Tag: anxiety

What anxiety feels like (for me), and how I survive it.

What anxiety feels like (for me), and how I survive it.

This is one of those posts that can only ever be accurate to my experience. There’s no ‘right’ or ‘wrong’ way to experience anxiety, just a combination of symptoms that affect particular people. I find my experiences of anxiety fit into some smaller sub-types that I’ve defined for myself, and by defining those types, I’m better able to treat myself when I need to.

Anxiety is often mis-understood as a psychological illness with purely psychological effects. This is very rarely the case. Anxiety starts in the brain, but the physical effects that result can be debilitating.

So here goes. My anxiety and panic sub-types, as defined by me.

PANIC DISORDER

For some, the terms ‘panic’ and ‘anxiety’ are interchangeable. I don’t feel they are, but those are just the words I use to label how I feel. I have been formally diagnosed with panic disorder, and to be honest, these days–it’s the easiest of all to manage.

Panic disorder, for me, is the sudden, crippling, struck-by-lightning, acid-down-your-back, stomach-through-your-toes, overwhelming sense of sheer terror that grips me out of the blue.

The weird thing about it, is usually I don’t realise I’m anxious prior to the attack occurring. I’ll be fine one moment, and then bang–it hits.

After the initial terror shock, my heart rate sky rockets. I breathe fast, I feel nauseous. I very rarely have the ability in these moments to think straight, my thoughts are in a blender on the fastest speed. Everything is fragmented.

The more it goes on, the more symptoms join the party. My head feels like lead, my legs are made of incredibly heavy jelly–but the middle of me doesn’t feel like it’s there at all. I might vomit. Colours become brighter, white becomes unbearably incandescent and black looks like a void I’m about to be sucked into. Eventually my vision clouds over.

My body is utterly out of control, and still spiralling. So it does that one thing computer techs around the world wearily ask:

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That’s right, an unexpected reboot!

Fainting is the body’s way of taking human thoughts out of the equation, and restarting with enough basic functions to get the terror under control. Before… you know. I have a heart attack or something.

Problem is, it’s also absolutely fucking terrifying.

So, how do I avoid getting to that drastic point?

It’s actually simpler (and still harder) than it sounds.

I don’t fight it anymore.

When that bolt of terror hits, my initial instinct was to forcibly regain control of my body. I would fight to get my heart rate down, I would fight to stay standing, and I would fight the urge to vomit. More to the point, I was creating additional stress by trying to stop these things from happening. I was afraid of what would happen if I let the panic attack continue, so I did my absolute damnedest not to let it continue.

Rookie. Error.

It’s far easier said than done, but once you accept that it’s happening–it starts going away. It doesn’t hold power over you. The minute you realise that this attack isn’t putting your body in danger, there’s no need to fight it. The sickening thunderstruck sense is usually only a spark that needs more fear to grow, and that fear comes from fearing the symptoms of your own anxiety.

Panic attacks in this sense don’t last long for me anymore. Thirty seconds to a minute, long enough for that initial bolt to wash away. These aren’t generally caused by any identifiable trigger, which is what makes them different to anxiety attacks.

When I first started practicing this technique, I started by identifying the sequence of symptoms in the usual order they would occur, and how I could minimise any damage caused by them. Note that I did once split my chin open and break two teeth in a fainting episode!

So getting on the floor is crucial. When that bolt hits, I quietly and calmly lower myself to the floor and lie in recovery position. Then I just–let it do what it will until it’s gone. Every time I do this, I reinforce the understanding that these attacks can’t hurt me, and the next one is easier again.

An anxiety attack? Well. That’s another thing altogether.

ACCCUTE ANXIETY

On the surface, ‘accute anxiety’ or an ‘anxiety attack’ looks much the same as a panic attack. It hits fast, hard, and if it spirals out of my control you can bet I’ll end up on the floor.

The primary difference in my definitions of panic and anxiety attacks, is what causes them. An anxiety attack usually occurs in response to something. An unkind word from someone else, making a dumb mistake, being surrounded by too many people, or just the insane amount of reflective surfaces in Target.

Just as a panic attack will feed on the fear of the attack itself, anxiety attacks also need fuel to keep going. Problem is, there’s plenty of that! And it’s fuel that is a lot harder to dismiss, especially if I’ve done something spectacularly dumb.

Feelings of being stupid, inadequate, incompetent, isolated, crazy, weird, and other horrible thoughts about myself are usually circling about in that blender-like brain feeding the fire.

Of course I’m hyperventilating, curled up in a corner, having a breakdown because I am a completely useless piece of shit. 

And other charming things to say to yourself in crisis.

These can often feed into meltdowns, which just makes for a splendid day.

Symptoms include, but are not limited to: fast breathing, elevated heart rate, tight chest, crying, nausea/vomiting, diarrhea (fuckin’ yaaay, right?), tremors, inability to speak, cold sweats, clouded vision, heavy limbs, and a critical reduction in my ability to function as a human.

But here’s something else fun about anxiety attacks:

I can be having one right in front of you, and you would never know.

The other major difference between panic attacks and anxiety attacks, is I have greater ability to mask my symptoms in an anxiety attack. They aren’t less intense, and I am deeply suffering under all that make-believe, but sometimes it’s enough to look like you’re coping until you can get somewhere and break down. Which… I think is the life goal of most autistic people too.

Basically, if I’m having a visible panic attack, the shit has really hit the fan. I do not ever, EVER like people to see me this way. If it’s visible, it’s beyond my ability to control, and that is a pretty bloody bad day for me.

But–how to deal with it?

If I’m in an attack, it’s too late for prevention. We’re in damage control.

If I’m in public, my first step is to excuse myself to a quiet place where I can let go a little. Hiding an anxiety attack is exhausting. I need to get down to the ground, at least into a sitting position. I do find lying down to be the most effective calming position, though.

The darker and quieter a place, the better. Otherwise if I have my phone and earphones, some gentle music with my eyes shut. I can ‘disappear’ into music until my rhythms return to normal.

The horrible thoughts that fuel the attack will continue until I’ve soothed myself a little, and get the energy back to fight them. I almost always don’t want to talk about it during, or immediately after, the occurrence. It takes me hours, sometimes days, to process what happened and how I feel about it.

Often I’ll feel like a failure for not being strong enough to stand it.

The trick with these ones is to be able to stop the flow of negative thoughts. Stop feeding the fire, and it won’t burn–same as panic attacks. Just a lot harder to put into practice.

PROLONGED ANXIETY

This is above and beyond the most dangerous, insidious form of anxiety I know. This isn’t the intense anxiety you know is happening to you, it isn’t the whirling stream of terrible thoughts that make you sick.

