Thursday, December 18, 2014

28 Thoughts I have when attempting to find a parking space at the grocery store

The other day I had to stop at Harris Teeter on my way home to pick up a few things we had run out of at home.  It took me about 15 solid minutes to find a parking spot.  These are a few of the things that ran through my head.

1. OMG, everyone and their mama picked this time to head to the store! Great.

2. Sure, that's fine. Just pull out in front of my car. I'm not really here.

3. Oooh, where are you headed, sir? I will stalk your ass to your spot.

4. MOTHERFUCKER!

5. Oooh...coming or going, coming or going?

6. Damnit, they pulled out the stroller.

7. Yes! A spot! Whoo hoo!

8. DAMN YOU HANDICAPPED SPOT WITHOUT A SIGN!

9. Sweet! What? "Reserved for Expectant Mothers".  I wonder if I'm chunky enough to pass as one...

10. Motherfucking small cars/motorcycles!

11. Dude! Why the fuck are you stopped in the middle of the damn lane? Seriously?

12. Oh, you're on your fucking cell phone. Get off your goddamn phone and PAY ATTENTION!

13. Finally, someone leaving!

14. Shit. They had their blinker on first.

15. I swear I have been down this aisle like 800 times.

16. This asshole is taking up two spots! Two!  I should key his fucking car.

17. Ok, lady, I have a kid too and it does NOT take THAT long to get them in and out of the car.

18. I see people leaving with groceries, but where the hell is their car? Where the fuck did they park? Narnia??

19. Lady, I swear to God if you hit my car with your cart.....

20. Ok, I'm trailing this guy to his car. This is ridiculous.

21. Yes, I am following you, and I don't give a shit how long you take, I am NOT leaving.

22. Oh, HELL no! I was here first.  Respect the blinker, bitch.

23. Oh. My. God. What the hell are you doing in your car?!?! Leave already!!

24. You know what? I will wait here all night if necessary, motherfucker.

25. That's ok. Take your sweet ass time backing your car out.

26. Don't even THINK about taking this spot. I will cut you, bitch.

27. Finally!

28. Seriously?!? Where the hell were all these open spaces before???

Monday, November 10, 2014

Not quite an exact science

So my last post was a coming out of sorts after the suicide of Robin Williams.  Consider this one to be an update, if you will.

So I've been seeing my therapist (not to be confused with my psychiatrist) for almost a year.  I have mixed feelings about him, but finding a therapist is so effing hard that unless he does something really messed up, I'll stick with him.  Anyways, during a visit with him several weeks ago, towards the end of the session, he tells me that he wants me to talk to my psych the next time I see her because he "hasn't completely ruled out the possibility of my diagnosis really being bipolar II."  Da Fuck??!!?  Wouldn't that have been pertinent information to share when I was, oh I don't know, IN THE BEHAVIORAL HEALTH UNIT BACK IN MARCH!!!  I ask him exactly what about me is tripping him out to this conclusion and he proceeds to tell me that he's observed symptoms of hypomania when I've been in his office.  Again, would have been useful to know this earlier, but better late than never.....?  Apparently, the rapid speech I have from time to time cannot be attributed to the fact that I'm from Jersey and everyone talks fast.  There have also been patterns of behavior from my past and present that would help scoot me into that category.  Awesome.  I ask him how exactly to bring this up to my psych and how this would be diagnosed.  He tells me to just say that he thinks I may have bipolar II.  Ok.  What about my diagnosis - how exactly do we confirm the new illness?  I'm told that I'll be put on meds that treat bipolar II and if they work, voilĂ .  WTF!  So I have to be a medical guinea pig??? There's no other, practical way to do this?  Really?!!?  Then he asks if I would like for him to talk to my psychiatrist.  Gee, ya think?!  Shouldn't you have been talking all along since I had to fill out the paperwork that said it was ok for you two to talk about me behind my back and compare notes?

Whatever, so I have my appointment with my psych and tell her what my therapist said about the whole bipolar II stuff.  (I asked her if she had spoken with my therapist and I was told they kept "missing each other.") She doesn't flinch.  She doesn't look surprised. She actually agrees that I may have bipolar II.  Seriously, people?!  Why am I the last to know this?  So I pose the question to her: how do I go about being correctly diagnosed?

"Well, we will put you on a low dosage of lemictal and see what happens."

"Seriously? That's it?"

"Well, it's not an exact science, but we can figure that if the meds work, then you have it."

"Great, well, tell me about lemictal."

"Are you prone to rashes?"

"Um....no....why?"

"Because it is known to give patients a serious rash that needs to be treated immediately at the hospital."

"Yeah, I'm not real big on that.  Any other options?"

"There's trileptol."

"Does it give you a rash?"

"No, but it can make you drowsy, so take it at night."

