prixmium: (martha jones - purple skeptical)
Content Warning: Mentions of past suicidal ideation. Also discussion about weight/body image issues. Medication.

Back when reality still functioned and didn't feel like wandering through a shut-down theme park, I had stopped taking my antidepressant. I am currently prescribed the generic of Effexor XR. I had spoken to my doctor about it back when I went to get some kind of blood pressure intervention last April. I was leaving on April 30th last year for Japan, and I had been advised that I needed to get my blood pressure down earlier in the year. I'd had an appointment earlier than the middle of April, but the office had to postpone it, not me, so I was like "So, I've completely quit salt, even light salt, like you told me, only using No Salt (even though I hate it on certain foods where I can notice the difference) and my blood pressure is still high and nuts, please help."

He put me on a low-dose, mild blood pressure medication, and the last couple of times it was checked it was in a normalish range. I haven't checked super lately, though.

Anyway, when I talked to him a year ago about maybe getting off my antidepressant because I hadn't had any major depressive episodes and I was feeling a little flattened out, he was nervous about taking me off of it completely when I was just about to have a major life change, even if it was only temporary. He told me to talk to him about it after my traveling was over.

I didn't really get the chance to, because since I don't have insurance when I'm in America, it was pretty difficult to find a reason to just... go... when I got back for good in December. And then I was working, and then this happened.

I was given the go-ahead to sort of see how I responded to taking it every other day or something by him at some point in the past if I felt like it?

So I did that for a bit, and then I just gradually stopped taking it. And for a while, I was fine.

But back in 2016 when I first got on an antidepressant again, I remember the specific day that my mother and I both decided that I had to make a doctor's appointment and do something about myself. I had been through a great sense of personal loss and exhaustion and humiliation that year, too (and even more before the year was over), but I thought I was just... punishing myself but handling it.

But that summer I lost like somewhere between 7 and 15 pounds. I know it was at least 7, but I think it eventually was 15 even when I wasn't doing it on purpose. It was the only time I had ever experienced depression that made me just stop eating for fun. I was denying myself most things and avoiding carbs even though I don't have it in myself to starve myself, plus I was doing some volunteer work because of my grad school program, so the excess weight just melted off. It's the only time in my adult life that I've had a basically flat tummy. And honestly, the weight loss in itself wasn't bad because it did come from both diet and exercise, but it was surreal, because I was doing my required volunteerism and school work and what not, but otherwise I ended up lying around in bed, vaguely contemplating suicide.

Then, I ~met a boy~ and for a little while, things were better. Then they were way worse.

At some point during the midst of this, I was looking for something in a hurry in the house without my shoes on. (I note this because, despite it being weird to many people, my dad is a huge proponent of wearing shoes when being active, even when in the house, and my mom kind of has to in order to be very mobile, so while I usually wander around in socks when not outside, I'm the odd one out.) And I stumped my toe on a chair leg. I cried out in pain, but then I proceeded to melt down into screaming wrath and life, the universe, and everything. I felt almost angry with God because it was like no matter what I did, it turned up failure and loss and pain, and my stubbing my toe was no different from being abruptly and forcibly separated from one of my most important relationships in a way that made me feel traded-in and so on.

And when I finally came down from the banshee screaming (it's honestly like an out of body experience; I've never been destructive, especially not to anyone else's stuff, but it's like trembling rage just washes through my body and I can't control the hysterical grief and gnashing of teeth when it gets like this), my mom was like, "Yeah, you need help."

But then I got on the antidepressant and I stopped being required to do as much physical work in my degree program and I was briefly eating in a social, celebratory way back when my whole grad school cohort got along and made it a point to socialize. But then we started falling apart into cliques, and I'm sure that my brief, based-on-lies relationship with one of them did something to contribute to how that became no longer a thing. But I kept eating, because it was one of the only comforts I could squeeze in. And I kept going to bed whenever I could, but this time it was on a full stomach instead of a barely-fed or empty stomach. So while I had lost 7-15 pounds, I quickly put it back on and proceeded to gain like 15 more over the next six months to a year. Which was really disheartening for me.

(For the record, I'm ten-ish pounds down from what I was when I went to Japan last year still. My lowest was about 12-15 down from it, but I've put some back on, and I'm trying to walk regularly and sorta keep approximate count of calories to see if there's anything I can do under the circumstances.)

