So.
Here we are again. We can't keep meeting up like this. People will talk.
Or not. Probably not. There's not much to talk about.
I had a hard time falling asleep last night. I couldn't shut off my brain. So many thoughts swirling around in my head and I couldn't keep up. I had some of what I thought were good ideas but they escaped me as soon as they came. I wish I had gotten up and written them down. Maybe I should keep a notebook next to my bed. . .
Anyway, it's no secret that I've been struggling. This hole, this emptiness that been with me since I was a little girl, is growing. And nothing seems to fill it - not even my hubby or son. Which pains me so much. They are my everything and they should be enough but that damn hole lingers. I don't know what to do. Nothing helps. Buying stuff? Pffft, no. Spending time with my family? Well, I guess it does help but not nearly enough. I've been praying, doing daily Bible readings, and started reading the Bible . . . nope. Nothing.
Actually, reading the Bible kind of angers me. Why? Because I don't understand it. It makes no sense to me. And I don't get anything out of it. I'll read what's supposed to be a meaningful passage and it's nothing to me. I don't get filled with the holy spirit or whatever. I'm not moved. It doesn't help. I wish it did. I wish I was one of those people with faith who find meaning in life. I find no meaning in life.
I find no meaning in life.
I don't know how to. I look for joy in the small things and, sometimes when the darkness isn't so all encompassing, I find it. Briefly. But it never sustains me. I yearn for more but I rarely find it. I'm stuck in this cycle, this cycle of hating life and everything in it, punctuated by rare glimpses of how life could be. I know how life could be. Last year I was stable and happy for 5 months before everything came crashing down again.
I'm on my 4th month now being depressed again and I fucking hate it. I hate every fucking thing about it. It's not fair. But Cami, life isn't fair. You know what? Fuck you. That's all I have to say about that (to quote Forrest Gump). If God has some sort of master plan for me he better reveal something about it soon because this is tiresome. Dreadfully tiresome.
So yeah. I'm trying to better myself. And I'm failing. I'm trying to fight my depression and I'm failing. I'm trying to fill my hole and I'm failing. Yes, I know I have a very negative viewpoint. I'm trying to be positive, I really am. You just can't tell by this blog post. I'm venting. I'm allowed to do that, to vent. And I'm probably failing at that too.
Showing posts with label hopeless. Show all posts
Showing posts with label hopeless. Show all posts
Saturday, June 13, 2020
Wednesday, June 10, 2020
Wednesday 6/10/20 Psychiatrist Visit
I saw my psychiatrist, Dr. M, yesterday for my routine 3 month check in. I typically see him every 3 months for a med review, symptom review, and med refill. Invariably he also mentions, briefly, ECT. This takes up the first 10 minutes of the appointment. The second 10 minutes is spent chatting about my job (nursery nurse) and life in general. My scripts are sent and I make an appoint for 3 months to do it all over again. Last year we were also discussing TMS as I was going through it. But this is pretty much how things go.
Not yesterday though. If you've been keeping up with my blog then you know that I've been pretty darn depressed again and wanting a change (not ECT). I think I need a med change. While the med combo I'm on has kept me the most stable, it's falling short with my depression. I had some ideas of what we could do, but I wanted to hear what Dr. M had to say before I offered up suggestions. He is, after all, the MD.
I think he could tell something was wrong when I walked in. Just something about my aura maybe . . . or my resting bitch face and over sized hoodie in June. He asked how I was doing. Not good. He looked at me a moment, leaned back in his chair and asked what was up. I told him about how my depression is getting progressively worse, how I feel so empty and dead inside. How I've been doing maintenance TMS and how it's not really helping. My lip trembled. I need something different. He folded his hands in his lap and - of course - asked if I had given any thought to trying ECT again. I told him yes I had but because of the memory issues I already have, I'm worried about them getting worse and me not being able to do my job. He nodded and said he'd review my meds and history.
I sat forward in my chair, wringing my hands with anxiety. See, I came here knowing that I would be firing Dr. M. I've tried getting a med change with him before and met with resistance. He always only offers ECT. And I don't want ECT. That would be an absolute last resort. An I-know-I-will-kill-myself-if-I-don't type of thing.
He looked over at me, his glasses hanging precariously off the end of his nose. "Cami, you've been on almost everything. All of the powerhouses we use for bipolar . . . you've been on them. And then some." He leaned back. "One med I don't see that you've been on is Wellbutrin. It's an antidepressant that works differently than the Prestiq you're currently on. We could try adding that to your current regimen and see if that helps bring you up."
I thought a minute and slowly nodded my head.
"It's our best bet without doing a complete upheaval of you regimen. I'd prefer not to do that as you've been the most stable on it."
I nodded again. "Okay. I'll try it." I was surprised really. I wasn't expecting him to offer up a medication for me to try. I was a little dumbfounded.
Dr. M discussed how the titration up would go and that I would need to see him again in a month for a follow up to see how I was doing on it. I nodded and thanked him. We still had time to talk about delivering babies, which grosses him out, but I think secretly fascinates him.
I guess I don't have to fire him yet after all.
In other news, last night I took my first Wellbutrin, 150mg. I take 150mg nightly for 10 days and then go up to 300mg nightly. This morning I felt groggy (drowsiness is a side effect) and I've been sluggish all day. I'm hoping after my body gets used to it this will go away. We'll see.
Not yesterday though. If you've been keeping up with my blog then you know that I've been pretty darn depressed again and wanting a change (not ECT). I think I need a med change. While the med combo I'm on has kept me the most stable, it's falling short with my depression. I had some ideas of what we could do, but I wanted to hear what Dr. M had to say before I offered up suggestions. He is, after all, the MD.
I think he could tell something was wrong when I walked in. Just something about my aura maybe . . . or my resting bitch face and over sized hoodie in June. He asked how I was doing. Not good. He looked at me a moment, leaned back in his chair and asked what was up. I told him about how my depression is getting progressively worse, how I feel so empty and dead inside. How I've been doing maintenance TMS and how it's not really helping. My lip trembled. I need something different. He folded his hands in his lap and - of course - asked if I had given any thought to trying ECT again. I told him yes I had but because of the memory issues I already have, I'm worried about them getting worse and me not being able to do my job. He nodded and said he'd review my meds and history.
I sat forward in my chair, wringing my hands with anxiety. See, I came here knowing that I would be firing Dr. M. I've tried getting a med change with him before and met with resistance. He always only offers ECT. And I don't want ECT. That would be an absolute last resort. An I-know-I-will-kill-myself-if-I-don't type of thing.
He looked over at me, his glasses hanging precariously off the end of his nose. "Cami, you've been on almost everything. All of the powerhouses we use for bipolar . . . you've been on them. And then some." He leaned back. "One med I don't see that you've been on is Wellbutrin. It's an antidepressant that works differently than the Prestiq you're currently on. We could try adding that to your current regimen and see if that helps bring you up."
I thought a minute and slowly nodded my head.
"It's our best bet without doing a complete upheaval of you regimen. I'd prefer not to do that as you've been the most stable on it."
I nodded again. "Okay. I'll try it." I was surprised really. I wasn't expecting him to offer up a medication for me to try. I was a little dumbfounded.
Dr. M discussed how the titration up would go and that I would need to see him again in a month for a follow up to see how I was doing on it. I nodded and thanked him. We still had time to talk about delivering babies, which grosses him out, but I think secretly fascinates him.
I guess I don't have to fire him yet after all.
In other news, last night I took my first Wellbutrin, 150mg. I take 150mg nightly for 10 days and then go up to 300mg nightly. This morning I felt groggy (drowsiness is a side effect) and I've been sluggish all day. I'm hoping after my body gets used to it this will go away. We'll see.
Tuesday, May 19, 2020
Tuesday 5/19/20 Um, yeah
It's been almost a week since my last post and I'm glad to say I'm not doing as bad as I was then. I was in a very bad state last Wednesday. I mean, I begged my hubby to get me a box cutter so I could cut myself (he said no, of course). But I was scary bad.
Now, don't get me wrong, I'm not doing great. I'm still feeling empty and down and numb and hopeless and pointless. I'm back to being almost emotionless. I start to feel like I'm going to cry and there's nothing behind it - no emotion - so I can't. I can't cry now because there's nothing there. I smile and laugh and joke but there's nothing there. It's all faked. The only true emotion I'm feeling is anger. That emotion isn't faked. It's there, burning hot. Anger over little things, big things, no things . . . It's the only thing I can genuinely feel.
And I hate it.
I hate only feeling anger. I look at my hubby and son and I should feel warmth and love and contentment. I feel nothing. I love them more than life itself and I feel nothing. You have no idea how much this sucks. How much it hurts. How much it fuels my anger. I don't need more help fueling my anger.
