Uniquely, Bipolar-ly, Me

Bipolar disorder.  There.  I said it.  It’s what I have…my particular flavor of brain cooties.  I have ups.  I have downs.  I also have a somewhat “normal” state.  One thing I’ve learned over the past few years, though, is that bipolar disorder is different for each person who suffers from it.  My own variety is mine, unique, particular to me.

turbo-roller-coasterI didn’t understand this for a long time, to tell the truth.  When I was first diagnosed roughly 13 years ago, I didn’t even realize that there are two distinct “varieties” of bipolar disorder.  There’s bipolar I which is what most people think of when they think of bipolar disorder.  The manias are wild, bright, colorful rides without needing much more than a nap.  Of course, there are also the lows.

Then there’s bipolar II, which I have.  With bipolar II, the highs are less intense, in general, but the lows

…oh, those lows.  They’re killer.  Literally.  The successful suicide rate of bipolar II is very high.  Everything is drained of color, like a black and white movie that’s been colorized to shades of gray.  Or an abandoned amusement park.  There are other types of bipolar disorder, and many within the medical community are now seeing bipolar as being on a spectrum rather than being distinct types.  Personally, from what I’ve learned, that would make more sense.

 

I cohabitated peacefully with my diagnosis for a few years.  I mean, I had lived with it for all of my adult life and then some without even realizing I had it.  Once diagnosed, I did seek treatment. But that treatment didn’t stop me from having my little mini-highs and two to three day lows.  As I mentioned, the rest of the time I was pretty much even keel.  But then something began to change.  I was in school full time, and loving it.  Have I told you I adore being in school?  Well, I do.  But suddenly I had no energy.  Taking a shower was a monumental task.  Completing assignments for school, well, it got done, but just by the hair of my chinny chin chin.

depressedThen the semester ended.  And I crashed.  I never had crying spells before during my mini down periods.  Suddenly, though, I was crying non stop.  And this was going on for weeks!  There were a lot of external sources of stress adding to my organic plague and it all came together in a perfect storm.  I crashed.  I was hospitalized in what was fortunately a marvelous facility with staff that cared.  And I’ve already written about the “Quiet Room”, so you know something of my experiences there.  It’s too bad all psychiatric facilities aren’t as good as that one.

This occurred ten years ago and I’ve tried to go back to school, but my focus is off.  My memory is pitiful.  Until I feel that little nudge saying “It’s time”, I’ll hold off.  Meanwhile, I’m actually fairly stable, and it scares me to say that!  I haven’t been stable in ten years.  Now that I am, I’m scared of going off track again.  Plus, I miss the feeling of hypomania.  Such a wonderful, euphoric feeling most of the time, but I absolutely do not miss the lows.  Those killer lows.  I’m on a mood stabilizer which keeps me from feeling the extremes.  I think our recent move is also a positive thing for me.  I miss the trees around our previous home, but I do like being able to look out the window and see neighboring cows wandering the hillside and Christmas lights on a nearby house.  I can do laundry without having to trek down into the dungeon, whoops, I mean basement.  (Lifting imaginary glass.) Here’s to you.  May you be finding success at what passes for stability in your life, too.

Hypomania, Wherefore Art Thou?

alone-in-fogI’ve talked a lot about the depression, the ceaseless days and nights spent in overwhelming darkness and despair.  That’s because, for me, depression has been a near constant companion over the past 13 years.  I’ve broken out from time to time, but generally speaking, depression has literally shadowed me.  Episodes of “normality” (whatever that is) and occasional periods of hypomania have let me know, fortunately, that I can go into a period of remission.  And, I believe that’s where I am now.  Thank goodness!

But what of this hypomania of which I speak?  What is it?  Well, for people with bipolar II, hypomania is…generally…a period of elevated mood.  It’s not as extreme as it is for those with bipolar l, but it is usually a happy, energized time.  A period where the world is charming, we’re charming, and life is grand and wonderful.  Generally.  I’ll get to the conditions in a bit.

amusement park ridesI’ve mentioned before how I had these periods of being down, usually just physically, followed by periods of euphoria.  That euphoria is something to be craved.  It’s like the best kiss ever, the most exciting carnival ride, the most fun time even during mundane tasks.  It’s the energy to work all day, put together a decent meal, play games with the family after dinner, and follow it up with an amazing romantic episode with your significant other.  All that and more.  Smiling the whole time.  Conversation comes more easily, witty remarks flow from your lips, creativity is at its max, we love more deeply, and the desire to do something…anything, really…is strong.

lots-of-money

All of this comes at a price.  Sometimes that price is literal.  Mania and hypomania are noted for spending sprees, often with money that’s borrowed.  Credit card debt is not uncommon, at all.  Later, during periods of relative sanity, someone with bipolar disorder will look at the purchases and wonder, “Why?”  I know I have.  Anxiety can be enhanced during mania and hypomania, as well.  During hypomanic spells, angry outbursts may be common.

