Hit all time low

Nurses General Nursing

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.

"And my final little tidbit: Don't be ashamed. You didn't ask for this or do it to yourself. Its no ones fault."

Yes. Amen!

I admire you all for your honesty. It can't be an easy road to take. God Bless. I wish all of you well.

Hello; The psych nurses posting is dead on right. You can't expect MD's to handle psych issues any more than I would expect a oncologist to run a code in the ER. The local county mental health providers can hook you up. You can get the right medication. Know this, you have a great support group right here, right now.

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
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.

Me too! Last drink and drug (other than prescribed) in 1985! That, ironically, is when my symptoms showed up (altho I do remember periods of depression prior...)

... 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"......

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.

Wow! ok, I thought she said my whole story, but you filled it in quite well too! Thanks!

Esp. the "normal" is boring part lol - I always sabotage myself when I am doing well/great/normal. Actually, someone told me "normal" is just a setting on your dryer LOL...

I know I am starting to get manic when "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!" ha ha ha (my first time, I thought I could read minds, and leap tall buildings ... ;) ) So - who would want to "medicate" that? The self-confidence I lack "normally" I possess in abundance during that phase (forgetting that there is then a consequence which means it will get WORSE - and mean that I LOSE that self-confidence...)

... You can't expect MD's to handle psych issues any more than I would expect a oncologist to run a code in the ER.

WELL SAID! and very apt!

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

Thank you - in this post, you hit it on the head. My point number 3 of my original post ( lucky I didn't end up on the streets) was because of the times I was 'supposed' to be taking care of the budget, and then spent enormous amounts of money on stupid little things that weren't needed. My husband took over the budget officially in Feb of this year. I'm guessing I had probably been maybe hypomanic before that, just spending lots of money, no major episodes with craziness that I can think of beyond spending money we didn't have, and our house was about to be foreclosed because of it. Never gambled though, thank goodness, biggest gambling I do is play bingo online.

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.

Yet another hit on the head. Thinking back, I had considered suicide on more than one occasion when I was depressed. I remember numerous times, driving down the road, swearing someone was whispering in my ear, 'just cross the yellow line, your pain will be over' I cannot believe I thought about things like that. I most certainly did though. Sad but true. I must say again. I do not feel the urge to harm myself right now. Right now, I just want to get better. Still waiting on a call, but on Monday, I will be making a call of my own, whether or not the doctor calls today, to get some counseling. Which I obviously needed.

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 can think of one obviously manic phase when I was married to my first husband. I was sleeping with anyone that was male and had anything between their legs. I always thought it was some screwed up problem I had related to being molested and raped repeatedly when I was 4-5 years old by a b@s!ard that lived across the street (actually I now live exactly across the street from where it happened those 2 years). I can't remember the count, but it was more than 10 guys in a 3 month period . Mind you all while I was married, it was back when I was doing drugs and drinking. I was neglectful of my son as well. Not to any extreme thank goodness, but I didn't give him the attention he should've had at 2. So anyway - that was when I was 19-20 years old. Seems like forever ago.

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.

That's my plan for Monday, I'm going to get ahold of a local chapter of anyone that will help me. I have a web page saved. I sent a copy of my original post to Indiana NAMI and I'm hoping to hear back how they can help, and if they can help.

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"...

I have been driving my husband crazy with begging him to do some reading on it. I think he will, and when he does he will be more supportive (not that he hasn't been, he just doesn't understand it. I have 'educated him' but I think he needs to see it in writing. Also, I think I have figured out my 'mania' times. Thinking back, most of them were in the late fall (Nov) through early Feb. So knowing that, I hope will help. I just need to get going on something soon, so it can take hold before then.

T

hird, 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.

I am also planning on doing all this on Monday. My bigger concern is how on earth are we going to survive on only my husbands income. I am certain he thinks, 'as soon as she gets diagnosed, gets meds, we'll be back in business, she can go back to work immediately' I'm not so sure this is true.

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.

Great idea. I will start that soon. I used to journal when I was younger, I hope I can pick it back up again.

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 so much for this. I wish I had you here so I could hug you. I needed to hear that. Thank you so very much.

I have seen this in someone I love and in coworkers, churchmates, other places.

It is a treatable illness. Please get help today if you haven't yet done so. I wish you all the best.

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Jen....am I looking in a mirror? It sure seems like it. Meds help but they don't work forever and sometimes they need tweaking, kind of like a '68 Chevrolet. What I would do is quit when I felt better, or when I got ashamed of showing up at the drugstore every 30 days and having my name called out "ZOLOFT for P, is P here?"

Sometimes I can walk on a cloud and sometimes I can barely sit cross legged on the earth. Let the facts of insurance pass you by. Make that appointment, keep further appointments and take that med NO MATTER WHAT.

RIght now I'm pretty down due to external (real life stuff) and not my usual moods. I got really physically sick really fast and had no control over what my family authorized. It turned out fine and now I'm ticking like a new clock.

Jen I've watched you grow up here so stay with us and have some fun. I'll match my number of "previous jobs" to yours and I bet I will win.

Keep at that telephone til you get the help you need. Please?

Specializes in Public Health.

Jen,

Hang in there and continue to seek the help. Thank you for posting your very personal experiences for many of us relate to you. You will be in my thoughts continuously. Peace.

