Hit all time low

Published

I've been on Allnurses for ...well I don't remember how long. I'm sure it says somewhere but I don't have the urge to look for it. I've come to this board time and time again for advice. Everyone has always been supportive and kind.

I have been through countless jobs since becoming a nurse. Each one ending up in disaster. Nothing life threatening (for the patients anyway) or license threatening. Yet I find myself repeatedly in the same situation. Feeling out of control, out of my realm, that others are insane, that the workload is crazy, that .... heck everyone else is a problem.

Suddenly, most recently, I had a mind-blowing discovery about myself. Well, I shouldn't say suddenly, it was coming on for months, yet I still didn't recognize it, nor made any move to correct it.

One word. DEPRESSION.

It hit me like a freight train about a month or so ago. I didn't get out of bed for 3 days, ended up having an ulcer, getting treated for said ulcer, quitting yet another job, and getting yet another one.

The most recent one had me out of the house the entire time my family was home.

Now, suffice it to say, I have been clinically depressed for 13 years now. Went through several medications (antidepressants) and after a couple of years on each, they just seem to quit working, and I go into a major depression, get into the doctor, get meds changed, and go on with life. Great scenerio, it worked for 13 years, so whats changed now?

I went into work last week Wednesday, in my scrubs with a statement typed up of problems I was having on orientation on my new job. Lack of 'actual' orientation. In all honesty, I have done that same exact thing in half the jobs I quit. I have built up a reputation for myself in my area, which makes it extremely hard to find a job.

In either case, went into work last wed with note in hand, and had a complete meltdown trying to talk to my DON. I said, "I think I need to get my head together, I'll call you next week" only briefly talking about the issues I had planned to talk about and basically left it at that. I talked to her that Friday (picking up my check) She said to call us back when your feeling better. So I hope that means I'll actually have a job to go back to, because I have burnt every single bridge from here to there and everywhere inbetween.

Then, last weekend was my birthday, my parents were set to come down, I had to clean the house (which had been terribly neglected for who knows how long.

As I was cleaning, I took a break and got on the computer.

I did a google search for severe depression. Anyone ever do that? It comes up with more links to Bi-polar than 'depression'. That got me thinking, reading, doing tests.

I realized that I have had major manic phases. Severe ones that I'm 1. lucky to have lived through, 2. lucky to still have a family through, and 3. lucky to not be living on the street.

For years I've brushed off these 'episodes' as I just flipped out. Everyone does it from time to time right? BUT do you know of anyone that does it for 3 months straight? Who feels completely out of control and cannot think, not sleeping, rarely eating (lost 65#s) and inviting people you don't know, from another country to come and live with your family (with the impression 'I" was unhappy in my marriage). Which the unhappiness in my marriage was in itself untrue. BUT I wasn't getting the attention I used to. So I turned to the internet, where I got all the attention I needed plus some.

So I invited this man to come live with us (my husband, children and myself) thinking it would sort itself out. WHAT IN THE WORLD???!!!

Who would think like that? All these years (it's been at least 8) I thought I just was 'addicted to the internet' and that 'I just flipped out for a while' I'm normal right? Other people do this too right? I spent, all 8 years living with what I did to my family. Yes we're still together, I one day realized what a mistake I had made and sent him back home to his country. Life moved on, however with quite a bit of difficulty.

Well..... with that story in mind, it occurred to me (after reading a lot about bipolar on the net) that geez, I've done stupid stuff like that on and off since I was 14 years old! I can think of at least 6 instances where I completely went off the deep end, and doing things that NORMAL people don't do. Yet turning around and looking at these instances like, no biggie. I'm mortified by my actions after I do them, but during the time, it seems perfectly reasonable. These periods of oddness usually happened for minimum of 3 weeks, usually lasting up to 6 months, where, during this time, I feel absolutely happy, very sure of myself, confident and most assuredly NORMAL. Yet by and large, I was FAR from normal.

Now, I'm in a very VERY low state of depression, to the point I have considered suicide (no I'm not suicidal anymore). I did at the time, have a plan, had the means. You name it I had it, yet didn't have the energy to do it (Thank god).