However, we don’t remember this.  Or at least some of us don’t.  We remember how good we felt, perhaps because of how nice it was to not be depressed!  And the hell of mood stabilizers is that while they are intended to prevent those deep, dark periods, they also tend to prevent the up side.  I mean, what’s the fun of having bipolar disorder if you can’t have a little hypomanic spell once in a while?  (wink, wink)

This is a very brief, very generic outline of hypomania.  Ask two people how they experience it and you’ll get some similarities, but there will also be differences.

Then there are mixed episodes.  Oh, boy.  What fun (she says in her most sarcastic voice).  I’ll get to that in another post, along with discussing a plethora of other mood disorders.  Did you know it’s estimated that 25% of the population have or will experience a mood disorder at some point in his/her life?  Hopefully I’m passing along some information you see as valuable.  And, as always, if you have any questions, please pass them along.

The Quiet Room (First Published 12/12/2013)

So, where was I?  Back a couple of posts or so ago…?  Oh, that’s right!  I crashed and burned.  Yep.  First, a correction.  This occurred at the end of Block III in the teacher ed program, not Block II.  The next semester would have been the final Block then student teaching before hopefully passing the Praxis test and entering the classroom as a teacher.

College classroom

Now here I was, three weeks left to spare in Block III, and I was crashing.  I managed to complete the semester.  I had to!  I’d invested too much, and had watched the investment my family had also put into my education, to quit at that point.  And I believed I just needed a little break before hitting the books again in the fall.  I had a whole summer.

That’s not the way it went, though.  A month later I was sleeping almost non stop.  When I wasn’t sleeping I was crying.  Or that’s the way it seemed to me at the time.  Looking back I recall so very little.  Just that things were very dark.

John had been attending some of my counseling sessions with me in an effort to better understand my illness.  We made an emergency appointment with *Flo (can you see being in therapy with Flo as the therapist?  J ) and had to make a decision.  Was I able to cope?  Was I in danger of harming myself? Was I able to care for myself and/or my family? Was a more intense effort needed to become stable?

I know John wanted only what was best for me, as did Flo.  I’m also sure he must have been terrified at that point.  We decided that the best course of action would be for me to be briefly hospitalized in order to be stabilized, a decision I’d make again today if necessary.

Doctor and patient in hospitalI was fortunate in that my then-doctor was affiliated with an amazing hospital in St. Louis.  Fortunate because the psychiatric ward (now THAT’s a shocking term, isn’t it?) there was for those like me…not for those waiting to dry out between drunks or drug highs or those who were criminals.  Just for those of us whose neurotransmitters were taking a hiatus. And I hafta say, except for the whole crying and sleeping thing, and being horribly depressed, it wasn’t half bad.  Staff was amazing, I had no responsibilities except to get better, the food was great (Hey, that’s important!), and there were plenty of snacks on hand.  We were well cared for.  If called to give it a rating, I’d say five stars.

I have to add I was a little antisocial.  Okay, make that a LOT antisocial.  I didn’t want to attend group therapy, or activities, or anything else that involved other people.  I wanted to be left alone with my book and be allowed to read or sleep.  I was there because I was depressed, not to make friends over arts and crafts.

Then came the first night and the discovery that my roommate snored.  Like a truck.  I absolutely could not sleep through that.  I made my way to the nurses’ station and begged to be allowed to sleep in another room.  All the rooms were full, though.  I then begged to be allowed to sleep on the sofa in the common room, or even in a chair!  Against regulations.  The despair I felt made my earlier despair look like joy, and apparently it showed, ‘cause I was informed that there was the “quiet room” and it was unoccupied!

Girl says shhhhWhat??!!  A quiet room??  Why wasn’t I told about this room before?  Quiet!  That was exactly what I wanted! I almost-happily gathered up my blankets and pillow and tip-toed my way to the room. I wanted that room and didn’t want anyone else to claim it!  My precious!  It was adjacent to the nurses’ station with a window between them.  I noticed the mattress was on the ground but, hey, I didn’t care.  There was no one in the room but me!  Quiet time, here I come!

