Emergency Room

Early yesterday morning I woke up with severe anxiety and just feeling sick. I couldn’t calm myself down and my coping skills weren’t working. That is how I know I need more help. I called the on-call doctor for my primary physician’s office because my psychiatrist’s office doesn’t have an on call doctor. The doctor told me to go to the ER and they would give me something to help calm me down. So I went. I feared going because the last time I ended up in the ER for anxiety they didn’t give me anything to help me. I had to wait and suffer through the panic attack.

So I went in anyway and was assessed by the doctor who cleared me medically. He asked me if I was on any new medication and I told him Bactrim for a UTI. He said that Bactrim can change how meds like Latuda and Prozac are metabolized in the liver and that might be so,etching that mis going on a well. I know the antibiotic Clairithromycin does the same thing to me. This is something I will have to be aware of in the future. I told the doctor I felt guilty for having a mental illness. He asked me if I would feel guilty if I had kidney failure. I told him no. He said then I shouldn’t feel guilty about having a mental illness. Many people have problems with their organs, mine just happens to be the brain where something is not operating efficiently. He said they treat the brain with medications just like they do with other organs that are malfunctioning. This made me feel much better.

Then the doctor put in the call to my psychiatrist’s office to get a psychiatrist over to the hospital to talk to me. We arrived at the hospital at 8 AM and it was just after 1PM when we decided to leave. My panic attack had subsided by this point and we were tired of waiting for the psychiatrist. We had waited a couple of hours already. I decided I would just call my psychiatrist’s office in the morning and let them know what’s going on and ask about a PRN for anxiety flares.

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Darkest Night

It’s been a long week. I started Latuda on Tuesday, July 25,  for my bipolar and my brain has been going haywire trying to figure out what to do with all the med changes. I go from functioning one minute to breaking down the next to feeling okay and then back around again. I’m also on a high dose of prozac for someone with bipolar. So it looks like I’ll have to come off that because it may be making my moods cycle more quickly. I’m not looking forward to coming off the prozac because it has helped with anxiety so I can only imagine what I’ll be put on for that. I’m already on klonopin and my doctor doesn’t want to go up on the dosage because it’s already pretty high.

My mind is in a whirlwind with all this as well as having IOP groups to go to and homework for my CBT-O class. It’s pretty intense stuff which I’ll share my notes with you in another post once my CBT-O classes are finished which will be this Thursday, August 3rd.

So yesterday, I had a med management appointment and Latuda was increased from 30mg to 40mg and I was told if I don’t feel better, then to call and let them know because they will have to start reducing the prozac.

My poor brain! I already feel like it’s having a hard enough time with med changes and everything else that is going on.

When I have some time, I am continuing to work on my book about my mental health journey so you can see the overall picture of what I went through, how it affected me, and what I am doing to aid in my recovery. I’m still working on writing the first draft and doing some formatting as well. I’m still toying with the title for the book, but right now it is called God Never Forgets. Even though I’m going through all of this, I know God is right there helping me through every step of the way. He has placed the people, medications, and facilities to aid in my recovery and maintain mood stability. There are some things I have learned through IOP classes and CBT-O and some other reading that have given me ideas. One, make sure your home is free of clutter because that can actually be bad for your mental health, and two, make a structured day and have lists because this helps people with bipolar maintain stability. I’ll let you know what I come up with.

Until next time, have  a wonderful week.

JIS