What's funny is, the first time I was 'manic' I was actually put in a mental institution. My parents did it when I was 14 to keep me away from my 18 year old boyfriend (who I was about to run away to Mexico with at the time). During my time in the mental institution, I was never labeled anything but a genius (did a darn IQ test on me). So after I was released, I secretly keep seeing this 'boyfriend' for a while, then started getting together with a lot of guys (so to speak). I didn't get treatment, I didn't get help, and I was never diagnosed.

First time seeking help was when my second husband cheated on me. I was at my wits end, couldn't focus, was deeply in mourning (for our relationship) and didn't know where else to turn. Went to a family doctor, was given Buspar. Which was brand new at the time. It worked for a few weeks, then nothing, went back and was given prozac. On to my life on antidepressants.

SO - I've been through 2 or 3 doctors since I had my first child (at 18) and all of them diagnosed me with severe depression. So I've been treated, and treated and treated, when in the end, each time ends up with a 'manic' or 'hypomanic' episode (this is another thing that JUST occurred to me). Of course, after reading, when your 'manic' you don't feel like anything is wrong. In fact, everything is awesome. So until you have another meltdown (depression) then your fine.

So in essence I have been likely riding the Bipolar roller coaster of doom since I was 14 years old. Do I have a confirmed diagnosis of this yet? No

But I have been to the doctor (a new doctor - my old one is getting senile). The doctor said, well, it sounds like bipolar to me, but I need to talk to our NP because she's seems to have a niche for Psych. I told him, great, please do and soon, I don't know how much more I can do this. On came the "are you suicidal?" questions and so on. That was THIS Wednesday. Still no word from the doctor. He did however switch my antidepressant (yet again) and I'm still waiting on word of what the NP said. I'm giving it another hour and then I'm calling the office.

I have so many times thought of others as being bipolar, but NEVER once did I look at myself and my insane actions!

On top of the glaring fact that my dad is bipolar (untreated) and my paternal grandmother was bipolar (untreated) both diagnosed though. What other idea could I possibly get? What took me so long to figure this out?

What doesn't help a darn thing is, I DO NOT HAVE HEALTH INSURANCE!!! So I made sure that was clear to the 'new' doctor and that I can't afford multiple visits since I can't work in the state of mind I'm in. So I don't know.

I'm scared to death that I'm going to go 'manic' again after this new med change. However, I have tried to get off antidepressants countless times in the past, only to end up a blithering idiot back at the doctors office 2-3 weeks later (maybe more), begging for help. Then, back to the same old routine, absolutely AWESOME for a while (manic) then hitting rock bottom (depression) then repeat. I'm sure there is some normal times in my life, somewhere, some time. But for now my future looks horrible.

I don't know what I want to get across from posting this. Maybe it's a vent, maybe it's a private (well now public) therapy. I don't know. Maybe I want advice, but I'm not sure what about. I just feel absolutely hopeless right now, and feel as though I have no where to go, no way to get there, and I just want, more than anything else, to FEEL again. I cannot think clearly right now, can't focus. I feel like a puppet in someone elses horrible rendition of my life. Like I have NO control, no future. Again, I'm no longer suicidal (seem to be past that).

I clearly need help, I have tried to get it. Tried first to get it at a local community action program which supposedly goes on income, and well....I couldn't afford the 'first' appointment. So, that's when I decided I need to find a new doctor. Found one that was suggested by the nurse at my old doctors and tried to get help.

He seemed concerned, and I know he's 'conservative' in treatment. But why haven't I heard back from him? I can't afford to make another appointment to see someone else. I am NOT religious, so talking to a pastor is out.

My family, well...as supportive as they are, they DO NOT understand what I'm feeling, and just tell me to 'snap out of it' or 'go back to work, keep yourself busy'. That's what sent me this direction in the first darn place. What do I do now? Besides call the doctor in a ½ hour? I just hope he has an answer for me. I cannot keep going like this.

I'm so sorry this is so long, it's all built up on me for so many years, and none of it made sense until now. And NOW no one is listening to me. I feel like that girl in the movie "Titanic" I'm standing in a room full of people screaming at the top of my lungs, yet no one is hearing me.

