Thursday, June 23, 2016

Crashing

I'm not sure if this is going to be a coherent post. I was clearly in hypomania for at least six weeks or so; I was sped up and felt like I had caffeine in me all the time. But now I feel slow and depressed. It's hard for me to think of things when people ask me questions and my thought processes are all around slowed down. I have a heavy heart and I feel like shit. Like a shit. I feel like a piece of shit.

Good and bad things have happened, that's not what this is about. I can clearly feel that this is my chemistry cycling into depression just as it has many times before. I was happy earlier, then irritated, angry, now sad. I just don't want to be this sad. I guess I have to pay the price for the high I felt earlier.

I told my meds doctor that I had stopped taking my Lithium because I thought I didn't need it. I thought that perhaps I was misdiagnosed and maybe my illness should be classified as Major Depressive Disorder as it has been for like 10 years...

And the lithium didn't seem to be doing anything for me, I don't even get side effects from it, it felt like a sugar pill. So, I just didn't worry about taking it every day.

Once I started to feel some negative effects of the hypomania like the irritation and the anger, and I was super rude to this guy at work and starting to get written up again for being a jerk, I started taking my lithium again.

AND I've asked my meds doctor to add something for anxiety because I have been on the edge of my seat nearly every moment of the day. It takes so much for me to relax at night. Sometimes I do ok and then other times I need to listen to guided sleep meditations and it might take multiple ones before I can relax my muscles and breathe easy.

My illness has been nuts lately. The hypomania and depression and anxiety would be enough but I've also been possibly experiencing such social anxiety as to border on paranoia. On wikipedia (great source, I know, I know...) it says that "Social anxiety is at the bottom of this hierarchy as the most frequently exhibited level of paranoia."

And " A paranoid person may view someone else's accidental behavior as though it is with intent or threatening."

I feel that these quotes totally describe me. Recently, I've had to turn my music up in the office so that I can't hear others' conversations because otherwise I start to think they are talking about me; gossiping and saying negative things. A couple times I've felt so intense about it I've had to go down and try to get a drink of water or something near them so I could hear what they were saying and see if they were talking about me. They weren't of course.

Or, once, a couple of my coworkers left around lunchtime and I thought they had gone out to lunch without inviting me. I had to listen to some breathing exercises on my phone to calm down. It turned out they had just gone to the post office and as soon as they got back they invited me to lunch.

Another time, I noticed my boss had left the office with our HR director and I was sure they were talking about how I was 5 minutes late that morning and how HR didn't like me and wanted me gone. But it turned out they had gone to buy food for our annual picnic. I mean, they could have still been talking about me.

I've had this problem since middle school, where I'll be certain that a nearby group of people is saying bad things about me and I'll be really angry and embarrassed and not be able to think about anything else.

Last week I accused my therapist of not listening to me, being condescending, and saying a few things with a nasty/mocking tone. She assured me that was not her intention, and told me that it made her uncomfortable that I said those things and that she felt she had to be careful with every facial expression, gesture, and word she said. She said she would still work with me but did not understand why I wanted to still work with her.

If I have intense social anxiety, every therapist is going to make me feel uncomfortable, but should I keep silent when I feel hurt? Or is she maybe a jerk and not owning up to it? Who would?

The problem is dizzying.

Does my therapist have good intentions?

Well, it didn't feel like it to me.

But, I know that I often have symptoms of paranoia.

And yet, shitty people still exist and have done shitty things to me.

She seems to know her stuff, knows CBT and does more than just ask, 'so how was your week?'

Doesn't mean she didn't have a bad day, and is now trying to cover her ass.

Well, everyone has bad days, they shouldn't be hated forever for it.

That is true, and she does seem like a good therapist. But, I'm not sure she wants to work with me anymore. And, maybe her bedside manner just sucks. And, if social interactions are my problem shouldn't she be trying to help me instead of kicking me to the curb?

Well, she said she would continue to work with you. So she didn't completely kick you to the curb. There is some uncertainty about whether she will end up cancelling. A good therapist should definitely help no matter how uncomfortable they are, as long as it's not in a sexual way. It's what I would do. Haven't I earned that in Karma, yet?

I don't know, maybe you need to wipe some more butts and wash some more feet first. Or maybe Karma doesn't work that way - or doesn't exist. 

 I don't know where to go from here. This was supposed to be the basic argument - I didn't feel like she had good intentions but I'm crazy so maybe she did, but I'm crazy so how am I ever supposed to know the difference?

Yea, it kinda got off track.

It's ok, no one's going to read this far. 

 I can't afford my therapist anymore anyway.

I kinda think you should do one more session with her - just to see what happens. Will she cancel? Will she freak out? Will it be awful? Will it be ok? Will she insist you see someone else afterwards? It could confirm or deny your fears.

Some fears are better left unconfirmed...

For science?

I was going to say let's talk again but now you're getting on my nerves.

Sorry.  

Damn, I can't even be nice to myself. Well, I knew that. My nightmares are too disturbing to talk about. 




 

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