As I snuggled down, I noticed something on the floor at each corner of the bed.  They were kind of like bent over, u-shaped bolts but each side was bolted into the floor.

The bed wasn’t bolted down. It was just a mattress.  So what could it be?  Then it dawned on me and I actually laughed out loud.

The room could more appropriately be called a “time out” room and was usually for those who needed to be quieted, not for those needing quiet.  I’m still laughing about this, though my husband and doctor were not too thrilled with it (read: horrified) when they found out.  The u-shaped bolt thingies were in case a patient needed to be restrained.  Oh, my.  I’m so un-violent.  The irony is just too much.  But, hey, I’m just grateful the room was empty while I was there because it meant I got to sleep at night.

I was placed on lithium, which is generally a drug of choice for depression, assuming the patient doesn’t develop a toxicity.  I did, but not for several weeks.  It works quickly and had me pretty much stable by the time my three day stint was over. Actually, I felt pretty darn good at that point.

Blood work conducted at the hospital indicated my iron level was dangerously low and that my thyroid had taken early retirement.  Two more potential causes behind my exhaustion and contributing factors to the depression.

So, I did gain some answers.  But better yet?  I got to sleep in the quiet room!

The Darkness Comes (Originally published December 31, 2013)

getting darkThe darkness threatened to close around me.  I felt the tentacles stretching towards me, reaching, snaking their way through to my body and soul.  I could see them, slowly moving in, becoming stronger, increasingly darker as they approached.  The fogginess in my head deepened, making me feel ever more lethargic, fatigued…any effort to do anything was almost too much.  My spirit began to sink, interest in anything I enjoyed was slowly diminishing.  I wish I could say my feelings towards those I love was unaffected, but that would be a lie.  I knew that love was there, but it was becoming separated from me by the darkness.  That’s the way depression works.  It’s a wall between all that you love and enjoy and yourself.  In the end, when it’s at its worse, nothing exists but the darkness.

Sometimes that’s a relief.  Does that sound strange?  I know some of you understand.  Just to let the darkness have its way…to sink, curl up, sleep, and close out the world.  It hurts less. That twilight, in between state prevents enjoyment, but you’re still very much aware of all you cannot do, don’t want to do.  You don’t care about much, but somehow care that…you don’t care.  You’re supposed to care, and you know that. But the energy, the strength it takes to accomplish even the minutest task simply isn’t there.  And it’s frustrating, aggravating, demoralizing…here it is again.  At least with the full darkness everything is shut out.  That’s not to say full depression is a good thing.  It definitely isn’t.  I’ve spent more than my share of time curled up in a fetal position, blanket over my head, too tired to even cry, and just wanting it to stop.  In that in between, twilight state, though, is the belief that you should be able to carry on as if nothing was wrong.  As if you were walking in the light.  As if all was well in your world when there may only be enough energy present to take a shower, get dressed, and watch TV.  And sometimes there’s only energy to choose one from that list, like choosing dinner in a Chinese restaurant.

The tentacles have been stretching towards me since early October.  I woke up one morning and all my interests were simply no longer interesting.  I felt flat, emotionless, yet not depressed.  Slowly, little by little, I could feel the cold, misty-gray tentacles moving towards me, grasping me lightly, just enough to be aware.  The tentacles were getting stronger, darker, squeezing harder.  I managed to fake my way through Christmas and prepared a separate, second dinner on New Year’s Eve to celebrate with a son and daughter-in-law who had been out of town at Christmas.  I managed to get through, and was aware enough of having met the challenge to even give myself a little pat on the back.  “Good work. Success.”  The fact that I was in bed by 6:30 New Year’s Eve wasn’t important…I had accomplished what I had set out to do.

despair or hope signpostThen on New Year’s Day, somehow, for some reason I don’t want to even question, the tentacles’ strength lessened, they became a bit thinner, less dark.  I’m not yet back in the light, but I have managed to vacuum and mop my living room, dining room, and entryway, shop, run a couple of other errands, and still feel like writing this blog post.  That’s pretty good and I’ll take it as a sign that perhaps I’m moving towards the light instead of away from it. I feel I’m beginning to care again, and I take that as a good sign, too.  I had hoped I wasn’t experiencing a long, slow, spiraling decline into that dark place from which it is so very difficult to escape.

