I stumbled on an interesting blog by a psychiatrist who refers to herself as an “evolutionary psychiatrist.” On it there is a lot of information about how diet can help alleviate many of the symptoms of mental illnesses. Apparently there is also some thought that a gluten intolerance could be behind some pretty major disorders – like schizophrenia and bipolar disorder.
It’s been pretty fascinating to read her blog. It makes me think about my own issues with mental illness. I was pretty depressed at certain points in my childhood and finally diagnosed bipolar when I had my first manic episode the summer I was 20 years old. When you’re given a bipolar diagnosis you’re basically told that in order to treat your illness for the rest of your life you’ll need to take medication. I was also smoking a lot of pot (among other things) at the time I was diagnosed. The next summer, when I was 21, I experienced another manic episode. I was smoking even more pot (and other things) that summer. I was diagnosed type 1 which basically means I have periods of depressions and then long manic episodes. Mine started in May and gradually throughout the summer escalated until I finally crashed in the early fall – usually some time in mid to late September (after about a week of psychosis). Those experiences have had a profound effect on who I am today. They were both extremely traumatic and it took me a really long time before I could really talk about them with people. For a long time I couldn’t bear to think about the things I said, did, or thought during the manic episodes. The conversations I had with other people, the way I acted in public, what people thought of me; it was all too much for me to even think about, much less discuss. I remember for several years after the episodes if something I said, or did, while manic popped into my head it was like my heart would skip a beat my stomach would drop out. I’d have to repeat over and over and over again in my head “let it go, let it go, let it go” until I’d finally stopped thinking about it because the pain those thoughts brought me was completely overwhelming. Now, 10 years later, I’m able to think about what happened without the immediate knee jerk reaction I used to have. I can even talk about it with people, although I usually choose not to. For years after the episodes I was literally afraid to be happy – or to even feel happiness, contentment or that things were going to be ok. When I would feel that way I’d panic because I associated feeling happy, even on a minuscule, insignificant level, as a sign I could be going manic again and I really couldn’t bear the thought of repeating that process all over. The second manic episode was much worse than the first and it basically took a year of my life away from me. I was either manic and not able to function like a normal human being or, after crashing, I was more depressed than I’d ever been in my entire life which made it nearly impossible to do anything. It took about a year to go full circle through the mania and then resulting depression. The mania left my brain so depleted there was really nothing to be done but wait it out until everything had regenerated and I could live my life again. I’ve been through substance abuse, an eating disorder and some nasty mental illnesses, but that depression after my second manic episode was the worse hell I’ve ever known. Hopefully the worst hell I’ll ever know. And the lingering effects from the experience took me years to recover from. That experience was basically when life became too much for me and my behavior for the next 6-7 years was the most self-destructive it’s ever been.
Ever since I was a child I’d known that at some point life would be too much for me to handle and I’d finally have the resolve to kill myself. Ever since I was just a little kid I figured that I’d die from shooting myself in the head. I didn’t know when, but I was very certain it would eventually happen. It really should have happened in the depression that followed that manic episode. That was the most vile time of my life. It was like someone was inside my head (or rather that I was inside my head) for about 8 months screaming at the top of my lungs “KILL YOURSELF, WHY DON’T YOU JUST FUCKING KILL YOURSELF” every 3 seconds. The thought literally never left my mind. I was so depressed the thought of leaving the house nearly sent me into a panic. I took a year off from school and my parents made me get a job at a telemarketing place. I dreaded every minute of it. My anxiety was so high that I couldn’t handle any kind of social interaction. I would occasionally drive to the cities to visit a friend. We would sit around her apartment and get fucked up, but we’d never leave or go anywhere. I simply couldn’t handle being out in public or amongst people. I remember one of the times I had gone to the cities and visited her I was driving home and had to stop to get gas. I drove and drove until I was nearly out of gas and then stopped at a gas station. I had planned on using the pay at the pump option, but unfortunately the gas station I had stopped at had these really old pumps so you had to go inside and pay. I didn’t have enough gas to continue and go to the next town and find a different gas station, so I pumped my gas outside and had to go inside to pay. To this day, that remains the most difficult thing I’ve ever had to force myself to do in my entire life – just going inside to pay for the gas. I was so afraid of having to talk to people and interact with them. My heart just pounded and pounded the entire time and I was so uncomfortable. I did make it inside to pay for the gas, although I’m not quite sure how.
So I ended up working for only a couple months that winter. I told my parents I wanted to go back to school and moved back to the cities for the spring semester. I had to do something because I absolutely could not continue showing up to work everyday. It was very scary. I had a doctor’s appointment right when the semester started and decided to be honest with her. She, of course, immediately put me in the psych ward. It wasn’t a great experience, but it got me out of school and back at my parents house without a job. They pretty much stayed off my case about getting another job until May of that year. By that time I was able to get out more and the worst of the depression had lifted. It was such a scarring experience though, the mania and the depression, that it was a very long time before I could feel anything again.
The experience was so bad that I was willing to take medication forever if it meant avoiding another one like it. At times I was taking a lot of medication, but now I’m just a couple days away from 8 months free of all psychotropic medication. I couldn’t be happier about this. The psychiatrist I’m seeing right now is actually pretty cool. I’ve been seeing her since a little after my first stint in treatment for substance abuse, so about 4.5 years now. Things improved when I sobered up and the longer I’ve stayed sober the better they’ve gotten. At my first treatment facility we had a lecturer who talked about how people were showing up in treatment with all kinds of mental health diagnoses that were not actually accurate. A lot of time problems with their mood were mainly caused by the depressants or stimulants they were addicted to and abusing. This gave me the idea that I might not actually be bipolar in the first place, but it could have just been a bad reaction to the marijuana that caused the manic episodes. I entered treatment on 6 medications – 3 mood stabilizers, an anti depressant and 2 benzos. I like my current doctor and once I started doing better she felt I could wean off some of the medications I was taking and see how things went. It took me a couple years, but I was finally just taking one and still doing pretty well. She agreed I could wean off that one as well, which I did. I quit taking the last one in February, shortly before my 30th birthday. I liked the timing of that. I basically spent my 20’s fucked up on pills and taking medication and now hopefully will be able to spend my 30’s without them.
I’ve made a lot of major changes in order to get off the medications. I’ve quit using drugs and alcohol, I am in recovery from my eating disorder and doing really well with that, I get adequate and consistent sleep every night, I quit drinking/abusing caffeine and I’ve worked to find purpose in my life. It’s great and I feel like a whole new person. The problem is, I have 2 brothers who have both also struggled with chemical dependency and were diagnosed bipolar under the same set of circumstances (smoking way too much marijuana). I really want to help them get off these medications and be happier, but until you’re happy and doing well on the medication I don’t think it would be wise to go off it. Neither of them seem to be able to do that. I hope someday they can have the same experience with it I’ve had and be able to quit the medication.
Wow, this ended up getting super long and rambly and I feel like I’m no longer able to keep it coherent so I’m going to stop for now. I’d like to continue with this line of thought at some point. I’m glad I was able to lay out the basics (for the most part) of everything.