O soft embalmer of the still midnight,
Shutting, with careful fingers and benign,
Our gloom-pleas’d eyes, embower’d from the light,
Enshaded in forgetfulness divine:
O soothest Sleep! if so it please thee, close
In midst of this thine hymn my willing eyes,
Or wait the “Amen,” ere thy poppy throws
Around my bed its lulling charities.
Then save me, or the passed day will shine
Upon my pillow, breeding many woes,—
Save me from curious Conscience, that still lords
Its strength for darkness, burrowing like a mole;
Turn the key deftly in the oiled wards,
And seal the hushed Casket of my Soul.
– To Sleep by John Keats
My bipolar disorder first truly manifested itself at the age of 19. Like most people with this disorder, it is punctuated with alternating moods of extreme depression or extreme mania (energy, euphoria, elation). At 19 I experienced a full blown manic psychotic episode, highlighted by total mental incoherence and borderline insanity. In the 13 intervening years it has been a struggle to manage this illness. One of the hallmarks of my descent into madness is a total inability to sleep. Typically, after abusing substances and not sleeping for a few days, I would begin a severe manic cycle. As I have painfully learned to treat this disorder, I have learned about the importance of sleep for my brain. Lack of sleep is my number one trigger for problems. I have always had some form of insomnia, from a young age, but as I got older it became worse. Once I finally got to the point of understanding the consequences of not sleeping and abusing alcohol in particular, I have been able to ward off any further disastrous episodes and resultant consequences. It has been five years since my last hospitalization as a result of this illness. I have been hospitalized four times, arrested twice, and should have been hospitalized on at least two other occasions. This is why, at 2 in the morning when I can’t sleep, my desire to shut off my brain verges on total desperation. A hallmark of bipolar disorder is racing thoughts, and when I close my eyes and lie down, sometimes my mind fails to shut up and drift off. I call it “the clown car going in a circle in my brain.” The internal monologue intensifies. No matter how tired I may have been during the day, when I close my eyes for some reason I feel wired and wide awake.