After the SSRI triggered hypomanic-type episode (here, if you want an excuse to chuckle at me) things were up and down – I still had days with the warm bubble of over-enthusiasm where I knew I was edging on too high, and day’s that I felt like I was going to crash I wanted to go to the psychiatrist with as much information as possible so I kept track of it all in this record I kept between the episode and the day I got my diagnosis:
23/03/2018 – after the few days of hypomania I woke up feeling fuzzy and butterfly-ey still but this began to dissipate and I started to feel calmer, although the world still did not feel normal. I met my parents at the pub that evening and my mood was still elevated, racing thoughts and chatty.
24/03/2018 – 27/03/2018 – over this period I felt very up and down, between feeling quite hyper and up and a bit lethargic. The first few days were considerably more up than down, this balance then shifted as the week went on and I felt more levelled out. Extremely embarrassed and anxious over my behaviour on the previous days, however, I did feel closer to normal than I had done. I still struggled with my appetite and did not feel overly hungry.
- 25/03/2018 – decided I wanted to get certificates so looked online and found courses that were officially certified and proceeded to buy 3 (spent over £100 but was also extremely pleased due to the savings which is another thing I am easily obsessed over). These were in subjects I am interested in but have no use for currently. I then became obsessive about completing the first one for 4-5days before losing motivation.
- 26/03/2018 – had a doctors’ appointment first thing and then went shopping with my mum at an outlet shopping centre. I had already been thinking for a while that I needed a new purse and, when looking round, found a designer one I liked. Whilst in the shop I also saw a bag I liked and impulsively bought it – spending more than I could justify on the bag and purse. Normally I would weigh up the cost implications of this, thinking about it whilst shopping further and returning to the store, but I spent this money impulsively without much consideration, especially as it was a good saving. I also did the same thing with a pair of shoes.
28/03/2018 – 30/03/2018 – although I did not feel normal, with still feeling up and down, I did feel a lot more normal than I had done previously and the changes were not significant enough for me to actively notice.
31/03/2018 – continued to be very mixed in my moods. I was fairly content when I woke up, but then had a period of being sad and anxious in the afternoon where I questioned a friend over concerns that no one would turn up to my funeral. Attended wedding that evening which I found difficult as I had a previous failed engagement and this wedding was with friends that would have been attending ours. I had a period of intensely over whelming sadness when everyone coupled up to join in with the first dance and you have a recipe for disaster. I had 2 glasses of wine however felt the effects of it far more than normal, and I was being more outgoing than usual; I even asked a cousin of the bride, who I had never met before, if he fancied going out for dinner which is extremely out of character for me. This is the last thing I have recollection of…
- Information gathered from others due to no recollection: When I was sat down (approx. 22:00) I was talking to a friends’ partner who then went to get her as I was apparently no longer making any sense when I was talking. They then removed me from the room and led me down as I began to have what they believed to be a tonic clonic seizure (two friends at the wedding that looked after me are both in a medical field). I was incontinent of urine at this point so they borrowed spare clothes. I was not particularly responsive, and when I was it did not make sense and I may have had further seizures during this time. They got hold of my parents and drove me to my parents’ house – arriving at around midnight – in the car I was ‘twitchy and kicky’. Once at my parents I was sat on the sofa, but still unresponsive and not very conscious, I then slid off the sofa and was incontinent of urine again. At approx. 1am my parents rang an ambulance as I was still not regaining much consciousness. The ambulance took me to RHCH, in which I had a further event where I made a lot of faces, with my tongue going in and out of my mouth, and my legs shaking and kicking. The ambulance did nearly put oxygen on but we then got to the hospital as they were considering it. In the hospital they did bloods which confirmed my alcohol levels were not overly high and that there were no other substances present. I then became quite agitated and aggressive – taking three of them to put a cannula in, which I later tried to pull out, and I was put on fluids overnight. I do not have any recollection of any of this and my memory does not kick back in until I awoke at around 6am on 01/04/2018, this felt like I was just waking up as normal, except for the confusion about where I was and how I had got there from being in the middle of a wedding. I was discharged from hospital and stayed at my parents – I slept for a large proportion of the day and struggled to eat initially.
02/04/2018 – I felt extremely up and down during this day, feeling fairly content and then very irritable and low. This continued throughout the day.
03/04/2018 – 11/04/2018 – on waking up I felt extremely low and tearful, which continued for the rest of the day and did not ease. I continued to feel low. This continued over the next week and I remained feeling extremely low. It was noted by colleagues that I was actively withdrawing, I struggled greatly with my concentration at work and this did affect my social life and work productivity. I also had periods of extreme irritability. During this period, I was also very paranoid about what people thought and overly apologetic (although this is common behaviour regardless of my mood, so I guess this wasn’t that unusual). I have also noticed that my memory is extremely patchy, unable to recall simple details / events – such as what I have done on certain days, who was present and associated details. I continued to struggle with my appetite, and have had little desire or motivation to eat or prepare food.
- On one day, although I am unsure of the date, I did still feel low but I also felt like there was a strange bubble of warmth in my stomach and torso. Not like the butterflies I have experienced, more like a full balloon. This was after a night that I struggled to sleep. This feeling did appear on other days but to a lesser degree and did not last as long
*11/04/2018 –I saw the epilepsy nurse who confirmed that the seizure activity and other physical symptoms I experience are functional / dissociative episodes; cause be Non-Epileptic Attack Disorder (NEAD) (also known as Psychogenic Non-Epileptic Seizures, PNES).
12/04/2018 – I was still low when I woke up, and continued to feel lethargic and withdrawn throughout the day. In the evening I was not hungry at all – even less so than I had been previously – and, although I had been tired earlier in the day I no longer felt able to sleep. I was also extremely agitated over noises from next door which, although I could sort of justify it that they were louder than normal, led to me ringing mum to walk around the house and check cupboards / rooms – behaviour that I have not performed often since shortly after I began living on my own. I watched TV all evening, eventually deciding to go to bed at midnight as I knew I had work the next day. But once in bed I still didn’t feel like sleeping so played on my phone until 1am. I then made myself turn everything off as I knew I had work. I did sleep through until 6am.
13/04/2018 – woke up feeling brighter but slightly detached from the world. On the bus I noticed that I had cramp in my left arm, the butterfly feeling, although not overly strong, was detectable and I was feeling more turned on. Things were more interesting on the bus – I noticed a post box I had never really given much attention before purely because of the colour. On getting to work I felt chattier and more upbeat than I had done the previous weeks, my change in demeanour was enough for a colleague to comment on. But still had a residue of feeling sad sat behind it all and by lunchtime I felt very detached from the world and in a bubble.
14/04/2018 – Safe to say the dissociative symptoms are really coming to the forefront whenever I get more stressed and emotional. It’s been such an up and down week, add in my diagnosis from the epilepsy nurse and nerves about seeing the psychiatrist on Monday and you have a recipe for disaster. I went out for dinner with my best friend last night and thank goodness it was her, because she is one of the few people I actually believe will love me and stick with me regardless. We had a lovely meal, and then went on to a bar afterwards, but I don’t remember getting there. The next thing I know I’m waking up today, at my parents, feeling extremely peculiar. I managed to collapse and have some sort of dissociative seizure whilst out and end up in the back of an ambulance, again. I am now completely riddled with guilt and embarrassment and I really don’t understand why people are still willing to socialise with me.
Then, on 16/04/2018, the appointment with the psychiatrist resulted in my diagnosis of ‘Borderline Personality Disorder’. But we will go into more depth about that next time.
Bee x



