Moving On From Hypomania

As with every episode, as it comes to an end and I regain the ability to think I start making plans to try to stay well. I reflect on what has been helpful for me in the past or in general. I look at the advice given by others with similar difficulties. I try to do what my CMHT tell me is helpful and not helpful.

It’s a lot. It’s a lot of studying yourself and others. It’s a lot of analysing what perhaps didn’t work so well, and what did.

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I’ve made a plan, which focuses mainly around reinstating a form of routine to my days. Prior to this episode I had routine due to uni and studying for my exams. I’ve lost that and feel it needs to be established in some form over the summer months until September.

My Stay Well List:

  1. Keep engaging with the Headspace app for daily mindfulness practice as well as practicing mindfulness in general such as whilst brushing my teeth, whilst travelling and checking in throughout the day with myself.
  2. Eat well. Whole nourishing food. Start with eliminating added sugar to my hot drinks. Aim for an 80/20 distribution of micronutrient rich food and food just for fun.
  3. Sleep. Try to keep to a routine of waking up at a decent time. Currently aiming for 7:30am – with the view to push it to 6:30am.
  4. Make a routine out of nothing. Busy myself enough so that there is no abundance of unfilled time.
  5. Talk to and work with my care coordinator: even if I don’t particularly want to.
  6. Exercise – follow an outline training plan, which gives routine and predictability to each week.
  7. Create purpose by signing up to volunteering roles to help with routine as well.
  8. Take vitamin supplement with particular focus on magnesium and zinc in chosen supplement. Take it every other day. Also keep taking meds.
  9. Don’t get drunk. Just the occasional 1-2 drinks.
  10. Read for pleasure to keep the mind occupied. Recognise when to reduce stimulus and do it, even as caution if unsure.

That’s a lot! Unfortunately it all feels necessary. Mood swings seem to be accompanied by a lapse in my self-care regime and routine of activities. It can be hard to get the balance of busy enough but not too busy. Engaged enough but not in excess.

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Balance is something that I’ve been working on trying to achieve more of since the beginning of the year. I’m still working on it. I suppose this is going to be quite the journey.

 

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The Crash Bang

: The Phases and Faces of Hypomania

The tiredness hits. You’re grateful and glad to finally feel tired. It means you might actually sleep a decent amount. There is no predicting whether you will sleep properly or manage just a few hours again.

If you sleep a whole night, you may wake up with your eyes and your body aching, refusing to move. The crash is as much physical as it is mental. It’s a stark contrast in a very short period of time.

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It can take hours to just sit up in bed. Your body is rebelling against the past string days or weeks of over exertion. It is refusing to comply. There are no thoughts: the brain also rebels, refusing to be alive. I am alive, but I feel like I may well be dead. I even wonder if I am dead or not. Did something happen and I’m not waking up? Is my body dead but my mind still active? Am I in a coma? Is this limbo before all consciousness goes?

No. It is none of these. It is just the sheer exhaustion from flying for days. There are no stores left. You’ve not been eating or sleeping yet doing so much. Your body decides that finally it is indeed human and subject to the same needs as everyone else: sleep, food and water. There is no choice in the matter. Sloth like doesn’t even begin to describe the slowness. You speak slow, you move slow, you are slow. Slow to think and slow to process – breathing feels exhausting.

They say the higher the high, then the steeper and deeper the crash. This is how I have experienced it with hypomania: mania is much more severe. Dark thoughts cloud your judgement but this time, you don’t have the energy to do anything about them. So you sit. You sit and you wait.

The advice I received during this phase was to just wait it out. Use distraction methods that are manageable: sleep when you need, and watch TV. Distract yourself until it passes. With the weather it will pass.

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For as disappointing this part is, it is welcome in the way that finally things seem to be balancing out again. Finally, you can sleep and with the crash that means the ability to eat is closer to returning. It is probably the safest phase of the whole up, down, regulation disruption because there is no energy or drive to harm yourself or others.

There is desire to end it. The realisation that you’ve been horrible to the people you love, and worse to the ones you don’t. The regret and having no money due to a long list of unnecessary expenditures. These are all the facts of the aftermath that need to be faced upon returning to a more balanced place.

