Here’s the thing about mental illness, you don’t know how to navigate it unless you have it, but even then, you don’t know how to navigate it.
I spent a lot of years thinking so many things I was dealing with were just normal things everyone goes through and that I was probably over exaggerating and being dramatic. Think TikTok videos… “I’m not the drama. Wait. Am I the drama?” I spent so much time trying to hide how I was feeling that it became uncomfortable to even face reality. So uncomfortable, that I would intentionally make myself so busy that I just flat out didn’t have time to face reality. I stayed so damn busy for so long and stuffed my feelings for so long that I legitimately made myself physically ill more than once. There were days when it took all my energy just to get out of bed, but I’d manage to put on a happy face and survive my day. Work would end and I’d immediately go to bed from the sheer exhaustion of being a human. This would sometimes go on for weeks. Then I’d wake up one day with a ton of energy and feel “normal.” Normal, to me, meant having endless energy and being able to get all the things done that I didn’t do for the previous few weeks cuz all I could do was work and sleep.
This is a story… a story of madness of a high functional variety. If it is too much for you, that’s okay. I get it. It’s too much for me most of the time too.
Let’s back up to where I remember things starting. If I am really being honest, this started much earlier in my life than I realized, possibly even at birth. I have some pretty clear memories of times in my teenage years where I did some pretty manic shit, but we can start where I feel like a big shift happened. I think I was around 24 (I’m almost 38 now, for reference) when I had my first brush with madness. I would have these intense bursts of emotion and irritation where I just couldn’t be nice. This was the first time I went to the doctor and said I was “crazy” and needed help. I was a young woman at the time, so naturally, it was easy to diagnose my “crazy” as something hormonal. We called it Premenstrual Dysphoric Disorder (PMDD). This was a fair diagnosis because there had always been a cyclical quality to my moods and it did sometimes align with my menstrual cycle. The first solution was birth control pills. Guess what happened? Things went from bad to worse. I felt like I added menstrual rage onto whatever was going on in the first place. It was not good. So, it was back to the drawing board, and the next solution was a daily antidepressant to cure my PMDD and hopefully tame whatever I was going through. That little pill made me feel the worst I’d ever felt in my life to that point. My first brush with insomnia came with this medication. I was either crying, pissed off, or totally apathetic pretty much every day for a year. I really gave it a college try, mostly because I was trying hard to keep my then boyfriend/fiancé from running for the hills with his hair on fire. Spoiler alert, he didn’t run for the hills, thank God. At some point, I was a really terrible patient and just stopped taking it. I pretty much gave up on medical management at that point.
Then came the 10 years of just trying to self manage this, which is a joke, because I was just masking everything with being busy. From 25-35 or so, I stayed busy, like REALLY, REALLY BUSY. I decided to get my Bachelor’s Degree in Health and Business Administration. I was also working full time. When I say I went back to school, I mean I went BACK with guns blazing. I refused to get anything less than an A in a class. I think my first B in college didn’t come until my last year of my program, and I had an epic meltdown over that B. Looking back from where I sit now, I know that was a very unhealthy response to what most would consider a pretty damn good grade. I went to school full time and worked full time for 5 years. I walked away with a 3.9 GPA and an unhealthy addiction to drinking coffee at all hours of the night. I also walked away with my degree and an overwhelming fear of how I was going to fill the time that was spent studying for the last 5 years. Every single time I slowed down, I had to be alone with my thoughts, which was so much worse than taking on too much constantly. College came and went, and I lucked into my first post collegiate job pretty quickly, with the company I still work for. It was a sales job with a large territory. Perfect for keeping yourself busy constantly. I still do the traveling sales gal bit, but my approach to it is much different than it used to be. So from 30-35, I ran myself ragged and made a name and a career for myself. A lot of good came from the period of time where I didn’t seek out treatment and just stayed busy, but it didn’t come without a cost.
