Depressive Episodes and Disturbed Sleep

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Bluelighter
Joined
Dec 23, 2007
Messages
652
I'm definitely no longer anywhere close to mania or psychosis, but I seem to have fallen into a mood that could be characterized as Unipolar Depression. If I were 14 or 15, this would be a dangerous mood, but now at 20 it doesn't bother me so much because I have been through it so many times before, and I know it'll resolve itself in a matter of weeks. I just feel mopey, empty, irritable, like my internal monologue isn't saying as much (which makes it nice and easy to meditate). I hate being in this mood because it makes me snappy with people I love, and I get a little wrapped up in myself (the atypical antipsychotic certainly doesn't help with that, they make me feel very autistic because they suppress frontal lobe activity).

One thing I've noticed is that when I have these episodes I seem unable to sleep longer than about 5 or maybe 6 hours a night. I'm starting to think this sleep deprivation is a sort of natural defense against depressions. Sleep deprivation actually mimics the effects of SSRIs in some ways, a side-effect or poor sleep is increased serotonin. I remember when my depressive episodes were really bad and they bothered me more, I would stay up all night on purpose just to induce that calm out-of-it state. I'm fortunate enough to not have a lot of trouble falling asleep, I just wake up a little earlier than would be ideal. I go to bed at 11 PM and wake up at 4:30 AM, that's the general pattern.

I don't know I'm just kind of musing. If I wasn't able to step back from myself and look at the entirety of my life and see that I've gotten like this many times, I would actually be a little suicidal. But I no longer allow myself to even think those thoughts, as much as possible.

Anybody have any magic bullets for this stuff? hah! Getting outside and exercising helps a LOT I think I will go on a hike today. Also just being honest with my parents and being like "hey guys sorry if I've been being kind of rude, I'm feeling depressed but I'll get over it". And to a certain extent I need to identify what things are happening in my life that can trigger this. Living with my parents is definitely a big trigger, it feels like a step backwards, but it is necessary for the time being. I just get so frustrated, especially with my father. He does not take depression very seriously because he hasn't experienced it since his early high school days, so he tends to look at it as something "immature" and "adolescent". But I can't think my way out of the feelings of emptiness, I just have to relentlessly engage with the world despite the depression. I may be depressed, but if I act like I am not, I will get better that much sooner.

And the abilify I'm on causes disturbed sleep and an empty feeling all on its ownsome 8) This could all just be abilify, the fact that I'm taking it when I objectively don't need it, but I won't be able to start tapering until July 18, my next appointment with my psychiatrist. I'd love to cut these 10mg pills into even smaller fragments but it just won't work, I need a bottle of 1mg pills to do a safe taper.

I am beginning to suspect that the mere pathologization of a low mood perpetuates the low mood, because you start thinking it is out of your control. But it really isn't I can do all sorts of things to distract myself or cheer myself up in minor ways. Depression is genetic; I can safely say that my ancestors in Ireland or whatever experienced similar states of mind. But they wouldn't wake up saying "oh now I'm Depressed!", they'd wake up saying "jesus mary and joseph I didn't sleep too well and I'm pissed off, time to go work on my farm!" Maybe I'll try running today, some real aerobic exercise. I think hiking isn't quite strenuous enough for me, and I've never really tried running before. I'm also an on-and-off cigarette smoker so I'll have to expect to have trouble with it. But it will make me feel so much better :) I just wish I owned a pair of shorts, it is VERY hot where I live. I'm also kind of scared to run because the benzatropine I take to manage the side effects of the aripiprazole causes tachycardia. So I probably won't run, but maybe I'll walk downtown and surf the library for a little bit, I absolutely love just wandering around a library and reading bits and pieces from whatever books strike my eye.

Hot-cold showers are the shit! I get all relaxed in there and then BLAST the cold water and it totally gives me a rush of dizziness and a notable improvement in mood.

I'm also working really hard on my Latin and getting a lot better with it. I'm almost back to being able to read it near-fluently without parsing the sentences.