I feel blessed to be able to say I appear to be climbing out of that hole.

A Cruel Mistress (First Published March, 2014)

Bipolar disorder is a cruel mistress.  Now, don’t jump to any conclusions and think I believe other mental illnesses are easier to live with.  I don’t feel that way at all.  But bipolar disorder can be especially cruel.

Imagine this:  Life is wonderful.  You’re happy, singing along with the radio, sunglasses on, and driving down the road.  You have a smile on your face and just know it’s going to be one of the best days ever.  A wonderful day to be alive and experience all that God has created for you.  Even though it may be the bleakest of winter days, there’s always something to appreciate.  The shape of a particular tree, your dog’s joy at seeing you, the sunlight streaming through clouds.  Something.  And on this day, everything good and enjoyable is noted.  Happy dances are offered up to the heavens in gratitude.  Shopping is an enjoyable experience.  It doesn’t matter that people keep blocking the aisles and you have to do the WalMart two-step to get around them.  Nope.  Doesn’t matter.  It’s not a huge inconvenience that there aren’t enough check stands open and only mildly irritating when the woman with the screaming kid gets behind you in line.  All in all, it could be worse.  Chores somehow take care of themselves, it seems.  Dinner is almost a masterpiece.  Or at least it’s a fully cooked meal.  And it’s no problem that sleep is limited.  Just don’t feel very sleepy.  Yep.  Life is indeed wonderful.

Depressed woman in bed.

Turn the page to the next day. Before you open your eyes, you know you have a problem.  The aches and pains are real.  Not a figment of your imagination.  The fact is, you feel as though you have a bad case of the flu.  Your head is foggy.  Thinking is such a chore.  Bed.  Bed is the only place you want to be.  If it was the flu, you know you’d have that luxury.  But because it’s not, you have to somehow crawl out of bed.  There are kids to get off to school.  Maybe even a job to go to.  Maybe.  If you’re one of the “lucky” ones.  The day drags by.  All you want to do is sleep…stay in your pajamas and sleep.  Then you realize you have to leave the house, if you haven’t already.  The problem is there’s no energy for a shower.  It’s just too much work.  Showering.  Drying off.  Getting dressed.  And for those of us females, doing something with our hair.  It requires more energy than is stored in the ol’ battery.  Dinner.  Frozen pizza again, that someone else has to put in the oven?  Minimal exchanges with family.  Talking is just so difficult.  The least little thing sets you off in tears.  You find a corner as far away from the family as possible.  You feel terrible that you can’t join in, but you may just as easily feel irritated by the noise.  Finally you can go to bed.  And you wonder if there’s any hope tomorrow will be different.

Bipolar disorder.  The best of the best and the worst of the worse.  It’s like having each foot firmly planted in a different world.  And the worlds ARE different.  The hopelessness of major depressive disorder and the jubilation of hypomania or mania.  Yes, negatives DO come with the mania/hypomania, but we’ll address those in a different post.  For now, let’s look at the black and white of bipolar disorder.

Before I knew my condition had a name, I called my hypomanic periods my “euphoric” times.  Truly, that’s what it was like.  Everything was tinged with gold and I could accomplish twice as much in half the time and do it better.  Then there was a period of “ordinariness” followed by a period of not being able to stay awake and feeling as though I was getting sick.  Really!  My sinuses and ears would hurt and I’d be achy.  And teary.  Oh, and I’d want to tear the head off of the hubster for no reason at all.  I knew I was being irrational, but couldn’t help it.  The anger would be accompanied by sadness…kind of a pity party, in a way.

So I’ve driven both roads plenty of times.  I’ll finish part two of my personal journey into crushing depression and awareness of my illness later.  Right now, it’s about those roads.  You see, I’ve been on them for years.  In fact, for the past ten years I’ve been on one road or the other.  No periods of ordinariness in between, more’s the pity.  Oh, don’t get me wrong, I love the hypomanic states, but I flip flop more than a politician in an election year!

But there is one benefit to having been on these roads.  This, too, shall pass.  That’s it.  No magic chant or upbeat slogan.  Just “This, too, shall pass.”

Let me explain.  During hypomania, as long as I’ve been dealing with this I’ve come to expect the eventual let down that occurs.  Hypomania cannot be sustained for long periods of time.  At least, that’s my experience.  Because of that, it’s bittersweet.  It’s like when you’re a child and realize that there is an after-Christmas.  All the anticipation and build up occurs then, wham! It’s over.  You learn to enjoy the season while you can, but there’s always that knowledge that it won’t last forever.  With bipolar disorder, there is no “cure”.  You have bipolar disorder and what goes up always comes down.

