Category: depression

Latent Depression?

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Strange. Yesterday I wrote a page of this diary saying how much I had enjoyed the different sense of time in Oman, where everything flows so slowly compared to Europe; and I mentioned that I took the afternoon off, snoozing on the couch, doing nothing but watching TV and some favorite movies. I did that twice actually, on Saturday and Sunday. Today is Monday, back to working mode. The morning went well, that’s when I am most active. But: right after lunch, here comes the same lack of drive as yesterday. I lied down on the living room parquet to catch the shy heat of the winter sun, and have laid there for almost an hour. I am feeling, although not as severely, the same lack of drive as I had last year when I was depressed. And yet I am taking Fluoxetine, 20mg per day every single morning. Why do I feel like this then?

I am worried because I know that sense of helplessness, which comes from inside, a plug that is pulled out of my body and mind. I didn’t like feeling it today, while I was sunbathing to catch some vitamin D on the floor. I recognise this feeling, and I don’t like it one bit. It scares me. And I know that when I think of W., the love of my life whom I left 5 years ago, it means that I feel vulnerable and I wish he were there. Today I thought of him a lot.

Back to work now, but first I am going to write these words here, to make a point. A point of warning: I must be vigilant, depression isn’t over, sometimes I wonder if it will ever be. Are there people out there who were depressed, went on Fluoxetine, and got out of it? Doctors say that this molecule is not addictive (unlike Xanax), but is it really? Or are they just saying, so that we don’t worry?

Today for the first time in ages I felt the need to pull the plug, the inside black hole coming to surface again. I know it’s winter, November is the month I most hate, days are short, it’s cold and dark, it’s depressing by definition, but I am doing better than last year, and I am taking antidepressants, so where is the problem? It’s been two years now since I started taking this medicine. My intention is to reduce to 10mg in spring 2022, and stop early summer. See how it goes. Last year I stopped in September, just at the beginning of autumn. Not a clever decision. this year I am smarter. Come on L., get it together. You can do this.

A Different Sense Of Time

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Wow, already a month since my last post. I was on holiday in Oman, a beautiful place, full of different landscapes, and full of adventure, just like I love it.

In Oman I was happy, I did holidays the way I haven’t done in a long time. I went with a friend, so no emotional complications, good company, similar interests. We made a good choice to go there, just before the 5th (I think) Covid pandemic wave hit Europe and the rest of the world. We went without worrying too much about this and that. I did my PCR test on top of the vaccination, then a few papers and apps to fill, and off we go to Oman. 30 dry degrees in November was fantastic, and sunshine every day. Vitamin D a gogo.

Time passed in a different way there. I really enjoyed not having a schedule, not reading emails, not responding to SMS, just going with the flow. Wild camping is allowed everywhere in Oman: we drove on our 4×4 Toyota Land Cruiser, found a place to stop for the night, and pitched our tents. It could be the desert, the ocean beach the riverbed or the mountains, we did it all and nobody ever complained.

The day was rhythmed by the sunlight: 5h30am sunrise, 5h30pm sunset, darkness shortly before and after those times. During the 12 hours we had a our disposal we drove, we cooked, we ate, we swam, we hiked, we sightsaw, and we interacted with the local people. What struck me most was on Masirah Island, where our car got stuck in the deep sand, and local people started to help. They came and assisted, and when they realised that only another 4×4 would help us get out of the sand, they said we had to wait for the fishermen, who were all fishing until about 5pm. The fishermen are the people on the island who have 4 wheel drive vehicles. The great thing is, the locals who came to assist earlier that morning waited with us, for at least 2 hours. Time was not a matter for them: they didn’t have busy agendas with calls to make, they didn’t have traffic jam to drive through, their kids didn’t have hectic plannings.

They didn’t speak much English, so we used Google Translate to communicate. My friend had bought some data on a local simcard (Omantel). One of them, an older fellow, drove us to a neighboring parking area where some friends came to greet us and say hello. Nobody was angry, upset, or stressed; they all smiled. As to say “it is what it is”. How refreshing, how different from the hustle of the society I live in. Time had a different dimension there. And I enjoyed it fully.

