Tag Archives: antidepressants

Ready. Steady. Yes?

There are few things in life that you can categorically declare yourself ready for, unwavering and full of self assured confidence, no questions. Although often billed that way – you just know, wait until the time is right, blahblahblah - it rarely goes down like that.

My own personal readiness for things has been vaguely guesstimated at best and hastily rushed into to, eyes squeezed shut and arms flailing wildly before properly thinking it through at worst.

Because are we ever really ready for anything and actually, if you torture yourself enough with a million and one unanswerable what if scenarios wouldn’t everyone’s belief waver?

When the husband looked up at me from bended knee on Christmas morning years ago and asked me to marry him I looked back and said yes. Between squeals and ohmyohmyohmyohmygods and while tears flooded into my eyes and while everything span for a second. Yes. I said yes and then I told everyone that I had said yes and then proceeded to make him say yes to all my little wedding day ‘wouldn’t it be nice to have…‘ whims and I didn’t question that yes once.

Until a few days before our wedding when more or less everything was done and checked and arranged. Until my wedding dress hung in its white cover, waiting to be unzipped and every last teeny tiny button fastened and the rings sat in their boxes ready to be slipped onto nervous fingers while loved ones watched and vows were recited.

That was when I decided to have a moment.

I said yes. Shit. Yes. Am I ready for this? Can I be someone’s wife? What if…?

And then I stood full of butterflies and clinging to my dada arm at the back of the little church and I looked down the aisle to the (extremely nearly) husband and he looked back at me and smiled and everyone else smiled and it was all OK.

A few months before then, there was an age of empty wombed broodiness and endless discussions about waiting and not waiting and trying and not trying and should we have a house and a mortgage first? What if…?

The (not quite but very nearly) husband did all the questioning and waiting until the time is right-ing before we both agreed that we both wanted a baby and we wanted it with each other and we were getting married so definitely sticking around so, well, why not really.

Four weeks later (clearly fate had determined that our time was indeed right) at 6am in the morning I sat against the locked door of the bathroom watching the second hand of my watch twitch achingly slowly past every long second.

2 minutes 57 seconds…

2 minutes 58 seconds…

(Do you see where this is going?)

2 minutes 59 seconds…sod it I’m looking now.

Shit. I’m pregnant. There is actually a baby in there. Ohmyohmyohmyohmygod. Am I ready for this? Can I be someone’s mummy? Shit. What if…?

I climbed back into bed next to the husband and lay watching the blind at the window sway in and out with the morning breeze while outside the town started to wake up and the birds sang and the sun poured through the gaps and warmed spots of the duvet. And then I woke the (not quite but very nearly) husband up with my cold feet on his toasty warm legs and a positive pregnancy test and he smiled and I smiled and we had made a baby.

A few months ago slumped exhausted in a uncomfortable chair in the doctors surgery my GP looked across her desk to ask if I wanted to stop taking my medication.

No. No, not yet. There’s too much going on and the times just not right and I don’t think I’m ready.

A few days ago I was back in the same chair in the same room saying ‘OK‘ to the same question from the same doctor.

All of these questions and all of their what ifs, they always answer themselves.

I said yes straight away to all three of these things because I knew it was right.

It’s just that sometimes I need to remember to remind myself when it all gets a bit warped and hard and stressful because the table plans just won’t tally / there is another human growing inside me / after nearly two years I have started the slow, painful process of becoming antidepressant free.

Hello Baby

Let’s not dwell on the vomit shall we? It’s never good to dwell on the vomit. All you need to know is that were all doing it and it was horrible and I never ever ever want that to happen again because I don’t think I’ve ever felt so just awful in my life. And it’s over. We’re eating again and drinking again and it’s all staying in our (streamlined) tummies. Let’s never speak of it again OK? OK.

In the middle of it all though came something a little bit special. A whole lot special. A promise of things to come?

And that’s where I get stuck writing this you see because to me it was massive and right here this is small and my fingers are tapping and just how do I convey the moment as it deserves to be?

