Babar is in My Living Room, and He’s a Morose Sonofabitch

By Secondhand Karl on February 24th, 2010

Not. Doing. Well.

It’s all in between my fucking ears, as usual. That’s always the problem area with me.

I had a good day yesterday. A friend visited and made my day. Hell, my month. So why are these awesome moments so short-lived in my head? I’m back to miserable today. Overwhelmed. Feeling on the verge of…shit, I don’t know. Not quite a breakdown, but close.

Every task becomes this monumental thing hanging over my head. Checking my blood sugar. Taking meds. A load of laundry. The dishes. Getting Mom another glass of water. Writing a story for work. Answering the phone, texts. Making an appointment for my head CT (Tuesday). I’m waiting for that Final Straw. Surely it’s coming.

And it’s days like this when I tend to cloak myself in one of my sweetest comforts. No, not Guinness. Not even rubbing one out. I’m talking about suicidal thoughts.

Bear me out here. I’m safe. You need to know that.

One of the hardest questions I get asked by shrinks is whether or not I’m suicidal.

“Are you having suicidal thoughts?” they ask.

The short answer is, “Yes.” But if I just drop a “yes” out there with no qualifiers,  I’m sure to wind up in a rubber room somewhere. No key.

Now, any shrink or therapist worth their fees will follow up such an answer with another question.

“Have you made any plans to harm yourself?”

THAT is the REAL question, the important question. Because while I *think* about suicide every day…every hour, even…I would never ACT on those thoughts.

Now that we have that out of the way…

I’ve spoken a little about my inner voice(s). Some might call it my Inner Critic, but that’s not strong enough a term. It’s like an ARMY of Inner Critics. That’s another iffy question for me…”Do you hear voices?” I’ve said, too, that sometimes these inner voices sound as clear to me as a real-live person.

Let’s say I fuck up, something I do routinely. We all do, we’re human.

My inner dialogue might go a little like this:

Gah! You’re a fucking idiot!

I wish I was dead.

Lightning quick, it’s out there in my head, it’s often the very FIRST thought that pops to mind.

I should die.

Everything would be simpler if I were dead. All the problems, the depression, the anxiety, my fucking up all the time, my loneliness, feeling so overwhelmed, so broken. All. Gone. In an instant.

I could get hit by a Mack truck. I could jump in the tub with a plugged-in toaster. I could jump off the Sebring water tower. Hanging is a popular choice. Pills I’m not thrilled with…tried that. Once. Guns. Trains. So many choices.

I often fall asleep thinking about all the ways I could blink myself out of the universe. It’s comforting. Morbid, sick, yes…but comforting. There’s power in knowing I can snuff it all away.

Now, I’m not saying it’s healthy to think like this. It’s not. At all. It’s part of my makeup, though. It’s hard-wired into my brain, these instant (sometimes gruesome) wishes for death.

I’ve come to grips with the myriad of unhealthy things happening in my brain. I know they’ll likely never, ever go away. I also know I’ll never act on the suicidal shit. Why?

I could never do that to the people in my life. Suicide is wrong, period. It’s an act of anger, and it’s the most selfish, heinous thing a person can possibly do. I don’t want to get into debates about how child molesters are far worse, or that people in chronic pain should have the right to assisted suicide. Honestly, I don’t give a fuck if you agree or disagree with me. I know I’m right. I’ve seen suicide, how it affects people.

You want to instantly become the Douchiest Person on Earth? Kill yourself. And if you do, don’t expect me to come to your funeral. I don’t mourn assholes.

What kept me from following through on my one suicide attempt in the mid 90’s was my daughters. Dark living room with a single lit candle, I had the pills all swallowed, my bottle of wine to wash them down with. Only a few minutes passed, and I was in tears. Then my girls popped into my head, and I cried even harder. I realized I was about to become the Douchiest Person on Earth.

Like I hadn’t screwed them up enough already? Now I was going to saddle my girls with a father who committed suicide? Put them through a life of fucked-uppedness? No.

I got up, went to the toilet, shoved fingers into my mouth, and puked all that shit out. No ambulance, no hospital, no further ceremony. I cried myself to sleep, knowing I was so fucked up I couldn’t even take my own life. And that the pain was still very much there.

My girls…that’s a sore subject with me. A topic for another post, maybe. Let’s just say that, in order to protect them from my bottom-of-the-pit depression, I played the neglect card. I thought I was doing the right thing, keeping them from me. I was wrong, perhaps the wrongest I’ve ever been. And that haunts me daily. Those relationships are non-existent now, both of them are fed up with my shit.

But I can say I didn’t pull the trigger, and my girls are the reason why I’m still here today. Sometimes they’re the ONLY reason, and that’s enough. We all need a reason to not be dead, preferably multiple reasons.

