Withdrawal – Part 4: Unpacking the Experience

Hello again, everyone!

First off, I’d like to wish a very belated happy New Year to all my readers. It’s hard to believe I haven’t written a post on here since May 2018. Last year proved to be a long and difficult series of months, but I’m happy to say I’m in a much better place now at the end of January 2019 than I was at the same time last year.

As I mentioned in the previous post in this series, I was hospitalized for a week at the beginning of February 2018 for a full manic episode, complete with psychosis and all that that entails. Following that, I made a number of posts on here, some of which I have since taken down, since I was still decidedly manic while writing them and now either no longer agree with that I wrote, or they simply no longer make sense to me now that I’m stable again. To be honest, it’s taken a full year to begin fully coming to grips with everything that happened. The idea of blogging about any of it before now was something I just couldn’t face. However I’ve been feeling increasingly prompted lately to start writing on here again. So to start, I will finish of this Withdrawal series with two final posts.

Despite what happened last year, I am indeed completely off all psychiatric medications and have been since December 2017 (setting aside the very small dose of antipsychotic medication I took while in hospital). And believe it or not, I’m actually doing much better now than I was back when I was on medications, though I believe this is largely due to the special supplements I began taking in April last year and have remained on since. I will explain about them in depth in my next post.  I detailed my reasons for deciding to ween off my prescription medications back in the first post in this series. In this post I will give you all a summary of how that process went, and the biggest pitfall I fell into.

As I touched on in Part 2 of this series, coming off my antidepressant medication Bupropion (aka Wellbutrin) actually proved to be much easier than coming off my mood stabilizer Lamotrogine (aka Lamictal). The withdrawal from antidepressants resulted in some mild-to-moderate depression symptoms and fatigue, however I went slowly, breaking the pills into smaller and smaller pieces. From April 2016 to August 2016 I weened myself down from 150mg daily, to nothing, dropping by 25mg increments every few weeks. I took a break from pill withdrawal for a little while before attempting to withdraw from Lamictal, since it’s better not to come off multiple medications within a short period if you can avoid it. I didn’t keep as close a record of my Lamictal withdrawal, since it took most of a year (I was on 250mg daily, if I remember correctly). Each drop in that particular medication caused anxiety, disorientation and mixed-episode symptoms that were mild-to-moderate, so I had to move slowly with it. And when I finally came off the last of it on December 17, 2017, I hit a major pitfall.

Early on in December I could feel the very first inklings of hypoIMG_2584mania tickling the edges of my consciousness–more energy, increased cheerfulness and optimism, much stronger creative drive, etc. However I continued to taper anyway and ignored the symptoms, assuming they would go away. What I should have done, was stopped tapering for a while until I was past the Christmas season (always a troubling time for me when it comes to my disorder). But I didn’t. And I mistakenly believed that because I had tapered off the medication so slowly, I wouldn’t have any sort of relapse upon completely coming off of it. It wasn’t until later that I discovered that it’s common to relapse with a manic episode upon reaching a completely med-free state even if you taper off slowly. In my ignorance of this fact, I slipped into a state of denial over what was happening.

Generally I am quite self-aware with my episodes, but with this particular one, I lost all personal insight. As the hypomania began to escalate to full out mania in late January 2018, grandiosity and delusions took over and I became convinced that I wasn’t bipolar, that I had been misdiagnosed all along, and that I was just entering a new state of consciousness, a heightened level of existence (very similar to some of the delusional beliefs I experienced back in my first manic episode). I was in complete denial that I was manic, so I flat out refused to take any of my antipsychotic medication, Zyprexa. No one could convince me to. I actually had someone slip some of it into my drink at one point, unbeknownst to me, but I quickly discovered it and became utterly incensed and even harder to reason with thereafter.

hospital_hall_by_triller14Looking back, I can safely say my irrational denial sprang in large part from the fact that  having to go through another full manic episode had been my worst fear ever since my diagnosis (worse even than a natural fear of death. I had essentially developed a phobia of mania and psychosis). I couldn’t bring myself to admit the reality of what was happening. Even after ending up in the hospital and experiencing the remission of most of my psychotic symptoms, I remained convinced that I had been unjustly hospitalized, and that I had never been manic in the first place. My behavior was normal enough during my hospital stay that I was able to persuade the doctor to release me after just a week. Looking back though, I can see that I remained manic for months after my release. This, of course, was readily apparent to my parents and close friends, however they felt I was manageable and would be better off at home.

Astoundingly, I managed to go back to work right away and continue “functioning” in daily life without any of my coworkers or students picking up that anything was amiss with me (at the very least, no one ever commented on it). Though internally, I was still fluctuating between various mild delusions and paranoia. For instance, I firmly believed the RCMP were following me around and spying on me for several weeks, and could not be convinced otherwise (this was not helped by the fact that the RCMP did in fact show up at the college where I work and kept undercover surveillance on the place for a week, though this was due to an incident caused by some unruly students and had nothing to do with me. It just happened to be very bad timing) . Thankfully, I kept all of these beliefs to myself, only occasionally mentioning them to my parents and close friends, which is likely why no one else in my life noticed.

It wasn’t until April that my family discovered the supplements that I subsequently began taking. These had an immediate effect—my previously high levels of anxiety and agitation almost completely vanished. For the next month and a half I remained in a hypomanic state, still more extroverted, enthusiastic and impulsive than I usually am, but grounded once more in reality without any lingering delusions or paranoia. Thankfully I was able to direct my extra energy into studying for my RCM music history exam, which I took and passed successfully. Within a week after the exam, my hypomania vanished entirely, and I dropped into the inevitable depressive episode that always follows my manic episodes.

The Advantage of Suffering cover photo resizedThis particular episode reached a moderate-to-severe intensity by the end of May, beginning of June, though it was no worse than episodes I had experienced while on medications. It lessened to a moderate level throughout most of June and parts of July, then eased off further to a lingering mild depression that continued into December, when it finally lifted completely. The episode lasted a total of 6 and a half months, by far the longest episode I’ve ever had, though that probably isn’t surprising considering the 5 month hypomanic/manic episode that preceded it. December was actually my only month of stability in 2018, which is ironic since that’s usually my most unstable time of year. That stability has continued throughout January this year. It’s a real blessing to feel normal again. I’ve been told that as long as I stay on my current supplements, I am not likely to experience any future episodes of mania. I would very much like to believe that, but only time will tell for sure.

I did learn a number of important, if painful, lessons last year, which I will unpack in future posts. In particular, it was a time of much spiritual growth. Jesus and Mary were both very much beside me, guiding my steps the entire way, thoassumptionugh there were times when I felt entirely cut off from them and in the dark, and I backslid to a large degree in many of my devotions for an extended time. That, in and of itself, was a learning experience (a strong blow to the spiritual pride I’d been falling into prior). There were times I felt as if I’d gone completely astray and was right back to square one spiritually, my relationship with Christ and my trust in him reduced to tatters. I will delve into that much more in a future series. Suffice it to say, by the grace of God I am back on my feet again with a reinvigorated spiritual life, and a restrengthened desire for growth in holiness. I can safely say that the process of renewing my 33 day consecration to Mary that I began on December 31 and will finish this Saturday, February 2nd (Candlemas, the feast of the Presentation of the Lord), has had a large part to play in my spiritual recovery.

I’ll leave it at that for now. In my next post I’ll explain the supplements I’ve been taking and discuss my plans/strategies for the future. In the mean time, take care, and God bless you throughout the coming year!

Kasani

(Click here for Part 5)

divine-mercy4

4 thoughts on “Withdrawal – Part 4: Unpacking the Experience

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