It’s the days of feeling gross, on edge, grinding your teeth in your sleep, with an unsettled stomach and no explanation why. It’s similar to that feeling you get in the lead up to a big horrible event, only there’s no end in sight.

It grows so slowly it feels normal. Like depression, it takes over your life until you can’t remember what a proper resting heart rate feels like. You don’t know when the last time was that you ate food and didn’t feel sick. You’re not sure how long it’s been since you had a night where you were able to sleep, and not oversleep. It’s wearing you out and every day you feel more tired and you don’t know why.

You don’t feel like you can breathe properly, but what is properly? The longer it goes on, the deeper you sink into it, the more the symptoms grow. You’re on a hair trigger, will you scream, cry, or murder someone? Small things are irritating when they shouldn’t be. You’re restless, hungry for a taste that only exists in your imagination, and at the same time paralysed. You can’t… you just can’t, everything is too hard for some reason.

When did this start getting bad? Why? What has happened? It doesn’t seem like there should be any reason for it, and by the time you realise–you’re drowning. Lulled into a false normal bit by bit. When was the last time you didn’t have a headache? What is the deal with all this farting??

Your body isn’t as it should be, you’re not relaxed even when you’re asleep. Tension builds on tension, until eventually it explodes in an anxiety attack. And boy oh boy are they worse when they’ve been brewing like this!

So—what do?

Practice extreme self care! I don’t know if there’s any better excuse for having your favourite things on hand.

For me, that means scented candles (jasmine, frangipani, and gardenia!), a good quality blend of tea, some favourite shower gels (peppermint, and neroli jasmine… not at the same time, obviously!), comfortable snuggly clothing, and other items of general comfort.

At work I find having something to fidget with releases a lot of that tension in a less explosive way. Fortunately my new work sells electrical components like switches and buttons and wires, so I’m always able to find something to carry around and fiddle with. My favourite so far has been about three inches of double-insulated six-core copper wire. It was so bendy and fun!

Music, movies, games, all of those things that I can ‘escape’ into until my body calms down are also incredibly useful. As is the company of friends and family, both virtual and in meat space! Blogging has also become a source of self-care, and a critical part of processing and understanding how my brain functions. I learn a lot about myself writing these, as it forces me to think about things in a different way than I do when the thoughts are swirling uncontrolled.

The other really important thing? Celebrate. Genuinely celebrate your wins, however small. Whether that’s climbing a mountain, or brushing your hair. If it’s a success for you, celebrate it. We get far too caught up in our losses at times, but if you remember to celebrate the wins, they’ll help balance out the bad when you need them.

And take note of what your body is doing, and where you end up. You may not pick up the slide into prolonged anxiety this time, or even next time. But, if you begin now, you’ll start noticing the patterns and each time you’ll be better placed to rescue yourself sooner.

How do you cope with your anxiety? What do you experience?

I would love to know! The more strategies, the better!

On the outer edge of coping.

On the outer edge of coping.

It’s been one of those horror weeks. My birthday was Friday just gone, and I am still recovering.

But that was almost a week ago now, wasn’t it? Shouldn’t you be all good now? Yes–and cue that intense sense of shame that I, a grown woman, am still struggling to function so many days later. It isn’t the alcohol that does me in, I wish it was–that would be so simple to fix. Don’t drink, recover fast. My alcohol hangover lasted only into the Sunday afternoon.

The rest of it I’m still wrestling with.

I did an enormous amount of hours at work in the two weeks prior, more than I’ve done in a long time. Organising the party was more stressful than I’d like to admit, they always are. I don’t know if I’ll bother again. I’ve got nine years before I have to start thinking about whether to have a 40th or not, maybe I’ll feel different then. Maybe I’ll be different then.

It’s unlikely. I was always that kid concerned that no one would show up to her birthday party. I get very worried that I’m not enough, not important enough that anyone will want to. Then I make mistakes like inviting the sorts of people that I want to connect with, and get crushed when they decline. I really don’t know how else to communicate with people that I’d like to know them better, outside of work or other social groups. I don’t know how to indicate that I want to be friends, so this is my way. I invite them along and hope they’re also interested in knowing me better.

And I should know better than that by now, but I don’t and all the same mistakes were made. I had a very good night in the end, and the quality of those who turned up for me was fantastic. Still, it’s just as well that I got merry enough before the end of the night to notice the absence of a few people who I’d been very excited to party with.

Because that is my other problem, I never seem to know the difference between someone accepting to be polite, and those who genuinely intend to come. They all make the same sounds and I get equally as excited. Then the moment comes and I’m confused. Why do people do that? Why do they make plans they don’t intend to keep? How is it more polite to leave me hanging, than to decline?

I don’t know, but the whole affair is stressful. I know people have lives well outside of my little party, and the apologies I could understand. None of my attempts to widen my social circle were accepted, though, and every decline there felt like a slap in the face. All of these were people with whom I had discussed socialising with before. Nothing ever came of it. Nothing ever does. I go home after these discussions excited that maybe I’ll be invited out, but it never happens—I see the photos pop up on Facebook and wonder again: why do people talk like they want to make plans, and then leave me out?

The only reasons I can ever come up with is I am forgettable, unimportant or just a burden to have around. Not fun.

So that cycle plagued me, the deep sense of insecurity that almost everyone invited was not my friend by choice, but someone who I had tagged onto through my family. That I wasn’t able to generate my own party crowd, because the people I know here in town aren’t interested in socialising with me. It’s a heavy feeling, and thankfully one that was offset by being surrounded by truly wonderful people on the day.

It’s no wonder that with weeks of that, by the time the excitement died on Sunday I was destroyed. I’ve been clenching my teeth a lot, my whole face aches from it. I had panic attacks more intense than any I’ve had in a long time on Monday, lost my sense of time and became completely convinced that the overnight shift I’d signed up for was next week–and it wasn’t. This I didn’t realise until it was too late, and thus began the next spiral.

How was it that I could still be this confused, overwhelmed, and tired after just a birthday party? Not just the next day, but for two days after? I felt like an absolute failure as an adult, a failure in my menial retail jobs, and any hope I had of returning to full time professional work was now a knife that stabbed into my self esteem. Will I ever be able to do the sort of work I want to do?

I don’t hate retail, but if I’m going to spend my life working then recovering from work, the work should be something that at least satisfies me. I have to devote my energy to work, there’s no choice there–I need to pay rent. It just seems to be the same endless cycle of the same to go home, sleep, collect enough money to pay rent, and repeat. It doesn’t make any sense to me, but my one hope is that I will find a job that is worth that sort of energy. But–if I don’t even feel like I’m managing retail, then how?

