Category: fluoxetin

Familiarity

diariolottatoreLeave a comment

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.

The North Wind

diariolottatoreLeave a comment

A month and a half ago I halved the intake of Fluoxetin, otherwise known as Prozac. From 20mg to 10mg every morning. So far so good. A couple of changes occurred, but I cannot tell if its psychological suggestion or chemical adjustment in my body. I want to understand this better, and discern between self induced effects, placebo effects and real medical effects. No matter what happens in my body, I am still happy and satisfied about what I am doing. Work is going well, very well indeed, I have closed a major deal for the company, and in a new field, aviation, which I like much more than automotive. I am very proud of how I handled this deal and the negotiations since January. It all went pretty smoothly and quickly. 6 months of talks for a very good outcome. I gave myself a good pack on my back. And so did my CEO and the whole company. We popped two bottles of good champagne at work, and F. made a speech announcing I had made the biggest deal in the company’s history. What a good satisfaction. And if I think that only 7 months ago I wanted to quit.

One thing I am learning about this anti-depression process: to cultivate patience, and to fight my perfectionism. More things I am learning, which I will write as I go.

Patience is a big deal for me. And acceptance of a certain routine. I realised that over the last 14 of my relationship with W., and even before, basically since I left Italy to go and live in Germany in 1998, I have not been in one place or one job for more than 2-3 years. Events in life, jobs made redundant, W. entering my life (he is still the love of my life, although we are no longer together), new passions being born, the quest for film making, the eagerness of seeing the world, the choice we had to change our lives when we saw fit and how we pleased, made me wonder around the globe, traveling across oceans to beautiful places, living in the turquoise beaches of the Caribbean, moving to South Africa to pursue a film career, going to Canada to work at the Olympics, going back to Italy for a short while (3 years) setting up a company I didnt want to create, getting angry at life in Rome, leaving again, etc etc. I realised I have not been in one place for more than 2-3 years in the last 20 years. Whereas my childhood and my youth have been very regular, filled with routine. And my youth was very happy. I realise now that Alain de Botton is right when he says that in love we seek to reproduce the familiarity of what we are used to in our childhood. I recommend one of his speeches at Zeitgeist. Where I am getting at is that, also in life, not only in love, we seek balance based on what is familiar to us since the beginning. Now, I still need to understand why I was so attracted to a life without rules, and I still am, but why this has over 20 years damaged my self esteem, my happiness, and my relationship to the greatest man for me. Everytime I didn’t like what I was doing, I (I should say, we) would pack up and leave. I am like Juliette Binoche in Chocolat: I leave from village to village at the blow of the north wind.

Once I returned to Switzerland, helas without W., it was 20 years after I left my home in Rome, the home of routine, familiar habits, and the love of my family. I wondered in this world for 20 years, 14 of which with the love of my life, and now that I am back in CH, my life has been shaken from the core. I had to stop, in a very harsh and hard way, and depression has been the climax of this journey. There’s more to say, but I need to get up and go to my next meeting. Life is full of surprises, definitely worth living every bit of it, even the suffering parts. I am growing through this process. I am learning to be patient. I will find my answer, but not yet today.

10mg

diariolottatoreLeave a comment

I am back in Rome for a week. My mom had an urgent surgery due to a hernia that was pushing against the root of the nerve (L4 level), and caused her tremendous pain plus was preventing electric impulse from flowing in her left leg. Bref, as we say in French, I had to rush down to Italy from Lausanne, which was not easy, since COvid measures are still not totally relaxed between countries, and I had to start a sort of pilgrimage to the holy city, which entailed taking the train from Zurich to Chiasso, walk to the Italian border with a big luggage, the laptop bag and a plant for my mom, catch a bus to Como station, and jump on a train hoping it would lead me to Milano Centrale. Almost, it took me to Porta Garibaldi, a few metro stations from my destination. I slept in Milan at an Airbnb, and at 6am the next morning I took the Frecciarossa train to Rome. It took me almost 24h to get there.

A few days earlier I had asked my psychiatrist to reduce Fluoxetin. As I said in another post, the self isolation time has helped me work on myself, and do mental exercises that have helped me get stronger, and feel that my core happiness that I am regaining is due more and more to me and not to the medicament. He agreed to reduce from 20mg to 10mg. Big step for me. I was worried about the consequences, and the effects or side effects it would have on me. I am still very careful, and am being vigilant to the mood shifts I may have. I started 10mg on 5 June, and today is 15 June. Already ten days.

I can’t tell what exactly is the effect of the reduction, but I can certainly tell that my stomach is adjusting to the new intake. I was taking another brand of Fluoxetin, which was in gel capsules (with powder inside), and I had to change it to another brand (solid tablets) because I need to cut the tablet in two (there is no 10mg pill, at least in CH). I can tell that my stomach has been burning during the day, and I am sure it is because of this change. So, that is clear.

What is less clear is whether the reduction is making me more angry, or whether it is my hormonal state. It so happens that I started the reduction just as I was about to have my period. I take Estrogens and Progesterone regularly because in the past years I had started having less and less menstruation (at about 42), as if I were in pre-menopause. I know now that this pre or peri-menopause is due to the stress my mind and soul found themselves in, a slow process towards depression that has blocked my body functions. Just like a high level sportswoman who has no more menstruation because of the strain the training has on her body.