M

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

Just a note to say another thank you. My doctor called and we talked for quite a while. He agrees and I have a diagnosis. I am bipolar. However, I plan on seeking therapy with a real psychiatrist if I can this week, just to make sure. However, I'm fairly sure already.

I have done a TON of research on bipolar. With my huge fear of side effects of practically every med used for bipolar, I'm trying first a more conservative route. Ones that's been tested, (and did well I might add) for bipolar, and I also have a need for it anyway. The doc was skeptical says he'd never heard of it being used this way, but I cited several psychiatric articles and he agreed to give it a trial run.

Anyway - I'll be picking up tomorrow, it's Verapamil.

I know I know, but I am desperate to stay away from side effects, and my BP & Pulse is WAY out of control anyway, especially with our family history (hypertrophic cardiomyopathy - my 32 year old brother has it in a very very severe form) I have the s/s of it too, but refuse to allow anyone to diagnose me with it because I'll never get insurance. Anyway. So I'm giving this a try, worst that can happen is my blood pressure will be controlled, but I'm not. So I'll try it for a while, if I find that it's not working, then I'll go to something else.

No worries I will definitely be calling a psych on Monday though, and will be seeking therapy, just no more than I'm already gonna try for now.

You guys have been wonderful through this, you really have and I don't know how I can thank you. I am having a really hard time accepting this, but I know it's true, it just, well - wasn't expected/wanted but do I have a choice? I guess not. SO the only thing left to do is d-e-a-l. So that's what I plan to do.

((((((((((((((((((((((((((((((((((((((HUGS)))))))))))))))))))))))))))))))))))))))))) and thanks again so much.

and once again, you're right, jen.

the information is certainly out there.

verapamil has shown favorable results for mania.

not as much for the depression.

just something to remain aware of.

we're all rooting for you.

http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=11983188&dopt=AbstractPlus

http://www.bipolar.about.com/od/cachannelblockers/a/meds_cachannels.htm

leslie

Specializes in Alzheimer's, Geriatrics, Chem. Dep..

I have done a TON of research on bipolar. With my huge fear of side effects of practically every med used for bipolar, I'm trying first a more conservative route. Ones that's been tested, (and did well I might add) for bipolar, and I also have a need for it anyway. The doc was skeptical says he'd never heard of it being used this way, but I cited several psychiatric articles and he agreed to give it a trial run.

Anyway - I'll be picking up tomorrow, it's Verapamil.

I've never heard of it used for bipolar. I hope that you do get in to a psychiatrist soon who will have had experience treating pts. with this drug.

It's funny you say all this - my own psychiatrist calls me 'Doctor B.' because I am always telling him how to treat my illness. I present my side, he presents his, and then we/I make a decision.

Which is fine, except for almost two years ago when my "license to treat" landed me in the hospital. He had made recommendations, I was becoming increasingly manic, I got more pushy and, er, shall we say non-compliant? (bipolar pts are notorious for that when we are "activated!"). He recognized I was getting manic but I refused to follow his recommendations, wanting to wait and see.

All this just to caution you - you know your body and your needs - but you also have to realize that you're not the expert on your illness - YET! Maybe in a couple years. So it might be good to lean on the psychiatrist's judgement a little more than you want to right now ...

{{{{{Jen}}}}}}}}

Specializes in OB, ortho/neuro, home care, office.
and once again, you're right, jen.

the information is certainly out there.

verapamil has shown favorable results for mania.

not as much for the depression.

just something to remain aware of.

we're all rooting for you.

http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=11983188&dopt=AbstractPlus

http://www.bipolar.about.com/od/cachannelblockers/a/meds_cachannels.htm

leslie

That's why I'm going to stay on the new antidepressant and see how the combo goes, plus add on a little omega 3 and I'm ....well, I'm gonna do my best.

All this just to caution you - you know your body and your needs - but you also have to realize that you're not the expert on your illness - YET! Maybe in a couple years. So it might be good to lean on the psychiatrist's judgement a little more than you want to right now ... [/Quote]

I agree, but I did do some research, and I will see a psych, just want to give this a try. I truly am scared of the side effects. I've felt like I'm a zombie all my life, I don't want to actually appear to be one too (that's what I'm gathering are the horrors of Bipolar meds). Don't get me wrong, it's just my irrational fears of the unknown speaking I'm sure. Did anyone ever have NO side effects on the bp meds? Just curious.

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
I've felt like I'm a zombie all my life, I don't want to actually appear to be one too (that's what I'm gathering are the horrors of Bipolar meds). Don't get me wrong, it's just my irrational fears of the unknown speaking I'm sure. Did anyone ever have NO side effects on the bp meds? Just curious.

I feel like dead woman when I am in my depression - I describe it as a "fog" - and that I almost hear that "sucking sound" as I am pulled under ... (shudder)

I don't know about the verapramil - haven't had to give it much. I sure do relate to the fear-of-the-unknown. Sigh ...

That's one thing about the DBSA that I liked, they teach you to advocate for yourself and they arm you with the info and also new research that you might need in order to take care of yourself.

OH! I just remembered, there is a site that is called http://bipolarhappens.com

by Julie Fast - she teaches a way to cope w/ symptoms apart from medication. Some pts. can't take meds period and they find this program helpful. It's almost like a self careplan for best mental health.

Can't believe I didn't think of it before.

+ Add a Comment