I've never been sure if my more intense "highs" were mania or hypomania.....the lines are pretty blurred. To me, hypomania is like the best feeling in the world---plenty of energy, tons of optimism, I can do anything, work like a dog all day and be ready to party all night, and will join a dozen committees because I'm passionate about all of those causes.
I have had some episodes that might have been full-blown mania, because they were much more extreme than my usual upswings. The last one was in June, and I was bouncing off the walls---couldn't sleep, couldn't be bothered to eat because I might miss something, fidgety (I never stopped tapping my fingers or shaking a leg all the time I was awake), couldn't shut up, and I didn't give a rat's @$$ if somebody didn't like it. I wasn't out of touch with reality, but I had absolutely NO insight and only called my pdoc when I was so out of control that I freaked out. That's when I was put on Zyprexa, which was a lifesaver as it brought me down within a couple of days.
Sometimes, though, even hypomania will turn on me and become dysphoric, where I've still got lots of energy but I'm PISSED. I'm irritable, touchy, hostile, and I don't give a flying fig if I hurt people by saying mean things. I can't count the number of times I've had to apologize to family members and friends for being a butt-head. This is probably the hardest part of my bipolar that they have to deal with, and of course I always feel horrible after I'm over the episode. Wish I could short-circuit that process!
__________________
DX: Bipolar 1
Anxiety
Tardive dyskinesia
Mild cognitive impairment
RX: Celexa 20 mg
Gabapentin 1200 mg
Geodon 40 mg AM, 60 mg PM
Klonopin 0.5 mg PRN
Lamictal 500 mg
Levothyroxine 125 mcg (rx'd for depression)
Trazodone 150 mg
Zyprexa 7.5 mg
Please come visit me @ http://bpnurse.com
|