By that point, I hadn’t slept in weeks. I’m not a good sleeper to begin with, and then one dose of Cymbalta — which my psychiatrist had prescribed in the hopes that it would help manage not just my moods but my increasingly debilitating joint pain — broke my brain. I stopped sleeping altogether; even an increased dose of my extra-strength prescription sleeping pill couldn’t touch it. I couldn’t eat. I couldn’t read. I couldn’t write. My mind moved in rapid circles, the same awful cycles of thought over and over again. My muscles ached from a body that was locked in constant state of fight-or-flight. Day bled into night bled into another day bled into another night bled into yet another day.
I tried breaking my days and nights down into hour-long increments, then into quarter hours. I told myself that if I could survive from 3:15 am to 3:30 am, then I would be all right. But of course after that I always found myself staring down the barrel of another fifteen excruciating minutes.
Then one grey June afternoon I felt like I couldn’t survive even one more minute. I downed a bottle of sleeping pills and some whiskey, wrote a note, and got into bed. A few minutes later I got out of bed, shoved a few things into my backpack, stumbled down to the street and took a cab to the hospital.