It's been a bit . . .

So it's been almost 2 weeks since my last post. I haven't much felt like writing.

But I do today.

I've been on the Brintellix for around 3 weeks now. My anxiety had started to get bad 2 weeks ago and I was worried that it would get as bad as it was the last time I was on it. I've noticed, however, that over the last week the anxiety has lessened. It's there every once in awhile, but it's manageable and not terribly bothersome.

And that's good news, right?

Sad thing? The Brintellix isn't really helping my mood. Not like it did the last time I was on it. I've had one good day (last Sunday) - a day where I felt "normal", happy, and content with life. I was at work, it was busy, and I had fun. But every other day? Just like before going back on Brintellix.

What do those days look like?

An overall feeling of being "down". I'm withdrawn. I don't want to participate in life. I'd rather nap the day away so I don't have to feel what I'm feeling. And what I'm feeling is all muted - except for my anger. I'm quick to anger. Everything seems to irritate or annoy me. I want to be by myself - I don't want to interact with anyone - family included.

I'm doing what I can to counter these feelings - don't think I'm giving up, or giving in. I'm not. I'm forcing myself to be more positive and upbeat (I don't know how well that's working - I should ask friends and family about that). I'm not doing the negative things I used to do (catastrophizing, all or nothing thinking, shit like that). I'm trying my best to be mindful - to stay in the moment. I'm forcing myself to interact.

Here's the thing - I'm stable. I'm the most stable I've been in 3 years. I'm not having big swings. I'm not hypomanic, I'm not horribly depressed. Nope. Stable. And that's good. The last thing I need is to have a major swing and be hospitalized again. But this low level depression? I think that's my baseline. I think that I'm stuck here and that's just how it's going to be. I'll have a good day here and there and all the others I'm going to have to fight for. I really don't want to accept this, but I don't think I have any other choice.

But wait - there's more!

I've been trying hard to be more "present" at home, around hubby and son. I had been getting bad about ignoring them, taking them for granted, lashing out at them. And I've been trying to be better about it. I don't know how well I'm doing in that regard. Sadly, I've felt myself starting to slip again. Feeling myself starting to withdraw more. Wanting to be alone and to be left alone. I'm trying to ignore/counter this as it's not good for anyone. I feel my anger sneaking back in. Ugh.

And also? Seroquel. FUCK Seroquel. I've had issues with drowsiness/grogginess/somnolence since I started it. I've had issues with my appetite since starting it (I've gained 17 pounds in around 13 weeks). And those two issues are getting progressively worse. It takes me around an hour to wake up in the morning and by midday I'm groggy and a little zombie like. The other thing, which has cropped up recently, is doing things in the middle of the night and not remembering them. The other night I kinda "woke up" standing in the closet with the light on - I have absolutely no recollection of getting up and walking into the closet. I don't remember waking up to go to the bathroom. If I tell hubby something after I've gone to sleep, I don't remember it. Now, maybe that part is only mildly annoying, but I would prefer for it not to get worse.

I see my psychiatrist in 2 weeks and I'm going to request that I go off of Seroquel. I'll start back up on the Geodon, whatever, I don't care. I didn't like the side effects of Geodon but they are preferable to the side effects of Seroquel. I have samples of 150mg Seroquel (I'm currently taking 300mg), so in a few days I'm going to drop my dose down - start to wean myself off. It's not like I felt a difference from when I was on 50mg vs 300mg.

So yeah. That's it. I'm frustrated. But what else is new, right?

I'm tired.

It's a bit stupid how tired I am. I worked two days in a row. Wednesday and Thursday.

And I'm exhausted.

Wednesday was slow, not too much going on. I had patients on the floor and did one delivery. Thursday was busier and my coworker and I did 8 deliveries. Both days I was drained and at times it showed. Both days I was alternately okay and withdrawn. Talking to coworkers proved too much to handle at times. I was okay with patients, thank God for small favors.

But two days in a row is apparently too much for me. I used to be able to work two or even three days in a row without any issues whatsoever. But not now. Now it's too much.

