My bipolar seems to be in a stable phase lately, however that stability is still not feeling well.
I have had depression phases, but until lately I think they were related to outside events rather than developing on their own. I have had no hypomania phases for at least a year, maybe more. The medication, especially the Abilify, takes the edge off so that I rarely get those highs anymore. I miss the highs a little bit, then I remember that I usually have an agitated mixed state rather than a happy hypomanic state.
This time I seem to be in a real depression. I worry constantly, my OCD is there all the time, I exhibit social anxiety symptoms every day, I try to avoid contact with people, and I have the added stress of maintaining the constant mask that keeps people from seeing how I really feel. Physically I don’t feel well, I am tired all the time despite getting good sleep, and my weight has ballooned. I have no motivation or energy to do anything, and getting the house ready to sell seems like an overwhelming task at this time. When I am overwhelmed, I give up, and that makes me depressed, and the vicious cycle continues.
I don’t know if any changes to my meds are warranted, but I will ask him if I can do anything else. The p-doc says I am maxed out on the Lamictal, and the Abilify is doing nothing for my depression or anxiety. The social anxiety is probably a behavioral issue rather than medical, and changing the meds won’t affect that. There is no magic formula to make me change the kind of person I am, and I don’t believe any amount of therapy can give me confidence or self-esteem, or take away the insecurities I have had since childhood.
I guess the theory behind the medicine is that if they can fix your brain chemistry so that you’re not depressed all the time, you will be able to make changes and make progress necessary to improve your life. Nicole and I were discussing that with respect to her illness, and I was telling her that it seems like she is just stagnating, standing in place, choosing not do to do things to make progress toward independence and rejoining the world of the living. I think I am stagnating as well, but I have the added stress of being forced to play the role of worker and provider and all-around good guy for everyone who needs me.