Great Session! Then, Kaboom!!

I went to session yesterday morning, and it was really great!  We came up with 2 things for me to plan, to work on over the next 3 weeks.  I went on to see my psychiatrist, and ran into my first problem – she was double booked, and I could not see her.

I went off home, and did not stop for the errands I had felt so good about doing, just an hour before.  I was wiped out, and my anxiety was high.  I felt depression coming on, but I knew it would pass, and I would be okay.

Then the roof fell in.  Not literally, but that would actually have been better.  I can not say what happened, but it blew me away.  I am off Facebook again… this time I think it will be a long time before I go back.

I am physically ill about it.  My hands are still shaking.  I have not eaten, and have no energy for it.  My world just got a lot smaller.

It is so hard to try to be social when you are an agoraphobe… Social Media was a God-send.  Was…  Now I feel more alone than I ever have been.  And I do not know what to do…  I can not trust anyone anymore.

This will have a great negative affect on my Blogs as well.  The great majority of visitors were FB “friends”.  So this too may fade away now.

I don’t know.

How My Meds Have Made My Agoraphobia Worse…

Yup… that’s right.  My meds have made my agoraphobia worse, while making my life better.  And actually, my meds have made my agoraphobia worse because of how they have helped my life be better.

Before I started on any meds, I was able to go out more, and more easily.  I did not go out to socialize more… but I could go out.  I always had high anxieties – I just didn’t know it.  So going out was not much worse than staying home.

Now, my life is better.  My anxiety is much better, and usually easy to manage.  That is if I am home, and there are no real stresses.  But going out causes a LOT of anxiety.  It’s still not as much anxiety as I used to have when I went out before though.

The problem is the difference between staying home and going out has increased pronouncedly.  Before meds, it was not a lot worse than being anywhere.  But now going out makes things a lot worse.  There is more incentive to stay home.  It’s harder to get out at all.

Of course, I like it this way a lot better… and that may be why I am fine with staying home more.  It is harder to deal with the increase in anxiety now.

I’m not sure where all this will lead me, but I know it will continue to improve.  I just have to be aware of the catches.

Where I Am on My Meds

Fortunately I have been able to adjust my Lexapro so that is is helping more.  Wednesday I was able to start on my new program, and I felt better yesterday.  And today I have feeling even better.  It is easier to control my anxiety!

This has been a long process – I have been working on changing my meds for over a month now.  It has been quite the challenge at times.  I have wanted to quit more than once.  But I have made it thru so far at least.

There will still be some changes or additions.  So there is a ways more to go.  But I am feeling much better than I was last week, and even better than earlier this week.

So things are looking up.

Lessons Not Learned

It is easier for us to think about all the great things we have learned in our lives than to try to reflect on what we have missed.  Yes… even for me.  I keep trying to reach beyond my limits.  It’s good to test your limits from time to time, but when I keep running into the same walls…

What was it Einstein said about trying the same thing over and over and expecting different results?

Even yesterday in the middle of all this, I was thinking about how I could go sit in a coffee shop, and have a place nearby to go.  Okay… that is not going to happen.  The last few days I have been planning a trip to a museum in Seattle – not going to happen.

When I feel most calm is when I can accept that I must just stay home as much as is possible.  My office is slowly moving along, and I am more and more comfortable in here.  I don’t really want to go out, do I?

There are few places I really need to go.  Mostly they are here in town, and I am familiar with them.  I have to go to 2 of them today.  And though I have some anxiety about it, I am pretty sure I can do that.  And I can go out with Lori most of the time… so why worry?

I had a really bad night… another really bad night.  My nightmares are filled with failures.  Failures in family, teaching, and life itself.  I need less anxiety, not more.  Staying home more will help.  I need to plan things I can actually do!

I suspect I will test my limits again, but I will get the same results.  And I am fine with staying home, so why try?

Thinner Skin… Thicker thoughts?

Not a great title, but it’s sort of how I feel.  I can feel a struggle within my mind at times.  My emotions are closer to the edge… and my anxiety goes up much more quickly when something is out of sorts.

I don’t have much patience with myself, or any one else.  My anxiety is not under as much control as I got used to.  And I don’t like it!  I can feel it, and I can feel that I have to suppress it.  It’s as if my anxiety wants to break out and take over.  At least it feels that way.

I still think it’s too soon to change my meds again, but it is dragging me down sometimes.  I am going to think about it, and pay close attention to how it is affecting my thoughts.  I may call my psychiatrist later this week.

Next Wednesday I see both my psychologist, and psychiatrist.  But I may not want to wait until then.

