Marya Hornbacher - Madness - A Bipolar Life

IT’S APRIL 2007. I haven’t been in the hospital in six months. Okay, I was completely out of commission, living in my pajamas, moving from my bed to my office, sitting with my head in my hands, trying like hell to have one coherent thought, for February and March. But I stayed out of the hospital. I’m doing fucking great .

For years after I was diagnosed, I didn’t take it seriously. I just didn’t feel like thinking about it. I let it run rampant, and these are the results. But what does it matter, what might have happened? What might have happened didn’t. This is what did.

July 1997, Nine A.M.

One hot, sunny morning, three months after I first hear bipolar disorder from Dr. Beedle, I am suddenly, floridly mad. Just like that. Mad . I am going along, minding my own business, when I find that I have gone completely over the edge. Why today? Who cares? I am not thinking a bit about that, because, as I said, I’ve gone insane and couldn’t possibly care less why . You don’t wonder, when you’ve completely lost it, how . You were going about your morning, and now you are mad, and you can’t remember what it was like before. You will never really remember. Your life breaks in half, right there. Sure, I’ve been crazy before. I’ve been crazy all along. But this is different. This is fucking nuts .

Because I haven’t told Lentz about the suicide attempt in 1994, he’s diagnosed me with bipolar II. Bipolar II is a little milder than bipolar I (though it’s still hellish); bipolar II has more depressive episodes than manic ones, and when the manic episodes occur, they’re not as severe. I don’t know it yet but I’ll soon find out: what separates bipolar II from bipolar I is a manic break. Bipolar I is harder to manage, harder to treat, and often, because of the extremity of the disasters caused by full-blown mania, more likely to mess up the patient’s life. On this summer morning, I experience that defining break. I go from bipolar II to bipolar I just like that. A doctor might put it this way: I go from sick to really, really sick. For the average Joe, I go from having an illness “just like diabetes!” to being flat-out crazy.

But I, cheerfully mad as a hatter, am entirely unaware that something has snapped and will never be put back together. Here we are: it’s Tuesday, and now we are quite mad. Not mad as in moody. Mad as in under the impression that I am God .

I am driving through the city. I am speeding. It seems that I have had a good deal to drink, to calm my nerves, for I am just a touch nervous. I woke up this morning and things were a little off. I went to the kitchen for a cup of coffee and stopped in the doorway. Glass covered every surface. I vaguely remembered throwing the coffeepot at my husband’s head. Hell. No coffee. There was blood on the floor; I checked my feet, which were covered with shallow cuts that were more or less painless. I wondered absently if they really were painless, or if I was numb.

It occurred to me that I had to leave immediately, and I went upstairs to collect my purse and shoes. I made it as far as the car when I noticed that I wasn’t wearing any clothes. Oh, for goodness’ sake, I thought to myself, and went back into the house shaking my head. I put on my blue-flowered sundress, and then realized I ought to shower, so I took a shower, and stepped out soaking wet, my dress clinging to me, and then there was a fold in time and now I am driving, very fast. I am downtown. I am speeding through a parking lot, honking at nothing. I run inside a building and find I am at my husband’s place of work. I kiss everyone hello, despite their surprise (perhaps they are surprised because I am all wet?), and I babble excitedly and my husband calls Dr. Lentz and kindly escorts me back to my car and sends me on my way, and it is very important that I put on lots of lipstick, it’s always good to look nice for an appointment with a shrink, it makes one look much more sane, and I am pacing in his office, Please sit down, Marya, really, would you sit down? Have you taken your meds? Are you suicidal? Have you been drinking? Does your husband know where you are? Did you drive here? No, you certainly cannot leave —

Inexplicably, I am in the car again. From out of nowhere, Julian is here and is driving and I am bouncing up and down in my seat, we are going on an adventure! We’re going to California! I want to move to California! Or New York, let’s move to New York! I find a bottle of vodka under the seat and drink most of it because I am clearly a little agitated and shouldn’t be seen like this, it’s embarrassing. And now we are at a hospital. Why are we at the hospital? My husband looks worried. I am sitting on a gurney and they are taking my blood, which apparently I don’t care for because I bat them away and shriek that they are invading my privacy and this is still America and they can’t just do whatever they want. Then, for no reason I can see, I am being wheeled along a corridor. I say I can walk perfectly well and hop up and wheel the chair myself, though the person in the blue pajamas declines to get in; and they unlock a large door and we are in a safe place and they take my shoes.

I sit here in the hospital room painted the shade of pink that is supposed to make people calm. I examine, enchanted, my feet in their blue hospital footies, while someone speaks in soft tones to me and says I am psychotic, but it’s going to be all right. I put on my hat, unperturbed, and ask for some crayons.

Same Day

“For all is well in our little tiny town,” I sing, my hands a blur as I deal out the millionth game of solitaire of the night. I stand up in my chair, sit down in my chair, hop out of my chair, do a little Snoopy dance, my hospital gowns flapping about me like wings—I’ve grown inordinately fond of these gowns and am wearing several at once, “for dramatic effect”—and I sing the Snoopy song, stand on my chair again, imitating Snoopy as vulture, plop down. “I never did like Peanuts much,” I remark to the catatonic man who sits across from me, “but when I was little my parents took me to see the Peanuts musical, and I liked that, but I thought it was kind of ridiculous that all the kids were played by grownups.” I look at the man, who is just off an unfortunate suicide attempt, and, feeling bad for him, I climb onto the table and deal him a game of solitaire too, very pleased with myself for doing so upside down. I spit tobacco juice in a little cup, this nice man having loaned me some chewing tobacco since I am not allowed to smoke. “I don’t mind that stuff,” I say, my lower lip full of chew. “Here,” I say, climbing off the table and coming around to the back of his chair, “old chum,” I say, banging him on the back, “you play like this. You pretend that all the face cards are aces, and so when you get a face card you put it here, and then you go through the deck looking for all the twos or fours, which you use as wild cards, and when you do get an ace, or a joker, we’re playing with two jokers, see, then when you, like I said, do get an ace, you turn the face cards upside down on it and call it a double ace, and after that you flip the cards upward, like regular solitaire”—I am leaning over him, my hands flying over the table like a blackjack dealer’s, my arms on either side of his head, and I’m stacking the deck and shuffling the deck and stacking it and shuffling, and flipping up the cards—“and you start going for a flush or a full house.” I fan out my hand, the result, apparently, of the above machinations, say, “See?” and pound him on the back. “It’s very grand!” I cry, and go skipping down the hall, am shushed (nicely) by the very nice night staff as I skip by, skipping backward back to the desk; “You’re very nice,” I say, “I like you very much,” and I skip on, skip straight on till morning.