Coming Up Blank

Writing this shit is hard. Like the title says, I'm coming up blank on pretty much everything these days. I'm on holiday from work which is kinda nice but at the same time, I feel sort of purposeless. This is why I tend not to take holiday. I've only been off for seven days and it feels like a fucking eternity. I'm not even due back until Sunday either...

Time is taking like six times as long as it should. It's only January 13th but it feels like it should be like March or something. November feels like a year away when in actual fact, NaNoWriMo ended barely six weeks ago. I can't handle all this too well. 

I'm getting paranoid, dejected, lonely even though my boyfriend's right there with me. It's sort of ridiculous but at the same time, I haven't even got the energy to feel that bad about myself. I mean, obviously I do, that's most of what's getting me down after all, but at the same time I'm just so apathetic towards it. I feel dead inside. Like a zombie or something.

I know it can be the meds. Mirtazapine can do that to you. One of the people I know had this reaction and switched to Fluoxetine. Obviously I can't do that - having tried them and it going badly, I don't exactly want to do it again. I don't know what I need, really, I guess, or what I want. Apart from a hug and some attention. Unfortunately, everyone's out at the moment so that's going to have to wait until later.

As for progress, I've started doing the washing. I've got maybe three loads left to do. And all the kitchen's nearly clean and the dishes are all done apart from a bunch of glasses and the plate and mug I used this morning. I changed the bedding yesterday. Or maybe the day before. Either way, it's changed. It doesn't match this time like it did but I guess that doesn't really matter. My eating's not going so well and with all the festive disruption my gym going's kind of gone all to pot but I'll be going later today, and then before college tomorrow, with a rest day on Wednesday. I don't want to plan too far ahead, because I can find it too restricting and overwhelming, but at the same time I need some structure to actually make me get out of bed in the morning. I'm actually managing to do my currents project at college now too. There's the PPD 2 and the portfolio that we're doing at the moment. PPD is personal and professional development or something like that, and weirdly for once, it is actually exactly what you'd think. It's a portfolio of work that details my progression into photography and the world of photographers. Everything that I've learned about shoots and target setting and visiting class speakers and jobs in the industry that I've looked at. It all goes into the documents and then it counts for a decent portion of my grade at the end. The other project is the portfolio which is huge and important and it's to be used in our professional lives to get clients and frankly, that fucking terrifies me. What scares me more - I guess that should be 'scared' now - is the fact that it is supposed to be a professional grade portfolio which costs approximately £150 - £200.

I worried and worried about this, and the money that I had to pull out my arse for the London trip, until last Thursday. I turned up to college fairly convinced that I was supposed to have a lesson but apparently not. But I bumped into my lecturer, who I'll not be getting on there but more on that later, and sorted of freaked out all my stresses about there was no fucking way I can afford any of any of the things I 'need' this year. 

We agreed that I can submit my portfolio on my iPad - it's only going to have to be with my lecturer for one day in the summer. Hopefully it's not going to be when I'm at a festival! (More on that later too.)

As for the trip to London, I've got to talk to one of the girls on the full-time who's organising it all with the gallery. I still need to do that. I've been meaning to do it since November but I dunno. The thought of talking to a stranger about it, about the fact that I need yet more time to get £40 together, fucking terrifies me. I nearly lost my shit when I had to talk to my lecturer about it back in November! I feel like it'd be a wasted opportunity but then again, any sort of opportunity like that is never going to be a waste unless I really just submitted crappy work and frankly, I don't do crappy work. Especially not where music photography is concerned. 

I think I should just stop worrying about it or something. It's all going to turn out fine in the end. I just wish I didn't feel so shitty in the interim.

New Addition to the 'Sarah's Medication' Family.

As of tomorrow, I'll be replacing my current Fluoxetine tablets with a daily 15mg of Mirtazapine, a noradrenergic and specific serotonergic antidepressant. It's also occasionally given to underweight cats to stimulate their appetite...

As side effects for anti-depressants go, this has fairly minor/run of the mill ones. Anything from nausea to fainting, drowsiness etc. Unfortunately it also creates an increase in appetite and, thus, weight gain. Not really what I need right now but hey-ho maybe I'll start eating regularly enough to lose weight! Interestingly, according to 'the internet' it can also cause 'nocturnal emissions' which is an amusing term for... you guessed it... wet dreams. (If you guessed flatulence, you've obviously never known a guy in puberty!)

