This Time it's Different-A New Hollowness in my Soul

She sits in front of me in a big overstuffed black leather chair, black patent pumps swaying softly while she crosses and uncrosses her legs as a nervous tick.

She is made up and looks like she just stepped out of Vogue for working women. I, on the other hand, look like an unmade bed. It's been a week since my hair was washed, and that long since I showered. I did brush my teeth and floss before I got there, and brushed my long blonde hair, tying it up in a scrunchie. My jeans are clean, but the shirt I threw on, a black turtle from LL Bean, has a white mark from deodorant, and should have gone straight in the laundry pile. No make up , not even a trace of lip gloss. My shoes are brand new and hurt, brownish tan clogs from my parents for Christmas to replace the blue ones the cat destroyed a few months earlier.

We are discussing my current med cocktail. The fact that it appears that my thyroid has shut down or is shutting down because I am constantly tired and sleeping close to 16 hours a day. I cannot eat but am drinking copious amounts of water. I crave sugar. The Dunkin Donuts across the street is singing a Siren Song to me.

Lithium is being raised to 3100 mg, Cymbalta is staying the same at 60 mg. If the lithium doesn't start working soon, I will be weaned off it and go on Lamictal. All I know is it took every ounce of effort to get there this afternoon, to get dressed, brush my teeth and drive the two miles to the therapist's office. Climb the 15 stairs to get to her room in the building. I am winded like I was in my childhood when I had asthma.

All I know is I am in crisis. My brain knows this. My mind and my soul know this. Life hurts and every breath I take makes me feel like a medieval torture devise of being crushed or weighted to death in the Tower or some other gloomy place. I just want to go to sleep and never wake up. But surprisingly, I am not suicidal. I just don't care- I just want to go to sleep and wake up as worm bait.

Raising the lithium, with the Cymbalta, now- it's not passive anymore. it's active. But not active like it was when I was on Remeron and got so suicidal I knew to get to the hospital pronto. It's different this time, but isn't every depression slightly different, like identical twins are never really totally identical?

I find it more violent, the ways I want to go out would give Stephen King a new novel and a literary hard on. It would make Jeffrey Dahmer a new recipe for madness. No OD'ing on pills and slipping gently into that good night. These are painful, horrible, dreamscapes and nightmares from a fevered mind sparked from neurons and gray cells not reacting or over reacting to chemical number 3 on the Periodic Table.

I hover between periods of sanity and insanity- wondering to go into the hospital and make arrangements for the striped baby girl, or just going to Home Depot, buying a few items, and going out one night in the parking lot when everyone is home and asleep and ending it all, the last moment of consciousness dialing 911 and telling the cops to seal off the parking lot.

Right now I can hover. I am scared I might slip. Maybe not today, maybe not tomorrow but hopefully not soon.