If we take a thousand steps, we’ll have travelled some distance whether we’ve reached our destination or not.
Three months ago, I relapsed into a mixed mood state, having symptoms of depression and hypomania at the same time. This took me by surprise since I had been psychiatrically stable for the past several years. Why I slipped into this destabilized state, I do not know.
In response to this, the recommendation from my psychiatrist was to double the dose of one of my medications and within a few weeks my mood symptoms resolved and I felt back to my usual self. Or so I thought. Sometimes, it’s only in retrospect that I realize that all has not been not so well. It was only after a month of being a good patient and taking the elevated dose that it was obvious that something was wrong. I wasn’t having mood symptoms but I was lifeless without any interest in doing anything at all. I’d just lay around all day not writing, cooking, exercising or otherwise engaging in my life. This wasn’t depression, it was a side effect of the medication. I made the decision on my own to return to the lower dosage and a few days later, emerged from my deadened state. I was alive again. I know that despite feeling better, on this current regimen, my mood symptoms are going to express themselves and I will become ill again.
The half or zero dose guy
If halving my medication caused me to re-awaken, how could I be sure that the remaining dosage wasn’t having some deleterious effect? If I stopped taking it all together, might I become even more alive? Who am I? Am I the half dose guy or the zero dose guy? Am I still trapped beneath the weight of this smaller pill I take everyday? I’m tempted to experiment and stop all my meds and find the answer. I understand non-adherence to recommended care.
A thousand steps…and more
I continue to face what many who have psychiatric disorders face. Still searching, after so many years, for that combination of medications that will stabilize my mood yet won’t suffocate the real me. As a psychiatrist, I understand the challenges of this delicate balancing act. That said, I’m rather frustrated and pissed off that I’m forced to continue this wearying journey. It seems, at times, that there is no end in sight but I have no option other than to soldier on in this (so far) elusive search. I don’t think my feelings arise from a place of self pity. They are instead a sober realization that a thousand steps hasn’t been nearly enough.