In the past 4-5 days I have found myself angrier, and more “delicate”. I love this word, delicate, Roy from “The IT Crowd” very cutely says it at the episode called “Aunt Irma”. You have to watch this : Series 1 Episode 6 . Hilarious. So, yes, I think I am sensitive because of my period, but my period started and didn’t continue at this round, so that’s another story. I am guessing that I have been hormonally challenged, and on top of that work has been exciting yet stressful, a lot to think about and to follow up on; couple that with the long journey to Rome and the worry that the surgeon might injure my mom even more, I was ready to kill somebody 3 days ago! I didn’t literally kill, but I was very vocal with my words, and found myself being angry at every little thing that was happening to me, all the more when the little thing was against my self. Example: a colleague who didn’t want to help me at work, or the train manager who didn’t want me to get on the train; the lady at the Airbnb who was not talkative and was rather dry (she did her job though, handed me the keys to the room and showed me the kitchen), but I wanted her to be more lovely, just like I am with my guests at home.

Bref…. (long story short), here I am in Rome, I finally made it. My mom had her surgery, she is fine and now I will work from Rome remotely, nursing my mother and giving my father a break. They are getting old. I still don’t know whether my mood swing towards anger had to do with the 10mg, or with my period. Maybe a bit of both? I will monitor the situation and will revert asap.

More soon.

OCD [obsessive compulsive disorder]

diariolottatoreLeave a comment

For sake of defition, here is a meaning of OCD that I have found on the internet:

Obsessive-compulsive disorder (OCD) is a mental illness that causes repeated unwanted thoughts or sensations (obsessions) or the urge to do something over and over again (compulsions). Some people can have both obsessions and compulsions.

https://www.webmd.com/mental-health/obsessive-compulsive-disorder#1

I think that each of us has some OCDs. I wouldn’t talk about mental illness, for the OCD I am referring, but I’d say they are little personal compulsions and obsessions that we feel the need to execute, otherwise we can’t proceed with the rest of the day. If you think of my OCD, I can find many. And now that I an working on knowing myself consciously, to strengthen my inner core (not the muscles…), I feel that OCDs are part of the things that distract me from being a better me.

WebMD writes: “OCD isn’t about habits like biting your nails or thinking negative thoughts. An obsessive thought might be that certain numbers or colors are “good” or “bad.” A compulsive habit might be to wash your hands seven times after touching something that could be dirty. Although you may not want to think or do these things, you feel powerless to stop.” (source link).

I definitely can live without washing my hands seven times an hour, an excessive cleaning of the house, repeatedly going up and down the stairs, or rearranging objects to ensure a specific symmetry. If you search for common OCD behaviours you’ll be surprised. But: I do have some impelling push for certain things that comes from within inside, sometime during my regular week. For example when I am looking for a specific tab in my browser (I usually leave 10-15 tabs open for work), I can’t but look at all other tabs and close them or act on them, before I finally get to my tab. Sometimes I feel the urge to clean the room where I am working before I can work; I start with the PC table, and then continue with other surfaces (the kitchen is just behind me, with a long long metal counter that asks me to clean it well); if I don’t stop, I can continue with an OCD propulsion towards cleaning up the whole apartment, getting the vacuum cleaner, the calc remover for the bathroom appliances, the dishwashing soap for the two glasses left in the sink from the morning breakfast, etc. This behaviour has been more evident to me since isolation time due to COvid. Being at home most of the week, I end up being a lot in company of furniture, sinks, WCs and showers, and have started cleaning more than usual.

I remember my sister in law had an OCD that would drive my brother crazy sometimes: after dinner she had to clean the kitchen spotlessly, and she would not relax until she did; this involved mopping the floor with detergent and all. Like deep deep cleaning, not just a wet cloth over the dinner table and off you go.

I am not too interested in why we have these compulsive behaviors, I find them amusing and irritating, I find them as an organic part of who we are as human beings. I haven’t met a person who has no OCD, small or light that it might be. In my case, some of my OCDs are distracting and I want to sever them from my everyday life.

So, part of my conscious “getting better on my own” process involves forcing myself to catch these OCDs and correct them. Not easy, but if you want to try you’ll realise how liberating it is. I give you an example: instead of cleaning all the surfaces of the apartment at once, I force myself to clean only one or maximum two, and stop. I put the cloth back to the closet and resume my work on the laptop. Easy? Hell no. But when I have done it, I feel satisfied, as if I had won a lottery! Another example: I follow my train of thoughts in an extreme way, a little bit like in James Joyce’s “Ulysses“. This is the most distracting of my OCDs, as I start off with one aim, say going to the bedroom to pickup my phone, and on the way I find an empty glass that I feel the need to put in the sink, so I do, and while doing that I am reminded by my car keys on the living room table that I need to change the parking disc in my car before the agents write me a fine; and my next thought goes to the paper I need to pickup at the office with the car, cause I can’t print at home anymore; more thoughts surface and after many minutes I still haven’t fetched the phone in my bedroom. Thoughts and objects distract me and oblige me to act immediately iupon them, for fear of forgetting (my short memory is as bad as Dory in Finding Nemo) :-).

