First off, an advisory for those who don't like reading long posts: this will be one of them. I'm here because I'm really really tired of searching. For the last 10 years I've been living a progressively worse and worse version of hell. It would seem that bipolar might explain it. This is why I am posting on this forum.
Ten years ago: I’m 18, I go see my family doctor and tell him I can’t do anything, that I feel completely empty and always crying. I’m prescribed antidepressants. Within 3 months of taking them I have my first suicide attempt. I remember it being very mechanical and unplanned. Like I just decided one evening that tonight would be a good night to kill myself. Prescription pills, including the anti-depressants and about half a bottle of tequilla.
I end up in a hospital, stay there for one week. A psychiatrist there prescribed me round #2 of AD, which I took diligently thinking it would help me. Within one month of taking them, suicide attempt #2. At the time, my best friend was staying in my apartment with me to be sure I wouldn't do anything. We were sleeping, or she was anyway, and I suddenly decide tonight would be a good night to kill myself again. I go to the washroom and snapped the razor open and just cut and cut and screamed. She wakes up. 911. Blood everywhere and me screaming my lungs out. I cut about 20 times on each arm. I end up in the hospital again and I tell them I don't know how I did this. This time I stay 2 weeks. I remember very clearly telling these doctors that I felt out of control.
I’m prescribed round #3. During this time I was already beginning to not trust doctors because I felt they weren’t listening to me. My best friend who was undergoing a psychoanalysis tells me of the benefits of it, and suggests I do the same. I figure why not since I’ve already tried the meds and doesn’t seem like they’re working for me. For the next 6 years I see a psychoanalyst on a weekly basis and stop taking meds. I stop believing in meds because I can’t comprehend that a psychoanalysis could make me feel better if the cause was brain chem imbalance. I vowed never to take them again. I start thinking in terms of conspiracy and the pharmaceutical industry. I don’t talk about it because whenever I do I’m told my theories are exaggerated.
Throughout this time I describe time and time again this "switching" thing. One day I'm happy, the next day I'm doomed. I've always been pretty good at controlling it, or at least not let it control me. I told myself that this was all in my head and that trying to find the root causes in my own behaviour was the way to go. In retrospect however, I see a very clear cycle of up and downs, phases usually lasting a few weeks until the "switch".
November of last year: The bad phase becomes too hard to handle, and really interferes in my life. I'm starting to break down. I'm completing my bachelor's degree (I've dropped so many classes during the "bad phase" which explain why at 28 I'm still not done). I feel like I can't handle it anymore, like I might actually be going nuts. Sometimes I think I’ll hear a big cracking sound in my brain and that will be it, I’ll have imploded on myself. I finally get myself to go see the doctor again, upon recommendation of the psychoanalyst as well. I accept round #4 of AD. The side effects were too important, "brain tremors", figgityness, zapping feelings in my fingers. I go back within two weeks and am prescribed round #5. I really don’t think it’s going to help me. At this time I still haven’t noticed that my past suicidal behaviour only happened while I was on AD.
January: I wake up one day and decide that's it, I can't take it anymore. Alcohol, razor blades. The whole scenario all over again. I called a friend telling him "it was God, it was God". I don't remember. Apparently I decided God was some evil thing and began a process of destroying everything related to God in my house: I had the Christmas tree up still, took all the little nativity scene characters and destroyed them one by one. I got a bible and put it on the stove, nearly burned the house down. I destroyed my first communion cross which has always been over the door in my bedroom. This "episode" was really different from all the others. It felt like a force inside me took over. I end up in the hospital, I tell the doctors exactly this. What do they do? Prescribe ADs; I refuse to take them. I return home the next day and can not believe the extent of destruction I caused. I have no clear recollection of it, only parts.
Over the last few months: I go on the net, start researching all the meds I took. All of them (and as I would find out later, all ADs) list "suicide or suicidal ideas" as a possible side-effect. I'm flabbergasted. I find out there are class action suits in the US regarding this precise issue, but as it applies to children. I discover multiple studies that demonstrate a correlation between suicide rates, AD use, and users under the age of 18. I go back to my family doctor and tell him this. He agrees that there is no way I should be taking these meds as he also realised the pattern of my suicidal behaviour, always in the context of AD. I tell him exactly what is going on in my head, that I'm always always thinking, I'm always getting theories and I can't shut them out.
