
Sometimes making the choice to take care of my bipolar is not fun. I just want to relax and have a few drinks, and not worry that it will interfere with my medication. But the truth is I am stuck in the middle of being a social drinker and being an alcoholic. Some days I can have two drinks and just feel relaxed, and the next day I am swilling down five drinks and jumping on social media, crossing boundaries I would not when sober.
I have avoided making a decision to remain sober, and have run the opposite direction when my brain tells me to set some goals and limits around my use of alcohol. I have talked with my psychiatrist twice about my alcohol use, and he has offered a possible solution, but I am still running the other way, and I will tell you why.
My psychiatrist told me of a medication called Naltrexone, which is used to treat people who are addicted to opioids, but it is also used for people who have issues with the frequency and quantity of their alcohol use. He said a research paper came out criticizing psychiatrists for using Naltrexone only with extreme cases of alcoholism, and not offering it as a solution for milder cases.
He warned me of side effects. It could cause dizziness and drowsiness, so try it on a weekend. It could be hard on the liver, but I get regular blood tests for other medications that are hard on my liver. And if you are in need of a pain medication, you have to let your doctor know you are on it. After hearing all of that, I said it sounded scary. He smiled, and said if I have any side effects, I could just discontinue use. I went ahead and told him to prescribe it, but within the hour I decided I wouldn’t take it. I don’t like the side effects, and I think I can control my alcohol use without adding a medication to my regimen. I already take six medications a day.
I am all over the place. I’m fine, no I’m not, I can drink, no I can’t. Why was it so much easier to stay sober for those past six months and now I am struggling? None of this makes sense. Maybe I should just stop. Stop trying to do it alone.

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