Abilify, Not I : Adventures in Antipsychotics

Lately, I have written a series of posts over the last two months describing certain troublesome symptoms I associated with the worsening of Bipolar Disorder, or the potential for comorbid disorders.

In my last post, When Medications Go Wrong, I briefly wrote about my recent discontiuation of the pharmocological treatment using Abilify as part of my medication regimen:

Recently, I stopped my Abilify.  Admittedly, it was because I noticed an interaction between the Abilify and my weekend consumption of alcohol.  I started to find that I would fall asleep soon after taking it on Friday’s while we drank.  I decided that I would just stop over the weekend, and continue during the weekdays as normal.  But, eventually, I just forgot to take it at all.  And soon, I started to notice an improvement in my worsening condition.

I went on to describe some of the awful side effects I was experiencing as a result.  However, the list was truncated for the sake of keeping word count down.  The description is rather limited in terms of accurately depicting exactly what I was subject to.

• Cognition Disturbances and Memory Fragmenting.  Originally, I wrongfully blamed Lamictal in Vitamin L : Medication Adventures for my aphasia-like symptoms.  The disturbances felt like aphasia.  At first, it was almost indescernable.  I started word dropping again, meaning I would be reaching for a word, but was unable to grasp it.  Instead, I would be able to get to every synonym around it, however, those words did not fit the exact context.  Eventually, it became a more severe form of word dropping, and I found myself dropping sentences entirely at the loss of any word or synonyms around it.  It progressed into entirely dropping conversations at the loss of a sentence.  Then, I found myself

  I started forgetting things again.  These were simple things, like losing my purse or shoes in the house.  It seemed like just a simple case of forgetfulness, maybe stress related.

• Emotional Blunting and Partial Flattening.  I had never had too much trouble with emotional blunting in the past.  While I’ve found myself in times where it was difficult to express my emotions, this didn’t indicate a lack of emotional response.  I describe it as a partial emotional flattening, because it wasn’t an entire lack of reactivity.  It felt like my spectrum of emotions had been significantly reduced, although not completely removed.  There was a certain inaccessibility to certain strong emotions.  Rather than completely removing extreme emotions, it threw a wet blanket on top of them, leaving them to bubble under the surface.  So, the emotions still existed, but were muted and unable to be adequately expressed.

  At it’s worst, I began to lose most feeling entirely, with the exception of irritation and the sensation of boredom and fatigue.  I began to lose love and my attachments to meaningful people and my relationships with them.

• Dissociation.  I touched on a summary of the dissociative symptoms that Abilify had brought on.  I have been writing articles on the experience throughout the last few months on the subject, describing the feeling in great detail, but remained unable to exactly identify is appropriately.  The dissociation probably occurred as a response to the prior bullet points.

  The dissociation cited was experienced as a removal of self and removal from my own life.  I had felt as if I had been separated from myself and my world.  It was a feeling of something being stolen from me, or something fundamentally inaccessible.  Like, I was being locked out of my own life, or becoming transparent and just fading away.

• Worsening of Depressive States.   This is probably a direct result of the first three bullet points.  I started to disengage from my life.  I lost interest in just about everything.  Most things were considered to be either boring or tedious.  Important things started to lose meaning.  This was experienced as a part of the emotional flattening, but it caused a concerning and distressful reaction.
• Exacerbation of Social Anxiety.  Since I had lost the ability to carry on a conversation and found myself completely disinterested in socialization, my social anxiety went through the roof.  I simply didn’t care about anything anymore, especially trivial things I used to find interest in.  Therefore, I found it difficult to carry on a conversation.  This caused extreme distress in social situations, and encouraged further isolation.
• Disturbed Sugar Levels.  While I have no concrete proof in terms of tests, certain symptoms have come to my attention.  They are notated below in the next two bullet points as thirst and weight gain.
• Loss of Sensation of Bodily Hunger, Thirst, and Fullness.  Within the last few years, I started to become more in tune with my body.  I was able to feel the sensations of hunger through my sugar level, which probably caused the loss of bodily hunger.  The disturbed sugar levels probably also caused an extreme thirst that could not be quenched.  At first, I craved water.  Eventually, I started to put the soda back down, which probably caused part of the weight gain mentioned below.  And I felt an extreme pressure in my stomach, which was also exacerbated by the influx of so much fluid.
• Extreme Weight Gain.  Truthfully, I don’t dare get on a scale at the moment, so I am unable to notate at this time exactly how much weight I’ve gained.  By the fit of my clothing, I will estimate that I have gained somewhere between ten and fifteen pounds in the last three months.  That is a substantial gain for me, especially since I was losing weight prior to the start of this medication.
• Exacerbation of Eating Related Problems.  By all definitions, it’s completely possible that I am living with an undiagnosed eating disorder.  However, I am not entirely convinced, since it isn’t an ongoing and prevalent problem.  Therefore, I define it as eating related problems and difficulties.

  The concern for weight gain and the sensation of fullness caused a very terrible reaction of binging and purging.  I was unable to control my eating, as notated above, therefore the sensation of extreme fullness would cause me to perceive the overeating as worse than it actually was.  Unfortunately, this led to a very vicious cycle and encouraged further weight gain.

• Disturbed REM Sleep.  I was waking up tired, and noticed that it felt like I had stopped dreaming.  This caused my mental state to take a considerable dive.  It caused extreme fatigue and excessive, unproductive sleeping.