Over the years he mentioned a few times "bipolar". Every time I told him no, that was impossible because I don't get those urges to spend money or be promiscuous. He never pressed it, probably because he’s a family doctor and not a psychiatrist. This time, I tell him about the obsessive aspect of my thinking, in high times and in low times. I tell him also that I spend half my time thinking I don't exist, that reality doesn't exist. He decides to prescribe something for "mania". As I recall, this drug was primarily used as an anti-convulsion, but research found that it was helpful in phases of mania. I go home, look the meds up on the net. I find exactly what I found about ADs; suicidal behaviour. I do not take the meds by shear fear. I do not go back to my doctor thinking there is something very very wrong in the pharmaceutical industry and these drugs might me the cause of my destructive behaviour toward myself. I decide I want to do an epystemology of the pharmaceutical industry to address how it is that the most profitable drug in the world rests on theory not empirical evidence. To address how it is that on each bottle of ADs it says "we believe a chemical imbalance causes depression" as opposed to "we know". I can't get this idea that we're being screwed by the system out of my head.
I look up this out-of-reality symptom I get all the time as well. I discover the term "depersonalization" and I fit the profile exactly. For the first time I find something that really describes me. I post about my experience, people agree this is exactly like what they have. I don't know what to do with the information as I refuse to see my doctor. The theory-thinking gets worse and worse and the more I talk about it the more I see no one understand, the more I think something might be really really wrong with me. I'm totally scared.
Yesterday: Somehow I end up on a website that links increased cycling in bipolar with AD use. Again, strong correlation that AD might CAUSE the suicidal behavior. But this time it goes further. It's suggested that people with bipolar are rarely diagnosed as such because they only see their doctor when they feel down. It's also suggested that AD might make and underlying bipolar condition worse. I start thinking about bipolar and why I’ve refused to think that I might have it: 1-psychiatrists never suggested it, 2-I don’t fit the exact profile. I decide to write down what I feel. I come up with this:
I spend my time evenly, half the time thinking this is out of control, and half the time feeling absolutely fine. I switch between phases all the time, sometimes on a daily basis.
The bad: I'm in emotion-neutral. I don't feel joy or pain. I feel very detached from everything. I look around my apartment and I feel kind of like "I can believe this is my life, my furniture, my cat, etc". I get episodes of depersonalization throughout the day which are sometimes really intense and highly existential in nature (main theme being what is reality because I don’t feel like I’m a part of it). I buy a lot of alcohol or pot to get rid of the feeling. Every evening I drink (usually) or smoke (much less often). My ideas are like things on a conveyor belt, a new one is passing by every minute and I can’t stop them. When I watch tv I see links to society, politics, power, all sort of political science theory (I study political science incidentally). I write these things down. I write a lot. I don’t tell my friends about the theories because they always react negatively, like I’m an oddball. I'm not able however to concentrate on class, my attention keeps shifting from the prof to some totally unrelated thing. I have difficulty following any conversation, sometimes I zone out and miss whole parts of it. I'm absorbed in thought. I'll do many things at the same time, and I can't finish one because I have an idea for another. I'm figgity. . I'm not very hungry and don't care to eat anyway. I feel like I'm in odd place where you can't move forward. It's never like this all at once and all the time but usually at least a few hours a day, and for a few days, not weeks. I don't really feel depressed, just numb, anxious, and obsessive.
the good: after all of the above, some superhuman force somewhere kicks in and kicks my butt back into correct action. I'm very attentive in class, I see my goals better and they feel within reach, I plan what I'm going to do more. People think I am confident. I feel more, I'm more likely to go out with my friends and want to spend time with people generally (in the above I never go out, except to university). I don't drink unless with friend, and I don't smoke. I'm more talkative, and better able to hold a conversation without loosing track of it. I'm still having a ton of ideas and theories, but they are easier to control and address one at a time. I write excellent papers. I feel on top of things. When this happens I'm always confident that I've finally seen the light and all will be fine now. But every time the bad phase kicks in again, almost like clockwork. And after that the good phase comes back and I forget about the bad. And it goes on and on.
It seems to me that the only thing about bipolar I have no described is the promiscuity and spending. Are these things really necessary for a diagnosis? Are obsessive thoughts about the bigger picture in the world an aspect that you get as well? Am I leaning more toward the psychosis end of the spectrum? I really believe my theories make sense but no one gets them. I've become completely obsessed by them.
I feel so out of control. When I was 18 I’d have maybe two shifts a year. Today, it's almost every day. I can’t stop it. I never told anyone the full extent of what a day in my head is like. Everyone thinks I'm this totally in-control person. I feel like I'm a fraud.
I’d really appreciate feedback. All this is nuts.
Nancy