The first days

The first days

When I had checked in at the hospital on Friday I was told my bed was needed for an emergency. I was given the choice to go home until Thursday or stay on another ward until then. I chose the latter. The medical exams are completed now, and we started changing the medication. Of course there are the usual side effects, a confused brain and going through every emotion and back. But I can deal with this, and I know it will pass. But I really hope I can change wards on Thursday and start treatment in earnest…signature-634593351.png

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It sucks… continued

It sucks… continued

Yesterday I went to the psychiatric institutional outpatient’s department again to talk them out of admitting me for my med cange. But the colleague of my psychiatrist also recommended a inpatient stay. Well, then this is how it should be handled, I think. On a positive note, they were able to offer me a quick admission date, so treatment will start on Friday.

I am thinking about one thing the doctor said: “You always wait so long before you do something!”

Well, that’s right. For the last weeks I have been watching my energy disappear, finding thousands of excuses instead of looking for help. Typical me.

I am still somehow shocked. At the same time I am preparing everything. I will follow your blogs as I can, we will see how often I will be able to post something. The first weekend I have to stay on the ward, after that I will go home from Saturday to Sunday at least.

It sucks

It sucks

This is my opinion on my last quaterly meeting with my psychiatrist.

During my last inpatient stay I started taking a tricyclic anti depressant.

First: Things could be better. I have difficulties going to sleep, have to take another medication for that and am tired in the morning. Second: I gained a lot of weight and am pre diabetic now. That has to stop.

My psychiatrist recommends another inpatient stay to switch anti depressants, she thinks that would be better. I wasn’t too happy about this. There are nicer places than a psychiatric ward.

The more I think about it, the less I like this idea. If I continue to feel bad about it, I will talk again to my doctor. In the past I often changed meds safely at home. On he other hand I feel like the psychiatrist puts my well-being first, and this is a good thing.

Therapy Options

Therapy Options

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The last few weeks were very difficult and dark, so I am thinking about other therapy options. Sometimes waiting until the bad times are over is the best thing to do, but when the soul does not stop hurting, other options has to be considered.

Right now, I have talk therapy (DBT) every two weeks. And I have occupational therapy sessions twice a week (single and group). Last not least: Medication – three psychotropic meds every day, and one as needed. But I don’t feel like: Hey, life is good. Feeling overwhelmed, withdrawing from the world and self-hatred are the rule. And my body acts up, too: The pain in my back is worse, and my unsteady gait causes more problems – I fell yesterday evening and today at noon.

Talk therapy will end in a few weeks, we maxed out the what is covered by the health insurance. We started in fall 2015, and I dare say not one of the appointments was wasted. My therapist is brilliant, the therapy really good. When I am still feeling awful it is not because the therapy is bad, it is because of my many, many issues. Maybe my pain doctor is right, she suspects there are some deep buried problems I am so afraid of that I didn’t get them out in the open yet.

So what can I do?

The local hospital offers inpatient and outpatient (day clinic) treatment. My last inpatient stay was October 2017, and somehow everything I learned in therapy was gone when I came home, and I promptly fell into the next hole. I haven’t tried outpatient therapy yet. This would mean I would be home every evening. It would also mean the double burden of handling intense therapy and chores for weeks.

Another inpatient therapy would mean another painful seperation from my pack. I am not sure if it would really help me after the last failure. It seems as if my mental illness became immune to the treatment plan of this hospital and laughs all of us in the face.

My pain doctor recommends an inpatient stay in a hospital specialised on psychosomatic symptoms. This hospital is located in Cologne, too far away for outpatient therapy in a day clinic, but near enough that I could go home for the weekends. What I don’t like about it (except for leaving my pack) is the long duration of this kind of treatment – eight to twelve weeks. And of course there is no guarantee it will work.

My general concern is if I am strong enough for a out/inpatient therapy. I know therapy requires a lot of work.

And there is this voice in my head, saying: “It’s too late, you are a lost cause!” Everybody tells me this voice is wrong, but it can be very convincing!

Sometimes it sucks to be me. One part of me is grown up and tells me to make up my mind (because there are waiting times), and then make the most of it, whatever I chose. The other part sits huddled in a corner, covers her ears with her hands, squeezes her eyes tightly shut and hopes for the storm to pass.

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Gloomy days

Gloomy days

These days where I just want to hide from the world…

My husband is feeling better, that’s a good thing. But I don’t know what to do with myself.

I have been taking the Milnacipran for three weeks now. The side effects have subsided, but my mood hasn’t lifted. I know you should give a new anti depressant at least six weeks. But I know from my past experience, if there isn’t any improvement in the first weeks, it will not get better in the long term.

I feel desperate. I didn’t expect a miracle to happen, I know that much. But a little zest for life, a spark I could light a fire with, that is what I would’ve needed.

The urge to make this frustration go away with self harm, even just for a short time, is really strong right now. For the moment it is kept at bay, because my husband is home all the time with me. But this will not always be the case.

On days like today, good times seem to be out of reach. Hopelessness paralyses me until I can’t move anymore.

The weather doesn’t help. It is cold and rainy, I am still cold from being outside earlier.

Figures that my hearing aid is broken and has to be sent away for repair. At least I have another one I can use.

Tomorrow morning I have my two-weekly appointment with my therapist. Maybe this will help.

War in my head

War in my head

My brain still struggles to adjust to the new medication. It is something I remember from the past, when I started taking new antidepressants.

Perception changes, things seem to be of a brighter colour, light is glistening. It makes me feel restless and irritable. This state of mind is difficult to describe. I am very sensitive regarding my senses, because they have to compensate for my bad hearing. That’s why any change frightens me. On a positive note, the anxiety attacks decrease.

Hopefully we reach the next level soon, which would be that I finally feel better. I try to go on with my everyday life as good as I can, so I went to the next city, as I always do on Saturday. Going on with life is something that always helped me through difficult times.

These small victories in my fight against the overwhelming adversary depression may be unimportant to bystanders, but it gives me the strength to continue my battle.

One week Milnacipran

One week Milnacipran

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I have been taking Milnacipran for a week now. First it was 50 mg in the morning, then 50 mg in the morning and in the evening since Wednesday.

If I had it my way, I would feel wonderful by now, but not a bit of it. I am very aware of the fact it is way too early to say if Milnacipran is working for me or not, but I am just very pissed and tense right now. I suffer from annoying side effects, especially dizzyness (which increases my unsteady gait) and anxiety attacks (of course the scary ones, that seem to come out of thin air – even though I take more anti-anxiety medication).

This makes life more difficult for me, I don’t trust myself to drive a car in this condition. I postponed appointments when possible, and I wasn’t very sad that occupational therapy had to be cancelled this week because so many therapists called in sick. But it annoys me that some things couldn’t be done, for instance my parents’ tax return.

 

I rely on my safety net right now, and I don’t like that feeling, although everybody is very understanding. It’s a good thing I have talk therapy and my monthly podiatrist appointment tomorrow morning, a little distraction will make me feel better.

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