So…today. Back to the present. Days like today, when I’m down and overwhelmed and anhedonic, make me think of suicide a lot. Because it’s the hopelessness that convinces me this shit will never EVER end. I will NEVER have relief. Precisely why I watch “Highlander” and shudder at the thought of living forever. Fuck, I dread making it another 20 years on days like today. Living for all of eternity? No fucking thanks.

I got my new meds in the mail today. The Abilify, and the one for the nightmares. I have a lot of concerns, I’ve told you why before. But my need for something better – anything better – is so great that I’m gonna try this shit again.

I’ve already agreed to not leave Mom’s sight for 3 hours after taking the Abilify tomorrow morning. I look inside that vial and see those teeny little pills, and I think, “That little thing could make me or break me. THAT.” They terrify me.

I read through the list of potential side effects. Diabetes is mentioned specifically. Could raise my blood sugar, and mine has been not so great already. Could lower my blood pressure – which is always damn good – and make me faint.

But it could…just maybe…work. I’m not holding my breath, though.

And I’m pretty sure I know how I’ll be falling asleep tonight.

Jumping off an overpass. Barrel in my mouth. Too much insulin. It’s the Parade of Morbidity, and I am the mutherfucking Grand Marshall.

That’s Me in the Corner

By Secondhand Karl on February 16th, 2010

I’m slacking. I feel it. Losing my momentum is not a feeling I like. The mania has subsided. My brain is much calmer (and dumber), though that’s relative. It’s still busier than most people’s, I get that. But compared to the manic shit? It’s like my brain finally said no to steroids or something.

Tomorrow I have my first real session with the new shrink, via videoconference. Amazing the V.A. even knows such technology exists, but I’m not bitching. If it weren’t for the video thing, I’d have to drive 90 minutes to meet up with her.

I’m not slamming the V.A. in any way. I’ve heard horror stories, but to be fair, I’ve not experienced many problems with the care I’ve received. And I’m very thankful for that. I don’t have regular health care. The jobs I’ve had of late are contracting positions. No bennies provided. Sure, once upon a time, when I got $43/hour for my time, I could afford it. But not now.

I’m already impressed with this new shrink of mine. She called me a few weeks ago, unsolicited, just to check on me and my meds. On a Friday. At 5:15 in the afternoon. That speaks volumes to me.

So we’ll be discussing meds, mostly that the current regime isn’t doing shit. We stepped up the Geodon. I’m now taking twice as much as I was a few weeks ago and…nothing. That’s the bitch with being treatment-resistant. Lots of meds don’t touch me, then there are those that require a much higher dose than what others find effective.

The trial-and-error associated with medication is exhausting and nerve-wracking. I’m far from the most patient man on Earth, and adjusting meds (and trying new ones) pretty much requires patience, and lots of it. That’s how it is, particularly with the meds designed to hit your brain instead of just your body. They take WEEKS to build up efficacy in the body. And if they don’t work, many of them take weeks to get OUT of your body, which is sometimes needed before adding something NEW.

For me, I’ve pretty much always required a Magic Cocktail, a mix of different meds. I wish like hell that there was a pill that did it all, but there’s not. My chemistry is different than yours, which is different than everyone else’s. So, yeah, trial-and-error. With all the technology we have today, that’s still the way it works. I long for the days of Star Trek, when they scan you with a Tricorder and have you fixed up with a simple shot.

I read an interesting article last month about a pretty major discovery regarding Post Traumatic Stress Disorder (and yeah, I’ve got that, too). They’ve found a way to definitively diagnose PTSD using pictures of the brain. Remarkable, since the only way to diagnose before was through a series of questionnaires and a laundry list of symptomology.

Unfortunately, this discovery probably won’t lead to helping ME…not for a long time. Not until they can point to a brain scan and say, “Ah, see that squiggle there in Karl’s hippocampus? We need to give him Miracle Drug Alpha for that.” Until they know how to correspond the brain pics with specific forms of treatment? Not gonna do much for me. But it’s hopeful for future PTSD’ers, and I’ll take that.

I started out talking about me losing momentum, and that’s really what I’m feeling right now. A lot of hopelessness, lack of motivation, simply losing my give-a-shit attitude. Depression. An overwhelming sense of, well, being overwhelmed. Yes, I’m still checking my sugar and taking my meds, but I really don’t care about it.

I knew this was going to come, the return to the old me. Trying to find some shrivel of happiness in this mode is daunting, at the very least. I can’t survive in full-blown mania all the time – I’d die from sheer exhaustion, from insanity. But I wish I had a way to harness the motivation, the good attitude, the Happy.

Think I’m treatment-resistant in the attitude department, too.

For now, I’ll just take what little pieces of enjoyment I can get. I like the winter Olympics (tons more than the summer Olympics), even though I’m not a sports guy. I never watch baseball, or football, or basketball, or hockey. None of it. That shit bores me to tears. But the Olympics has something for everyone. Plus, it’s only two weeks long. I’m in, I’m out, I’m done for another 4 years. My fave events, by the way, are figure skating, snowboarding, and the skiing…none of which I’ve ever tried.