While I am cleared of most dissociative symptoms, emotional flattening, and my depressive state is lifting a little, some side effects have remained.

• Cognitive Disturbances.   The aphasia-like symptoms remain, but to a lesser degree.  I am back to just being a little forgetful, and have some minor word dropping.
• Memory Fragmenting.   Some of my memories remain dull, but seem to be returning.  However, most of the last three months remains inaccessible.  It may never become accessible, due to the disruption in the formation of short-term memory.
• Disturbed Sugar Levels.   I am still thirsty, but I am no longer engaging in carbohydrate seeking consumption behavior.  I figure it will take awhile before my sugar is regulated properly again.
• Weight.   Thankfully, my weight does seem to be coming down.  I have only been completely off of the medication for less than a week, and my clothes are already fitting better.  I’m going to assume that in addition to the weight gain, I was retaining water and constipation.  My regularity has come back, and I don’t feel as puffy as I did

Unfortunately, I am experiencing a return of some of my milder psychotic symptoms.  In Imaginary Enemies, I described a cognitive disturbance I described as “The Voice”.  “The Voice” can be characterized as a singular persona, as I wrote about in Conscious, Subconscious, and Extraconscious, where I described a theory of a third consciousness that exists between the subconscious and the conscious mind.

The Extraconscious is postulated as where the persona(s) reside, laying in semi-dormant waiting, perfectly aware of the current reality that is being experienced.  “The Voice”, in more severe psychotic states, can be experienced as a separate entity entirely, detached from the consciousness.  That is the defining line between a cognitive distortion and an auditory hallucination, when a persona detaches itself from the extraconscious as an external sensation.

As an extraconscious persona, “The Voice” can best be defined as a quasipersona, lying somewhere between Dissociative Identity Disorder and psychosis.  It is experienced as a semi-active part of the conscious mind, as the dominant persona is well aware of it’s existence and there is a certain interaction that occurs between the dominant persona and “The Voice”.

That is the best theory I can offer as to the existence and function of the quasipersona, known to me as “The Voice”.

The mild auditory hallucinations and visual hallucinations have returned, probably defined better as a sensory disturbance, rather than a symptom of psychosis.  When experiencing a sensory disturbance, it’s not full on hallucinations as described in the definition of psychosis.  There are not entities separate from the body.  They are recognized as a disturbance in the current reality, distorting shapes, colors, and contrast in the vision.  In the hearing, it is experienced as a distortion in sound, causing sounds to be sharper, duller, muffled, or louder than they actually are.  It can only be sensed by a sudden shift in perception.

So, instead of hearing things at a normal sound level, the sound volume may increase to deafening levels or may become muted and difficult to discern from nonexistent static that occurs in the mind.  My visual disturbances may be perceived as viewing the world in high contrast, extremely bright colors, and / or extra high definition resolution.  Or, they may be seen as duller than usual, muting colors, distorting shapes, and / or clouding the vision with that appearance of a veil or foggy goggles.

Intrusive thoughts have returned, but not with the same extreme nature as experienced several months ago.  In truth, they were never completely removed by the Abilify, and at some points were made worse by the drug.  Instead of experiencing them as a truth in reality, I am now able to separate them using logic.  I can talk myself off of the ledge and separate them from the reality of a situation using DBT techniques of mindfulness and distress tolerance.  Prior to the cessation of Abilify, I was unable to utilize those techniques.

I don’t mean to put anybody off of treatment with psychiatric medications, but I felt this was important to document and have as a resource on the internet for anyone who is thinking about taking the drug.  Some of these side effects aren’t listed in the pamphlet, as they are probably isolated to a condition.  But, I feel they are still a distinct possibility for anyone who is being treated for similar conditions.  It is vital that this information be notated and readily available for medication education purposes.  This information probably should not be generalized to all psychiatric medications, especially in the class of antipsychotics.

 

When Medications Go Wrong

For years, I’ve pretty much been medicating myself.  I take my scripts home and medicate how I see fit for my situation.  I realize that makes me medication non-compliant.  The trouble I come to is my trust in doctors.  I have been burned so badly before that I find I have a lack of faith in them to know how they are really treating me.

When I was in my teens, and being treated for Major Depressive Disorder (misdiagnosis – strike one), I was put on high doses over a slew of medications for years with little result (overmedication – strike two).  I suffered extreme side effects, with little done to relieve them.  I took Zoloft in increasing doses over a three year period.  I continued to complain of extreme fatigue, anxiety, motion sickness, and periods of flu-like symptoms.

The doctor’s answer?  More medication.  It came to a head when I found that if I sat still for too long, I would drift off to sleep.  Sitting in school became impossible, and I was sleeping fourteen to sixteen hours a day.  Eventually, I was put on 300 mg of Zoloft with Provigil to combat narcoleptic symptoms.

It was at the doctor’s suggestion that I continue to exceed maximum dose and go to 350 mg that my mother finally put her foot down.  “Put her on something else.  We’ve put three years into this, and it clearly isn’t working.”  And much to my doctor’s chagrin, I was switched to Lexapro.

Wrong answer.

Immediately, I started to have dissociative symptoms.  I recall laying in my room, laying on the floor, and staring at my ceiling in the dark.  My mother stood in my doorway, just observing me.

“What are you doing?” she asked.

“Nothing,” I answered blankly.