The doctor and I came to the conclusion that I should move away from the Fluoxetine when I started not only getting unpleasant mental side effects (dizziness, disorientation, confusion, paranoia, intense and irrational fear, irritability and aggressiveness to name a few) but also some nasty physical side effects - headaches, 'gut issues' (I won't scare you with the details), difficulty regulating my body temperature, restlessness, insomnia etc. etc. We discussed me going back to NTT (Newcastle Talking Therapies) and doing more CBT but since my personal self-review is Star Wars Day (4th May for you non-nerds) and my first appointment with my psychologist is May 16th (Star Wars Day Squared!) it might not be that worth it. It's nice knowing that the option is there though - kind of comforting even.

In non-medication related news, I've got my last formal, group session at college next Tuesday - I didn't make it in this week, I just couldn't bring myself to go. No idea why, it just happens sometimes with the depression - I can sometimes barely leave the bed never mind the house! I finally managed to get all of the essay written and submitted on Tuesday. I don't remember if I've said that already but I managed it at last and I'm proud of myself so I don't mind if I say it twice. The image didn't send the first time apparently but I managed to get it sent properly today thankfully. I know I've lost a substantial amount of my grade but at the moment I consider getting the work in an achievement in itself...
I missed pole on Monday - too tired - but I'm going tomorrow before going to Nando's for lunch with Charlotte.
This month had the best payday ever so I've successfully paid of all my debts, indulged myself a little and bought some amazing little business cards from moo.com. They're incredible - I'll be posting a picture when they're delivered (on May 2nd hopefully!).
*Just got an iMessage from Charlotte - she's skint and can neither make pole nor Nando's tomorrow. Sad Panda... We've rescheduled for a week today.*

After a fun, and sedating, excursion - well, break... - I'm going to leave this here and go to make some Mexican food.
Tortillas filled with refried beans, Quorn pieces, fajita sauce, fresh salad, stir-fried vegetables and mexicana cheese.
Foodie Heaven...

More and More Appointments.

At the moment it seems as though, if I'm not in an appointment with a doctor/nurse, I'm booking one. There was one today - bloods, to check my thyroid and blood sugar; this Thursday, a follow up from my last medication change; the I booked my new therapist - an actual shrink this time - for the 3rd week in May; on the second week of June I've got an appointment with the consultant at the RVI for my light treatment appointments. 

I know that on Thursday I'm going to have to tell my doctor that the Fluoxetine just isn't cutting it and he's already insinuated that, since I was having difficulty adjusting, I'd have to have something new. I hope it's a new SSRI rather than something altogether new - I'm concerned that I'd have a far worse withdrawal/new medication reaction to something that wasn't an SSRI.

I'm getting an actual psychologist instead of a high-intensity therapist because the CBT, even though it was helping a huge amount, just wasn't making the grade in the long run. It helped me make my illness less obvious to others, I bottled things up and people didn't realise because I didn't get the physical symptoms or I didn't react like I usually would have. I told the doctor that I wanted to work further into my past rather than the immediate present because I felt that it helped more when I did things like that with my regular intensity therapist in the first place. I did say this last autumn but no one took any notice back then.

Other than that, I'm still having difficulty finding the motivation to do pretty much anything - go to college, walk to work etc. Hopefully before long they'll have me put right but in the mean time, I'm just going to try my best to do a little bit of something every day. I'll try to walk to work tomorrow instead of getting the bus there and back - I know it's not a long walk, only about half an hour but when I leave the house it just seems impossible...

At least I finally finished that essay for college - took me an extra month but I did it in the end... I've lost about 25% of my grade already and I might even just get 40% overall but at least I handed it in in the end. I wasn't even going to do that the other day. This morning I even contemplated dropping out but then I pulled myself together, made and paid for some amazing business cards and got down to doing the essay and the photo editing. (Click here for more info on my photography and my college work.)

Yesterday involved a lot of personal stress - potentially why I'm feeling so skewed today. Fortunately I have since found out that everything's been resolved well and there's no longer anything to fret about so that's good at least!

I've recently discovered a newfound love of drawing manga and whatnot. I've been on Paigeedraw pretty much everyday since I downloaded it a week and a half ago. I've been uploading pretty consistently too - the only day I've not done anything at all is today because I was determined to do that essay (even though it literally took ten hours to write 1200 words - horrendous for me!). I bought myself some coloured pencils rather than jumping straight in and shelling out £60 for some Copic markers but I haven't had the chance to use them yet. I think I'm going to get some extra overtime in and save up for some Copics, a Fitbit and a set of fancy fat/muscle measuring scales like the Aria ones on the fitbit site... 

