You’ll notice I said “outbursts” and not “episodes.” A
depressive or manic episode can be awful, don’t get me wrong. The progressive
lows that lead you further and further into depression and the unpredictable
flights of thought and paranoia of mania, can certainly leave one paralyzed.
But it’s the outbursts that occur in the midst of these episodes that I find
truly embarrassing.
It’s the little things that put me over the edge. Most
recently my husband complained because I bought a spicy chicken sandwich from
Wendy’s for dinner and didn’t bring him back one. One small comment about how
he didn’t appreciate my fend-for-yourself attitude toward Sunday dinner sent me
off on a tirade.
You might just chalk this off to normal female hormones. But
it’s not. When I say I began raging like a lunatic, I’m unfortunately not
exaggerating. Imagine Daniel Day Lewis in There Will Be Blood.
Fortunately no one was physically harmed in what I am now
referring to as the Spicy Chicken Tirade, but its still not much of a laughing
mater. When you experience depression, mania or a mixed-state your frontal lobe
doesn’t function properly. The frontal lobe is the part of the brain that
enables one to think rationally and see beyond the current circumstance. Without
a fully-functioning frontal lobe, I’m left with no way to see beyond my most
recent rant and the memory of me raving like mad, un-medicated women.
According to my most recent lithium levels, I shouldn’t be
surprised by this weekend’s outburst. For reasons that I won’t go into on this
blog, the level of lithium in my blood had decreased despite the fact that I
was still taking the same dosage. My levels were too low to be therapeutic.
My doctor had told me this. She told me that I would need to
increase my lithium levels soon, and yet I waited until I had symptoms that
showed that I needed more lithium in my blood. This may seem silly. Why not
just trust the lab work? Well, because it’s summer in Kansas and with heat indexes edging toward
triple digits I struggle to stay hydrated on 900 mg of lithium a day. Adding an
extra 300 mg in the summer scares me a little. In fact, many things about
bipolar disorder scare me a little.
But the reality is that I need a therapeutic dose of
lithium. An extra pill a day washed down with lots of Gatorade and water will
get me back to normal. For this I feel truly blessed.
The thing about having a chronic illness is that you always
have to be monitored and adjustments will always have to be made. That is,
after all the definition of chronic.