Yes, I was finally awake.  But, every moment was torturous.  I lost my sense of self, and started to drift away.  My memory began to fragment, and I sunk into a deep, desperate depression.  I was frantic and crazed, while feeling numb and blank at the same time.  I became paranoid, and started to assert that everyone was doing things against me.  They were intending to harm me, and I started to give meaning to harmless comments and phrases.

I attempted suicide several times in the first month.  The cutting became so bad that I was doing it in rather public places.  I was caught one time at my boyfriend’s house, and I had a dull exacto set ripped off of me and immediately chucked into the local creek.

We were unaware of all of the side effects at the time, because all of the medications I was placed on were brand new.  When a pharmaceutical representative left her office prior to my visit one day, it became clear that I had become an experiment to brand new medications.  I was taking expensive, largely untested medications for her financial benefit.  Strike three.

I had gained thirty-five pounds over a six month period.  I was 4’11” and 165lbs.  That put me at a BMI of 33.3, and in the obese range.  And despite all of my best, and even worst, and unhealthy efforts, I still couldn’t manage to get my weight below 145lbs.  I was starving myself on 900 calories a day, and I still hovered around obesity.

I couldn’t afford my medication once I was kicked off of my parent’s insurance, and I just decided that since it failed to ease my symptoms, I would stop taking the medication entirely.  They failed to mention that if I attempted to stop the medication cold, then I would be stricken with the worst withdrawal I had ever known.  It was a good thing my parents had been through this before with my father, because they knew how to ween me off.

It took me years to get the rest of that weight off.  But, by then, the medication had already done long lasting damage far worse than just weight.  I had begun to develop a drinking problem.  I had engaged in risky sexual behavior due to hypomania.  And it sent me walking with bad eating habits.

After that, I distrusted doctors and medication entirely.  I had lost faith in mental health treatment.  I was left with a feeling that I didn’t have a disorder at all, and instead, it was just me.  I was convinced that I wasn’t treatable.

It took a lot to make me realize that I was in desperate need of treatment.  I had taken psychology courses and was suggested by several psychologists in my college to have bipolar disorder.  I knew my behavior wasn’t “normal”, just as I had always suspected.  It took the my marriage, my depleting mental health of my husband, and the birth of my son to encourage me to start treatment again.

Three years, four doctors, and a another slew of medications later, and here I am, again the victim of overmedication and bad medication choices.

Recently, I stopped my Abilify.  Admittedly, it was because I noticed an interaction between the Abilify and my weekend consumption of alcohol.  I started to find that I would fall asleep soon after taking it on Friday’s while we drank.  I decided that I would just stop over the weekend, and continue during the weekdays as normal.  But, eventually, I just forgot to take it at all.  And soon, I started to notice an improvement in my worsening condition.

Suddenly, I was able to think again.  I started to feel more like myself.  I became more aware of what I was thinking and feeling, and I finally started actually living in the world around me.  It actually felt like living again.  And that’s when I noticed the weight I had put on.  I had fell victim to Abilify’s weight gain, among other things.

I can blame the dissociative symptoms on Abilify.  It had created an emotional flattening, and I started to dissociate from myself and my world.  It had robbed me of my ability to write and care for my family appropriately.  I wasn’t feeling, so I wasn’t caring.

The anxiety?  Well, I recently started to run out of a supply of Wellbutrin I can’t really afford right now.  I started to cut back to make ends meet, and I discovered that was starting to subside.  Other than rebound depressive symptoms, I was feeling better.  It didn’t matter to me anyway.  I was still going through crying jags, whether I was taking the Wellbutrin or not.  The difference was between whether they were loaded with distressful urgency to cut or not.  I decided that I would prefer to keep my near streak of four months without cutting.

I don’t blame my doctor.  He’s an old school doctor who works off of the biological model and treats symptoms.  I have declined therapy several times, though my requests to be seen since have not been honored.  All of my symptoms point to mild psychosis in general, aggravated by extreme life stressors.

I blame myself for not listening to myself and taking action sooner.  Treatment happens on both ends, and I have not been holding up my end of the bargain.  I have not been mood charting, and I have not been notating subtle symptoms.  It has become abundantly clear to me since my extreme meltdown and psychotic break during the summer that I had been probably Bipolar 1.5 all along.

Though I don’t experience full on mania, I do experience mild psychosis, practically all of the time.  I have not been pressing the issue about invasive thoughts, paranoia, “The Voice”, or any of the mild hallucinations that I experience.  Only when I had my break did I bring it to my doctor’s full attention.  And I was met with extreme medication.

Personally, I’m at a loss as to what to do.  I’m damned if I do, and I’m damned if I don’t.  I noticed last night that “The Voice” has returned, even if it’s benign (right now).  I don’t want to be overmedicated, and I can’t risk gaining anymore weight.  The weight is worse for my mental health than anything else.

And it completely screws up my bodily function.  Now, I’m experiencing weight related problems again.  My knees and back hurt.  I have acid reflux near to the point of anorexia again.  Sexual dysfunction is destroying my sex life, my self-esteem, and hurting my marriage.  And I’m back to full on social anxiety, because I’m too self-conscious to function.

But, at the same time, I’m aware that I need some kind of medication.  While, for now, I’m better off without it, the day will come where I am asked to step up, and perform at a higher function.  My family, including Finn, has been very great about my general lower function and picking up a lot of the slack for me.  However, this won’t last forever.

Just Snap Out of It

Society has developed some seriously bad attitudes toward mental illness.  It’s no surprise.  We see it attached to the stigma of it.  We’re treated like lepers, as if this were a terribly contagious thing.

