independence 05.21.23

I discharged from the crisis center two days ago and got the keys to my new apartment. I’m learning new skills and so proud of this little space in the world I’m making for me and my kiddos ♥️

make a wish
vigilante uniform of the institutionalized 3.0
housewarming presents
ruby’s pantry – if anyone needs honey mustard, i gotchu
dad and alex taming the jungle
happy mail from a winnebago mental health institute friend
post-church coffee date ♥️
first time using a drill – i’ve got curtains!
just missing the kids
sanctuary ♥️

My un-diagnosis

Hi, my name is Bobbi.

And more than likely, I’m not bipolar.

Mmmm. Deep exhale.

While institutionalized at Winnebago Mental Health, I did not have a doctor, let alone a psychiatrist, assigned as part of my care team. The bipolar diagnosis came from two court-appointed evaluators who sat down with me for forty minutes and drew their conclusions.

Dr. Bales, who should’ve retired fifteen years ago, looked at my file the entire time, barely listened to me speak, vaguely pointed at the list of potential medications, and said, “You need mental health help.”

Okay, bro. I’ll tell that to my therapist and outside psychiatric care provider I willingly sought out on my own for a psychiatric evaluation before being chapterized. 

Dr. Thuman, a psychologist, at least listened to my story. I believe she drew the same conclusion of bipolar disorder, but she wasn’t called to speak in court and I’ve yet to see her notes.

Two forty minute conversations.

One nervous breakdown.

That’s all it takes for the court to seal your fate with a chronic diagnosis and an order to take medication that’s been making me sick.

When I started the Abilify, I began on a 5mg dose for three days before being bumped up to 10mg. Aside from sleeping better, I didn’t notice any other differences in my thinking, mood, or behavior.

Upon discharge at Winnebago Mental Health Institute, a locked facility with some of the most severe mental health cases in the state, I wound up at the Winnebago County Crisis Center where I started experiencing some concerning side effects with the medication.

I have a restless feeling in my limbs, particularly in my fingertips and feet. I can’t sit still long enough to watch TV or read. I’m experiencing unspecified anxiety, a tightness in my chest that no amount of breathing or yoga can dissipate. I’m waking up with headaches consistent with interrupted breathing in my sleep. 

The county psychiatrist took me up as a patient and is currently titrating me down on the Abilify. My 10mg dose was reduced to 5mg for a week, and now I’m down to 2mg. He prescribed medication to abate the restless feeling. 

I’m getting help.

I’m feeling heard.

I’m supported and will be long after discharge tomorrow as I continue to meet with Dr. Vicente.

So, if it’s not bipolar disorder, then what is it? That’s the magic question. 

I can say nothing conclusive has been decided. According to my psychiatrist, my symptoms are consistent with a nervous breakdown followed by four days of major insomnia and extremely limited sleep while on vacation with my family over spring break and that the behaviors mimic C-PTSD.

This feels much more nuanced considering this is my first breakdown. I haven’t experienced highs and lows consistent with a bipolar diagnosis, so I’ve been hesitant to own it as mine. 

Signing off from the messy middle.

Love and Light,

Bobbi

My Separation Reality

Last September, I posted a piece titled My Divorce Fantasy in which I got really honest about the state of affairs in my marriage. I concluded it hopefully, truthfully, authentically. I’m going to start this one the same way.

My husband and I are currently going through a separation. I could give a wagon full of reasons why we made this decision, but even typing that ignites that bittersweet tingle behind my eyes and warmth in my chest. 

After having a nervous breakdown and spending 17 days institutionalized in a prison dressed as a mental health facility, the old Bobbi died. Flat on the concrete floor of that solitary confinement cell, hair in twin braids, sunflower seeds scattered around, my soul briefly left my body. And when I floated back into my body, I leveled up. There was no going back. 

And like my diagnosis, my marriage felt constricting and tight, a skin I needed to shed.

I can’t go back to the same cycle of disagreements and conflict, the same stormy patterns. I owe this new self the space to discover who arises from the wreckage of my old life without the responsibility of shepherding his healing journey.

Our futures look like a lot of therapy – individual and couples – while we shelter our babies in the eye of the hurricane. And this will be the most amicable, healthy separation because of the mutual love we have for those boys. 

In four days, my divorce fantasy becomes my separation reality. I get the keys to my own small, lovingly curated apartment. I answer only to myself. I prioritize making my own dreams a reality and bad vibes are checked at the door. I have consistent solitude to prioritize my mental, spiritual, and physical health. I parent with patience, instilling the values and boundaries I find most important, without compromise. After separation, I never find my “other half” because I’m already whole. I don’t ask permission to have needs – they live inside me guilt-free.

I feel sad. I feel happy, angry, optimistic, guilty, scared, proud, confused, terrified, but ultimately hopeful. Because I know this is the right decision.

Love and Light,

Bobbi

freedom ride 05.10.23

Channeling wicked witch of the West on a too-small bike vibes, I found some treasures while cycling through Winnebago County Park.

found in the road. a metaphor. unlocked lock without a key.
naked arbor
pond reflections
purple pansies (i think)
will graffiti this everywhere, always
motivation
summer cones
closed yesterday, open today
i understand the assignment

My shiny, new diagnosis

Hi, my name is Bobbi.

And I’m bipolar.

Yikes, even typing that sentence has me feeling like I’m wearing giant clown shoes or spilling out of a bra two cup sizes too small. The diagnosis doesn’t resonate or fit, but according to the court-appointed psychiatrist and psychologist for my involuntary commitment, it’s mine.

Disclaimer: I’ve spent more time researching and debating which toothbrush to buy than I’ve spent researching bipolar disorder. My future, far more informed self is already cringing reading this. However, Struggle Bus Confessions has always been my place to heal messily and in real time. Here’s the messy middle, y’all. I apologize in advance for my ignorance.

According to the American Psychiatric Association’s DSM-5, bipolar disorders are described as “a group of brain disorders that cause extreme fluctuation in a person’s mood, energy, and ability to function.”

I’m diagnosed with Bipolar I specifically which “is a manic-depressive disorder that can exist both with and without psychotic episodes.” 

Additionally, bipolar disorder falls between “depressive disorders and schizophrenia spectrum disorders. People who live with bipolar disorder experience periods of great excitement, overactivity, delusions, and euphoria (known as mania) and other periods of feeling sad and hopeless (known as depression). As such, the use of the word bipolar reflects this fluctuation between extreme highs and extreme lows.”

If I’m being completely honest, I hate the term itself. “Bi-” signifies a binary which feels like you’re either one or the other without a lot of gray in between. In this case, manic or depressive. For the majority of my life, I haven’t felt either one of those ways chronically.

I hate that it’s mine, too. With one single event of manic-like thinking and behavior, I’ve managed to secure a diagnosis. I’ve felt the euphoric high but have yet to experience the low. There has been no crash. My mood has never been dramatically swing-y until having a spiritual awakening several weeks ago. 

So, yeah. It’s complicated.

I’m court-ordered to take medication and am currently initiating my nightly med disbursement of 10mg of aripiprazole (Abilify) and 5mg of melatonin at night. 

And they’re fine. I just don’t know if they’re necessary. Time to start researching, I guess.

Source:

Truschel, R. (2020, September). Bipolar definition and DSM-5 diagnostic criteria – psycom. PSYCOM. Retrieved May 8, 2023, from https://www.psycom.net/bipolar-definition-dsm-5