my euphoria switched gears into irritability for a couple days, which sucked. I was able to mostly manage it though. Thank goodness. Dysphoric hypomania is not fun. So I'm not hypomanic anymore. Darn. 

I am, actually, doing well though. I'm not really feeling that depressed. Down at times, withdrawn, sometimes irritable . . . but not depressed. I've been able to change my negative thought patterns into more positive ones and actually sustain them. Which I haven't been able to do before (at least for a lasting period of time). I think my change in mood is three-fold: my enthusiasm for the program, actually working the program, and being on Wellbutrin. I think these have all contributed to the positive changes I'm seeing. I certainly have a more positive outlook, which is great.

Otherwise, there's not much new going on. I'm reading The Purpose Driven Life by Rick Warren and am enjoying it. It's a spiritual 40 day overhaul. You read a chapter a day for 40 days and the book helps you find purpose or meaning in your life. Today is day 16 for me. 

So yeah. I guess that's it.

Monday 6/29/20 Therapy

So I had therapy today and it was a blast. No really. It was. But that's because I'm hypomanic. I was suspecting that I was and my therapist was like, "yeah, you definitely are."

Let's back up a minute. Last night I slept - about as well as I normally do which means waking up every hour to pee (I drink a lot of water - thanks lithium). This is important because the previous 3 nights I didn't sleep. Maybe 2-3 hours a night. And I didn't feel tired. No. I felt energized! So apparently no sleep + Wellbutrin + starting my mental and emotional mastery program = hypomanic.

You guys, I feel so amazing. Now, I'm not crazy hypomanic - I'm just mildly hypomanic. Enough to feel great and have energy and laugh hysterically for 10 minutes straight at a picture that isn't even really that funny (I did that yesterday).

So in therapy today I talked about the mastery program and spirituality and depression and showed M my latest art and talked about purpose and religion and and and . . . But I was talking really fast and flitting from topic to topic and couldn't really sit still and I was laughing. A lot. M must have gotten a kick out of me because he was laughing too. But even still, it was a good session.

Now my hope is that this hypomania sticks around. For awhile. Or forever. One of the two. (Hopefully forever).

Monday 6/15/20 Therapy

Hey there! How are y'all doing today? All of my 2 readers of this blog . . . I hope your day is splendid!

Mine, on the other hand, is not splendid. It's not terrible, but it's not splendid - not by a long shot. It's been rough. I knew it would be when I got up. Just woke up with this heaviness on my chest, in my heart and in my head. I just knew.

But I went about getting ready for the day - you know, hair, makeup, all that jazz. Well, I was almost finished when my phone rang. It was my therapist. I was supposed to have therapy at 9am - it was 8:10. My stomach sank. He's cancelling, I thought. I answered. He had a scheduling conflict and needed to reschedule . . . luckily he had an opening at one. I, of course, took it.

I had breakfast, coffee, and went downstairs to work on a painting I started last week. My emptiness was overwhelming. The depression crushing me but I carried on as if everything was okay. Hubby was working from home today and I didn't want him to worry. I didn't want to be a burden.

Let's skip ahead to therapy, shall we?

I started by telling Mike that I've not been doing well. That I'm struggling. I told him how yesterday I had an okay day but when I woke up this morning I knew. I told him about starting on Wellbutrin (we talked about my appointment with Dr. M as well). Then I had him read Saturday's blog post. We talked at length about it. I cried. Quite a bit. I'm not ashamed of that, I just didn't want to do it. I don't really like crying in front of people. Even Mike or my hubby. But boy did I.

We talked about my emptiness and how I'm trying to fill it (spirituality, relationships, books, clothes . . .). I feel I should specify relationships: I'm trying to strengthen my current relationships. I'm not whoring myself out. So stop thinking that. :) Anyway, Mike really emphasized how relationships and love are central, because the world kinda sucks and is full of suffering. Oh, gee, thanks. The world sucks huh? I knew this already though, just based on what I've gone through in my life.