I already got fired once this year for not coping with the demand of a professional job. I want so badly to believe I’m capable. That I don’t have to live in this cycle forever. That I can find something that makes me feel like a success, and not a barely-scraping-by pile of shit.

Reality is a bitch.

Right now, everything is too loud. I want to watch TV but the sound screams on the lowest volume. I went to the supermarket and came out shaking, even though I kept my sunglasses on while I was in the store.

My doctor would say I pushed myself too hard, did too much work too suddenly. But what option do I have?

I’m just trying to keep up here. I know it will get better, because everything was fine two weeks ago. Maybe I just got so excited about that feeling of coping that I really did just run myself straight into the ground. Even though I did far less than my sister does in an average week, here I am struggling to function. Feeling somewhere between nauseous and tears, wishing that I could just stop the world for five minutes and catch my breath.

Hating myself because I can’t seem to keep up, no matter how hard I try. I do alright for a while, and then this–I hit the wall. I crash.

I’m on the outer edge of coping. Not drowning, but nor am I swimming confidently. Getting through one minute to the next, building up strength to run headlong into the next wall. That’s how I do.

 

 

Want confidence? Own your weirdness.

Want confidence? Own your weirdness.

When you don’t, won’t, or can’t conform to what is considered socially ‘normal’, it can be extremely hard to develop a healthy sense of self worth and confidence. The war between who you are and what society expects you to be can be devastating, especially for those who choose to sacrifice or hide the most unique parts of their identity in return for fitting in.

This raises the deepest of personal questions: how much of your ‘self’ is it okay to give away to find your  place among others?

The answer lies in how much value you place on social acceptance as opposed to self acceptance. If it is more important to you to fit seamlessly into the fabric of society, and if it makes you happy to do so, there’s absolutely nothing wrong with training yourself to be the person you want to be.

There is no person on this earth that doesn’t compromise a little of their personality in exchange for an easier social life. However, for those who are deeply uncomfortable with changing larger aspects of their self, the path to acceptance (confidence and sense of worth) can feel impossible. It can feel like a struggle against nature, trying to force a brain to think and act in a way that makes no sense to it.

It can also feel like  a whole lot of failure when that effort comes back with no reward. The difference between yourself and others, who seem to find those actions so much more natural (or they are much better at pretending) feels vast. It’s isolating. This article applies to anyone who feels different, but especially among those on the autism spectrum it often feels like you’re an eternal outsider.

An alien. Unable to properly communicate and become part of the world.

Fighting that is hard. Fighting to be human when your instincts are alien is exhausting. Shutting down actions and responses, analysing every detail of your presentation, closely examining everything you do, before and after you do it–all of this to learn to be something you’re not, and you know it. It’s disheartening.

If you’re not prepared to change who you are for the sake of an arbitrary social norm (and why should you?), it’s time to drop that goal in favour of a better, long-term path to confidence.

Self acceptance.

Taking a strengths-based approach to self acceptance means looking at yourself objectively, drawing out all of your positives and negatives, and choosing to love where you are strong and take steps to manage where you are weak. This can be nigh on impossible if you’re in a depressive state, so it may help to work with a friend who knows you well.

Include any mental illness or ‘weirdness’ you think you have. Even if you are working toward recovery, the prevalence of anxiety, depression, and other mental conditions among some of the world’s best and brightest suggests that your thought patterns have unique properties that are not common. Loving yourself because of those patterns (rather than in spite of the illnesses they make you prone to) is a huge confidence boost.

Remember that wording matters, too. How you choose to talk about yourself and to yourself makes a huge difference in how you feel.

For example, as a highly anxious person I am often concerned that something terrible is about to happen. I could say that makes me ‘paranoid’, or ‘obsessively distracted with fear’.

Or, I could love that extra alertness I have and say it means I am highly aware of my surroundings. I am more likely to spot a potential threat than those around me. That awareness is valuable now. That doesn’t mean I give up on training myself to function through periods of intense anxiety. The negative behaviours that come with anxiety still need to be managed, and that comes with time and practice. In the meantime, I’m not anxious over being anxious about being anxious. Why?

Because I see the strength it provides as well as the weakness.

Autism is full of these balanced negatives and positives. I’m not the most socially savvy person, but I see the best in people and what they could be. I can get highly and destructively fixated on a task, my ability to multitask is terrible–or, I am tenacious with a high productivity rate in a focused state.

It’s all marketing, really. Once you’ve successfully built a positive view of yourself, and once you believe it (this isn’t about twisting facts or cherry picking details, those positives are there, we just get so caught up in the idea of an ‘illness’ or ‘disorder’ that we fail to see there’s anything good in our experience at all) you will be in a position to market yourself to the external world.

And you know what? For all the social pressure to conform, the world loves weird. So long as it is presented with confidence and positivity, show where you are strong and how you can manipulate that to be valuable and there it is: the holy grail of self and social acceptance.

There’s very little point in working against your brain. Unless your brain is pushing you towards the wrong side of the law, or toward actions that are truly damaging–there are always exceptions. But for the most part, you are the only you this world has and there is no good reason you should have to sacrifice that. Not if it doesn’t make you happy, not if the sacrifice is only for the sake of others who can’t tolerate a little difference.

If you’re an alien–so what? Own it. Show everyone the best parts of being an alien, and look for the best parts in others. Work with your brain, not against it. The less time you spend going against simple harmless behaviours, the more time and energy you will have to devote to the behaviours that you do want to reduce.

I’d love to hear about the strengths you find in yourself, especially those related to a mental illness, disorder, or ASD!

Comment them below to help others view the positives in their neurodiversity.

Update: From Effexor XR to Zoloft

Update: From Effexor XR to Zoloft

For those of you playing along at home, it’s been a little over two weeks since I began the switch from 225mg/daily Effexor XR to 50mg/daily Zoloft. While it’s too early to claim a victory, the early results since beginning Zoloft have been very promising.

I will reiterate here that this post is not here to discredit or discourage the use of Effexor XR. Nor is it here to promote Zoloft as ‘better’ or ‘more effective’. How you respond to medication will rely entirely on your body’s ability to produce and use chemicals that affect brain function.

I came to Zoloft after a year and a half on Lovan (which worked for around eighteen months, and stopped) and three years on Effexor XR (which had very little or no noticeable effect on my depression). My research told me that others who responded in the same way to Lovan and Effexor XR had good results with Zoloft–which is hardly good medical science but it’s a better start than picking the next one off a list and seeing how that works. Finding the right medication at the right dose is trial and error at best.

Stepping off Effexor XR (especially from that dose) was one of the most uncomfortable, unpleasant, and downright frustrating experiences I’ve had. I knew it wasn’t going to be good, I’d been avoiding making a switch for that exact reason. At the time where I had tapered down to zero, I could barely function without wanting to scream, cry, or  vomit. I watched a lot of Netflix and crawled from lounge to bathroom to avoid the dizziness of being vertical.

