Category: depression

What’s triple chronotherapy like? Did it work?

I followed the Triple Chronotherapy protocol Thursday – Monday last week. I wrote in laymen’s terms about circadian rhythm and Chronotherapy when I started and then copious updates afterwards. (At the end of this post you can see rough numbers tracking mood during my treatment.)

It’s important to note that I did this without medical supervision and so my thoughts cannot necessarily be generalized to what would happen in a clinical setting. And I don’t need to tell you this, but don’t try this at home kids. Bad things can happen.

During Day One of Chronotherapy

Staying up for 36 hours isn’t fun. I would imagine most people instinctively know this, but I can now say with certainty that 36 hours is too long to be awake.

The changes I noticed during this time were:

  • A lot of dizziness, difficulty going from sitting to standing
  • Lack of coordination
  • Nausea, lack of hunger
  • General feeling of weakness and unwellness
  • Depletion of cognitive ability
  • Disconnection from the world around me

This was not fun in the slightest and the only thing that kept me grounded was a friend that stayed up with me.

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Why Live with the Sadness and Pain of Bipolar Disorder?

I was very sad. Very upset. About something that happened in my real life. I was anxious, scared, angry and upset. But as with so many things, there was no resolution. Things just left in the air. Left to stab. Left to scathe. That’s what life is, I guess.

Because I was ignored. As per the usual. It is quite possible, and in fact likely, that the person is angry and thus ignoring me. Again, such are humans.

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Yes, I’m Grateful, But I’m Still Depressed

People are frequently telling me what to do to feel better:

  • Find Jesus
  • Hand your life over to a higher power
  • Think positively
  • Be grateful for what you have

(And actually, it’s the first two I get all the time, but I’m not going to talk about it because it’s just too touchy a subject.)

I’m Grateful and Yet Still Depressed

So instead, at HealthyPlace I address the issue of gratitude. I am, in fact, grateful for many things. Right now I am sitting on a comfy couch that’s paid for, watching my cats run around and play, enjoying the beautiful sunshine, with Ben and Jerry’s in the freezer. I am thankful for these things. In spite of gratitude however, my bipolar depression doesn’t seem to get better.

(And yes, it bugs me that people think I’m not grateful just because of depression. And yes, it bugs me that people think that if I were grateful I would get better. And yes, people bug me.)

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How To Get Off Pristiq or Reduce Pristiq

Now I’m not a doctor, in fact, I don’t even play one on TV, but I wanted to share a little about me and how I’m handling getting off of, or at least reducing, Pristiq.

Please also read: When to Get Off Antidepressants with Bipolar Disorder

Antidepressant Pristiq – Easy On, Not-So-Easy Off

I’ve been talking the antidepressant Pristiq (desvenlafaxine) for months and it doesn’t seem to be doing much, but honestly, the withdrawal from Pristiq is so bad I didn’t want to attempt getting off of it. As you might know, Pristiq is a metabolite of Effexor and Effexor, another antidepressant, is also a nightmare to get off of. If I would miss a Pristiq dose by even a few hours I would become suicidally depressed. Really. No joke.

No Taper Strategy for Pristiq

So getting off of Pristiq wasn’t on my short list of fun things to do. There is no taper strategy for Pristiq as it only comes in 50 mg and 100 mg tablets and you cannot cut them.

How I’m Getting Off Pristiq

But I seem to be successfully reducing the dose of Pristiq with minimal impact and withdrawal.

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I Hate Everyone Who Isn’t Suicidal

Today I feel angry.

Really angry.

Today I feel that my mentally ill, depressed, bipolar life is inexorably unfair.

Today I hate everyone.

I Hate Everyone Who Isn’t Suicidal

Yes, I know, I’m supposed to be better than that. Yes, I know, I’m supposed to rise above that. Yes, I know that isn’t fair or particularly true. But I feel it anyway. You try being this depressed. You try being this suicidal. See how many people you hate.

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Depression: Why Do People Keep Asking What Happened?

black and white sad face

I have had this exchange a thousand times,

“I’m really depressed.”
“Why, what happened?” 

Have you been missing the plot?

Bipolars Get Depressed

Bipolar disorder is defined as the cycling of moods between a depression and a mania, or hypomania. It is not characterized by being cut off in traffic and then being depressed about it.

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Bipolar Natasha Tracy’s Interview with HealthyPlace

Here is today’s interview with me, Natasha Tracy, complete with call-in questions. I think it went well. We discussed some of the negative impact bipolar has had on my life. I talked about bipolar disorder, depression, suicide, coping and how my writings at HealthyPlace have been controversial.

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Depression: Silence of Being Ignored Feels Like Loss

This silence feels familiar. I despise the deafening, familiar sounds of silence. They terrify me. I suppose the silence strangles me. Strangled, alone, screaming.

I Hate Being Ignored

People who know me, know this about me. They know how much I hate being ignored. They know that when they don’t return my calls or my emails my mind riles in negative and catastrophic scenarios. People who actually like me don’t want to do that to me.

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People Who Attempt Suicide Don’t Want to Die

There are frequent reports that of the people who survive suicide attempts, they realized sometime after the pills, or the gun, or the jump, they didn’t want to die. This is obvious. No one wants to die. People who attempt suicide don’t want to die.  They want to be out of pain.

Hopelessness Creates Suicide AttemptsPeople Who Attempt Suicide Don’t Want to Die, They Want to Be Free of Pain

It is obvious that every human wants to live. No matter what their personal circumstance each human claws against death until they either don’t see it coming, or they feel there is no alternative for them.

Many people actually have no problem with that – we call it doctor-assisted suicide. The reason it’s “OK” to kill yourself near the end of your life is because it is medically certain you will be in agony for the short remainder of your existence. In this instance doctors just turn their head while a little extra morphine is administered. Happens all the time.

Bipolar (Mental Illness in General) Isn’t Considered a Terminal Illness

No one, however, recognizes mental illness as a terminal illness. It can never be determined to a medical certainty that the rest of your life will be lived in agony. Even though it might be. Tomorrow might be different. Magic might happen. A unicorn might walk through my front door. But probably not. Tomorrow is probably going to be exactly like today. Only it’ll be Saturday. Yay.

Depression Deprives People of Pleasure, Causes Pain

The problem with a disorder like depression is that pleasure is simply absent. Pleasure in all ways is gone. Desire is gone. Depressed people don’t like anything. Depressed people don’t want to do anything. And even if something extraordinary were to happen, like a unicorn in your living room, it wouldn’t matter. Because the ability to feel pleasure is gone.

And if anhedonia weren’t enough to make life absolutely pointless, there’s the adding of pain on top of it. Pain on top of pain on top of the unbearable, unarguable knowledge of more pain. And still, the fact is, I don’t want to die. I just really don’t want to live. Like this.

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I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

Also, find my writings on The Huffington Post and my work for BPHope (BP Magazine).

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