*exasperated sigh*
I had TMS again yesterday, making that two times this month. I'm praying so hard that it helps. I need it to help. Because I can't keep doing what I'm doing. It's no way to live. Honestly, I'm not living - I'm surviving. Living day to day because more than a single day is too much to bear, looking for little shreds of hope to hold onto to get me by.
I don't want to continue to do this.
Now, don't get me wrong, I'm not doing great. I'm still feeling empty and down and numb and hopeless and pointless. I'm back to being almost emotionless. I start to feel like I'm going to cry and there's nothing behind it - no emotion - so I can't. I can't cry now because there's nothing there. I smile and laugh and joke but there's nothing there. It's all faked. The only true emotion I'm feeling is anger. That emotion isn't faked. It's there, burning hot. Anger over little things, big things, no things . . . It's the only thing I can genuinely feel.
And I hate it.
I hate only feeling anger. I look at my hubby and son and I should feel warmth and love and contentment. I feel nothing. I love them more than life itself and I feel nothing. You have no idea how much this sucks. How much it hurts. How much it fuels my anger. I don't need more help fueling my anger.
*exasperated sigh*
I had TMS again yesterday, making that two times this month. I'm praying so hard that it helps. I need it to help. Because I can't keep doing what I'm doing. It's no way to live. Honestly, I'm not living - I'm surviving. Living day to day because more than a single day is too much to bear, looking for little shreds of hope to hold onto to get me by.
I don't want to continue to do this.
Monday, April 20, 2020
Monday 4/20/20 Therapy
I just finished therapy via telemedicine (we're still in quarantine due to corona virus). This was a tough one. I started by showing M my latest vent drawing and reading him my last blog post. Reading that blog post was actually difficult and I started to tear up.
And it left M speechless.
He stared at me, a very somber look on his face, and asked if I needed to go to the hospital. No, no I do not. Are you sure, he asked. Yes, I'm sure. Even just for respite? I told him I would rather be with my hubby and son. He nodded and said okay.
I told him about how empty I've been feeling, how devoid of feeling, how bad. I started crying. I didn't think I would, but I did. I didn't lose it, I didn't sob. Just sort of silently cried. Just for a moment or two. It felt good and it felt awful. Necessary.
We talked at length about my lack of emotion and ways to counteract it. We picked objects and ascribed feeling and meaning to them, hoping that by doing this I would feel something too. We started with the wedding photos and family photos in my bedroom. Photos that should mean something to me. Right now, however, I get no feeling from them. I can identify feelings I should have . . . but I don't feel them.
We did this with several more objects, assigning feelings and meaning to them, and each time I couldn't actually feel what I was "supposed" to. So my homework is to do this daily throughout the week so that maybe, hopefully, I'll start to feel.
Being empty, not feeling, is horrible. And difficult. It's hard to interact with people when you aren't sure what you should be feeling. Luckily for me I've been doing this my whole life. Hiding my depression behind a well crafted facade. Now I hide my lack of feeling. It's not easy, but I can do it.
I work Thursday and Saturday this week, both days in trans. I'm wondering how I'll do. When I get overwhelmed my anger and anxiety has been surfacing. I'm hoping for calm days. Easy days. Days where I don't have to wear my mask so much. Because wearing a mask, keeping up my facade, is tiring.
And I'm already tired.
And it left M speechless.
He stared at me, a very somber look on his face, and asked if I needed to go to the hospital. No, no I do not. Are you sure, he asked. Yes, I'm sure. Even just for respite? I told him I would rather be with my hubby and son. He nodded and said okay.
I told him about how empty I've been feeling, how devoid of feeling, how bad. I started crying. I didn't think I would, but I did. I didn't lose it, I didn't sob. Just sort of silently cried. Just for a moment or two. It felt good and it felt awful. Necessary.
We talked at length about my lack of emotion and ways to counteract it. We picked objects and ascribed feeling and meaning to them, hoping that by doing this I would feel something too. We started with the wedding photos and family photos in my bedroom. Photos that should mean something to me. Right now, however, I get no feeling from them. I can identify feelings I should have . . . but I don't feel them.
We did this with several more objects, assigning feelings and meaning to them, and each time I couldn't actually feel what I was "supposed" to. So my homework is to do this daily throughout the week so that maybe, hopefully, I'll start to feel.
Being empty, not feeling, is horrible. And difficult. It's hard to interact with people when you aren't sure what you should be feeling. Luckily for me I've been doing this my whole life. Hiding my depression behind a well crafted facade. Now I hide my lack of feeling. It's not easy, but I can do it.
I work Thursday and Saturday this week, both days in trans. I'm wondering how I'll do. When I get overwhelmed my anger and anxiety has been surfacing. I'm hoping for calm days. Easy days. Days where I don't have to wear my mask so much. Because wearing a mask, keeping up my facade, is tiring.
And I'm already tired.
Monday, April 6, 2020
Monday 4/6/20
I just finished my tele therapy session with M. Tele therapy, you ask? Face time on the computer basically. So yes, I just finished my session. Therapy is always helpful - seriously, always - but sometimes I don't quite say everything I mean to.
Like today.
See, I don't want to sound like a broken record. I don't want to sound stupid or naive. I don't want to be judged (although I know M would never judge me). And sometimes, sometimes I'm too scared to put myself out there.
I think all of these things were holding me back today. I couldn't speak up, I couldn't say what was truly on my mind.
And what was on my mind?
My depression. My depression was on my mind. I'm not "fully" depressed. I'm not suicidal. I'm functional. I can smile. I can even laugh. But I'm dead inside. I'm so empty. I'm hollow - there's nothing there. In a world full of color, everything is grey for me.
I feel as though everything is pointless. Everything is stupid - why do any of it?
I feel flat. I'm not feeling real emotions. I'm faking them for the sake of others. I can smile, though I'm not quick to do so. I can laugh, though it's mostly a facade. I can get angry, though it's short lived (that's a good thing I guess). My emotions are muted. It's as if they aren't even there. Even when I feel worse than empty I can't cry. There's not enough emotion behind it.
I feel trapped by this. I want to feel. I want my emotions. And I don't know how to get out of this. I don't know what to do.
I have TMS this Wednesday, the 8th. I'm hoping this helps. I had spoken to my psychiatrist a couple weeks ago and he had nothing to offer med wise. He brought up trying ECT again which I won't do. Especially when I have TMS as an option.
I've been so non-feeling that I've had the urge to cut again. Because if I'm feeling pain, at least it's something. I hate this about myself. I thought I was over this.
But this grey . . . it's unrelenting. It's all encompassing. And it's a pain in the ass. Truly.
Like today.
See, I don't want to sound like a broken record. I don't want to sound stupid or naive. I don't want to be judged (although I know M would never judge me). And sometimes, sometimes I'm too scared to put myself out there.
I think all of these things were holding me back today. I couldn't speak up, I couldn't say what was truly on my mind.
And what was on my mind?
My depression. My depression was on my mind. I'm not "fully" depressed. I'm not suicidal. I'm functional. I can smile. I can even laugh. But I'm dead inside. I'm so empty. I'm hollow - there's nothing there. In a world full of color, everything is grey for me.
I feel as though everything is pointless. Everything is stupid - why do any of it?
I feel flat. I'm not feeling real emotions. I'm faking them for the sake of others. I can smile, though I'm not quick to do so. I can laugh, though it's mostly a facade. I can get angry, though it's short lived (that's a good thing I guess). My emotions are muted. It's as if they aren't even there. Even when I feel worse than empty I can't cry. There's not enough emotion behind it.
I feel trapped by this. I want to feel. I want my emotions. And I don't know how to get out of this. I don't know what to do.
I have TMS this Wednesday, the 8th. I'm hoping this helps. I had spoken to my psychiatrist a couple weeks ago and he had nothing to offer med wise. He brought up trying ECT again which I won't do. Especially when I have TMS as an option.
I've been so non-feeling that I've had the urge to cut again. Because if I'm feeling pain, at least it's something. I hate this about myself. I thought I was over this.
But this grey . . . it's unrelenting. It's all encompassing. And it's a pain in the ass. Truly.
Monday, March 23, 2020
Monday 3/23/20
It's been a week since my last post. Things have changed. My son's school is closed at least until April 17th, but probably for the rest of the school year. The "dine-in" portion of all restaurants are closed - you can only get take out. Gyms, movie theaters, bars, tattoo parlors, hair salons, spas . . . all closed. Our governor is call for a 50% reduction in workforce of all "non-essential" personnel. Everyone is to stay inside, social distancing they call it.
I, being a nurse, am "essential". And I have been working more. I picked up an extra shift this week (tomorrow) and am on call today in addition to my regular shifts. Next week, so far, I've picked up an extra call shift. We've been busy. Lots of people having babies for some reason. We haven't had a coronavirus patient on my floor yet (that I'm aware of), but I know we do on the med/surg floor and ICU. I'm thankful that I work where I work and I'm hoping we don't see too many pregnant ladies with covid-19. I'm also hoping we don't get pulled to work other floors. To be perfectly honest, I wouldn't know what I'm doing. This is one of my biggest fears right now. I pray it doesn't come to fruition.