Being away from my regular way of life has done good to me. I am happy I went, and my heart and soul feel lighter. I have charged my batteries and feel serene. Nothing compared to last year, when I went to Egypt, and I had to push myself to do whatsoever there; I was alone and I was depressed. This year I went for almost 2 weeks, with a friend, and we had good fun. I still feel the sunshine on my skin, the warm air caressing my hair, the smile of the villagers. Yesterday, first day since I am back, I did nothing all afternoon. I layed down and watched a lot of movies. From 12h30 until 22h30 I was on the couch. Feeling somehow guilty for not doing anything, as if wasting time, but then I decided to enjoy the nothingness. And I slept a lot.

Tomorrow I’ll work again.

Enjoy!

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I hadn’t visited my psychologist in a while. I notice, after two years of this “psycho-routine”, that I go when I am down, and I don’t go when I am up. I mean, I don’t want to spend money or take extra time from my busy schedule when I am feeling good. But that is the point: unlike other organs in the body, I am learning that when the head aches inside, it is not such a matter of a day or a month to heal, and it won’t heal with tablets only, it will heal with work, loads of work that I must put into it. And I am learning that I need to be constant with the psychotherapy, and do it when I feel good and when I feel low.

It was actually good to see Dr. G. again. I don’t particularly like him, he is very Swiss in the “detached” kind of way. Plus he is a psychoanalist, and I don’t particularly fancy that practice, cause they often boil it down to the mom-related issues. There’s dads too. And loads of other elements that shape our identity. Plus, it is a loooooong therapy, it takes years, and looking at my budget, I feel I could use that money for more fun things, such as financing my podcast.

I realise though that this reasoning it to my own detriment. I am earning enough money to do both, and I live frugally anyway, so money should not be a problem. Away with this. So what’s the problem? Che ne so. Or, yes I know, I am learning to figure out, identify my problems. The source of them, how to catch myself getting into the wrong habit, and how to remedy that situation. It is such an invigorating process. I am doing it now that it is summer, the days are long and warm, sunshine has finally appeared at my doorstep, after many spring weeks of weird climate-change slash climate non change storm and snow in the month of May and June. Bring it on: Covid, weather unpredictability, solar eclipse, sunset sunshine, rainshowes and wind. I take it all, because I am happy at the moment, I am content, satisfied, proud of myself, on many fronts, and it’s all due to my own doing. I pet my own back and tell myself: brava L., you are achieving the potential in you, the famous or infamous potential everybody tells me about. Oh, you got so much potential, you are beautiful and smart, you can conquer the world… etc. Well, it gave me pure rage when I heard it during my low times, because I KNOW I am beautiful and smart, but somehow, this isn’t taking me anywhere… wasn’t. And I couldn’t see the path, I wanted everything and now, hic and nunc, and it doesn’t work that way. not for me. I have learnt that I need to be patient, and things will come in due time. I have to put effort on what I do, things don’t just fall from the sky, I make them fall in the right place, through my actions, my intelligent, my luck, my destiny, ma chaos, my fate, my doing, my education, my encounters, my new and old friends, my family, the good and the bad of everything.

We are yin and yang, I am coming to grips with my internal strength, I am learning to protect myself from others regards, I am learning, and it will probably take my whole life. But the beauty of life is the process, not the end.

Dr. G. was happy to hear my story, me learning, me doing exercise to not fall into traps, to learn to avoid OCDs, to go through them when I stumble into them, to prepare happiness when winter comes, when the days are shorter and gloomier, when I won’t feel like getting out of bed… I will be ready then. I will not allow myself to go lower than what I can handle. I will be ready. “Enjoy!” he said.

Enjoy this state of mind. Enjoy !

Side Effects of Fluoxetine (Prozac)

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If I dig into my older diary pages, I will find my notes about side effects. I will check later. I thought this morning I would check again on the Internet, because I have two clear changes that I feel to attribute to taking Fluoxetine. I am sort of doing a self diagnosis, based on the fact that I have taken two long repetitions of Fluoxetin, and I notice the same pattern. Nothing major, but to be monitored.