This morning I went to the riding center to muck stalls and that was actually a stupid move. It exhausted me further. I was tired this morning, drained and groggy. But I had perked up a little after taking my son to school so I decided fuck it - why not? So I went. And I made it 2 hours, surprisingly. I don't know how I did because I was so tired I thought I'd pass out. I think I made it out of sheer stupid stubbornness.

Mucking stalls is therapeutic for me, which is why I went. But I kinda wish I hadn't. I still haven't recovered. I'm drained and tired and exhausted. But I can't fall asleep to take a nap. Which is dumb.

The two parts don't match

They don't. Seriously.

I wanna take a minute and talk about jumping spiders and how they're cute little motherfuckers. No really.

How is this not adorable???

These are spiders that I'm not afraid of and will actively seek out.

They wear water droplets as hats.

What's not to love??? Adorable, harmless, and water droplet hats! Gimme *grabby hands*

You know what else is new? My body fucking hates Geodon. Not complete hate, but hate none the less. Eleven days ago Dr. C had me go from 80mg of Geodon to 120mg. Now, I had issues with drowsiness when I went up to 80mg so I wasn't too pleased but I said I'd do it. 

Dumb idea.

He told me to take 80mg at night and 40mg in the morning to help with the drowsiness. Totally didn't work. About an hour after taking the morning dose I would be so drowsy and groggy I couldn't stand. For 2-3 hours. I tried this for 6 days and it got progressively worse. So I switched to taking it all at night. This meant when I woke up I was so groggy I couldn't keep my eyes open - for about 2 hours. And if I woke up during the night to pee? I had better get it done fast because I'd get so groggy I couldn't walk. 

In addition to the debilitating drowsiness, grogginess and somnolence, I also had a host of other side effects: insomnia, racing thoughts at bedtime, a constant all-day headache, tachycardia (rapid heart rate) and PVCs (premature ventricular contractions - basically like palpitations). The tachycardia and PVCs happened about an hour after taking the 120mg dose and happened irregardless of what I was doing. My heart rate would be 140-150 just laying in bed. 

And that, my friends, is not good. Not good at all.

I was also incredibly irritable during this time. I think because of all the goddamned side effects and lack of sleep. 

So after 9 days I dropped myself back down to 80mg. The symptoms all were getting progressively worse so obviously my body can't handle 120mg of Geodon. 

The day after my first decreased dose, yesterday, was lovely. I woke up feeling more rested, no drowsiness at all, no headache all day, and my mood was greatly improved. Night and day difference!

I'm still having some insomnia - I have trouble falling asleep, takes now 1-2 hours (I'm the type of person who would be out within 10 minutes of my head hitting the pillow).  

But I'm feeling better and that's all that matters. 

I emailed Dr. C of course to let him know, and I see him Feb. 3. But I WILL NOT go back up on my dose. The side effects are unacceptable. 

See? The two parts don't match.

Sometimes I get annoyed with shit.

No really. I do. Like medication side effects for example. Like side effects that I continue to get from my damn Geodon. Makes me want to cut a bitch.

So here's what's up. Last Friday Dr. C had me increase my dose of Geodon from 80mg to 120mg. He told me to take 80mg at night and 40mg in the morning to stave off morning grogginess. I had been having morning grogginess at the 80mg dose, but it was starting to ease up.

Well, guess what happens when I take my morning dose of Geodon?

That's right. I get groggy. Drowsy. Sometimes so much so that I can't even stand. Seriously. Are you fucking kidding me, Geodon? I mean, what the actual fuck??

Today I decided that I'm not taking that extra 40mg in the morning any more. I'm going to take it all at night. See what that does. If I keep getting groggy like this . . . well, that's a deal breaker. I can't work like this.

Speaking of work, I'm not going back until the 27th at the earliest. I'm not ready. I'm emotionally and mentally exhausted. Just . . . exhausted. Then add in the medication side effects and the akathisia (got that too, joy) and it's a no go. I talked with my manager at length about everything and she supports me 100%. I don't need to worry about work.

Huge weight off my shoulders.

I have nothing else poignant to say. Nothing at all.

So bye.