Depression is no exception.  Today, a lot of people have been discussing the topic of the “Just Snap Out of It” phenomenon that occurs out there.  Honestly, there is a saying out there about how if a person hasn’t experienced it, then they can never truly know.  A person who hasn’t experienced clinical depression, either in the form of MDD or BP depression can never truly know it’s depth and breadth.  It is an all encompassing monster that claims every last bit of life and any possible joy that can come from it.

Having Bipolar Disorder, I am a person who naturally experiences some sometimes pretty obvious mood swings.  And the attitudes toward it are so completely off.  I have never had a person treat me poorly while I was in a manic episode.  Not one.  Not even when the plainly awful behaviors were showing.  Each person seemed to find it charming, amusing, or interesting.  Even when there were moments where I was so out of control that I was scared out of my wits, not a single person around me seemed to notice that there was something absolutely wrong with it.

No, my energy and spirits were high.  I would act impulsively, and people would take it as spontaneity.  I’d be overly, annoyingly chatty, and rudely interrupting others, but they took it as being outgoing.  Everyone seemed to think that was a sign that I wasn’t depressed anymore.  They seemed to think that it was some kind of miraculous recovery from “being like that”.

People only seem to take notice when I am depressed or mixed, like it’s some kind of disease that I choose to be afflicted with.  And the comments are absolutely endless, because everyone seems to have their own opinion about it.  It’s as if they consider themselves to be the authority on depression, anxiety and sadness in general. I will constantly hear phrases like, “Get over it” and “Get a grip” as if just snapping out of it were an option for me.

Meanwhile, people without mental health diagnoses start flinging clinical terms around, like they had some true application to their fleeting, shallow emotion.  For instance, “Oh, I’m so *bipolar* today”, instead of just saying that they are moody, or women arbitrarily making a comparison between PMS and Bipolar Disorder.   Or “I’ve just been so depressed lately”, to reference a little bit of discontent or sadness.

It’s not cute. It’s not funny. No one with those diagnoses thinks that it’s witty that someone is taking a serious clinical term with so much guilt and stigma that it could bring down a religion, and applying it to their BS, frivolous emotions!

It does everything it can to minimize those conditions.  It puts it in a light that we have some kind of real control over it.  As if it were something that a person can just “snap out of”.  It implies that a person chooses to be disordered.  It also puts a shameful connotation of attention seeking behavior.

Yeah, it’s the life, let me tell you. If I were doing anything for attention, it wouldn’t be this. It would probably be something more hilarious, like plastering myself with an obscenely worded banner and rollerblading through Downtown. Depression isn’t newsworthy, but that sure is.  Or maybe I’d be doing something a little more productive or noteworthy, like finding a cure for cancer.  But no, my depression is just that interesting that I would choose to gain that much needed attention from people I don’t even know or care about.

I have to wonder if the general public has to be so naive that they would actually be jealous over it.  So much emphasis is put on the “just get over it” ideals, as if that were possible. If I could will myself out of this state, don’t you think I would do it already? It would be more logical to think that I want to reclaim my life and be a productive person.  But no, according to others who are ignorant enough of mental illness, I am perfectly content to have disordered behaviors.   Sure, who doesn’t love ignoring their kid because the voices just got too loud? Personally, I love gripping my ears and screaming, “SHUT UP! SHUT UP! SHUT UP!!!!”

And as a result of this blatant ignorance, I am really starting to believe that some are just plain jealous.  Because, they seem to think that those with disorder aren’t being responsible for their emotions and behaviors that result.  I certainly have quarrels with wanting to thrust a sense of selfishness and entitlement out there, because it’s what I have to do to take care of myself and my own in this world.  It’s those same people that shove themselves and their ideals down other people’s throats, only to make them feel bad. Misery loves company, and we’re perfect targets, right?

The point is this.  If a person is out there reading this and getting offended, it’s time to take a step back and think hard.  Is it so fair to be so judgmental?  Isn’t it about time to take a look from another perspective?  Does a person with a congenital disorder choose to be symptomatic?  It would be an entirely different story if I were refusing treatment, but like anyone else, I am keeping my appointments and taking my medication according to doctors orders.  We don’t blame someone for their symptoms when they have a seizure.  Why should this be any different?

Let me assure everyone.  If could have snapped out of this disorder and been a “normal” person, I may have done it, instead of living this ongoing nightmare.

Blog for Mental Health 2013 Badge Voting

The new year of 2013 is coming upon us, and quickly.  Last year, I started Blog for Mental Health 2012.  For those that are unaware of what Blog for Mental Health 2012 was, I’ll fill you in quickly:
Many people who suffer from mental health disorders do so in silence.  And prior to many of our own blogs, we may have done just the same.  By taking the pledge to Blog for Mental Health in the year of 2012, we celebrate our own voices that speak up in our own unique ways.  We pledge that not only do we blog about mental health topics for ourselves, but for the inspiration of others to raise their voices and tell their own stories of their own personal experiences with mental health disorders.

For more information about Blog for Mental Health 2012, visit the page.

I fully intend on continuing this pledge and tradition into the new year of 2013.  Therefore, I’ve gotten started early on the design for the Blog for Mental Health 2013 badge.  Last year, it was created solely on my own.  But this year, I’d like others to participate in selecting the official badge to represent the pledge.

The nominees are:

#1

#2

#3

#4

#5

If you have any suggestions for combining badges, they are quite welcome.  Let the voting begin!

