I get up, I get down

It was the day of my 19^th birthday, mid March 1989. It was a cold, drizzly, rainy day. Not at all unusual for my birthday, unless of course we get snow. It just so happened that there was a used record sale happening at the K of C, and for once I was connected to the world enough to actually know about it. I think I got L.A. Woman that day, and I know I picked up Close to the Edge by Yes. Even after a quarter of a century, the three songs that make up that album still quicken my heart and transport me to a magical place. But with lines like “A seasoned witch could call you from the depths of your disgrace and rearrange your liver to the solid mental grace,” the lyrics didn't exactly connect with me.

However there is a refrain in the song: “I get up, I get down”. For years I sang along with this part, just like the rest of the song, only thinking about it as a lyrical line, notes to be sung with words just because. But recently, I've been thinking a lot about my metal state, not grace, and certainly not my liver rearranged by a seasoned witch. But with cyclothymia, “I get up, I get down” is just about the most succinct way of putting it. In one of my recent posts, I talked a bit about what it is like in the down phase, the depression of bi-polar light. Today, I want to talk a bit about the upside and the cycles.

To recap, cyclothymia is on the bipolar spectrum. It is sometimes called bipolar III or bipolar light. I introduced it here, and talked about the depression aspect of it here. Wikipedia describes the manic phase this way:

Hypomanic episodes. Symptoms of the hypomanic episode include unusually good mood or cheerfulness (euphoria), extreme optimism, inflated self-esteem, rapid speech, racing thoughts, aggressive or hostile behavior, lack of consideration for others, agitation, massively increased physical activity, risky behavior, spending sprees, increased drive to perform or achieve goals, increased sexual drive, decreased need for sleep, tendency to be easily distracted, and inability to concentrate.[2]

Around Thanksgiving my mood started to improve a lot. That week I had to vacate my apartment (that I had just moved into the previous May) and move into my dad's place. I had been working out at cardiac rehab three times a week for about a month by then, and I had been taking anti-depressants for just over two weeks. So, why did my mood improve? A change in environment? External chemicals? Exercise? Internal chemistry? Getting out and being proactive (the act of moving itself) about something? I don't know. It could have been any of those things. I believe it was several or all of these factors playing together. Maybe it's as simple as having reached bottom, and having no other place to go.


So, now that I'm up, am I in a mania? I don't really know. Of the symptoms listed above, I have or have had all of the first five in the last few weeks. For example, I actually had this exact thought as I caught a glimpse of myself in the mirror at rehab: Send me to Mars because I am just too damn good looking for this planet! Now, I don't actually believe that, but I did think it. As far as the other signs go, I've experienced most or all of them in the past, and a few of them recently. But, here's the thing.... remember that Doors song, I've Been Down So Long It Looks Like Up To Me? Are my symptoms at the level of mania or just what normal people feel like from time to time? I mean, does my mood feel extra elevated because it is or recently has been, or because its just so much higher than it was?


A lot of bipolar types go off their meds because they miss the manias. As I stated earlier, I became very zombie like on my original meds, and just didn't have the vocabulary to express it to my care giver. He told me that I was just experiencing what it felt like to be among the mortals now like a normal human being, where as before I was more like Superman. I don't know if I was ever Superman, but I do know I am much more productive sometimes and much less so at others. One of my NPC's toyed with the idea of putting me on anti-depressants, but he was too concerned about pushing me into a mania. I really wished he had.

Seriously, though, that is a concern, and one that I am on the look out for right now. Manias can be very, very destructive, including huge spending sprees and gambling losses. Luckily, I have never gambled, and I have no money or credit with which to spree right now, so I guess that's good?


Just like there are different levels of the down side, there are different levels of up, too. I started trending up around turkey day, and by mid December, I was most definitely at a recent high point. By a few days before Christmas, I had leveled off and mellowed a bit, and just the last two days now I think I am rising again, but not as fast. This move from depression to happiness is at least the third major mood shift this year.


What's it like for me to be in the up cycle? Well, there is both good and bad, but (naturally) it feels a hell of a lot better than the alternative.

