So, I went to a specialist a couple of weeks ago in another city and feel so good about what my future bipolar treatment plan looks like! Yea!
First, this guy has both an M.D., and is a psychiatrist, plus a Ph.D. in Neuroscience. In other words, we’re on the same intellectual level (🙄). Anyhoot, he did the most thorough evaluation I’ve ever had and really dug around in my brain…Lord knows what he could have found.
According to Doc, I have been on the WRONG bipolar regiment for quite a while now and he was gobsmacked by what I was being treated with…particularly since the treatment was OK’d by another psychiatrist in the town I live in. However, that doc only met with me for minutes…he didn’t take the time to really find out all about my symptoms, and I’m a bit pissed by him just throwing some meds at me.
Basically, I am on 3 different anti-depressants which actually are working AGAINST each other in my brain. The 3rd is pretty much a mild one and is OK right now, but there are a few problems with the 2 main ones: just taking them together, which I’ve been doing for a couple of years now, actually counteract one another and are NOT indicated for bipolar. In fact, Doc said that both together are actually causing a ‘conflict’ in my brain chemistry and are most likely worsening my bipolar symptoms. He said that not only has it been like I’ve been on nothing for the my mental illness, but I’ve actually had a drug combo that was triggering more symptoms. What??? It’s making my bipolar worse? Yep…it sure is.
This was a major kick in the ass for me. For these past couple years I have been struggling more and I truly blamed myself. I kept thinking: “Hey…you are on these meds so anything you aren’t ‘controlling’ is your fault.” But actually, that’s not true. Doc put it this way (I think he dumbed it down a tad for me…thank God 😳): “These 2 meds are fighting one another…one is pulling stuff out and the other is pushing it back down. This fight is stressing out your brain chemistry even more.” NOTE: I’m assuming he means neurotransmitters but I can understand him using the word ‘stuff’ because when I asked what country he was from…he has an adorbs accent…he said to try to guess. I said “Turkey?” and he said “YES!! How did you know that??” And I honestly replied “I watch 90 Day Fiance.” He gave me a look for a long minute or two, scratched something else down on his pad, and continued our talk. 😳
Now, he also informed me that these 2 meds can also cause sweatiness, nausea, tremors, incoordination, etc. and I actually do have some tremors…they mostly occur in the evenings but were scary when they first started. I’ve also been tripping since I was a tot so I’m assuming my body was preparing itself for this drug cocktail ever since. Just sayin’.
Anyhoot, Doc is weaning me off of one of the meds right now and I’m almost completely done with it. I already feel better and he said I would because I’d be stopping that conflict in my brain! I feel MUCH less rattled and MUCH less manic…it feels goooooood! After I’m off of this one completely (Thursday) I see him a week later and then I’ll wean off the 2nd med. Once these are out of my bod, I’ll get prescribed Lamotrigine again which he feels is the best mood stabilizer for bipolar.
However, I’ve been on it before and although it seemed to help me, I was pretty zombie-ish. Doc said that was partially caused by these other meds and the fact it couldn’t work on my fucked up (he didn’t use that particular word but it’s the closest one I can think of…sorry, ma 🤨) chemistry. He said that really, all I need is a mood stabilizer and mild anti-depressant. With these 2 working together the way they should, I will be more stable than I’ve ever been before.
You know, it’s scary to sometimes think of how different my brain chemistry is and how much I need meds to stabilize it. During my evaluation, doc had me pick a past manic and past depressive episode and tell him all about it…he guided the questions. It was like he was dissecting my brain to really understand what happens when I experience these. Then he had me talk about my most recent ones and he did the same. After doing this, I realized that the episodes really have changed over the last couple of years.
When we were looking at these, I started bawling (go figure 😐) and he asked me why; after all, I wasn’t talking about anything disastrous that should be upsetting me. I said this: “I’ve been feeling like I’m on my own with this (bipolar) and to know I just wasn’t getting the right help I needed makes me sad. I would love to turn back these couple of years and live them differently.” He said he understood but that time can’t be changed…we just have to go forward and live from this moment on.
That’s sometimes easier said than done though…isn’t it? I actually wish I would have gotten help a LONG time ago instead of thinking: “I’m a psychology professor…I know what I’m doing.” I hate that I hid from this diagnosis for so much of my life and that it’s finally at the age of ‘cough-cough’ 54 that I’m seeing long-term hope. I hate that people have been affected by something I’m trying my very best to deal with. I hate I need meds and help and that this is one thing I can’t do on my own. I hate that at times I feel sorry for myself when I should always be grateful for who I am and all I have.
Anyhoot, I’m just so relieved that not only am I on a much better plan for bipolar, but I have some understanding of why things have been so tough for me. I love that I’m already feeling less conflicted and more ‘even’ and can’t wait to continue on this path.
Like any physical condition, mental illness is something that needs treatment…help. It’s not something we can talk ourselves out of or wish away. Like a broken leg, it needs a cast to straighten it out. In my case, both of my legs were casted and I couldn’t move/improve easily…I was battling myself. I’m not shamed by having to see a psychiatrist…by having to be on meds…by having this fucking (you call it this too, ma 🤨) illness. I’m just grateful there are people out there that can give me the tools to control it the best it can be controlled so I can live my life in the way I want…not in the way the illness wants.