Depression and anxiety are running rampant through me right now. I'm fighting, struggling, to keep them both at bay. All I can do right now is suppress them, which I know is not good. They're both bubbling up, right under the surface. I'm supposed to have therapy on Thursday, but I'm not sure if it will be happening. I haven't heard anything from M yet as to it being cancelled, but the week is still young. For his safety and for mine he very well may cancel. I'm hoping not. I could really use it right now. And, if I'm being honest, I'm very pissed that I can't go get a haircut right now. I have a pixie cut and I could really use a trim. I'm going to look awful when they can potentially open up at the end of April. First world problems, I know. But little things like a fresh haircut keep me going. I need little things right now to keep me going.
Oh well. I have a feeling all of this is going to get much worse before it gets better.
I, being a nurse, am "essential". And I have been working more. I picked up an extra shift this week (tomorrow) and am on call today in addition to my regular shifts. Next week, so far, I've picked up an extra call shift. We've been busy. Lots of people having babies for some reason. We haven't had a coronavirus patient on my floor yet (that I'm aware of), but I know we do on the med/surg floor and ICU. I'm thankful that I work where I work and I'm hoping we don't see too many pregnant ladies with covid-19. I'm also hoping we don't get pulled to work other floors. To be perfectly honest, I wouldn't know what I'm doing. This is one of my biggest fears right now. I pray it doesn't come to fruition.
Depression and anxiety are running rampant through me right now. I'm fighting, struggling, to keep them both at bay. All I can do right now is suppress them, which I know is not good. They're both bubbling up, right under the surface. I'm supposed to have therapy on Thursday, but I'm not sure if it will be happening. I haven't heard anything from M yet as to it being cancelled, but the week is still young. For his safety and for mine he very well may cancel. I'm hoping not. I could really use it right now. And, if I'm being honest, I'm very pissed that I can't go get a haircut right now. I have a pixie cut and I could really use a trim. I'm going to look awful when they can potentially open up at the end of April. First world problems, I know. But little things like a fresh haircut keep me going. I need little things right now to keep me going.
Oh well. I have a feeling all of this is going to get much worse before it gets better.
Monday, March 16, 2020
Monday 3/16/20
Wow. A lot can change in 3 short days. Unless you're living under a rock you know about covid-19 sweeping the world. When last I wrote, 3 short days ago, I was very nonchalant about covid-19. But I'm not nonchalant anymore. My son's school is closed at least through the end of March, possibly longer. Hell, all the schools are closed. Grocery stores are bare, people are fighting over toilet paper. It's other worldly. It's hard to believe.
But I went grocery shopping yesterday for a few staples . . . three stores before I could find a loaf of bread. A loaf of fucking bread. The shelves are literally bare. Everyone is panic buying and hoarding. I was in a state of disbelief.
We all know this, we've all seen this happening in our own towns. So why am I mentioning it? Because any good my TMS session did for me is being completely undone. Undone by stress and fear and anxiety. Yesterday and today I'm having a hard time coping and functioning. My anxiety is rearing its ugly head after it being absent for so long. This underlying current is constantly there, almost making me sick to my stomach. You know that butterflies in your stomach feeling? Imagine having it all the time. Imagine a tremor in your hands, jaw clenched, sense of dread or impending doom all the time. I can't control it. It's just there. It's not obvious to anyone else (at least I don't think so). I'm working so hard to hide it and that is exhausting me.
And what comes with anxiety for me? What goes hand in hand? Depression. Depression does. And I've been feeling it again. After starting to feel okay again last week, depression is sneaking back in. It's insidious. It's taking advantage of my current situation.
And you guys, I can't do this. There's no end in sight. I can't keep feeling like this. I can't. I'm trying so hard. But I have so many fears swirling in my fucked up head right now. Like, I mean, I'm a nurse. What if we start seeing covid-19 cases in my hospital and I have to float to other floors to help out? I won't know what the hell I'm doing! I take care of well newborns and their mothers! Not sick people. And what if we don't have supplies? My hospital is already rationing masks. What if someone in my family gets sick? What if I get sick? What if we run out of food? What if shipments stop coming? What if I can't get my meds? What if I can't get gas? What if we actually run out of toilet paper?
All these thoughts and more are circling my head constantly. I'm having a hard time concentrating. On anything. I want to read, distract myself, get lost in a story . . . and I just can't. I can't concentrate. My brain won't shut up. The only relief I get is from napping. Only then does it shut up.
But I'm trying not to do that. Sleeping all the time isn't healthy and only reinforces the depression aspect of this. WTF. Seriously.
I need this to stop. I need things to go back the way they were before. God help me.
But I went grocery shopping yesterday for a few staples . . . three stores before I could find a loaf of bread. A loaf of fucking bread. The shelves are literally bare. Everyone is panic buying and hoarding. I was in a state of disbelief.
We all know this, we've all seen this happening in our own towns. So why am I mentioning it? Because any good my TMS session did for me is being completely undone. Undone by stress and fear and anxiety. Yesterday and today I'm having a hard time coping and functioning. My anxiety is rearing its ugly head after it being absent for so long. This underlying current is constantly there, almost making me sick to my stomach. You know that butterflies in your stomach feeling? Imagine having it all the time. Imagine a tremor in your hands, jaw clenched, sense of dread or impending doom all the time. I can't control it. It's just there. It's not obvious to anyone else (at least I don't think so). I'm working so hard to hide it and that is exhausting me.
And what comes with anxiety for me? What goes hand in hand? Depression. Depression does. And I've been feeling it again. After starting to feel okay again last week, depression is sneaking back in. It's insidious. It's taking advantage of my current situation.
And you guys, I can't do this. There's no end in sight. I can't keep feeling like this. I can't. I'm trying so hard. But I have so many fears swirling in my fucked up head right now. Like, I mean, I'm a nurse. What if we start seeing covid-19 cases in my hospital and I have to float to other floors to help out? I won't know what the hell I'm doing! I take care of well newborns and their mothers! Not sick people. And what if we don't have supplies? My hospital is already rationing masks. What if someone in my family gets sick? What if I get sick? What if we run out of food? What if shipments stop coming? What if I can't get my meds? What if I can't get gas? What if we actually run out of toilet paper?
All these thoughts and more are circling my head constantly. I'm having a hard time concentrating. On anything. I want to read, distract myself, get lost in a story . . . and I just can't. I can't concentrate. My brain won't shut up. The only relief I get is from napping. Only then does it shut up.
But I'm trying not to do that. Sleeping all the time isn't healthy and only reinforces the depression aspect of this. WTF. Seriously.
I need this to stop. I need things to go back the way they were before. God help me.
Friday, February 28, 2020
Friday 2/28/20
Would you look at that: February is almost over. Crazy. It went by quick. But slow as well. How can that be? I don't know.
I'm sitting on the couch with this ridiculously strong urge to write. I feel like I need to. I have to. I'm feeling pretty low today. Empty. Drained. Worthless. And many other negative words. I don't even know what I want to write about, except for how I'm feeling.
So I had therapy yesterday. M and I talked about my worsening depression and my growing dissatisfaction with work (that's a whole other blog post in itself - lots of crap going on with work). We had a good discussion but I feel like he was almost blowing it off a bit - my depression I mean. Now, I guess not really blowing it off per se, but I don't know, maybe not addressing it as much as I would like because I'm not suicidal. I don't know. I think I have a tainted view of what was really said.
What stands though is that my depression seems to be getting progressively worse. I've had several days where I didn't/couldn't get out of bed. I got up to go to the bathroom and that's it. It's not a good place to be. I feel so empty and vacant and unfulfilled. So downtrodden and worthless and useless. So much a burden on everyone I love.
Great. Now I'm crying.
It's just, after having 5 months of stability this is hitting me hard. Harder than I thought it would. Because people, I don't want to exist. I don't necessarily want to die, but I don't want to exist. And that's a harsh reality to be faced with again.
I keep thinking it will go away on its own, that I will miraculously get better. But that doesn't appear to be happening. I see my psychiatrist the second week of March and I want to see what he says. I doubt there's a med change we can make. I flat out will NOT do ECT again. Which leaves trying TMS maintenance, which we can't afford. So yeah.
I've been lying to people about how I'm doing. Mostly to coworkers. I don't want to be judged, I don't want to let people down, I don't want to have to explain. So I lie. Which pulls support away from me, so this maybe isn't the best solution. But it's what I'm doing. Lie, hide, cocoon away from everyone. Some people have noticed. Some people have asked me how I'm doing, really. Smile, I'm fine, really, just tired. I'm not sleeping well, really, I'm okay.