• My brain is much more active. Maybe too much so sometimes. Ideas and inspirations come a lot easier. Not only do I feel like writing more, I feel like I have so much more to say. Topics and angles on the topics just come to me. I have much more productive dialogs my head. So creativity is way up.
• However, that can lead to racing thoughts. I can't always concentrate on just one thing at a time, and I can get easily distracted. Boredom sets in a lot easier. This can make writing or even reading much more difficult. A task has to be just the right amount of hard. Too easy, and my mind wanders, too hard and I get frustrated and seek something else to focus on.
• Speaking of focus, this leads quite easily to obsessions, both major and minor, if an obsession can ever be called minor. Once a thought get stuck in your brain, it can just stay there, played on a loop for minutes or even days at a time. In my case, the thought is usually a word or phrase that just gets stuck on a loop. It is a very non-productive use of brain cells. However, sometimes a task or objective becomes the obsession. This could lead to great things, such as 12 hour long writing sessions where a planetarium script goes from a vaguely researched topic to a well constructed and logically laid out nearly final product, or combing through hours of band rehearsals to edit down a half a dozen songs to present to my guitar player.
• But sometimes the boredom wins and I can't find anything to satisfactorily sink my teeth into. The result looks just like what happens when I'm down: lots of TV and web surfing, but the causes are very different. When I'm in a funk, the TV and Youtube provide a distraction from my negative thoughts and life, and let me exist. When I'm up, I am just seeking input to occupy as many neurons as possible.
• Of course, this means I can't really control my thoughts unless I am concentrating. So, falling asleep is an issue. I've learned to keep reading material in my bedroom at all times. Of course, finding the right thing to read is sometimes problematic (see above) but at best it calms my brain enough to let me drift off to sleep. At worst, I get a lot of reading done. The other thing I usually need is music all night, as that can also let my brain focus on something and calm it down.

And finally, I just feel good. I have energy. I don't loath going out or talking with people (as much?). I get stuff done. Granted, it's not always the stuff I was supposed to be doing, but still, it's stuff. And it gets done. That's better than a poke in the eye. But there is such a thing as feeling too good. A swagger can turn into cockiness. An eagerness to interact with others can turn into carelessness about what you say and how you say it. In other words, it can lead to social disasters.

In the end, everything is so much better on the mania side of neutral than the depression side. I have confidence to try things. I'm much more productive and creative. I take much better care of myself. There are dangers, though. Things can be taken too far. Feelings can get hurt. Recklessness can wreck things. 
 
My goal here is to stay on the daylight side of my moon terminator as much as possible, while avoiding high noon if I can.

As usual, there is so much more that I wanted to say, but I am now on page three of my draft, and that's long enough (too long?) for any readers I might have. As most any creative person knows, projects are never “completed”, just abandoned when time runs out. I really want to post this yet this year, and have to edit it and make it look nice before I get called out to be a taxi service tonight, New Years Eve. So, if I make it, and this has a date of 31-Dec-2014 on it, congratulate me on a successful abandonment, and have yourself a damn fine New Year!

For part one, go to Cyclothymia

For part two, go to I Don't Know and I Don't Care 
For part four, go to Limb by Limb 

10 Books Meme

This meme was making the rounds on Facebook, and instead of just listing the books, I thought I would expand on it. 

"List 10 books that have stayed with you in some way. Don't take more than a few minutes, and don't think too hard. It's not about the "right book" or great works of literature, just ones that have affected you in some way. Doesn't have to be in order. Feel free to play along if you'd like, I'm not tagging anyone."

Paddington Bear. I don't remember much, but I do remember that at such a young age I thought that England must be a strange and fascinating place, with cricket and orange marmalade.

The Soup books. Soup was a boy growing up during the Depression. His best friend wrote and narrated at least two books about him, and what a troublemaker he was. He would smoke corn silks and try to get extra cash by putting a pebble inside the tin-foil he was selling back. Apparently Soup grew up to be a Minister.

The Doonesbury comic books. I discovered them in HS, and got the whole collection from the start in 71 or so through the early 80's. Not only were they incredibly funny, but they were also a recent history lesson!

Almost anything by Kurt Vonnegut. I will single out Breakfast of Champions just because it was the first one I read. He presented such a bleak view of the world, but with just enough hope in it to make it bearable, but just. I felt kinship there.

Arthur C Clarke's The City and the Stars. Just an amazing story, considering when it was written. It was a hard choice between this one and Childhood's End, but in the end, TCATS was read first.

Lord of the Rings. Once I finally got through it, I read it once every year or so. I even got my grandpa to read it. He didn't quit know what to make of it, but was damn interested in seeing just how the hell they were going to make a movie out of it. He died before he had a chance to find out.

The God Particle by Leon Lederman. A very funny and informative book about the history for the search for the smallest particle. It goes as far back as the ancient Greeks right up to the early 90's. Very excellent primer on particle physics.