PS:  Please visit the comments section for additional badges that were created after the first run.

Related articles

• Blog for Mental Health 2012 Project (inheritingtheearth.com)

Enlightenment Doesn’t Notice The Date

Liquid Courage and Tablet Saviors : 30 Days of Truth

Day 20 : Your views on drugs and alcohol.

“Drugs are bad, m’kay?”

Or are they?

There is this long, Nancy Reagan-induced diatribe about the dangers and evil of illegal drugs.  Say no to drugs.  This is your brain on drugs.  The war on drugs.  Above the influence.  Don’t drink and drive.  Prom promise.  Those of us that are Reagan babies and older, through the boomers, are well aware of the presence and negative consequences of drugs and alcohol.   And despite the heavy dialogue, many people have personally experienced their own battle with substance abuse and dependence.

Alcohol had torn my life apart at the seams.  As with any addiction, it starts off as a recreational activity.  It’s a part of popular culture, especially in the younger age groups.  In my youth, drinking was cool.  Truthfully, it was a fun escape from the drudgery of daily life.  That was at seventeen.  Within a year, I started to find solace at the bottom of a bottle.  Coincidentally, that was the same year Smile Empty Soul sang:

I do it for the drugs.

I do it just to feel alive.

I do it for the love that I get from the bottom of a bottle.

Bottom of a Bottle – Smile Empty Soul

By the time I was in college, I was seeking out opportunities and excuses to drink.  A set of rules existed which meant to separate alcoholics, the loathsome bunch that we perceived people like our own parents to be, and recreational drinkers.

1. Never drink before 5PM.
2. Never drink alone.
3. Never drink without occasion.
4. Don’t drink before or during work or school.

As I gained my own freedom with my own apartment, the rules started to change.  In private, I could do what I liked.  I could deny everything and anything when I failed to be under the limelight of public scrutiny.  I began to use alcohol as more than a crutch; I started to abuse it completely as a coping mechanism.  That’s when alcohol and I started our sordid love affair.

The environment in my private life began to change.  I have spoken about it many times in various posts like Decent into Hell where I described my addiction as:

The last days of that relationship are blurry; my memories are obscured by the drugs and alcohol intoxicating my mind.  The days blended together in a ritualistic, self-medicated loop, work.drink.sleep.work.drink.sleep.sleep.drink.sleep… suspended in agonizing slow motion.  The silence was deafening in the deep, dark hours of night, still, cold, indifferent.

I had become a functional alcoholic.  I never drank before 5PM.  There was always an occasion, even if it was a day ending in “Y”.  And I certainly was not without company to share in my intoxicated merriment.  But there is a solid difference.  Every waking moment I did not spend at work was with a glass or a bottle in my fist.  I had gone far beyond the point of mixers, and mostly beyond the need for glasses.  It was me, a bottle of Bacardi 151 sans the filter, and a bottle of Gatorade to chase.

I wrote in Love the Way You Lie:

At that point, the seeds of alcoholism were taking root.  I violated my own rules of drinking.  It’s 5 o’clock somewhere!  I’m not drinking alone if I’m drinking with my boyfriend.  Hair of the dog, best way to cure a hangover.  If I’m still managing to get to school and hold an honor’s average, I’m not drinking too much.

Liquid courage and comfortingly numb.

It has always been my vice, and holds the looming, unending threat to assume control and ruin my life. In another 30 Days of Truth piece entitled, Control, or Lack Thereof, I went into a full exploration of recent recreational alcohol use and the negative impact it created in my life.

Flip that coin.

Drugs have revolutionized my life.

People neglect to realize that they are consuming legal drugs daily.  It becomes painfully obvious when you sigh over exorbitant copays at the pharmacy counter, like many people with mental health disorders often do.  But, instead of calling them “drugs”, we call them “medications”.  Did you know that Wellbutrin technically has the same chemical composition of a methamphetamine?  And that benzodiazepines work on the same receptors in the brain as alcohol?

So here I am, with my uppers to wake me in the morning, and my downers to put me to bed at night.  It would be illegal and detestable if I were using meth and boozing away.  Instead, it’s under the supervision of a doctor, as a controlled substance, in a convenient little pill.  Don’t get the wrong idea.  I am only likening the effects.  The supervision of the doctor is safer, and the medications are regulated by the FDA.  And as a result, I have most of my functioning back.

And I wouldn’t have it any other way.

The Friday Confessional – Carry on My Wayward Son

My son, Beast.  He’s . . . spirited.  I’d love to leave it at that, but this is The Friday Confessional.

I love my boy to pieces.  But, I knew he was going to be a handful long before he was even born into this world.  I had a rather difficult pregnancy.  And he hilariously went silent and still whenever anyone tried to “feel the baby kicking”.  While he was on the inside place, he managed to kick himself to a position where he was constantly ramming his head into my cervix.  He accidentally got his foot stuck in between one of my ribs and struggled wildly to get free.  Once he was free, he did it again for what I can only consider as fun.  People don’t seem to think that fetuses can have emotions or fun.  I know differently from my son.

My son was born with this particular temperament.  He was a lazy and impatient nurser, who refused to nurse and preferred the bottle.  That’s my son.  Obstinate beyond all logic.  When that boy puts his foot down on something, that is the word.  And we clash at every point.