The first time I took Fluoxetin was December 2019 until June 2020, the second time was December 2020 until now (April 2021). in 2019 I starting reducing from June to September, taking 10mg instead of 20mg, then I stopped in September and October, but by November I was feeling depressed again, and I started again December until now. I still take the same dosage, 20mg. In both cases I had no Fluoxetin in the gloomier months of the year for me: October-December, and I had to wait until end of Jan in order to start feeling better. I confirm that it takes 4 to 6 weeks for Fluoxetin (Prozac) to kick in. So, in both cases, I have the same pattern developing: 1. once my mood stabilises and I feel happier, I start dreaming very vividly; 2. I become more cocky, blunt, sometime verbally aggressive in my reactions. As if the social mask that inhibits our very being from expressing itself was taken off.

These are not amongst the common side effects of Fluoxetine. If I look at the NHS in the UK, the side effects that happen in more than 1 in 100 people are:

  • nausea, headaches, being unable to sleep, diarrhoea, feeling tired or weak.

    • I am far from that, I actually sleep like a baby. And I have these vivid dreams, they feel so real that I wake un in the morning remembering them as they really happened. Last night I dreamt something that has been recurring to me: I was missing the plane, and I felt this anxiety and breathlessness because I was stressed, I had to take that plane, and nobody around (my family) was helping me getting there in time. My father, who usually likes to get to airports 2 hours in advance, was telling me to not go until an hour from the flight time, but this was not going to help, as we were on the other side of London (why London I dont know…). I had this dreams in different sauces several times. It is not a happy dream, but it is not a depressive one either. It kind of gives me adrenaline.

    The other thing is feeling cocky. The only common point I can interpret from the NHS list of serious side effects (happens less than 1 in 100 people) is this

    1. headaches, trouble focusing, memory problems, not thinking clearly, weakness, seizures, or losing your balance – these can be signs of low sodium levels

    2. thoughts about harming yourself or ending your life

    3. fits, feelings of euphoria, excessive enthusiasm or excitement, or a feeling of restlessness that means you can’t sit or stand still

    4. vomiting blood or dark vomit, coughing up blood, blood in your pee, black or red poo – these can be signs of bleeding from the gut

    5. bleeding from the gums or bruises that appear without a reason or that get bigger

    NHS article on Fluoxetine

    I feel number 3 is close to what I feel. During the day, when working or doing my own personal projects, I feel I am regaining confidence, and strength, and I tend to cast away everything that threatens that confidence. I don’t feel inhibitors in telling people what I think, and I feel good in what I am doing. Work is going better, I started (yes, finally!) my podcast, it feels good.

    But I need to be careful not to exaggerate. I live in Switzerland, not in Italy, and the direct way of confronting people is not appreciated. I even thought of telling my CEO that he was wrong in doing what he did to one of my clients. But he is the boss, I have no right to tell him what I think, right? And he is not the kind of person who will easily accept a critic. So I need to be careful to not ruin my own happiness by saying too outloud, or being too enthusiastic (euphoric sometimes yes).

    All in all, I am doing well, I feel that the medicine is helping me. Unlike I read in another article, I don’t think it is like a placebo. But I need to prepare my own internal medicine, my own mental weapons to fight depression if it comes back after I am out of Fluoxetine. When will I stop Fluoxetine? I don’t know yet. I am scared of the gloomy depressive winter. I will check with my Congolese psychiatrist.

    Anger again

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    Yes, anger again, same as last year. A cycle is kind of repeating: in the winter I am depressed and start taking fluoxetin; the medicine slowly but regularly starts having effect and equalises my moods, making me happier and stronger every day. It takes about 2-3 months to get stable. I am miserable in October-November-December, then from January things start getting better. Then around early spring (about now) I start becoming cocky, and angry at things and events; it is as if I was gaining too much confidence, and I can face any event or situation; I need to be careful, because at work I risk to respond abruptly to people (and to the Management) and I know I will regret if I do. So I tell myself “stay humble, don’t explode”. So I do. I try my best. So far I succeed, but sometimes I am really eager to give the proper feedback to people. I play it in my head over and over, as to rehearse the perfect speech.

    I remember last year I was angry against W., my ex (the love of my life), for not fighting for our relationship, for letting me go like that; the anger was good to not think of him too much, self defense I reckon. As I already wrote in another page, I’d rather be angry than depressed. And I remember that last year, around late spring, I decided together with my psychiatrist, to start diminishing the dose of antidepressant. Because I was feeling strong, and because I knew I could manage reducing the pills. This year I feel I am doing well again, I feel I could let go of Fluoxetin, but I want to be more careful, and not rush things. I don’t want to end up later this year with a winter coming and depression galloping again in my brain.