(tie) Blind Watchers of the Sky by Rocky Kolb and Coming of Age in the Milky Way by Timothy Ferris. Its hard to separate these two in my mind. They both deal with the history of and (1990's) current state of astronomy. One deals with the science better, the other with the human stories better, but both cover a bit of each. I can't recommend them enough. (see my review of Blind Watchers here)

The Demon Haunted World: Science as a Candle in the Dark. Carl Sagan's last book. It wasn't until I read this book that I really understood how a good scientist and skeptic thinks. A lot of it is dedicated to "debunking" things like UFOs and ghosts and such, but in a very sober and informative way. He not only shows why these things are not likely to be true, but also how and why we believe such things, and where there is actually interesting things (about us) to examine from such claims. And much more. I really think it should be required reading for every HS student, and again in collage. Its one of the few books I truly feel would help make the world a better place if we all read and understood what it said. (see my review here)

The Selfish Gene by Richard Dawkins. His first book for the non-scientist. Its about evolution, and looking at it from the gene's "perspective". Very easy to follow and logically laid out. His other books on evolution are also captivating, but once again, this was the first of his on this subject that I read. Dawkins is probably the best writer of actual science that I have ever encountered, at least for me.

I Don't Know and I Don't Care

The other day I posted a blog about my being diagnosed with cyclothymia, or bipolar light. I ended it with a link to The Doors' “I've Been Down So Goddamn Long That it Looks Like Up To Me”. I never really knew how true that could be until just a few weeks ago. I had just started cardiac rehab (details about how my life has pretty much hit rock bottom in a later blog, just roll with it for now) and they screened me for depression. I scored high (or low?) enough that they had me take a follow up. It asked questions just about the previous 7 days. Now, I felt that I had had a pretty good week, mood wise. Not wonderful, to be sure, but I was feeling much better than my recent average. It was a self tally quiz, so I added up my score. Anything over a 16 was cause for major concern. I scored 30.

Yup, on what I thought was a good week, I nearly doubled the “holy shit get yourself some help” bar. I laughed my ass off! For like five minutes. It was the best damn belly laugh I'd had in years. To me, this was so funny, but funny in the sense of it's much better to laugh than cry kind of way. So, I made an appointment with my PCP and got on some anti-depressants. Maybe they're working now, maybe its the exercise I've been getting at rehab, or maybe its just my chemistry, but I am feeling much, much better now. Good enough to write again.

In this blog, we are going to talk about what it's like to be in a low. For me, at least. I can't say what others go trough, exactly. It isn't going to be terribly fun, nor is it a feel good piece. So, to soften the blow a bit, here are some cute cat videos. 

(Note: parts of the following are in the 2^nd person. I'm sure my English teachers and any editors, professional or amateur, out there would berate me for the switching of perspective like that, but it happened naturally, and I like the result. Maybe I did it to distance myself from the memories, but I think it also has the effect of putting the reader into my mind space a bit better. Whatever.)

Older Man to HS Kid: Are you ignorant or just apathetic?

HS Kid: I don't know and I don't care. (ba-da-dum)

So, what's it like to be in a low? Its a lot like being that high school kid, but in like a BAD way. On a good day during a down period, you just sort of exist. If you're lucky, you can ignore most of the terrible things in your life and in your head and just sort of.... make it through to the next sleep cycle. But even in a low, there are fluctuations about how low it can go.

I used to think I was just sort of a down person. For 20 years I would see the commercials about depression and think that maybe I had some of those signs, but it just never seemed that bad. I would hear about the people who could not even get out of bed to get to work, or that tried to kill themselves. Well, I wasn't there, so maybe it was just me and I needed to learn to deal.

Let me tell you this, if you think you may possibly maybe even a little bit need some help, you can use the help! Not all help works for everybody, but trying is a good portion of the battle. Really, ask for help, and get started into some system or program or buddy system or whatever. Just reach out to somebody. PSA over.

So it doesn't have to be like what the ads say, or the “worst case scenario” or something drastic. After a while, and maybe with some negative things happening in life, the best of us just sort of... break. Looking back, I know I've been broke for at least a decade, maybe much longer. Maybe I was never unbroke, but life just hadn't entirely caught up to me yet. After 2003, life and I were neck and neck, and then in 2008 life went right past me. In 2012 or so, life lapped me and bitch slapped me on its way around for good measure. By this year, I wasn't even running any more. And that brings us to what that's like, the lowest of the low.

First off, there's the apathy. Now, this happened after I first sought treatment and was told I was on the bipolar spectrum. They could only give me drugs that still had company sponsored handouts, due to my lack of insurance. I don't know if that was the only reason or not, but I ended up on a few different anti-psychotics that were given to bi-polar I and II patients, as well as schizophrenics. They were all described as “mood stabilizers”. That they did. At first, I was happy with the effects. I was much calmer and could handle things easier. But after a while, I just sort of disappeared. I ignored everyone I should have payed attention to. I stopped cooking, I stopped cleaning, I watched each and every single episode of Star Trek ever made.

Somewhere in there, my girl friend moved out.

I stopped even checking my mail for months at a time. The money I was making at my driving job just wasn't enough to pay everything that had to be paid, and so that got ignored. I stopped reading. I even stopped listening to music. When I was driving nights, I had music on in the car, but never tapped my fingers, never sang along. When I started driving days, I had NPR on all the time, just to have fresh new information to digest, and take my mind off of, you know, existence. I also stopped taking my meds in hopes of regaining some small modicum of interest in things, in people, in myself. It took a while, but things improved until the next major setback, and I was right back to the apathy.