It’s not entirely his fault.  In June 2011, he was diagnosed with Pervasive Development Disorder – Not Otherwise Specified.  In short, that puts him on the higher functioning end of the Autism Spectrum.  I wrote:

I’ve always said that nothing in life prepares you to be a parent like being a parent.  Truly.  In my youth, I’ve helped to raise so many people’s babies and toddlers, but it was nothing like becoming a mother myself.  Sure, I had the care basics down, but that’s not even scratching the surface.

So therefore, nothing can prepare you for a professional telling you there is something wrong with your child.  Not even if you suspect it yourself.

That was over a year ago.

In truth, I’m in denial.

The battle wounds are still fresh from my youth.In those days, I found I was the most comfortable in the tiniest of places, completely unlike today, where confined spaces are cause for the air being vacuumed from my lungs, and my brain to catch fire.  Those were only places I recall being safe; wedged between the sink and the wall, tucked in the back of a closet, curled up in a cabinet under the sink.  Those places were quiet and dark.  The only places I could find serenity and safety.

I remember instances where my hulking brother would hunt me down. Those were my go-to places.  As long as I took refuge when the violent fits started, I had a chance of being safe.  He may have tried hard to swipe at me, but I had the advantage.  I was a small girl who could ball up and disappear from this world.  In those places, I could be safe from brutal, unprovoked attacks.

Out of sight is out of mind.

And out of mind it out of sight.

The injustice perpetrated on me went far beyond that.  That was considered excusable behavior due to my brother’s condition.  I was told things like, “He can’t help himself, but you can.”  I never did anything to purposefully antagonize him.  I feared him.  And when my parents would practically reward his behavior by conceding to his every desire, I hated him.  Even to this day, I still hate him for all of the gifts and attention he siphoned off from me.  I was a model child with straight A’s and glowing reviews from teachers.  He was a terrorizing monster.

When my son was diagnosed in the same spectrum, I was crushed.  Some parents can say they were blindsided by the diagnosis, but I certainly was not.  I saw the signs long before a doctor had to confirm them.  I was just hoping that there was some alternative explanation.  I don’t love him any less.  But, in truth, I see him differently.  Maybe differently than a parent should.

I remember being pregnant.  And I remember having serious talks with the sky boss.  I pleaded, “Please, God.  Please don’t let my son have autism.  I can’t handle that.  I wanted to deny it.  I would tell people how high functioning he is, and how his developmental deficits were not that of a child with autism or aspergers.  When he was denied entry into a regular preschool because they aren’t equipped to handle him, I was crushed again.  My hopes that he was developmentally appropriated were dashed.

The truth is, my son is disabled.  And he needs my help, now.

And here’s the worst part of my confession.  I have a certain amount of resentment for his condition.  I find it difficult to interact with him appropriately.  When he acts out aggressively, I meet him with a certain amount of aggression of my own.  I refuse to be terrorized by my own son, a huge, strong little four year old.  It makes me feel small and scared every day of my life.

There is rare gratification.  Most parents have children that will play with them.  My son tries, but he can’t seem to make it happen.  I watch him struggle with basic things.  I feel like a failure of a parent, because he’s not potty trained and mostly refuses to wear clothing.  I resent him when I am cleaning up bodily fluids he carelessly threw everywhere, like a little animal.  And I hate myself when I liken him to a puppy in my mind.

But, there a moments where he looks me dead in the eye and says things like, “Look Mommy, out the window.  Look, the trees!”  Or, the day that we were outside and he scraped his leg.  He straddled me and we held each other, rocking for awhile.  Then, he grabbed me by my shoulders, held me away to look at me and sang, “I yuv you.  You yuv me!”

There are those rare moments of hope that I hold to.  Even in my darkest hours.

Little Shades of Grey – Domestic Sexual Assault

Trigger Warning:  This post may contain triggers that would be hazardous for readers who have a history with sexual assault and crimes of that nature.  It is strongly advised that children under the age of 13 and those that may suffer adverse affects from this post take care and use caution while reading,.  Reader discretion is advised.

In the previous post, Little Shades of Grey – Sexual Assault by a Lover, there was a representation of statistics and a personal account concerning sexual assault and rape.  Unfortunately, that incident was not a sole occurrence.  In fact, it was just the first.

Some women are still stuck in the old mentality that there are just some things you have to do to please and keep your man.  I grew up with the idea that sometimes, I would have to perform sexual acts I did not want to participate in, or I’d have to engage in intercourse when the mood and / or time was not right for me.  It was the nature of being a woman.

Dozens of grey rapes, my mind came to put a term to it, so I wouldn’t actually have to relive it. It was the attempt to free myself from the haunting memories. But, it wasn’t enough. Dozens of times I said no. Many times he reminded me that if he wasn’t “gettin’ it from you, then I’ll get it somewhere else”. Bullied into it, by a man who preyed on my deepest vulnerabilities.

How many times had I thought we had a fantastic night only to wake up to a surly, dismissive, apathetic day?

I started to realize that there were no fantastic nights. There was cheap booze, little white lies, and completely carnal fucking.

The first instance with Avi was not even a full year after the incident with Beck.  It didn’t register, because it was just so subtle.  He lovingly and eagerly asked.  I was too ashamed to tell him the truth about what happened.  I was anxious at the idea of disappointing him, and I went along with it.  It was just that one time, right?  I could satisfy him and then say no.