And I had meltdowns, but if we’re  being perfectly honest–the withdrawal meltdowns were no different to the meltdowns I was having on a full dose. This was just further proof to me that the Effexor XR had not been assisting me in the way it should have.

I went straight onto Zoloft at 50mg. I was expecting more negative mental side effects, I was expecting more mood swings and unpredictability–but that never happened. The pharmacist warned that it could cause dizziness (he was very right about that!) and along with some nasty headaches from my body screaming for Effexor XR, I was in a pretty rough physical state for a week. The dizziness still comes and goes, I’m still adjusting (it’s very early days yet) but I feel I am presently more stable than I have been in perhaps the last three years.

Take, for example, my day trip to the city on Saturday. I went down to sit a test, and because the train services from town are ridiculous on weekends, I would have to arrive at 9.30am and leave at 6.30pm. The test was at 12.30 and only went for an hour. It’s a lot of time to fill when you’ve got very little money to spend.

I went anyway, and I went at the last minute. I’d originally decided I wouldn’t, and would try to secure some work. I was unsuccessful with that. I was tempted still to cancel the appointment and mope at home, conserve money. Or I could go to the city on strict rules to not overspend and attend the test anyway. So I did that.

I told myself I could go to a couple of cheap shops for homewares that I needed (jugs for the fridge, so I can make myself iced tea) that I suspected I would be able to get at a better price than shops here. So I spent the morning at Daiso, and purchased two solid watertight jugs at $2.80 each. Considering the ones here at home were $9+, I was pretty happy with that. I was only allowed to purchase a food item if it was for immediate consumption, substantial, and less than $3. I ate a lot of good sushi rolls.

On the train, the most bizarre (for me) thing happened. When I boarded, I selected a seat across from a girl who had curled up over three seats and was trying to sleep. I planned on doing the exact same thing. A few moments after I sat down, she asked if I could wake her when other people wanted the seats.

This is normally where I would do a small nod, and hope to goodness for no more talking. Instead, I laughed and told her I intended to sleep as well but if I was awake I would have her back. She laughed and we both dozed off on the train. Halfway to the city, where the train fills up very fast, it was her who woke me up so an elderly couple could take the seats beside me. By the time we got to the city, she was asleep. Again, normally I would scoot out of there as fast as I can and avoid further interaction.

Instead, I tapped her on the knee and woke her up so she could exit the train before the conductors had to do it. She woke, and told me about how she was going to adopt a cat while in the city, and we chatted until the train was stopped.

I’ve been feeling extra social and relaxed like that. When I go into town, I don’t hope the people I know don’t see me, I actively walk up to them and start a conversation.

In fact, I’ve been relaxed about a lot of things. Simple things, like not waiting until every visible car is out of sight before I cross the road, and just walking to the shops when it’s starting to get dark rather than obsessing over whether I should or shouldn’t.

I’ve been more energetic, too. Outside of the physical exhaustion, I’m finding the drive to do things I would normally leave for another time. I’ve been cooking. I love cooking when I don’t have to do dishes, so I’m making the most of the dishwasher I have here. Cooking up some chicken tenders no longer feels like too many steps to get food. I just… do it.

I don’t need quite as much time to prepare for a task, either. That may not make sense most, but when I look at a rack of clothing that needs to be put away, I very rarely have the ability to just do it then. If I try, I feel extremely unsettled about it. The other day I went into the laundry and saw the towels on the rack were dry.

So I put what I was doing on hold (this is also crazy hard most of the time) and got the towels down, folded them and put them all away.

That is an unbelievable level of domestic function for me. This generally only occurs in those intense bursts where I DO ALL THE THINGS at once. Those are useful, but entirely unreliable. I’ve been operating at this level for about a whole week now. A whole week straight.

The best part is that I’ve noticed an increased ability to drop a train of thought if I don’t like it. Where a negative thought would once spawn two more negative thoughts, and I would spiral down to a horrible place–I have literally been able to tell myself ‘Yeah, how about we drop that?’ and move on to the next thought. Without having to forcibly distract myself.

That is unheard of for me. Today I got rejected for a job that I do desperately want–something that two weeks ago would have left me in an inconsolable ball of misery and low self-worth. It still stings and I still feel pretty shitty over it, but it is not the sole thought in my mind. It’s just one of many and I’m able to focus on the better ones. I’m hurt, but not imploding.

I’m beginning to feel a freedom from the detrimental obsessive thinking patterns, and it’s wonderful.

There have been less shiny side-effects, yes. My actions aren’t as heavily regulated as they were–which is good, but I’m more likely to do things without preparation so I don’t get as much of a chance to analyse whether it is a good idea or a bad idea.

Like deciding on Saturday afternoon that I might as well just head out to my football team’s fan day, because it was on. That whim was rewarded with free icecream, a drink bottle, pancakes, and the chance to hold the AFL Premiership Cup! Best day! But not something I would have previously decided to attend just because.

So far it’s all worked out good, but I’m aware that I need to be careful I don’t go to the extreme of blind impulsiveness.

I’m also eating a lot. Food tastes better, I think. I want more and more tastes. I want to cook because cooking is fun, and then I get to eat. I’m slowly switching over from soft drink to iced tea, because it’s cheaper and probably marginally healthier. I’m not picking at things obsessively, the benefits (so far) are worth the journey.

It won’t be this shiny and wonderful forever. I’m looking forward to that too, where basic functions aren’t something to marvel over. I’m looking forward to a new normal built around mundane stability.

I really feel that right now, I’m on the right track to get there. And that’s a pretty good feeling.

The dead mouse story.

The dead mouse story.

Central to this story is how little I can cope with dead things. Sure, not many people are great when confronted with death of any sort, but for me it lingers closer to the ‘phobia’ end of the discomfort scale. Even insects, I can’t bear to touch them if they’re dead. I’m perfectly happy to chat to a live spider; dead spiders give me chills and a deep sense that I’m about to be sick.

This is largely why I can’t stomach meat that still contains bones, or dishes that look like the animal they once were. If it wasn’t for the fact that you can strip away the bones and identifying features and be left with a piece of meat that looks like food and not an animal, I would undoubtedly be a vegetarian. It takes everything I’ve got just to dispose of chicken bones.

It’s a sensory trigger that, when I encounter something that is not a plain meat, my brain screams DANGER THIS IS NOT FOOD or THIS USED TO BE ALIVE. The repulsion that goes with it is so strong that it will end in me being physically sick.

So that about describes how little I cope with the presence of dead things.