I tried calling my doctor’s office… my anxiety surged, and I could not go thru with it.  There is a recording from her assistant saying they will call me back.  That’s when I have to hang up.  I tried a second time.

I am not in control of my anxiety.  I will wait for my appointment next Wednesday.  This will be okay.  It will have to be.

A Small Update

I have not written… because I have not been able to figure out what to say.  My meds have changed, and things are going better.  But I know it is not enough.  My psychiatrist thinks I will need more, but we are waiting for things to really settle down.  It takes time.

I am doing pretty well when I am home alone.  But it has let me down at other times.  It is much harder to go out… for any reason.  Even going for the mail has to be carefully planned.  And I have less patience with myself, and others.  I more easily have too much anxiety, and many – though short periods of depression.

It will take longer to figure out my meds.  But I still have things I need to do.  There are places I want to go.  I just have less energy for it than even a year ago.

I think I have fallen back more than that year.  I am doing better at home, but nowhere else.  Even at home I can not stay on task for very long.

Things will get better… in time.  I am just working thru it all, and I trust things will get better.

And Off to the Dentist Today

This is a really bad time to have to go in for a cleaning.  But these appointments can not easily be changed.  So I am pulling myself together as best I can, and will get thru it.  The next couple of days will be for recovery.

The dentist office is in the same building, just 2 doors down from my psychologist (she just moved there last year).  So the path there is a familiar one.  That will help.  The hygienist is a very pleasant, and cheery person.  And if I am up to it, I will stop for a treat for dinner – that probably will not happen.  But these are all things I try to push to the front of my thoughts.

I have to play little mental games to keep myself going – they are very tiring.  There will be more after I get back…

I am back, and I am still alive!!

It was much more traumatic than normal… but Julie, my hygienist was very helpful with my mood, and did a great job!  But it sure was nice to get home.  I had to make a stop on the way, so I got myself some Mac n Chees to help me feel better.

I am doing as well as I could expect right now.

After Cymbalta

It was just Thursday that I felt the last remnants of Cymbalta affecting my brain.  My brain has finally stopped swimming, and I have stabilized.

The meds I am taking now – Lexapro & Bupropion – are doing a very good job at helping me maintain my balance most of the time.  I am fine on good days at home.  As long as I can stay home, and do easy things, I am fine.

But it is clear that when I have to go out, or have additional pressures at home, I need more.  My anxiety can ramp up very quickly.  I can generally manage… I know ways to tamp down on the anxiety.  But that is very draining, and leaves me too tired for much else.

In a little over 2 weeks I will see my psychiatrist again to discuss where to go next.  We may increase my Lexapro, or try something additionally… or we may try something completely different.  I don’t know.

For the next couple of weeks I will be try to find my baseline.  I am looking for how my current meds help me feel in different low-stress situation.  I know how things go when I am in high-stress situations… I know that all too well.

So I am hoping for as much down time as possible.  I need to find those areas that define the limits of help I am getting from my current meds.

Fun time.

New Meds and Withdrawal

I saw my new psychiatrist last week, and she started me getting off Cymbalta and back on Lexapro.  She says the Lexapro will probably not do enough for me, but it will be better, and once I am stabilized, we can look at other meds.  Good times…

The first few days were uneventful… well… not really.  I had a lot of issues over the weekend with swirling feelings, and anxiety.  I crashed out early Sunday, and did not hold up very well overall.

The beginning of this week looked really good!  my anxiety was down, and I was feeling pretty good.  But things started changing again Tuesday evening.  I was lowering my Cymbalta dose, and Tuesday was the second time I had lowered it.  now I was feeling what I call SBS – Swimming Brain Syndrome.  When I moved around, my brain seems to be lagging behind my head.

It got worse yesterday, and I had to miss session with my psychologist.  there was no way I was going to try to drive.  Today I am a little better… but not much.

The bad thing today is that depression has set in.  (We are going to work on my depression meds later too).  now I am feeling really down, and like I want to just stay in bed.  And I still have SBS!  So I am not doing very well.  I go completely off Cymbalta Sunday, so I think things will take a while to settle down.

I had planned to go out to dinner tonight, but that is looking in doubt.  It’s hard enough to go out at all, but now I feel to upset, and depressed to even think about it.  I might feel better later, so I am waiting to see how I feel.

Anyway… I had not written for a while, so I thought I would fill you all in on where I am.  I will try to write more.

Follow-up For Those in Pain

I am here… I am retired, and spend almost all my time at home.  If you are struggling, and need someone to just listen, or read what you have to say, I am here… 24/7.

Seriously, I have been thru the holiday season in just about every mental state – from completely crashed out, to having a fairly good time.  And I can listen.