I sometimes find myself stuck in this rut now when I want to blog about my PND; some moments are huge avalanche like things that blindside you face first into the carpet and suck all the breath out of your body with their impact while every nerve tingles and sings, but these moments are normal moments. Normal everyday moments that we all have sometimes several times each day. And it’s hard to write about something mundane – a smile or a cuddle or building a particularly extraordinary Mega Blok creation – without it sounding all a bit ‘and what…?’.

Because that’s what this post is about. A cuddle. That’s it. A snotty, teary cuddle one evening before bed. No big deal right?

Maybe there’s a gap in the ol’ linky market for a This Was A Fucking Big Deal Ok?! type thing. Because, PND or not, some mornings it’s a big deal that we manage to crawl out of bed. Or that we cooked something other than fish fingers and beans for tea or kept smiling through a kicking screaming shouting hitting public tantrum. These things are big deals sometimes. Celebrate the ordinary people! Pat yourself on the back for the mundane. This shit is hard.

Anyway. The cuddle.

This requires a brief trip back to the sicks. There were a lot. By the time bedtime rolled around I had been in bed all day and every single part of my insides were no longer inside. It wasn’t pretty. As a result, I was technically 48 hours without any medication. And there was no way I was about to take that days dose and see it again as it bumped it’s way back up for an encore, no thank you.

So there I lay in my sick bed, feeling sick and pretty tripped out sans medication, floating away on my own little cloud of nausea and a weird sense of out of bodyness. Beans was downstairs and her whines and whinges drifted up the stairs and hovered around me. She was tired and poorly and tired and didn’t know what to do with herself.

I listened as her little feet patted and thumped up the stairs and echoed along the hallway before stopping just outside the door. ‘Mama?’ she asked in a tiny voice. Followed by the compulsory sob. ‘Mama!’ Her pale face and big sad eyes peered around the crack in the door. Hello baby.

‘Mama!’ her arms outstretched and her fingers splayed, grabbing at the air around her, she toddled across to the the bed and climbed onto me. ‘Mama’ she sighed, burrowing her warm face into my chest as she clung to me tightly, the half light of the lamp making her messy hair look golden.

She sobbed and cuddled and I shushed and stroked and then SMACK.

SMACK SMACK SMACK right in the stomach and the heart and hot tears spilled from my eyes.

Fucking hell I love her. I love her with fierce, protective, all consuming power. I hold her tighter and breathe her in and my tears make little salty pools on both of us but I’m smiling. I’m smiling and I’m crying and I feel.

She pulls herself up, cups my face in her sticky hands and kisses me. ‘Bye Mama, seeeee soon’. And off she plods, grinning. And it’s all over, just like that.

Mundane, ordinary.

Amazing, incredible. Love.

I lay awake for the next few hours, watching rubbish on TV and gingerly sipping water past my parched lips. Every now and again a weird feeling built in my stomach and rose to my chest. Not sure what it was I checked for the reassurance of a bucket in close reach, just in case.

But it wasn’t sick. It was a laugh. Rubbish TV was making me laugh out loud and I’ve forgotten how that feels and as giggles fell from my mouth I started to try to remember.

I popped one of the chalky tablets out of the blister pack and turned it around in my fingers. It feels weird to be taking drugs that cause nothingness. In my brief and extremely limited ‘trying’ period in my youth I learned that drugs make us feel something – happy or relaxed or clever or silly – it seems weird to take something to stop you feeling those things, to stop you feeling.

Could I have finally got to the point where feeling is OK again? Where it won’t all hurt and I need that attachment to reality again because it’s positive and bloody lovely too…I think I might have.

Goldfish

On Sunday night I noticed some red blotches on my skin, pale in the middle and with raised edges my first thought was it must be an allergy. Only there is nothing new that would have provoked such a reaction so I moved onto hives maybe. Google is both a wonderful and a terrible thing.

Yesterday more marks were slowing appearing and early in the evening I suddenly felt so awful that I took myself off to bed. I was boiling hot, shaking and felt sick.

After a few hours I was so freaked out that I called my mum and asked her to make the hours drive to our house. Believe me when I say that I never ask for help unless I’m really scared.

I really wasn’t sure if I was having the mother of all panic attacks or if there was something really wrong. That’s one of the fun things about living with anxiety, you’re never quite sure what is real and what isn’t.