Anyway, yesterday, I was about to go on my walk. My dad asked if I wanted to go alone or if I wanted company. I said I didn't mind either way, but then I proceeded to hang around the house waiting on him to be ready to go.

Then he announced that he was, and he asked if I was going with him or if I would prefer to still go by myself. I was looking at my computer, having been waiting, and I looked up and said "I'll go."

My voice was weak, and my dad has some hearing issues at times, so I guess he didn't hear me the first two times I said it. I was actually trying to avoid sounding glum about it. I was just complacent. But somehow this turned into a whole thing where he felt that I meant it in the sense of "Ugh if I have to," when I didn't at all. I told him he was reading too much into it and that I had waited on him or would've been gone already, but it still turned into this big fight.

My parents are usually reasonable, and they've never tried to make me "shut up and do what you're told" to the point that I was not allowed to assert myself at all. However, it's been a bit of a tight-rope as an adult, because sometimes I feel like they still treat me like a teenager. But then again, I also feel like that functionally my role in the household hasn't changed that much since I was a teenager, when I happen to be around, and that there's nothing I can do to earn or merit more respect on the basis of merit as it were.

And I know how I get when I have this uncontrolled depression issue. I know it is entirely possible that I'm coming off as hostile on autopilot, and I don't mean to at all! Most of my friends praise me for patience and understanding when I'm in my right mind. But apparently I'm not.

So yesterday, I had a kind of breaking point crying fit after this stupid argument that led to us both going on separate walks in a huff. Then I came back, did some chores, and packed up my stuff to come over to the parsonage. I needed space, but my dad got over his hurt feelings and annoyance a lot quicker than I did, so we were on some kind of peaceful level when I left. But I came over here, in part, to dig around and find my bottle of antidepressants. It's almost full if not, a 90 day supply. I'm gonna try every other day for a few days.

If the air conditioner and weather and family will allow, I might stay over here for about four or five days to see if anything is happening.

So far, my stomach has just been really upset, but at the moment I don't feel like breaking down into hysteria over minor annoyances.

Even if it's the placebo effect, I'll take it, but I do think that as soon as it seems reasonable that if I am going to have to take medication that I need to ask my doctor about another option, between the stomach upset and the fact that eventually this stuff tends to flatten me out, too.

I keep reminding myself that this whole pandemic situation is a collective trauma and frustration. I wrote on twitter yesterday that I completely understand where any of these idiots who are protesting stay-at-home orders and proclaiming the virus is a hoax while wearing masks in public are coming from? Like, I understand that feeling of "If my life doesn't somehow feel like it's moving forward again, I'm going to kill something or myself!"

But it's not a rational reaction to have, and it isn't fair to myself, my family, or the rest of the world to just start disregarding some of the only community responsibility Americans have been asked to have in ages.

I really hope that I can maybe go back to Japan in the fall. I just need to run all of this out of my system somehow (or fast walk since my knees have never agreed with running).

But in the meantime, here's hoping chemicals will help me control my mortal framework.
prixmium: (Default)
It's 2:30 AM and I'm gonna try to go to bed after this post. Thankfully, I've actually been sleepy for about an hour. I took my medicine a few minutes go, but since I came back to my family's main home from the parsonage I can't figure out what I did with my packet of antidepressants. I need to call stuff in and get American refills anyway, but I've honestly been good for a while on everything but birth control from stuff I got while in Japan. It was just incidental, but I think we I go back I'll try to be good for a month or so but then do at least a couple of refills while I'm there because it's so, so much cheaper.

Anyway, I have been thinking about trying to get off my antidepressant anyway. I don't think I'm no longer depressed or that I have exponentially better coping skills. I also know that in the future I probably do need to invest time and (sigh) money into a good therapist. However, I just kind of don't want to keep being dependent on an antidepressant like that forever. My mom reads stuff online and gets it on her mind, and she mentioned it to me again recently that maybe we both should try to do with as little as possible due to the possibility that it may interfere with the body's ability to ever perform those functions on its own. I dunno.

I am glad I'm getting sleepy in the dark, though. For a while I was only really sleepy from like 5 AM onward and it was a problem. I guess part of it was jetlag, but the thing is that I slept through the night just fine the first few days I was home and woke up with the Literal Chickens that live on my CITY STREET. But then my mom was sort of bothered that by the time she got up mid-morning I was ready for a cat-nap. I just really like sleeping... I know that might be a depression thing. I also think it's a touch starvation thing. This isn't like a sexual thing but I think that I take some kind of tactile pleasure in lying down and snuggling into blankets that is some kind of emotional substitute for the fact that I don't have anyone to hug or touch in any friendly way except my parents, and when I was in Japan I didn't even have that.

