Tag: psychiatrist

Memory loss and anti-depression achievements

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I realised I didn’t write in a long time; on one end it is a good sign, it means I am doing well, I have been busy, I have been my “usual” self (usual = pre-depression); on the other end I am sorry I have neglected you, diary, because this is a long term project and I want to keep a trace of my fight against depression.

I also realise I forgot about the diary. I haven’t thought about it in a long time.

Forgetting is something I do often, I have bad memory, really bad, from childhood in fact. This has been a disadvantage for studies, as I could not memorise much, but a good thing for social liaisons, as I forget easily why I am angry with someone, so I don’t hold a grudge, haha! “I was very angry with you, but I forgot why, so let’s stay friends”. I am a bit like Dory in Finding Nemo.

But this memory thing has gotten a bit worse with the therapy. I took 20mg Fluoxetine from December 2019 until Spring 2022: that’s a bit more than 2 years. Yesterday I went to a new psychiatrist (who needs to report that I am fine with pursuing a private pilot license) and he said that usually memory capabilities go down with psychotropes. This is less of a good news, and I hope it won’t get worse than this. I hope I won’t get Alzheimer. But that is another disease, I don’t see the link with psychiatric remedies.

In hindsight, looking at the last 3 years, since I was depressed and could not get out of bed, where everything was overwhelming, and I didn’t see the sense of life, I look at me today and I see that I have done tremendous progress. Medicine is not necessary, and I don’t recommend it unless you are really really low. I was at a very low point, and could not find in me the strength to get up again. I felt the world was collapsing onto me, too heavy to sustain. So I took some medical crutches, I took an antidepressant, which gave me the mental capacity to get up again on my feet. Antidepressant is not the goal, it’s the means. The most important work is with a psychological consultant who can study your mind, understand where you turn your thoughts in ways that lead you to depression, and prescribes you the mental weapons to grow stronger, avoid the tricks of your mind, come out of your fight with your brain as a winner. Winning is embracing your brain, understanding who you are (not easy at all), and remembering to be gentle with you whilst being demanding.

I don’t think that my psychologist is a great one, he is actually a psychoanalist (I didn’t know then, I just looked up a practice on Google that was walking distance from home….), but he did tell me a few things over 3 years that stuck with me. And I am daily using the exercises to strengthen my mind against the adversities that my own mind finds along the way. I do intentionally look for the elements in the day that make my glass half full instead of half empty. Empty glass is part of the glass, but I know I can make it fuller than emptier, it’s all up to me.

One great example I often think of, is Monsters Inc. Check this scene: https://www.youtube.com/watch?v=35XcnPM68ro the one eyed monster finds out that he is on the front cover of the magazine, but his face is hidden by the barcode. And yet he is super excited to be on the front cover of the magazine! I find that so cute. Seeing good also when it’s not 100% perfect. I mean, better being partly on the cover than not being there at all.

Anyway, this was just a quick note to say I am back, I haven’t left now that I am feeling good. I am much happier now, quite satisfied with pretty much everything in my life, and working daily on my happiness. I have projects, and I stick to them. That is key for me. Podcast, naturalisation, flying license, sport, travels, work. The fight isn’t over, and I think it will be a fight for life. Winter is coming, I am getting ready.

More soon.

15 feb 2022: first day off meds

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Since last year I have been preparing for this day: getting off Fluoxetine. I spoke about it with my psychologist, and on 15 Feb with my psychiatrist, ’cause it’s her who needs to give the go ahead. And so she did. She asked me (to confirm) if I was feeling good, strong and self confident. I sort of am, I have had stronger times last year, when work was going well and I wasn’t doubting my skills. Today I feel good, not “happy” but good enough to give it a go. And I have a concrete reason to do this right now: I want to succeed at my flight school. They won’t let me fly if I am on antidepressants (makes sense). This means that I won’t be able to pass the medical test until months after I quit. The psy said that I will be able to pass the medical exam by July, by then there’s nothing more in my system and I will be stable in my moods. I will do that.

How does it work? I take one tablet every other day on week 1; then one every 3 days on week 2, and by week 3 I stop. Yesterday I didn’t take it. Today I did. Tomorrow I won’t. Spirits are quite high (despite the shitty weather). I am working it out: as soon as some negative thoughts come in (which they do constantly) I acknowledge them but let them go, just like meditation. However, I haven’t been able to sustain meditation sessions over the years, I just find it too numbing in a way, I prefer to have my eyes open and deal with my reality with all my senses. Kudos for those who can meditate, I envy them.

I am definitely scared about letting go of Fluoxetine, no doubt about that; however, I have never gained any benefit from being scared or worried, it just makes things more difficult. So, how about I put aside fear and worry, and let things evolve?

