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Monday, May 12, 2014

Lithium, Part 3

I need to write more.

Let me restate that.  I need to write more here, on this blog.  Because if I write more here, maybe it will help me as I write more elsewhere.

First, an update on the lithium.  I visited my psychiatrist a few days ago (funny how I can say the word "psychiatrist" in reference to my own situation and not feel ashamed or embarrassed about it, when once upon a time I could not possibly do such a thing) and it was the first time I've been back since going on the lithium carbonate.  We agreed to the lesser dosage that I've been on the past two or so weeks.  The original - taken three times per day - was giving me a seriously funky comprehension of the world around me.  Downright overwhelming, even.  I had to lower it in order to function and be able to concentrate on my writing, both for my book and my work.

But now I'm in another bout with severe depression.  And despite doing my best to work through it, well... yesterday and today have especially been hell.

The lithium makes bearing through it easier.  And I can go up on it if I need to.  If I need to.  But it comes at a cost: lithium, I have found, takes a toll on my creativity.

I can either be stable (more or less) and lose touch with much of my imagination, or I can be operating on all cylinders and tempt the edge of madness.

There is a demonstrable correlation between extreme creativity and mental illness.  This is what that looks like in my own personal case.  I am bipolar and bifurcated.  Regardless of which side the coin lands upon, I am both blessed and cursed.

My depression is compounded with regret.  There were too many yesterday.  Mom has been gone for more than two years and... I'm trying, I'm really trying, to move past not just her passing but also things left unsaid between us.  I have tried avoiding them as best I can these past few years but now they hit hard, harder than ever.

Dear readers, please take away this if you take nothing else from me writing right now: don't leave things unsaid between you and the people you care about.  Leave no stone unturned.  If there is something between you and someone else, go to them and make things right.  Don't let pride come in the way of that.  Pride is the destroyer of relationships.  It works like a cancer to eat away at all love, and joy, and hope.  Pride keeps us from doing that which we know is right.  Pride shuts our hearts and stops our minds from comprehending things we do which we will... we will... come to regret, if not now then certainly years down the road.  And by then it will be too late.

At least once in my life, I have been shut out and away because of pride.  More times than that, I have been the one who has shut others aside because of my own pride.  And every single one of those times, I have come away with hurt that I will carry for the rest of my life.

I've hurt others because of my pride.  And I've also been hurt because of the pride of others.

There is no hurt like there is to have mental illness, and to be ignored and shunned and put aside by people you care about.  It means to be exiled from the community of friends and family you have built around you.  To be made to know in no uncertain terms "you aren't good enough.  You aren't worthy.  You don't belong with us."

It's not all because of mental illness, I know.  Losing the genetic lottery isn't the entire reason.  There are also the behaviors themselves stemming from mental illness.  It's a funny thing though: those behaviors are much the same as those of someone who acts irrationally because of drink or drugs.

I don't drink.  I don't do drugs.  And neither do a lot of people who have mental illness, be it bipolar disorder or whatever.

Maybe having a condition like that makes it easier to not forgive a person than it would if someone didn't have bipolar disorder.  No matter how much sincere regret, how much we beg forgiveness for the pain and grief we cause... the pain and grief that I have caused... by merit of having such a condition we are to be disregarded.

To long for, to cry out even for forgiveness and yet to never know it.

There is a word for that: "Hell".

I have written before that mental illness is Hell.  And that is the worst part of it.  It seriously, truly does feel at times like utter abandonment, with nothing but regret surrounding me.  Being abandoned by everyone, and at times that means sensing the vacuous absence of God Himself.

Mental illness has taught me a lot about pride.  It has taught me how pride has led me to hurt, and it has taught me how pride has led to being hurt by others.

I wish there had been no pride, on either Mom's part or my own.  And now that's all gone.  There is no hope for clearing away everything between us on this side of Heaven.

Did she have mental illness?  In retrospect... I think so.  She did some very horrible things.  Things that no loving mother should ever put her children through.  And I struggle with forgiving her for them.  I struggle because if she had mental illness, I need to forgive her just as I long for forgiveness.  From people who I have known and loved, and many of them are no longer in my life.