Then, there is the mentality that no doesn’t really mean no.  For many women, myself included, there is a disconnect between mind and body.  While my mind may be shouting, “NO!”, my body may not be complying.  It’s confusing for a woman, and encouraging for a man.  Men, but societal rules, are accustomed to the chase.  Often times, men get the wrong signals.  And for a predator, that is a perfect excuse for inexcusable, despicable behavior.

To some men, no doesn’t mean no.  No means, coerce me.  No means, harass me.  And that’s exactly what I experienced.  There was no changing my mind, or else I was a tease of a girlfriend who deprived my boyfriend of sexual gratification for my own kicks.  There was no saying no, or my will would be broken down in one way or another.  Finally, not complying with his wishes was grounds for threats and dismissal.

“If you don’t do it by choice, then I’ll just have to take it by force.  But you’d like that, wouldn’t you?”  I shiver and tremble at that phrase.  In my mind, there was nothing worse than losing control of my situation.  What I didn’t realize was that sex and sexual acts were no longer my own choice.  I was, for all intensive purposes, a victim of continual sexual assault and grey rape.

Sex is often a mechanism for control.  And seeing as how I was also both a victim and abuser in other ways, it was the perfect arena for him to gain back control.  Though I would disagree, and I would put up a fight, he would always eventually win.  Nothing scared me more than another full on assault.  Maybe I thought I had the control by consenting.  It’s tricky to know.  I described a bit of it in Decent into Hell.

Just say yes, you little masochist.  

Addictions leave you little choice.

Help me tighten these chains.  Is that my voice?  My mind screamed to be released, for me to take the free ticket to ride and go.  But my heart without it’s limbs could not be freed from it’s vice.

The pleasant memories melted into the form of nightmares.  There was a double edged sword, turning the pleasurable jabs into horrific stabs.  My monologue’s narrator was raspy and exhausted.  Playful smiles turned to sinister grins just as loving chuckles morphed into maniacal laughter.  The blaze pushed forward, engulfing everything in sight.  It seared my flesh, leaving nothing but brittle bone.

In a domestic relationship, it becomes harder to define rape. It becomes even harder to convince others that the sexual contact was not consensual. Worse, is the probability that one will have to face their assailant in the wreckage of the aftermath of reporting.  And that’s possibly why so many sexual assaults and rapes go unreported in those situations.

There are deviant sexual acts I was forced to participate in that I am still ashamed of.  I recall my first threesome.  I consented to it under the pretense of defensive sex.

For those of you that are unfamiliar with defensive sex, it is a sexual response to an emotional manipulation playing on the insecurities of sexual performance and satisfaction.  It is an attempt to avoid abandonment and ease fears for some.  I recognize the manipulation in my own mind now.  And I realize that I had engaged in this behavior and played into his own hand.

The focus of the threesome shifted to a twosome, only involving me as a third party observer.  And I recall watching, thinking I had been tricked into watching my ex sexually gratify himself as a show of force.  As if he was proving to me that other women wanted him, and I was apt to lose him at any time.  I was ashamed at the manipulation.  Later, when my friend and I lost touch over it, I realized it was also an isolation mechanism, enabling all forms of abuse by removing me from third outsiders.

I could have never seen it coming.  Like other forms of abuse, it creeps up and becomes the new “norm”.  Also, it has devastating effects on emotional, sexual, and romantic dynamics in future relationships, again, like other forms of abuse.  This is just as real and horrifying as any other form of abuse, though it is far less recognized.  However, it should be recognized for what it is, and women should be educated and informed about the possibility of this type of hidden abuse.

With or Without You : 30 Days of Truth

Day 15 : Something or someone you couldn’t live without, because you’ve tried living without it.

Most people would prefer to choose a certain special someone or an object to contain all of their affections.  Though my relationship with this is troubled, I have found it to be impossible to live without it.  Even if it’s so hard to live with it.

Medication.

I have made the attempt several times in my life to live without psychiatric medication.  My first was a psychiatric evaluation when I was thirteen, and I refused treatment.  What thirteen year old has the intense desire for repeated therapy visits and pesky medicine?  As a direct result, my symptoms progressed, and I wound up my own cutting board.  When it became concerning, no one was willing to take me back for actual treatment.  Instead, I unnecessarily suffered until I humiliatingly revealed myself and my wounds to an outsider.

The next time was in my late teens.  After being medicated for nearly five years with no result, I was ready to give up on $60 co-pays for a medication that just gave me heroin-like withdrawal symptoms when I forgot to take it.  (That was also the first time I became strongly inclined to start carrying medication on me in clever, cute containers).  I spent a gratuitous amount of time on weekends in a different county, an hour away from my home.  The bus services were shoddy at best, and if I forgot to take my medicine on Friday, then by Sunday morning, I was violently shaking and vomiting in front of my relatively new boyfriend.

This new boyfriend, Avi, convinced me that there was absolutely nothing wrong with me.  The medication was doing more damage to me than good.  It was a waste of time and money.  Psychiatry was a joke and a con for cash.  It would be in my best interest to get off of the medication.

The funniest thing about that was the fact that I became irreconcilably depressed when I weaned myself from the Lexapro, an SSRI.  I required way more than my typical six hours of sleep.  I could no longer party until dawn.  And mostly, my only desire was to scream and cry my eyes out.  After you’ve been hypomanic for so many years, having a crash like that was epic.  Coincidentally, it coincided with the very first cliff fall in our torturous relationship.

And resulting in that choice, I developed functional alcoholism prior to the legal drinking age in the United States.  It took several abusers, victimization, abject poverty, and becoming an abuser to take me down into the depths of a bottle.

