Inspiration or Hypomania?

Both of them present the same way: I have an idea. An amazing idea. The best idea I’ve had in a long time. My head begins to whirl with plans for executing it, alternative plans, and alternatives to the alternatives. I sleep even less than usual because the ideas keep chasing themselves around in my head.

Eventually, one of two things happens: If it’s just inspiration, I question it obsessively, but (hopefully) eventually overcome procrastination and insecurity to take some step toward carrying it out. If it’s hypomania (a symptom of my condition, Bipolar II) I just whirl and whirl until I eventually burn out and crash. After I come back from whatever self-destructive crap I might have done while crashing, the idea seems ridiculous or lackluster.

But what if it’s not either-or? What if it’s a little of both?

The large-scale planning of my book continues. It’s reached the next level after a recent attempt at rounding out a chapter instead of focusing on shorter segments. For several days, I could tell my brain was in high gear, no matter what I was doing. I did mindless things quite often in an effort to slow down and relax, but while I was doing said mindless thing the thoughts were churning in endless circles.

Then a breakthrough seemed to happen: I had a vision for a new way of organizing the chapters that would be more blended and less choppy. It calls for changes about what goes where, using the 90,000 words I have so far as raw material but not necessarily in their current segments.

Evidence on the side of inspiration: I’m already making a lot of notes and at least trying to get the ideas down in some form, which counts as action.

Evidence on the side of hypomania: My brain fucking hurts and I really want to go eat donuts to club it into silence.

In Case of Emergency, Become Sane

My brain is weird.

This isn’t news, of course. But one particular weirdness is obvious this week: the way horrible, debilitating anxiety can click over into calm action during an emergency.

I can have gasping, chest-hurting anxiety over a phone call or a doorbell ringing. But a few days ago when our house was two blocks from the edge of a fire evacuation zone, I sat calmly writing a list of what to grab.

When my daughter had unexplained stomach pain the next day, I worried and obsessed constantly about what it was. But when it became clear we needed to go to the ER, I became completely focused. Driving with someone vomiting and moaning in pain in the passenger seat isn’t easy, but I did fine.

Turned out to be a kidney stone. A night later, she had to go back because she couldn’t keep down her meds. The night after that, she had a sudden, new symptom. Things had been calming down, and when this happened it hit me like a blow from a club. I lost my breath, my chest hurt…what is this? Will it go away? Should I call someone? Should I take her to the ER again? But after it was clear we needed to go, the magic switch flipped.

My husband asked if I was OK to drive. I told him yes. He knew it was true. He could see it clearly–the wife who had been pacing and gasping only a minute ago now met his eyes with solid certainty. And even when the scary symptoms got worse on the way to the hospital, I kept my eyes on the road and got us there. (She’s going to be fine, thank goodness; it was an uncommon meds side effect and they were able to treat it.)

So what’s the story? I know I’m not the only one; I’ve heard others talk about it too. Some highly anxious people actually thrive in crisis-oriented jobs like ER work. I think it has something to do with defined tasks that leave no space for indecision. Whatever choices have to be made must happen fast and be followed by action. The urgency blots out the endless future tripping and second guessing.

Someone I know thinks it’s a type of dissociation, and those of us with certain kinds of brains or trauma are just better at it. That makes sense to me.

Whatever causes it, I’m grateful I can be less of a liability in an immediate crisis. But how I wish I could flip that mysterious switch on command!