I've realised that I want to be fit, regardless of weight or size - I just need to remember that in my not so good moments. I'm going to set myself some goals - I took the idea from the lululemon site earlier today - so I'm going to to do vague ten year and five year ones and then more specific one year ones. I'm going to do three categories (health, personal and career) and there'll be two goals per category. There's a handy worksheet here that I'm thinking of downloading and printing off at college on Thursday.

As for pole dancing, everything's going pretty well. I've almost mastered the split grip and I learned the corkscrew spin the other day. Then I ripped open the side of my middle finger and was consequentially useless for the last ten minutes of my class... I missed it on Monday because I was just so exhausted but hopefully I'll be back in on Friday. I'm also hoping to get my own pole up in the spare room this week sometime. It'll be good to have one here to practice on all the time - maybe that way I'll get better and fitter faster.

Anyway, that's it for now - I'm off to put pizza in the oven for Matt and myself. I might even make myself a packed lunch to take to work tomorrow since I'm doing eight hours rather than my normal six hours. I've got a load of salad and some Quorn chicken style pieces and pitta breads and houmous... The options are endless!

Flu, Viral Infection or Meningitis - Medical Roulette

After explaining my symptoms to one of the out of doctors, I was told I probably had one of the above three conditions. Their symptom checker, which, yes, I made the mistake of using, told me I'd either had a stroke or had a "serious illness". The first person I spoke to after calling 111 seemed a bit simple - I'm not sure whether she knew what she was doing or whether she thought I wasn't talking sense but she kept asking and re-asking the same questions, explaining the difference between dizzy and light-headed by using roundabout analogies, and managed to come up with about four different versions of my surname after I'd explained it to her and then spelled the whole thing out twice. The actual doctor I spoke to was lovely and really helpful, she went through her questions like a normal person and didn't treat me like an invalid but did manage to give me the "probably flu, a viral infection or maybe meningitis" diagnosis which was a little alarming... She put me on the 'urgent' list for call backs and appointments and a little while later I got a call saying to get to the hospital as soon as I possibly could so, with a friend in tow (at the demand of my other half who was at work), I made my way to A&E. After a pretty reasonable waiting time, I got to see the doctor. She made me do a few rather fun coordination and reaction tests after taking my temperature, blood pressure and pulse. She checked the back of my eyes and made me stand with my arms across my chest and eyes shut - to see if I fell over essentially - and then checked my throat and tonsils before quickly dismissing the notion of meningitis and flu. A viral infection then, and quite a nasty one at that, was deemed most of the cause of my problems. Another contributing factor, she said, is withdrawal from Citalopram. That's likely the cause of my five day migraine. Joy... So I left the hospital with a prescription for some lovely penicillin based antibiotics (which I couldn't get today - damn bank holidays) and the feeling of being reassured that the lining of my brain was not inflamed in any way.

To go back to the Citalopram withdrawal: I meant to write a couple of weeks ago about how the Citalopram was no longer cutting it and the doctor and I had decided it was possibly time for a change. I asked for a few days to think and that, because it's nigh impossible to get an appointment at the surgery, turned into a few weeks. I went back on Tuesday after spending all of Monday in a semi-catatonic state and he decided that I should move onto Fluoxetine within the week. My instructions for the transition were to go to half dose for three days (yesterday was day two, I nearly killed myself, I instead spent about half an hour self-harming) and then to drop to quarter dose for three days. After that, I can start taking 20mg of Fluoxetine a day. Apparently it's a rough starter and that can last anywhere from two to six weeks and since I already had a rocky beginning with Citalopram, I'm not looking forward to it so much... I dunno, maybe it'll be alright - it can't get tooooo much worse I suppose.

Other than that, things are going alright, I moved departments at work so I'm even happier there now than I was before. College is going alright but I missed my latest deadline due to sickness (read Citalopram withdrawal and viral infection) so I'll lose out on marks for that unfortunately. On the plus side, we've broke for Easter now so I've got a fortnight to improve my essay and work on my image. I've gone back to pole dancing and I'm getting back into the swing of it all so to speak.
I'm going to start setting proper times and dates to blog and I'm going to start writing and drawing again. And, now that the weather's getting better, I'm going to start running again. I think it'll all help with the depression lark and stuff.

Anyway, I'm going to get some more rest. Night all!