Mum arrived at ours at around 9pm, by which point I was feeling beside myself with guilt for dragging her here. I still felt odd but I calmed myself down enough to go to bed with the plan of making an emergency appointment with a GP as soon as I woke up.

I slept restlessly, spooked by not knowing whether something was wrong or if my mind was just playing tricks. I questioned everything, a strange sort of panic attack, a reaction to my higher dose medication, a random virus, a nervous breakdown?

It played on my mind until I sat in the doctors waiting room next to my mum for the first time in probably a decade.

After an hours wait I was finally called in. I explained briefly what had happened and was ushered over to stand in front of a bright lamp while the doctor looked at the marks on my neck.

“I can tell you what that is’ he said, ‘if you hadn’t mentioned Mirtazipine when you came in then I’d know exactly what that is.”

“I have more on my torso and legs” I said when he told me I could sit back down again. He sighed. “Well I need to see those too then don’t I?.”

He sat at his desk and flicked through the pages of his drugs guide until his finger landed on the appropriate one.

“No, no, I know what that is. Nothing to do with the tablets at all.” I explained again how I had felt yesterday and that if he really thought it was nothing to do with my tablets that I was relieved.

“You put two and two together and got seventeen” he said.

“Mertazipine doesn’t cause anything like that. Hang on, I’ll show you on Google what it is…”

“I know young women will look at themselves in the mirror with this rash and feel low because their appearance is affected. But I can assure you, it’s nothing. It will go away on its own. Don’t worry, it can’t be transmitted to anyone you sleep with, even though it looks like it could be”.

Jesus wept.

“But my other symptoms…? I felt so bad I…”

“Oh that’s something and nothing isn’t it. Silliness. Tell me, how are things? Is there a reason why you are on this medication?”

I explained about my PND, that no it wasn’t recent, yes I had been coming to the doctors frequently for the last year, that no, no real support has been offered.

“How have the health visitors helped you?”

By this point I was frustrated, exhausted and fed up of having to repeat over and over again how hard things have been.

“You see, the health visiting team are great. If there is a rabbit in the headlights they will rush to help. But sometimes if the little rabbit isn’t receptive of that help then it can be turned away, you see? Is there a reason why you don’t like your health visitor, why you don’t want them to help you?”

Stunned silence flooded the room.

“They have NEVER called me. Another doctor told them about everything and they have made no contact” I spat back.

“Are you sure, because the rabbit…Well, I don’t believe they wouldn’t offer any support”

Neither do I. It got worse.

“Now my wife had PND. TWICE. And I’ll tell you what I told her. You need to get out. You need to speak to other women in your situation, go to baby groups. Understand how others cope. Why don’t you do that?”

His poor, poor wife.

Again I went over how my anxiety has stopped me from attending so far, but that I know that it’s important and it is something I want to do.

“No one likes to sit with a miserable woman all day.”

My mouth opened and closed like a goldfish. This is the point where I wanted to leave, I just had to get out of the stuffy little room and away from his judgement. But I sat silently, needing him to tell me what this bloody rash was before I could leave.

“Women are liars.”

This is just getting better and better.

I choked on a reply that came out as a garbled ‘excuse me?!’

“Women are liars. They all are. I’m sorry but it’s true. You see someone in the street and say ‘oh how’s it going with the kids’ and they just say how marvellous it is.”

My mouth does some more mute open and closing.

There’s a marked difference between prolonged, severe depression and telling an acquaintance in the street that everything’s a-ok.

“I will go to baby groups as soon as I am able. I will” anything just to shut him up and give me a diagnosis.

“But what will you say when everyone there asks you why you have never been before?”

“Erm, the truth”

“Are you comfortable with the truth?”

“Well if for some reason I don’t want to share my personal problems then I will side step the question won’t I. All that matters is that I go, for me and for Beans”

“So say you say you’ve recently moved to the area, as an excuse, the normal question to follow is ‘where from?’, what will you say then?”

“Can you prescribe anything for my skin or…?”

“Yes, I’ll do that now. It’s just a common condition. Nothing at all. Life is the simple cause. You know you are on a very low dose of your meds anyway don’t you?”

I’m on the highest dose, but he persists that it is usually taken at more than three times that amount.

