Tag Archives: mental illness

How Much Is Too Much?

I’ve been off Effexor completely for about a month and taking CBD gummies, and I’m now asking myself a key question: how much loneliness is too much? When do I need to start asking myself: is this new mental health structure working?

I’m feeling a lot more these days. Like, at the drop of a hat, something will make me want to cry. I haven’t really gotten comfortable with letting that just happen yet, because I’m afraid of feelings. I’m afraid that they will overwhelm me, drown me, and I’ll have to do something about it. And what is left to do? I’ve done various stages of medication, and now no medication, and therapy and blah blah blah blah. I’m worried that it’s my environment that makes me sad.

I’m really disconnected from community. I haven’t liked to admit that, because it makes me feel like I’m dismissing or insulting the friends and family I do have, but at the end of the day, I’m very isolated. Sometimes it feels like days go by and I haven’t had a real conversation with anyone except Chris. I certainly haven’t done anything with anyone except Chris, because the friends I do have are not close by. Sometimes it really feels like I’m just standing on the edge of a cliff, shouting into the void. I’ve kind of felt that way my whole life, always trying to hear the echo.

Now, at night, I’ll have trouble sleeping because of an aching hollow in my chest. It’s the feeling of loneliness the medication has numbed for a long time, and I’m really scared that I’m feeling it again, and it’s scary that it’s never really left. I don’t know what to do. I don’t know what to ask from people. I’m trying to do things differently, create a different social structure for myself. I’m going to church now for god’s sake, but in a lot of ways, it brings up so much anxiety and fear, it makes the ache worse.

I don’t know what I need to make this ache go away, because what if it can’t go away? What if this is just normal for me, and I should just ignore it and focus on the positives? What if this is just what being medication-free is, and it’s the trade I make to not have side effects? How much pain is too much pain?

Advertisement

A Post About Sex

I’m usually pretty tight-lipped about stuff like this, (my family reads this blog after all, this may be one to skip, Mom), but I think it’s really important to talk about considering how much mental illness/antidepressants affects it, and how silent the Christian community usually is about sex in general. I was never forced into purity culture or wearing a purity ring or anything, but the book “I Kissed Dating Goodbye” had a huge impact on my worldview from a young age, and I’ve definitely dealt with some shame issues. This post isn’t so much about that; just wanted to put that out there so you know where I’m coming from.

LET’S GET INTO IT.

I wish I had more of a libido.

There, I said it. If I had break down my feelings about sex into percentages, 90% of the time I’m completely uninterested, and 10% I’m basically on board, but I don’t have a strong feeling one way or the other. It wasn’t always this way, so that makes things even more frustrating. I used to think it could be related to my bisexuality, that maybe I went through phases where sex with a guy just wasn’t my cup of tea, but in the last year, the whole concept of sex has become just uninteresting.

Why has my sex drive shut down? I’ve been blaming most of it on my antidepressants, but as I’ve reduced my dose to nearly zilch, it’s clearly not why. That was a pretty major disappointment, to be honest. I really hoped, despite the fact that Effexor isn’t supposed to be affect libido, that I would be one of the few cases where did. Since I don’t have any depression symptoms either, I can’t even blame my old nemesis. I’m mostly medication and depression-free, and still totally frozen sexually.

Could it be my birth control? That’s very possible, and I’m kind of leaning towards that as at least part of the reason, but what should I do with that information? I don’t want to stop taking it. I actually lost a month’s supply and stopped for a week or so before calling in another prescription, because the cramping and bleeding was so bad. Seems like going off birth control would be another exercise in gradual reduction, and I’m not interested in doing that.

Maybe this is just the way I am? I’m generally fine with that, but I’m not the only person in this equation. I’ve read a lot of advice online, some of it good, some of it really bad, and I’ve talked to a few of my girlfriends, but nothing has really clicked. This really confirms to me how much sex and sexuality is an individual thing, and Christian culture discourages and oppresses pretty much all and any exploration or discussion of it. If it is talked about, it’s all male-focused and doesn’t get into how girls and women are feeling. There is no masturbation talk for girls or talks about different levels of libido and normality, and I don’t believe that’s limited to Christian culture. Culture as a whole is not a fan of healthy female sexuality.

So, is this my normal? Maybe. But how do I change it? Should I want to change it? Can I change it? There are a lot of questions. I don’t really want to think about them. My plan is to address the possible physical reasons, like the birth control. I ordered powdered maca, which has been used in Peru for libido with limited side effects. This is big for me, because I am very skeptical of supplements and herbs and what not, especially when they’re labeled as “super foods.” Not expecting miracles, but the bag cost less than $10, and just maybe it’ll help counter the effects of the birth control, if that is indeed part of the problem. I’ll let ya’ll know after I’ve tried it for a while.