So yeah. This is where I'm at now. Getting progressively worse, lying about it, and not actively seeking help. Of course, that's the thing with depression - it's hard to actively get help. But I'll get there. I'm fine. Really.
I'm sitting on the couch with this ridiculously strong urge to write. I feel like I need to. I have to. I'm feeling pretty low today. Empty. Drained. Worthless. And many other negative words. I don't even know what I want to write about, except for how I'm feeling.
So I had therapy yesterday. M and I talked about my worsening depression and my growing dissatisfaction with work (that's a whole other blog post in itself - lots of crap going on with work). We had a good discussion but I feel like he was almost blowing it off a bit - my depression I mean. Now, I guess not really blowing it off per se, but I don't know, maybe not addressing it as much as I would like because I'm not suicidal. I don't know. I think I have a tainted view of what was really said.
What stands though is that my depression seems to be getting progressively worse. I've had several days where I didn't/couldn't get out of bed. I got up to go to the bathroom and that's it. It's not a good place to be. I feel so empty and vacant and unfulfilled. So downtrodden and worthless and useless. So much a burden on everyone I love.
Great. Now I'm crying.
It's just, after having 5 months of stability this is hitting me hard. Harder than I thought it would. Because people, I don't want to exist. I don't necessarily want to die, but I don't want to exist. And that's a harsh reality to be faced with again.
I keep thinking it will go away on its own, that I will miraculously get better. But that doesn't appear to be happening. I see my psychiatrist the second week of March and I want to see what he says. I doubt there's a med change we can make. I flat out will NOT do ECT again. Which leaves trying TMS maintenance, which we can't afford. So yeah.
I've been lying to people about how I'm doing. Mostly to coworkers. I don't want to be judged, I don't want to let people down, I don't want to have to explain. So I lie. Which pulls support away from me, so this maybe isn't the best solution. But it's what I'm doing. Lie, hide, cocoon away from everyone. Some people have noticed. Some people have asked me how I'm doing, really. Smile, I'm fine, really, just tired. I'm not sleeping well, really, I'm okay.
So yeah. This is where I'm at now. Getting progressively worse, lying about it, and not actively seeking help. Of course, that's the thing with depression - it's hard to actively get help. But I'll get there. I'm fine. Really.
Friday, February 7, 2020
Friday 2/7/2020
Hey there, I'm back. It's been a bit. It's cold and snowy here in Colorado. In fact, it's snowing right now. An unofficial snow day (my son stayed home from school - we're both sick). Well, let's get to it.
I went back to work this week after having 3.5 weeks off for my surgery. I worked Monday and yesterday. Monday was hell - we delivered 9 babies. Not the welcome back I was hoping for (I was hoping for a nice leisurely day *laughs*). I was exhausted and cranky by the end of the day. Thursday I floated to NICU, which I hate doing. I don't work in the NICU because I don't like it, so why would I want to float there?? Second day back and I can't even work on my own unit. I was, again, rather cranky.
Why am I telling you this? Well, because work has become an increasingly larger and larger problem for me. See, I'm burnt out. I was incredibly burnt out before my surgery. I thought having 3 and a half weeks off would help the situation. I thought I would go back refreshed.
That's not what happened.
I went back to work bitter and angry and tired. I went back to work and learned there were more changes made that are out of my control. I went back to work and I struggled. I struggled to keep my head above water. I struggled to keep up. I struggled to care. I'm a nurse - I'm supposed to care. I didn't.
I don't know what to make of this, honestly. I feel like I need to get away. From everything. From adulting. Maybe that would help. Maybe I need a change. I don't know. I just know I'm not happy.
My black cloud is my ever close companion right now. I'm not enveloped - my cloud is on the sidelines, inching closer every day. I still feel the effects though. I thought, maybe this is why I'm hating my job. Maybe this is why I feel overwhelmed. But alas, I was feeling these things before my black cloud came back. The cloud certainly makes it worse, but it's not the cause.
I don't know what to do. I don't know who to talk to. Hubby? Obviously. Therapist? Of course. But who else? I work with my 2 closest friends (can't talk to other coworkers because of gossip). I can talk to my 2 friends but I don't think they'll get the depth of what I'm feeling. I'm not even sure I do.
I feel incredibly lost.
I went back to work this week after having 3.5 weeks off for my surgery. I worked Monday and yesterday. Monday was hell - we delivered 9 babies. Not the welcome back I was hoping for (I was hoping for a nice leisurely day *laughs*). I was exhausted and cranky by the end of the day. Thursday I floated to NICU, which I hate doing. I don't work in the NICU because I don't like it, so why would I want to float there?? Second day back and I can't even work on my own unit. I was, again, rather cranky.
Why am I telling you this? Well, because work has become an increasingly larger and larger problem for me. See, I'm burnt out. I was incredibly burnt out before my surgery. I thought having 3 and a half weeks off would help the situation. I thought I would go back refreshed.
That's not what happened.
I went back to work bitter and angry and tired. I went back to work and learned there were more changes made that are out of my control. I went back to work and I struggled. I struggled to keep my head above water. I struggled to keep up. I struggled to care. I'm a nurse - I'm supposed to care. I didn't.
I don't know what to make of this, honestly. I feel like I need to get away. From everything. From adulting. Maybe that would help. Maybe I need a change. I don't know. I just know I'm not happy.
My black cloud is my ever close companion right now. I'm not enveloped - my cloud is on the sidelines, inching closer every day. I still feel the effects though. I thought, maybe this is why I'm hating my job. Maybe this is why I feel overwhelmed. But alas, I was feeling these things before my black cloud came back. The cloud certainly makes it worse, but it's not the cause.
I don't know what to do. I don't know who to talk to. Hubby? Obviously. Therapist? Of course. But who else? I work with my 2 closest friends (can't talk to other coworkers because of gossip). I can talk to my 2 friends but I don't think they'll get the depth of what I'm feeling. I'm not even sure I do.
I feel incredibly lost.
Wednesday, September 4, 2019
Wednesday 9/4/19
I look over my shoulder and there it is: the black cloud. The same cloud that's followed me my whole life is back and it's getting closer. I try to run from it to no avail - the cloud easily keeps up. It's not raining - not yet - but the rain is inevitable. It always comes, no matter how little sun I've had.
This is how I'm feeling right now. I'm almost finished with my TMS treatment. I have 3 more regular sessions to go before I start my taper (3 weeks of 2 treatments per week). And then that's it. I'll be done. And I have to say I've done quite well with it. My depression scale scores have dropped dramatically, I've been feeling better, smiling, laughing, talking, interacting. That existential dread that I used to feel in the mornings is gone. I don't want to die. I don't want to die.
So what's the problem then?
It's that black cloud. It's back. It's not hovering over me quite yet, but it's there. I can feel it. That little tickle on the back of my neck . . . it's there. Little nuances I'm picking up on. Negative thinking, feeling empty, questioning my existence. That damn cloud is moving ever closer.
I'm working hard to keep it at bay. Countering my negative thoughts, filling my days with things I enjoy . . . I read a book called The Depression Cure by Stephen S Ilardi and I'm following his program to combat depression (I recommend reading the book - it's very interesting and makes a lot of sense). I'm keeping up with therapy and follow up appointments, going to my TMS classes, eating healthier and exercising more. What more can I do? No really - what more?
That black cloud keeps moving closer and the rain is inevitable. So why run? What good will it do? If the rain is going to come . . . well, it's going to come.
Perhaps this time I should learn to dance in it.
This is how I'm feeling right now. I'm almost finished with my TMS treatment. I have 3 more regular sessions to go before I start my taper (3 weeks of 2 treatments per week). And then that's it. I'll be done. And I have to say I've done quite well with it. My depression scale scores have dropped dramatically, I've been feeling better, smiling, laughing, talking, interacting. That existential dread that I used to feel in the mornings is gone. I don't want to die. I don't want to die.
So what's the problem then?
It's that black cloud. It's back. It's not hovering over me quite yet, but it's there. I can feel it. That little tickle on the back of my neck . . . it's there. Little nuances I'm picking up on. Negative thinking, feeling empty, questioning my existence. That damn cloud is moving ever closer.
I'm working hard to keep it at bay. Countering my negative thoughts, filling my days with things I enjoy . . . I read a book called The Depression Cure by Stephen S Ilardi and I'm following his program to combat depression (I recommend reading the book - it's very interesting and makes a lot of sense). I'm keeping up with therapy and follow up appointments, going to my TMS classes, eating healthier and exercising more. What more can I do? No really - what more?
That black cloud keeps moving closer and the rain is inevitable. So why run? What good will it do? If the rain is going to come . . . well, it's going to come.
Perhaps this time I should learn to dance in it.
