For those of you who’ve been following me for a while, you may be aware that I’m not … entirely well, mentally. Clinically, I suffer from bipolar type 2, meaning I am often depressed, but pass through phases of unusual energy, activity, and productivity. Internally, that feels like I can’t trust myself from day to day to know how I might feel at any given moment, and that’s given rise to a sense of despair in and of itself, only because I feel like I really don’t know myself very well at all.

In some ways, it’s easier to deal with my condition when I’m severely depressed, because it’s a familiar old feeling. Somehow there’s a comfort in despair, in misery and loneliness, in knowing that nothing will ever change. It’s difficult, of course; but comforting. During those depressive phases, I sleep too much, get nothing done, can’t clean the house or even take care of myself to a large degree. It’s a huge stressor on my personal and professional relationships, and the worst part is that it’s often triggered when I forget to take (or run out of) my meds, at which point I spiral into a downfall of self-pity in which I continue to not take my meds. It can take weeks, if not months, to emerge from these cycles of despair, and when I’m down in it – to quote Trent Reznor – there’s really nothing to be done to bring me out of it except the slow progression of time.

Because of the frequency of these depressive episodes, I’ve taught myself to try and take life not even one day at a time, but literally one moment at a time; where I might be laughing at a joke one moment, I could turn into a stone wall of misery the next. It’s a rollercoaster, to put it mildly, and the only way I know how to cope with it is to not think about it. I dissociate from my own internal sense of self, and simply allow myself to feel – whatever feelings those might be, in the moment, for the moment. What’s to come is unknown, and what’s happened is forgotten in the past; there is only the present, ticking away one second at a time.

While this works well enough as a coping mechanism for when I’m depressed, it becomes a hinderance to a functional adult life when I’m not. Most people (I guess), by the time they reach middle age, have some semblance of a sense of self; they know who they are, what they like and don’t like, and how they might react to any given situation. I … do not. Living life perpetually in the moment is not as liberating as it might sound, because I really, truly don’t know how I feel about anything. If something seems like a good idea in the moment, I’ll probably go for it – even if, in hindsight, it was a terrible decision. And I can’t remember how I felt about it after the moment’s gone, nor can I predict how I might feel about it in the future. It’s a hazy mist of indecisiveness that leads me to sometimes rash decisions, and sometimes a crippling inability to make a decision.

For example: I am trying to apply to graduate school to continue my education that I left behind almost twenty years ago. This is the longest-term, biggest decision I have ever made in my life, and I still don’t know how I feel about it. Some days I’m anxiously excited to hear about my application, to know if I’m going to get in to my chosen college and be able to pursue a new career. Other times, I feel terribly overwhelmed, and questioning whether I’m making the right choice at all. I worry that I made a decision in the heat of a manic episode, and now I’m going to be dealing with the fallout for the rest of my life.

This is what I deal with every single day. What I have energy for today, I will lack tomorrow. What I feel happy about today, I will regret tomorrow. And what I did yesterday is a mystery, unknown to me why I did it or how I felt about it.

It’s a difficult way to live, but now, almost four decades into my life, I really just don’t know how else to exist. I might splurge on an excessive expense because I feel like it, and pay it off on my credit card for the next two years. I once bought a car on a whim because I wanted a new one. As a teenager, I put my hand through a window because I was annoyed at something.

But, despite it all, I know I am capable. I have written books, albums and symphonies. I have completed projects that some people only dream of starting. I know I have a strong person within me; I just can’t find him most of the time. And when I do, it feels fraudulent, a kind of self-reflected imposter syndrome. Yet, I persevere, because – at the end of the day – I don’t know how else to live.

Just one single day at a time.