When I moved into my new house, the silence began to bother me. I’ve never lived completely on my own, so being the only one moving about and making noise was both lonely and weird. The lawns were overgrown before I got the keys and cut not long before, removing any little homes creatures had made in the backyard while the house lay vacant.

Which is how I came to know Giles, a mouse who took up residence in my rundown little house around the same time as I did. I didn’t name him at the time. I’ve posthumously named him for the purposes of this blog in the hope a name brings empathy from readers, rather than the usual ‘mouse? Gross!’ response. It may help you understand how I got weirdly attached to this fellow.

I noticed him first when he scurried from the second bedroom, and toward the lounge room. At the time, I had no furniture to speak of, so I was sat leaning against the wall with a pillow from my bed as a cushion. My computer sprawled out on the carpet in front of me. He stopped at the entrance to the lounge, froze on the threshold between kitchen and my very unexpected presence.

We stared at each other for a long moment, and he raced back past the bathroom into the other bedroom. The sound he made was almost comforting, there was another soul in the house and even if it was a rodent that took the edge off an otherwise empty house.

Our exchanges were mostly like that. Caught unexpected, staring at one another and daring the other to move first. We came to a tentative truce. There were no signs of rodents in my kitchen, no nibbles to the boxes of muesli bars, no tell-tale droppings. For so long as that remained true, and Giles’s presence did not interfere with my ability to keep a clean and healthy house, I would take no action.

He was no pet, though. I didn’t encourage him to stay. I suppose that both the mouse and I lived our lives around the house, quietly hoping that if we were patient long enough the other would choose to leave. A fortnight later, I returned from work to find the edge of a bag of hot cross buns nibbled and crumbs across the bench.

I wish he hadn’t done that. I didn’t want to actively destroy him.

The next day, I purchased rat bait. My next fear became finding him on the floor, contorted in death–the thought made me feel ill–or worse, not finding him until the stench of decomposing rodent reached me from whatever crevice he had made his tomb. Every hour that I didn’t see him after that, I felt guilt ball in my stomach. Every time I saw him again, I felt relief that he wasn’t yet dead–and woe at this problem I still had to deal with.

A week after placing the bait, I was putting away fresh washed cutlery when Giles stumbled across the counter. Literally stumbled, as though he were drunk. We stared at each other again, and I pondered my next move. This was a chance to try and remove him from the house properly, but how?

I started with a shopping bag. Standard, thin plastic disposable bag from a recent lot of groceries. Then, with a cup I’d been planning to toss out anyway, I half-scooped half-flicked him into the bag and dropped the cup in alongside him. It was almost too easy. I tied the top of the bag, and stared at it.

Now I had Giles in a plastic shopping bag–where to from here? I bolted for the front door and threw the bundle out onto the dark front lawn.

There.

He was out of my house.

I relayed the events to a friend online, who firmly reminded me that Giles was not incapable of chewing through that thin plastic. By morning he would be out and back inside. She was right. I retrieved the bag from the front yard and contemplated my options again.

A swift knock to the head would be humane, if I did it right. What if I didn’t? What if I did it too well? My mind’s ear played a series of sickening cracks while I imagined his tiny crushed skull inside the plastic. No. I couldn’t physically do it. I needed to make sure he couldn’t get out.

I put the bag inside another bag, and tied it up. And those bags into third bag and tied that too. The plastic was not airtight, it punctured and ripped easily. I knew that from my years working in supermarkets. How many bags would be enough to ensure he was secure? Ten?

I settled on fifteen.

At some point it dawned on me that he would starve to death, and this was hideously cruel of me. I dropped rat bait into one of the layers, like cyanide for a spy taken hostage. He had a quicker way out should he need it.

The completed package I dropped into the black bin outside, and returned to the house to curl up over the monster I had become and try to assure myself that I’d done nothing more than try and maintain a healthy home.

It didn’t help much. The silence in the house echoed and expanded more with my guilt.

At first I thought I was imagining the second mouse, a hallucination driven by a desperate need to believe that I hadn’t ended Giles in a terrible way. I only saw this mouse, Giles II, in the spare bedroom and it was only after three sightings that I believed he was actually there.

The bait had not worked it seemed, and I had no opportunity to capture him in the way I did his predecessor. Reluctantly, I resolved that I would ask my local pest controller (who also happens to be my father) for rat bait more effective than the pellets I’d bought from the supermarket.

I didn’t get the chance.

This morning, while I wandered the house with a bowl of porridge in hand, trying to eat and dress myself for work simultaneously, I noticed an unusual lump on the lounge room carpet just by the TV cabinet. It hadn’t been there yesterday.

There lay Giles II, twisted with his front claws in the air, head tilted back, and deathly still. I felt porridge rise in my mouth, shock trembling through my body, I turned away and steadied myself at the kitchen counter. I had ten minutes before I had to leave.

All sorts of desperate plans came to mind. I couldn’t leave the body in the house like that, I could not walk out that door until it was somewhere that I didn’t have to look at it. I couldn’t use my computer, which sits atop the cabinet Giles II died beside. I couldn’t even cross the room to get my watch, which I wanted to wear to work.

And no one would be able to help me before I was horribly late for work.

I took a tea towel from off the oven, an old one, closing my eyes to drop it on the floor around where I remembered the body being. It floated and missed the first time, so I snatched it back up and tried again, still avoiding looking properly. The second drop was a success, and now I could at least enter the room without bolts of shock and disgust zapping my system.

Next, I found a bowl that I didn’t love, placing it over the raised lump beneath the tea towel. I didn’t want to feel the shape of Giles II under the fabric. I was willing to sacrifice crockery to that effect. In some of my unpacking I’d also found a magazine that had been kept for unknown reasons and was already marked for the bin–this I used to scoop the tea towel under the bowl and lift it all without exposing Giles II.

Poor Giles II, the bowl, the tea towel and the magazine all went into a plastic shopping bag, tied and into the black bin. Thankfully it’s also bin day and the truck hadn’t been yet. I scrubbed my hands and walked to work where I scrubbed my hands again, and then sanitised them with the alcohol-based gel at the register.

When the shock wore off, along with the sadness (I wasn’t as attached to Giles II as I was to Giles, but you’ve probably guessed by now that I don’t enjoy causing harm to anyone or anything) was a note of pride. Unexpected dead mouse in the living room is a good reason for a pretty extreme meltdown.

I faltered. It certainly knocked me, and I was still reeling a bit even while at work.

But I dealt with today’s problem in just under twenty minutes, so around the same time as you’d expect for the average comedy episode.

 

Uncomfortably rewarding: why I don’t hide the bad days online.

Uncomfortably rewarding: why I don’t hide the bad days online.