Monday, July 8, 2019
Monday 7/8/19
I was supposed to have therapy today. At noon. But my therapist forgot, somehow, and I didn't get to have my session. I sat in the waiting room with no receptionist, classical music blaring, until 12:36 - the time that I called my therapist, M, and left him a message that I had been there, apparently there was a miscommunication of sorts, and that I was leaving. I asked him to call me back so we could reschedule.
And I left.
And I didn't realize how much I needed therapy today until I didn't have it. I didn't realize how much I was struggling and needed to talk until I left M's office in tears. The slightest mishap breaking me down.
All I want to do anymore is sleep. I wake up looking forward to bedtime and that's it. I nap every day I don't work so that I can escape reality and my crummy feelings. Because sleep is like death without the commitment. It's my only escape.
I'm starting the process to be "approved" for TMS. I talked to D today and she sent me the paperwork I need to fill out and turn in. This causes a problem for me. It makes all my self-doubt, self-hate and self-worth issues scream even louder. I can't hum to myself and ignore the cacophony. No, I'm bombarded with a level of self loathing you can't even imagine, which brings my mood down even lower than before.
Why is this? Why don't I feel worthy of treatment? I know that I'm scared. Scared of what stable and well will look like. I've always been scared of that. When you've lived your entire life with depression . . . well, remission is terrifying. Is this why I don't feel worthy?
I'm also scared that I'll fail, that treatment won't work for me. And where will I be then? Because I can't keep living like this. I can't. This is no way to live.
Hubby has this grand plan that I'll start TMS, I'll get back in the gym, and I'll get better and lose weight and everything will be all hunky-dory. And I'm scared that I'll fail him. I don't even deserve treatment, let alone having it work well for me. I'm worried it won't work. That I won't get back in the gym. That I won't get better and/or lose weight.
I'm worried that everything will fall to pieces and I'll be left worse off than I am now because I will have lost my only shred of hope.
Damn I wish I could have had therapy today.
M did call me back, by the way, and apologized. He said I could smack him. And I might take him up on that because I have to wait another week to see him.
In the meantime I guess I keep plugging through, picking myself up by the boot straps. I just wish I knew how to keep doing that.
And I left.
And I didn't realize how much I needed therapy today until I didn't have it. I didn't realize how much I was struggling and needed to talk until I left M's office in tears. The slightest mishap breaking me down.
All I want to do anymore is sleep. I wake up looking forward to bedtime and that's it. I nap every day I don't work so that I can escape reality and my crummy feelings. Because sleep is like death without the commitment. It's my only escape.
I'm starting the process to be "approved" for TMS. I talked to D today and she sent me the paperwork I need to fill out and turn in. This causes a problem for me. It makes all my self-doubt, self-hate and self-worth issues scream even louder. I can't hum to myself and ignore the cacophony. No, I'm bombarded with a level of self loathing you can't even imagine, which brings my mood down even lower than before.
Why is this? Why don't I feel worthy of treatment? I know that I'm scared. Scared of what stable and well will look like. I've always been scared of that. When you've lived your entire life with depression . . . well, remission is terrifying. Is this why I don't feel worthy?
I'm also scared that I'll fail, that treatment won't work for me. And where will I be then? Because I can't keep living like this. I can't. This is no way to live.
Hubby has this grand plan that I'll start TMS, I'll get back in the gym, and I'll get better and lose weight and everything will be all hunky-dory. And I'm scared that I'll fail him. I don't even deserve treatment, let alone having it work well for me. I'm worried it won't work. That I won't get back in the gym. That I won't get better and/or lose weight.
I'm worried that everything will fall to pieces and I'll be left worse off than I am now because I will have lost my only shred of hope.
Damn I wish I could have had therapy today.
M did call me back, by the way, and apologized. He said I could smack him. And I might take him up on that because I have to wait another week to see him.
In the meantime I guess I keep plugging through, picking myself up by the boot straps. I just wish I knew how to keep doing that.
Thursday, July 4, 2019
Thursday 7/4/19
It's the 4th of July. Whoopie. I'm sitting on the couch listening to music, waiting for hubby's mom and brother to come over. So why not blog, right?
I actually feel like writing though. I feel like I need to get stuff out. I'm just not sure I can do it in a manner that makes sense.
Lets start with TMS. I met with Dr. H again on Tuesday. Hubby came. Dr. H informed me that he had spoken to my psychiatrist (Dr. M) and Dr. M believes my appropriate diagnosis is bipolar disorder. Meaning he won't change my diagnosis to depression in order for me to be approved for TMS. I understand. That would be fraud. But it sucks. Because, as Dr. H informed us, there is a 99.9% chance that insurance will NOT approve me for TMS. Then starts the appeal process. Dr. H said that I would not be approved at the 2nd tier of the process, but there's a small chance I could be approved at the 3rd tier when my case would be sent to a independent reviewer. This would take around 6 months. Six. Fucking. Months. Apparently the FDA is working on possibly approving bipolar disorder for TMS which would mean that my insurance would have to cover me. But again, that's 6 months to a year out and it's not guaranteed.
You have no idea how horrible I felt, sitting there listening to this news. My heart dropped. I felt hopeless and helpless.
Dr. H then began to tell us about another option: paying for TMS out of pocket. I put my head down. I know we can't afford this. But hubby asked, "How much?" Are you ready? $400 per treatment and the standard is 36 treatments. That's $14,400. Tears welled up in my eyes. Now, granted, that's not as much as I thought it was going to cost, but it's still $14,400 we don't have.
"If you're paying out of pocket we cut the cost in half," Dr. H said. "And we can set up a payment plan." Hubby sounded interested and started asking questions. I zoned out, head spinning, knowing that my hopes had been ripped from my hands.
We left, me in tears, so much so that hubby said he would drive us home. He said we would figure it out. Figure what out? I'm going to be denied coverage and we can't afford to pay out of pocket. I felt like screaming. Hubby started talking about our money in savings, about trying to sell more of my paintings, of starting a GoFundMe. He has all these ideas about how we could make it work. How yes, we truly can afford to pay out of pocket. He told me yesterday that he wants me to call Dr. H on Monday to get everything set up for me starting treatment.
He wants me to start treatment.
Here's where we come to the second thing I want to talk about: how I don't feel as though I'm worthy of going through treatment. I don't think I should. I'm already a burden, a drain, and now I'm going to be a financial burden. Again. Me being a financial burden is why we lost our house 4.5 years ago. I don't want a repeat. I don't want our family to struggle because of me.
This is eating me up inside. I truly don't think I'm worth the money. I don't think I'm worth the time or effort. I'm not worth it. This is me thinking I'd be better off dead. That everyone would be better off with me dead. I don't know how to reconcile this thinking. If I go through treatment with this mindset I'm sure to fail. I'm trying to counter all my negativity with positive thoughts. I'm trying not to catastrophize. I'm trying to remember all the good in my life, but these thoughts persist. I don't know what to do. I don't know why I don't feel worthy. I don't know why I feel as though I'm rubbish. I don't know why and I don't know what to do about it.
I have therapy coming up on Monday and my therapist definitely has his work cut out for him. I need to get this all sorted out. I need help. I need help.
I actually feel like writing though. I feel like I need to get stuff out. I'm just not sure I can do it in a manner that makes sense.
Lets start with TMS. I met with Dr. H again on Tuesday. Hubby came. Dr. H informed me that he had spoken to my psychiatrist (Dr. M) and Dr. M believes my appropriate diagnosis is bipolar disorder. Meaning he won't change my diagnosis to depression in order for me to be approved for TMS. I understand. That would be fraud. But it sucks. Because, as Dr. H informed us, there is a 99.9% chance that insurance will NOT approve me for TMS. Then starts the appeal process. Dr. H said that I would not be approved at the 2nd tier of the process, but there's a small chance I could be approved at the 3rd tier when my case would be sent to a independent reviewer. This would take around 6 months. Six. Fucking. Months. Apparently the FDA is working on possibly approving bipolar disorder for TMS which would mean that my insurance would have to cover me. But again, that's 6 months to a year out and it's not guaranteed.
You have no idea how horrible I felt, sitting there listening to this news. My heart dropped. I felt hopeless and helpless.
Dr. H then began to tell us about another option: paying for TMS out of pocket. I put my head down. I know we can't afford this. But hubby asked, "How much?" Are you ready? $400 per treatment and the standard is 36 treatments. That's $14,400. Tears welled up in my eyes. Now, granted, that's not as much as I thought it was going to cost, but it's still $14,400 we don't have.
"If you're paying out of pocket we cut the cost in half," Dr. H said. "And we can set up a payment plan." Hubby sounded interested and started asking questions. I zoned out, head spinning, knowing that my hopes had been ripped from my hands.
