For those who have been following my journey through Depression and Anxiety, you will know that the trip has had many twists and turns, ups and downs. Well unfortunately I appear to be at one of the downs. The past couple of weeks has seen my motivation decline, mood slip, and overall my headspace to take a sharp turn towards the negative. So much so that my Psychologist left our routine session and made a time with my Psychiatrist for the end of our session. Made me feel awesome, huh?
I don’t know if it’s the end of University Semester, or the recent placement I had, or my brain just changing things up for a bit of excitement, but I hit a wall. A rather large wall. I had little to no energy to drag myself out of bed, I felt like last year were I was dragging a boat anchor around. I would go to bed early, rise late, and still feel as though I hadn’t slept a wink. I felt drained, I felt demotivated, I felt lousy. Something that was out of character for me, I was actively avoiding social situations. I was avoiding my friends, church, life group, family, everyone or anything that would drag me out of the house, or invade the hovel at home. I knew this wasn’t a good place to be but at the same time I couldn’t seem to shake it, or see the reason to actually do anything about it. I even ran into my Psychiatrist on placement when the decline started, but didn’t want to cause a fuss so just said “I’m Fine”. This was in no way going to help my situation, but it sure as heck made it worse. I slid further and further into the depressive phase, until I had my meeting with my Psychologist…. then things changed.
My headspace was in no way helping the situation. Other then feeling like I was swimming through molasses or dragging an anchor around, I had a little niggling voice at the back of my head. The voice started small and quiet, occasionally making a remark about what I was doing or calling me stupid or fat. This voice steadily got louder. Soon it would be commenting on my driving, what I was eating, things I said to patients, my weight, my clothes, my cooking, what I was watching, when I was doing things…. EVERYTHING! The voice was so loud and so constant it became impossible to ignore. Soon I started to listen. Maybe I am going to be fat forever, maybe I’m not good enough to be a Registered Nurse, maybe I am a lousy Husband, a Terrible Father, a horrible friend, an awful cook, a slovenly mess…… you get the picture. This just fed the aforementioned anchor problem.
Negative Self Talk
Through all of this I am going to say I didn’t have suicide ideation like I had last year, and for that I am eternally grateful. I did however have thoughts of self harm, and toiled with the idea of different ways in which my life could be taken. Like whilst cutting vegetables with my exceptionally sharp knife, acknowledging the fact that the brachial artery was an easy target, or after refilling my script for Seroquel how peaceful it was be to just consume a whole box. I know to most these would seem like the start of a plan, or even intention, and if I hadn’t gone through last year I would have agreed with you. However, the power in which the thoughts carried, the lack of conviction, and the lack of desire to see them undertaken did not lend, to me, the idea that they were “proper” suicidal ideations.
However, after my Psychologist appointment, I did go and see my Psychiatrist. He was less than amused by what he heard. He was also less then amused that I didn’t say anything when we ran into each other. He was concerned that we were heading down the very slippery slope to where we were last year. So some changes to my medications where made. My Venlafaxine is now 300mg a day instead of 225mg, and my Quetiapine is now 600mg per day, instead of 450mg. I’m not overly excited about the prospect of the increase, but given the alternative, and where it could lead, I’ll take it.
I am going to call on the Maintain the Rage community, please keep me in your thoughts, prayers, and best wishes. I am doing OK, but not great. Because I am slowed, my wife shoulders the burden, which is not sustainable. Keep being awesome, and normalising the conversation. I’ll keep writing, as long as everyone else keeps reading, sharing, and motivating.
Maintain the Rage