I somehow manage to move my shocked body off the chair and out into the relative sanity of the street outside, where every remark he made clumsily spills out of my mouth to my mum.

“I am not making this shit up, mum” I implore when she stares at me in shock.

The anger subsided and I remembered that I did actually still feel ill and that I am worried. I dug out the information leaflet that’s wedged between the blister packs of tablets that I no longer feel safe taking.

Four hours later, a conversation with NHSDirect, a mental health link worker and finally a duty care officer; I cannot tolerate the dose of medication that I have been given. It was increased too suddenly and has caused this reaction. I am being seen by the team tomorrow and am to go to A&E in the meantime if my temperature rises.

How hard does all of this have to be?

If

Yesterday’s phone call made me angry. But anger is good, I needed to feel angry. Without anger I wouldn’t have acted. Had that call come on a bad day it would have been catastrophic.

I could have so easily have been left with a feeling of real despair, and believe me it was bubbling under the surface and fighting to take over. They can’t help me. No advice, no plan for what to do next, nothing. They simply turned me away in a single breath.

Rather than crawling back into bed, hiding from the world and feeling alone with no one on my side I called my GP and made an emergency appointment for this morning.

‘IAPT won’t help me. I need help’ I told my doctor after over an hours wait in a crowded, sniffling waiting room. He didn’t understand. I had got to him before they had sent through the notes from our conversation. He deduced that it must be down to me scoring too highly.

There is a fine line, he said. They can’t help you if you score to low or if you score too highly. ‘I was just honest’ I said.

They didn’t tell me I am beyond help, or in fact offer any explanation at all as to why they have firmly crossed my name off their list.

‘I’m going to refer you to the mental health team’ my doctor said, typing quickly and not looking up. He told me that they’re the next step up from IAPT, that they will work more closely with me, that it’s anther route to help and that I should be assigned a key worker.

I filled in another two forms, marking myself out of ten all over again. I answered his questions, saying things out loud that cause a hot, sweet lump to form in the back of my throat. It makes them real. It makes me sad.

My medication has been increased again. Tapping away at the keys my doctor explained that as I have already been unresponsive to two other types of antidepressant this is my last chance. If these higher dose tablets do nothing for me then medication is ruled out.

He asked how the tablets make me feel, whether they make me drowsy like they should do. I’m to take these new ones at 7pm when I should feel spaced and not of this world until they kick in properly at around midnight and make me want to sleep. I will then have the hangover to contend with, in the same way that I do now.

Nothing wakes me, no alarm clock, no loud protests from Beans over the monitor. The husband has to psychically shake and shake me until I slowly come round. It’s true, he videoed me once, fast asleep and unresponsive to being used as a one year olds climbing frame, oblivious to shouts and music and voices.

The hangover from the new meds will be worse. It will last longer and possibly make it harder for me to come around once I am actually awake.

I’m resigned to feeling normal only for the few hours a day that the tablets allow, at least on a bad day I will only have to deal with a small chunk of reality. I am glad that I am being referred to someone else.

My doctor explains that I will need to go through another assessment with the new team before any plan of action is drawn up. It is possible that they could refuse to help me too.

The thing that is resonating though is how much everything that I have is balanced on a knife edge. Yesterday I was told that I was not ‘unwell enough’ to receive help. Everything could have come crashing down; it left me feeling so alone, so unheard and uncared for. So lost. Today I am told that I am ‘too unwell’. No one really knows because no one listens.

I don’t have much more fight left in me.

Effects and Escapes

Another night, another eight hours that only end in exhaustion and frustration.

I can never sleep. Every night I go to bed tired, every night I lay awake in the darkness while the rest of the house sleeps. There was a time when I didn’t mind my insomnia much and I would enjoy the quiet and the time to myself. I’ve always been a night person and there is something quite indulgent about being awake when everyone else is sleeping. But now nights are the worst time for me.

