I'm adding to the medical saga that I started detailing here.
My doctor and I believe I am at very low risk for recurrence of bi-polar "episodes". Both my manic depression and mania episodes were caused by hormone increases when 1. I stopped breastfeeding (since while nursing hormones were at very low menopausal levels - when I stopped, they increased back to normal), and 2. when I first become pregnant.
So... unless that happens, I guess I'm good?
|Ah-ha #1! There's a correlation! Hormone increases = Nate's life gets a lot more interesting!|
Having a schedule and something to look forward to is probably why my bi-polar is usually so well controlled. I can simply pour my energy into the work and goals I have in front of me. As in, pour. :)
Now, are these just personality quirks? Or a disorder? It's hard to tell. I'm diagnosed because I've had instances of both poles: depression and mania. There are 6 million other diagnosed people in the U.S., but they estimate that there are at least that number that are undiagnosed. Is that individual just very vivacious? They say that you'd never know many people have it; don't look for the "institutionalized" individuals whose episodes are unpredictable, violent, [enter your negative adjectives here... as the stigma may have you doing]. The doctor that I see specializes in treating individuals who are very high functioning - either in spite, or because, of their "disorder".
I'm hoping I fit into that category, although maybe he was looking for someone to balance out his case load. Ha :)
On that note, did you know that these people had (or believed to have had) bi-polar?
|Everytime I see this I think of Jimmy Chalmers. Jimmy, if you're reading this: I found your doppelganger!|
|Jimmy and me at TNC camp in 2014. See the resemblance?!?|
No, not between the two of us, silly. Between him and Van Gogh. Although Jimmy has both of his ears.
Another bi-polar fact: Did you also know that a recent study of 700,000 adults showed that those who scored top grades at school (especially in language and music) were 4 times more likely to develop bipolar disorder than those with average grades, even after accounting for parental education or income?
I'll continue to share more about the disorder as I read more. I'm currently reading Fast Girl, An Unquiet Mind, and Bipolar Disorder.
I am currently working with a psychiatrist to get my medications figured out. Originally I was put on 1 mg of Haldol, a first generation anti-psychotic medication.
Yes, it still feels so odd to say that... anti-psychotic...
But, I know that's what will control and prevent future manic depression and mania episodes. So, call it what you will.
1 mg Haldol started at the hospital ~ 9/18. No side effects seen at the hospital. Usual side effects: uncontrolled muscle movements (twitching, tremors, movement in arms, legs, jaw, cheeks).
Chose this because there is the most data to support healthy pregnancies (it's been around for a long time) - I was pregnant at the time.
Outside of the hospital, I noticed my leg clumsiness returning, but I thought that was mainly due to an increase in total training volume and intensity.
50-100-150 of Seroquel , a 2nd generation anti-psychotic. Started end of October. Decided to try this because it treats both poles vs. Haldol. Haldol treats mania very well, but doesn't treat depression, and can actually cause it to worsen over time. Seroquel is also a better long-term medication, overall.
BUT, I reacted about as poorly as one could hope. I was either walking around in a semi-sedated state, sleeping/napping, or desperately trying to function through the fog. I have never been so tired and fatigued! The first night I went up to 150mg of the drug I nearly fainted. Nathan helped me up to bed after my lips turned blue. Wow. Seroquel = not for me!
1 mg Haldol + Sertraline (anti-depressant) restarted on Saturday, 11/7. I noticed an instant change in my ability to function, and only need a normal amount of sleep. YAHOO! But..
Sunday: didn't run because of a bad cold
Monday: ran 8 miles. Noticed clumsiness, but that's still normal, infrequently. I'm still recovering from massively over training in 2013. Don't do that.
Tuesday: ran 10.5 miles. Around 8 miles I had to work hard to control my legs. Another light bulb went off! I didn't have this at all on Seroquel (which was so WONDERFUL! To be able to run without worrying about controlling my legs! WOW!)! It's Haldol's motor function side effects that manifest themselves in clumsy legs! My doc had thought this might be the case when I mentioned it a month ago! It's true!
Lithium is an option, but causes heart defects in 1/1000 babies. It's repairable with surgery, he said, but STILL. NOT OKAY.
There's a second option, name escapes me, but it causes cleft lip/palate. Also NOT OKAY.
There are a lot of other drugs out there, but there isn't anything else that has much data on birth defects. So, that leaves me with two options -- unless Dr. Bond (yes, Dr. 007) has something else he hasn't discussed with me:
- stay on Haldol and just deal with the motor effects. I can live through clumsy legs... although it doesn't make running or evening thinking about training/racing very much fun...
- go off anti-psychotic medication all-together, likely staying on an anti-depressant, just as insurance. The risk would be recurrence of mania episodes...
|Hoping to get in to see Dr. Bond soon! I'm just hoping to get medication squared away so I can just be on auto-pilot, not thinking about it at all.|
Not having to drive an hour each way to/from all of these appointments would be nice, too!