Category: depression

Hope and Resolutions – New Year, Same Bipolar

So here it is, 2011. Yes, a new year. People are full of hope, resolutions and motivation for change.

It should come as no surprise that I, the bipolar, the depressive, the philosopher, the writer, am not.

Resolutions and Hope for the New Year

Most people, mostly wrong people, think that they can seize this moment to change their life. People think that this arbitrary moment of existence somehow means that they can make their lives better.

Silly, sill them.

Resolutions and Disappointment for the New Year

The new year really means silly promises that people don’t keep and then are disappointed about by February 1st, if they’re lucky enough to last that long. Anyone still losing weight, going to the gym, reading more, quitting smoking, reducing debt or volunteering like they promised last year?

Resolutions and Hope: New Year, Same Bipolar

So my problem, the thing that really sticks in my craw, is this: if your average person can’t be expected to keep a New Year’s resolution, what chance does a crazy person have?

I’d say, very little.

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Depression, Intrinsic and Extrinsic Sadness

There are two categories of sadness: intrinsic and extrinsic, or internal and external. Within those categories there are is all manor of sadness, but for our purposes, we will make this single distinction.

Depression is Intrinsic Sadness

Intrinsic sadness is sadness from within and without cause.[push]Intrinsic sadness is pain without cause. It is without beginning or ending. It is sea you fall into without shore.[/push]

It typically presents itself in a clinical sense as depression. In a physiological sense, it’s misfiring (or not firing) neurotransmitters. Research suggests that a serious deficit of this type (depression) rarely rights itself without proper medical intervention. Intrinsic sadness is the stuff I feel most of the time in varying degrees thanks through my bipolar. Luckily most “normal” folk will only experience very limited intrinsic sadness and it’ll probably lead to just a blue day, and not depression.

Extrinsic Sadness Can Turn Into Depression

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I Can’t Remember Not Being Depressed – Emotion and Memory

When I am depressed I can’t remember what it’s like not to be depressed.

It’s an interesting phenomenon, actually. Although I, logically, can state that I have spent massive chunks of my life out of major depression, when I’m depressed I feel that’s not true. I can’t remember not having depressed emotion. I literally can’t remember what non-depressed feels like. Logic ceases to be convincing. I understand there’s a high statistical likelihood that depression will pass. But I just can’t believe it, can’t remember it, when depressed.

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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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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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