    Man, it’s so challenging to find a balance. I said from the beginning that I will win this fight, and I will. It feels though like a lifelong battle, that this will be my fight until the end of my days. I must never let my guard down, I must remember that there is always a risk of falling into depression. Like asthma. You have it and then it stays with you; you can calm it down, thame it, but never lower your guard, never underestimate the enemy.

    Create a hobby

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    When the psychologist says “do things you enjoy doing”, he is not wrong. It just takes a huge effort to take the first step. When I feel depressed I don’t feel like moving a thing, lifting a pen, tidying up the kitchen, let alone work on my hobbies, on what could make me excited. But, if I find the minimum motivation to take the first step, then I am really proud of myself. Taking Fluoxetin in the past few months has helped me feel more balanced and serene, so I take this opportunity to feel motivated enough to make a big step into something I really like to do. I have been postponing it for about two years, and now I have finally taken small steps toward it, and I did it. It’s like taking a weight off of my shoulders: finally being able to work on the podcast I have been meaning to do for a long time.

    My goodness, how difficult was this first step: I was looking at the whole picture and the endeavor seemed to be just too big to master. I would need to know how to record, how to edit the sound, how to find music, how to mix everything, how to find guests to invite to the show, how to choose the right hosting platform, etc. So, while the podcast has been in my head for such a long time, and all its perceived obstacles, I have taken one simple step: I looked for a freelance to help me with sound editing; on upwork I found a few freelancers. This has unblocked the mega block I had about podcasting: finding someone to share the task with me has been the solution to unblocking the blockage. It’s been 3 weeks and I have been interviewing people non stop, after my work hours, and working on my intro and outro before work, in the morning. It’s satisfying, I get to speak with people, I get to learn new things, and I get to improve my interviewing skills.

    Making the podcast has helped me immensely to get back on my feet, feel confidence, and counterbalance the frustrating moments at work. With a podcast I manage to put my eggs in different baskets, this is very important for my overall well being. So, next to the big “work” basket, now I have a “podcast” basket. Another basket is weekend sports: I am skiing quite a lot in Switzerland these days, despite the pandemic restrictions, and I am seeing new friends. This is something I look forward to.

    Dinners are also events I am enjoying. Making food for people, new friends, people I met on the whatsapp groups of like minded expats who are looking for new friends and activities to do. The social media help in this. Not easy to make friends in Switzerland, and I find that Lausanne has more Swiss people than expats (harder to mingle with Swiss than with expats); but I am meeting new people by signing up for walks, ski weekends on the mountains, and swimming sessions in the glacial cold lake. New acquaintances help the daily life.

    With Fluoxetin, more motivation, new activities, I feel that I am getting stronger. I have things to look forward to. And spring is coming: longer days, lighter days; this helps me immensely. There is hope. Just taking one step after the other. It’s so true: try to do something you know you enjoy. It’s difficult for us, depression prone people, but it’s not impossible; that’s it, it’s possible, and it will change your life for the better.

    Step by step

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    For someone who wants everything and now, thinking in steps, small drops, little daily progress is a huge endeavor. It’s almost paradoxical: for me small steps take a huge effort! And yet it’s true: I realise it now, after losing the big love, after returning to a country where it’s difficult to make friends, and with a job that gives me lots of frustration, I would rather leave, and get the immediate gratification of moving away from here, rather than working drop after drop every day, in the hope that it will bring joy in the future.

    Tomorrow is March 2021: 5 years since I moved back to Switzerland. Very hard times, let me tell you, and it ain’t over yet. But: I am learning to be patience, to not drop everything at the first (or second or third) difficulty; I have been wanting to quit my job since October 2020 (and in 2019 too), and have been telling myself to resist; this time you resist, damn it! It hasn’t worked out in the past, running away I mean, so why should it now? Resist! Embrace!