A Convergence of Pains

Today I am having one of those days with a lot of pains.  I have been doing a lot of puttering around the last few days, and now I am paying for it.  Three toes on my right foot are swollen and painful – including one that has not hurt before.  The big toe of my left foot hurts also.

Then there is my left knee, and my back.  It usually does not all hurt at the same time, but every now and then, it all comes together.  Like today.  I don’t know what causes it, but it seems to happen every few weeks.

I have been tested for arthritis markers, and I have none.  But I have plenty of joint issues.  There are problems in both shoulders, and my left elbow… my left thumb, and two fingers on my left hand also have pains.  At least I am right handed!  And I can still type!!

I try to keep perspective about it… there is not a lot I can do to make the pain go away, so I have to live with it.  I will try to get things done.  It’s just what it is… nothing more.

Things don’t get better by wishing.  So I will wait it out, and change my plans for the next couple of days.  It will be okay.

A Very Bad Pain Day

Yesterday was the worst pain day I have had in… at least this year!  I used my anti-inflammatory for my knees and toes, and 2 lidocaine patches on my back.  I have never need 2 patches before.  But even all that did not take away all the pain.

So I was basically locked into just sitting at my desk.  I was only able to do a very few things around the house.  The lidocaine took away my appetite – all I ate was some grapes.  I am still not very hungry.  Fortunately, I don’t really mind being hungry.

Today I am doing a lot better.  My back is still a bit twitchy, and it throws sharp pains at me every now and then.  But it is not as bad as yesterday.  My knee is a little better… not much.  I don’t like to use the anti-inflammatory 2 days in a row, so I will have to deal with that differently today.

I don’t know what I did… but I certainly did something to my back.  I’m glad I know how to deal with it – but it’s still no fun at all!

OC, or Superstition?

Most of us think of a Superstition as those old rules we have heard – don’t walk under a ladder etc.  But people make there own superstitions.  For example: something bad happened to you when you were young, and you associate it what some unrelated outside event.  You break a bone, and had just eaten an apple… you might associate the apple with pain.  Apples become a reminder of great pain, and you start avoiding them.

This is a simplified example, but it happens to all of us.  OC behaviors are exaggerated because of incorrect chemistry in our brains.  The small superstition becomes an Obsession – you can not ignore it… because your brain will not let you.  The circuitry in you brain can not let go of it until it is resolved in a safe way.

For me, there are mental Rituals I have to go thru.  When I go get the mail, I have a whole little speech I repeat to myself about the US Postal Service – the fastest, cheapest, most efficient mail service in the World… and so on (don’t get me started… too late).  There are many, and used to be a lot more.  I can only set the volume on the stereo at an even number.

One bad one for me is that if I leave the house, and forget something, I can not go back to get it… I have to live without it.  Sometimes Lori can convince me to go back… mostly if she is driving.  But there have been times I went on without something rather important.

There are drugs that can help reduce the chemical imbalance, but they are over-prescribed because it’s the easy way out.  And they do help most people, but they often are not necessary.  See… there is another one for me – if I misspell a word, and spell checker underlines it, I have to fix it right away.  I can’t wait until I am done with the whole thing I am typing.  It has to be right the first time. 

That last one may have helped me some over the years.  In college, I wrote all my papers in one draft.  And I always got an A.  Everything had to be correct the first time.  And I rarely forget my wallet… I check for it often enough.  If you ask me if I have it, I will have to check.  Lori has done that to me when I was being an ass.

The real key to dealing with it though, is to figure out which behaviors or thoughts you can live with, and which you should extinguish.  The Postal Service speech does not hurt me, and actually makes it easier to go get the mail… so it stays.  But other things have had to go.  Particularly a speech I had while driving.

It can take time, and generally takes talking about it with someone, to figure out which is which.  Remember that your view is distorted, so often, only someone else can help identify which things need to go.  They all seem reasonable to you.

Sometimes learning to live with something can be harder than extinguishing it.  But that may be better over the long run.

I fight mine every day… every time I do most anything, there are internal pressures to do, or think, unnecessary things.  I am a lot better, but it is always there, affecting what I can and can not do.  It pisses me off, but all I can do is the best I can do!

And… My Back is Out

Fun happens at the wrong time sometimes.  My back is now out… don’t ask about where it went out too.  And I have no idea what I did to it.  But that’s the way it usually happens.

So now I can just relax, and not do anything to make it worse.  Or I can put on a Lidocaine patch to knock out the pain.  What do I do?  I would rather not use the meds if I can avoid it.

So I am going to sit in my chair and relax it away.  What should I do about dinner??