A few weeks ago, when I first switched to my new meds, I slept better than I’ve slept in years. They made me drowsy and I’d take one and wait expectantly for it to kick in. In just under an hour I would be blissfully soporific; I could feel every muscle relaxing, thoughts would stop flying through my mind, I would try to fight it to stay awake just a minute longer to enjoy the doped state that it left me in. After a week the effects started to wear off and I was struggling to sleep once more. Last week the doctor doubled my dose. Even though the tablets seemed effective initially any positive effects had worn off, the desperate weekend that I endured proved that much. The doctor assured me that a higher dose would make me feel the drowsiness once more so once again I snuggled under the covers and waited for it to wash over me. My only escape from myself. It never came.

Yesterday I read a post by Mammasaurus which lead me to this page, a new charity headed by Ruby Wax aiming to remove the stigma surrounding depression. Browsing the site I found a page giving information about all the antidepressants currently used to treat depression, and that’s where I found this:

“Make sure you start at 30mg a day, as this causes less drowsiness than 15mg a day. This usually wears off after a week or so.”

So it’s not a long term fix after all. The sleepy effects were always going to wear off and in fact the higher dose has a lesser effect anyway. Regardless, I needed the higher dose to help drag me back from the lows that I have experienced recently. But are they doing me more harm than good? Is it the same story all over again? Antidepressants always lead to such an internal battle.

The worst thing about not being able to sleep is how angry I get. I lie awake literally seething with anger. The higher dose seems to have shortened my temper and left me very on edge. My jaw is clenched, my muscles tight and my mind racing. I keep telling myself to bang my head against the wall to quieten it. I turn over. I get more wound up. My hair falls onto my face, I want to tear it out. I’m filled with an intense, irrational anger that no matter how hard I try I can’t calm.

The last few mornings I have woken up so wound up that I want to scream. I don’t know why I am so highly strung, waking up from a sleep, however brief, leaves me with no reason to feel so on edge. It’s a horrible way to wake up and a horrible way to start the day. Before my eyes have even opened I have to battle with boiling rage, exhaustion and despair. It’s little wonder that I don’t want to get out of bed in the mornings.

Right now it all just feels so unfair. Literally every way that I try to help myself backfires on me and I need a break. I try to make sure I have the chance of a good sleep – I go to bed at a decent time, I use breathing exercises to try to relax, nothing works. I try to find counselling, I call and call and nag and nag when my calls aren’t returned but I get nowhere. I try so hard to explain to the husband when he tells me he doesn’t understand but it’s hard.

It’s all so hard.

Two Huge Problems

From the moment that Boo was born, something wasn’t right. But it took me two months to work that out.

Depression is canny; it’s clever and wise and downright evil. It knows how to get you right where it wants you before you can even notice that anything’s wrong. This is huge problem number one: Depression is sneaky. It will sneak up on you. It will be weeks, months maybe, before you suddenly realise that even though you thought you were playing on the beach with everyone else, you are in fact stranded on a tiny island miles out at sea. Continue reading

Thank You Mystery New Doctor

Last week I was adamant that I wanted to come off my meds. I had had enough of all the side effects and I was feeling terrible. It really felt like my depression was the least of my worries, that my main thing to overcome each day was how physically terrible I felt.

I went to the doctors, armed with a speech that I had been mentally preparing for 48 hours. I was going to make him listen, I was determined that he would understand. Continue reading

Scary Thoughts And A Spinning Head

I am writing this post more as a memory of how I feel than anything else. My head is spinning so much that I know I will not manage to read it back to check for coherency. So just think of me as that annoying drunk person in the corner of the bar who wont shut up, it will probably help you get to the end.

On Wednesday night I realised something. Something that has since been playing on my mind. Continue reading

The Drugs Don’t Work

A woman walks into the doctors…

Doctor, doctor, I can’t function. I can’t eat, I’m not sleeping, my marriage is being affected. My friends and family don’t know what to do anymore. My husband can’t go to work because I can’t be left alone. Some days I find myself physically unable to move half an inch to get a glass of water never mind drag myself out of bed. My memory is terrible; if you asked me how I got here twenty minutes ago I couldn’t tell you. I’m numb to everything but everything hurts. There are many occasions during the day when I am unable to pick up my daughter let alone do anything for her. Every day is a struggle and I am exhausted. Things are getting worse – I sat looking at the sharp blade of my scissors for nearly an hour last night, remembering the release they used to offer me. Please help me. Please. Continue reading