Showing posts with label antidepressants. Show all posts
Showing posts with label antidepressants. Show all posts

Monday, May 22, 2017

Lexapro Lock & Gratitude



I haven’t written anything in what seems like forever.

I think I’m okay with that.

Every now and then, I think a writer needs to refuel, rebalance, and refocus…I think I’m in that phase, and I’m not sure how long it will last. I’m enjoying reading other’s projects, finding new books to dive into, and focusing on the day-to-day of life.

Does that mean I am wasting my so-called “talent?”
I hope not.

In order for me to write and to write well, I have to feel connected. Sometimes, that’s hard for me to do; in fact, the last time I wrote something was back in February, and then in March, I was put on Lexapro due to increased anxiety (this is in addition to a low dose of Wellbutrin). I think I have felt slightly disconnected ever since (although I can appreciate the overall calm I’ve felt since then). Although I’m on the lowest possible dose of the Lexapro, I’ve gained a BUNCH of weight, and am really having difficulties in areas of self-control. In the course of the last 6 months, I’ve gained 20 pounds. 20 pounds, on an already-fluffy frame. I’d lost close to 50, and now I’ve gained 20 of it back. I’d like to wallow in self-pity, but what good would that do? I need to get this weight off; it’s the only way for me to NOT be a diabetic, it’s the best thing for my heart, and it’s the way I feel the best about myself….but it’s hard to get motivated when you feel disconnected.

So, do I stop the meds and deal with the stress? Or do I take the meds and just relegate myself to being fat and calm and somewhat disconnected? What is it worth, to feel so completely, and to risk the imbalance of doing so? And what are the consequences?

I know that it’s probably not “normal” to publicly and candidly discuss medications. It’s been no secret that I’ve been on a pretty solid routine of meds for the past 11 years. Life experiences have side effects, as do various medications and surgeries, and there are emotional and neurological consequences that have to be considered. It’s easy for someone to look at me and say, “Can’t you just get over it?” I get it. And I also know that as Christians, it’s really easy for someone to look at me and say, “Well, we’ll just pray for you to get where you don’t have to take those meds anymore.” And sure, if God wants to do that, I know it’s possible…but I’ve also seen Christians stop their meds based on someone’s prayer, and wind up in a padded cell (or worse). So, I personally think it’s better to be honest about these things, and to take some of the stigma off of it.

Sometimes, we just need medicine.

Sometimes, we just need to be okay with that.

My biggest struggle right now is with worship. It is so, so hard for me to truly plug in right now, and to tap into that part of my heart where I feel I can totally let go and get face-to-face with Jesus. I feel like the Lexapro is somehow fencing me off from not just my true emotions, but from my true heart—does that make sense?  My creative process is affected as well, which is NOT normal for me. I’ve thought about trying natural options, but the side effects usually counter other meds I’m on, so I have to consider that as well.

So, that’s what’s been going on. Life has been good; my son is amazing. He definitely keeps us on our toes, which is pretty typical for a 4-year old. I actually think the Lexapro has been great for our marriage, LOL, because I am certainly a lot less-stressed about dirty dishes, for SURE! J We have been tackling home improvement issues (which means we have FINALLY been hiring wonderful, amazing friends who are far more skilled than us, to tackle plumbing & drywall issues). We are both working our tails off in our respective offices, and getting ready to put Jericho in pre-school in the fall. So, life is “normal.” And maybe that’s also part of my “dry spell”—I am so used to episodes of chaos that I’m not sure how to handle a calm.

So now I’m going to just shut up and praise God for a lull, because I certainly think we need it.  I’m going to praise God for “normal.” I’m grateful.

And I’m grateful for medicines that balance hormones, regulate hearts and blood sugars, replace missing organs, and that help prolong and sustain life. I’m grateful that I have opportunities and health care and excellent specialists, and all of that other stuff.
And maybe focusing on that—on all of the things that I’m grateful for—I can break through the fog and find my reconnect. Maybe that’s how I plug back in, and restart the creative process.  Maybe gratitude breaks the Lexapro lock…

Because I definitely know that God is greater. I may not feel Him to the extent that I have, but I know that He’s there, and I know He is far from cut off.

