RonPrice

Instalment #4from a revised edition of this "my story."
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2.6.6 These behaviours, this depression, at the age of 19 or any of my behaviour before that last year of my teenage life(1963-1964), did not result in my receiving any medical attention. The first formal diagnosis of my illness was labelled a schizo-affective disorder(SAD) in 1968. In retrospect, I now see the autumn of 1968 as the first formal mis-diagnosis of my BPD. At the age of 19, though, I was given lots of advice from religious to common-sensical: diet, exercise, prayer, vitamins, interesting leisure distractions/interests like horse-riding, watching TV, music, et cetera. After several months to several years, 1963 to 1968, the emotional aberrations disappeared or could be said to be sub-threshold at least for a time. My episodes over those years and in the years December 1977 to June 1980 seemed to exhibit quite separate and distinct tendencies and patterns.


2.6.7Hypomania(H) was always characterized by elation and D was always characterized by varying degrees of very low moods. Such an observation seems now to be so obvious as hardly requiring a mention, but at the core of my experience of this problem was either D or H and the impact of their various symptoms. Within those five years 1963 to 1968, though, the permutations and combinations of emotional variation were enough to being tears to the eyes of a brass monkey, as my mother used to say and, as I say, looking back in retrospect. It was a miracle I ever got my degree and my teaching qualifications labouring under such emotional chaos from time to time and often, week after continuous week in a variegated pattern.


2.6.8 Sometimes there was a return of incapacitating symptoms; sometimes I simply exhibited impetuosity or lack of emotional restraint; at other times my moods were expansive, quasi-manic. Perhaps, as some of the BPD literature suggests, I was affected sporadically by the extremes of a psychomotor retardation and agitation which is characteristic of this illness. Combinatory, lateral, uneven, unusually sensitized thinking, particular sensitivity to energy levels and a state of increased awareness were all part of my experience in these five years. It is difficult to describe these five years in retrospect given the bizarre and chaotic nature of the experience. Given, too, a general context of a degree of normality and the inevitable routine and quotidian nature of life that went on inspite of everything, inspite of the emotional problems makes the description, after forty years, difficult.


2.6.9 In the years 1969 to December 1977 the symptoms of my BPD were sub-threshold, non-existent or not as extreme. I coped and my behaviour did not require or even suggest medical intervention. In the 1977 to 1980 episode, the next major episode, H and its various symptoms like elation and good feelings, were rare and varying intensities of D were common. The episode lasted from December 1977 to June 1980, some two-and-one-half years. The first episode had lasted off-and-on from October 1963 to December 1968, a little more than five years. This second major episodic-period only lasted half the length of time as the 1st, but this was only due to the lithium treatment that put an end to my symptoms quick-smart. Without the lithium which I began to take in the first week of May 1980—who knows what the BPD symptoms would have been? The sixth leading cause of disability and lost years of healthy life for people aged 15-44 years in the developed world is BPD. I had lost only fifteen months of employment due to hospitalization(6/68-12/68 and 5/80-12/80), although much more time of varying degrees of decreased functioning. In addition, taking an early retirement at the age of 55 and going on a disability support pension at 57 until I was 65 could add another ten years onto this one year of unemployment due to BPD if I wanted to make a fully comprehensive statement of the affects of BPD on the total years of my unemployment.


2.6.10 In early December 1968 I had left the mental hospital in Whitby Ontario on a mild sedative. I think it was called valergan; but I’m not sure; I have forgotten its name after nearly 40 years. In the nine years from 1968 to 1977 I tried: exercise, diet, giving up smoking, sex, radiesthetics and hair analysis, jogging and play therapy, among a range of treatments to prevent or alleviate any incipient symptoms reoccurring.


2.6.11 In the episodes from 1977 through 1980 the constellation of: fear, paranoia(P) and the extremes of D were often as low as I had experienced in the sixties, in those chaotic years of that episode from 1963 to 1968. I experienced in those years 1977-1980 a range of emotional swings, but they were largely, at least as I recall looking back a quarter century later, at the D and P end of things. A psychiatrist in Ballarat prescribed stelazine or trifluoperazine, an antipsychotic drug. It was at first administered in early 1978 and it seemed to make things worse. In December 1978 I moved to Launceston with my wife and three children and, after a series of two or three quite severe emotional swings at both the H and the D end from January to May 1979, a psychiatrist at the Launceston General Hospital prescribed lithium. After just two or three days my symptoms were relieved never to return in the same form.


2.6.12 I include the above observations and comments on this second major episode because they throw some light on the first episode and place my childhood and adolescent experience of BPD, if indeed I had that disorder at all in those years, in a helpful perspective at least for me, if not for others who read this statement. Depressive episodes for those with BPD tend to have a median length about 6 months with manic episodes usually beginning abruptly and lasting for between 2 weeks and four to five months. My episodes of depression and mania were certainly within this range.


It is helpful to me to express my disorder this way, that is in longitudinal, retrospective, terms as far back as my childhood and this I hope will be helpful to other BPD sufferers and some readers of this document for other reasons. My account here may appear somewhat complex and labyrinthine for general readers and I would advise such readers not to try and follow all the permutations and combinations of my description of this disorder. My description is quite difficult for some to follow and for me to outline in detail and to understand in general. As I go about relating this story, I go about trying to place this narrative into some coherent form. It has taken these five editions over five years to get some sense of coherence, some sense of continuity, into what some biographers and autobiographers sometimes call a ‘chaos narrative.’

...instalment #5 to come at a later date.....