Sneaky little sh!t

Well that was unexpected.
There I was, filling out a form at the rheumatologist’s office, when all of a sudden it hit me: I’ve been mild to moderately depressed for a good two or three weeks and I didn’t even notice.
I should have noticed, but I guess I’ve been so busy it just snuck up on me. I haven’t been super interested in the usual stuff, and that should have been a big sign. Combine that with the fact that I ran out of my meds, and it’s hard to believe I didn’t put two and two together. (Not to worry; all the meds are in the process of being refilled.) It just wasn’t until I checked the box stating that I have been experiencing depression that I even gave it a thought.
I guess that’s kind of a good thing, if you look at it a certain way. I was doing well enough for long enough that I almost–almost–forgot I am bipolar. Almost. So much else was going on that “bipolar” and “depression” kind of simmered on the back burner while I dealt with the now.
(Hubby just asked me what I’m writing about. I told him, and he has properly scolded me for not taking my meds.)
To prevent further issues, I have had the pharmacy put my meds on auto fill. Clearly I can’t trust myself to keep track of that kind of thing right now.
One thing that hasn’t surprised me is the increase in arthritis pain and stiffness lately. I’ve gotten out of the habit of exercising a couple of times a week and it’s taking a toll. Work schedules don’t allow for much exercise though, at least with my friends’ current regimen. Their best days and times happen to occur on the longest work days of the week for me, so I don’t get the opportunity to join them often. When the opportunity does arise, I’m usually so exhausted–both physically and mentally–that I just don’t have the drive to go. My joints have noticed the lack of exercise. Oh, how they have noticed. I can’t sit in one position too long or my knees get really stiff and uncooperative. Just this afternoon, on the way to the doctor, I got out of the car at a gas station and almost couldn’t walk inside. My left knee was so stiff and painful that I had to limp most of the way into the store and a little bit inside before I regained adequate range of motion. Not quite to “handicap parking”-level loss of mobility, but definitely not my norm.
I think I have a psychiatrist appointment next week. Better brace myself for the inevitable lecture on keeping up with my drug regimen. At least I am aware of the problem before I go in. I can try to remember not to automatically tell the doctor that everything is “fine.”
You’d be surprised how easy it is to slip into that automatic response no matter how bad things actually are. It’s become customary to say that you’re “fine” when someone inquires how you are doing. We don’t want to burden friends and family with our problems, we don’t want to sound like we’re whining, or whatever the reason happens to be. I have to get over that enough to let my doctor know what he needs to know. He can’t help if I don’t let him know there’s something going on, after all.