A Steroid by any other Name is still a Steroid

I am getting over a nasty respiratory tract infection plus asthma. The doctor I saw over televist wanted to prescribe prednisone, and asked why it says I’m “allergic”. I said that it triggers mania in me. So he prescribed a steroid inhaler, which did give me my breath back. They always say “it is not systemic,” and I always fall for that line. Doctors and their fifty-cent words.

Colorful octopus multitasking by painting, reading magic book, knitting, and stirring potion underwater

Being sick meant I had a few three-to-four hour day night’s of sleep. As my breathing got better, my sleep did not. Pressured speech, doing hundred things at once (including being in the busiest season at work). My therapist noticed, and gave me this assignment.

  1. Sleep 7-10 hours (taking 2 clonazepam nightly until I’m stable).
  2. No caffeine (I had some last Monday, and my coworker said I was talking too fast, so I blamed the caffeine and switched to barley tea)
  3. Low lights
  4. Limit extracurricular activities to 1-2 per day (I have a long list of self-care activities, and she knows I feel compelled to do them all.)
  5. Take breaks during work (I’m working 10+ hours with straight meetings/work/work-meetings. Any time I get even five minutes, I shut my eyes and do a breathing exercise.)
  6. At least 15 minutes of quiet time (no screens/maybe guided meditation)
  7. My husband and I meet weekly to go over things like home, money, “deposits”. Have a brief meeting every night to go check in. Also where I am on the UK mood scale.
  8. Check in with my therapist on my app daily (highest heart rate and why, exercise?, HRV level and notes).

I took today and Monday off to see my best friend and booked a hotel, because I knew I’d be busy now (just at work). Since then hubby and I bought a car and are moving to a new apartment next week. There is a list of major stressors, and I think I’ve ticked most of them. The chosen ones (car/apt) will be great in the long run. I pulled my husband through some stressors these few weeks. I am concerned when I get manic, and I see my husband stress to keep up. The worried/tired look on his face is a good litmus test for how bad it is for me. It helps me to push myself to slow down for his sake. As he get more stressed and crises get higher, I feel more relaxed. My therapist mentioned this is common in people who suffer PTSD, if you have a history of trauma, crises feel normal. When things are mellow, you feel uncomfortable. This is probably why I enjoyed working on the suicide/crisis hotline so much. She said, even though I feel calm, my cortisol is still spiking and this is not a healthy place to stay.

I think the only people benefit fom my hypomania is work. I wear multiple hats with different departments, and I often have many different people reaching out to me at the same time. I have three computers for two “places”. This week, I’ve been in meetings all day for deadlines in three departments coming up (twice in two meetings at once – thanks Google). AI has been a blessing and a curse, I can program/draft memos/agendas, etc., so much faster now, but AI goes as quickly as I do, so I have to force myself to take breaks. I’m learning multiple different systems, and I’m an admin or backup admin to two already.

Today is my day off, and I need to go back to that list again and again. I may play a video game, I’ve been playing cozy games, but I really want to play Subliminal. I’ll give it a try. I will also pick some non-screen extra-curriculars like coloring and packing.

Darkness

I’ve been on Depakote since July. I had a very dark October, and with the help of my therapist and a lot of what she called “psychological first aid” things started to trend up. I realized that Octobers are always hard for me, but this was the first without Lithium since I was a teen.

I had a couple weeks that were nearing hypomanic and everything was awesome. Now I’m feeling low/anxious again. My doctor wants to put me on Latuda. I’m too scared to try another antipsychotic, but he says maybe that’s because I’m helpless/hopeless. It’s hard to understand how he knows that after five minutes on a televisit. The other three drugs we tried had bad side effects (one included anxiety sooo much worse than this). I like to think it is partially due to the darkness and SAD. It gets hard when it gets dark at what feels like 2:30pm. I’ve also caught the respiratory crud, and have had it this week during my birthday and today on Christmas.

I contacted the therapist that I really liked, and she said she can’t ethically see me anymore, because she is through work and they can only offer short term therapy. She had “graduated” me in November. Ugh. Getting fired by a therapist is not pleasant. I started with a new therapist on a therapy app last week. I’m hopeful that she will help me crawl out of this hole.

I know part of what I miss is people, because they lit up my world. I’ve been remote since the beginning of the pandemic. I feel like a drain on my husband who also works remotely. I miss taking breaks and chatting with coworkers with out a screen between us. Now that I think about it, that is how I have met new people since the friends I made in school (many, many years ago). I have a few close friends, but we only talk on the phone. I want to get connected with church when I’m feeling better.

Crap, this vent sure is starting to make my doctor sound right. My husband is a light in the storm, but I feel like I’m taking all of his energy. He is ready to do whatever helps, and he just walked in the room singing a song from Paddington 2.

I want to connect with people and go to the pool again. I’m going back to my third(?) rewatch of Ted Lasso.

The C Word

cra·zy
1. very foolish, irrational, or strange.
2. extremely excited or enthusiastic.
3. having a mental illness. [offensive]

There is nothing lazier than beginning with a definition, but here I am.

My relationship with the word crazy is tumultuous, so much so that I’ve blogged about it before (multiple times). I like the word, there are so many times when it is perfect, e.g., “The move Brazil was crazy and wonderful.” Like the more famous C word, it can have a devastating impact on me. A close family member stops me when I say it to explain that it is not OK, because he has family who are crazy [me]. Blerg. I think I’m just describing an opportunity for better boundary setting, and the word crazy doesn’t deserve to be bullied. Words are beautiful, wonderful, crazy things that shouldn’t be censored. Maybe this one just needs some new friends: unconventional, eccentric, quirky, unorthodox, wacky, outlandish, bizarre, weird, strange, peculiar, daft, zany, off the wall.

Bottom line — just don’t be an ass.