I long for forgiveness from others, though I wrestle to forgive one of the closest people in my life.

You can call me a hypocrite.  I know that's what I am.

Don't let the sun go down on your anger.  Don't let pride destroy the most precious thing we have in this world:

Love for one another.

So, I'm wrestling with deep depression, and still trying to achieve balance between the black dog (as Winston Churchill called his) of bipolar and the roaring engine of creativity.  Work on my book stalled out during the past several days because of the depression: it is a horrible thing to want to engage one's mind when it refuses to be interested in anything whatsoever.  However I am praying that passion will persist, and that perseverance will prevail and perceptively percolate as some profound product.

Incidentally, I have begun to take up painting.  And I am soon to start taking dulcimer lessons.  Maybe the lithium is having a more beneficial impact on my mind than I had anticipated.

Even so, I need to write more.  For my personal reflection and sharing what it is like to go through an especially rough period of bipolar depression (and a tad bit of mania) and also to keep my skills sharp.  If I can write here and elsewhere, then perhaps that will lend itself to writing my book.  Which has 14 chapters planned out so far, including one that will raise everybody's eyebrows.

(It's the chapter on sex.  Consider yourself warned.)

Two books which I have read recently which I must highly recommend to those with bipolar and/or depression, and to those people such as these in their lives: An Unquiet Mind by Kay Redfield Jamison (who is herself a person with manic-depression disorder, aka bipolar) and Depression: Looking Up from the Stubborn Darkness by Edward T. Welch.  The latter was recommended to me by a dear friend, who I cannot thank enough for pointing me to this resource. Welch writes from a Christian perspective and his book has become a tremendous encouragement in regard to depression.

Wednesday, April 30, 2014

Lithium, Part 2

Am now at the start of my third week on lithium carbonate, better known in the common vernacular as plain old "lithium".

Lithium has been a funny drug for me.  On one hand it has worked wonders with the depression: something which I've had to endure a particularly excruciating bout with during the past month.  The thoughts of wanting to be dead - really the thoughts of not wanting to "be here" anymore as opposed to seriously wanting to be dead - are no longer actively present.  Not "gone", but not impacting my daily life right now.  I don't want those thoughts to ever be truly gone.  If they were, I wouldn't remember what that depth of depression is like.  If I don't remember, there is nothing of the pain from which to learn and to grow from.

On the other hand lithium has accelerated my awareness of the world around me, and in some ways to almost as debilitating a degree as I was without it.  I'm unclear as to whether it's because I'm still getting used to the medication or because it's been longer than I can remember since I had this clear a perception of the world absent either the mania or the depression.  (AUTHOR'S NOTE:  Do NOT go off lithium cold-turkey if you have the same experience with this drug.  Talk to your doctor before making any changes to your drug schedule.)

I want to believe that one of the reasons God has made me have bipolar and especially the depression part of it is so I can help those who are also suffering from this.  Perhaps that's not really for me to ascribe purpose to, but it's one of the things which I cling to.  I have to believe that there is some meaning behind this.  That God doesn't let things happen for no reason, and this especially.

Anyway, I'm now well into my regimen of lithium.  I'm due for bloodwork soon, because lithium is something which needs consistent monitoring: making sure that it's being absorbed in the proper amount, both for its effects and also so that its more deleterious effects are avoided (namely with the liver).  As for how it's been working...

Like I said, the suicidal thoughts are being readily suppressed.  The depression isn't gone completely but neither am I curled up on the sofa with numbed thoughts racing through my head and making me unable to work... and I do need my work.  But to work I have to overcome the paralyzing thoughts of nullility (I made that word up).  Some might think it's ridiculous to hear that one is unable to compel his own mind to think.  For me it's not ridiculous, it's only too real.  I'm regaining an ability to think and to write.

