November 26 is the exact anniversary of my first psychotic episode in 1998 and that led to my diagnosis of schizoaffective disorder. The unofficial anniversary is Thanksgiving Day, which occurred on the 26th of that year.
For some reason, I’ve been terrified this year that I would have a relapse of my psychotic symptoms, such as hearing voices, delusions, and acute mania. My husband, Tom, has assured me that I won’t. I’m writing this before November 26 and planning on publishing on that date.
Tom often asks why I keep track of unhappy events or situations. I keep track of these anniversaries as a way of owning them. My first psychotic episode changed my life forever. It cut me in two. And I was only 19 years old.
The fact that I had a psychotic break was perhaps unavoidable–symptoms were coming on for a while. But the break required more heroic treatment–I started taking a cocktail of medications that made me fat. I’m actually trying to lose weight right now, but my medication, particularly my antipsychotic, makes it an uphill battle. I’ve tried different antipsychotics that don’t cause weight gain, but they didn’t work very well, certainly not as well as the one I’m on now.
I also don’t want to change my medication because I recently stopped hearing voices–after a breakthrough interlude–and I don’t want them to come back. I stopped hearing them when my mood stabilizer was increased, but everything works together.
Other signs that continue to play out from that psychotic break include the fact that I have difficulty driving, difficulty showering (especially washing my hair), difficulty with personal hygiene in general… I could go on and on. I will tell you that I was proud of myself this morning when I brushed my teeth!
So, I was psychotic in 1998 all through the holidays, which are already a very manic time of year for me and many others. I wasn’t violent—I wasn’t even particularly disruptive, besides chain smoking. I was already in treatment for depression. Then the delusions seeped through.
Sometimes my delusions were funny. Do you remember the paper clip man who used to show up on Word and say things like, “It looks like you’re writing a letter… can I help?” Well, he really freaked me out! I thought he was talking to me specifically!
My first psychotic episode seems like a lifetime ago. I’ve grown up so much. Getting married really made me grow up—and I got married 10 years after the break! I think if I had known when I first became psychotic that I would be married to my wonderful Tom in 10 years, I wouldn’t have been so scared.
To my fellow Tori Amos fans: if you’re wondering whether the title of this piece is inspired by her song “29 Years,” it is!