So yeah, relationships and love. Got it. Spirituality can also be very important, which, yeah, I knew. That's why I'm trying to increase/expand my spirituality. Which is hard since I was never exposed to religion growing up. I've made up my own beliefs. But I'm working on this.

Honestly, none of this made me feel that much better. I mean, knowing I'm on the right path helps, I guess, but I still feel this empty void in me. And it makes me so tired. I'm tired of dealing with it. I'm just fucking tired.

We talked a little about the state of the country/world as well because that  can be stressful to be constantly bombarded with. (For future reference, I'm referring to the Covid-19 pandemic and the protests/riots for black lives matter). All of that crap. It can make one weary and I know it definitely affects me a little bit.

Therapy was difficult today. Hopefully that means it will prove to be helpful. Hopefully some nuggets of goodness are planted in the back of my head and they'll help me feel better. I'm praying for this. Maybe you could too.

Man this post seems to be a bunch of rambling. Oh well. It's good to purge. 

Wednesday 6/10/20 Psychiatrist Visit

I saw my psychiatrist, Dr. M, yesterday for my routine 3 month check in. I typically see him every 3 months for a med review, symptom review, and med refill. Invariably he also mentions, briefly, ECT. This takes up the first 10 minutes of the appointment. The second 10 minutes is spent chatting about my job (nursery nurse) and life in general. My scripts are sent and I make an appoint for 3 months to do it all over again. Last year we were also discussing TMS as I was going through it. But this is pretty much how things go.

Not yesterday though. If you've been keeping up with my blog then you know that I've been pretty darn depressed again and wanting a change (not ECT). I think I need a med change. While the med combo I'm on has kept me the most stable, it's falling short with my depression. I had some ideas of what we could do, but I wanted to hear what Dr. M had to say before I offered up suggestions. He is, after all, the MD.

I think he could tell something was wrong when I walked in. Just something about my aura maybe . . . or my resting bitch face and over sized hoodie in June. He asked how I was doing. Not good. He looked at me a moment, leaned back in his chair and asked what was up. I told him about how my depression is getting progressively worse, how I feel so empty and dead inside. How I've been doing maintenance TMS and how it's not really helping. My lip trembled. I need something different. He folded his hands in his lap and - of course - asked if I had given any thought to trying ECT again. I told him yes I had but because of the memory issues I already have, I'm worried about them getting worse and me not being able to do my job. He nodded and said he'd review my meds and history.

I sat forward in my chair, wringing my hands with anxiety. See, I came here knowing that I would be firing Dr. M. I've tried getting a med change with him before and met with resistance. He always only offers ECT. And I don't want ECT. That would be an absolute last resort. An I-know-I-will-kill-myself-if-I-don't type of thing.

He looked over at me, his glasses hanging precariously off the end of his nose. "Cami, you've been on almost everything. All of the powerhouses we use for bipolar . . . you've been on them. And then some." He leaned back. "One med I don't see that you've been on is Wellbutrin. It's an antidepressant that works differently than the Prestiq you're currently on. We could try adding that to your current regimen and see if that helps bring you up."

I thought a minute and slowly nodded my head.

"It's our best bet without doing a complete upheaval of you regimen. I'd prefer not to do that as you've been the most stable on it."

I nodded again. "Okay. I'll try it." I was surprised really. I wasn't expecting him to offer up a medication for me to try. I was a little dumbfounded.

Dr. M discussed how the titration up would go and that I would need to see him again in a month for a follow up to see how I was doing on it. I nodded and thanked him. We still had time to talk about delivering babies, which grosses him out, but I think secretly fascinates him.

I guess I don't have to fire him yet after all.

In other news, last night I took my first Wellbutrin, 150mg. I take 150mg nightly for 10 days and then go up to 300mg nightly. This morning I felt groggy (drowsiness is a side effect) and I've been sluggish all day. I'm hoping after my body gets used to it this will go away. We'll see.