Hi coetus igitur hac de qua exposui causa instituti sedem primum certo loco domiciliorum causa constituerunt; quam cum locis manuque saepsissent, eius modi coniunctionem tectorum oppidum vel urbem appelaverunt delubris distinctam spatiisque communibus. Omnis ergo populus qui est talis coetus multitudinis qualis exposui, omnis civitas quae est constitutio populi, omnis res publica quae, ut dixi, populi res est consilio quodam regenda est, ut diuturna sit. Id autem consilium primum semper ad eam causam referendum est quae causa genuit civitatem. Deinde aut uni tribuendum est aut delectis quibusdam aut suscipiendum est multitudini atque omnibus. Quare cum penes unum est omnium summa rerum, regem illum unum vocamus et regnum eius rei publicae statum. Cum autem est penes delectos, tum illa civitas optimatium arbitrio regi dicitur. Illa autem est civitas popularis (sic enim appellant) in qua in populo sunt omnia. Atque horum trium generum quodvis, si teneat illud vinculum quod primum homines inter se rei publicae societate devinxit, non perfectum illud quidem neque mea sententia optimum, sed tolerabile tamen, ut aliud alio possit esse praestantius. Nam vel rex aequus ac sapiens vel delecti ac principes cives vel ipse populus, quamquam id est minime probandum, tamen nullis interiectis iniquitatibus aut cupiditatibus posset videtur aliquo esse non incerto statu.

Thus these agglomerations of men, the cause of which I have already explained, first decide on a seat for their new state, a seat in which they can build their little huts. And when they have fenced it in by natural and man-made barriers, they call that collection of buildings a town or city, with certain places set aside as sacred to the gods and others common to all. Therefore every People which is an agglomeration of a multitude in such a manner as I have described, every State which is the regulation of the People, and ever Republic which, as I've said, is the People's Thing, ought to be ruled by some sort of bureau so that it will last a long time. But this bureau must always be confined by the Cause which gave rise to the State in the first place. Now then, either the State is to be put in the hands of one man, or to certain special men, or it is to be taken up by the the whole multitude. Therefor when all the power is in the hands of one man, we call that one man a King and we call the state of that republic a Kingdom. But when it is in the hands of the few, then that state is named after the authority of the few in opposition to the king; it is an aristocracy. But that state is called "democratic" (as the Greeks say) in which all things are in the hands of the People. And whichever of these three classes you choose, even if it is held together by that rule which the men bound among themselves in the first place through the allied nature of the Republic [a Constitution], it is not complete nor, in my opinion, particularly good, but only tolerable, because one of these three will tend to overshadow the rest. For whether you think of an equitable and wise king, or special and principal citizens, or the people itself (though this last is the worst), never the less it seems even without iniquity or greed it can nevertheless become, by one or the other of these classes, a stable state, but this is an illusion.

This stuff is fascinating, Cicero is impossible to translate literally, but I can read him pretty fluently, the difficulty becomes expressing his ideas in a language as fundamentally Different as English. It is this very difficulty that inspired the American constitution. The Founding Fathers were reading about the corrupted, aristocratic ancient Roman Republic, and interpreting those ideas in a way that was useful to them. Everything in Western society is built on the Classics, but the society that spawned those Classics is fundamentally not understandable. It's the quest to interpret those texts in a meaningful way that inspires the greatest philosophers and statesmen. I love how the American constitution is fundamentally Republican, but we trick ourselves into thinking it is a Democracy (as if a true Democracy would be better than what we have now!) I also love how Republic is Roman and Democracy is Greek. Cicero didn't even have the word "aristocracy", I threw that word in to clarify what he meant by "the authority of the few in opposition to the king".
 
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So what the hell do we call this state of mind? Am I Bipolar II? NO! I simply experience mood swings, and my down times have the potential to mess up my life (like when I dropped out of high school), while the up times have the potential to make my life incredible (like when I graduated from college at 19). Am I experiencing a Mixed Episode? NO! I can sense a depression coming on and I am responding proactively. I am rebelling against the straight-jacket effect of my antipsychotic by engaging with the world as honestly as I can.