Tuesday, October 27, 2015

The Perceived Suckiness of the Plans of God and Silencing the What-Ifs...



For years, October 30th glared at me from the calendar.  Every day that approached was like another page turning in “The Monster at the End of This Book” (see THIS for more details—with pictures!).
This year, I’m not sure what’s different…Is it the pace of life? Is it the fact that physically, this year has left me feeling pretty spent (and marginally emotionally uninvested)? Is it the fact that I am finally, truly at peace with a clearer understanding that my daughter—who would be turning 9 this year—is, beyond the shadow of a doubt, with my Savior? 

I generally have my prayer time on my commute to work. I feel like I can have an unadulterated, uncensored, frighteningly-but-beautifully frank conversation with the Lord, free from pretense or interruption (with the glaring exception of the occasional eruption of road rage). This morning, we talked about Hannah…about the fact that my concrete beliefs that there is a Heaven, that Jesus is there, and that my daughter is with Him, are probably the only reason I have survived the loss of my firstborn. Without that knowledge, without knowing Him (in as broken of a way as I do), I would be lost. Even with that, there were days the despair was so heavy that I wanted to end it all. I will never, ever forget those days of darkness…there really is nothing like it. It’s like living in a state of suffocation…but not quite enough that you get the bliss of unconsciousness. It’s scary, because all you want is to be extinguished; however, your own faith keeps you from pulling the trigger yourself. You just pray that something else kills you (I can’t tell you how many times I prayed my heart would just explode). It’s the hardest thing a soul can go through…And we survived.

We made it (oh, the fear that goes into making that actual statement…there is no pride there, trust me. There is simply the acknowledgement and gratitude of the Spirit of God that kept us from self-destructing). I’m not sure how I didn’t off myself, or how David didn’t lock me up (or why he hasn’t as of today…I’m not ruling it out as a possibility at some point in my life, LOL), other than by the grace of God.  And how thankful am I, for that grace? If not for the grace of God…I wouldn’t be here. Jericho wouldn’t be here.

When I think of all of the joy that would be missing from the world, without that little boy…
God is good, y’all. He sustains us, even at our weakest, our most unlovable, our most vulnerable. He doesn’t walk away, even when we yell at Him in our anger. He doesn’t give up, even when we don’t want to breathe. He stays, even when we are unfaithful.
His ways are not our ways. His plans don’t make a lot of sense to us…and who are we, to think that they have to? I had a friend who recently said, “I’m sick of being told that God has a plan for all of this. If this is His plan, His plan SUCKS.”

After I took a few steps to the side, so as to avoid the proverbial lightning strike (God doesn’t really do that…I hope), I didn’t really say anything back to her. I just told her that I understood. It’s true…to us. Sometimes His plans just suck. Going into heart failure sucked.  It sucked, to lose my daughter. It sucked, when my husband lost his job. Those years of unemployment/underemployment? THEY SUCKED. Finding out I had cancer this summer? IT SUCKS. Do I think that God sits in Heaven, intentionally inflicting pain on His constituents? No…but I certainly think He uses it to draw us into Him. He takes these things…these results of living in a fallen world that hates His children…and He recognizes that they hurt. Jesus wept when His friend Lazarus died. He wept, even when He knew what was to come. He cried because it sucks when your friends die…even when You’re the Son of God. Jesus cried in the Garden of Gethsemane. Why? Because He knew what was to come…He knew it would hurt…He knew it would separate Him from His Father…and He knew it was gonna suck, BIG TIME. Sometimes, God’s plans just suck.

(It’s at this point that I recall how many times I got into trouble for saying something/someone totally sucked, in elementary-junior high-high school. Never really broke that habit.)

Even though things are arduous (fancy-talk for “sucky”), it’s only for a little while in the grand scheme of things. There is always, always, ALWAYS another side to the battle. There’s a break in the storm; even hurricanes eventually come to an end, although they seem insurmountable in the process. 
It WILL get better, because He is. HE IS.

