Showing posts with label medication management. Show all posts
Showing posts with label medication management. Show all posts

Saturday, February 18, 2017

Avoiding The Zombie Life…


We’ve all seen it, hell most of us have probably been there at one time or another, I know I have! I call it zombie life, now you’d think I’m referring to the non-stop sleeping that comes with most medication changes. Not really, the non-stop sleep-a-thons are only a drop of water in the bucket when it comes to zombie life. When I’m talking about the zombie life I’m talking about being “overly medicated”, or being medicated with too many “zombie pills.”
Now I can explain. What I’ve seen, and been through. Let me first say I’ve been this zombie, more than once in my life. I spent years on the psychiatrist couch with yes/no answers. My mental health wasn’t a priority for years. Yes, I took the meds, all of them, but I could barely keep up with an actively paced work environment. There I stood monotone, pale, with hollow eyes. I was alive, but I wasn’t living! Each time I went into see this "medication happy” psychiatrist shed toss another one on the pile until I couldn’t stand any longer. I crumbled under the weight of these meds. Antidepressants, mood stabilizers, antipsychotics, sleep medication, oh and weight loss medication! Yes, that particular doctor saw my small stature ballooning so she thought I needed a prescription weight loss medications. I was still in my yes/ no status, until my body and mind crumbled into pieces. The agoraphobia took over I refused more medication but the psychosis was so bad! 
I was put on suicide watch at a state run facility, a hold if you will. Most of you know once they put that hold on you, there’s no going back. At least until the hold is over is what I learned. The “acting psychiatrist” decided I needed new medication…..nope, I refused! Not another pill, not another bottle. I was hallow inside and out, I was a zombie. 
       I had no idea one of my childhood friends was working in this madhouse. I refused everything, not going to a “group”, not going to eat, and fuck these new medications, I was going to lay here under my covers and pray until the “hold” was over. It was early, real early, when the lights flipped on and the gentleman was there to get me out of the bed I hadn’t left in a couple days. I heard his voice booming as I sank further under my covers. I know that voice….one of a kind, I told him to “fuck off”, knowing who it was. He knew mine of course and ripped my covers off of me. I was fully dressed, but felt naked, exposed, and empty. “Mari, what the hell are you doing in here?” All I could do was cry.
          He was my link to the outside world, we spent the majority of our lives together. “Get up” he said, “let’s go talk.” When we escaped to the outside world for a cigarette I really needed, he was upset, and confused. “Mari, you’re not the one, what the hell are you doing in here?” He ran to get my chart, did a quick review seeing that I was refusing the new medication. He understood, you can only take so much! Here I am “locked away” and you want to throw new shit at me…..NO! So we talked, he explained that the doctor I was seeing was well known for "over prescribing." “WHAT”, I was confused. He told me stories of people that were “return zombies” in the facility I was in. In his opinion the State Mental Hospital was where the real work got done. He said he watched patient, after patient “go away” to “get better.” Each patient came back well balanced, and doing well, only needing medication management. Each time the doctor would change their entire medication regiment, and add what she saw fit. “You don’t belong in here Mari, get off this hold, get the fuck out, and never come back!” DONE! It was a 36 hour suicide hold…that was the minimum I had to do, then I was able to “check myself out” against the attending physician’s orders.
           I never went back to that psychiatrist. She had caused enough damage, she had me “zombied out.” I was no longer going to be that person with yes/no answers. Now even being proactive the “zombie affect” can get you! You have got to watch your behavior, if you can’t see it, someone you know can. I’d write down hours I was sleeping, how I felt, if I was eating. The basics really. I got back to “The Good Doc” as soon as I could. It meant moving four hours away to receive her services, I was desperate, and I trusted her, not to over medicate me. 
           It was an adjustment, getting stable again. I basically went back on the regimen I was taking before this pill pushing psychiatrist had me completely zombie out. There have been medication changes over the years, recently I had to switch antipsychotic, and one of my mood stabilizers was basically over powering the one I had been on for a zillion years. “The Good Doc” rarely does medication changes, but after years on the same regimen I needed a tweak just last month. I had to watch myself daily, the medications can cause partial facial paralysis. AKA major zombie face. The level was too high, causing my face to freeze, not able to express emotions with my face. I had this unbelievable twitch above my eye, and my voice came out monotone with no expression. I never said switching meds was easy, only necessary at times. 
Today I’m fighting to get use to this “new med.” It’s not easy to be mentally ill, it’s even harder finding the right regimen you need to lead a positive productive life….outside the “zombie zone.”       ~ Mental Mari

Friday, February 17, 2017

My Cocktail…Not Yours….

