My second doc knew exactly what was up (and down) with me. And though generally it’s useless to diagnose someone as bipolar who is engaged in ingesting large quantities of drugs or alcohol—which I was—because drug addiction and alcoholism, done properly of course, classically mimics the symptoms of manic-depression.
So when I was twenty-four years old, Dr. Barry Stone told me that it was his utterly professional opinion that I was hypomanic, also known as bipolar one, which is the lesser version of manic depression—excessively moody—as opposed to bipolar two—excruciatingly moody, which includes the occasional hallucination and lockup ward visits. As it turns out, I was ultimately determined to be the latter (excruciatingly moody) but from where old Doc Stone sat, I was simply excessively moody. Hey, maybe the whole show hadn’t kicked in yet. Or better still, maybe the drugs were suppressing my symptoms to a certain extent.
I mean, that’s at least in part why I ingested chemical waste—it was a kind of desire to abbreviate myself. To present the CliffsNotes of the emotional me, as opposed to the twelve-volume read.
I used to refer to my drug use as putting the monster in the box. I wanted to be less, so I took more—simple as that. Anyway, I eventually decided that the reason Dr. Stone had told me that I was hypomanic was that he wanted to put me on medication instead of actually treating me. So I did the only rational thing I could do in the face of such an insult—I stopped talking to the Stone, flew back to New York, and married Paul Simon a week later.
Jump-cut to two years after that and you’ll find me overdosing. Not that that was my intention by any means—that was simply the amount of drugs that had become necessary for me to take to get where I wanted to go. My destination being, simply, anywhere but here. But somehow en route to that numb place, I’d overshot my mark and almost arrived at nowhere but dead. Well after that happened, I was quite naturally upset and terrified. I had in no way intended to risk my life. I just wanted to turn the sound down and smooth all of my sharp corners. Block out the dreadfully noisy din of not being good enough—which on occasion I was actually able to do.
But how had I managed to end up at the destination of dead when that was never the direction I originally set off in? It’s as if I tripped and almost fell into my own grave. My only intent was to feel better—which is to say, not to feel at all.
So based on the fact that my best thinking got me in an emergency room with a tube down my throat, I had no trouble at all accepting the fact that I was an alcoholic. Not that I drank all that much—you might say I took pills alcoholically. Anyway, I didn’t have any difficulty accepting the notion that my life had become unmanageable. I mean, let’s face it, my most creative achievement at that time was having unnecessary gum surgery just for the morphine. (I don’t think you can use the word “just” and “morphine” anywhere near each other.) So I threw myself into twelve-step group recovery—believing now that alcoholism was the headline, the overriding thing wrong with me. Which was, of course, in large part true and remains true to this day.
Because I have to admit (well, I don’t have to…), periodically I have had drug slips. All in, I’ve had about four or five slips since I first started going to twelve-step support groups at the age of twenty-eight. Making that four or five slips in twenty-three years, which is not great. I mean, I’m not proud that I wasn’t able to remain sober that entire time—especially in terms of my daughter, who has had to suffer the most from these largely inexcusable forays back down the dark path that is drug use. The most painful thing about returning to this dark planet is seeing the look of disappointment and hurt that these forays invariably put in the eyes of your loved ones. But ultimately you could say that I don’t have a problem with drugs so much as I have a problem with sobriety. And it wasn’t Alcoholics Anonymous that failed me—it’s that I have, on occasions, failed them by not working what they call a good program. But I keep going back. I’m as addicted to all the things A.A. has to offer as I am to the things that made me need those groups in the first place.
But when I first got to twelve-step land—after my stomach pumping incident—I thought, Okay, fine then, this is what the matter is with me. I’m not going to shrinks anymore. My best shrinking and thinking got me into emergency rooms all over Southern California. So I planned to be an all-meeting-all-the-time gal. Psychiatrists were a thing of the past. Why, they hadn’t even told me I was an alcoholic! So screw them—especially the doctor who tried to convince me I was hypomanic. Huh! Fat lot he knew. Well, as it turned out, what he knew was an extremely fat lot after all because over the next year of getting and staying clean and sober all the people I’d come into the program with were calming down and leveling out while I seemed to be doing just the opposite. Quick to excite, to agitate, to engage, to anger—I was heading straight up into the rafters of my overly good or bad time.
In short—okay, fine, yes, I know it’s far too late for that—I was manic, the monster was out of the box, the cat was out of the bag, and it appeared after a year of erratic sobriety that I was en route back to the shrinks and psychopharmacologists I imagined myself not needing anymore. Without the substances, I had used to distort and mask my symptoms, it was now all too clear that I was a bona fide, wild-ride manic-depressive. And this initially dismaying discovery led me to my third and best shrink, Beatriz Foster, who turned out to be the psychiatrist who finally got me to address my manic-depression.
And I ultimately not only addressed it, I named my two moods Roy and Pam. Roy is Rollicking Roy, the wild ride of a mood, and Pam is Sediment Pam, who stands on the shore and sobs. (Pam stands for “piss and moan.”) One mood is the meal, and the next mood is the check.
There are a couple of reasons why I take comfort in being able to put all this in my own vernacular and present it to you. For one thing, because then I’m not completely alone with it. And for another, it gives me a sense of being in control of the craziness. Now this is a delusion, but it’s my delusion and I’m sticking with it. It’s sort of like: I have problems but problems don’t have me.
Statistics say that a range of mental disorders affects more than one in four Americans in any given year. That means millions of people are totally batshit.
But having perused the various tests available that they use to determine whether you’re manic depressive, OCD, schizo-affective, schizophrenic, or whatever, I’m surprised the number is that low. So I have gone through a bunch of the available tests, and I’ve taken questions from each of them, and assembled my own psychological evaluation screening which I thought I’d share with you.
So, here are some of the things that they ask to determine if you’re mentally disordered. If you say yes to any number of these questions, you, too, could be insane.
1. In the last week, have you been feeling irritable?
2. In the last week, have you gained a little weight?
3. In the last week, have you felt like not talking to people?
4. Do you no longer get as much pleasure doing certain things as you used to?
5. In the last week, have you felt fatigued?
6. Do you think about sex a lot?
If you don’t say yes to any of these questions either you’re lying, or you don’t speak English, or you’re illiterate, in which case, I have the distinct impression that I may have lost you quite a few chapters ago.