    My psychologist, whom I meet every 2-3 weeks, tells me that I have this pattern: when I feel blocked I want to leave. Mmmhh. yeah! I feel so constrained that it feels unbearable. Leaving is finding new horizons, changing landscape, moving household. Change is good for me, I seek movement, change, speed. But he says that this is not good for me, it’s a wish for escape, but problems will not disappear, they will tag along. He may be right; I don’t like him particularly, but I keep seeing him, for one reason: I have been wrong before, he may be right. He got this typical Swiss attitude, the rational one, you know? Rational, pragmatic, boring. Add Switzerland and Covid, and you’ll get boring all right! But then I must say that Switzerland during Covid is quite extraordinary: I am able to ski, paddle board on the lake, walk around without a mask. It’s a little paradise.

    So, long story short: I have to be patient, I have to go through my obstacles and blockages, the only way around it is through it. It’s so damn hard, but it is feasible. The medicine I am taking is helping me feel ok, even good again. Starting my new hobby is helping me tremendously (podcasting), and gives me inspiration that counterbalances the frustrations at work. Through some expat whatsapp groups I am meeting new, refreshing people, and that’s good. Step by step, drop after drop, I am going through this hard, dark winter: Fluoxetin has kicked in, some problems at work are being tackled, my podcast is finally up and running, skiing with new friends on weekends is fun, and the days are getting lighter, sunnier and warmer. Spring is around the corner.

    Happiness is an atttitude: I can be happy if I so choose.

    Step by step.

    Back to drugs

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    Third day of Fluoxetin, 10mg. Dr N. said ok. I am surprised he gave me the answer via phone, through his assistant. Usually he requests an appointment (300 chf please).

    I decided not to be stubborn this time, and to take the medicine immediately, as I am starting feeling that depressive emotion again. I am familiar with the symptoms: when I start thinking of going away from Switzerland, when I want to go to Canada and find W. and when I want to change job, that’s the alarm bell for me. Last year this time I was in a terrible mood, this winter I want to be better, be good, be great. Despite the fall, despite the challenges at work, despite not having W. in my life.

    I feel disappointed that I am back to square one, but I have decided not to feel sorry or ashamed for taking Fluoxetin again. Like my friend says: “be happy that you have found something that works for you”; she is right; this medicament is helping me, and I will take it. Possibly for a short while, during winter maybe, until the sun shines again and Corona ends.

    After 4.5 years I am still thinking about W.. Will it ever end? I tell myself that I will forget him when I find a new love. Good luck here in Switzerland, where it’s so hard to make friends, let alone find love. I don’t go out enough (and now with covid even less), I should get into more social circles. I need to find a way to meet people from the IMD, or similar international schools; people who come here to do masters degrees, people my age, that come from all over the world, one I can fall in love with.

    But W. is my special love, the one with the big L, the one I would like to grow old with… well if he ever decides to speak to me again. For now I have no chance. I emailed him.. nothing; I sent him a message on FB, he blocked me; I reached out on LinkedIn, he makes himself invisible to me; I even delivered a letter to him via an acquaintance of mine who so kindly went to Banff to give it to him in person, and he received it, saying he was going to read it. But I never heard from him. This was last year. Now what should I do? I tried forgetting him and get over him. it’s been almost 5 years. No chance. He was my steady star, we completed each other, now I feel empty.

    But: when I was with him I had already signs of depressions. I was crying a lot, I was dissatisfied about my own professional battles, things were hard also when he was around, loving me and caring about me. So I wonder: even if I saw him tomorrow, would his love make me happy? Would I make him happy? Or do I still need to search inside me a while longer to find happiness? That’s what I am thinking right now. I need to get back to my feet for good, before I can find someone (or him) again. I can’t rely on someone else to be happy.

    If I were with someone, I would feel less lonely.

    Does depression get under your skin?

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    There we go. Not even two months since I stopped taking the antidepressants and I am finding myself crying on the couch since yesterday. Is this thing ever going to go away? I meditate and all, but it’s come back. And the looming lockdown ain’t gonna help. Che palle. Shit! Merde!!

    If you ask me, it seems as though this disease, that we should be able to control in our mind, is very strong, and is looking for a host, like a virus; it requires I don’t know what, to eradicate it. You know that virus that you get when you have herpes (like on the side of your lips): that virus stays in your body forever, silent mostly, and then it comes up when your immune system is low and stress goes high. I feel depression is the same. I hope not, but damn, I thought I had progressed in the past year, and here it comes again. Do I have to live with it all my life? Why has it entered in the first place?