It's time which I'm putting to good use, because I am writing a book about my life with bipolar disorder.  Lord only knows if it will ever be published.  If nothing else I'll be able to honestly say that I've written a book.  It's going to be about everything pertaining to being bipolar: the manic phases and what they drove me to do, the depression, the costs of bipolar in terms of friendships and marriage and career opportunities, the drugs, and also some surprisingly positive aspects of bipolar.  Along with a few other... well, things not normally associated with mental illness.  I think it will all make sense though.  It will also be as brutally honest as anything posted on this blog.  More so, even.

To write that we've had to adjust my medication slightly, including the lithium, because it's worked well.  It's worked too well!  My awareness has been drastically heightened.  So much so that even going outside to walk Tammy (my miniature dachshund) became overwhelming in terms of sight and sound.  The "easy" choices are to either be manic and have my creativity run rampant, or to be in depression and then my thoughts be empty, vacuous, numb to all stimuli.  It hearkens back to the hell curve which I wrote about a few years ago.

Other effects of my personal usage of lithium have included a change in taste perception and a lessened appetite.  My taste buds seem to have adjusted in recent days: at least the pizza from Papa John's seemed perfectly normal.  In regard to appetite, I've lost a number of pounds already.  Maybe that's compensation for the craziness I went through with Seroquel.  Friends and family have told me in the past few weeks that I'm already looking the best I have in a number of years.  Maybe it'll keep up... but not too much!

So, lithium has me closer to that mark of perfect equilibrium.  I doubt I will ever hit the mark right on target, and if I do I know it won't be long staying there.  And it will always be a struggle to some degree to hover around that sweet spot between mania and depression.  But for now, I'm enjoying a measure of peace.  Like an island in the eye of a hurricane.

That's all for now.  Back to writing this book.

Tuesday, April 22, 2014

Forget not in the light what has been learned in the darkness.



Thursday, April 17, 2014

Lithium

Started lithium yesterday.

Have never been on lithium before. Had I been on it 15 years ago my life would have turned out completely different, no doubt. But there's no good to come speculating on what might have been. I could have accomplished some things, but missed doing a lot of other good ones.

I'm feeling rather intoxicated at the moment. I could write anything. But it's not "drunk" per se. My mind hasn't been this free from struggling against itself in at least ten years. The core of my being isn't used to this.

It probably won't last forever. I'm not counting on it. As with everything else with having bipolar there are good days where everything clicks and there are bad days when nothing works. But for the time being I am immensely thankful for this little season of rest.

Should I write about how tempted I was to take my own life last week? I guess I just did. That's okay. It's common. People with mental illness who have suicidal ideations aren't "bad" at all. You have to have this to understand the kind of pain that it is. And it's a deep, DEEP pain. Pain that is extremely difficult to endure. Suicide is a horrible tragedy, but it's not a flaw in a person's character. I've been there. I hope nobody will judge me for harboring that kind of pain and thoughts about wanting it to stop.

Lithium is documented to severely reduce the risk of suicide. I'm beginning to understand why. The depression has been unbelievably absent during the past several days. But I can't credit medication for that. I've had a LOT of wonderful friends and family who have held me up in their prayers and I can't doubt that God has been with me during this time. All the thanks must go to Him and to them.

And I'm working on a project about being bipolar that might be... I dunno, "interesting"? It's something that I'm not holding back on anything. What it's like to have bipolar, the hurt I've felt, the hurt I've inflicted on others (especially family and friends), the drugs I've taken. But also some other things not directly related to mental illness. We'll see how it goes.


Wednesday, April 16, 2014

Well, so it begins

I still don't know what I'm supposed to be writing lately.

But I feel like I need to post something more than the running train of my current consciousness.  All that's missing are exotic pharmaceuticals like what Hunter S. Thompson used with his own.

So for what it's worth, here is what might be the very first "spy" photo from the filming of Star Wars Episode VII, somewhere in the desert of Abu Dhabi...


Speculation is that it's anything from part of a moisture farm, to the foot of an AT-AT walker.  Maybe the Jawas scavenged Imperial hardware in the decades following the Empire's defeat?

The new Star Wars movie begins primary filming next month.