Over the past few months, I’ve come to alter the way that I blog and the way that I utilise my personal social media to show a more ‘balanced’ account of my experiences. We’re all guilty of posting only the best photos, of keeping our darkest moments to ourselves in an effort not to make those who follow us uncomfortable. I made the choice to break away from the ‘good-only’ approach to social media very consciously, but why?

When my experiences are good, I have the ultimate freedom to express them entirely. But when they’re bad? It’s a very public, and at times very uncomfortable, way to suffer.

Perhaps there are people who read this and think I’m utterly batshit for putting this material on the internet, where it can be found by people in my physical world (I link to each blog through my personal accounts, and there are other snippets of brutal honesty that go only to those accounts). What I post can be found by anyone who chooses to look: friends, family, potential employers, inter-dimensional beings from a future as yet undiscovered…

Am I mad for doing this? Probably. It’s a well certified fact that I am, in fact, delightfully weird. It’s not by chance though, it’s a decision I’ve made and followed through with after deciding the benefits significantly outweigh the potential for my writing to backfire on me.

First and foremost, I do it for me.

I would love to say that it’s based on some selfless desire to help others find their way through their own rough patches, but that would be a lie. The process of writing out and posting the good and bad in equal measure has become a method of self-care and healing.

Just writing out my experiences of the day takes the thoughts out of my head (where they are often whirling around in manic circles and refusing to find resolution) and into logical sentences. Once they’re out, I can begin letting them go.

Writing also forces me to think logically, to step back and analyse what happened and from that perspective I begin to see the alternate paths that weren’t immediately obvious at the time. Recognising those after the fact isn’t a bad thing–those choices are more evident the next time that situation rolls around, and I have avoided repeating situations because I know I have options. Writing also helps me cement information in my long term memory, so the lessons I learn are rarely forgotten.

It also provides an ongoing account of who I am at a given time, allowing me to look back and see the sort of progress that is invisible day-to-day.

The writing alone is only one part of the process. If it was, I could just as easily keep a diary and be done with it.

There’s a unique sense of responsibility that appears when I post something online. I have stated to the world that this is happening, and when the situation is an unpleasant one, it puts increased pressure on me to resolve the situation. Much like a writer might feel the need to resolve a plot point after a cliff hanger, even if no one reads a single word I write–the words are out there. The story must move on, must show progress, and it’s up to me to take actions that move toward a better point in the ‘plot’.

This is why you’ll often see a ‘balancing’ post after my less positive entries. I feel this weird drive to look deeper and find the better side of things, to share that reality alongside whatever self-indulgent misery I’ve put forth. While I do that as a responsibility to the ‘audience’, it balances my brain as well. If this was just a diary, there wouldn’t be that drive. In fact, without the public nature of social media, this would read more like a My Chemical Romance album.

It would be the opposite of the ‘only good’ social media view, it would be the ‘all bad’ private thoughts of depression. Neither is the whole person, and the latter is a mental trap too easy to fall into.

Social media also provides me with a platform through which I can explain myself in the best way I know how: through text.

I don’t give away a lot in my expressions. I especially don’t like to talk about how I’m feeling when how I feel isn’t good. The words don’t like to come together, I don’t like bringing the mood down, and if I’m in someone’s company I’d much rather be distracted and enjoying myself than talking about things I struggle with. I also have this horrible habit of breaking into tears whenever I feel ‘exposed’ in conversation. Text allows some distance and ability to craft explanations that are coherent.

This communicative impairment doesn’t discriminate. If I’m talking openly about these sorts of topics, it’s because I’ve either reached breaking point (with the accompanying emotional explosion), I’m drunk (I talk far too much when I’m drunk. Just ask my brother-in-law!), or I am pushing myself (or being pushed) well beyond my comfort zone. This is just a function of who I am, and finding ways to communicate around it has helped immensely. It’s unlikely I’ll ever be comfortable with direct conversation regarding myself.

But once I have written about something, and posted it publicly, the nature of the information changes. It goes from ‘innermost private thoughts’ (and I am an intensely private person) to ‘information in the public domain’. Everyone I meet theoretically could have read the material, and I should expect to discuss it. I am prepared to discuss it. I have considered it deeply, I have opinions and ideas and further solutions that occurred to me after the time of writing.

Posting publicly effectively releases the privacy of my own thoughts and puts them in reach of open discussion. The more I do it, the more I’ve begun to feel comfortable discussing content that I haven’t posted. That has been amazing.

Being brutally honest about how I feel and why has been an exercise in freedom.

The secondary benefit is in how others respond to my writing.

It may not be what I seek to get out of this process of honesty, but each comment or like  or mention I get from someone who identified with my writing is the best bonus I could ask for. I never set out to inspire people (and I find it ridiculously humbling when I’m told that I have provided inspiration. Who, me? I’m a wreck half the time!).

All I aim to do is provide an account of who and how I am, as I go from good to bad and back again. The idea is to demonstrate to myself that there is no situation so bad that I won’t come back out of it stronger, so if that is reaching others and helping them feel the same? I’m pretty pleased with that.

It is a terrifying thing to do sometimes, to expose the complex and often confused nature of my thoughts. On some level I do feel an obligation to do it. As someone who was given an ability to communicate in written word to not use that ability to describe my experience (especially the features of my Aspergers/Autism) seems like a gross waste of ability.

The rewards of this public honesty have been huge. Even on my worst days, I feel more my ‘authentic self’ than I have in too long. It’s my life and it won’t be sunshine and rainbows all day every day, there will be posts that come that are uncomfortable and miserable. That’s life, regardless of mental state.

What’s important is that a better post will always be coming, and I look forward to sharing those immensely. I never did this in the expectation that my posts would be actually read, either, but I appreciate everyone following along on this quirky journey. You make it extra worth the effort!

On a hard road to a better place.

On a hard road to a better place.

The moral of today’s story is that no one knows your body and brain the way that you do, and it’s extremely important to back yourself if you don’t think a solution is working for you.

In the case of medical and psychological issues, your doctor can advise on the best course of action–but cannot intimately know the response (or lack of) from that action. This goes double for illnesses like depression and anxiety which are not as measurable as other physical conditions.

This doesn’t mean ignore the advice of your doctor. Your responsibility as a patient is to adhere to your treatment plan and keep your doctor informed as your body responds to treatment; the doctor’s responsibility is to evaluate the effectiveness of the treatment and determine if or how it should be changed.

When any part of that process breaks down, the well being of the patient is compromised.

I was first diagnosed with severe anxiety disorders in 2010, but it wasn’t until mid-2011 that I accepted medication as part of my treatment plan. The choice to take medication for a psychological disorder is deeply personal, and my first strategy was to see if counselling alone would work.