Psychiatry is just a tangled mess of heuristics. The human mind is beyond comprehension. Psychiatry will never have its Einstein. If there is any Einstein of Psychiatry, he is Freud, who created his own idiosyncratic, creative, borderline psychotic superstructure to explain human behavior. This superstructure can also be found in Myth, Religion, Philosophy. The world really is fundamentally absurd. The experience of being institutionalized and living in a system of Unwritten Rules has blown my mind more than any mushroom or acid trip could. The experience of having the dose of my antipsychotics RAMPED up to 20mg, because a sociopathic roommate had threatened to murder me for taking too many showers, and I responded by following him around the hospital reading, shouting, barking Plato's Apologia at him, switching back and forth from Greek to English, is fundamentally absurd. And the only way to respond to the absurdity of existence, the absurdity of the 20th century, is the creation of an idiosyncratic superstructure.

Socrates Heard Voices and would fall into standing meditations for hours at a time. Was he schizophrenic? NO! Aristotle paced so much that the school of philosophy he founded is called Peripateticism. Was he experiencing akathisia? NO! Van Gogh cut off his own ear. Was he Bipolar I? NO! Jesus Christ thought he was the son of God, and was so convinced of this idea that he virtually committed suicide. Was he a maniac? NO! (and suicide is never the answer I'm not trying to trigger those thoughts in people)

What would the world be like today if Socrates had been given injections of haloperidol? What would have happened if Aristotle had a prescription for benzatropine? What would have happened if Van Gogh had been put on lithium? What would have happened if Jesus Christ was put on aripiprazole?

And now I'm ramped up, but that is okay, it's early in the day, I'll do some good meditation as the day goes on and thus calm myself down sufficiently to fall asleep without any trouble.

I'm not trying to scare people away from medication. It's not a sign of weakness to BE ON medication, as I am, but it is a sign of the inherent instability of our society that so many of us NEED to be medicated just to function like ordinary human beings. That's Fucked Up.
 
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I saw something in your first post about depression and sleeping longer/the body forcing short sleep as a counter to depression and I immediately thought of this video, thought it may be of use to you in trying to figure things out. Maybe not, but I thought I should share it anyway. http://www.youtube.com/watch?v=MA3Pc22WmwQ

I'm too fried to respond to all of your post, but I saw this right at the end and thought I'd comment:

"I'm not trying to scare people away from medication. It's not a sign of weakness to BE ON medication, as I am, but it is a sign of the inherent instability of our society that so many of us NEED to be medicated just to function like ordinary human beings. That's Fucked Up."

Modern psychiatry is not there to help people so much as it is there to ensure that people cause no major disturbances in the hypnosis of modern society.. and to ensure that you get "normal" so you can get back to being "productive" and start paying tax money. That's all. I think if we all cleared up our diet and took a few other basic steps the incidence of mental trouble would be vastly lower than it is.. no need for expensive medication that doesn't really solve problems but just masks them.

Society is very sick. The majority of "normal" people are not as healthy in mind as they probably believe themselves to be. Unfortunately we all got born into this troubled world.. it is up to each individual to find his own peace inside so he can better tolerate the world outside.
 
Possible you tapered to too low of a dose of Abilify too quickly? I'm a reductionist, so it's the first thing that I think of.

Nah I don't think so, it's important to remember that I haven't even received a diagnosis of bipolar, just Drug Induced Psychosis. I was on 20mg out of the hospital on the 30th, took 10mg on june 1st, 5mg on June 2nd, then stopped entirely and experienced rebound. Three days later I started again on 5mg/day, I've been on it steadily. I don't think there's anything wrong with me, and I don't think I need this medication anymore, but I'm going to wait until July 18 to start my next taper, I'll need a bottle of 1mg pills that my psychiatrist can give me.

I really honestly don't think I suffer from any mental illness. My depressive periods are curable with cold showers, aerobic exercise, and reading. My up periods will never trouble me again as long as I don't do drugs and stay up for days. I have mood instability as a side effect of abusing psychedelic drugs, not bipolar disorder, though I suppose I fall somewhere in that spectrum. I'm a little arrogant, not grandiose. I'm socially anxious, not paranoid. I'm a little irritable, not violent. etc.

I like the criteria of "are you a risk to yourself or others?" and I'm a risk to neither of those things.
 
Are you putting together your own tapering schedule of Abilify or are you working with a physician? I cannot recommend the former. You decreased it, and now you feel depressed. You don't sound like the same person from a few weeks ago. That's pretty strong inference for me. And no one is tagging you with a bipolar dx (diagnosis). Also, you don't have to be a risk to yourself or others to require medication. Based upon your posts, you weren't describing these clinical signs when you were taking Abilify. See my point?

