How do I know what’s real?

Some of us are perfectly content with normal life. And some of us feel like we’re destined forĀ more. But how do I know if that feeling isn’t the bipolar talking? Do people other than me actually feel that way? Or is it the delusions of grandeur that come along with the manias putting ideas in my head?

Can I even trust what I think? I don’t know what other people with bipolar go through, but I swear, I question every thought, every feeling. Are the genuine? Or are they the product of the disorder? I talked a bit a few weeks ago about negative thoughts and understand that they aren’t real, but can’t the same be said of positive thoughts? Of positive feelings? How do we know what’s real and what’s not?

It’s exhausting going through every day questioning everything that goes on in your head. The paranoia that comes from it is brutal. It makes you question all of your decisions – did I make this decision based on good information or was it a mild delusion? It makes you question all of your feelings – is this a normal feeling for this situation or is this not the proper reaction?

It’s no wonder I have anxiety. I question everything, second guess everything, worry about everything. I’m just so tired.

Things like this make me think I need to be back in therapy. It’s like having an existential crisis every day.

Maybe, though, these kinds of questions are a good thing. It means I can recognize that the disorder can put thoughts into your head. That it can create realities that just don’t exist.

I don’t know anymore. I feel like inside of my head is an interesting and exhausting place to be. On some level I wish it wasn’t like this – I wish it was easier.

I disgust myself

Over the past number of years, because of the lithium, risperdal, poor eating habits, and just not going to the gym like I should, I’ve put on 40 pounds. As much as I’d love to blame the meds for all of it, I really can’t if I’m being honest with myself.

So it’s time to take some action.

I’ve been eating better over the last few weeks – cooking healthier lunches for work ahead of time, not stopping at Sheetz on the way home from work, etc. I have a gym membership, I just really don’t use it. (I’m paying for the thing, I really should get down there a few times a week and make use of it.) I definitely need to watch portion size – doesn’t do any good cooking healthy meals if I eat twice what I should.

But it’s time to really knuckle down and do something about it. I’m not going to run out and do some fad diet or the 21 Day Fix or some other trendy diet. Just good old fashioned eating better and hard work.

I know that the meds are going to make it hard to lose the weight, and honestly? If it’s really that bad I may ask to switch them to something that weight gain isn’t the most prominent side effect. It would be better for my physical and mental health to drop the 40 pounds on a different medication than to keep carrying it around.

So new trend starts today.