If you made it this far in the post, congrats. Maybe this is all way too much information, but this has been a big part of my relationship stress and questions about my identity, so it would be weird to never talk about it. Thank you for bearing with me.

finale

C171388F-633B-443C-98FC-342EBB11876EMy time on Effexor is drawing to a close, slowly, but surely. This week, I tried to stop completely. I was on half a pill all last week and experienced very few symptoms. Monday was a bit rough, but I was optimistic. Then Tuesday came. I woke up feeling like a can of soda pop that’s been violently shaken. The pressure in my head was so bad I felt like I might go blind. It got a little better after I had breakfast, but it was very hard to focus still. Luckily, I had a good excuse to not write very much: my computer’s keyboard broke. I used Chris’ computer for a while, but I hate it because it feels like the keys weight a million pounds and I’m always accidentally opening tabs, so I just worked on one project for a little while.

A nap will help, I thought. The pressure got worse when I lay down. It was like it all flooded into my brain when I went horizontal, so that was a no. I took a shower in the dark and felt a little better, but I knew that wouldn’t last very long. Showers are just temporary relief. Since lying down wasn’t an option, I decided to just read. I ended up reading like 300 pages of Tana French’s “In the Woods,” finishing it, and writing notes for my own mystery novel. The good news: I definitely have enough plot points. I’ve always been worried that my novel’s story was too simple, but “In the Woods” oddly mirrored mine in that it had plot threads going on in the main character’s past and present. I also figured out how to structure the law enforcement/police department, so it feels more real. That will mean going through my pages and changing every incidence of “Sheriff” to “Chief” and the deputy is now a detective.

It’s a really weird feeling to be starving, but then when you eat, you throw up. That happened twice yesterday; weirdly, the only thing I did eat that I kept down was Ben & Jerry’s Half-Baked Ice Cream. I spent the evening reading and propped up at a weird angle, and eventually my head felt so close to exploding that I took a quarter of the Effexor. I almost immediately felt better, though falling asleep was still rough and I started getting sharp chest pain.

Didn’t set an alarm for this morning and ended up full-on sleeping till 11:30 am. I took a quarter pill again, because I did not want to be completely debilitated. It’s been much better today. The usual neck and shoulder stiffness, some head pressure, but no throwing up and I’ve been able to catch up on my writing projects and clean. For dinner, it’ll be zucchini bread pancakes, bacon, and eggs, and I should probably stretch really well, since the last 30+ hours have consisted of moving as little as possible.

The plan is to stick to a quarter pill for a week. Who knew that 18 mg could make such a big difference? I’m happy to push off the withdrawal for another couple days, at least, because I have a fun weekend coming up with baking on Saturday at a friend’s, and then MST3K-ing on Sunday with another friend. I’d rather not be on the verge of head implosion.

Disconnect

So, I left my small group. Yes, the one I started. It wasn’t because of the people – I love the people, and I’m not just saying that. I plan on staying friends with them, and doing fun stuff like hikes and night markets. When it came to the discussion part, though, there was a big disconnect.

They all go to church. One is even a pastor, for God’s sake. I don’t have a problem with that, it’s probably good to be close to people who are secure in their faith and place in the Christian community, but I’m the only one who isn’t. Like, not even close. I went to a Christmas Eve service, and I had to leave and sit in the lobby. Everything about it just made me want to run. The setup of the stage reminded me of my old church, and that brought on waves of sadness at how that community imploded and betrayed me. When the pastor started talking and using phrases like, “Forgiveness isn’t something you can buy on Amazon Prime,” I wanted to roll my eyes all the way back in my head. I got really hot, and walked around outside. It was raining, and the chill felt refreshing. I am not ready to go back to church. I have absolutely no desire to be ready.

I’m not optimistic about finding people who share my experiences. A lot of people who have had traumatic spiritual experiences just end up cutting all of it out their lives. I’m weirdly in-between, where I’ve cut out church and the conservative bent of Evangelicalism, but I do want friends who love Jesus. I’m desperate for people who will hear about I used to read the Bible because I believed if I didn’t, demons would overpower me, and really understand, because they’ve walked that walk. People who have had serious doubts about God’s goodness because at times it seems that mental illness has stolen every dream. Maybe I’m asking for too much.

What Does It Mean To Feel Alive?

For our first small group session, we did an active listening exercise where we described a moment where we felt most alive. Mine was about a morning in Jamaica, the summer of 2011, where I and a few friends got up early to swim. The sun wasn’t scorching yet, and the water was just cool enough to be refreshing. I floated on my back, eyes closed. The last few years had been extremely rough. My soul felt like a raw piece of meat that had been beat with a mallet. It felt like my body and mind were set against me, determined to kill me.