"Sold."

And that was it.  She gave me a scrip for trileptol and off I went.  Since these meds, or any head meds, take a few weeks to see if they actually work, I had to wait for my follow up appointment.  Over the next several weeks of my taking it, I did notice an improvement in my irritability levels, which is how hypomania can manifest in some people.  I report back to her about this and she starts telling me that she'll up the dose.  So I ask if this means that I have bipolar II.  She said yes.  Ok, then.  All my life that I have been dealing with mental health issues, I always thought it was just depression and anxiety.  After learning more about bipolar II and how it can show up in people and that there is a sliding scale as to how much it impacts the individual, everything started making sense.  Now this doesn't mean I'm a different person, or that I'm somehow suddenly psycho,  but it does explain a little how I can be the life of the party at times, or how some people think I'm a raging bitch.

So off I go to learn as much as I can about bipolar II. Because, honestly, why should the way to diagnose someone with a mental illness involve a drug trial instead of a simple test?

Tuesday, August 12, 2014

Mental Health Awareness - End the Stigma

Ordinarily I like to keep my blog posts light - make people who read them laugh - and just talk about everyday things.  But there's something that I need to talk about and share.

Yesterday, when I heard Robin Williams committed suicide, it was right after my Pure Barre class.  My husband texted me to let me know.  I felt like someone punched me in the stomach.  Of course, I'm one of the many who loved and adored him - who didn't? - but there was something else about him that I connected with.  He lived with depression, and so do I.  When I hear about someone losing his or her battle with depression, it strikes a chord because I know how that feels because I've been there.  I know what it feels like to want it all to go away and feeling the only choice is death.  Feeling like everything and everyone would be better without me because I just get in the way.  Yesterday, I sat in my car and actually cried.  I don't usually cry over celebrity deaths, but like I said, this one was different.

Here's what bothers me: Williams had a well-known, documented struggle with sobriety.  Some knew about his depression, but there was more talk about rehab and his substance abuse.  For some reason, talking about getting shitty on drugs and having to do some time in a facility for it is much more acceptable than talking about battling depression.  I mean, come on....everyone gets depressed, right? You forgot to DVR your favorite show.  It's raining out and you were hoping to go to the beach.  Those cute jeans just don't zip anymore.  That's being depressed, right?  Nothing a little retail therapy or time with friends can't solve, right?  Just snap out of it!  You're bringing down the whole room.  Cheer up!  Stop thinking about it.  Don't be such a drama queen - you don't need medication.  That's for other people, not you.  Until people start to take mental health seriously, there will be more people for whom drugs and suicide are the answer.

Let me try and shed some light on what it's really like to have a mental illness like depression....

The alarm goes off in the morning telling you it's time to get up and go to work.  You don't want to get out of bed.  Not because you're still tired and your bed is super comfy.  You don't want to get up because that means you have to face other people and life.  The idea of getting dressed in clothes other than what you're already wearing is exhausting.  You should probably take a shower, but even that is too much of an effort.  You get up anyway because you have a spouse and a child who both count on you.  You manage to get to work, where it's all you can do to just get through the basics.  You interact with people, but all you really would like to do is find a cozy corner and cry.  There's nothing specific that makes you want to cry, it's just there.  You have to pick up your child after work and instead of receiving joy from them, you are irritated by every single thing they say and do.  Even the way they want to hug you is annoying.  You yell at just about every driver you pass because everyone is a fucking idiot.  After you walk through the door, you immediately put on your pjs and find a spot on the couch where you close your eyes because that's the most movement you can handle right now.  Of course your child wants to play, but you just can't.  You hand them the iPad or put on Disney Jr. just so they have something to do other than needing something from you.  Your spouse gets home from work and the first thought you think isn't "I'm so excited to see you" it's more like "Thank God, now I can go lie down in my room alone."  When you're alone in your room, you start to think about how useless you are.  Why couldn't you be a better parent, a better spouse?  Why couldn't you just put a little more effort in - is it really that hard?  You start to think it would be so much easier and helpful for you and everyone else if you just weren't around anymore.  You wouldn't be a burden on so many people, an irritation.  You start to wish that you get into a fatal accident or anything that will allow you to make it all stop.  And what really sucks is you have to get up tomorrow and do it all over again.