We left, me in tears, so much so that hubby said he would drive us home. He said we would figure it out. Figure what out? I'm going to be denied coverage and we can't afford to pay out of pocket. I felt like screaming. Hubby started talking about our money in savings, about trying to sell more of my paintings, of starting a GoFundMe. He has all these ideas about how we could make it work. How yes, we truly can afford to pay out of pocket. He told me yesterday that he wants me to call Dr. H on Monday to get everything set up for me starting treatment.
He wants me to start treatment.
Here's where we come to the second thing I want to talk about: how I don't feel as though I'm worthy of going through treatment. I don't think I should. I'm already a burden, a drain, and now I'm going to be a financial burden. Again. Me being a financial burden is why we lost our house 4.5 years ago. I don't want a repeat. I don't want our family to struggle because of me.
This is eating me up inside. I truly don't think I'm worth the money. I don't think I'm worth the time or effort. I'm not worth it. This is me thinking I'd be better off dead. That everyone would be better off with me dead. I don't know how to reconcile this thinking. If I go through treatment with this mindset I'm sure to fail. I'm trying to counter all my negativity with positive thoughts. I'm trying not to catastrophize. I'm trying to remember all the good in my life, but these thoughts persist. I don't know what to do. I don't know why I don't feel worthy. I don't know why I feel as though I'm rubbish. I don't know why and I don't know what to do about it.
I have therapy coming up on Monday and my therapist definitely has his work cut out for him. I need to get this all sorted out. I need help. I need help.
Thursday, June 27, 2019
6/27/19
This week has been a rough week.
I worked Monday and Wednesday and both days were busy. I'm having a hard time keeping up the facade at work that everything is okay. It's exhausting. The days are long (and not only because I work 12 hour shifts). I've wanted to cut but I haven't. Yesterday I broke down twice which is something I try so hard not to do at work. But it happened.
On Tuesday I had my appointment with the Southern Colorado TMS clinic. I was there for 2 hours and we went over what TMS (transcranial magnetic stimulation) is, the research behind it, and how it can help. I also had a medical intake. When Dr. H asked if I had any questions I said I only had one: when can I start? TMS is a treatment that has great success in treating depression with little to no side effects. It works by sending strong magnetic pulses to the regions of the brain identified as being responsible for depression. These magnetic pulses excite the neurons, activate them, and the repeated sessions act like muscle memory and the neurons learn how to remain activated. This is something I want to do.
Except I might not be able to.
See, insurance companies are like a bag of dicks and they obviously don't want to approve something if they can get out of it. TMS is FDA approved to treat major depression and generalized anxiety. What's my diagnosis? Bipolar disorder. So more than likely my insurance company will deny coverage for TMS based on that. Which let me tell you, sucks fucking balls. Because what is it that I deal with the most? Depression. I haven't had a hypomanic episode in about 4 years. But I deal with recurrent depression constantly. The longest period that I've been euthymic is 3 months. Then it's back to depression. But I'll probably be denied treatment based on a label. A fucking label.
So I cried. And I cried again that night at home. Dr. H said that he and his team would do what they can to get me approved and they were hopeful they could do it. Which gives me hope. Now if only I can hang onto that.
I had therapy today in which I cried also. I seem to be crying so much more lately. My depression feels as if it's getting worse day by day. My therapist could tell a difference in me compared to 2 weeks ago. That's not good. But what can you do? I'm trying.
I'm trying, I'm hanging onto hope. It's all I can do.
I worked Monday and Wednesday and both days were busy. I'm having a hard time keeping up the facade at work that everything is okay. It's exhausting. The days are long (and not only because I work 12 hour shifts). I've wanted to cut but I haven't. Yesterday I broke down twice which is something I try so hard not to do at work. But it happened.
On Tuesday I had my appointment with the Southern Colorado TMS clinic. I was there for 2 hours and we went over what TMS (transcranial magnetic stimulation) is, the research behind it, and how it can help. I also had a medical intake. When Dr. H asked if I had any questions I said I only had one: when can I start? TMS is a treatment that has great success in treating depression with little to no side effects. It works by sending strong magnetic pulses to the regions of the brain identified as being responsible for depression. These magnetic pulses excite the neurons, activate them, and the repeated sessions act like muscle memory and the neurons learn how to remain activated. This is something I want to do.
Except I might not be able to.
See, insurance companies are like a bag of dicks and they obviously don't want to approve something if they can get out of it. TMS is FDA approved to treat major depression and generalized anxiety. What's my diagnosis? Bipolar disorder. So more than likely my insurance company will deny coverage for TMS based on that. Which let me tell you, sucks fucking balls. Because what is it that I deal with the most? Depression. I haven't had a hypomanic episode in about 4 years. But I deal with recurrent depression constantly. The longest period that I've been euthymic is 3 months. Then it's back to depression. But I'll probably be denied treatment based on a label. A fucking label.
So I cried. And I cried again that night at home. Dr. H said that he and his team would do what they can to get me approved and they were hopeful they could do it. Which gives me hope. Now if only I can hang onto that.
I had therapy today in which I cried also. I seem to be crying so much more lately. My depression feels as if it's getting worse day by day. My therapist could tell a difference in me compared to 2 weeks ago. That's not good. But what can you do? I'm trying.
I'm trying, I'm hanging onto hope. It's all I can do.
Monday, June 17, 2019
6/17/19
How to start . . .
I'll jump right in I guess.
I saw Dr. M today about my depression. And it went how I was fearing it would go. I should probably expand on that.
I told him how I've been feeling. Empty, depressed, hopeless. I told him it has been relentless and ongoing for the past 5 or so weeks. Before he could say anything I told him I'd prefer not to do ECT again. He looked at me for a full minute before speaking.
"You've been on practically every medication. And countless combos of those meds. All I can really recommend is ECT."
My stomach dropped. I don't know why though - that's exactly what I expected he would say. ECT. Electroconvulsive therapy. I did it for 3 years. Yes, I had improvement with it, but I also have had substantial memory issues.
"What about EsKetamine?" I asked.
"Well, there aren't any clinics in Colorado offering EsKetamine. It's too new, there's too much red tape, and it's too expensive," he replied. "You can try a regular ketamine infusion, but the cost for the 3 week treatment is around $2000 - $3000. It works for some people in the short term but it's pricey."
I felt even more defeated. Close to tears.
"You can try TMS (trans cranial magnetic stimulation). Studies have shown it to be effective, just not as much so as ECT. It's 5 days a week for 6 weeks, so you wouldn't be able to work probably. I can give you Dr. F's information if you're interested. See, it's just that you're treatment resistant and the best course of action for that is ECT. I'm sorry, I know that's not what you want to hear."
No, no that's not what I want to hear. I asked about Deplin, activated folic acid. He said I could try it but it probably wouldn't help. I asked about Rexulti. Again, it probably wouldn't help. It would replace my Vraylar and that med is the one that's helped me the most. So he would prefer not to stop it.
I'm stuck people. I don't know what to do. Do I take 6 weeks off from work and try TMS? Do I go back to ECT? Do I do nothing and wait it out, hoping the depression will lift of its own? The problem with waiting is that my depression tends not to go away on its own. It tends to hang around and get worse.
This is a bunch of bullshit, really. I don't know what to do. I cried in the parking lot, I cried while driving, I cried when I got home. I don't know what to do.
Fuck.
I'll jump right in I guess.
I saw Dr. M today about my depression. And it went how I was fearing it would go. I should probably expand on that.
I told him how I've been feeling. Empty, depressed, hopeless. I told him it has been relentless and ongoing for the past 5 or so weeks. Before he could say anything I told him I'd prefer not to do ECT again. He looked at me for a full minute before speaking.
"You've been on practically every medication. And countless combos of those meds. All I can really recommend is ECT."
My stomach dropped. I don't know why though - that's exactly what I expected he would say. ECT. Electroconvulsive therapy. I did it for 3 years. Yes, I had improvement with it, but I also have had substantial memory issues.
"What about EsKetamine?" I asked.
"Well, there aren't any clinics in Colorado offering EsKetamine. It's too new, there's too much red tape, and it's too expensive," he replied. "You can try a regular ketamine infusion, but the cost for the 3 week treatment is around $2000 - $3000. It works for some people in the short term but it's pricey."
I felt even more defeated. Close to tears.
"You can try TMS (trans cranial magnetic stimulation). Studies have shown it to be effective, just not as much so as ECT. It's 5 days a week for 6 weeks, so you wouldn't be able to work probably. I can give you Dr. F's information if you're interested. See, it's just that you're treatment resistant and the best course of action for that is ECT. I'm sorry, I know that's not what you want to hear."
No, no that's not what I want to hear. I asked about Deplin, activated folic acid. He said I could try it but it probably wouldn't help. I asked about Rexulti. Again, it probably wouldn't help. It would replace my Vraylar and that med is the one that's helped me the most. So he would prefer not to stop it.