    I have so much to do for work, and I cannot concentrate. I have an important call with an international client, and I am afraid of the results. It could turn into a tough conversation, and I don’t want to deal with it, it scares me. No it doesn’t scare me, it stresses me. I am worried that I may make mistakes, I am worried of what the CEO thinks of me. I feel as though I had had a burnout and I have a hard time getting back on my feet.

    Burnout: we never even knew this word 10 years ago. And now all I hear around me is burning out, risk of burnout, stress at work, stress in life, tension, expectations, challenges, etc. I had a simpler life before, I had my man beside me, I was younger, life was easier. And now I feel stuck again. While a few months ago life was good again. I had closed an important deal, I had found new friends, I have spent two beautiful weeks at the sea, I have bought a SUP for the lake and a wetsuit for swimming in winter. And now I am back to square one? No way.

    I feel like a child who cries when he cannot have what he wants. Work is difficult right now? I cry. I miss W. so much? I cry. My sister in law doesnt want to talk to me? I cry. Now, is this me being spoilt and unable to cope, or is it a disease where I see all black? Cause I wasn’t like that in the past. Or maybe I was and I just had to wait and see? No, I remember when life was easy, during my studies, in Rome, living with my parents and traveling to study languages. Now, 20 odd years later, I feel my life is an echec. But in truth it’s not, I just perceive it as such. If only I could find a balance in me. Happiness is inside, not outside. I shouldn’t care if a client isn’t happy with me. who cares. but I am, to a point that I stress and depress.

    I have written to Dr. N. and asked if I can resume Fluoxetin. 10mg. Let’s see what he says.

    Familiarity

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    It’s been way too long since my last post. A lot has happened. First I went on holiday. It was really good. I have thrown away cell phone, laptop, and all I did was eat, sleep and swim in the sea. Second I finished my antidepressant. Yeah! 4 September 2020 is the first day off Fluoxetin. In June I had gotten prescribed half dosage for 3 months, meaning 10mg instead of 20mg, and then basta, give it up and see how it goes. My spirits are high, I am rejuvenated from the holidays and I like my job. It’s a good start to test my time off medicaments.

    What I would really like to highlight here, is that I think familiarity was really key to this whole process. Alain de Botton says this about love. Have you heard any of his conferences? You can check Ted Talk. Great guy, a philosopher with lots of knowledge and a great look at modernity through the eyes of the Greek philosophers. He basically says that when we fall in love it is usually with people that don’t make us feel necessarily good, but familiar, as we unconsciously seek for the feelings we are familiar with. “We chase after more exciting others, not in the belief that life with them will be more harmonious, but out of an unconscious sense that it will be reassuringly familiar in its patterns of frustration.” (quote from one of his books, see it here). Sounds like a side track to my story, but it all makes sense to me! I had a great time at the beach in Italy, 2 weeks of bliss, without doing anything special, but I was at the campground where I have spent most of my summers since my first year of age. And that’s the recipe: I needed familiarity, I needed to go back to what I know and am accustomed to, the love of my parents, a routine, etc. Four years ago, when my life changed for what I thought was the worst, this is what I was seeking all along, without exactly knowing. When I left W., the love of my life, I was going in this direction, but I couldn’t see it then. I went through hell, to get where I am now; I had to leave him in order to find me. I had lost me on the way, I wasn’t feeling the earth under my feet. I had to go back to what was familiar; stay in one place, refind balance, finding a routine… all things I have despised for the last 20 years.

    And here I am now, four years after moving back to Switzerland, leaving W., changing jobs, coming closer to my hometown (1’000 km instead of 9’000 km), having a stable job, paying retirement insurance, saving money to buy a house, visiting friends a few km from my place in Geneva, etc. I didn’t have to give up W., but that’s what it took in my case; I miss him dearly every damn day of the year, since 4 years; he doesn’t want to talk to me, 14 years together, and I threw that away; and he didn’t pick it up for us. He let us go as much as I did. But that’s another story. For another post.

    I am happy and serene. Gained 4 kilo, but am sort of pleased by the extra “ciccia” :-). I want to get back in shape, it will come. For now I look at my belly and I smile. Abundance is welcome, also in the flesh. Anything, but not depression. Ok, no cancer either, thank you.