Tuesday, April 15, 2014

Years ago, as a student at Elon, I became... well, I still don't know the best word for it. "Active", "associated", "affiliated with", "hung around"...

Well like I said, I still don't know.

It was InterVarsity Christian Fellowship that I became a part of, in whatever insignificant capacity. Truth be known, that was a strange period in my life and there are times when I'm not exactly sure what was going on. Maybe I shouldn't look too hard for answers there?

I do know that it was my friends in IV who were the ones who helped me most to break free from years of guilt, shame and regret and to at last come into a real relationship with God. It was something that looking back, I realize that I had always wanted it but for one reason or another felt inadequate and unworthy. God used them and worked through them to show me a peace and a joy that I had never known before, or even knew could be.

The years since have in too many ways, not been kind. I'm sure some would say all of this could have been better, that I could have gained more, if I had not tried so much to serve God since then. And I will be the very first to admit: I have fallen and failed many more times than I have succeeded.

To serve Him is a choice that once made, I truly could never, ever turn my back on. Despite all the loss I've suffered, regardless of the situations I've gone through, no matter the hell of mental illness that I have had to endure... though all of that and so much more, I can not and would not want to go back to the person I was before at last finding Christ.

Why am I writing all of this?

There was a song that the praise team at IV used to play, one of many that we all sang to. Most of those songs wound up recorded on tape and several years ago I used my copy to make MP3s of them. I now have the entire collection of tracks on my iPad and iPod. Even after all this time, Elon IV's praise and worship songs are something I turn to when I need encouragement.

This song, from the time I first remember hearing it I thought it was the most beautiful, hope-filled, most inspiring of the entire set of songs that they used.

And in recent days and weeks, months even, it has become a song that I have especially clung to. When I was in a behavioral health center in December for extreme depression, I would sing this to myself late at night, asking God to please grant a peaceful rest.

It is a song that has come to mean more to me than I can possibly convey with words. The best I can muster is that it is a precious link to happier times, a comfort today, and a beautiful hint at things still to come.

I don't know who wrote this song. Maybe someone out there does and will tell me. I would love to know.

Lately I've used my iPad to play the "album" very softly as I go to sleep. It helps to quiet my mind, turn it over to God and let Him grant that rest. And this is the one I love listening to the most.

Maybe there is someone out there who, even if it's just the lyrics, they can find a measure of peace and assurance too...

We Will Fly

I want to sing something beautiful
To Jesus, Lord of my life
To give an offering of my heart
In a song that he’s never before

And then we will fly,
The Lord Jesus and I
And all my fears will fade into the night
And my praise will ring
As up to the heavens I sing
Of the love of God through Jesus Christ
 
Oh that the love that dwells in my heart
Would emerge from me undefiled
To go forth in purity, touching those I see
With the sweetness of the presence of Christ



Thursday, April 10, 2014

Dear readers of this blog,

Two nights ago I very nearly made the greatest mistake of my life.

Had it succeeded, another mistake, which I take full responsibility for, would have been the second greatest mistake of my life instead.

I don't know what I'm doing. I thought I did.

There are things which I cannot possibly be forgiven for and I wonder if my capacity as a writer and especially as a Christian writer is now irredeemably destroyed.

I would do anything to take back what I have done. More than I would do anything to change having, well, this.

My heart groans to be free of this world. My spirit longs to at last be unshackled and to fly away home.

I have lost loved ones and I don't know how to ever gain them again.

There are people who are going to laugh and gloat that I am saying these things. I couldn't care less. My heart lied one time too many to one friend. It will not lie here.

I don't know what I'm doing. And God is so very distant now, I cannot hear Him. Could I have heard Him at all? The times I thought I heard God, was that nothing but my disease playing with my thoughts?

I don't know.

I know nothing.

I wanted to be a father. I would have been a good father.

I wanted to be known as a good man. I wanted to be a good man, through and through.

I create nothing. I destroy everything.

I am become Death, shatterer of worlds. My own has not been spared.

I don't know what I'm supposed to do.