A dilemma at 5:30 AM

Monday, May 5th, 2008

I ended up working all night long to finish work due today. I’m still expected to get the comments on a previous version of this tomorrow morning and have a meeting about it all in the early afternoon. It also takes me a two-hour commute to get to work.

I accidentally skipped my meds after staying out all night friday. My drug schedule is all screwed up, not to mention the 15mg of Ritalin I took along the last 12 hours.

So I can either take the 8:40 bus and get there at about 10PM (and risk my colleague not being there with the comments) or take the 10:30 bus and get there about 12PM. I’m supposed to maximize for un-sleepiness and information digested and processed by the time of the meeting.

Should I just skip my antipsychotic again? All reason points to no — I need to counter all the craziness and be sane by tomorrow. On the other hand, if I take my antipsychotic and my benzodiazepines I might not be able to wake up at all, no matter how loud the alarms. And I skip the benzos I might be sleepy and get that kind of “hidden anxiety” that gets me deep into the DR/DP twilight zone.

Oh fuck, I’ll just take all my meds as prescribed this time. Work be damned.

(Edit: I just took twice the antipsychotic “to make up” for the one I missed, for an “extra unscrambling factor” and just for the heck of it, to knock me out reeeeal good. ‘Cause it’s a bittersweet symphony that’s life)

More stuff [Psychopharmacological geekery, my diagnosis, Mixed States]

Sunday, April 27th, 2008

These mayonnaise posts might be annoying from the point of view of the reader and sure hurt my googleability and reader attention, but there’s so much context involved in most post and it’s kinda tiresome introducing it as-needed, not to mention forcing anyone who really wants to understand this story to decipher through the breadcrumb trails scattered over short-ish, this-is-now posts.

My psychiatrist. My psychiatrist is a psychopharmacology geek who has studied under who he consider his Master, a psychopharmacology geek from Spain. I mean, he went all the way through med school, but he still holds a special place to this Master.

What being a psychopharmacology geek means is that we’ve gone through a lot of meds trying to optimize my experience. Most psychiatrists will give you lithium or Depakote and expect you to cope — actually bullying you into coping and keep taking your meds — and while that does work wonders, statistically — as in preventing relapse for N weeks, where N is a function of the size of your research grant, I for one know that I would have lost a lot in life if I had been in Depakote monotherapy, even if that meant avoiding a few hypomanic flip-outs.

He’s actually cool with me doing some psychopharmacological experimentation — not taking other people’s drugs, I guess, though I never had the chance, but fiddling with my doses in general and being discretionary about my clonazepam and ritalin in particular. I did earn his trust by being responsible, extremely well-informed and being fantastically aware of my moods so psychopharmacological experimentation can lead to optimal experience. I think he’s glad I don’t have major psychological issues that interfere with him being a psychopharmacology geek working with psychopharmacological optimization.