manic-depression

I've been accustomed to mysteries, holy and otherwise, since I was a child. Some of us care for orphans, amass fortunes, raise protests or Nielsen ratings; some of us take communion or whiskey or poison. Some of us take lithium and antidepressants, and most everyone believes these pills are fundamentally wrong, a crutch, a sign of moral weakness, the surrender of art and individuality. Bullshit. Such thinking guarantees tradgedy for the bipolar. Without medicine, 20 percent of us, one in five, will commit suicide. Six-gun Russian roulette gives better odds. Denouncing these medicines makes as much sense as denouncing the immorality of motor oil. Without them, sooner or later the bipolar brain will go bang. I know plenty of potheads who sermonize against the pharmaceutical companies; I know plenty of born-again yoga instructors, plenty of missionaries who tell me I'm wrong about lithium. They don't have a clue.

He doesn't have anything like wisdom of age or hindsight. He's a biased historian of self, an emotional revisionist. We all are, for the most part.

It took me far too long to realize that lost years and relationships cannot be recovered. That damage done to oneself and others cannot always be put right again.

I have the choice of being constantly active and happy or introspectively passive and sad. Or I can go mad by ricocheting in between...I am still so naïve; I know pretty much what I like and dislike; but please, don__ ask me who I am. A passionate, fragmentary girl, maybe?

It__ a little-known secret, and it should probably stay that way: attempting suicide usually jump-starts your brain chemistry. There must be something about taking all those pills that either floods the brain sufficiently or depletes it so completely that balance is restored. Whatever the mechanism, the result is that you emerge on the other side of the attempt with an awareness of what it means to be alive. Simple acts seem miraculous: you can stand transfixed for hours just watching the wind ruffle the tiny hairs along the top of your arm. And always, with every sensation, is the knowledge that you must have survived for a reason. You just can__ doubt it anymore. You must have a purpose, or you would have died. You have the rest of your life to discover what that purpose is. And you can__ wait to start looking.

In our family "whim-wham" is code, a defanged reference to any number of moods and psychological disorders, be they depressive, manic, or schizoaffective. Back in the 1970s and '80s - when they were all straight depression - we called them "dark nights of the soul." St. John of the Cross's phrase ennobled our sickness, spiritualized it. We cut God out of it after the manic breaks started in 1986, the year my dad, brother, and I were all committed. Call it manic depression or by its new, polite name, bipolr disorder. Whichever you wish. We stick to our folklore and call it the whim-whams.

When I am high I couldn__ worry about money if I tried. So I don__. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don__ remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias.But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn__ fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you__e given excellent reason to be even more so.

It's difficult. I take a low dose of lithium nightly. I take an antidepressant for my darkness because prayer isn't enough. My therapist hears confession twice a month, my shrink delivers the host, and I can stand in the woods and see the world spark.

Depression is a painfully slow, crashing death. Mania is the other extreme, a wild roller coaster run off its tracks, an eight ball of coke cut with speed. It's fun and it's frightening as hell. Some patients - bipolar type I - experience both extremes; other - bipolar type II - suffer depression almost exclusively. But the "mixed state," the mercurial churning of both high and low, is the most dangerous, the most deadly. Suicide too often results from the impulsive nature and physical speed of psychotic mania coupled with depression's paranoid self-loathing.

I don__ existmetal pressed to pagesspilling blood, inkin vein each thought ragesSunlight shootingthrough a forest of pinesblack top windingand yellow dotted linesI am not hereonly a deep aching,a lightning flashand a tree trunk breakingSheets once alive covered in a deep redmark the presentbut I am not yet deadNothing is hereonly the rain and mistfresh air and soilI do not need to exist.

Her parents, she said, has put a pinball machine inside her head when she was five years old. The red balls told her when she should laugh, the blue ones when she should be silent and keep away from other people; the green balls told her that she should start multiplying by three. Every few days a silver ball would make its way through the pins of the machine. At this point her head turned and she stared at me; I assumed she was checking to see if I was still listening. I was, of course. How could one not? The whole thing was bizarre but riveting. I asked her, What does the silver ball mean? She looked at me intently, and then everything went dead in her eyes. She stared off into space, caught up in some internal world. I never found out what the silver ball meant.

[ ] manic sex isn't really intercourse. It's dicourse, just another way to ease the insatiable need for contact and communication. In place of words, I simply spoke with my skin.

Compared to bipolar's magic, reality seems a raw deal. It's not just the boredom that makes recovery so difficult, it's the slow dawning pain that comes with sanity - the realization of illnesss, the humiliating scenes, the blown money and friendships and confidence. Depression seems almost inevitable. The pendulum swings back from transcendence in shards, a bloody, dangerous mess. Crazy high is better than crazy low. So we gamble, dump the pills, and stick it to the control freaks and doctors. They don't understand, we say. They just don't get it. They'll never be artists.

When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.

One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you're living with this illness and functioning at all, it's something to be proud of, not ashamed of.They should issue medals along with the steady stream of medication.

I now know for certain that my mind and emotions, my fix on the real and my family's well-being, depend on just a few grams of salt. But treatment's the easy part. Without honesty, without a true family reckoning, that salt's next to worthless.

I know the empathy borne of despair; I know the fluidity of thought, the expansive, even beautiful, mind that hypomania brings, and I know this is quicksilver and precious and often it's poison. There has always existed a sort of psychic butcher who works the scales of transcendence, who weighs out the bloody cost of true art.

Though I am often in the depths of misery, there is still calmness, pure harmony and music inside me. I see paintings or drawings in the poorest cottages, in the dirtiest corners. And my mind is driven towards these things with an irresistible momentum.