Stay the course, stay the course. Your objective is: by 2024 get Swiss nationality, live in a new home, be a pilot, stay off meds, and keep working at the same company. It’s a big objective for the next 24 months, but feasible, and it gives me reason to be here in Switzerland, and justify the hard times when I say “what the hell am I doing here”.

I am going to better weigh the significance of positive events in my life. Instead of undermining them and taking them for granted, I will pause, observe them and rejoice for every single positive drop in the ocean. It will counterbalance the negative drops that my brain so easily fuels into my body.

Also, 20mg of psychotropes a day, how much can it really be impacting on my whole body? Last night I had dinner with a friend who is taking much more than that. And after 3 years he is still stuck with them, his psychiatrist doesn’t want him to get off meds. Mine does. So that’s in itself a victory. I am ready to let go. My body is. 20mg: goodbye. I will replace it with another 20mg of self induced good mood. Like in the good old days.

Wish me luck!

Relapse or induced thoughts?

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Since I went completely off antidepressants I have had one day of crying in September, depression style, and another sad morning, maybe end October. Yesterday, beginning of November, I had a small fight with my brother over something that is a family burden (my sister in law) and I cried a little bit, from anger really. This morning my mom sent me an audio message on Whatsapp and she said that I should contact my doctor, the Congolese psychiatrist, as soon as I start feeling signs of depression. I had a hard time waking up, I wanted to stay in bed, and now that I am alone at home, working from home, with a second wave of lockdown looming, I have tears in my eyes and start having those thoughts again, one building on top of the other, negative after negative. Is it me, or is depression really a real thing and is coming back?

I thought I was over it, very happy to have spent the last months in peace, with my heart lighter, the worries far away from my sensitive skin layer, and now that I am off Fluoxetin, exactly 2 months, things are starting again? I recall very well how I felt exactly one year ago. It was horrible. So horrible that I didn’t find any joy in anything I was doing. Winter is coming and I hate autumn, November is the worst month of the year for me, I hate the cloudy and rainy Swiss days, I grew up in Rome, where it’s sunny most of the year. Now, winter wouldn’t be a problem if I was feeling balanced inside. Thoughts of my past life with W. are re-emerging faster, a bit every day, whereas I had left that behind me for a while. I fall asleep thinking how stupid I was to leave the love of my life. Really? Am I again at that stage? What positive thoughts can I dig out, so that I can be happy, and keep steady, like my good friend says?

Keep steady, that is a good advice from A., he knows very well what depression is. having been on antidepressants for 30 years. Now he is off, cause they weren’t doing much. He feels exactly the same with or without. He feels better when he can move, go on his bike, see his sister, etc. A. tells me to remain steady in face of the adversities in life. It’s all how we perceive them after all. Now, will this be enough for me at this stage of my life? Now that I know how it feels with antidepressants, I am worried that my judgement will lean too easily towards Fluoxetine. It’s just easier.

Anway, I am not sure of whether I should give in, and call the damn doctor, or if I should give it some more time and work on my own exercises, like meditation every morning, maybe pump it to twice a day, then regular physical exercise, cardio possibly, then work on a hobby, resurface that damn podcast idea that is still there, waiting for me to make a move. Oh, there’s also a pilot licence I could be doing, paid by my company, which would be cool, but it worries me a bit, cause I risk to add more stress to my life. Already at work I feel stressed for having too much on my plate.

Bref, I don’t know.

Take action before it’s late

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Dr. G., my psychologist, said one thing that struck me, and that I will forever remember. He said it in such a natural and unassuming way that it resonated clearly in me. He said “you have a certain fascination for dissatisfaction”. And I realised, it’s true. Why? Because when I was at the beginning of the practice, I used to tell him my story, stories, thoughts, fears, anxieties, long story short, I was a mess and he was my punching ball. The thoughts I was sharing with him were initially, say, 99% negative, sad, hopeless; as the medicine was starting to have effect, I started to relax more, the problems in my mind were taking more distance from me, and I tried to see more positive; he was telling me that I had to shift the way I see my reality, and make it work for me. Not easy, as I initially interpreted this recommendation as a way to say “be contented with what you got, that’s all there is, resign yourself to the reality”. Which, in other terms, meant for me “you are a failure, pal, you have messed up, lost the love of your life, never got to finish one thing, are back in a country where you feel trapped, just accept it and find happiness in what you can get”. That’s what I was thinking, and that feeling of dissatisfaction and forced resignation fueled my depressive state. I had such a clog in my stomach every time I was thinking what I was missing in the world, while others were living the life of their dreams, why not me, and yet I am a smart person. Etcetera, etcetera.

