Depressed & Confused About What Is Real

By Kristina Randle, Ph.D., LCSW

I don’t know how can I explain everything, I’ll try to be as clear as possible. I am diagnosed as bipolar. I am medicated and I tend to be like accelerated most of the time. I don’t think I get depressed as much as before, but is very deep and out of sudden. For example, yesterday I was fine in the morning, it was a good day (normal), when I got home to have lunch, I felt so empty, like my essence was drained, I stayed in bed all afternoon, couldn’t eat, speak, anything, not even drinking water, I just stared the ceiling in silence, and sometimes I cried, no real reason.

I wrote to my psychiatrist and she suggested me to go to the hospital, I didn’t. I won’t be hospitalized again, I mean, I have no money now, and if I do it my family would be so mad and then they don’t talk to me, and everything gets harder. So, today I just breathe and left the bed. I can’t talk, eat, or drink water yet. I am following my routine, but with sadness and feeling my lips sealed. I don’t think in suicide, not like I wan’t to die, ’cause I don’t, but I walk in the street and feel so much pain, and then I think if I shoot my head (or something there are many ideas) this pain will end, and never return. And then I try to think something else, my plans, something happy, but I can’t feel it, I just feel and see pain and confusion.

And then I think, that my psych says I am bipolar, but there are voices, I usually have voices, just I have learned how to live with them, like not answer to them in public, and mostly they are nice to me, and give me peace, but then they say I am not human, all this sh.. is because I’m not human, and I am like enlightened and I have to do stuff, to save other dimensions and help nature, and they are stuff that si nice, but now they talked to me again and put images on my head, of myself destroying cars, and streets. I said I could’t do it alone, and they say they’ll do their part, dunno, a lot of stuff. And is easy when you have images in your head about stuff is gonna happen, but you don’t have to do anything. ‘Cause then I just have to wait and see, but now I have to act. And when they are talking, when God talks to me, I don’t doubt, just know have to wait for the signal.

And later, I’m not sure what to believe, I don’t know if I am meant to help clean the world and do what God says, if I am enlightened and like a “special being,” with super perception and can talks to the universe. Or I am sick, I don’t feel sick, but I have read enough to know sometimes bipolars does’t feel they are sick. I never feel sick, I’m not sure I am sick, and i was diagnosed long time ago. like 10 years i believe. And is hard ’cause mi mom thinks I’m like a seer or a witch, and my med thinks I am sick, and my dad thinks I need to go to AA, ’cause is just my emotions in disorder, but I usually don’t have many emotions. And I never know what to believe, and I’m old enough to know, but I don’t.

Sometimes I think I should talk to someone, but I can’t, I can write it, I write to my psychiatrist but don’t see her cause she is out of the country for a year or so. And sometimes I used to talk to her, but nobody else. I really don’t trust in people I know, so I don’t talk about myself, or give my opinion, I mean I know I love my family, so I have a good relationship with them, but I don’t trust them. And is worse with people I don’t know, I can’t even say hi to them, i move my hand or smile, but it takes months of seeing a person, every day to say hi. So I don’t know how can I help myself if I can’t talk. And my head is getting so confusing I don’t know what to do.

I’m sorry for bothering, and I hope it wasn’t very confusing what I write, sorry again but I don’t feel very clear. I would really appreciate some advice, right now i am a little desperate.

Thank you very much for you time.

A. I am sorry that this is happening to you. It is very difficult to feel as though you have no one to trust, to confide in or to assist you with these issues. You mentioned that you have a psychiatrist but she’s out of the country. Being so far away, it would be very difficult for her to effectively help you.

At this point, your symptoms are unstable. You are hearing voices and are having difficulty distinguishing reality from non-reality. The voices are giving you messages, essentially commanding you to behave in a particular way. It is abnormal to believe that you are receiving such messages and commands. Those are signs of psychological instability.

As difficult as it may be, I would strongly advise you to see a mental health professional. I’m not familiar with the mental health system in Mexico so I cannot provide specific recommendations for how to access help. Generally, you should contact a mental health professional. Report your symptoms to the mental health professional. Even if the prospect of meeting with a mental health professional frightens you, do it anyway. Your feelings of fear may be very real but you can override that fear with action.

At this time, your judgment may be impaired. For that reason, you should not ignore your symptoms and assume that you are okay. Your symptoms may fluctuate in severity from day to day but generally they are not likely to improve on their own. Your symptoms require treatment which may include medication or psychotherapy. I hope that you are able to acquire the proper assistance. Please take care.

Dr. Kristina Randle

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Last reviewed: By John M. Grohol, Psy.D. on 7 Jul 2012

APA Reference
Randle, K. (2012). Depressed & Confused About What Is Real. Psych Central. Retrieved on October 1, 2014, from http://psychcentral.com/ask-the-therapist/2012/07/07/depressed-confused-about-what-is-real/