Fast forward to January 2020. A lot of personal things had been bogging me down for awhile, including a friendship that came to an abrupt end that hurt my heart in ways I still cannot express. I started really falling into a rut and was using a lot of words like “depressed,” “hopeless,” ”exhausted,” and “lost” in conversation. I was fortunate enough to have another good friend pick up on it and tell me I needed to go talk to a doctor. I’ll never forget that moment. The conversation actually occurred over text message and I am forever grateful for that moment. I don’t know what it would have had to happen for me to go in had it not been for that conversation. Mind you, while all of this was going on, I was still functioning at work and at home without a huge noticeable difference to others, although there was a huge cost to me during all of this. I went in to see my primary care provider (another incredible blessing of a person), who diagnosed me with some form of anxiety and depression. She started me on a new antidepressant, and I went on my way. When I started the med, a big red flag went up, that I promptly ignored. I went from really down to incredibly elevated really fast. I was so elevated that I didn’t sleep for 4 nights, basically at all. However, instead of calling my doctor and telling her, I just assumed this was a normal side effect. In case you were wondering, not sleeping for 4 nights is a side effect of methamphetamine, not antidepressants. For the record, I did not consume any methamphetamine during this time or any other time. Just some clarity. 🙂
That initial elevated mood and insomnia subsided some, and I continued taking this medication for maybe 9 months or so. I started to notice that my moods were up and down again, and when they were up, it wasn’t really a happy thing. I was like a pissed off Energizer Bunny. Imagine feeling really energetic and also wanting to hurt someone all at once. No bueno. My anxiety levels were also seemingly high, so I went back in to my primary care provider and we switched to a newer age antidepressant. I felt some initial relief, and continued to take this one for another 6 months or so. It was most likely helping some of the anxiety I had been struggling with, which probably explained some of the relief I was feeling.
Fast forward to August of 2021. I started noticing I was feeling highs and lows again, to the point where other people had even started to notice and say something. I can clearly remember my husband and I having a teary conversation, where he told me “your highs are so high, but your lows are alarmingly low.” I cried and cried that day because I felt so deflated and defeated knowing that I needed to go back to the clinic again. At that point, I really felt like I was on a never ending journey. There are 50 some odd antidepressants on the market and I had begun to feel like I was just going to have to try them all just to feel normal.
That visit with my primary care provider happened on a hot day. Another memory that’s etched in my brain was the moment when she looked at me and said, “I don’t want to scare you or anything, but this sounds a lot like bipolar disorder.” I told her I wasn’t afraid, but I was lying. I was terrified. I was overwhelmed by the stigma in my own psyche. I went through almost a grief cycle where I felt like I was mourning some old version of myself despite nothing really changing other than the mention of a word. This is where the journey took a huge turn for the better, surprisingly. She referred me to a psychiatric nurse practitioner and everything has started to fall into place. My psych got me off of the antidepressants and their disastrous side effects. Fun fact, with bipolar disorder, an antidepressant can cause mania or hypomania. Remember way back in the story when I didn’t sleep for 4 nights and thought that was normal? Turns out, it wasn’t normal. After I came off the antidepressants, I have been gradually adding and increasing medications that are for bipolar maintenance, and I can honestly say this is the best I’ve felt in nearly 15 years. There are still episodes and I have to work hard to be aware of triggers every single day, but I feel good more than I feel like shit, and I am not afraid to be alone with my thoughts anymore.
I know this one has been long, so if you’re still here, I want to make a few more points. The stigma around mental illness is very real. I am living, breathing proof that it is possible to function and have an illness like bipolar disorder. Yes, of course, there is a spectrum and it certainly doesn’t look the same for everyone. Statistically, about 2.8% of adults in the US have bipolar, which means you likely know someone who has it whether you’re aware or not. For many of you reading, I might be that person but there could very well be more. There is a whole community of people on social media who I’ve been fortunate to learn about that are out there spreading awareness and doing amazing things in the world. Another point I’d like to make is that if you are struggling on a mental illness journey, please don’t give up. I fully understand how challenging it can be, and so many have ridden this roller coaster a lot longer than I have. I also know that my ride on this roller coaster isn’t over and I will inevitably struggle again. However, if you’ve reached your breaking point, just don’t give up. Keep pushing forward. If you’re reading this and you relate to it, don’t interpret that to mean anything more than that you relate to it. It’s okay to feel empathy or relate to a mental illness story. As a matter of fact, that’s exactly how we stop the stigma.