We have that truth—the truth of The Great I Am. Sometimes, those two little words are all we can wrap ourselves around in the middle of the chaos…

I spent about an hour on the phone with my Mama the other day. She’s taught me a lot, and I feel like she’s lived a lot of life in a few years. I’m sure I’ve aged her a few decades on my own, although you’d never know it to look at her—she’s super snazzy!!!! I’d like to be more like her, when I grow up. We discussed the fact that this summer was pretty much a great big pile of poo. Seriously—getting cancer (albeit, “the good kind”) really trashed most of my plans. It took up all of my vacation time, rendered me unable to tend to my garden (big waste of $$), made me unable to really have too much fun (minus my concerts—those were a blast), and I am STILL dealing with trying to get my meds regulated. She took quite a bit of care of me and JD during that time; the emotional toll of being told mid-surgery that your child (even a grown-up child) has cancer is pretty great….even when it’s “the good kind” (that phrase!). If not for the ever-changing antics of JD (and my concerts), I’d like to forget most of this summer. So would my mother. She really took my diagnosis hard, and I think she still struggles with the aftermath. Every 6 months for the next 2 years, I will have tests; because of the high reoccurrence of this kind of cancer, I’ll probably have labs to monitor my thyroid levels for the rest of my life (also, to maintain the dosage of replacement medication that I have to take).  That’s a lot to ask of a person as a patient; I think it’s more to ask of that patient’s mother. My mom has held my hand through 10 of my 11 surgeries; it’s safe to say that this one was the hardest on her.  Cancer is a kind of chaos that requires clinging to “I Am.” Even the “good kind” of cancer wreaks havoc on a mother, when it’s her child. My mom really hit her knees through this process, and I know her prayers have been heard.

Mom and I talked about my fears and frustrations in our phone call. The change of seasons…grayer days…gloomy weather…the ever-approaching end of the month…It all affects me, emotionally and spiritually. I look for ways to escape; I find myself dealing with irrational fears. I don’t want to go anywhere; I just want my blanket and a fireplace screensaver on Netflix. I eat more, and I make bad choices. I’m more introspective and less social; I bake more, and channel my lack of adventure into a recipe book. The irrational fears are a problem. The “what ifs” go from a murmur in the back of my brain to a screaming chorus in my head that makes me paranoid about everything, and there is a daily battle to keep it in check. You could say that my natural crazy gets “turnt up,” and it’s a problem. Mom talked to me about prayer, and I said that I wondered if it’s the natural fear associated with Halloween that I’m subconsciously picking up on? She said it’s not…it’s this time of the year. She’s right.

Not having a birthday party to celebrate is a nagging constant in my brain and in my heart…I’d be lying if I didn’t admit that it hurts. This time of the year makes me more emotionally sensitive. I HAVE to disassociate; I have to unplug. I have to make myself stay off of Facebook for a few days; I have to stop reading the news (I think I need to do that, regardless of the time of the year). There are 29 days each fall where the clock is pounding in my head…where was I, what was I doing, what was Hannah doing? Only in the past 3 years has that improved, and that is honestly because having a toddler means that I don’t have time to climb down that rabbit hole. It’s an unfair pressure to say this about my son, but he has, in so many ways, pushed me to a different place of healing where Hannah is concerned. You simply, physically, cannot focus on the sadness and on what you missed, when there is a child that takes up most of your attention. Days become markers on the calendar, rather than the overwhelming emotional valleys. Life forces you to move through and walk forward, rather than stopping (notice I didn’t say “move on.” That’s another discussion).
That’s not to say there aren’t pauses, and that there aren’t moments where it hits…that there aren’t moments like this morning, where I wonder what would have been? What would she be like? I have no idea…
But I know what her brother is like.

And I suspect that had she made it…had she survived…he wouldn’t be here (we wouldn’t have tried again, because of the damage I sustained to my heart. I really don’t think David would have wanted to risk another pregnancy, and I think I would have been reluctant to, as well). God has a plan for that little boy that we have yet to have a clue toward…

I think the greatest way to celebrate Hannah’s birthday is to thank her…Having her, knowing what motherhood felt like, loving someone so strongly and having that blessing to hold in my arms, was the greatest gift I’ve ever been given outside of my salvation. She has an eternal impact on my life and on my soul, and I am grateful for the chance I had to hold her. My son is in no way, shape, or form, a replacement for her…but he IS a response to her. I knew that I knew that I KNEW that we were meant to be parents after Hannah died, and we pursued that dream until it became a reality…The reality known as Jericho.