The worst though, is the realisation that you just had another episode. How many more to go? How much more time until the mood swings are a thing of the past? How many more times will you need to go up or very far down before things decide enough is enough and regulate?

Then I realise that there is no time limit. This is an illness that flares just as if I had recurrent chest infections due to asthma. I realise the things that went out the window that may have aided in the triggering of the episode. I realise that there doesn’t seem to be an awful lot of just putting it all behind you and moving on as I would like with mental illness. Then I start to think that I can’t.

I start to think that I can’t do this anymore. I think about how tired I am of losing control. I think about how much time and how many plans I’ve lost to running around in a purposeless fever and how I’m now behind on my training. I get frustrated about not being able to stick with my training plan because these mood swings come along and disrupt any ability to stick to a regime – yet I need routine and order. It has been established that routine and order help me to stay stable.

Then I begin to realise how much more work is required for me to just wake up and manage each day than I think and perceive it to be for other people. Even if I do have the time of my life for a few days – I lose more losing my mind to rhyming gibberish and recovering in the aftermath of the crash.

The reason I don’t work, the reason that my life feels chaotic stares me right in the face, stares me down and with my tail between my legs I have to accept it. I would like to rise up and say “bring it’, but the battering is so much that I don’t feel able to…yet. Maybe one day. It is in this phase out of all of the hypomania phases that I need to keep hold of hope. I need to believe in hope during this phase just as much as when I’m depressed. Without hope all-purpose and drive is lost under a bus and I’m done.

So I start to plan how I’m going to move forward. I pick up my trusty FiloFax again. I make lists and plans. I write down ideas of what will keep me well and stable. It’s a long list that feels very much like a full-time job in itself. It’s tiring, no, exhausting! It’s destabilising. This was just a hiccup in the road compared to some episodes – yet enough to have rocked my boat so that I’ve thrown all the life rings out to catch the debris of me floating around not yet re-connected.

My confidence has been knocked. My self-esteem and belief in myself that I can achieve and do what I want with my life, or at least, some of what I want with my life. The need to keep taking my medication is reaffirmed to the point of being fearful of not taking it. It’s a slap in the face that knocks you over when you’ve just found your feet.

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Every time I stand it isn’t long until I’m bitch slapped again. I feel angry, hurt and sad. I feel confused, slight disbelief and frustration. I feel disappointed, cautious, restricted by routines and measures to try to stay well, but there is no choice.

I may not always manage to stay well but I have to try. I owe myself and those that I love that much. I have to keep trying and when I feel like giving up I have to reach out for support despite my grand desire to be self-reliant all the time. My pride takes a hit with gusto. I am humbled to the point of slightly crumbling at the seams whilst I try to fervently stitch myself back up and get my life back together.

This is my life. I need to work on accepting that some more.

The ‘Restless and Repetitive Motions’ Phase

:The Phases and Faces of Hypomania

The restlessness can become very intense. You want to sit down and chill out but you need to keep moving. It feels slightly compulsive, like if you stop moving you’ll die. However, there is less logic than that painted scenario, and less purpose. There seems no purpose to this need to move other than to channel the excessive energy.
Your heart rate pounds. Your breathing is struggling to keep up. Your GI system seems on fast forward too with the little you’ve been able to eat because food doesn’t even come into the picture. It is like being slightly mutant, you don’t need food or sleep. You are super human in a very human world.
Music can both help and worsen this situation. Having a rhythm to move to helps with the repetitive dance moves that are more of a motion than any dance move. The body feels kind of rigid but unable to stop moving at the same time. After a while, the motions become soothing in some way. They bring a sense of calm amongst the chaos. They bring something that will eventually calm down when I do – a helpful indicator of where I’m at.
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Can I stop? Sometimes I can but it is more comfortable not to. Sometimes I can’t despite my wanting to. Sometimes I can stop and I do stop. This is the most favourable outcome.
Going out can help and walking. I just walk and walk until I’m done. 20,000 steps in the day isn’t even scratching the surface as to how much I can walk. This helps burn and channel the energy in a more purposeful movement. My distracted mind can become occupied with all the distractions there are outside: birds, shops, people.
I try to keep myself to myself if I can. It’s a form of containment. The thing with hypomania is that you don’t always lose insight: which means I know I’m a flight risk of just going on an adventure on a whim, which could include regretful activities. In a certain mind frame, some street drugs seem like the magical answer to unlocking my super powers: that sort of temptation and thinking can get me into a lot of trouble. With this insight, I try to keep myself to myself. It’s a tricky one to call.
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When I’m 100% in control of myself: or I feel that way, odd movements at awkward angles isn’t a problem. My head can stay still and music can travel through my ears without physically jolting my head in a number of different directions.Eventually the restlessness subsides despite how uncomfortable it can be at the time.