We’ve all done it…and rightly so I think, we’ve all compared the medication we are prescribed, or had experience with it at least. “This one makes you feel amazing wonder woman” says to another. I was at a low-budget public mental health facility. So I’m listening in at this point to two oddball patients… “Stay away from this one the other replies, but ask for this one”… I’m rolling my eyes at this point. Yes, some side effects may range from irritability, to swimming thru mud for days with little to no improvement. 4-6 weeks before they you will see therapeutic levels, in the meantime your trying to survive the side effects long enough to make it to the 4-6 weeks! I know I’ve been there!
No psych medication works the same way in any two people is a good rule of thumb. I know I was naive once upon a time. I jumped on and off antidepressants because one worked wonders for one person, another person saw great results on another! I made myself sick demanding we change something to elevate the psychosis I my head. All the while throwing myself off mentally and physically. I was fueling my Bipolar II with antidepressants, and expecting any kind of results other than complete craziness. I was undiagnosed and unknowingly playing with fire.
            So here’s my suggestion as a person with over three decades of diagnosed mental illness. Be honest tell your doctor what your feeling, what’s working, what’s not. If you can’t remember things write them on a list of things to talk about at your next appointment. I’m that girl pulling out her notes as we walk into “The Good Docs” office. Everything will be fine once I’ve walked thru that door. I can’t remember shit except, “I don’t like this new med.”…. Well that’s really not giving your psychiatrist much to work with. Other options out there…most likely but they may have similar side effects leaving you swimming in that mud pile, and in circles I might add. Make it easy, type the effects in your phone, or write them out and bring it in with you.
So what does your psychiatrist want to know? Well, depends on your therapy, and if things are working for or against you? Pay attention to your sleep, how much, not enough, if a medication has you passed out all of the time, jittery out of your skin, or do you feel great? For me my sleeping habits are the number one factor in how I’m doing. “The Good Doc” knows my sleeping patterns oh so well. I’m kind of an all or nothing kinda gal! She nails me down instantly with that question! All I’m saying is being able to communicate with your psychiatrist is essential, you have to participate in your care.
Sitting there with yes/no and I don’t know answers will most likely end up on all kinds of meds. Most of which they were probably guessing you needed because of your blank reaction to the “So, how are you?” question. So find a psychiatrist you like! One that’s easy to tell you’re anything from angry, manic, homicidal, too suicidal. Personally I lay it all down to “The Good Doc,” she’s been my psychiatrist for the last 9 years. (Yes, I’ve taken off a few times to “start a new life”). I always keep going back to “The Good Doc” because she has treated me for so long, mostly of the time successfully. I know she will nail me down within the first three questions, along with weight, and medication levels in my blood.

            So be proactive is all I’m saying! Participate in your therapy, make it work for you, not against you! You’re the one that has to articulate to your doctor how you are feeling, and how medications are working for you. Remember what works for me may not work for you, for me…lesson learned! ~ Mental Mari

Tuesday, February 7, 2017

Coming Down.…

            Well hello there everyone, I can see that you’re out there. Not quite sure why, unless you like watching a train going 100 mph out of control! Train wreck, that’s about where I am now! After marching in and out of The Good Doc (my psychiatrist) office I’m guessing 5 time in the last two months. I’m finally coming down, feels fast, and a little scary, however a clear thought or two has passed thru my usually manic brain.
            I got my reminder call last night, appointment with The Good Doc at 1:30PM today. Great, another appointment, another risk driving….did I mention that’s my nap time? Some days I wish I had the support my friends have. Someone that cares how they feel enough to be proactive in their treatment. I never let anyone get that close to me I guess. I stay strong for my child. I’m all she has, so when my world is falling apart I have to create some sort of normalcy in hers.
            The last few weeks have been a world wind of a long lasting nightmare! I’ve made bad choices, and have suffered repercussions for my manic behavior. Ugh, why Mari, why are you always digging yourself out of trenches, ones I dug for myself. I’m sane now folks, HA! I’m not gravitating towards the dark side today, but I’m having a hard time seeing the damn light. I feel like I wake up day after day not knowing the person that’s going to arise. Will I have clarity today? Or another day of utter confusion with big decisions to be made? Today looks like a good day, I’m sending out good vibes today, in hopes some come find me. At least let me make good driving decisions. Is that too much to ask of myself?
            I walked into “The Good Docs” office maybe 2 weeks ago? Hell, who can keep up with dates, and times when you’re too manic to figure out what day it is in the first place. I had enough, my adjustments weren’t doing shit. I always hate messing with my cocktail of psych meds, but something had to give. Looked like one of my mood stabilizers’ was overpowering my anti-psychotic. (Now I’m not big on brand name dropping. Mostly because I know what works for me, may not work for you, remember my cocktail, not yours.) Time to change up the regimen, see if it worked.
Well it worked! The spiraling has stopped, and I’m slowly sliding down, not too far down. Not yet! Did I mention I’m eating my own self out of house and home! I can’t stop! Here comes another 30lbs to add onto my already obese stature. Great, trade my sanity for vanity that’s what it comes down to for me. I can remember 7 years ago the same process with the last anti psychotic, the water retention, nausea, the vomiting, along with endless hours of sleeping. It’s all back in full effect, I’m officially in slug mode.