I'm stuck people. I don't know what to do. Do I take 6 weeks off from work and try TMS? Do I go back to ECT? Do I do nothing and wait it out, hoping the depression will lift of its own? The problem with waiting is that my depression tends not to go away on its own. It tends to hang around and get worse.
This is a bunch of bullshit, really. I don't know what to do. I cried in the parking lot, I cried while driving, I cried when I got home. I don't know what to do.
Fuck.
Friday, June 14, 2019
6/14/19
Staring at the walls . . . or off into space. It's what I do best it seems. It's all I do anymore it seems.
Why?
Well, because I'm so empty. I'm not sure I've ever felt this empty. Seriously. I've felt more depressed, but not more empty. There is truly nothing there. I can't believe how devoid of emotion I am. I'm a robot, going through the motions. Trying to pass as normal. I laugh but there's nothing behind it. It's fake. Forced. I can't even cry because there's nothing there. There's no emotion.
I hate this. I can't stand it. I want to curl up in a ball and not exist. I'm trying so hard to stay positive but I'm getting worse.
I'm getting worse.
Three more days and I see Dr. M. I don't even know what to tell him. Well, I do, but I'm worried I won't get it out properly. I'm worried that I'll minimize what I'm going through. I'm worried that I won't get the help I need. I'm worried that he'll be so focused on ECT that he won't hear me. That last sentence is what scares me. I will not do ECT again. No. Not going to happen.
I feel like I have so much to write but I can't focus and get it out. My mind is blank and I fell like I'm beating a dead horse.
So yeah.
Why can't I be euphorically hypomanic? Just mildly. Come on brain, work with me here. We all know you do depression well. How 'bout some hypomania?
Fuck.
Why?
Well, because I'm so empty. I'm not sure I've ever felt this empty. Seriously. I've felt more depressed, but not more empty. There is truly nothing there. I can't believe how devoid of emotion I am. I'm a robot, going through the motions. Trying to pass as normal. I laugh but there's nothing behind it. It's fake. Forced. I can't even cry because there's nothing there. There's no emotion.
I hate this. I can't stand it. I want to curl up in a ball and not exist. I'm trying so hard to stay positive but I'm getting worse.
I'm getting worse.
Three more days and I see Dr. M. I don't even know what to tell him. Well, I do, but I'm worried I won't get it out properly. I'm worried that I'll minimize what I'm going through. I'm worried that I won't get the help I need. I'm worried that he'll be so focused on ECT that he won't hear me. That last sentence is what scares me. I will not do ECT again. No. Not going to happen.
I feel like I have so much to write but I can't focus and get it out. My mind is blank and I fell like I'm beating a dead horse.
So yeah.
Why can't I be euphorically hypomanic? Just mildly. Come on brain, work with me here. We all know you do depression well. How 'bout some hypomania?
Fuck.
Monday, June 10, 2019
6/10/19
Well. I had therapy today. And I talked about my depression and my light headedness and tremors and work. And maybe it helped a little? I'm not sure. The fact still remains though that I'm depressed.
I have no motivation to do anything. I got home from therapy and wanted to go to bed. I didn't. I went downstairs and did a couple of sketches. I drew a sparrow and some flowers. Go me. All trying to not go to bed. I had lunch. I put dinner in the crockpot.
I want to go to bed. Just sleep. Sleep for eternity.
So I'm writing. I'm trying to distract myself, kill time. Not sleep.
But we all know what's going to happen, don't we? When I'm done with this I'm going to go lay down. Because I can't. I just can't. I can't deal with this unrelenting emptiness. I wish I could cry. I think I'd feel better if I could cry. But I can't. There's no emotion there. It's gone. I'm just so empty. Void. Blank. Numb. There's nothing there.
I can't fucking FEEL.
And it makes me so tired. It's hard to keep up the facade that I'm okay. Even that I'm marginally okay witch is what I've been doing.
I can't do this.
I see Dr. M on the 17th. I know he's going to suggest ECT, which I can't do. I can't. My memory is jacked enough. Maybe ketamine. I don't know. I'll find out I guess.
Anyway, it's time to go lay down. /end rant
I have no motivation to do anything. I got home from therapy and wanted to go to bed. I didn't. I went downstairs and did a couple of sketches. I drew a sparrow and some flowers. Go me. All trying to not go to bed. I had lunch. I put dinner in the crockpot.
I want to go to bed. Just sleep. Sleep for eternity.
So I'm writing. I'm trying to distract myself, kill time. Not sleep.
But we all know what's going to happen, don't we? When I'm done with this I'm going to go lay down. Because I can't. I just can't. I can't deal with this unrelenting emptiness. I wish I could cry. I think I'd feel better if I could cry. But I can't. There's no emotion there. It's gone. I'm just so empty. Void. Blank. Numb. There's nothing there.
I can't fucking FEEL.
And it makes me so tired. It's hard to keep up the facade that I'm okay. Even that I'm marginally okay witch is what I've been doing.
I can't do this.
I see Dr. M on the 17th. I know he's going to suggest ECT, which I can't do. I can't. My memory is jacked enough. Maybe ketamine. I don't know. I'll find out I guess.
Anyway, it's time to go lay down. /end rant
Friday, June 7, 2019
6/7/19
It doesn't matter why. That's what I've decided. Did you read my last post? Maybe you should. See, I've been depressed since then (May 17th). And it doesn't really matter why. I don't think there's a reason anyway except my bipolar. No trigger, no cause. Just my brain being a bag of dicks.
I'm depressed. I'm empty. I'm hollow. I'm fake. I'm down, defeated, hopeless, and overwhelmed. I'm nothing.
All of the things and none of the things.
I feel I'm getting worse. Slowly but surely getting worse.
I went to the doctor on Wednesday (the 5th). On top of the depression I've been having dizzy/lightheaded spells and tremors in my hands and right leg. Fun right? Fucking laugh riot, let me tell ya. She truly believes that it is my lithium. That I'm having withdrawal symptoms (I'm subtherapeutic right now) and that I need to increase my dose. But to be safe I had an EKG, orthostatic blood pressures, a ton of blood work, and I get to wear a heart monitor for a month (no, not something like a FitBit - I have electrodes that attach to my chest and connect to a box with a button I push every time I have symptoms). And she wanted me to see my Pdoc ASAP. I already had an appointment with him on the 27th, but she wants me in sooner. Earliest I could get in is the 17th. That way we can discuss my depression and lithium.
I'm so tired right now. Not physically tired. Mentally. Emotionally tired. All I want to do is sleep to escape reality. See, sleep is like death but without the commitment. I don't have to deal with my feelings (or lack there of) while I'm asleep. And I've been sleeping more. Napping. Trying to stay in bed as late as I can in the mornings.
Withdrawing. I'm not interacting as much as I normally do. Some coworkers have noticed.
I'm trying. Fake it till ya make it, right? But it's getting hard anymore. It drains me so much. But still I try because what else am I going to do?
I'm depressed. I'm empty. I'm hollow. I'm fake. I'm down, defeated, hopeless, and overwhelmed. I'm nothing.
All of the things and none of the things.
I feel I'm getting worse. Slowly but surely getting worse.
I went to the doctor on Wednesday (the 5th). On top of the depression I've been having dizzy/lightheaded spells and tremors in my hands and right leg. Fun right? Fucking laugh riot, let me tell ya. She truly believes that it is my lithium. That I'm having withdrawal symptoms (I'm subtherapeutic right now) and that I need to increase my dose. But to be safe I had an EKG, orthostatic blood pressures, a ton of blood work, and I get to wear a heart monitor for a month (no, not something like a FitBit - I have electrodes that attach to my chest and connect to a box with a button I push every time I have symptoms). And she wanted me to see my Pdoc ASAP. I already had an appointment with him on the 27th, but she wants me in sooner. Earliest I could get in is the 17th. That way we can discuss my depression and lithium.
I'm so tired right now. Not physically tired. Mentally. Emotionally tired. All I want to do is sleep to escape reality. See, sleep is like death but without the commitment. I don't have to deal with my feelings (or lack there of) while I'm asleep. And I've been sleeping more. Napping. Trying to stay in bed as late as I can in the mornings.
Withdrawing. I'm not interacting as much as I normally do. Some coworkers have noticed.
I'm trying. Fake it till ya make it, right? But it's getting hard anymore. It drains me so much. But still I try because what else am I going to do?
Friday, May 17, 2019
5/17/19
I'm sitting in bed trying hard to cry. Yes, you read that right. I'm trying to cry.
Why?
Because I can't.
I have no emotional response right now. No emotions. I feel so empty and hollow and flat. Anhedonic. There's just nothing there. And I don't know what to do. I keep thinking that if maybe I can cry I'll feel better. I'll have an emotional release and I'll be able to feel again. But I. Can't. Cry.
