I’m playing catch-up this week. I’m way behind on work projects, on reading blogs, on writing, on projects at home, on planning for the future, blah blah blah, yada yada. I made some progress on work stuff this week, so I feel a little better about that.

I also got my second vaccine shot, so I am fully juiced and ready to go. I’m ready to lick door handles and have someone cough on my airline food as I travel to a crowded city. Okay, maybe not, but I do feel more at ease knowing I have a little protection. I can see the possibility of everyone requiring a booster sometime in the next 12 months (I guess Pfizer has already indicated this). I was sore at the injection site until yesterday, and I was tired and achy for about 48 hours after the shot, which was about what I expected. Nothing serious, and I didn’t miss work.

I also saw my psychiatrist this week. I printed out part of this post and let him read it, and he said it was textbook OCD. (I also told him his “How are you doing” forms are crooked on the paper, and it mildly bothers me.) He said we can work on the anxiety first, and then see if the OCD symptoms need more attention. I agree with that, since the OCD gets worse with higher anxiety. In addition, he said I was much more stable when I was taking Abilify, so maybe we should go back to that. I had the same thought previously, so I told him that was fine. I’ll just have to eat better and get more exercise somehow. I’m also going to quit the Wellbutrin, since it can cause instability and maybe anxiety.

Last week I met with the therapist for the first time (same office as my p-doc). We got to know each other a little, and he was interested by some of my problems (social anxiety, lack of self-esteem, avoidant tendencies, inability to deal with stress, etc.) He said something that bothered me though: when I was explaining about being overwhelmed at work, he didn’t seem to accept the reality that I absolutely cannot take a week or more off work for my mental health right now – maybe an occasional day or two, but not an extended period. I also don’t feel like I can ask to have some work shifted to other people, because everyone I work with is swamped and unhappy and drowning in projects. The day after he suggested I ask for less work, I received two more projects. Yay. We’ll see what he has to say on Monday.

The weather is cool but nice, so I am going outside to enjoy some nature and not think about life for a while. But first, I need Second Breakfast (the best meal of the day).

more medication changes

I finally decided to make the effort to get an early appointment with my psychiatrist. I let him know my depression has worsened and is persistent, and I wanted off Abilify due to the weight gain. He listened to me (for which I am thankful), and suggested we try Latuda for the bipolar depression. It is an atypical antipsychotic but it works differently than Lamictal (that’s the limit of my knowledge at the moment).

I agreed to try it, despite the known side effects of nausea and possible vomiting. When I read the pamphlet, it said a small percentage of people have weight gain, as opposed to Abilify where everyone blows up. I can’t do any worse at this point.

I am still taking Wellbutrin for depression, but we will probably wean off that as soon as we know if the Latuda will work for me (and if I can afford it).

As I’ve said before, the bipolar changes and fluctuates over time, and stability is a moving target for me. That’s why I don’t believe anyone who says you can “recover” from bipolar. You can’t stop it, you can only hope to contain it.

drugs and depression

This is the depression that never ends, yes it goes on and on my friends. I can pretend to be in a good place for everybody – family, work, psychiatrist – but I can’t fool myself. I can’t concentrate on work, I don’t enjoy anything, I don’t go anywhere, and all I do is eat comfort food. I don’t do anything for my own physical or mental health except keep popping pills. It sucks right now, and It. Is. Always. There.

I don’t want to tell my psychiatrist, because I’m afraid he would put me on more medication. I want fewer pills, not more. With his recommendation I slowly weaned myself from Topamax; I immediately gained 10 pounds, and I feel like a goddamn bloated walrus, but my brain is a little clearer and not as foggy. Next I would like to decrease the Abilify, which is the reason I can’t lose weight.

I would consider another drug if it would relieve the depression. I want to keep the Lamictal (my wonder drug) to prevent cycling, keep or add to the Wellbutrin for depression, and slowly wean from the Abilify. If my psych wants to replace Abilify with something else I might do it. Fuck it, better living through chemistry.