I also found some meditation podcasts, thanks to Angel. A friend has offered to help me with meditation – something I’ve never tried before – and I plan to take her up on that offer. But the podcast I listened to yesterday really helped to calm me down. I like that. I say I’ve never tried meditation, but the truth is I’ve probably achieved that “nothingness” mindset on my own many times. I may be wrong, but all the dissociating I’ve done in my life kind of mirrors that calming void sensation in meditation. I suppose there are positives to being a Survivor, after all.

I’m gearing up for 2HT’s redesign, and I am excited about that. Should be happening within the next month or so. My original launch date was going to be April Fool’s Day (seems appropriate), which also happens to be both my Mom’s AND my twin daughters’ birthdays. But it’s going to be sooner than that. Can’t wait to see it all come together.

I’d really like a dog. I think that’d do wonders for me. Mom hasn’t been so keen on getting a pet, though. Her rationale has always been, “If you can’t keep your room clean, how are you going to take care of a dog or a cat?” My rationale has always been, “Those two things aren’t even closely related.”

And yes, I’m 43 and live with my mother. I’m also depressed, anxious as Monk, and unemployed. Put me on “The Bachelor” now, ladies. I’m available. *cough*

Like my brain, this post is all over the board. I’m tired of that, too.

Looks Like We’ve Had Our Glitch For This Mission

By Secondhand Karl on February 4th, 2010

YOR Feb 2010I wish I could tell you that this month’s Resolution has gone off without a hitch, but it hasn’t. There’s a bit of a fly in the ointment, and I can’t yet say what. Suffice it to say that I’m still working on fulfilling at least half of my Resolution. And when I find out what I’m waiting to find out, you’ll hear about it.

Meantime, I have other news to report.

Mom had her follow-up at the doctor today. It’ll be two weeks since her surgery tomorrow. Things are moving along. She hasn’t had a pain pill since the weekend. X-rays look good. The doc took her staples out today, so now she can actually get her knee wet in the shower (instead of sticking her leg in a big black garbage bag and taping it shut).

No more lounging around in bed all the time, either. Doc says I need to crack the whip, so I will. Up and about as much as possible. Her endurance is shit right now, but that’ll change, too. She’s walking back and forth short distances (with a walker, mostly, but still).

She’ll be in the knee immobilizer for another month, when she goes back for more x-rays. Thumb needs to stay in its own immobilizer, too. Yeah, we forgot to ask about the thumb last time because, well, it’s pretty inconsequential when compared to the broken kneecap.

Should everything look good in a month, it’ll be time for physical therapy. And that’ll be another 6-8 weeks.

That’s all good. Aside from me being locked to the house for a while longer, anyway. But I can get out when I need to…just have to ask for a sitter. Mom doesn’t agree that she needs one, but she does agree that if the shoe were on the other foot, she wouldn’t be leaving ME by myself right now. So there’s progress.

My diabetes is coming under control. My sugars the last few days have mostly been well under 200, mostly under 140, even. I’m not including tonight, of course, because I scored a 222 after three slices of pizza. Oops. Still, I’m getting there.

I ordered a number of herbal and natural supplements to help with my depression and the bipolar disorder. Checked the list with both the Matrix Therapist and my new shrink, of course. I’m still being compliant and very honest with them about…everything, really. I keep no secrets from my medical team. That would just be stupid. No therapy this week because the MT thinks she deserves time off or something.

Whatev.

Got the Natural Calm yesterday and I’ve been taking it twice a day. Still waiting on my other shipment, which will include a multivitamin, as well as l-thiamine and melatonin. I love the InterWebz.

In an odd burst of motivation today, I went out to the shed and reclaimed some of my journals from my days in group therapy. Took a while, but I found the one I was really searching for. It lists the meds I was taking at the time, some of which were really working. Found tons of stuff in those journals. This stuff is just some of the doodlings between my scribblings.

Slack Soda

Tunnels

Hmm. 10 years later and not much has changed from that particular drawing.

My head? It’s…I don’t really know, actually. I’ve had a lot of shit happening (again. still.) and haven’t been taking note of everything. With the journals I found today, I found a blank book I can use. So I’ll start keeping one with all my symptoms/feelings so I can report out to everyone that needs the info.

What I do know is this: I feel more depressed. I’m still likely to tear up if a hummingbird burps the wrong way. Still oddly calm, yet at the same time freaking out from stress. So I suppose I’m still manic, though it’s not nearly as heightened now as it was a week ago.

That Charlie feeling I described? The reversion to Stupid Karl? I feel like it’s happening. I’m not as sharp. Things are a tad foggier. I’m slipping.

I just hope I can hold on to some semblance of a good attitude.

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