I have found a solution that works for me, which helps me not only remember and not distract when I go from A to B, but also to be more organised: I started writing post-it notes in the places where it makes sense. I need to change the car’s parking disc? I will write a quick note next to the keys (or set the phone alarm 5 minutes before); do I need to respond to a client and at the same time I get another call where I have to urgently finish up an email for a colleague? I take the ten extra seconds required to write down task n. 2 so I can finish task n. 1 without stressing. This is so helpful, and takes a lot of pressure off me. If I find myself too stressed, I take a break, go for a walk, pause for 20 minutes-half hour and resume later. I take more the time to breathe and this makes me enjoy the moment more. It’s such a great excercise. I feel good about it.

More soon. Oh: this is day 3 of reducing the intake of Fluoxetin: 10 mg a day instead of 20mg. So far so good.

Recipe for Happiness

diariolottatoreLeave a comment

Happiness to me is the conditio sine qua non in life. It’s not very clear what happiness is, and how we measure it. I have been trying during my life to understand what makes me happy and what makes me sad, and I have associated often a place to a happy moment, or maybe a happy moment to a place.

I often wondered if my gauge for happiness was the same as in other people, or to all people. The same goes for pain. Let me explain. When I have had moments of full bliss, happiness, plenitude, abundance, or whatever we want to label it, it felt amazing, and nothing more could make me feel better – I wouldn’t want to be anywhere else. If I think of such moment in the past, my memory brings me back to when I was in New Zealand with W. (the love of my life, haven’t talked much about him yet); it was July 1 2005, and I labeled that day as the best day of my life. I have had other best days before and after, but this one in particular stands out. We had ventured into a farmland the day before, we had parked our rental Britz van near a sheep farm, had made a lovely breakfast in the morning, with lots of things from a local store called …. Mmm can’t remember (Hackleberry’s maybe?); we did our first sheep shearing of our lives, took some lanolin straight from the sheep’s cut wool, and ventured off into this wild NZ land full of magnificent colours, rivers, etc. When I told W. that it was my best day, we were staring together at the vast spaces of New Zealand and we were closely wrapping in each other’s arms amazed with the beauty of that land. That was a happy moment that I will always remember. A moment that lasted many days actually, and months, and years, as W. and I were traveling around the world.

Now, when I think of the happiness of another person, I wonder if he or she would feel the same level of happiness, and if so, in which conditions. I mean, was my feeling of happiness on July 1st the highest a person can feel? Does a woman somewhere else in this planet, at this moment, feel the same level of happiness doing what she does love most? Could I be more “happy”? If so, how? The point is actually not whether I can be happier, but how I measure my happiness compared to others, and if my state of bliss staring at the sheep farm is the same bliss another person, with another character and history, feels when driving his/her favourite car. Is it the same happiness a grandmother feels when she spends one day with her nephew? Is it the same bliss Elon Musk feels when he sees his first shuttle take off? Or Armstrong and Aldrin when their foot first touched the moon? So, is happiness relative or absolute? Do I need my neighbor’s Ferrari to feel the same amount of happiness he feels when riding it? And is my joy higher than his, when I am hiking a mountain, or I am kitesurfing in a turquoise waters? Do I need to envy other people’s happiness? Cause that’s the feeling I get when I watch TV.

Same for pain : was my surgical pain last year the highest a man or woman can endure ?

I am still looking for a way to gauge happiness levels. Because if it were measurable, we could possibly help each other being happier. No? It’s a difficult task. I am open to suggestions.

Back to happiness, why am I saying this today? Because I am preparing for the month of June, when I am going to reduce the intake of Fluoxetin (Prozac). I have a meeting with my psychiatrist (the jolly Congolese guy) on 4 June and I will ask him if he is ok with me reducing the antidepressant. I want to do it during summertime, when it’s nice out, the days are long and sunny, the air is warm and everything is alive. I don’t want to do it in autumn, which per se is depressant to me. I know, many people love autumn, I don’t like it, despite the beautiful colours (Quebec has some of the best landscapes in the fall, check it out, I have been there, wow). It’s been 6 months since I started taking antidepressants, and I feel good, very good. I think I can start move away from them. I am scared, I admit, because I can’t tell how much my good state of mind is due to medicine at this very moment, and how much is due to my self-training (meditation, routine, enjoying work, doing sport, yoga, buying new plants…).

So I want to pack in as much as info as possible on myself, and in what conditions, when and how much I am happy. During my preparation to less Fluoxetin, I am appreciating some down moments, like the little “fight” I had with my friend M., which brought me back to negative moments. It was good to be reminded what bad moments feel like. I managed to revert those bad feelings into positive, by thinking of something I like, by not letting her bad mood affect me, and by being more “egoistic” towards my own feelings (translation: I value my own state of being more that hers, what’s important right now is that I feel good). I stay away from negativity. It helps.