I guess that's all for now. There's so much more I could explain, could go into detail about, yet I'm sure by now you get the gist of it all. So it would be pointless. Thanks for reading this.

I,myself, have also hit an all time low. I feel i have been blackballed and am having extreme difficulty getting a job in time to do my 120 hours internship to set boards before my provisional expires. Right out of college, i started working in my dream job,the CVU unit!!! Then, all heck broke loose at home and i wound up losing that job only have a few short weeks. That was back in June, i haven't worked since. I feel like my entire education was a waste of time and money, A LOT of money. My dream is to be a good nurse, nothing more. And, apparantely i'm not allowed.

Specializes in Med/Surg.

Well, I gotta tell you, you should be 1) extremely proud of yourself for being an excellant nurse to even assess yourself, 2)sharing your story with a lot of people, 3)seeking help for yourself, and 4)doing your own homework! Your forum I'm sure will help a lot of others too! ;) I would definately call not only your Dr but your local community mental health dept. No one is to be turned away if unable to pay! This situation should not wait any longer! As for all your past MD's, you know the priority of psych care is "trial and error" with all the different meds out there. Not knowing if 1 is effective or not until at least 4-6 weeks. You need to get help by a specialty Dr. I'll keep you in my prayers. Don't sit on it any longer! :nono: Wish you well!

Specializes in OB, ortho/neuro, home care, office.

Just wanted to let you know, I am STILL waiting. I called 3 times today. He's supposed to be in the office tomorrow.

I want to thank each and every one of you. It really does mean alot. I appreciate all your words, guidance, suggestions, websites....everything really.

One way or the other, come monday morning, I'm making calls and finding someone to do therapy.

Welcome to keep thoughts coming while I'm waiting. It is just nice to know ya'll care.

Thanks

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
... Suddenly, most recently, I had a mind-blowing discovery about myself. Well, I shouldn't say suddenly, it was coming on for months, yet I still didn't recognize it, nor made any move to correct it.

One word. DEPRESSION. ...

I did a google search for severe depression. Anyone ever do that? It comes up with more links to Bi-polar than 'depression'. That got me thinking, reading, doing tests.

I realized that I have had major manic phases. Severe ones that I'm 1. lucky to have lived through, 2. lucky to still have a family through, and 3. lucky to not be living on the street (etc).

I clicked on "thanks" because this is like reading my own work history and for the same reasons. I haven't invited a guy from another country to come live with me, but as far as getting over-involved on the internet (shall we say ha ha) - I relate to that too. And have done other crazy things that "normal" people wouldn't do.

I had been out of work for over 3 years, went back to work as a sales clerk last year, may not be able to do nursing again - I don't know. It's a one-day-at-a-time thing.

Don't answer me here - but if there is alcohol involved this complicates your recovery tremendously. My younger brother almost lost his life recently because of that.

As to antidepressants - SSRI's like Prozac can CAUSE a manic type reaction (edited to clarify: can aggravate symptoms in someone w/ bipolar). Some others will do that too. I have gone through just about every med there is. Right now I am on depakote and lamictal (antiseizure but they work well for my bipolar).

What else? You are doing the right thing in seeking help. I would put in an application for disability asap, and if you don't end up needing it, that's AWESOME - but if you do need it you want to get it set up as soon as you can.

I go to a psychiatric clinic associated with a hospital. Therefore I have qualified for free care based on my income. See if you have anything like that near you (call the billing offices of any hosp's near you). Because I now have income I will be losing the free care but it has helped a great deal to get me the VERY necessary professional care I needed. You DO need regular frequent appts til you get this stabilized. I've done weekly counseling and monthly med management - now decreasing the frequency... Also done day treatment programs occasionally (9 am to 3 pm mon-fri for 3-4 wks) - and have done inpatient. In fact, two years ago I was inpatient for about a month due to mania. Psychosis too.

I hear you that you're not "religious" but it does help to recognize there is a power greater than yourself that you can talk to and ask for help. For me it was a matter of "I'm doing a horrible job of managing my life, now it's Your turn..." and I got and am getting the help I need. I would urge you to explore developing a relationship with God. If that fails you can have double your misery back (sorry, an old AA joke...)

