Back on the pills and still confused...

ON MONDAY NIGHT I didn't sleep for a very long time. Tonkie Ears the mouse was pinging about the kitchen like crazy. I eventually went to bed after it had got light. Then I was up before midday.

On Tuesday night I finally caved in and took my antischizophrenia pills. My head has been going increasingly crazed ~ in the literal sense of cracked into zigzaggy shards, like crazy paving. I don't "hear" many "voices" nowadays in the way you might expect: that someone is talking when nobody is there. These days I hear random syllables, and they push and pull through my brains shaking them up as they go in a pneumatic kind of way. They feel sometimes distract me quite a lot. Sometimes I hear my name over and over. Sometimes they say "doo-doo-daa-be-do"; or random things like "trotter donkey". Sometimes they sound like something muttered, and I only catch the last word or two. I also heard my own thoughts spoken by strange voices in my head. Sometimes they echo around, as if I think them and somebody else repeats the last. The "hallucinations" if I can call them that, are much lower grade than they used to be. It took a few weeks off the antipsychotic pills to get as loud and as distinct as they are now. The longer I continued not taking them the more the voices came back. Which is depressing when I think about it in my rational self as it means I'm still mad and I don't like being crazy. I don't like having to take pills just to be more sane than mad (they never worked 100%). And I don't know when I would ever get a life back; on them or off them.

The pills are so powerful I was in bed before 11pm. I slept right through and woke up feeling like it was 6 or 7am; but it was half past eleven. But I did't feel any saner than normal. Random syllables were echoing around and I sat in my blue velvet armchair and pondered where on earth my life is going.

I don't feel so terribly depressed now (or manic). I feel a kind of scattered distraction. If my dr hadn't told me I had a schizophrenic sort of thing going on I'm not sure I'd have been able to match what he told me with what I've read with what I've experienced. I don't think I'd be able to explain. I was never quite sure that what happens doesn't happen to everyone. I don't remember it ever happening to me before some point in my mid 20s, when Prozac originally set it off. A psychiatric person told me that one of the phenomena is a common symptom in certain mental states; it's called "thought echo".

No illicit drugs have ever caused anything like that, by the way. I only "heard voices" on drugs three times that I know of (you can only know that happeed by reviewing your experience and realizing that something you took to be real at the time could only have been a hallucination, which takes quite some concentration and insight to achieve).

So this is what's been happening. I've given in and taken psychiatric meds again. I know at least one person in NA would consider that "using" if I told them. NA can take a hike. In their collective experience hallucinations only occur when you're on drugs but in the past years I've hallucinated much more off drugs than on them, and the hallucinations have a different quality. LSD, for example, typically evokes intricate geometric designs, not voices. It makes you see abstract things, not actual objects, as I did in my manic swings. It's mania that made me hallucinate floridly. Mania lights up the brain like a christmas tree ~ brain scans have shown this. In that state just about anything that happens happens to you more vividly. I say "just about" because in that state I was impervious to cold. I never noticed my windows were wide open in January until my hands seized up enough to cause difficulties typing.

I got up too late to go to NA last night. I got to my methadone chemist just minutes before they closed. The post office was shut already so I couldn't have withdrawn "B money" (gear money) even if I'd wanted to.

Those antipsychotic tablets have really done me in. I feel heavy-limbed and unsteady and I very nearly got the bus 2 stops to my methadone chemists because I couldn't handle the thought of walking there.

So that's today for ya. I just want to go to bed again. I hate being on pills. It's bad enough being on methadone which keeps me physically OK, without having to take something else to be mentally OK. Most people are mentally fine on methadone ~ so why I shouldn't be too..? Does anybody know enough about this to comment? I don't get why I of all people should be more sane on heroin than off it.

I've got to go now. That awful game show where people pick boxes with random amounts of money inside is on and I've got to change channels. Cheery-bye now...