Oh, if I recall these thoughts my mood becomes more grey. So I won’t linger too much today, and I will say why I am mentioning this now, months after it happened. First because I want to remember how bad depression felt, and remember to always compare those moments with my moments today; that sadness with today’s serenity, and I’d dare to say, even happiness. I am happy with myself right now. It has only taken me a few months to feel this way. And that’s the other reason why I am mentioning my sad memories. It took me 4 months more or less to feel good again, like I have not felt in years. This is, and I am sure of it, thanks to the medical help I received. I was too low to get back up on my own. BUT! It doesn’t have to be this way. and I am here to warn whoever is reading these notes, whether it is today, 9 May 2020, or in 5 years, or in 20 years. If I had listened to the signs sooner, I would have been able to heal on my own. There is no need for medical chemicals, and I am pretty sure of it. My mother had warned me several times prior to my deepest depression in November. She told me years before, that I should go see someone. Initially she meant a psychologist, and when things got really bad, she advised I go to a psychiatrist. She meant good for me, but I always thought that the mind is something we can control, unlike a broken arm, a heart attack or a kidney infection. We go to the doctor whenever one of our organs hurts; we visit clinics and hospitals way too much even, but whenever the head is concerned, it becomes a taboo, at least in my culture and family environment. So I always felt that going to see a “shrink” meant a defeat, cause I wasn’t able to take care of my own thoughts. Today, 5 months after my biggest (and last!) depression phase, I am glad I listened to my mother – and I know she is glad too.

Each of us goes through his or her own life the way we deem right. We all want to be happy, right? We all want to feel those great sensations that we associate to words such as satisfaction, victory, love, happiness, serenity; I don’t feel good when I hurt somebody, or am hurt, or when I see people murdered on TV, or when a client doesn’t close my deal. There’s some strong feelings in our stomach, in our guts (and I know that Agata has a brain – who the heck is Agata ?). Well, I haven’t listened enough, and am only starting now, because I am in survival mode and will do anything to beat the beast, which is my depression. But it doesn’t have to wait until this late, so if you are reading this and feel depressed, but think you can make it on your own, start taking measures. I took up meditation . It’s soooo good. Can’t believe I didn’t do it until my forties. For you it might be something else. Take action before it’s late. Trust yourself.

Speak soon.

Fluoxetin

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This is what is looks like, Fluoxetin:

Very unsexy name, I got it prescribed last week for the first time. My mood was too low and I couldn’t see any joy in anything I was doing. I have fought so many times to avoid getting to this stage, and here I am, taking antidepressants. Another unsexy word – antidepressants. We could have come up with a more compassionate word, one that includes the hope of healing. In Africa they use so many refreshing words (like Ubuntu – brotherhood, sounds so nice), we could have gone to an African tribe and asked “what healing name would you give to an epidemic disease that’s spreading in the first world?”. They would probably look at us in disbelief. Depression: what’s that? We haven’t got that far up into Maslow’s pyramid!

True, ‘cause depression is a disease of people like you and me whose basic needs have been already fulfilled. We are not fighting to drink, eat or find shelter. All of that is already taken care of. We are among the few lucky in this world. I have time to think of how to fulfill myself in this lifetime; I have money to take a holiday, buy furniture and new clothes; I never felt really hungry in my life; my grandmother used to describe to me what hunger was, during World War One and Two – I could try to imagine, but that was it.

I got sidetracked, but there is a reason for it: the very first psychiatrist I ever visited, who gave me the Fluoxetin you see in the picture, is a Congolese doctor. Man, he must be thinking “what a first world problem to have” …. I am not sure I trust him yet (I don’t trust doctors in general) but his jolly, bubbly, slightly over-weighted self is comforting.

It takes two to three weeks for the medicament to have an effect; I am down to week 1. First two days I cried, was anxious and panicking, I wanted to scream at the doctor that he should have warned me. Be warned: the first effect of an antidepressant can make you more depressed. Great! Had I known, I could have been prepared. Next few days have been better. I took three days off work, which helped.

It’s been now one week, and since a couple of days my afternoons are feeling normal, serene, like I haven’t been feeling in a long time. Since July 2019 (five months ago) I have been falling into a sad sad mood, not one day of joy and nothing to look forward to. So, this white and green pill I am taking is making me feel better, and hallelujah for modern medicine! Bring it on, inject chemicals in me that have been missing: serotonin, dopamine, endorphins, whatever works. It feels good.

Side effects: stomach burns (you need to eat well before taking it), one or two morning spasms when waking up (you know the feeling of when you wake up before you fall?), not a big deal, I guess, and anxiety in the morning – which diminished the last 2-3 days because I took 3 days off work.

A good friend (who has been through this) told me I should take time for myself, get a sick leave, and spend one or two weeks resting. I took 3 days only (I feel too responsible towards the company). Tomorrow I have to go to Lugano for work. I will be testing my moods, it should be ok. I have to work to earn money, but I may have to tell my Director to slow down on my tasks. Maybe work 80% (In Switzerland this is possible).

Another good day. I posted this note. Tomorrow is work day, we’ll see how anxiety goes. Thank you for reading. Eventually.

Podcast progress: maybe some today, after this post is up.