Tomorrow Is Another Day

Yesterday, I blogged for Mental Health Day. And then in a fit of bravery, I posted the link to that post – and therefore to my blog – on my personal Facebook page, admitting what’s going on to another group of people.

And you know what? Today the world is still turning. Nobody called me crazy (at least not to my face.)

I was so scared to do that for so long, but it’s okay.

Throughout the day, there were reminders everywhere of how important mental health is. I mean, I’m aware of this all day every day, but yesterday was different.

I had an appointment with my therapist that was kind of hard. There’s something quite separate from my PPD that I’m struggling with right now, and she encouraged me to work on that. I don’t want to. I don’t even know how. I’m afraid that if I open that door it will be like opening a closet that’s been stuffed full of junk for years and years. Right now it’s only open enough for me to see what’s in there, but if I open it all the way the piled up junk is going to rain down on my head. I don’t feel ready to open it, but I might tomorrow. Maybe.

Then we were at friends’ last night for a barbecue, and Connor’s visit ended with a rather spectacular demonstration of Really Terrible Behaviour, so he was whisked home by dad. The good news is that while this incident caused a boatload of adrenaline to pump through me, I didn’t actually lose it. At other times I might have wanted to throw him across the yard, but that particular demon didn’t appear that time. Small steps.

Yesterday I also talked to some friends about depression – one who lives with it too and one who is struggling but finding it hard to let us help her. I want so badly to help, but I don’t want to push her either. (I’m still thinking about you, Ms. L. Take some time, but don’t hide for too long.)

The nightcap was a chat with my husband about this afternoon’s visit to the psychiatrist. I’m expecting her to tell me she wants me to stay on this medication for another two weeks. If she does, I’m also expecting her to tell me what that will help at this point. I don’t think it’s working and if I have to have one more anxiety attack or one more I-don’t-think-I-can-do-this-another-day sort of day, I’m going to take this precious medication and throw it out the window.

So yesterday I thought and wrote and talked a lot about mental health. Now I’m heading out to my appointment hoping someone will offer something that will give me a break for mine, because tomorrow is another day and I want it to be better.

New Day

1, 2, 3, 4

I haven’t written much about my medication, especially after this recent change (which has me on – you guessed it – four different meds). Despite having talked before about what I was on, for some reason I’m reluctant right now. Partly because I’m starting to seriously feel like a mental patient, but also because the transition has been really rough and, frankly, people probably don’t need to know what things are like right now unless they have to witness it firsthand (ahem, sorry dear husband).*

So in the spirit of laughing about it, here’s a peek into my current medicinal routine (with some creative liberties taken) courtesy of (with apologies to?) Feist. Revised lyrics below.

(What? I like the Sesame Street version. Shuddup.)

One, two, three, four
Meds that I do not adore
I hate counting
Counting to the number four

Oh you’re counting
Counting with me
To one less than five
And one more than three

Oh oh oh, we’re counting to four
Oh oh oh, let’s count some more

One, two, three, four
Pills that I cannot ignore
I hate counting
Counting to the number four

I see four here
I see four there
They’re always around
I’m always aware

One, two, three, four
Meds that I do not adore

Whoa, counting to four
Whoa, counting to four

Counting to four

*Obligatory disclaimer: meds are not evil. They’re helping – I think – but this transition has been harder than others and the bedtime one makes it rather hard to function in the morning. The good thing about that is that I’m off work so it’s okay if I’m passed out until noon. The bad thing is that it’s a bit like a daily hangover with an undisclosed side effect: falling down – and up – the stairs. Or maybe that’s just operator error...

Oops, I Did It Again

Three days ago, I realized I was about to run out of meds. This happened in May of last year and it was a very, very, very bad thing. So, shaking the bottle of pills, I counted. Enough for three days. But Connor was sick so I didn’t do anything about it.

Two days ago, I was vaguely aware that I was going to have to sort this out, but I was sick so I didn’t do anything about it.

Yesterday, I got up, finally feeling a little bit better, and called the pharmacist. They had a handy little refill-your-prescription-by-phone option, so I pressed all the right numbers, confirmed I had no refills already prescribed, and chose to have them contact my doctor for a renewal. Beep, beep, boop and back to bed.

Not 10 minutes later the phone rang.

For some reason I don’t understand – and wasn’t lucid enough to question – they have my doctor, and therefore my prescription, associated with a hospital in another city. Translation: they can’t sort out the refill, so I need to see a doctor, whether one of my own or at a clinic.

So much for the easy button.

I called my psychiatrist’s office. She’s away until next week. I called my GP’s office. They closed early and were referring people to walk-in clinics.

Hmm.

I wasn’t feeling well enough to figure out a solution so I left it until today.

First stop, the pharmacy. I explained my predicament and asked if they could give me enough to last until I see my shrink on Thursday. He seemed quite prepared to do that until he looked at my file and realized I had only been on this particular med for about a month. Which, from what I can infer, would have led to all kinds of bad pharmacist karma despite the fact that abruptly ceasing anti-depressant medication can create the previously-experienced and above-noted very, very, very bad thing.

Fine, walk-in clinic it is.

I tried four before I found one that was open at 2:00 on a Saturday. I got in quickly and explained to the quite young, very kind and not entirely unattractive doctor – who generously pretended not to notice that I hadn’t had a shower – what I was looking for. To his credit, he didn’t just write me a script – he asked some questions about what else I was on and how it was working. When I told him he got a pensive sort of look but agreed to give me enough to get me through the week and said he’d leave it up to the shrink to determine if this is the right approach. I wanted to hug him for making me feel like I’m not crazy.

