3
After an unlucky experience with anti-convulsants I resumed my practice of managing my condition by a sheer will power but it soon became clear that it was not possible any more. The sense of thickening doom conveyed by my letters and paintings of that period reflects my swift fall into a black hole. Desperate Sunset depicts the last rays of sun which are about to be consumed by the darkness, a desperate human figure which became one with a chair on which it sits, and a ridiculously small house behind – and there is no escape. A paragon of this work, my afternoons and nights were particularly appalling because they brought with them agitation of the mixed states which I feared most. No words can adequately describe the torture they inflict upon a mind and a body; an airless chamber, a room with heated iron walls, a high voltage current which is rushing through one’s brain without killing it are its approximate metaphors. At times my agitation has become so unbearable that I turned to self-harm in an attempt to swap a mental pain with physical.
There is an aspect of mixed states which is not mentioned by DSM-criteria: an irresistible urge to self-destruction. In my case constant thoughts of suicide were fueled by self-hatred which was rooted in certain events of my childhood but I was not aware of it at that time. Being a practicing Christian, theoretically I rejected the idea of taking my life but each mood swing made it more and more appealing.
My condition hasn’t improved when I suddenly realized that I am falling in love, on the contrary, a despair caused by this realization triggered a particularly bad mixed psychotic episode with my favourite motto of self-hatred during which I repeatedly thrust a knife into my wrist. The most beautiful feeling which is supposed to give meaning to life turned into its parody being processed through a mind full of memories of abuse and losses. Nevertheless, soon after the episode, still not fully recovered from a substantial dose of an anti-psychotic, I was working on a new painting called Psychosis, or Don’t Let me Go in which I painted hands of three pivotal figures: my mother and my husband who have already lost my overstretched hand, and Glen whose grip was still preventing me from dissolving in the darkness populated by evil.
4
My blood-letting activity scared me and those who witnessed it, and I was forced to give up and to accept a professional help, in other words to see a psychiatrist.
It was not an easy decision. A few years ago I already had an unpleasant experience with a psychiatrist who was unbearably patronizing. It was clear that the idea of a patient who has a voice in choosing a medicine and who is taking an active role in a process of treatment was a blasphemous nonsense for him. Because in his approach he was relying only on drugs I gave him a nickname ‘Doctor Chemist’ and after my initial vague diagnosis Bipolar Disorder was refined as Bipolar Disorder II with psychotic features have never returned to his office.
Since I was told that my mood swings have a name I made a point of learning about manic-depressive illness and its treatments, both traditional and alternative, as much as I could. I have developed an insight into my mood patterns through observation of my symptoms and painstaking filling up the mood charts. I felt that I knew enough about my illness and certainly knew more than any doctor about its impact on me – therefore I had a right to participate in my treatment.
There was another complication: I was prepared to accept only medicines which would not affect my ability to work. In other words I would never buy stability at the price of impaired creativity. Providing that manic depressive illness is potentially a highly lethal disease and my particular case was not mild there was a very slim a chance to find a doctor who would take my concern about such nonsense as painting into account.
Luckily, I was recommended a specialist who proved to be professional and understanding at the same time, and who saw me as a human being with particular needs and not just as a “patient # …”. It was plain to her that nothing can make me take medicine unless I realize that it is an absolute necessity. My diagnosis was updated yet again, this time to Bipolar I Disorder rapid cycling with psychotic features. I remember myself asking hopefully if my case was severe enough to require an intervention of medicines and receiving the matter-of-a fact answer that anything that messes up one’s life is sufficiently severe. Typically for almost anyone diagnosed with manic-depressive illness, I have been unable to come to terms with my diagnosis for years, and to admit that I lost the battle. To surrender to drugs was a painfully humiliating experience.
Agreeing to try to preserve my creativity on the ground that, if a minimalist approach fails, then I will consider tougher solutions my psychiatrist prescribed me Thyroxin[1] and fish oil as mood stabilizers. Her decision was based on my observation that I had an episode of unusual stability in the past while taking Thyroxin and that I have had a very poor tolerance of drugs in the past. She didn’t hold much hope that it would be enough for me though, and indicated Lithium as the next step and almost the only option left.
Thyroxin made a difference but proved to be not sufficient. I felt clearer, less depressed and more energetic but my energy went not only into painting but also into my mixed states which grew worse. Eventually I had to agree to add a low dose of Lithium and fish oil to Thyroxin.
It took a few weeks to convince myself to start taking the prescribed drug. I kept staring at the bottle with large, oblong, heavy tablets and could not bring myself to do what I knew I should. Lithium scared me; other mood stabilizers which I tried before were originally designed as medicines for epilepsy and related diseases therefore in my eyes they didn’t have an invisible label ‘medicine for the mentally ill’ attached to them.
I started taking Lithium in the beginning of April. My doctor predicted that I should not expect stabilization earlier than in Southern hemisphere’s spring. However, soon after I started a treatment I got ten days of incredible, serene stability. My mind has become crystal-clear and I could concentrate on my work better than ever. I was wondering if this was how so-called normal people feel all the time. If so, how unfairly easy they lives should be then – free from mad races of thoughts, hot waves of sudden irritation for no reason, paranoid ideas, and so on.
Unfortunately, after giving me a glimpse of what was possible, Lithium seemed to stop working and I returned to my usual roller-coaster ‘depressive apathy – raving mixed state’. Nevertheless, something had changed: I was not as acutely desperate and suicidal as before, and I could sustain more hours of productive work. My overall mood was very depressive but not as sharply unbearable as before: the work Suicide made in the memory of my neighbor who killed himself at that time drew on my suicidal feelings of the past but not of the present. I remember that I was quite surprised with a certain degree of detachment from the subject while trying to get myself into the right mood. Eventually I recalled the sense of dreadful alienation from the whole bright and ugly world which I had while contemplating self-inflicted death and which I am sure my neighbor experienced a hundred times more intensely. Lithium certainly was taking the urge of self-destruction away.
There was hope and I knew that all I had to do was to hold on until the promised stabilization. I didn’t know at that time that my mood swings are feeding on the wounds in my distant past which were still raw and therefore Lithium could provide only a partial solution. I also didn’t know that my growing feelings for Glen would provoke explosions in my psyche of such power that no drug could bring them under control.
[1] Synthetic thyroid hormone. Recent research showed that thyroid hormones can be beneficial in some cases of manic depressive illness, particularly rapid cycling