;-)


THE ROYLE FAMILY: Baby David's Christening Party
This is my favourite Royle FAmily episode of all. Everyone is drunk:





PSYCHOPHARMACOLOGY OF RISPERIDONE
by a risperidone-prescriber



RISPERIDONE
by a risperidone-taker; she describes 4mg as far too much ~ 4mg is my dose!
also she does look a bit manic, despite all those meds she talks about...

Back on the (legal) drugs ...(!)

I DECIDED to go back on antipsychotics tonight.

I keep hearing voices in my head jabbering in Northern accents. Jim Royle saying "my arse!" over and over. They're not hallucinations, they're kind of really loud thoughts from outside. But they didn't happen when I was sane. And I know they're supposed to mean I'm mentally deranged. The pills can block them out.

Also the risperidone has some sort of blockading effect on the heroin hit. It doesn't stop the nasty stuff working but it somehow makes taking it not seem worthwhile. So that's a good thing for me.

The reason I stopped taking it was that I was feeling incredibly flat and I thought risperidone was responsible. Then I began feeling depressed on top of that and risperidone is not a mood stabilizer as such. It did make me feel a lot less manic, but I'm not manic any more. So I wasn't sure whether or not to continue with risperidone. So I stopped it. And slumped into a pit of depression.

I was remembering what happened in full-on mania. My brain did everything bar melt on me and drip out of my ears down my neck, hissing, popping and fizzing as it drooled in luminous fingers down my back! Not good. The in-between hypomanic stage was good. That went on for several weeks and prompted my doctor to write to my GP telling of my "elevated mood". The only other detail I remember from that letter was "paranoid ideation".

My Mum wrote to me threatening that I'd get chucked out on the streets. My head was confused enough that I kept thinking she wanted me out on the streets. Or thought I was supposed to go and live there. She thinks that because my doctor mentioned schizophrenia I must have at least 2 personalities. She says some course she went on many years ago taught her this. Whoever taught that course needs shooting between the eyes. I only have one personality. That person might be quite warped and I don't like it very much. But it's only one person. If I could turn myself into somebody else I'd be overjoyed.

Originally I wanted a manic episode back. This had as much to do with being depressed and despairing of ever being "normal" as actually wanting to be so-called "ill". I didn't see much choice in the matter. So I wished the mania would hurry up and come back.

But now I'm feeling out some dimly-lit middle way that might somehow lead to happiness.

I woke up this morning with my head still dreaming. The Royle Family were having a loud conversation in between my ears as I wondered what on earth I was supposed to do. Life seemed so overwhelming. Then I told myself I just had to keep clearing and cleaning my house. Every day. Do a bit, every day. Don't think. Don't think too much. Don't think about it. I only think when I'm unhappy. Unhappy thoughts. So don't think. Just do it. Then when it's done you can think up something else.

So that's my plan. I've been spending hours asleep. Yes the sleep pattern has come back. I slept all afternoon, then went to bed around ten at night and slept through till nine in the morning.

So here's my plan for today. I'm still fighting unhappiness (if the truth be told). And if the truth be told further, I could do with some of that hypomania back: heightened mood and energy. Trust me to get it back only for one bloody day! That has happened before. I costed out how much it would've cost me to go that long on cocaine: £2-300. So that's a good coupleof hundred pounds worth of free high. You've got to look on the bright side.

I'm wondering how Anna Grace is. She was detoxing off heroin in her parents' empty home last I heard. Only her tiny terrier Elle for company. Then she started going manic. But her mood cycles quickly so she's either stuck to the ceiling or feeling a bit down or very down by now. Being as no post has appeared since Friday I'd assume she's down rather than up.