It helped to a point, but the reality was that the chemical balance in my brain didn’t allow enough space between a ‘trigger’ event or thought and the panic that trigger produced. Coping with anxiety is almost a sport–you see a ball coming at you, and in a split second you need to decide how to move your body in order to catch that ball successfully. Or be hit in the face with it. For me, medication slowed that process down enough that I was able to look objectively at the triggers and the thoughts that occurred, and deal with them in a rational way–before the panic hit my system.

In other words, I had the time to catch the ball.

My initial refusal was based on the belief that medication only offered the option to ‘numb out’ the feelings of anxiety or depression. I never wanted that. I wanted to learn how to cope with the onslaught of triggers and process them in a healthier way. This was (and still is) the over-arching goal of my mental health plan: to develop mental strength with the assistance of medication in the aim to be able to complete the same processes without it.

That is my goal, and those are my reasons for choosing medication. I don’t seek to judge anyone who chooses against it, nor do I judge those who accept they may never be without it. Those choices are entirely theirs to make, and if it helps them live well, that is what matters.

Initially I was prescribed Lovan (also known as Prozac).

Actually–that’s incorrect. My first script was for Lexapro, but within an hour of my first dose (which was a sub-therapeutic dose) I had an intense adverse reaction. But for the fact I lived at the time with a former ER nurse, I might have gone to the hospital. I was sick for three days. The dizziness was so intense that I couldn’t handle being upright, and had to half-crawl half-slither to the toilet to avoid passing out or vomiting. My very bones felt sore. It was like the world’s worst hangover met man flu.

I spent three days in bed, eating very small plain meals, and watching the Babar movie–a DVD I’d bought some months ago for the nostalgia.

I was terrified to go back to my doctor for another devil treatment. Fortunately, supportive friends dug their heels in and marched me back where I explained to my GP the incredibly bad reaction (which she didn’t seem to think was possible on such a low dose, but I wouldn’t accept any future in which I persisted with the medication). Then I was prescribed Lovan.

Adjusting to Lovan was an odd experience. I suppose it was unpleasant, I was quite nauseous (not to the level I was with that single dose of Lexapro, but enough to feel queasy at the thought of food and my appetite was greatly reduced), shaky, and felt ‘off the planet’ more often than not. Luckily I was on holidays, I don’t know how I would have coped physically in my job at the time. But mentally, the adjustment phase was really no comparison to the hyper intense anxiety that I was experiencing at the time.

Then one day… it was like…

Okay, this metaphor is going to get giggles, but it was like I could finally take my bra off.

Bra-wearers everywhere know there’s a unique sense of relief when you finally get home, put your feet up, and undo the blasted thing. Air rushes into your lungs, you feel free and unrestricted. And comfortable.

For the first time in a long time, I felt comfortable. I could breathe. The shaking in my hands stopped, I no longer felt that I was a split second away from tears or anger. I had the space to process my environment and turn away the thoughts that gave me trouble. With the help of an excellent clinical psychologist, I began cognitive behavioural therapy, where she taught me how to identify what was meaningful and what was not. How to retain control of myself in a situation where I could control nothing else.

My most memorable conversation was after a workplace incident where a senior staff member had upset me to the point where I’d had an intense panic attack. Just an hour into my eight hour shift I went home. I told this story to my psychologist, sure that she would validate my course of action. Instead, she said something I’ll never forget.

“You let that woman steal seven hours pay from you?”

The next week, instead of going home sick again, I spoke with my manager about the incident and with her help resolved to no longer be on the same shift as that staff member. Learning to think logically about the world, about the choices I could make for myself internally and externally, has played a huge part in how I react to depression and anxiety now.

Whether I could have achieved the same without the Lovan is difficult to say. I certainly don’t think I could have done it as fast, or as effectively without it.

The problem with psychological medication, even a very effective one, is that they often cease being effective. This occurred around two years into my taking Lovan. My dose had been increased once when it first became apparent that I was ceasing to function, and as the symptoms persisted my doctor and I made the choice to try a different product.

I was put on Effexor XR, 75mg daily. The process of weaning off Lovan and stepping onto the Effexor XR was horrible. Lovan requires extra time to exit the system, due to how it metabolises in the body. Over a period of three weeks, I changed medications. I remember it keenly, because I was at this time having more difficulties at work (at a new store I’d recently transferred to). I was still seeing my psychologist when I could afford to.

But I didn’t feel any sense of relief from the Effexor XR. There was no ‘bra off’ moment. The side effects of adjusting to the medication ceased, but that was about it. My life hit a smoother patch, and it wasn’t until the next difficult moment that I sought my doctor’s advice again.

I stated in that appointment that I didn’t feel any effect from the medication. My anxiety had remained low, but depressive symptoms were more evident than ever. I’d left my long-time job as a supermarket cashier and was struggling in a job with another company that refused to give me reliable hours. My doctor suggested that the difficulty was coming from there, and not from the medication being ineffective.

This is where I should have first stuck up for myself. Yes, my circumstances were difficult–and absolutely that was having a strong influence on my mental state. However, I knew the difference between how I had felt in rough times on Lovan, and how it felt now. When Lovan had been effective, I had the ability to function in spite of circumstances. At the time of the appointment with my doctor, I was crumbling under them. Mental strategies I had worked on with my psychiatrist weren’t able to help, as I didn’t have the ‘space’ around the problem to process it effectively.

The doctor said persist, so I persisted with the Effexor XR.

Around a year after first being prescribed Effexor XR, I moved interstate and back in with my parents. Not long after that, I sought out a doctor for support in dealing with the same anxiety and depression that had been present since stepping off the Lovan. As with anything, it came in waves and breaks that let me feel like I was okay for a time, but it always returned with great intensity. This was the primary reason that I argued the Effexor XR was ineffective–why was I experiencing such catastrophic recurring depression while on a medication designed specifically to alleviate that?

This new doctor agreed, and looking at my prescription, was confused. The dose I’d been on for over a year was (according to her) a dose only given for a week or so as patients adjusted to the medication. Normally it was doubled once the system began to tolerate it, and what I had been taking all this time was not enough to be therapeutic. She immediately doubled my dose, and once again–I felt no better or worse.

I still don’t know what is ‘high’ or ‘low’ for Effexor XR. At another appointment, with another doctor (once I finally found a doctor in my hometown that I felt comfortable with), I broached the subject of switching my medication. I was now on 150mg daily, which according to this doctor was ‘quite high’ and she was very cautious of upping it any further. She supplied me with a list of medications that she believed might be worth looking into. As some of them are not eligible for the Pharmaceutical Benefits Scheme (the system that subsidises medications in Australia) she suggested I investigate them and decide which I would like to try next.

