I lived a lot of my life on 4 hours or less of sleep, for weeks on end. I would go months in a hypomanic binge, then crash into depression and force of will myself to keep over functioning. High school was bad, college was a mess. I got through because I’m fucking smart, and good at taking notes, remembering lectures, taking tests, and charismatic and personable so if I needed extra help I could get it. I also took a degree in something I am both passionate about and good at, so when I needed to coast I could, but I didn’t need to coast very often. And I only had a couple of panic attacks so who’s counting. The nightmares about failing were just part of college, right?

After college though… I floundered about, jobless except for teaching and freelancing, for four years. Playing competitive video games to take the edge off.

Then I went crazy. It’s better now.

though I do kind of miss it sometimes

The endless energy.
I got So. Much. Done.

People marvel at me now? I got nothing on 20 year old me in terms of productivity. I took 18-21 hours every semester of undergrad, graduated with a 3.998 (fuck you too, piano performance grade) and still was a competitive athlete. Worked two internships or went to school over the summers. But the depression was so bad when it WOULD hit. Weeks getting out of bed only because I couldn’t bear to write my professors and tell them I wasn’t coming to class. (Which I felt I owed them. Probably a coping thing. If I had to tell someone I wasn’t going, I had to say out loud that I was depressed.)

It’s kind of amazing I survived

No, it’s not worth it or healthy. But it was a high. A fun one. I could do anything I set my mind to. I’m dumber now, and slower. I have a more mature wit, but the meds dull me noticeably. The trade off is that I’m not cripplingly suicidal, in an institution, dead, homeless, jobless. I have a savings account and a small financial safety net. I put money into a 401K. I don’t have panic attacks anymore, or at least not very often.

So it’s worth it. I have to keep telling myself that. It’s worth it. My life is worth it. I’m a reasonably functional adult, with a high stress job, a high stress unpaid second job, a hobby that demands creativity and competence, two cats, an apartment. Bills that I pay on time.

But I feel it every time I go pick up a refill.

Every time I get a new pharmacy tech, and she looks at my rap sheet and patiently counts out the 3-5 bottles, depending on what needs refilling. Asks me if I have any questions about my meds. Asked me every refill last year if I was sure I wanted the one that costs more than my rent every month, without insurance.

Nah, I’m okay. It’ll be fine. I want to say.

It’s like a backwards sort of addiction. My mind remembers the highs of not being on the meds. Sings siren songs about how I don’t need them. How much writing I could get done. How I’d be fearless in the face of D&D improvisation. Knit an entire lace shawl in 4 days. (It conveniently leaves out how bad the depression gets. Siren songs are only good when they’re about the deepest desires of your heart, after all.)

How many people do you know that have bipolar that take the meds for awhile, only to decide they’re “better” now? It’s super common, almost to the point of being part of the pathology of bipolar, because it cycles, for people to take the meds until they even out, declare themselves better, and stop taking their meds. And they do okay for awhile, and then they crash again. Lather, rinse, repeat. My doctor won’t let me go more than 3 months without seeing me, just to help reinforce that I need to take the meds. Same with my therapist, who double checks that I’m still taking my meds every few weeks.

I’m not crazy anymore, but there are mornings where I can see it from here.

My life now is sitting here, fully caught up on my work at my paying job, AND having written so far almost 1800 words before 11am, and wondering if I just got a little close to the fire-in-the-head, or if I should be stepping away to meditate, to slow my brain down, to maybe take something to take the edge off the drive to be writing. Is it productivity or hypomania? Is it a creative spark or hypographia? Does it even matter?

I’m not crazy anymore, but there are mornings where I can see it from here.

Ramblings on Madness
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