Free help/support - check out DBSA, depression/bipolar support alliance - in your area. They have weekly meetings, support, education - ours was run by a psychiatrist with EONS of experience.

I hope you give yourself time to adjust to what must be a great shock to find out about yourself. My first manic episode (that I know of) was when I was 25. NOT FUN.

Take care, may I say God bless you? And I hope you find the RIGHT help for your illness.

Specializes in Cardiac Care.

As a student, I don't know a great deal about what has been happening to you. As a cancer survivor, I do know about my own depression and treatment. I know that help is available, and it is priceless. I'm wishing you only good things. Much good luck to you, Jen. Any many hugs.

(((((YOU)))))

Don

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
If you again feel AT ALL suicidal please go to the nearest ER. There is plenty of help out there. God bless you, and take care.

Yes, good point! I actually did try many years ago - it is nothing to be ashamed of when you admit it to people who are in a position to help.

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
I,myself, have also hit an all time low. I feel i have been blackballed and am having extreme difficulty getting a job in time to do my 120 hours internship to set boards before my provisional expires. Right out of college, i started working in my dream job,the CVU unit!!! Then, all heck broke loose at home and i wound up losing that job only have a few short weeks. That was back in June, i haven't worked since. I feel like my entire education was a waste of time and money, A LOT of money. My dream is to be a good nurse, nothing more. And, apparantely i'm not allowed.

Don't give up - when you are in it it feels like it will be forever - but the key word is FEELS like...

Maybe try some part-time agency work and see what you can do? I found that to be the best way to work around my sporadic life and "bad spells".

Good luck!

Specializes in ICU/PCU/Infusion.

Jen, I'm so proud of you for having the guts to post your story here. I'm quite sure that many people reading this will see themselves or a family member that reminds them of your symptoms and lifestyle. It is a great person who can admit their problems and then seek out ways to solve them.

You are doing all the right things. You've recognized what's been going on for greater than 20 years undiagnosed, you've acknowledged it, and now you are seeking treatment.

I will think of you often this weekend, and I hope first thing Monday morning your telephone will ring and it will be a lifeline on the other end.

You can beat this thing. You may be on meds for the rest of your life, but hey- I'm on meds too, just for a different reason. (for now ;) )

I sincerely hope your job is waiting for you when you're ready, but if it isn't, then you've already discovered that there are many jobs to choose from.

All the best to you and yours! :)

Specializes in OB, ortho/neuro, home care, office.

Don't answer me here - but if there is alcohol involved this complicates your recovery tremendously. My younger brother almost lost his life recently because of that.

As to antidepressants - SSRI's like Prozac can CAUSE a manic type reaction (edited to clarify: can aggravate symptoms in someone w/ bipolar). Some others will do that too. I have gone through just about every med there is. Right now I am on depakote and lamictal (antiseizure but they work well for my bipolar).

Just to let you know - alcohol was a problem many many years ago (as was drugs) I've spilled my guts already, what difference does it make if I drank alot 20+ years ago or did drugs. Again, I think this was during a 'manic' phase. MUST MAKE SURE I CLARIFY. I no longer drink or do ANY drugs that are not prescribed by a doctor (just for the record).

I do appreciate you sharing that bit of info though, maybe someone else will read that as well and learn from what you said.

Thank you again.

Specializes in ER.

Jen,

Take it from me, there is hope. With the right "cocktail" of meds and appropriate counseling, life can get much better.

Now that we know what it is, my mother says I came out of the womb manic. And for 33 years, my life was a constant rollercoaster of ups and downs. I remember one manic phase when I was getting divorced, when I lost 35 pounds in 3 weeks, started dating a 19 year old (I was 24), and would weed my flower beds with a flashlight at 3:00 AM 'cause I couldn't sleep and needed something to do. I spent excessive amounts of money and spent a lot of time at the casinos.

During another of my manic spells (one that lasted approx 1 year), I felt God was talking to me (I actually heard his voice), telling me to quit my $50,000/year job to become a LPN. Maybe he was talking to me...I don't know. Becoming a nurse was the right decision. But dating the married man, paying cash for a brand new car I couldn't afford or need, and using drugs during this time definitely weren't part of His plan.