But the other side to the coin is the knowledge that depressed states will also come to an end.  I will come out of it.  The reprieve may not last long, but it will be there.  I used to panic when I’d slide back into the darkness, fearful that my medication was no longer working.  I don’t fear that anymore.  The question is in the back of my head, but I don’t fret over it.  I know even with the best of care I’m going to have downs with the ups.  I have bipolar disorder, after all.  Yes, it sucks.  But the good times are all the sweeter for my knowledge and acceptance.  I’ve also learned that if my down periods last very long, I need to see my pdoc (psychiatrist).  Something needs to be adjusted.  It may be due to seasons, sunlight vs. darkness, or even just becoming accustomed to my medication, but a little change can do wonders.

With “This, too, shall pass” comes patience.  Maybe that’s the disorder’s purpose.  To teach patience.  To give us compassion.  The down times are a time to regroup, recharge.  Good periods are times to do good.  To capitalize on the energy to work magic on the world around us.  And I don’t just mean “out there” in the world.  I mean with our own families at home.  After all, they go on this journey with us.

The Ugly Demon and the Crafting Sword

You know that I have bipolar disorder, right?  I mean, I admit it in virtually every post!  What you may not realize is that the bulk of my time is spent depressed rather than hypomanic.  At one time I would have said deeply depressed, but now…fortunately…it’s just depressed.  The difference, you ask?  Well, deeply depressed is an overwhelming feeling of helplessness, hopelessness, some shame as a bit of seasoning, sadness, and a belief that it will never, ever end.  Depression is bad enough.  Deeply depressed is like drowning in air.  It’s staying in bed because there’s no energy to even get up.  With depression, the feeling is that there is a life preserver out there somewhere, it’s just a matter of finding it.  You might note that I didn’t say anything about being sad.  It’s my belief, not a fact, just my own belief, that clinical depression has little to do with sadness.  I’ll talk about that in another post.  I found my life preserver in the hands of a compassionate, skilled psychiatrist and an outstanding therapist.  Well, that and the right pharmacological cocktail.  But it took the pdoc (psychiatrist) understanding how neurotransmitters work to come up with my cocktail.

Depression world cloud

But wait!  There’s more!  I also craft!  Yes, even while depressed, I craft.  Crafting gets me into another world for a while.  When I get into the zone, the depression is pushed to the side.  I become happy, hopeful, excited even!  And I’m learning there’s a whole bunch of people who feel the same way.

You see, I belong to a Facebook group for craft hoarders.  Yep, you got that right.  Craft hoarders!  We can’t pass up craft supplies without buying something.  We sneak it in in the middle of the night, or mixed in with groceries or such.  We’re that bad!  Actually, we’re pretty good.  Pretty good at hiding our crafting obsessions from others!  HA!  We may have a designated crafting space, but that doesn’t stop the supplies from tumbling out all over the house.  As if a mere designated space could hold the bounty of our supplies!  But we use these supplies!  Or we will.  Someday.  Someday soon.  Glitter. Paper. Fabric. Deco mesh. Buttons. You name it, I and others have it.  And it will all be put to good use.  I will soon be getting a good sized she-shed with an attached shop.  No, not the shopping kind of shop.  But the kind where my youngest will no doubt work on cars, motorcycles, and such.  But it’ll make a good overrun area for supplies!

Artist painting.

I was surprised the other day when one of these dear people…a woman, as are most of the group’s members…mentioned being depressed.  I was relieved when she received so much support.  Sadly, there is still a great deal of stigma attached to mental illness.  However, I was astounded at the number of other members, literally dozens, who admitted to struggling with depression and anxiety.  This one thread was so full of positive energy as admissions were made to the difficulties of life with depression, and the benefit of creating in keeping the ugly demons at bay.  Also, the positive affirmations to one another to keep crafting.  I was actually in tears.

I am not my illness.You might have noticed one of the categories on my blog is “crafts”.  If it’s a blog for mental illness, why add crafts, you may wonder?  Because while I might have bipolar disorder with a heavy emphasis on the depression, that’s not who I am.  It doesn’t define me.  I’m multifaceted and one of my facets includes creating.  Actually, since reading some of the comments within that FB group, I’m pondering the possibility that a great deal of creating comes from those who suffer, in one way, shape, or form.  Could it be we’re given these talents to help us cope?  I do know I want to reach out to these women and see if any of them are willing to share how they create.  I’ve seen the work of some of the people in this group and it’s astounding!  I’d love to show it off on my blog.

