6/12/18

I'm not sure how to start this post. I'm not even entirely sure what I want to say. So yeah, well, here goes . . .

I saw Dr. M yesterday in office for my med review. We do this about every 3 months. I go in, we discuss how I'm doing, review my meds, he renews my prescriptions if needed, and that's about it. Sometimes we talk about coffee or horses or work or all of the above (yesterday was coffee and work). But I had something else in mind I wanted to discuss. A couple of things, actually. Number one: my lithium. I've been having some swelling in my lower legs which my primary doc thinks is because of my lithium.Not that I'm toxic on it - my levels are normal - but swelling can be a side effect of lithium. And I saw my dermatologist yesterday morning for a skin scan and about my acne. She thinks my acne is because of my lithium. There's two strikes. Third strike? Lithium causes weight gain and weight retention and over the past 2 years I've gained 70 pounds. Seventy fucking pounds. I also have the increased thirst and urination as lithium side effects but those aren't as big. Anyway, I was inquiring as to possibly switching me from lithium because of all of this. You know, try a different mood stabilizer. Dr. M's response? "We have you stable on lithium. Why would I want to go and change that?" Which yes, that makes sense, I get it. But that doesn't mean I'm not disappointed.

I next asked him about getting a prescription for an "upper" like Nuvigil or Provigil for days I feel really crappy and down. And he said no. He thinks they'll just make me anxious. *hangs head in defeat*

Did you read my last blog post? I told Dr. M about how I've been feeling. About how when I'm not in a mood episode I feel empty and hollow. Like a shell of a person. Like I'm stuck in this mild depression where I have to fake that everything is okay. I'm putting on a mask. And he said he thinks that this is probably as good as it gets. We have my major mood episodes pretty much under control and that where I'm at right now . . . well . . . that's as good as it gets for me. That this is what stability looks like for me. Do you understand how horrible that is to hear? I'm still struggling and this is as good as it gets. I don't know what to do anymore. It makes me feel like, why try then? I can't get any better so why try? It reminds me of what a previous psychiatrist told me: "you'll always be depressed and suicidal so you better learn how to deal with it". Was she actually right? I stopped seeing her because of that comment and now it appears there was some truth to it. How fucking horrible. So what am I supposed to do with this? I already struggle with finding purpose in life and now my hope has basically been ripped out from under me.

Lost. That's where I'm at right now. And I don't like it.