The ‘Sharp to Sludge Thinking’ Phase

:The Phases and Faces of Hypomania

All these ideas you had that were great, they speed off into the distance. Whilst trying to catch it from running off a lorry of other exciting ideas crashes into your side. Now there are two to catch. Another drops on you like a bomb of catastrophe, and between chasing the previous two and picking up the shards you’re lost. You’re lost to your own mind.

The extreme clarity of sped up thinking that had you convinced you’ll make your millions in the coming 3-6 months, becomes murky waters riddled with quick sand. Whilst sinking you’re trying to keep catching and to keep moving. Fighting it makes you confuse yourself further and deeper into a webbing of not being able to complete a thought before being distracted and starting a new one, which happens again and again and again and every time, you’re lost.

Even processing the actions required to make a drink and following it through becomes difficult. Doing anything that requires order or sequence becomes difficult because youre trying to run in a dozen directions. Focus goes. Clarity clouds. Ability apparates elsewhere, and you don’t know where.In a bid to keep words in your racing mind, things start linking together and rhyming. Everything rhymes with everything.

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And I sing, search on bing having a ring a ding ding of a spindling fish in a dish make a wish fantastish wonderish handerish gibberish.

Quite literally. In an attempt to string ideas together thoughts become a racing rhyme of gibberish that runs to its own speed now. You’re lagging behind. You can’t keep up. You’re not running the show or waltzing at your party pace. Your rhyming thoughts are jacked up on speed – and there’s no drugs in sight.

It’s confusing. A little scary. A little entertaining and quite anxiety provoking because communicating and finding the words you want and need becomes more challenging, more frustrating than damn impossible. You know you don’t want these coming out of your mouth because how will anyone else make sense of them when they don’t make sense to me. It’s another language, a rhyming language, where the possible grows impossible and the impossible is extremely possible. There is no logic. There is no reason.

The ‘I Want It To Stop’ Phase

:The Phases and Faces of Hypomania

At this stage a dose of desperation sets in. You miss relaxing. You miss being able to sit and watch TV. You miss being able to listen to music and enjoy it because too much stimulus goes past the point of being enjoyable, and it becomes painful in an odd sort of way. Your body moves in ways you didn’t command it to. Your mind buzzes relentlessly and you realise you’re on a waltzer with no way of getting off when you want. You can no longer kid yourself that you are in control.

You realise youre at the mercy of something else. Something bigger than yourself. This is when I tend to ask for help. This is when I phone up my team and say, quite literally, ‘this isn’t fun anymore. I’m not enjoying this. I’m want it to stop. ” and you start to beg, ‘how do I make it stop?”

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Relaxation. Mindfulness. Initiate the dive response. The stretching, the breathing, the calming down all feels unattainable alone. With the help of others to guide you, it is possible to slow it kind of, sometimes.

All the curtains are shut because light is too stimulating. You sit in silence because sound of any kind is too much. Reading is too stimulating. Drawing is too stimulating. It’s like being stuck in a cage when you want to go for a walk. All these things you want to do, but they cause too strong a current through your body that if you move you get electrocuted with a surge of excess energy that isn’t productive anymore. It isn’t even unproductive and fun.

It’s now become something else. You start to question, am I brain washed? The only answer that seems plausible is the belief that some external force is at play. Is it someone controlling me? Are they watching me? Have I been drugged? Is there something in the water, the air, the particles penetrating my walls, body and mind? Radiation even?

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Logic dissipates as answers are sought for in a non-logical and mixed up mind. Being reminded otherwise, or a counter argument can sometimes help: last time I was told, “I don’t think your’e the type to be brainwashed. You’re too stubborn. You know your own mind too much to be brainwashed.” Considering my level of genius, this statement was right – and enough to settle my anxieties.