The apathy is destructive enough on it's own, but the much more painful problem is the blackness. We've all heard of the blues. I can live with the blues no problem. But a few times in my life I have hit black. Once, in early 2009, I thought I had gotten as black as I could get, but I now know that was just a dark gray.

The Blackness is much worse. It has a lot to do with self image, and world view, and just pain. Not physical pain, but existential torment. Just being alive, aware of time passing, is intolerable. It's one thing to know you are a failure by many of life's metrics, but it's entirely another thing to feel that you are a failure; to feel it in your bones. On the way down, you feel so terribly lonely, isolated, maybe even abandoned. But then you shun company, you don't seek out others. You only leave your house when needed, and you find any excuse to not need to. You are just barely above a shut in.  The only thing separating you from a hoarder is the time it takes to accumulate 3 feet of junk in your home. When the depression is this bad, you can not even remember what it feels like to have ever felt joy. You can't connect to that happier person you were at some point, even if it was just days ago. In the pit, you are so low you don't even think about killing yourself, you just deeply wish that you had never been born. You come to even resent existing.

And of course, there's the dealing with life.  Or, that is to say, not dealing with it.  Maybe its the apathy, maybe it's the zero sense of self worth, but what ever it is, the effect is that you are paralyzed.  You see the train coming right at your stalled car on the tracks, but you can't move.  You can't even open the door to save yourself, because you are just stuck.  You don't know what to do, or even how to form a plan

The time is gone, the song is over, thought I'd something more to say

It seems like there is so much more to say, but I have rambled on for too long already. I'll just leave you with this: in the last few weeks, I am on an emotional upswing. I am feeling much, much better, but maybe even too good.  My situation hasn't changed much, but my mood has. I can't say for sure, but maybe I'm in a manic phase right now. But more on that later.

For the first installment, go to Cyclothymia. 

For the third installment, go to I get up, I get down.  

For the fourth installment, go to Limb by Limb.  

Cyclothymia

Well, it's time to talk about mental illness. In a slow way at first, nothing too deep, so don't be scared. My close friends already know this, and so few people have ever read my blog that maybe that will still be the case. But I want to publicly talk about some personal things now, mixed in with all the science, agnosticism, left wing thoughts and music and book reviews, of course.

I was diagnosed a few years ago with cyclothymia. First, the scary sounding bit: It is on the bipolar spectrum. According to Wikipedia, it is also called bipolar III. But it's also been called bipolar light, so there's that. The name literally translates into plain English as “mood swings”. To be honest, I'm not so sure I've got the exact right diagnosis, but that is also something I am ready to explore, and will mention sometime in the future should I find out for sure.

At least one fairly famous person has come out and admitted that he also has been diagnosed with cyclothymia: Stephen Fry. He even did a BBC special about his disease, though in many ways his symptoms seem much more severe than mine.

There are two main parts of being cyclothymic, the highs and the lows. Of the two, I much prefer the manias, or the highs. Although, its when I'm feeling good that most of my social errors happen.

Again, according to Wikipedia: 

 Hypomanic episodes. Symptoms of the hypomanic episode include unusually good mood or cheerfulness (euphoria), extreme optimism, inflated self-esteem, rapid speech, racing thoughts, aggressive or hostile behavior, lack of consideration for others, agitation, massively increased physical activity, risky behavior, spending sprees, increased drive to perform or achieve goals, increased sexual drive, decreased need for sleep, tendency to be easily distracted, and inability to concentrate.[2]

I have experienced most all of those symptoms in one degree of intensity or another. Its hard for me to be “extreme” in my optimism, and I rarely actually get hostile. At least I think so. And there is the case of massively increased physical activity. That hasn't really been a thing, either. But most of the others, spot on.

On the downstroke, Wikipedia says this:  

Depressive/dysthymic episodes. Symptoms of the depressive/dysthymic phase include difficulty making decisions, problems concentrating, poor memory recall, guilt, self-criticism, low self-esteem, pessimism, self-destructive thinking, constant sadness, apathy, hopelessness, helplessness and irritability. Also common are quick temper, poor judgment, lack of motivation, social withdrawal, appetite change, lack of sexual desire, self-neglect, fatigue, insomnia and sleepiness.[9]

These all sound about right. And most recently, since I've been diagnosed, I'm wondering if I spent too much time in the depressive state to not count as a major episode. The details of all this will be for a future blog, but for now suffice to say that Jim Morrison got it right.

For part two, go to I Don't Know and I Don't Care 
For part three, go to I Get Up I Get Down.
For part four, go to Limb by Limb