No twenty-year old wants to be on medication, they believe that a life of the mind will get them through it. I suffered throughout my twenties on and off medication, trying to read my way out of it, believing each trip to the ER was simply an existential crisis, until I finally accepted that medication would always be a part of my life. I'm not suggesting that my experience will be the same for you, it's simply something to consider.
 
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Modern psychiatry is not there to help people so much as it is there to ensure that people cause no major disturbances in the hypnosis of modern society.. and to ensure that you get "normal" so you can get back to being "productive" and start paying tax money. That's all. I think if we all cleared up our diet and took a few other basic steps the incidence of mental trouble would be vastly lower than it is.. no need for expensive medication that doesn't really solve problems but just masks them.

.

What about the suicidal? Is that simply a matter of diet? Eat more grains and vegetables and your suicidal thoughts and intent will go away. Thank God my doctor didn't recommend that to me as a way from killing myself. Unless you've been there you really can't comprehend the experience. Modern psychiatry saved my life, and medication allows me to address the larger issues in my life, it does not mask them and turn me into an automaton as you have suggested.
 
Hey Missy, I've been there. I think diet and exercise is overrated, or it may not be overrated and just not work for everyone (me included)
Although I've only tried one SSRI and I didn't like it, one notion that helped me accept the idea of taking anti-depressants (other than you know, losing the will to live which I still don't have) you see when you don't want to live anymore you don't care as much about what you put into your body, or what happens to your body, because you don't want your body anymore.
Anyway, back on topic, the notion that helped me accept the idea of taking anti-depressants is:
The brain is an organ, just like the other organs in your body. When it isn't functioning properly, you can take medication to help it function. Just like a failing organ that could prove to be lethal without medication, the brain is the same. There is no shame in taking medication for a failing/ill-functioning organ.
If you're against taking anti-depressants you're not depressed enough to need them imo.
Does that mean that society doesn't want you to kill yourself because that means less contributions, less taxes? I don't know, and I don't really care to be honest.
Businesses all have making money as their priority, and any time they benefit people/society is just by chance, but does that mean I want to abolish all businesses? No.
 
I honestly can't see a single thing wrong with anything I've written. I love writing, I love venting through writing, and I'm never going to an ER again :)

I don't act out as much as my crazy posting might suggest, I'm really pretty calm, I just like to let the urge to write out sometimes creating those long rambling posts like that one. I'm capable of writing in a more organized/coherent way but I was choosing not to when I wrote that post, I was just getting things off my chest.

I'm working with a psychiatrist on getting off the meds. Though if someone tried to tell me I "needed them forever" I probably would just work out my own taper. But like someone suggested that's because I'm 20.
 
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Actually I think it's the benzatropine that's making me post in a loopy way. I've noticed that when I wake up in the morning around 6am I feel very sharp, and I can do a lot of Latin. Then about an hour or two after my first dose of cogentin I just get . . . loopy. It's not a good feeling, it's like being drunk without the positive effects of being drunk. My movement is fluid, it's also uncoordinated. Same thing with my posting. I'm just looped out on pharmaceutical belladonna. It's very frustrating, since my mind is the aspect of my self to which I am most attached. I can't focus on things, I'm constantly forgetting stuff, and the more I look back on the last couple of weeks the more I think it's the benzatropine.

Fuck side effects! The antipsychotic gave me such severe extra-pyramidal side effects that I need an anticholinergic drug to manage them and the anticholinergic makes me feel spacey and loopy. Hope I haven't done anything to really offend anyone I don't think I have but the benzatropine messes up my memory pretty bad (like I'll smoke 3 cigarettes in an hour without barely realizing it, I keep putting stuff down and then forgetting, it's making my thoughts disorganized). Thank god I don't need to be on this med combo forever. Aripiprazole is only "supposed to" be used as a long-term thing in schizophrenics and in people with unipolar depression who take like 2mg to supplement their SSRI. For people who's issues involve mood instability/bipolarish stuff it's only meant to be used during an acute manic episode, a better maintenance med for people with bipolar is lithium. But I really don't think I have bipolar disorder, I have mood instability issues but nobody has diagnosed me with that.
 
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