That helped. I don’t know what would help anyone else in this stage – it’s a scary stage and here, I have no answers. This is the part when it becomes quite scary.

The Up Down Down Down UP Phase

:The Phases and Faces of Hypomania

Hypomania isn’t always fun and games. It doesn’t necessarily mean that you are super happy over nothing for too long. Sometimes it can become dysphoric. Hypomania is like being revved up on overdrive, therefore if something upsetting happens it can turn to rage extremely quickly. In a flick of the light rage and aggression, verbal assaults with a vicious tongue, throwing objects in fits of rage in every direction and crying so much the physical upheaval should be exhausting.

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These outbursts are often filled with regretful actions and words. Actions and words that can’t be forgotten. Actions and words that can’t be undone. They are harsh and require very strong apologies, promises to seek help and a generous dose of understanding from those afflicted to such attacks.

All of a sudden the world, which was beautiful, glorious and fucking fantastic comes crashing down in an energised depression. Thinking remains fast, emotions on full volume and at this point going from a decision to try to kill yourself to action happens very quickly. All the sorrow of a deep hopeless depression is combined with an abundance of energy in an emotional upheaval, a resilience to tiredness from crying which usually acts as a buffer between thoughts, decisions and consequent actions.

People, at this stage, are unwelcome. conversations to rationalise are also unwelcome. Eventually you fall asleep for the few hours per 24 that you get – which is essentially a nap and ping! you’re back to it with little rest for the wicked. The happy, energetic and too fast to handle mood is back.

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Quicker than defying gravity your mood has up cycled itself into a continuing flash of a flame thrower – and you’re off. This can happen all in the space of 48 hours. It should be tiring. It is tiring, eventually. At the time however, it’s a whirlwind that you can’t slow down or keep up with at the same time. It’s confusing.

I decide that actually I can’t be hypomanic because hypomania is extreme happiness. I’m was so painfully sad and so intensely angry that I’m not sure what it is that is happening: could it be a mixed episode? Or just dysphoria? It happens so fast and furiously that there are no minutes to reflect until afterwards.

The Definitive Phase

:The Phases and Faces of Hypomania

Some people will be quite forward with me, “you’re doing my head in. Go away.” My partner, and nurses on a ward mainly who refuse to talk to me unless I stop pacing around them in circles as fast as my feet will carry me. Other people try to be more discreet, “I’m just going to go downstairs”, “I’m just going to go and get a drink.” and “I’m tired. I’m going to bed now” are all hints I’ve received under the suspicion that actually, I’m just doing their head in.

I know it. I can sense it. Do I care? Not really. I will want you to stay because for that moment you are my entertainment source to spout all my nonsense onto, to force to dance with me and to dance around in circles like I’m a witch dancing a hokey pokey to some form of witch craft ritual of absurd movements, expressive jumps and jaunts of the body.

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Tactless as ever, I’m not a very tactful person at best, I will say, “I’m doing your head in aren’t I?” That won’t stop me though, even if you answer ‘yes’.  I will observe that I am annoying everyone around me and continue regardless. I will ask and say things that make people feel uncomfortable and keep on about it, like how you should get a girlfriend and lets set up an online dating profile for you, about how you guys make a cute couple and I bet you have really great sex, and observing out loud that complete strangers are ‘fit’ or that ‘I’d bang them’. This isn’t how I would normally talk. Banging in this context doesn’t usually enter my vocabulary because not only do I have the guts to say anything and everything, I go that mile extra with a whole bag of zero fucks to give about saying it.

This is a sign of the definitive period. This is when I start to realise I may be hypomanic. I am aware that not everyone around me is enjoying the walking talking party that i have become. People hold back, people leave the room, they go home and I have to find someone else to essentially be my toy to play with until they fuck off and I need to find someone else to annoy.

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Everyone is my friend and I will talk and talk at anyone who even feigns to listen whilst I crack offensive joke after offensive joke – and find each and every one far too hilarious to keep standing up straight. Everyone is my friend, but I’m not everyone’s friend at this stage. Even with the realisation that I may be hypomanic it is usually a bit late to do all the ‘keep calm’ techniques because I’m far too wound up, far too fast and I find sitting still far too agitating by this point.