I started being treated for depression when I was 19 years old. I've been on Prozac, Paxil, Celexa, Wellbutrin, Buspar, Zoloft...you name it, I've probably been on it. My depressions were debilitating. I would stay in bed, isolate myself, and do nothing but eat and try to stay away from society. I've been suicidal on multiple occasions. I used to believe that everyone thought about killing themselves and had a plan on how to do it. It was such a "norm" for me, that I couldn't believe everyone didn't feel that way. I can still see the dark cloud that was my life when I think about those times. But once the medicine started working (or kicked me into mania), I'd decide I was better and didn't need the meds or counseling. I'd quit. And in all those years, no one ever diagnosed me as bipolar, only depressed.

Fast forward to my first year of nursing: the stress from nursing school, changing careers, working night shift, and leaving all of my friends kicked me into the worst mania of my life. I became involved in a lesbian-love triangle (no offense to anyone, but I've never had homosexual inclinations before or since). My behavior during this time was completely out of character for me. I neglected my child for this woman. I did things at work that could have gotten me fired or even worse, caused me to lose my license. I was sleeping about 3 hours out of every 60 and living on nothing but a grilled cheese once every couple of days (that's one of my clues I'm becoming manic: when I eat only one food obsessively). I was self mutilating. And I didn't care about any of the consequences. I did what felt good to me at the time and it didn't matter what anyone said; I was doing things my way. And I felt great! I was beautiful! I was the best nurse in the world! I was smart, sexy, invincible!

But then I crashed. I ended up in an inpatient psych ward for suicidal ideation, not once, but twice within a 6 month period. And since my affair was with a woman I worked with, it was public knowledge. The girl she was cheating on with me, told EVERYONE where I was, both times. But thanks to God and a brilliant psychiatrist, after trial and error, I was put on the right mix of meds and have been for the last 2 years the most stable I have ever been. Not one manic or depressive episode, and I was classified as "rapid-cycling" before. And being the stubborn fool that I am, I stayed at my place of employment and have since earned a reputation as a darn good nurse.

All that being said, I have some advice for you:

First, get thee butt to some treatment. One way or another, you need help from someone that specializes in mental health. God love her, I'd trust my general MD to take my liver out through my throat if she wanted to, but she knows nothing about psych meds.

Second, get thee a support system. One thing you'll need to adapt to: "normal" is boring. I miss my manias. I was exciting, sexy, and gorgeous. I could do anything I wanted without concern for the consequences. When your head is screwed on right and you're behaving like a rational adult, you'll find your life is quite dull. BUT, there are no strangers sleeping over and the credit card bills will be quite reduced. However, it will be VERY tempting at times to stop taking the meds. You need people around you that recognize the personality changes and can call you on it when you decide "I don't really need these"...

Third, counseling, counseling, counseling. Whether you recognize it now or not, you have issues that need to be addressed. Chemical imbalance or not, you haven't been handling the stresses in your life in the appropriate manner. You need help from a professional to learn appropriate coping mechanisms. And sometimes its just good to talk to someone and not feel like you're burdening them with your problems.

Fourth, journal, journal, journal. Journaling as you go down the road to recovery can help you identify triggers and clues. This is very important if you want to stay stable.

And my final little tidbit: Don't be ashamed. You didn't ask for this or do it to yourself. Its no ones fault. Its just one of those things people sometimes end up with, like shingles. And just like shingles, its painful and a pain in the @ss, but it can be managed. Good luck and from your sister in this disease, PM me anytime if you wanna talk.

thank you, traumajunkie!

that was one of the most inspirational posts i've yet to read.

wishing you all things wondrous. :):balloons:

leslie

Good for you for going after the help you need. I'm not very familiar with bipolar disorder, but one of my family members has many of the signs and symptoms that you described in your post and refuses to seek any treatment.

I also want to applaud you for stepping up and posting this. I'm sure it will help many people who are in the exact same boat as you, but are afraid to confront it outright.

I'll be keeping you in my thoughts. :icon_hug:

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