Some people feel most alive when their adrenaline levels are high, but I’m the opposite. For me, high adrenaline levels mean I’m afraid, that I’m in danger. There’s a theory about anxiety that it was biologically important back in the days when life was really dangerous, when we lived without much shelter and death by wild animal was common. That anxiety kept us alive and told us to run when we encountered danger. Now, however, most of us don’t need that much anxiety. I certainly don’t – I’m not in a bad area, I’m pretty much white-passing, and I’m not being hunted by animals. That adrenaline/anxiety sparked up at every little thing, and told my body that sitting in class was a life-or-death situation. I didn’t feel “alive” in those moments, because I wanted the feeling to stop.  I wanted to shut it off. I wanted to be dead, because at least then I could have peace and quiet.

Floating in the ocean, my ears beneath the waves so the only sound was my own breathing, felt like being alive. I felt whole, my mind and body not fighting. It was sort of weird, too, because I also felt disembodied at the same time. That felt like freedom, like I had found a way to escape the chaos of the physical, and just be. Recapturing that is not easy. The closest I get is when I can’t sleep at night, and I lie down in Baxter’s room. It’s the coolest room. The sleeping bag is slippery, and feels a little like water. The only sound is faint rustling. After a half hour or so, I feel calm again, pieced back together, and I can go back to bed and fall asleep.

What this taught me is that my soul is connected to the ocean. Whenever we go to the coast, I know that I could live by it forever. When I’ve visited deserts, like New Mexico, I feel off-kilter, like something is missing. The ocean has its rhythms, like a pair of lungs, and follows the moon. It’s steady, but also not predictable. It’s totally, completely alive. 

In Weakness

I had a short conversation with a friend the other day about giving God credit for stuff, and using that as an explanation for His existence. I’ve heard that argument a lot, where a person is able to forgive someone after years of resentment, and says it wouldn’t be possible without God. They overcome some challenge and point to heaven.

My friend is skeptical, saying that it could just be that someone matures and grows, and that they could just as easily give themselves credit for that change. I’ve been thinking about that a lot, because a huge reason why I believe in God is because when something seems impossible, it still happens. I really can’t give myself credit for certain things that I’ve come through. For me, “progress” and “maturity” are not linear. One week I’m doing really well and being productive, and the next, I’m afraid to go to the grocery store again. Old habits die hard, and the brain has a real hold on certain habits. There’s only so much it can change, and in certain situations, it reverts backwards. It’s like emotional time travel. 

Basically, in my experience, growth doesn’t really build up, at least in the darkest moments. When it’s 2:30 in the afternoon and I’m waking up from a nap, a stress dream brought on by an onslaught of recent deaths still burning in my mind, I might as well be 16 again. There isn’t anything in my body to help me, it’s low in protein, low in vitamin D, and there aren’t any reserves.

That place has always been where I feel God the strongest. My own brain and body aren’t a distraction because they’re so drained and shriveled up, like raisins. And this isn’t a dig on my abilities or self-esteem; if will power was enough, I would be a lawyer/best-selling author. I have will power in spades, but when your body is chemically-designed to fight you every step of the way, it just isn’t enough. I wouldn’t trade in that weakness, though, that fragility. Like I said, it’s where I see God the most. When the darkness gets dark enough, it becomes light.

So, that’s how I know God exists. It’s more convincing to me than any amount of apologetics or intelligent design arguments or whatever else someone can dredge up. Proof is carved in my bones and melted into my blood. It’s tied into the messy neurons of my brain. His strength – not mine – what keeps my lungs inhaling and exhaling when even the most primal animal instinct of survival is fading. 

—-

Psalm 139: 12
Even the darkness will not be dark to you; the night will shine like the day, for darkness is as light to you.

2 Corinthians 12:9-11

But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.”

stress thoughts, folk music, and sweat

Screenshot 2016-08-19 at 3.39.14 PM

I’ve been getting a lot of stress thoughts at night. These are the unpredictable, persistent thoughts that pepper my brain when I can’t fall asleep quickly enough, which is every night. Yoshi is coming home soon, so that’s been preoccupying me. I’ll start thinking things like, “What if he hates it here and the neighbors complain?” and then, “What if he dies? What if he gets so excited that he has a heart attack?” Then I’ll worry about Baxter, and go lie in his room so I can hear him rustling around, which proves he’s alive. My pills have been acting up and being weird, so if I don’t take the last one with enough food, it makes me sick. That’s a new development, and it’s not fun. They just can’t cooperate, can they?