Anxiety Rears Its Ugly Head

I just wanted OUT!!!   I wanted to run out, screaming at the top of my lungs!  And if I hadn’t been (at that time, anyway) such a quiet, reserved person, I might just have done so.  But at 15, I was very quiet, very reserved, and did not in any way want to call attention to myself.  I couldn’t even tell my parents what I was experiencing.  Yet here I was, attending a big sale at a local store with my parents and about 75 to 100 other people, all of us in a small building, waiting to hear who won the door prize.  By that time, I was almost hyperventilating.  I guess it must have shown a little because when we finally left that horrid setting, my mom asked if I was okay.  I mumbled something and we headed for home.

I now know this was a panic attack.  I also know that my panic attacks began at a very young age.  You see, I used to have what one doctor termed a “delicate system”.  I hated that term.  I didn’t want to be “delicate” as this was the era of “Anything a boy can do a girl can do better” and I was one of the girls determined to prove this adage correct.  However, it was true that I got sick a lot, mostly with ear and sinus infections.  As a result, I missed quite a bit of school.  But, if not for my old friend anxiety, I would have missed far less.

You see, when it came time to go back to school, my heart would pound and I would literally feel weak.  I was terrified, despite having plenty of friends and being an “A” student.  I didn’t know what I was afraid of, just that I was afraid.  I’d tell my mom that I still didn’t feel well and I’d get another one or two days’ reprieve.  And it wasn’t like it was fun and games to stay home.  I had to stay in bed and in my pajamas.  I certainly wasn’t doing anything wild and crazy.

It was easier to go back on a Monday, when everyone else had had a weekend off.  I felt that my reemergence into the classroom wasn’t as dramatic as it would be on, say, a Thursday.  Now, I don’t know that that’s true, but that was my perception back then. Even now, if I’m absent a Sunday or two at Church, while I miss the people there, my heart beats hard in my chest when it’s time to return.

The difference between “then” and “now” is twofold.  One, I’ve discovered a name for what’s wrong with me.  Anxiety.  It has a name!  Hurray! Giving it a name means it has a definition and, yes, my symptoms are right there.  “Generalized Anxiety Disorder”.  It would look better if my flavor of anxiety had a cooler name, but my flavor is pretty gross…I’d had to take on some of the other flavors.

And two is coping mechanisms.  I know no one is going to call me names or try to hurt me if I miss a Sunday or two. I remind myself of this.  I know when I meet someone that he/she is possibly just as nervous as I am, so deep breaths and a big (forced) smile help put the other person at ease and his/her ease helps me feel at ease.  (Did that whole sentence make sense?) Deep breaths, as I’ve told my youngest on many occasions, deep breaths slowly in through the nose…hold…and slowly out through the mouth.  This helps the physical symptoms of anxiety and the physical kinda tricks the mental.

Knowing when to leave is key, also.  I knew when to leave at that sale I attended at 15, I just didn’t know I truly needed to just get outside the doors into the cooler, quieter air.  I know this now, so I leave even if it means walking away from a cart full of groceries.  Now, don’t act like you haven’t done that.  LOL!  I know at least a few of you have done this, or maybe completed the purchase, but in such high-stress mode that you wish you had walked away.  Like many things, there are times I think I have to be the only one, but I later discover there’s a whole bunch of other people who have done the same thing or felt the same way. Knowing when to shop and when to stay away from stores is another, for me, essential coping mechanism.

Now, some may consider this separate from coping mechanisms, but I add my medication to this list as without it, I’m a mess.  A big, ol’ anxiety ridden depressed mess.  I’m grateful to the mini-pharmacy in my upper right desk drawer for helping to keep me on relatively stable terms.

I recently submitted a brief questionnaire to BPHope magazine which essentially asked if there were any external stimuli that contributed to a mood.  Oh, my goodness!  I could have typed forever, but for me the biggest is sound or noises.  Being in that cramped, very noisy room at that sale brought on a full scale panic attack.  Going back to noisy, generally cramped classrooms after the quiet of home was also a trigger.  Now I know this and knowing, they say, is half the battle.

Do crowds bother you?  How about being in a noisy environment?  How do you cope?