In other news, I made a new reddit account, and it seems like it might be promising to get some lowkey interactions within certain fandoms the way classic LJ comms used to be. I don't think every subreddit is as successful or happy as the others, but I'm hopeful.
prixmium: (Default)
I really don't know what the point of this post is or where to put it. I basically am just putting it here because I feel the urge to say something about it to someone, but I am so tired of bringing people down with my own mood which is... bad... maybe... but without substance.

Since I've been home, I've been struggling to find enjoyment in anything. I thought that some of that was related to the whole... like... not having time/a computer thing, but it seems like with having those things it has only gotten worse.

I feel like there is a small leak somewhere I cannot find that is leeching all of the fun and joy out of everything and leaving nothing but a dark and angry sea behind. And distraction doesn't help. It doesn't get rid of it. I don't know what to do to help myself.

A friend who's been in therapy and also studied about mental health as a point of interest has pointed out that putting off feeling something doesn't actually make it go away. It just prolongs and forestalls dealing with it. But I don't know how to deal with any of what's wrong with me or where to start. I've gotten really good at just muddling through and boxing it all away, so it's like a hoarder trying to figure out where to start cleaning house.

People use therapy for this, sure, but I can't afford therapy.
prixmium: (Default)
In light of my most recent post, I have been prompted to revisit considerations of the specific ways I might be neurodivergent. By and large, I have developed coping skills that allow me to work and generally comply with most baseline societal expectations, so I just kind of deal with my mind and its twists and turns without an official diagnosis of anything.

Being on tumblr for a long time, I have heard the back and forth about self-diagnosis a lot. Some people want to protect the validity of their issues by guarding the door of official entry with professional medical diagnosis for a lot of things. I get it, and I get the arguments for it. On the other hand, and for Americans in particular, sometimes that is a class and economic issue as much as it is a medical one. For years now, I have been without consistent medical coverage, and as a result exploratory treatment or ongoing mental health treatment that doesn't come in a bottle has been out of my reach. My doctor has to make the decision to not refer me to other specialists or spend a lot of time doing anything with me that requires ongoing maintenance and tests because of the financial burden it would place on me. Which is fucked up, but it is what it is.

Ultimately, I don't really think that I need an official diagnosis at this point for anything other than validation, and I can live without that part. However, after my friends read my previous journal entry, one of them mentiond that perhaps it would help me to read about Rejection Sensitive Dysphoria. (You can find an unofficial diagnostic quiz here: https://www.additudemag.com/rejection-sensitive-dysphoria-adhd-symptom-test/)

This is a mental health issue that typcially occurs alongside ADHD, but it can also be comorbid with autism. However, I don't know if it can exist on its own. In any case, it led me to read a little bit about the diagnostic criteria for both ADHD and autism spectrum disorders. I definitely don't have ADHD, however I feel like I might meet quite a number of the diagnositc criteria for an autism spectrum disorder. Throughout my life, I have noticed that I have often had an unusually high number of friends who do have autism spectrum disorder diagnoses. However, I have never been diagnosed myself. I suppose the biggest hurdle to me believing that I might be on the autism spectrum is that I have always excelled where it comes to linguisitc communication. However, this MIGHT be as simple to explain as saying that from an early age I had something of a fixation on language and particularly the meaning of any word I came across. I love etymology.

Anyway, a friend reassuringly suggested that with or without a diagnosis that if it helps me to help myself through understanding the symptoms of a thing that maybe it doesn't matter.

In any case, I think that Rejection Sensitive Dysphoria is definitely a thing I suffer, which is one reason I have such a hard time processing failures to find a partner. One thing that I think strikes me as so strange about this most recent experience is that I feel prompted to give up when there was absolutely no clear rejection. In fact, I am fairly certain that it was simply a failure of understanding when I tried to blurt out my suggestion. However, I have processed it like rejection and have begun going through the motions of shoring up my defenses and trying to move on. I don't know if that was a necessary response, and I'm half-convinced that it may have been a very unnecessary one indeed, but it at least helps to know that maybe there is an explanation, even if maybe letting this go is the easiest thing to do...

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