Wednesday, February 19, 2014

Obsession (August 19th, 2013)

It's been... oh, maybe a little over a week, or about a week, since I ran out of my Wellbutrin (atypical antidepressant/mild stimulant) and gabapentin (anticonvulsant used to treat neuropathic pain, and has very mild anxiolytic effects.) Now, I got my refills... err... technically last night. Took my first doses since I've been off them. Well, every time I go off of a med, it seems that I am reminded of just how much I need it. Admittedly, the situation was a bit different with my other two bipolar meds (Seroquel and Lamictal), as I safely tapered off those and have been doing somewhat better than expected for the past several months (about half a year, now!) Now, running out and having either one of those cut off (not on purpose, or completely willingly) often caused withdrawal in the past, which also caused bipolar symptoms to suddenly and uncontrollably erupt. But I was extremely cautious and careful about tapering off so I didn't really have to deal with any of that. Sure, moods have been more erratic and much stronger since getting off my primary bipolar meds, but it hasn't been anything I couldn't handle, yet, so I'd say I'm doing fairly well.

Anyway... 7, 8, maybe 9 days off Wellbutrin and gabapentin, and things went south - fast. The Wellbutrin typically kept my mood a little higher, and sometimes even slightly contributed to increased incidences of hypomania and mania, but in its absence, I easily fell into a depression that only slightly lifted before slipping back down, over and over for almost every one of those days. Being an offshoot of stimulants (notice the 'amphetamine' in its scientific name: 3-chloro-N-tert-butyl-β-ketoamphetamine), I've also noticed the Wellbutrin help with my symptoms of ADHD and OCD. My gabapentin helped keep my fibromyalgia symptoms in check, and, both to a lesser direct degree and more strongly indirectly, my anxieties. Well, off them both, my anxieties began skyrocketing, I fell into the aforementioned depressive slumps, I had pain all over almost nonstop, I've been extremely lethargic and unmotivated, I've been getting hot flashes (fibro symptoms), chills - also fibro, agitation, irritability, sudden and unpredictable shifts in mood, intense obsessions and compulsions, as well as both obsessive and compulsive (or obsessive-compulsive) behaviors, my attention has been extremely scattered, getting distracted like a dog seeing a squirrel or trying to chase a ball that his owner didn't really throw, having anguish over certain phobias, and a myriad of other things here and there. It's been agonising.

The thought of going outside? Hasn't crossed my mind once.. Normally, I at least get daydreams about just being able to go outside and do something, but it's been out of the question to even think about it. I can barely sleep at night because of my arachnophobia (fear of spiders), and find it easier to sleep during the day since they're nocturnal creatures, and I could see them coming more easily if needed. I've been obsessing about all kinds of things. My OCD really kicked in when I offered my brother a taste for a drink I concocted. First, he grabbed a straw, and I thought it was alright, but then I shoved the straw away and adamantly insisted on putting a little bit in the cup. Instead of apparently wasting a cup, he just swiped the straw and made a little slurp. According to him, he was sucking even after taking the straw out in order not to let saliva flow back into the drink, but it was far, far too chancy for me. He then placed his palm atop my hamburger bun for some kind of joke that I forget now, much to my frustration. I went down stairs, tore the top off the bun off - any part that I could conceive his hand having touched - and fought with myself over bearing to drink the other 15 or so ounces of the drink I made after he used a straw.

This all sounds utterly ridiculous, I know. He used a straw? What's the problem, then? I can imagine so many thinking. Or, What, he just touched the top of your hamburger bun? So? Well, OCD isn't exactly rational... And, my brother being the overly mentally healthy, average guy that he is, couldn't see any harm in anything he'd done. I sat there for upwards of thirty minutes trying to convince myself that I should and could just drink that drink instead of pouring it all down the drain like I told my brother I was considering doing. Oy, vey, I gave him a bit of a verbal lashing just for using a straw. And then he said he didn't even like the drink... It used expensive coffee grounds, a decent amount of milk, and throwing it down the drain would be like throwing cash down the drain - cash that was already invested! My brother came to that same rationale, and even argued with me, implying that he would take offense since he's pretty much the only one with a job and bringing in money directly. And it's so stupid because I'm nearly brought to tears just replaying all this - and it was just a stupid drink with maybe a microlitre of saliva wash-back! For anyone who doesn't know what a microlitre is, it's 1/1,000,000 of a litre, or 1/1000 of a millilitre. Essentially, it's about nothing. Well, after arduous, actually painful, contemplation, I finally figured out how I could bear drinking it... I poured in some chocolate vodka. Made the taste a bit.. strange, but it put my overactive mind at ease... and I got through the whole drink without having to pour it down the drain! No wasted coffee grounds or milk, let alone chocolate syrup. And I managed to get over eating my sandwich by just peeling off the top layer of bun... But the ridiculously stupid agony that I had to go through for such trivial matters! It was absurd and idiotic. But it didn't matter. I was compelled, if not forced by my own mind to go through such asinine trials...

I've also been obsessively researching with virtually no attention span, jumping from one article to the next, researching all kinds of miscellaneous, almost pointless crap. I was sure I would get to be before 2:00 a.m. today... Well, I watched a two hour movie and took a shower... by that time, it was almost 3:00. I then got myself some tea and took my meds, in hopes to relax. I then remembered that my blanket was downstairs, so I went to get it. In the process of getting my blanket, I found myself sitting in front of the computer. "Oh! I need to check my e-mail to see if ______ replied!" Seemed harmless enough. Well, I did so, there was no reply, but there was a newsletter pertaining to bipolar from PsychCentral (I get them regularly.) Well, before I know it, I spent almost an hour reading articles and joined a website that helps track bipolar moods, sleep, and meds... I finally went up with my blanket, immediately having my mom ask why I'm not asleep yet. This was the second or third time already that she asked, so I just opted not to answer, and continued drinking the tea that I had left upstairs about an hour ago. After finishing the tea, my mom figures she'll use my being up as an opportunity to get an hour or so of sleep before having to take my brother to work. So, I stay up, watch a show until that hour is up, wake my mom up, and eat a can of tuna... with a wide assortment of seasonings, as I can never seem to leave certain things alone when seasonings are available! (By the way, I used 6 different kinds of bottled seasoning... for a can of tuna... at 5:15 a.m.) I then saw that there was a show on sleep disorders. Both ironic and fitting! So I stayed up and watched that... 6:00 a.m. Then I went down the stairs, blanket in hand, and stopped at the bottom of the stairs... Turn right, I go to my room... turn left, I go to the computer... After about 30 seconds, I turned left. I got on here, started researching, then writing this, then researching, then writing more of this, until I am where I am, now... 7:28 a.m. Fuck!

I have an appointment... today... at 12:00... A few hours of sleep? Maybe? Hopefully?

I take in a deep breath, close my eyes, and breath out... Yeah, I need to sleep.

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