bipolar 2, hypomania/mania, mixed, rapid cycling: am i one, all or none of the above?

shultz, dooley, and friends

I realize there was a “poor, poor, pitiful me” (to quote my muse, W. Zevon) over/undertone to my post about bipolar, health insurance and everything in between. Feeling overwhelmed and emotionally and physically exhausted, I spent a little time (k, a lot of time) crying in my beer (if I could still drink beer of course, lol).

The more research I do into this bipolar 2 thing, the more confused I become. While there is mostly agreement as to the depression phase (and poor response to anti-depressants), I’m understanding less rather than more about my hypomania/mania episodes. Sometimes I’m rapid cycling (moving between states of depression and angry/binging/irritability), other times I’m both for long periods of time – try about 2 years with the last 9 months (March to November 2011) the worst. Am I mixed because I constantly exhibit some level of the depressive side of bipolar 2, but my hypomania episodes have tended to lean towards binging, or crying – with some rage thrown in for good measure? Each new definition I read, each new article/website/support group I come across, I must admit I feel more overwhelmed with information rather than clear on my condition.

As I mentioned in a comment to my last post: I need an app for that, throw in the low sodium factor and things get even murkier. Both the medicating psychiatrist and my doctor are concerned that low sodium levels are causing a series of issues that mimic bipolar 2 and can have impacts on cognitive and motor skills – all of which has been going on for the last several months. My doctor even thinks that it goes further – leading to a hormone imbalance and loss of even more sodium.

I’ve gained weight though strangely, I weigh 10 pounds MORE at her office than on my scale at home. Either way, a diet regime is necessary – to increase sodium without adding pounds through water retention and salty snacks. Does air popped popcorn count? I may have to adjust to a “new normal” in the weight department – a tough sell after weighing within 5 or so pounds (up or down) at a certain weight until last summer – for someone with a history of binging and body image issues. Oops, someone ordered another round of beer to cry into and the last thing I need is an even bigger beer gut, lol.

last call?

dr. jekyll & ms. hyde are overwhelmed (not the transgendered movie version, lol))

Bouncy, bouncy, jittery, jittery, pinging off the walls, or leaning against for support.

Feel like Dr. Jekyll and Ms. Hyde (not the transgendered movie version, I assure you, lol).

The Strange Case of Dr. Jekyll and Mr. Hyde po...

The Strange Case of Dr. Jekyll and Mr. Hyde poster. Converted losslessly from .tif to .png by uploader. (Photo credit: Wikipedia)

Never sure which personae will leap to the surface and wreak havoc on my day. A tagline for one movie version of the story reads: “Everyone has a dark side;” I definitely agree to that! The dark side of the force is “strong within me”.

Heading into week 2 of reduced psych meds and seriously feeling the changes to mind and body. There are my classic withdrawal symptoms: yawning uncontrollably; runny nose and eyes; shaking and feeling like I have the “spaced-out” flu. There is a different look in my eyes; no spark, just dull and flat.

Cutting back on psych meds reveals how effective these have been in adding a certain level of stability to my unstable worldview. I hadn’t really thought of the plateaus I’ve reached on my climb out of the black hole that was consuming me until I lost my footing at the edge. Even before Day 1 (of cutting back on the psych drugs), I had a major public crash and burn one Saturday at the mall. I sat, rocking and crying on the curb outside a Sear’s store after storming and ranting my way back to the car. Hubby likes to be invisible in public; I definitely wasn’t!
An endoscopy is scheduled for tomorrow afternoon. GI guy wanted to see how badly scarred my insides are so I’ve been off Zantac for two, long, burning, bizarro acid reflux symptomful weeks. Looking forward to my first Zantac – now there’s an addiction to an OTC drug!  

Perhaps overwhelmed is the best description of my mental and emotional state right now: overwhelmed by stuff; overwhelmed by the # of meds I take; overwhelmed by emotional, mental and physical health issues; overwhelmed by new, disturbing symptoms; overwhelmed by the job hunting process; overwhelmed by the real and virtual worlds I try and navigate/negotiate my way through. The real world is calling me to get my act together and hit the road. Sigh, overwhelmed by being overwhelmed.