Unfortunately there is a trade off to my sanity, psych drugs are both my savior, and my mortal enemy. The side effects are grueling I know, I’ve been on and off of them for at least the last 17 years. It’s not pretty, I’ve resorted to the living room as home base. I’m finally not so jittery that I can’t sit still. No, now I’m on lump status as day after day slides by, and reality comes back. All the messes I need to clean up. I want to give The Good Doc a big high-five when I see her today, if I had the energy that is. She’s brought me down from flying in the skies, to at least being able to have a rationale thought. Maybe this tweaking will work, maybe it’s too much. I can’t decide, I’m just so happy I’m not swinging from the roof tops at the moment. ~Mental Mari

Friday, February 3, 2017

...And Then The Truth Comes Out...Defiant

           So as much as I want to stay on the straight and narrow side of maintaining my mental health, I continue to cycle in and out of depression, in and out of mania. I’ve been flying pretty high these last few weeks. Hence the birth of this blog, even two today people! I noticed it myself, which means it’s probably pretty bad. We adjusted my meds to slow me down a bit, but I had a reaction to the increase blowing my feet and legs up to where I couldn’t walk. Besides changing my entire “cocktail” I decided to ride the waves of mania out, and pray I don’t ruin my life! 4-weeks out is my next appointment. Just enough to let the rain pass and level out. Listen to your psychiatrist, something I wish I would have done. However when you have Superman Powers, who needs to listen…right, wrong! The last thing my psychiatrist told me was “No DRIVING”. From treating me all these years (9 to be exact) she knows how I tend to race down side streets at 80 mph, and play with the radio way too much, and am completely wreck less behind the wheel.
            Here I sit with a totaled car, wishing I wasn’t so damn defiant!! She told me, no driving, it’s even written in my records, no driving. What do I do? Continue to put the petal to the floorboard, and smile as I race like a mad woman up and down the streets. Over 100 mph in my Mustang, flying down the highway to an appointment I’m not even late for. Don’t drive, slow down, all of which a things that ring in my head as I quickly step on the gas. Who is she to tell me I can’t drive, who’s to say I’m not “sane”. Well a totaled car does! 
            I hit a parked trailer in a residential neighborhood head on at 35 mph. Yup, I did that, just last night, great! Bad decision making is pretty common when you’re in a manic state. Hell I’m manic right now, scrambling to figure out how I’m going to get around, how my daughter will get to her activities, her counseling, and her psych appointments. Great! Mother of the year award for this girl! I’m completely still manic as I sit here rambling on….Too late to say put away the keys! In the last month, I’ve gone on a $1500.00 shopping spree, with what money, well rent money of course! I’ve totaled my beloved car, and here I sit without a clear thought in my head. All I can think about is “what am I going to do?” I’m broke, I live in a rural area, with little to no public transportation, the school bus doesn’t even reach us…ugh how am I going to do…well next time maybe FOLLOW DOCTORS ORDERS! Geeze you would think a decade after I received my Bipolar I diagnosis I’d get my shit together!

Bottom line is I need to listen, and follow directions as my psychiatrist has given them to me. I wouldn’t be sitting here trying to figure out what the hell I’m going to do! Is this normal, am I always going to cycle? Well, that has been my norm… even with medication management, and talk therapy I still can swing dangerously high, and low. Last night was obviously a high, I wasn’t speeding, but I had no ability to focus or concentrate on driving! Should not have be driving, but I did, now I pay the repercussions…. Life being manic, isn’t it fun, undoing all that you manage to do when you’re flying high. Moral of this story, DON’T BE DEFIANT!! Listen to your psychiatrist, and follow their orders, it’s not all about taking your meds, its more about leading a productive, safe lifestyle! ~Mental Mari Yes, I was blessed, the air bags literally saved my life...thankful for sure!