Decision Time

I promised myself just over a week ago that if my head-space did not get better within a week, I would reconsider going on anti-depressants. I made it halfway through Tuesday (even wrote a nice hopeful blog post), and then the depression and anxiety hit me like a load of bricks. I found myself talking aloud, praying (something I don't do), and basically begging God to take mercy on me and to take away the pain. "I can't live like this, I can't live like this," I chanted to the unsympathetic walls. I scared my cats with my tears and outburst but there was a voice in my mind whispering, "It doesn't have to be like this. There is help to be had." It took all my will power and determination, but I finally emailed my doctor to ask for anti-depressants again (Effexor). I even called the pharmacy. I spent the evening alternately yelling at myself and crying. I promised myself that I would stick by my decision and follow up on getting the meds first thing on Wednesday. I got up, felt lousy and still managed to call and email again. Dragged myself out of the house and to the dentist's office. While I was there I had to decide whether I was going to authorize them to do over $300.00 in dental work and order me a bite guard (for clenching my teeth, huge surprise there). The total bill was $736.00. I don't have that kind of money right now. I was pretty well ready to just lay down and give up, but that's not me, not the real me. So I pulled myself together and said, "Put it on a credit card and a prayer." I forgot to mention... Tuesday night when I emailed my doctor, I made the decision not to second-guess my choices. I made the decision to be really kind to myself. I made the decision to do whatever I needed to do just to deal with day-to-day life. I decided to put my well-being above all else until I can feel strong, happy and in charge again. I think this was the best decision I have made in a really long time. I also feel proud of myself for making the big decision to help myself by admitting my need for help and not shying away from the dental decision. I think I might have a new, new year's resolution: be decisive and feel good about my choices. Anyway, back to my story... So when I got out of the dentist's office I still had not heard from my doc. Five minutes later though, I checked my phone again and I had just missed his call. He had prescribed me the med and asked me to call him. I did. He was very kind and reassuring and promised we would talk again in the next few weeks. My neurologist also emailed to check on me. By the time I had picked up my med, I felt so good about myself for taking this very hard step, that I even drove all the way to Boulder to meet a friend and take a hike. Last night, I felt some of my darkness had lifted. Going on this med is hard. For me the physical adjustment is intense and I know it may take some time, but I am determined to stick with it, to really just live one day at a time because I know beneath the chemical cloud of sadness cast by my depression, I am a strong, tough fighter.

Life without antidepressants

I am not going to lie. I will not even sugar-coat the truth for mysel,f or anyone else bothering to read this. I remember now that life without antidepressants is hard. At the time of my diagnosis, I fought hard to avoid all meds. It took a year before I went on Copaxone, and another year before I finally committed to taking Effexor for depression and anxiety. I think the thing that finally brought me to the Effexor was my anxiety. I found myself absolutely incapable of being present. All I could focus on anymore is the stuff I thought I needed to do. I also felt guilty about not being able to shake off the bad feelings enough to even do the stuff I was worrying about. Being on antidepressants was like taking a two year vacation from worrying about anything for more than about five minutes. I learned to let go of my anxieties and to just enjoy and trust in the present. I found tools for coping with challenges, but with the help of Effexor, it was easy to use the tools. All the stuff that had previously gotten me down, just quit bothering me. I learned to worry less about what others thought, and to ignore my imaginary grand score-card in the sky. I stopped really being concerned about my ability to take care of stuff. I just trusted that I would take care of things effectively when I must. I did not waste any energy worrying about how and when I would take care of stuff. I even learned to feel better about just relaxing and hanging out. I was less driven by the nagging feeling that I must be forgetting something. Now, drug-free, I am looking at my world, my future and my mounting to do list, and I am not quite so confident. I am doubting myself more. I indulge in moments of "crazy" where I feel guilty about not running one more errand, or doing one more chore before I "reward" myself with a break. What the hell happened to all my positive momentum toward self-acceptance, happiness and actualization? I am glad I can still remember a bit of what life felt like on Effexor. It often helps me talk myself down from the crazy, but I admit to losing some sleep. I wake up in a sudden panic with ugly things in my mind, like competition or comparison of myself with others. And yet I know, down that path lies only bitterness and discontent. Lately I discover that I am again giving myself points or demerits on that imaginary score card and I hate it. Then I turn around and hate myself a bit. That too is a vicious cycle. Remembering life on the Effexor cloud is harder. Does this mean I will go back to the Effexor? Not just yet. I wanted to remember what it felt like to live life with out anything to block the "realness" of it. Now it's real, and sometimes it is hard, but I am not ready to give up on my current course yet. I really do believe I can do this!