So the crisis has been averted and I’ve got meds again. But I’ve really got to stop doing this.

The Yellow Hallway

The hallway hasn’t changed in three years. The trim and reception areas are still bright yellow, as though the sunny colour will melt away its visitors’ anxiety. The lights are fluorescent and the remaining walls a stark white. Whoever designed this decor must have flunked out of interior decorator school and lent his skills to the hospital in the name of contributing to his community. I’m not sure his community appreciates it.

The signage is confusing so we’ve come the long way – ironic, I think, given why we’re here today. The last three years have been the long way.

We see the same row of chairs that was here before and my husband and I both take a seat. We wait.

As we wait I look around and notice small attempts at personality in this otherwise antiseptic environment. There’s a child’s drawing taped to the desk, though no credit is given to the artist. Peeking above the window of an adjacent office is part of Shrek’s green face, only his eyes, nose and fluted ears visible. At the end of the hallway is a quilted hot air balloon with a smiling teddy bear waving from the basket. Meant to distract from the worry that something is perhaps not quite right, I guess.

Other details hint at how long this hallway has been here: A piece of the second ‘A’ missing from the Antenatal Assessment Unit sign. A faded, old-school poster about breastfeeding – placed there, I assume, by a well-meaning person who wants to lecture these soon-to-be-mothers before their children emerge, needing to be fed. I think of all the pregnant women this hallway has seen and how, last time I was here, I was one of them.

I was anxious then, too, but it was different. Three years ago this was the stop before the last stop, both a literal and figurative pulse check before attempting an external cephalic version on my stubbornly breech baby.

That time, I was determined to assert my in-charge-ness. The test was required prior to the OB-assisted baby acrobatics that would proclaim me as the mother. The one with the last word.

It didn’t go that way, of course. The results of the non-stress test were fine, but Connor had the last word anyway.

As I enter this hallway today I’m burdened by the perception that I’m not actually in charge of much of anything and I pinpoint that other visit as the start of the detour that has followed.

Three years ago I didn’t know I’d be taking this detour, or that it would be filled with so many wrong turns as I try to find my way back to the road that is my life as I expected to live it. These wrong turns – my own stubbornness in resisting labels, therapists who weren’t quite right, medication finally accepted (but not the right dose, it appears) – have left me stuck in a detour I don’t want to be on.

But today that detour has led me back to the yellow hallway, where someone who understands has agreed to see me. After hearing the details that make up the story of my struggle, she looks at me. I will remember that look as though it were a reassuring squeeze of my hand, for in that look I can tell she sees me. She sees my true road – the one I have come from and the one I’m trying to get back to – and then she offers me what I think might be a way to leave this detour behind.

 

Shrink Me

A few weeks ago I had a conversation with my therapist that went something like this:

Me: [crying my eyes out and using up all her Kleenex]

Her: “I don’t think your meds are working… I’m going to suggest something to you and see if you have a response. Well, you’re going to have a response, so I’m just going to say it and then we can deal with your response.”

Me: [waiting. I think I know what she’s going to say.]

Her: “I think you should see a psychiatrist.”

I have a response, all right. But it’s probably not what she’s expecting. It’s not, “Hell, no!” or “Thanks but no thanks” or even “I’m not sure what I think about that.”

My response is, “Yes, please. (Can I go right now?)”

We talk about it some more and I tell her about how I actually requested a referral to a psychiatrist a year ago – one that was recommended by a friend who’s a nurse – but I didn’t “meet the criteria”. The same criteria, incidentally, that prevented me from getting in to see this very same counsellor (pregnant or a baby under 12 months) until I ponied up the cash to pay for private visits. She recommends a different shrink and suggests I talk to my doctor about a referral. Interestingly, both of the psychiatrists recommended to me – both of them women – have a reputation for having a fairly brusque bedside manner. <sarcasm> (I can’t tell you how much this reassures me.) </sarcasm>

I agree to talk to my doctor and again work up the nerve to call and make that appointment. When I get there, I’m feeling pretty good so the conversation goes a little sideways. I describe how my ultimate goal is to feel well enough to get pregnant again and the result is that she agrees to talk to the first psychiatrist – the one my nurse friend recommended – about what is referred to, in a fabulously clinical way, as a “pre-conception appointment”.

It takes a month to get the news that this shrink has agreed to see me. In the meantime, I go from feeling pretty good and going back to my doctor to discuss weaning off medication to feeling a little less good to realizing going off meds is perhaps not such a good idea.  (Chutes and ladders, anyone?)

As of now I’m still keeping that cliff in sight while trying desperately to figure out what’s around the corner.

As part of that orienteering effort, I sat through another session with my counsellor today. Sobbed through it, actually. Something’s not working and I’m stuck in the swirl, as she calls it (an apt metaphor, because I liken it to a merry-go-round I can’t get off). I sniffed and sniveled, wailed and wept, and blurted out all the stuff that’s going through my head. Stuff I can’t shut off no matter how hard I try. I listened to everything she had to say and when she asked how I felt about her assessment of what’s good enough, what’s normal, what I can control and what I can’t I thought, “I understand all that. I know it to be true but I can’t make myself believe it.”

I see the psychiatrist on Thursday, and that’s probably a good thing. I have no idea what to expect. She might be abrupt. She might wonder how this crazy woman who clearly is in no shape to be considering another baby got through her doors. She might not actually hear me – might just change my meds or up my dose or something else that might work…or might not, because it’s not really addressing my issue.

But she also might help me – perhaps by changing my medication to something that will work, perhaps by suggesting another resource, or perhaps by reiterating something I already know and am just not letting myself hear.

Whatever she does, at this point all I can do is hope it helps.