She's taking all these meds for bipolar disorder and they still don't seem to sort her out. Taking an Addreall (dexamphetamine) prescription from another doctor might have somethig to do with this. My own doctor said taking speed on top of bipolar was highly unadvisable. (I only asked this purely for Anna's sake; I haven't bought any speed since 1993). O yeah apart from Dexedrines purchased on the street in 1999. But I'm not into speed. It never agreed with me. Sent a clinically depressed me into comedowns so bad I could barely function at all, at the worst of it. Then the last time I did it, having found a great lump of it at a bus stop, a few lines taken on Monday evening had me speeding away into Wednesday and beyond! That was several years ago when I was still living in a crackhouse. Drugs like that and me don't mix so I stay away from them. So I don't know why Anna takes it. Something to do with an attention-deficit diagnosis as a child. ADHD and bipolar are said to present fairly similarly in children, with bipolar being more severe. She was taking uppers in her childhood (amphetamine and ritalin are supposed to calm down hyperactive children)... then surprise surprise had severe mood swings in adulthood. In fact 50% of bipolar 1s have a known history of substance use disorders. As do 50% of schizophrenics. So drug-use and mental illness are inextricably intertwined. You're only diagnosed after several weeks of symptoms while drug-free.

Well it's my goal to break away from all of this. I'm fed up of being arguably mentally unwell. And unarguably a drug addict. I'm trying to focus my head on more positive things. I'm pondering how I might make a book out of Valerie, the China White Heroin Queen of Australia. She has plenty to say for herself. If I can get a 300 page manuscript out of her, I'm sure Harper Collins would be delighted... wish me and Valerie luck with the inspiration..!

PS I just read this back and it looks like I don't know what the hell I want. I want to be OK and I want to write some amazing books that make me a fortune. And I don't want to be addicted to any substance at all. So those are my goals in life.

PPS I just went down Morrisons for corned beef and cheese coleslaw. It’s my first tin of corned beef in three or four days so I’m doing really well on that score. I was hoping for the Royle Family to accompany me down in my head. But they didn’t. Deserted me just when I wanted them most? Does anyone else get that? Voices in their head repeating catchphrases, telling jokes? I only remember it happening to me after I’d been in the nuthouse at least once. The first 2 times I only stayed in a week, then they chucked me out. I’m scared if I ever go in again they won’t want to let me go. But I could do with a little holiday sometimes. “A retreat” as Bipolar Becky once called it. I don’t want to go in the nuthouse now, but if I get offered it again I think I’m going back in. My head is too confused about what I’m doing with my life. That “breakdown”, if you want to call it that, really threw me on my head. I only use phrases like “mental illness” because it sounds so insightful and grown-up. Really I didn’t feel ill at all. I felt like finally I was in touch with my real self. I was in a really good mood. And the world felt unreal. Which is all, if you think about it, a pretty idyllic state to be in. You could argue that medication has ruined my life and brought me back to a sallow reality. Like waking up in the bath of near-freezing cold water you tried to drown yourself in, floating in a white haze, miserable and still alive. That’s how I see reality. And I want a better life than that.

SO COME ON you nutters! (Or normal people. I heard normal people hear voices too, there's even an international Voice Hearers movement for those who do; link given below...) I want to know whether you get voices in your heads? Or outside your heads? Or both? If so where and how loud? Do they come in from outside? Or do they hover in the air floating? What do they say? What do they sound like? When did they start? How often do they come to you? And is it supposed to be to do with any sort of so-called illness? If so what label? And do you wear the label round your neck like a Jim’ll Fix It medal? Someone I knew with a borderline personality disorder used to do that and I saw other people seemingly confusing diagnosis with identity. Put me off divulging anything of note to a psychiatrist for years, did that.
ANSWERS PLEASE!! + Y'ALL CAN TAKE PART IN MY NOSEY SURVEY (ABOVE)...


LINKS:~~~~~~~
Hearing voices movement: Wikipedia http://en.wikipedia.org/wiki/Hearing_Voices_Movement ~ with links to national orgaizations
Hearing Voices Network (UK) http://www.hearing-voices.org
Interational Movement: http://www.intervoiceonline.org

01:01 hrs. I hope Anna Grace is all right. Not a peep from her since Friday....