This is really when I should have acted, as here was a doctor that believed I was feeling no benefit from Effexor XR and was prepared to assist me through switching to a new medication. The timing, though, was bad–in that same week I got an offer for a full-time dream job. If I switched medication, I would be in the worst stages of withdrawal and adjustment at the exact point I started work. I put it off, and when life got smoother again I forgot about it.

As you do, when things are going well. You assume it isn’t broken.

But the cycle repeats, and repeats–the new job caused additional symptoms to surface, and I obtained a referral to a psychiatrist. I wanted to start from the beginning, to explain everything to an expert in medicine and psychology. I didn’t feel my medication was working, and I hoped that he would be able to help devise a treatment plan that better addressed my areas of concern.

For an exorbitant amount of money, what I got was a diagnosis of depression, a strong implication that it came from some sort of family abuse, and a script for a higher dose of Effexor XR. I left feeling cheated. Not only did I already know I had depression, I knew that of all the possible root causes, my family was not one.

From the beginning of our session he questioned my relationship with my family, and kept returning to that same line of questioning over and over. I could almost see his conclusion in his eyes, this dead-set belief that I had been abused as a child but wouldn’t admit to it. Nothing could be further from the truth. I may have felt disconnected at times, but never unloved or unwanted. Yet he persisted with this idea, and more than that–he pointedly dismissed any concerns I brought up as ‘part of who I am’.

Most of these concerns I now know to be Aspergers/Autism, but this psychiatrist was determined to reach the answer he wanted. I took my new script, and refused to book a second session on the way out. He had nothing of value to offer. I probably should have refused to take more Effexor XR as well. My dose was now 225mg daily.

And it still. Did. Nothing.

The troubling reality is that for over three years now, I have been taking this medication for one reason: to avoid going into withdrawal. It has created its own need. In those three years I’ve not experienced any relief that wasn’t also tied to significantly smoother life circumstances, I have not weathered any storms better than I would have without it, and while I pride myself on being strong (and I have survived and accomplished a lot!) not one bit of it has been due to the medication.

No doubt Effexor XR is a miracle and life saver for others, but it hasn’t been for me. The tendency for doctors to simply up the dosage and hope for the best is typical of psychiatric treatment, and not the fault of doctors themselves. Everyone responds differently to different levels of different medications. Perhaps at 225mg I would have experienced relief, the only way to know what is effective is to see what happens.

Finding the right medication is a little bit of knowledge, a fair amount of trial and error, and an enormous amount of luck.

This time, I’ve tried a different approach. I know that I experience both depression and anxiety, and they feed off each other. They both feed off negative obsessive thoughts, usually to do with low self worth. I have a number of other obsessive traits, and a number of compulsive traits that do make things challenging.

For instance, I currently have it in my head that I’m going to make cookies. I can’t do it right this minute, because I don’t have the necessary resources. But I can’t get the thought and the desire to make cookies out of my head, and this obsessive thought triggers the compulsion to buy anything and everything needed to make cookies. Even if I think I have something already at home, I buy it anyway.

But I may not actually make the cookies for months. I might even know while I’m buying these items that I won’t have the desire or drive to actually bake for quite some time, but I need to get the resources now.

And this happens with everything. I decide I want to have a nice bath, so I purchase all sorts of bath goods. Tools for a new hobby. New sketch books, pencils, clothes for a particular occasion, make up, kitchen items, I become obsessed with completing these arbitrary ‘collections’ that I need to achieve a particular task that my mind won’t let go of.

The cookies are just one example–and I will make them, I am damned determined to now, of how these obsessive thoughts can drive compulsive behaviour. Now imagine that same level of obsession as it focuses on negative factors of the self, as it takes anxiety triggers and refuses to let go of them.

I believe that the key to alleviating both my depression and anxiety is in reducing that obsessive thought pattern. I can effectively refuse the arguments put forward by the obsessive thinking, but I’m not able to stop the thoughts from returning. It is a function of Aspergers/Autism, so it’s unlikely that I will ever completely free myself of it, but I can learn to reduce the severity and the effects.

This is something I will address with my psychologist, but as I am also looking to move away from Effexor XR, I did some investigation into what medications other female aspies found useful.

I found the results… very interesting. I read a lot of accounts from women who had found Lovan/Prozac effective for a limited time, and who had negative experiences on Effexor XR. This validated my belief that from the very start I didn’t feel it was working as intended. Many of these women had come to the same point of taking Effexor XR to avoid going into withdrawal.

I will repeat again, though: Effexor XR is an excellent medication when it works for you. None of this is evidence that it doesn’t work, just that there are people for whom it is less effective. Trust your body! Only you truly know if it is working or not.

I read on to discover what medications these women had switched to, whether they had found anything that was equally or more effective than they had found Lovan to be. Most of them mentioned sertraline, marketed as Zoloft.

Interestingly, Zoloft is especially effective in reducing obsessive and compulsive behaviour, which I have identified as a key factor in how my anxiety and depression develops.

So back to the doctor, this time armed with information and a direct request to be put on Zoloft. After taking everything into account, she agreed that Effexor XR was absolutely not working for me, and that Zoloft was a good logical choice. I feel especially confident with this choice, which may be more effective than any active ingredient. Even if the result is a placebo effect, it will be an effect that benefits my life–and that is worth it.

This is my last week of taken Effexor XR. Withdrawal from Effexor XR is… horrible. I have missed doses, had situations where I was unable to get my script filled in time, and it hits you like a truck within hours. Because I am still taking some, it hasn’t quite hit yet. I’m not looking forward to when it does.

Dizziness, nausea, ‘body zaps’, extreme irritability, elevated anxiety and intense mood swings are just some of the things I can look forward to on my journey this week. But, as I am currently working fewer hours due to circumstances beyond my control, now is the time to do it. The adjustment to Zoloft will be similarly unpleasant. Anyone who thinks that medicating a mental illness is an ‘easy way out’ has no idea what is truly involved.

There is nothing easy about adjusting to psychiatric medicine. It takes weeks of feeling like hell, and only after months do you see any true result. If you see a result.

But the rewards outweigh the risks, in my opinion. If I can reduce the occurrence of obsessive thoughts, so much of my life will be freed up. My wallet will thank me, for one! I will be able to reduce compulsive behaviours that are harmful, or that reduce my ability to function. It may also help me to be more flexible when it comes to making plans and adapting to changes.

I feel good about this. I’m glad I finally pushed for the change, and as much as this change over period is going to suck, it will be worth it.

Medications don’t work the same for everyone. So if you’re truly not feeling any benefit from something, it’s important to really back yourself when talking to your doctor. Only now do I feel ‘validated’ in my belief that the Effexor XR wasn’t effective. I should have believed myself and pushed for change earlier.

Here’s to a hard road to a better place!