I found that I had even given up on self-medication.  When Xan and I got together, it became obvious that he suspected I suffered from addiction.  Though our relationship was certainly not new, our courtship was brand new.  In order to not put him off, and make a show of my own self-control, I slowly ditched the bottle.  I was so addicted that I found I had to be intoxicated to make love to him.  At least a little.

A few years later, I started treatment.  I had managed to remain sober, however, I had completely lost control of myself.  Several months into treatment, I ran into every medicated person’s greatest fear.  My medical coverage was eliminated.  Every pharmacy reported the same thing; Lamictal costs a fortune, and if I can’t afford COBRA, then I sure as hell cannot pay for it from pocket.  I found myself soliciting every pharmacy within a 10 mile radius for assistance.  Finally, one came through for me.  But, not before I suffered cruel withdrawal symptoms.

A similar withdrawal happened over a holiday.  I was unable to see my Pdoc before Christmas, and he had taken vacation through the New Year.  The office had a policy not to call in medications, so I had to make an appointment to go in.  Catch 22.  For four days, I laid there writhing in bed.  Xan took charge, and I had a refill that same day.

The very last time was one of my own poor choices.  That is exactly what mania does – it gets your hooks into you and tells you dirty little lies.  I had decided to attempt to wean myself from medication slowly so that I could prepare to attempt pregnancy.  I did so alone.  Instead of consulting a doctor, I went ahead.  And instead of getting off of medications, I had psychotic breaks the likes of which I have never been remotely acquainted with.  The result was more medication and a lesser likelihood of having a second child.

I have been without by force, by accident, by coercion, and of my own volition.  Like it or not, I cannot live without medication.

Control, or Lack Thereof : 30 Days of Truth

Day 12 : Something you never get compliments on.

One of my more recent posts eluded to a crisis in my life.  I haven’t revealed it yet, because in all truth, I am rather ashamed of some of the realities of my life.  In personal writing lately, a rambling piece entitled “Write it Out, Right it Out“, I went on say:

I’ve always been caught in my own world of the mindf***, you know? And when I’m drunk, I am more susceptible to mindf***ery. I don’t like it. I start to lose grasp on my reality, and sometimes it disappears completely – my grasp, that is.

I have made references to my alcoholism in the past, but never with much detail or emphasis.  I neglected to mention that alcoholism is a real part of my present, mainly because I didn’t consider recreational drinking to fall under that category.  I was sorely mistaken.  I wrote to a friend:

Somewhere along the way, I stopped taking substance abuse seriously, like it wasn’t a fact in my life. I’m going to guess that mania had a little to do with it. Like I was above it all because I had gotten away with it.

And another in the same piece, “Write it Out, Right it Out”:

I don’t think I actually believed myself when I have described the seriousness of my alcoholism in my past. Or maybe I thought that it was somehow different, because this is a different situation. Or maybe I thought I was just too young and immature to handle myself.

The fact of the matter is this.  I have been suffering from terrible alcoholism from the age of 19.  At the age of 17, I took up drinking as a recreational activity.  When life events sent me into a tailspin, I spent the last six months of my 18th year in a state of perpetual intoxication.  By the time I was 19, alcohol was a regular fixture in my life, and was a part of every recreational activity.  Finally, it progressed the point of functional alcoholism by the time I was 21.  I described it to a friend as:

Except, I know that there was two years that I spent drunk every single night. I made excuses, like friends and parties, but I would drink by myself. I remember there were nights I’d drink until 4am, and have my boss call me at 6:30am to ask where the hell I was.

During the two years, I had a solid schedule. Wake up at 2pm, leave for work at 2:30pm, work three to nine, drink and eat nine thirty to four or six in the morning, and do it again. I had even devised strategies to avoid vicious hangovers and physical withdrawal. Occasionally, I would venture out with a bottle in my purse, just in case there wasn’t any alcohol where I was going.

Since my son was born, there have only been a handful of what I consider to be benders, which were periods of time where I would invent a reason to have friends over for drinks.  I never intended on getting wasted, and I usually didn’t.  But, there were occasions.  Some relatively benign, ending with me waking up with a vicious hangover and swearing off alcohol entirely for awhile.  Others, they ended disastrously with an altercation, and I would find myself resolving the situation by dumping all of the booze down the drain, with a certain satisfaction at my self-restraint and determination.

Here’s the truth.  I never get complimented on my resolve.  Because, everyone knows that I will always go back to the same old, same old.  No matter how much I appear to change.

I am not always forthcoming about my weaknesses, especially the ones that spark shame.  I am embarrassed by my lack of self-control, especially in matters that are extremely frowned upon.  There are a lot of bad character traits that I can identify, and openly and honestly admit to.  However, lack of self-control is not one of them.  I’ve never considered myself as impulsive, and people often view it as immature and juvenile.  I have always considered myself to be mature and responsible, with certain exceptions, like during college, because impulsive actions and lack of restraint were commonplace, and socially accepted.

Many can argue that impulsivity is not necessarily a character trait of mine, rather, a feature of Bipolar Disorder.  Maybe that is true, because there really was a brief period in my childhood that I recall being very responsible, consistent, and mindful.  And yet, there are still incidents that I recall as being not well thought out before execution.  A condition of childhood?  Maybe.  Facet of personality or symptom of psychological disorder, it stands as probably the weakest trait I have.