I'm used to manias, used to depressions, used to the psychotic, paranoid, wierd end of things. I am not used to being manic and exhausted at the same time.
When I am depressed, I'm always exhausted (unless I am having a mixed episode, up and down at the same time). When I'm manic, I have more energy... wrong.
This is a first, an exhausted mania. Now, I do have a few theories.
- I'm taking a potent antipsychotic, and double the lithium I was taking a year ago. 90% odds that's it, right there, and I will just have to accept reduced functioning in exchange for better symptom control. I am OK with that, and so is Ron. He doesn't want me to "suffer" mentally. Take that, haters.
- My nutrition is not great. I am fat and eating a lot of sugar and refined carbs. I need to work on that, and that is something I can actually address. I can do nothing about #1, especially since the medication is working for me. None of us, me, Ron, or my doctor, want to mess with something that works.
- My lithium level may be too high. It is possible; I am getting it tested in a few weeks when finances permit.
- I may be anemic or have a low thyroid - I am getting all that tested in a few weeks, along with the lithium level.
It's a good thing I work part-time. I certainly couldn't manage full time.
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