My friendly neighborhood human resources professional tried to have me committed today.
Well, not really. But I had fun saying that. And it hasn't been a fun day.
So I've been having the usual round of frustration with my primary care physician, hereafter referred to as Dr. Do No Harm. Dr DNH had decided several months ago, in her infinite wisdom, that Prozac was Not Good and that I would be much better off with Wellbutrin. I asked her, after she started fiddling with my meds, why she was easing me off of Prozac. She cited (vaguely) a study that said Prozac can have long-term effects. Okay.
In late October, my prescription for Prozac ran out. She didn't renew it. She had, in the meantime, also started me on 150mg of Wellbutrin. Just before Thanksgiving, after I had been off of Prozac for about three weeks, she upped the Wellbutrin to 300mg a day.
Three days later I was contemplating killing myself.
I'm not a complete idiot. I knew that wasn't good. I've never been suicidal before (at least not since high school, that hotbed of misery). But after the "episode" I was fine. It seemed so unreal. I shrugged it off. But it kept bothering me, so about four days later I called Dr DNH and reported the incident. Her nurse got back to me the next day, and said to keep taking the Wellbutrin.
A little later, I had another episode. Afterwards, I realized that I had been artificially "high" earlier in the day. After Thanksgiving, the same thing happened. With Thanksgiving, there was about 24 hours between up and down. With this, there was an eight hour window.
Last night, there was a three or four hour window. Danakate did something very nice for me yesterday afternoon. I was happy. Way too happy, really. Later at home, I reacted entirely out of proportion to a minor issue, went into a crying jag, and was trying to decide how many pills I could take to make this go away.
Mr G and some nebulous sense of guilt got me through it. I called Dr DNH last night and left a message, telling her that there was something REALLY WRONG with this dosage.
This morning, Dr DNH called me at work. Her words: "Your mood swings are beyond my ability to treat." She cut me off when I tried to describe what was going on. She suggested I call a suicide hotline (she didn't give me the number of said hotline).
I stared at the phone for a while. I walked over to our HR director's office and told her that I needed to avail myself of the company's mental health program. I explained the situation to her. She offered to take me over to the mental health facility right then. I thought it was a good idea. So did she.
So I spent about five hours at the mental "emergency room" being handed around. I was told I could not get a medical review by a doctor until January. Hospitalization was suggested. I was cajoled into joining a daily therapy group, which I was willing to do until they told me the damn thing met from 9 am to 2 pm. Why not just fire me from my position at work now and get it over with? I was threatened with hospitalization. Apparently the part where I started beating my head on the table convinced the so-called counselor to actually go find a psychiatrist. Bless her heart, one of the psychiatrists worked me in to her schedule.
She went over my case history and confirmed that I'm bipolar, which I have suspected for about a year.
She encouraged me to think of this as an allergic reaction -- Wellbutrin put me into a period of ultra rapid cycling. She is tapering me off Wellbutrin and putting me back on Prozac. Once I am off the Wellbutrin, she may add a mood stabilizer. She did not have kind things to say about Dr DNH.
She was totally no-nonsense and I think she may have saved my life because she didn't make me feel like a lying, drug-addicted hypochondriac. I see her again in about five days.
So I guess I'll be looking for a new primary care physician. At the moment, I feel fine. Apart from the sense that I'm going to vomit.
I guess I'll leave comments open on this, but if anybody says I should have done anything differently, I may scream.
I really need to write my yuletide story. Which may not be a problem, as one side effect of the mania has apparently been sitting down and writing (in half an hour each) Lost and Stargate SG-1 stories that I actually like.