There’s nothing more to it, I just get through it

My motivational coaster at work

My motivational coaster at work
A brightly coloured coaster saying punch today in the face

I’m struggling. As a mental health blogger you’d think that would be easier to say than it is, it’s probably a combination of reducing my Quetiapine, a new job and being utterly exhausted but either way I’m not feeling great. I admitted I was struggling at work yesterday and told my manager that I spent last Friday crying at my desk because I felt so isolated being alone all day, i probably work in the most understanding organisation for someone with mental health problems and despite a fuckton of therapy I still find it hard to admit that and ask for help.

I don’t feel that I’m hard on myself I just think I should be able to manage though of course my brain is now telling me this was all a mistake and that I knew I’d fuck everything up it was inevitable that I wouldn’t be able to cope blah blah blah. It’s one thing when these thoughts are conscious because then I have some control over it but this is like a running commentary in the back of my mind it’s not me deliberately putting myself down but it won’t stop and I don’t know what to do to shut it up. I’m still working out boundaries and what is the right amount to share with people, I feel like I overshared yesterday to someone who isn’t my manage who doesn’t need to deal with my mental breakdowns and now I simultaneously want to crawl into a hole and die and also apologise repeatedly (not sure if this is a mental health issue or just being English).

I do have targets to meet I do have things I need to do and achieve but I’m not under pressure these are things I have a year to do and everyone keeps reminding me it’s only been three weeks so it’s not that. I have a psychiatrist appointment in just over a week and I’m hoping things have levelled out a bit by then, if I’d known it would take several years to come off this medication I might have thought twice about taking it though not everyone has such difficulty with medication adjustments so how would I even know this would be so hard.

Attachment issues are naturally coming out to play because I feel low and I want to cry constantly (which is actually really unlike me) so once again having thought I was feeling ok about someone I suddenly miss them again.

This was disjointed rambling but I wanted to actually start and finish a blog in one go rather then going back and making sure it was post worthy because my head is disjointed rambling right now and I need somewhere to dump it all, I guess one positive is I have no desire to self harm and I’m still over 5 months free.

I just keep on keeping on

I got pills they’re multiplying – Time to Talk Day 2018

TTD
A purple banner saying you can talk about mental health anywhere even here

*mentions medications, doses and side effects and self harm

Let’s talk about medication; the world and his wife and their depressed friend seem to have an option on the subject, the internet is full of memes about going for a walk in a forest and you know the Daily Mail will have something to say on the matter but the reality isn’t just popping a pill and everything is better it’s much more boring, frustrating and often unpleasant. I’ve been on and off medication almost half my life and I’ve been on some form of medication consistently for around 10 years. I’ve tried almost all the common antidepressants – citalopram, venlafaxine (made me throw up so much), sertraline (no effect but made me sick when I took myself off it), citalopram again (worked well then stopped working), seroxat – the scary one from panorama (worked well then stopped working, made me very mental coming off it), duloxetine (still on this the most effective and long lasting though I’m now on the maximum dose) I’ve also been on and am still on an antipsychotic quetiapine.

med
Enter a captioThe top picture shows a forest with the words this is an anti depressant. The bottom picture shows a green and yellow prozac tablet with the words this is shit.

I loved quetiapine it helped me sleep, it lowered my anxiety and evened out those wonderful BPD mood swings it was great until I decided maybe I didn’t need it anymore that I was tired of being tired, I wasn’t in love with it anymore but it didn’t want to let me go. When I first reduced my dose the withdrawal was horrendous I remember the nausea that made me late for college because moving made me want to throw up, I lay on my sofa and cried for a day before breaking 6 months self harm free and phoning my care coordinator begging for diazepam instead they gave me promethazine this took me to three types of medication.

After this I increased the dose twice and things were ok until I tried to leave quetiapine again and it let anxiety and depression came back in, at this point I was just starting my new job and was also suicidal from the medication withdrawal, this then led to an increase of my antidepressant duloxetine now up to the maximum dose, the anxiety was unbearable so propanolol a beta blocker was added; 3 little pink pills a day.

A referral back to the mental health service and a medication review with a psychiatrist i’d met through my work with commissioning groups and we decided to try lamotragine an anti epileptic but not until I’d had a blood test to check my liver and kidney function oh and watch out for a rash because this can suppress your white blood cells.

My view on medication is that I’m neither for or against it, for some it’s a life saver and others it’s poison that dulls the emotions and sedates people into compliance but I do think people need to be more aware of what they’re taking and how it could affect them. Medication and the side effects are one of the reasons people with enduring mental health problems die on average 20 years earlier than the general population many of the health initiatives around weight loss and stopping smoking aren’t helpful to people who’s mediation has ground their metabolism to a halt or has increased the effects of nicotine on the brain and that’s not even looking at the social side of eating or smoking amongst people with mental health problems.

med2
The top picture shows a forest with the words this is an anti depressant, the word antidepressant is crossed out and underneith it says an amazing way to spend a Saturday. The bottom picture shows a variety of medication with the words this is shit, the word shit is crossed out and underneith it says prescribed medication that literally saves lives  

Medication has and continues to help me in combination with the therapy I’ve had it helps me do my job which in turn benefits my mental health, had I known more about the side effects before I was put on an antipsychotic maybe I’d have decided not to go on it but even if I’d made the same choice at least I’d have had all the information needed to make an informed decision.

There’s still a lot of stigma around being on medication and those memes about taking a walk in a forest really don’t help, there’s no shame in being on medication so please take your meds.

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