I felt like this yesterday as well. It feels so . . . bad. I feel down and depressed but I also feel nothing at all. I was at work. Which is bad. It means I have access to sharp objects. And I cut. Only once. And for a split second I could feel. For a split second I could feel. The emptiness left me and I felt grounded.
But it was only for a second and then the emptiness came flooding back around me. I was alone again in a world of billions.
This is where I'm at again today. Alone and empty and scared. What if this continues? What if it gets worse? What if?
I don't want to go back to doing ECT, but I can't go on like this. My biggest fear is that this continues and my Pdoc won't support me trying different meds or methods to get better. He'll be all about ECT. And he'll give me an ultimatum: ECT or find another psychiatrist. I can't do that. I don't want another Pdoc. He knows me.
In this regard I'm probably worrying over nothing and I keep telling myself that. Because it does nothing to help my mood. It just makes me anxious and feel worse.
I hate feeling like this. I want to cut again. I want to cry. I want to put my fist through the wall. I want to not exist.
I don't know what to do.
What do I do?
Why?
Because I can't.
I have no emotional response right now. No emotions. I feel so empty and hollow and flat. Anhedonic. There's just nothing there. And I don't know what to do. I keep thinking that if maybe I can cry I'll feel better. I'll have an emotional release and I'll be able to feel again. But I. Can't. Cry.
I felt like this yesterday as well. It feels so . . . bad. I feel down and depressed but I also feel nothing at all. I was at work. Which is bad. It means I have access to sharp objects. And I cut. Only once. And for a split second I could feel. For a split second I could feel. The emptiness left me and I felt grounded.
But it was only for a second and then the emptiness came flooding back around me. I was alone again in a world of billions.
This is where I'm at again today. Alone and empty and scared. What if this continues? What if it gets worse? What if?
I don't want to go back to doing ECT, but I can't go on like this. My biggest fear is that this continues and my Pdoc won't support me trying different meds or methods to get better. He'll be all about ECT. And he'll give me an ultimatum: ECT or find another psychiatrist. I can't do that. I don't want another Pdoc. He knows me.
In this regard I'm probably worrying over nothing and I keep telling myself that. Because it does nothing to help my mood. It just makes me anxious and feel worse.
I hate feeling like this. I want to cut again. I want to cry. I want to put my fist through the wall. I want to not exist.
I don't know what to do.
What do I do?
Friday, March 22, 2019
3/22/19
Well. I'm having a bit of a rough go of it today. Which is annoying. My mood is down - not depressed - but down. And all because my brain is an asshole and won't shut up. My brain likes being an asshole, and it's good at it. Too good at it. What's it doing . . .?
I was getting ready this morning and happened to really look at myself in the mirror. I look at myself in the mirror all the time but this morning . . . this morning was different. I was immediately filled with self loathing. I could see every flaw, every wrinkle, every fold of fat. I could see it all. The bags under my eyes, the dull grey color of my eyes, how my hair was just laying there, no volume, no real style. How ugly and fat I was.
You look hideous. You look old and worn out. You're fat. Are you even trying to lose weight because it looks like you're gaining more. You're so frumpy. You have no sense of style. How does Jeremy even still love you? Ayden is embarrassed by you. You have wrinkles every where I can see your pores you don't do anything with your hair look how your stomach hangs you look pale I'm surprised Jeremy hasn't leftyouyou'reworthlessyouhavenothingtogivewhydon'tyoujustkillyourself . . . . . .
All of the negative thoughts started running together. It was hard to even separate them. My eyes welled up with tears as I stood there looking at myself and listening to my brain barrage me. I couldn't move. I was frozen there, trying my best not to cry because Ayden was in his room next door. I didn't want him to hear me.
Even 6 months ago this would have gotten to me. This would have hit me hard. Now, that's not to say that it didn't hit me. On the contrary. My mood went south in a heartbeat. But the difference between now and 6 months ago is now I'm stable. Now I know how to counter these thoughts and practice self care. And that's what I did. I countered these thoughts. I told myself that I was beautiful in and out. That even though I was overweight and not where I want to be that didn't make Jeremy love me any less. And you know what?
It kind of helped.
That sounds stupid, doesn't it? I'm sure you were waiting for me to say that it worked. That I went about my day feeling happy with no more negative self talk. But that's simply not true. That's, sadly, not how my brain works. It has been barraging me with negative comments all day. So much so that I feel mentally exhausted. But I'm countering them. I'm keeping myself from going deeper. I'm writing about it in hopes that this will help.
Six months ago I would have felt like shit. Today I feel down and worn out, but definitely not like shit. So I'd say that's progress.
I was getting ready this morning and happened to really look at myself in the mirror. I look at myself in the mirror all the time but this morning . . . this morning was different. I was immediately filled with self loathing. I could see every flaw, every wrinkle, every fold of fat. I could see it all. The bags under my eyes, the dull grey color of my eyes, how my hair was just laying there, no volume, no real style. How ugly and fat I was.
You look hideous. You look old and worn out. You're fat. Are you even trying to lose weight because it looks like you're gaining more. You're so frumpy. You have no sense of style. How does Jeremy even still love you? Ayden is embarrassed by you. You have wrinkles every where I can see your pores you don't do anything with your hair look how your stomach hangs you look pale I'm surprised Jeremy hasn't leftyouyou'reworthlessyouhavenothingtogivewhydon'tyoujustkillyourself . . . . . .
All of the negative thoughts started running together. It was hard to even separate them. My eyes welled up with tears as I stood there looking at myself and listening to my brain barrage me. I couldn't move. I was frozen there, trying my best not to cry because Ayden was in his room next door. I didn't want him to hear me.
Even 6 months ago this would have gotten to me. This would have hit me hard. Now, that's not to say that it didn't hit me. On the contrary. My mood went south in a heartbeat. But the difference between now and 6 months ago is now I'm stable. Now I know how to counter these thoughts and practice self care. And that's what I did. I countered these thoughts. I told myself that I was beautiful in and out. That even though I was overweight and not where I want to be that didn't make Jeremy love me any less. And you know what?
It kind of helped.
That sounds stupid, doesn't it? I'm sure you were waiting for me to say that it worked. That I went about my day feeling happy with no more negative self talk. But that's simply not true. That's, sadly, not how my brain works. It has been barraging me with negative comments all day. So much so that I feel mentally exhausted. But I'm countering them. I'm keeping myself from going deeper. I'm writing about it in hopes that this will help.
Six months ago I would have felt like shit. Today I feel down and worn out, but definitely not like shit. So I'd say that's progress.
Friday, November 30, 2018
11/30/18
I can't believe tomorrow is December. It's come up so fast. Christmas and then New Year's . . . man. I'm hoping 2019 will see us as home owners again. There's a good chance it will. Even so, I'm trying not to get my hopes up. We'll just have to see where the cards fall.
Yesterday and today have been especially dark. And it's weird because I wouldn't necessarily call myself "depressed". I don't really have the stereotypical symptoms of depression. So what am I feeling?
A whole lot of nothing. I feel so empty. Numb. Flat. I constantly feel on the verge of crying but I can't because there's no emotion behind it. I'm indifferent to everything. I don't care. I hate feeling like this. It's just as bad, if not worse, than feeling depressed. I'm just this husk, this shell of a person. It's no way to be.
I've been pretending that I'm okay, that I'm doing better, because I think people are tired of me not doing well. My illness is hard on other people too - especially hubby and son. So I've been pretending and I think I've gotten pretty good at it again. My coworkers seem to think that I'm doing good. But if they just saw the vacant stare . . . or picked up on how quiet I am . . .
I have therapy next Wednesday. It's been 3 weeks and I'm looking forward to a session. I need one. Three weeks is the longest I've gone in awhile. But I've been managing. Pretending. Going about my life like I'm an actual, feeling adult.
I want this to stop. I want to actually feel. Even if it's bad feelings. At least that's something.
Yesterday and today have been especially dark. And it's weird because I wouldn't necessarily call myself "depressed". I don't really have the stereotypical symptoms of depression. So what am I feeling?
A whole lot of nothing. I feel so empty. Numb. Flat. I constantly feel on the verge of crying but I can't because there's no emotion behind it. I'm indifferent to everything. I don't care. I hate feeling like this. It's just as bad, if not worse, than feeling depressed. I'm just this husk, this shell of a person. It's no way to be.
I've been pretending that I'm okay, that I'm doing better, because I think people are tired of me not doing well. My illness is hard on other people too - especially hubby and son. So I've been pretending and I think I've gotten pretty good at it again. My coworkers seem to think that I'm doing good. But if they just saw the vacant stare . . . or picked up on how quiet I am . . .
I have therapy next Wednesday. It's been 3 weeks and I'm looking forward to a session. I need one. Three weeks is the longest I've gone in awhile. But I've been managing. Pretending. Going about my life like I'm an actual, feeling adult.
I want this to stop. I want to actually feel. Even if it's bad feelings. At least that's something.
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