Tag Archives: irritability

Stability and Moving Into Summer

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It’s been three months since I had my last psychotic breakdown.  I have been on a different medication since.  It is working better than my previous medication.  I am more optimistic, more social, less depressed, less irritable, and I haven’t had hallucinations in three months.  The only true negative of the last several weeks was the back injury that made me inactive for three weeks.  I can lay on my stomach and get up now.  But I won’t sleep on my back in a traditional bed until I no longer have back pain.  I’ve gotten used to sleeping in a recliner.  I’ve gotten used to going to sleep earlier and waking up earlier.  I’m usually up by 6:30 in the morning.  When I was in a bed I usually wasn’t awake until 8:00.  I haven’t pulled any all nighters in a month.  I think part of my stability comes from more consistent sleep.  I know problems are coming when my sleep patterns change, especially when I get less sleep.

Traditionally late summers have always been tough for me.  I usually start feeling more irritable than usual in early July.  Usually it builds until I have a break in late summer, often in late August to early September.  Both times I went to a mental hospital I went in early September.  I have always been anxious, short tempered, and irritable from late July to mid September.  I don’t know if it’s because of the heat or if I subconsciously have bad memories of going back to school.

Last year I had a mini breakdown in early July but got through August without much problem.  The major break last year came in early October.  I also sometimes have a breakdown a few days before Christmas.  The holidays are traditionally an overwhelming and stressful time. I intentionally avoid malls and box stores in November and December.  I can’t stand the sensory overload from the decorations, bell ringers, and piped in Christmas music.  I have had to skip Thanksgiving at least twice in recent years.

I am not sure why traditionally happy times always make me depressed, sad, and irritable.  Maybe because I don’t like being told how to feel or think even on a good day.  I didn’t even like teachers telling me what to think in grade school.  Perhaps I have too strong of an independent streak.  I have never been capable of just gone along to get along. That has caused me a great deal of grief over the years.  It has caused me lots of problems in school and the workplace.  I never understood why people accept things they know to be questionable, senseless, and wrong.  I have never been able to accept something I believe to be senseless or false.  That alone has gotten me labeled a malcontent and having a bad attitude.  But I am simply unable to shut down my mind and just be an obedient sheep.  I’m sure I was quite a headache to some of my teachers, bosses, and parents when I was growing up.  I just had to know why things were done as they were.  I was that precocious child who was always asking ‘why’, even with complete strangers.  But somebody has to keep asking questions and challenging the status quo.  And I guess that I am one of those somebodies.

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Socializing and Decreased Hallucinations

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Now that I have my medication situation under control I’ve been easing back into more of a normal type of life.  At least it’s as normal as a life of mental illness is going to get.  One of the aspects of my life that is starting to resemble normal is my social life.  Just last week I spent two hours outdoors chatting with two of my neighbors. Three days ago I chatted with a third neighbor for over an hour. Today I chatted one on one with another neighbor for almost two hours.  Those are the three longest conversations I’ve had with someone who wasn’t family in months.  I still make a point of calling my parents at least twice a week.  It’s not just Mothers’ Day and Fathers’ Day I talk to my parents.  I still go to counseling twice a month with the same counselor I’ve had for the last year and a half.  We have a pretty good thing going.  I also have a good deal going with my psych doctor.  I do kind of worry because both of these men are getting close to retirement age.  So I’ll be in the market for new therapists and doctors within a few years.  I’m so glad the subject of DNA testing came up with my psych doctor.  The medication I changed to was one my DNA tests said would work really well for me.  So the DNA testing has already paid off.  We might make another change within a few weeks.  But things seem to be working well enough now we might not even need to make a second change.

I’m also noticing I can now go entire days without feeling irritable.  I don’t even really get irritable while driving.  Since I usually drive a little slower than speed limit, especially in town, I usually get passed and sometimes cut off.  But neither really bothers me that much anymore.  And I’m beginning to drive more again.  For several months I drove only when I had to run errands or to visit my family.  I rarely made spontaneous trips.  And being in an auto accident several months ago didn’t help any.  Even though I wasn’t at fault in that accident I lost some confidence in my driving ability.  It’s now coming back.  I haven’t set out on a long road trip yet but I probably will this summer.  I try to take at least one several hour road trip every summer.

I’m also having fewer auditory hallucinations.  For me, my hallucinations were almost always voices. Occasionally I hear foot steps and doors closing that no one else does, which can be quite creepy. Voices and foot steps are the two biggest hallucinations I have.  If one were to watch me closely when I’m alone, you could see my lips move and I would be speaking under my breath. That’s how the hallucinations make themselves manifest. It no doubt looks very odd but hopefully it’s not as painfully obvious as some schizophrenic hallucinations.  I can have entire conversations with the voices and not even speak loud enough to be heard.  But since most of the voices are quite nasty and critical it’s not like the conversations are enriching or enjoyable.  But I’m getting to where I now have much more conversation with real flesh and blood people than just isolating and arguing with my hallucinations.

Sleep Effects On Mental Illness

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Since the end of the holidays things have slowed down in my life.  I have gotten quite a bit done.  I have also more stable than the last several months.  I attribute this greater stability to not just the end of outside stressors but also on how much sleep I get.

I confess to being a night owl.  Have been my entire life.  Even I need at least seven hours of straight sleep in order to function well.  I can get away with pulling two all nighters in a row and sleeping for maybe five hours in the morning hours every two to three weeks.  But it takes longer to recover than in years past.  A lack of sleep makes me irritable, short tempered, and unable to focus if it goes on for more than a few days.  So to cut this off I’ll reduce caffine, especially after lunch for a couple days.  This helps with falling asleep easier.   It allows me to sleep at times when the normals of the world do.  After a couple days of more consistent sleep I feel like I’m reset.  I can probably do one all nighter every five to seven days without much problem.  But I try to sneak a second one in I’m asking for trouble. Three in a row is asking for problems.  After my grandmother died and my subsequent car wreck, I was pulling two to three all nighters per week.  No wonder I had two breakdowns within three months.  I usually have only one per year, often in late August or early September.

In short, I need sleep.  It takes a toll on my mental stability if I don’t get consistent sleep for more than a few days.  Mental illness can be made more severe without good sleep.  I know mine can be worse when I’m not sleeping well.