What we have does not replace what was lost…and focusing on our present is the best way to honor the past.

So, on October 30th, I’d like to say that the day will go on as mostly “normal:” David and I will both go to work; JD will go to daycare. We have a meeting scheduled that afternoon, and I may convince David to go out to dinner; otherwise, we will treat the day as any other. At the end of the day, though, I will get a candle out of our coat closet. It’s a Birthday Cake candle, made by a mother in Kentucky who lost her son. I light it one day a year, on Hannah’s birthday.  I will light that candle, and we will pause…we will hold our son a little tighter, and maybe keep the bedtime ritual a little more relaxed…We will kiss our boy, and we will be thankful for the love we have, for the grace of God, and for the beauty of knowing the peace of the Great I Am…We will marvel at the good, the bad, the sometimes-perceived “suckiness”, and the overall, misunderstood awesomeness of the plans of God….And we will cling to the verse that David chose as our wedding verse, because every year, it just becomes more and more clear that only He fully knows what He is doing; all we know is that we can rest in His plans because above all, He is a good God:
9. However, as it is written: “What no eye has seen, what no ear has heard, and what no human mind has conceived” the things God has prepared for those who love Him—I Cor. 2:9 (NIV)

Wednesday, May 8, 2013

Adventures in Postpartum...The Continuation


I used to think that antidepressants were the devil. I was one of those judgmental, self-righteous bigots who think that all hormonal and psychological imbalances are simply the effects of people who need to suck it up, and get over themselves.
I thought that all mental “issues” were demonic  attacks, and that if we prayed hard enough, we would be healed…or that if we ate only the right foods, or if we drank enough water, or if we ________, that it would all go away.
Granted, I’m anything but a paragon of health. Obviously, I’m fat. It’s okay—“fat” is not a bad word, just an ugly word. I don’t like it, but I did this to myself, so I have to accept it. I’m fat. But since my mid-twenties, I’ve been very good about getting regular chiropractic adjustments (I started that when I was 15), drinking lots of water (like, a gallon a day—seriously), and I’ve always liked my vegetables (except for lima beans and asparagus). But, I’m not morbidly obese…I barely touch soda…and though I have a major sweet tooth, I don’t live on chocolate (but I could!).  I am, in a word, an average American woman.
I’m also a Christian, which comes with its own bag of stones.
After Hannah’s death, the depression was crippling. Not only was I mourning the loss of my baby girl; I was dealing with the post-partum hormonal imbalances from hell. Anti-depressants were no longer an option. I had to go on them, or risk suicide.
I felt terrible.
I just couldn’t seem to break free from the pit that I was in, no matter how hard I prayed, or how hard I tried. Nothing made me feel any better; it was like walking in concrete. The ADs certainly didn’t “fix” anything; they simply made me able to function. It was then that I really began to respect the need for some people (certainly not all—I firmly believe that as Americans, we are HEAVILY over-medicated) to get a little chemical balance in their lives.
When you’re chemically screwed up, you can’t pray for healing. You can’t make cognitive choices. All you can see is darkness, and it’s so oppressive…Getting the medication into your system, and getting your little neurotransmitters functioning properly again, is the kick-in-the-pants that your body needs to refocus, and to get spiritually focused again. I think that sometimes, we’re so chemically twisted that we have to have that.
That being said, I believe that some medications are only for a time…that after a point, we have to take responsibility and wean ourselves off of them. We have to find a way to be balanced without them. When ADs were first researched, they were never intended for long-term usage. They weren’t even tested for it. I’m not sure how the research has changed, but I know that for me, spending years on a drug like that is not something I want to do.  
6 months after Hannah passed away (in 2007), I weaned myself off of the anti-depressants. In 2008, I wound up having to go back on them for a short time. I still don’t really understand what happened, but after I got off of them again that year, I haven’t had to be on anything since.
