Day 75 "Hypomania All Day Today"

Today has been a hypomanic day for me.  Due to my Mom being pretty much helpless I haven’t been sleeping very well.  I have been sleeping with an eye and ear open in case something bad would happen.  I’ve noticed that the decrease in sleep is causing me to be a little manic.  There just doesn’t seem to be enough time in the day to get everything done.  Today I mowed the grass, cleaned two bathrooms, cleaned the kitchen, swept the floors, and did two loads of laundry.  That was all for my Mom and I have yet to do my laundry.  Thank goodness I can do all mine in one load.  Anyway, I have been  hypomanic today and I would say that lack of sleep is the reason for it.  On average I sleep ten hours a night and when I get below the eight hour mark I tend to become hypomanic or have a mixed state.

Had I not had to do all those things for my Mom today the hypomania might have not been so good.  When I’m hypomanic I need to do something which results in some sort of release.  If I have a plan to do a bunch of activities, yes I may be hypomanic but I get a bunch of things done or get to do a bunch of activities.  The release for me is that I feel great that I got so much accomplished.

Had I nothing to do today and only slept six hours that would be a red flag for me that I may be in for some hypersexual behavior.  Before I was medicated I would most likely look at porn on the computer and place personals on Craigslist looking for sex.  This activity would take place whenever I had less sleep.  I would spend hours placing ads and waiting for replies.  There were times when I would look for sex up to ten hours.  The release for me was when I would meet someone.  However, a lot of times I would spend all night looking and come up with nothing which would make me very angry.

There are a lot of times when I've have mixed states.  I tend to be down on myself, depressed, have no hope for my future, isolate myself, and feel a lot of anger.  With that said I can be hypomanic, hypersexual, and depressed all at the same time which makes it ten times worse when I can’t get that release I need.  I end up getting a little psychotic sometimes.

Since starting Lithium 900mg per day the severe mania I was having pretty much stopped.  I have had a few instances of being hypersexual since starting Lithium but I have been able to stay away from Internet porn and haven’t wanted to place ads looking for sex.  However, on Lithium alone I became deeply depressed.  I was then prescribed with Seroquel 300mg XR and that started helping me feel less depressed.  After about a month my dose was raised to 2 300mg XR tablets and its making me feel even less depressed. 

In therapy we have been talking about what triggers certain behaviors I do.  For the most part I can tell you what the main triggers are that cause me to do certain things but I want to dig a little and find those secondary triggers.  Mania in its minor forms includes heightened feelings of well-being, increased alertness, drive, inflated self-esteem, and extensive sociability.  In addition to a general elevation of mood, instability is typical.  Irritability may easily be evoked and other mood states such as anxiety or sadness, fleetingly but intensely expressed, may become apparent.  In mixed states pronounced symptoms of both depression and mania either coexist or alternate during different periods of the day.  As mania deepens over activity and over talkativeness become more obvious.

Day 48 "Today Was All Over The Place"

I went to bed crying and felt worthless.  I kind of felt like what’s the point in living.  I wasn’t going to kill myself but there have been a lot of times the past month that I’ve had those thoughts.  I went to bed at 4 am and cried myself to sleep.  I really wanted to be near my Dad.  He had a knack for accepting whatever I put in front of him good or bad.  His death taught me how to be a better person and really try to do the best you can do. 

Well, I woke up at about 11 this morning made something to eat and then went outside to weed the yard.  I was ok but I moved very slowly, was irritable, very tired, and I hurt all over.  I laid down for a nap around 3 and got up at 6.  After dinner I helped again in the yard and this time I wanted to get things done and did a lot.  I was very sore, irritable, and having a hard time concentrating.  Along with that I was thinking a lot about sex and really was hypersexual.   I didn’t place any ads but I did look through the personals on Craigslist for like two hours ready to go if I could find someone. It’s 1130 and I’m going to get off here and head to bed.  That’s probably the best place for me.