That was me before I went into the behavioral health unit of my hospital for almost a week to get some help.  Depression is something I have been living with since my early 20s....possibly even earlier.  My official diagnosis is Major Depressive Disorder, Generalized Anxiety Disorder, and Panic.  Yeah, when I'm not wanting to cry, I'm worrying about something.  You know that feeling you get in your chest right before you barely miss hitting the car in front of you because they stopped short and you had to slam on your breaks?  Or if you 're a parent, that tightness in your chest you get as you watch your child do something that could cause them to get seriously hurt?  Now imagine having that feeling last longer than a few seconds....more like a few hours or a few days or a few weeks.  I remember being addicted to WebMD and looking up all these symptoms I thought I had trying to figure out what disease I had - because I had something.  I thought I had cancer, I thought I had AIDS, I thought I had a new disease they hadn't even named yet.  The advice I heard at the time from people? You need to do something to get your mind off of this....you're spending too much time thinking about it.  Oh, I'm doing it on purpose?  I can control my thoughts?  Really?  Thank you for telling me to do something I've already tried to do and can't.  I remember my first panic attack - I was waiting for a friend to pick me up when, out of the blue, my heart started racing.  I got tunnel vision, I was dizzy, my palms were sweaty and clammy. I thought I was having a heart attack and my friend was going to get to my house and find me on the floor.  Like it was yesterday, I will never forget sitting in the back seat of my parents' car thinking to myself "If this is how my life is going to be like, I don't want to live it anymore."

Ironically, it was my gynecologist at my annual who identified my symptoms and gave me my first prescription.  I started to feel better.  I was seeing a therapist.  Eventually, I stopped both because I was feeling so well.  I ended up needing both therapy and medication again when the symptoms returned.  Rinse and repeat that cycle.  It wasn't until I was in the ER after a breakdown at my job that  I demanded someone take me seriously, give me an examination and an official diagnosis.  I was sensing the doctor on call in the ER was getting ready to simply give me a new scrip and send me on my way.  I said to him "Listen, I think it's ridiculous that unless I say I'm going to use that light cord to hang myself from the ceiling or that my dog talks to me and tells me he's Jesus, no one will help me."  Shortly after that declaration, I was taken to the Behavioral Health Unit.  It's not like Girl Interrupted.  There is no secret society.  No Whoopi Goldberg nurse or Angelina Jolie badass ringleader.  There's no sneaking out to a secret location to secretly smoke cigarettes and drink.  There is someone going through all of your belonging and taking away any strings, cords, or sharp objects.  I had to take the shoelaces out of my sneakers and even the drawstring out of my pj pants.  The bathroom door is padded and closes with velcro and is reminiscent of a bathroom stall - space above the door and below.  It's to prevent someone from committing suicide or hiding in the bathroom.  There are meetings with your psychiatrist and group therapy sessions.  You're not allowed electronics of any kind, unless approved by your doctor, and most definitely nothing that has a camera or connects to wifi.  If you want to call someone, you have to have someone dial for you.  If someone wants to call you, they need to have a special code.  There are two visiting times a day, one on weekends, and only for 2 hours at a time.  The board games that are available have pieces missing, are a million years old, or just dumb.  You're around other people who are like you: sick and wanting help.  It's comforting to see you are not alone.  There are other people who are normal and suffer in silence until it becomes too much.  You learn more about yourself and your illness and how you can monitor it.  You can't make it go away, you have to learn how to live with it in order to prevent relapse.  Because it's not a matter of if you'll relapse, but when it'll happen.  You learn how to ask for help from those around you in your support group and ways to keep yourself safe.  You learn how to advocate for yourself.  You learn that you will need to take medication and see a therapist for the rest of your life - even when you feel "fine" - because that's part of your management.

I'm angry that it took the passing of someone like Robin Williams for people to start mentioning mental illness.  I say mention because no one is ready to really talk about it.  I'm angry because when someone is acting a little strange, they are "bipolar" or "schizo".  Mental heath wards are "looney bins".  I'm angry that if I want to be open about my mental illness, I'm worried that I'll get the "look" or the sympathetic head tilt and eyes filled with concern.  Do people do that for someone who has diabetes?  Why is there a push for people to get annual physicals, but not annual check ups with a psychiatrist?

I live with mental illness.  It doesn't mean I'm crazy or psycho or nuts.  It doesn't mean you can't trust me.  It doesn't mean I'm unreliable.  If you know me but at all, you know that is not the case.  I am not going to be ashamed to talk about my diagnosis because if I can make someone else feel comfortable enough to reach out for help instead of going through it alone, then it was worth it.  If you start to look at me differently, then fuck you.  I'm still the same person.  Here's what I ask: do your research.  Talk to experts.  Talk to me.  Talk about mental health the same way you talk about breast screenings and second-hand smoke.  The next time you want to call someone bipolar or mental because they are being weird, stop and think about what stereotype you are perpetuating.

I will miss Robin Williams, and his death makes me scared.  Scared that one day, I will relapse to the point where it's all just too much.  I have an excellent support system in place, but I know that's not the case for everyone.  I ask on behalf of all my friends and loved ones who also live with mental illness that you do something small to help make a difference and make mental health awareness important.  We need to end the stigma so those who need help don't feel they need to hide.

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