I’ve been pretty open about the shock of having to go back on the ADs after this pregnancy. I truly didn’t see postpartum depression coming, even though I had all of the markers (previous postpartum, first child after a loss, etc). I was really disappointed, and ashamed. Why would I feel shame?
I mean, I’d just spent over a month in the hospital. I’d been on a massive amount of medication, including major antibiotics at delivery (antibiotics strip your gut; you actually make serotonin in both the intestines and the brain = Bad gut, bad serotonin levels = depression). I was exhausted beyond belief; I had not gotten a full, uninterrupted 8 hours of sleep since 12/30/12 (part of that is motherhood in general; part of that was from my “incarceration”).  My hormone levels were shot!  So, on the day that I decided I was going to drive my car off of a cliff, I figured I’d better call the doctor.
I had an almost immediate response to Zoloft; I felt better, so quickly! It didn’t change my personality; it just allowed me to function. I could pray! I could be happy! I felt like I could enjoy motherhood! It was great!
I have been able to take care of my son, and do my job, and be nice to my husband. It’s not all because of some little pill…It’s because some little pill got the chemical ball rolling in my brain, to allow me to be me, instead of some crazy, hormonal, mentally exhausted, suicidal lunatic. It’s a good thing.
 I have learned to appreciate psychological medications. When  given with the patient’s best interests in mind, they can do a lot for people. For my friends who are bipolar, they’re a miracle. It’s not always a physical or a spiritual deficiency, people—just because your body requires a medication, doesn’t make you a bad person! It doesn’t make YOU deficient! It just means there is an imbalance that needs to be leveled out. I think that Christians in particular are far too quick to throw stones at people who need chemical assistance. That’s not fair, and it’s not Godly.
No one would chide me for taking my heart medication.
I have a problem with my heart. For some reason, it doesn’t work like it should. It doesn’t  mean that it won’t eventually be healed. It might actually, at some point, be considered “normal.” But for now, no amount of healthy food that I eat will fix it. It’s structural.
I can pray my little eyeballs out; it doesn’t mean that it will be fixed. It doesn’t mean that I’m not spiritual enough, if God decides not to heal it.
It doesn’t mean that I’m a bad person.
There are things that I can do, to help—I can eat better foods (bye, bacon!). I can go walking (I am). I can lose weight (not going so well). These are the things I can be responsible for.
But that little white pill that I take twice a day? I’m dependent on it right now. It’s strengthening my heart.
Why do we, as Christians, look down on someone for taking a little pill that strengthens their physical mind?
The antidepressants have not been kind to my body. Yes, they’ve been great for my mind…but I’ve gained 14 pounds in the past 2 months. NOT GOOD. So, based on that, and based on some stomach issues I’ve been struggling with, I went to my doctor the other day (PCP). Her suggestion was that I try a different AD. When I looked it up (because the thought of trying a new AD just scares me to death!!!!), I couldn’t believe the side effects. Sure, you lose weight…but one woman stood over her daughter’s crib so the “aliens wouldn’t take her!” SERIOUSLY?!?!?  That stuff is supposed to level out your brain, not make you nuts!
So, based on that, and based on the side effects of the AD I’m currently taking (weight gain, arrhythmias, etc), I’ve made the decision to start weaning off of the AD all together.
It’s a scary decision, and one that means I’ll be watched like a hawk by both my husband and my mother (“That’s it! You’re going back on your crazy meds!!!”). If it doesn’t work, and I’m not able to get off of them just yet, that’s fine—I’d rather be fat and sane, then skinny and looking for aliens.  
But really, I’d like to be off of all of it. I think that getting my stomach regulated (I'm doing a strong probiotic combo to rebuild after the antibiotics) will be a huge help.
Everything for a season, right?  Even chemically-initiated “sanity?”
Wish me luck…and smaller jeans…

PS--for the record, I'm weaning off of the AD very slowly, and with my MDs full knowledge. If you're on any kind of anti-depressant, you absolutely cannot go off of it without a doctor's supervision!!!!  Just my PSA...

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