Penny & Sparrow is my favorite band right now. Chris thinks they’re too “chill,” and that they make him want to fall asleep. He says that like it’s a bad thing. My music tastes have changed so much. I tried listening to Skillet recently, one of my favorites from high school, and I was not impressed. Too loud. I’m old.

It’s been in the 90’s weather-wise. I don’t I’ve ever sweat so much in my life. When I work out, I point the fan directly at myself, and it makes a big difference. Otherwise, I think I would literally die. It would not be safe.

I wish I could work on my novel more. I have a notebook where I scribble a few lines or pages as often as I can, and I need to type that up. One of my characters changed a lot from my first draft. She went from being really sweet and sensitive to kind of a tough cookie. It was not at all on purpose. I guess that’s just what she’s meant to be.

 

when fear asks the wrong question

The greatest disagreement Chris and I have had in our relationship is children. He’s always wanted kids, and when we got married, he knew I wasn’t too keen on the idea, but I was very young, and we both assumed I would gradually come around to the idea. I haven’t. In fact, I’ve become more resistant to it.

We’ve had a lot of tough conversations. There have been lots of tears. It seemed like the question we both had to face was, “Do I have to choose between the person I love or the life I always imagined having?” For Chris, that life meant children. For me, it meant not having children. We reached an impasse.

I knew something was wrong with the question we were asking. I’ve always been very analytical and self-aware, and any question that seemed designed for heartbreak made me suspicious. I fully believe that there is no fear in love, and to be so fearful meant there was something going on.

I’ve had to ask myself a million times, why don’t I want children? It always comes back to my mental illness. The idea of pregnancy terrifies me. The medication I’m on has such a bad rap that there’s a thing called “Effexor babies,” where women have sued after being on high doses while pregnant, and having children with birth defects or who died. Of course, the healthcare system insists the risk isn’t too bad, but they have a horse in the race. Reading stories from actual women has convinced me that any kind of strong antidepressant is going to mess with the natural development of a child. However, the other option, going off medication, is just as scary and risky. Severe depression can affect a fetus’ growth just as much as a drug.

My fears don’t stop there, though. No matter what route I go, that’s just 9-10 months. It’s doable. But, then the baby is born, and it’s here for the rest of my life. It’s overwhelming. I’m at a point where I can just care for my own mental state, how on earth can I be expected to take care of a kid? Another human being, who is essentially a sponge? And then there’s the increased risk of the child also developing a mental illness, so that’s another layer of responsibility.

In going over my reasons, I noticed that Chris was entirely absent from my thought process. And then I realized that the reason I’m so overwhelmed is because I imagine dealing with all the complexities of parenting + mental illness by myself. I don’t have confidence that Chris would know how to deal. I’ve never imagined my life with kids because I’ve never known my life free from the ever-looming presence of mental illness, and I’ve never known what having a real partner in the fight is like. That doesn’t mean that Chris doesn’t support me or is unhelpful. It’s just that depression/anxiety has always been my “thing” that he comes in and out of, it isn’t something he lives with like I live with it. If we’re going to be a real team, we both have to live with it. If we were truly united, I wouldn’t feel so overwhelmed about the idea of kids.

The real question isn’t choosing between us or a kid. It is, “How do we get on the same team when it comes to mental illness?” That’s something a counselor can help us with, and has lots of solutions both practically and spiritually. It’s a question we can tackle without feeling like we’re just butting heads. Fear always likes to ask the question that only has one, usually horrible answer, but that’s not how love works.

Here’s Where I Admit I Don’t Know What The Hell I’m Talking About

I wrote a book about how to deal with mental illness. It says things like, “Don’t isolate yourself,” “Find a community,” and so on and so forth. Meanwhile, I’m coming off of probably the worst few weeks in a long time, where I had to force myself to brush my teeth, showered maybe every four days, and sometimes slept all day. I also feel like a fraud. I wait to blog until I have something positive to say at the end of the post. Well, I don’t this time. Even writing this is hard work, but it’s important, because it’s important for you all to see the really bad parts, too.

These are the times when it’s nearly impossible to be coherent, when people ask how you are, and you open your mouth, and no words come out. It’s partly because I don’t want to be a downer, and partly because I don’t know how to explain what walking death really feels like. Usually, the best I can do is, “Merrg.”

This doesn’t mean I don’t want to be around people. I really want to be around people, because it forces me to pretend to be a human instead of a husk. I’m performing, and if I do it long enough, maybe it’ll rub off. On the other hand, I’m left feeling empty when they leave, because I want to talk to somebody about the mess I really am, and I’m disappointed and angry and guilty. As hours pass, I start looking out the window, waiting for Chris, like a dog. When he comes and asks how I am, I want to just shake that part off, and move on. Can I press fast-forward on this part? Or will I just be skipping ahead forever?