As you know, I’m bipolar, specifically, bipolar 2. That means I’m depressed more often than I’m anything else, leading to misdiagnoses of clinical depression. I have been on all the depression drugs, from Abilify to Zoloft, which has led to discussions that go like great scene in Silver Linings Playbook where Bradley Cooper and Jennifer Lawrence discuss the medications they’ve tried the same way Comic book fans talk about their stashes. What I’m trying to say is that I have lived my entire adult being miserable, except for brief breaks where I’m actually myself, or I’m hypomanic.
Being hypomanic can be a lot of fun. It’s like having a couple of drinks, and you’re funnier, better looking, and more charming. I’m pretty sure every woman who’s fallen in love with me has done so when I’m hypomanic.
Also, I’m irritable and downright angry. I can’t stop talking, and I’m grandiose. I regret so much of what I do when I’m manic. There is a member of my pantheon of fictional characters who is based on my mania. His name is Max. (Same first two letters—see what I did there?) Max is an asshole. When I’m hypomanic, I become an asshole.
I spent the least amount of time being normal, and it was tough to tell if anyone actually liked the real me. I wondered how I could be an asshole a third of my adult life without actually being an asshole. Or if I spent six months miserable, did that mean I was just miserable?
Fifteen years ago, my brilliant doctor and I figured it out. It wasn’t some sudden eureka moment. (DOCTOR: “It’s a great day to come to the zoo and see a polar bear … wait. Polar! That’s it!”) He isn’t House. He’s actually like this guy I met in North Jersey who used to hang out with my Uncle Larry. But I digress. It took months of experimentation and patience for us to reach an accurate diagnose because psychiatry isn’t a science, it’s art.
We found a cocktail that worked. I know it worked because I went to bed depressed one night, and I woke up the next morning feeling refreshed, but not manic. I was myself, and I’ve been myself since 2017. The downside is that, when you’re on enough lithium, your emotions are muffled. I’m like a cruise ship: when the waves slam into me, I may tip for a second (I have a bad temper), but I return to normal pretty quickly. This may be one of the reasons Kate divorced me.
There have been a number speed bumps along the way.
Sometimes, when you have a mental illness, and you are relying on drugs to function, they stop working. You have to start from scratch. It happened to me in 2015, and took over a year to right myself. I brush my teeth, get ready for work, work, come home and pet my cat, write and draw, make dinner, and go to bed, all the time being aware this will happen again.
Sometimes, I’ll get hypo-depressed, where I can’t sleep, but it’s all I want to do. It doesn’t make me feel sad and worthless, but I experience a lot of the physical symptoms, like aching joints.
Sometimes, I’ll get hypo-hypomanic, which is the good parts plus some crankiness.
I don’t tell my doctor about either of these because I don’t want to mess with my medication. We have been polishing this cocktail for years, and I’m afraid to live without it. Also, if I’m being perfectly honest, it’s kind of nice to be hypo-hypomanic.
Otherwise, the real me is a hermit, and I haven’t made any long-term friends for a very long time. When I’m hypomanic, the relationships may last minutes, but they’re life-changing.
Weeks ago, when I started getting involved with the community theater and having great conversations, and meeting protestors and hanging out, I wrote ten long blog entries over two weeks. I was clearly hypomanic. I hesitated to call my doctor because I was enjoying myself. It’s so easy to go from manic to depressed, and I didn’t want to rush that.
I melted down at work on a Thursday, and again the following Wednesday. I missed a train and screamed “Fuck!” in a crowded platform. I feel like a cat on stilts. If the internet cuts out, even for a minute, I’m going to throw my laptop out the window.
I called my doctor, and he prescribed me an emergency supply of an antipsychotic to keep me calm and he helped me sleep. He told me to take the next week off work and to stay home and sleep as much as I can. I’m need to lay off my ADHD medication because it’s all stimulants, as well as the devil weed, which is a mild hallucinogen, and it would stimulate me. I am to stay in my apartment with two exceptions:
One exception is my commitment to the St. Mark’s Players. After a long Day One under house arrest, I had to pull myself together and be around other people when I keep losing control over myself.
For example, I was pleasantly surprised to see my favorite eccentric, platinum blonde theater volunteer, Elizabeth. She remembered me and was genuinely excited when she caught my attention. I said, “You look great! Really great!” She assured me it was just work clothes, but I reiterated how great she looked. And she did, but still.
I did not want to do that. She is half my age. Even though my motives are pure, and I genuinely wanted to compliment her, there are rules, and I was stepping over them. My body wanted to keep talking, but I tried to reel me in, resulting in words that sounded backwards. It happened again when I was trying to give directions to my favorite bar in New York, which is probably not there anymore.
I had two more conversations like this at the theater. On top of that, I had to call eleven pharmacists earlier to find the antipsychotic he prescribed, but I still couldn’t find it. I was an asshole to every one of them. I didn’t want to be, but I was. I was telling my mouth what to say, and my mouth was being a real dick about it.
That’s just words. I want to assault people for moving too slowly. I want to beat my desk to death with my ergonomic chair. I am holding myself together with all the energy I have. As I told my boss after my second meltdown, that was me holding myself together.
I don’t have control over my own body. This has been my constant thought since my first meltdown. What happens when I have low blood sugar, and I can’t keep it contained? What happens when I stub my toe, and the bad me gets loose? And there’s nothing to stop my mouth from saying something it shouldn’t. I can’t even regulate my thoughts.
I can see treating this creepy asshole as a separate person, like the Hulk. But it’s not. It’s my voice. It’s my body. It’s my mind. Unlike a cranky Bruce Banner, I don’t get to black out when I’m being destructive. I have to watch myself do it and live with the consequences.
I have to go out to St. Mark’s Episcopal Church again tonight, with all those people, and Elizabeth (who, at least, didn’t act creeped out the rest of the night), and maybe something that’s going to set me off.
I don’t know what I’m going to do or when I’m going to do it, but I’m awaiting this next fuckup, as I have been for over a week. I’m scared. I’m in an ongoing state of vigilance, and I’m so, so tired.









