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双相日记第四天:精神病
我安静地坐在电脑前面,不时的有古怪的词句闯入我的大脑。混乱的思绪在一片宁静中蔓延着。我感到很不舒服,因为在正常状态与异常的症状之间有个微妙的分界。
我有过典型的幻听,就在我的左肩后面,它非常真实。但当在我发病的大多数情况中,我的脑袋显得会更喧嚣。
这让人心烦不已。举例来说,我能想象和某人的一次会谈。当然了,我们都这样做过。我也会参与这个会谈,成为会谈的一部分。到此,一切顺利。我会忘记另一个人并不真的在那里。嗯,这并不太妙。他们确实听上去会像真的一样,并且在谈话中坚称自己的存在。快点吧,在我把自己耗尽在与他们数小时彻底地辩论之前把药给我。
考虑脑中那些人是不是真实存在的还不是唯一的问题。理解人们确切所说也会是我的一个问题。
但我生病时,会很字面化的理解事情,就如同:某天,在福利办公室,一名工作人员说:“我想掐死你”我把它当真了,叫喊着寻求帮助,还把自己藏到桌子下。
在某人向我解释道她不是那个意思,而是对正在向她唠叨一起吃饭去的同事说的之后我镇静下来了。但是从那以后,我再也不情愿踏入福利办公室一步了。
我也有点妄想思维。也同样,这也有程度不同的状况,从有点疑心或者担忧,到变得确信有一个针对我的特殊阴谋。当它混杂着躁狂,将使我精疲力竭,因为每件事似乎都内在相连,而我愤怒地试图查明谁在阴谋后面针对我。这种经历让我感到孤独。
抑郁之时,既恐慌着他人可能如何对我,又夹杂着我将如何对自己的恐慌,那感觉上去就像无处可逃。
极度恐慌中,我把慢慢长夜留给了路边和安全岛。相信着这是最安全的地方,在那有众多驾车而过的目击者,没人,甚至我自己能伤害我。
这其中一些等同于精神病,而一些则不是,但是所有一切都那么难以应付。我所知的大部分人都不曾经历过,包括那些患有双相障碍的众多朋友在内。而当我会见我的精神科医师时,他们也从不用精神病这个词来描述我的状态,事后才这样说,这使我觉得当时谁也不了解确切的病情。
但幸运的是,我是抗精神病药物和思维技巧结合应用的受益者之一。明天,我将多告诉你一点什么样的治疗帮助了我。
Day four: psychosis
I’m sitting quietly at my computer and the odd word pops into my head. Just random thoughts in the quiet. But I’m uncomfortable, because there’s a fine line between what is normal for me and what is a sign that something’s amiss.
I’ve had the classic sort of voices, just behind my left shoulder and sounding totally real, but more often when I’m unwell my head just seems to get rather crowded.
This is rather tiresome. For example, I can imagine a conversation with someone. Surely we all do that. I can get involved in my part of the conversation. So far so good. I can forget the other person isn’t really there. Um, not so good. They can sound very real and hold their own in the conversation. Quick, give me the pills before I wear myself out completely arguing for hours with them.
And working out whether the people in my head are really there isn’t the only problem I have. Making sense of what people actually say can be a problem, too.
When I’m not well, I can take things very literally. For example, one day in a benefits office, a member of staff said “I’ll strangle you!” I took it literally, screamed for help and hid under a table.
I calmed down after someone had explained to me that she didn’t mean it literally and that in any case she was saying it to her colleague, who was nagging her to go for lunch, but I’ve been reluctant to go in benefit offices of any sort since.
There’s also the paranoid thinking. Again, this is on a spectrum from being a bit suspicious or worried, through to being convinced that there is a specific plot against me. When it’s mixed with mania it becomes exhausting, as everything seems to be interconnected and I frantically try to work out who is behind the conspiracy against me. It’s also a very lonely experience.
Couple the fear of what others might do to me with a fear of what I might do to myself when depressed, and it feels like there is no escape.
In the very depths of this fear, I have spent nights on roadsides and traffic islands in the belief that this was the safest place to be, where nobody, even myself, could hurt me, with so many witnesses driving past.
Some of this amounts to psychosis, and some of it doesn’t, but it’s all difficult to deal with. Most of the people I know have no experience of it, including most of my friends with bipolar, and when I meet psychiatrists they never use the word psychotic to describe how I am until afterwards, giving me the feeling at the time that nobody knows what is happening.
But I am fortunate that I am one of those who finds that antipsychotic medication and thinking techniques help. I’ll tell you a little more next time about what treatments help me.
欢迎指正,由于没有这方面经验,所以不知道是不是误会了某些地方
[ 本帖最后由 woodmqf 于 09-1-19 10:35 编辑 ] |
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