(By the way, it took an extreme amount of maturity not to make a bowel movement joke in the title of this post. *golf claps*)
Today has been a full day of questions I can’t really answer and a lot of introspection. First, Mike and I had our initial marriage counseling session. I liked the therapist and am convinced of one thing: she will help us figure out what direction we are going in. I can’t tell you what direction that is, but we started down the path and I’m glad to be moving instead of mired down in my own personal version of hell: inertia.
At 1 pm, I went off to see a psychiatrist my therapist recommended. (note: so this is what it’s like to be old - doctor’s appointment after doctor’s appointment!) I liked her a lot but I was a bit shocked when she slapped another diagnosis on me. I heard murmurings of it while at Poplar Springs. She confirmed that I was having panic attacks, but thankfully I have had none since the afternoon I got out of the hospital. She prescribed Xanax for any time in the future I feel one coming on and recommended keeping it in my purse. I’m a regular drug pusher now. “So what’s in your purse, Mommy?” “Oh, just the essentials, girls; you know, a tampon, some lipstick, face powder and Mommy’s little helper, Xanax!”
She diagnosed me with Bipolar Disorder II. I immediately did what all nerds do: I googled it on the world wide interwebs. It was pretty shocking, because a lot of it made me say, “Wow, um, that’s me.” I always assumed you couldn’t be bipolar if you didn’t have the mania with it - I didn’t realize there are many versions of Bipolar. Here’s an excerpt from the article:
Symptoms during hypomanic episodes include:
* Flying suddenly from one idea to the next
* Rapid, “pressured” speech
* Increased energy, with hyperactivity and decreased need for sleepPeople experiencing hypomanic episodes are often quite pleasant to be around. They can often seem like the “life of the party”—making jokes, taking an intense interest in other people and activities, and infecting others with their positive mood.
What’s so bad about that, you might ask? Hypomania can also lead to erratic and unhealthy behavior. Also, the vast majority of people with bipolar II disorder experience significant depressive episodes. These can occur soon after hypomania subsides, or much later. Some people cycle back and forth between hypomania and depression, while others have long periods of normal mood in between episodes.
Untreated, an episode of hypomania can last anywhere from a few days to several years. Most commonly, symptoms continue for a few weeks to a few months.
Depressive episodes in bipolar II disorder are similar to “regular” clinical depression, with depressed mood, loss of pleasure, low energy and activity, feelings of guilt or worthlessness, and thoughts of suicide. Depressive symptoms of bipolar disorder can last weeks, months, or rarely years.
It’s also considered a very mild form of Bipolar which means I’m only mildly crazy.
I’m joking about all of this, but I’m a combination of relieved and upset. I’m relieved because I’m on a new medication that sits on top of my antidepressant and will hopefully level me off more permanently. Even though my antidepressant is working better, I’m still very moody. I can handle that, but I literally go from full-on moments of joy to the very depths of despair in less than 10 seconds. It’s the speed of that rollercoaster that makes me sick and tired of being me. I’m upset because damn, seriously? Depression is bad enough, but you can act like it’s a temporary thing. Like, “Oh, I’m having a rough time right now - but this too shall pass, bless my heart!” Bipolar has a scary, straightjacket-and-padded-room sort of feel to it - at least it does to me. This is partly because a close friend in college was plain ol’ Bipolar and her brand of crazy scared the crap out of me. There was one particularly memorable wrist-slashing episode resulting in her bleeding all over my car as I rushed her to the hospital, and another where she overdosed on Lithium all the while screaming at me over the phone.
It’s hard feeling normal and likeable these days. In many ways, my ego and self-esteem has hit an all-time low. In other ways, I feel pretty good about myself - mainly because I’m finally dealing with some ugly stuff inside of me. Finding out I have yet another wart on my psyche bums me out, but at least I can treat it. Hi, I’m Cristina - your lovable eating-disordered, bipolar depressive. Wanna hang out?





Awwww! I still wanna hang out. No new label will change that, I already knew you were crazy
I’m just happy that you are getting help and that you are getting some answers.
I’ve said it before, but I’ll say it again, I’m very proud of you.
Hey, just so you know, you’re either bipolar or depressive, not both. If you’re bipolar, the depressive episodes are part of it, not a separate entity. Hope that helps. You’re only one type of crazy!
Ha, ha! Risa is awesome!
I wanna hang out, too.
Personally I don’t hang out with people who aren’t at least one type of crazy. I can’t imagine how dull it must be to have a big fat zero in the “crazy column” on the spreadsheet of life. So, I will see you Monday… and we will hang out, my lovable friend!!!
I still like hanging out with you.
I’ll still hang out with you, crazy people are more fun.
I’m sorry, I’m sure that wasn’t a particularly fabulous day for you guys. But remember- you’re still better off equipped with the knowledge, even if it sucks and hurts. Don’t let it change how you feel about yourself- you’re still you, the same you that you were yesterday, only now you’re a few steps closer to being who you most want to be able to be.
Hang in there. Truly- this WILL pass, in it’s current, immediate, devastatingly difficult form. It’s not going to feel like this forever.
Two very important comments:
1) Xanax is awesome. I also carry mine in my purse for those moments when panic attacks start to kick in. Thankfully, those happen a lot less frequently now that I take Lexapro daily to combat my depression/anxiety, but certain situations (like visiting the Gyno, having blood drawn, and Girl Scout camp) still send me into full on panic and that sweet little Xanax pill brings me right down to manageable without any side-effects. It’s such a powerful feeling to know that I can control my panic attacks, they don’t have to control me.
2) My psychologist also tried to diagnose me with bipolar 2. Like you, I Googled it and a lot of things fit.. so I thought he was right. Then I talked to a great friend who is a doctor and she warned me that bipolar is the “in” diagnosis right now. That many people are being diagnosed with it because of minor mood swings caused mostly by depression. As she put it, “if you are depressed most of the time how else are you going to describe those “up” periods where you aren’t depressed except in terms that make you sound manic?”. Apparently the best way to diagnose true bipolar disorder is to take anti-depressants for a while. If you are just depressed, you should feel better and normalize. If you are bipolar, they will send you into a full-on manic phase. I’ve followed that advise and no mania, so I’m going to stick with the anti-depressants for now. If you can, I’d recommend testing the diagnosis that way.
Interesting…I just learned how to diagnose mood disorders.
Whatever the initial findings, I just hope that you are able to get some relief from the depression issues and move forward. I can only imagine how frustrating it is for you to want to feel better and have to “wait this out”. It’s not easy stuff, Homes, and as always, I’m thinking about you~
(what the!? Why was your secret word for confirmation just a size # for me!? Are they taunting me as I rapidly pack on the pregnancy L.B.‘s!?)
I have recently started reading your blog and just wanted to say hang in there. I’m also BPII, and getting to that diagnosis after years of incorrect ones was ultimately a relief. I hope things get less “crazy” for you in the near future (ugh… lol).
I still want to hang w/you!!!!! I don’t care what you are labeled with!!!!!You are a very strong and inspiring person!