Showing posts with label cognitive behavioural therapy. Show all posts
Showing posts with label cognitive behavioural therapy. Show all posts

Wednesday, 24 April 2013

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!

Tuesday, 9 April 2013

Eight Days Of Fluoxetine, Three Days Of Herbalife.

As you can probably tell, today is my eighth day of taking Fluoxetine instead of Citalopram. The withdrawal symptoms from taking reduced doses of Citalopram were pretty intense. After getting over the viral infection, I still had to take the Penicillin VK until yesterday morning (horrifying tasting stuff that is...) but I was all better and things so all I had to deal with were the bizarre withdrawal symptoms of the Citalopram and the new side effects of the Fluoxetine.
Now, before I started taking it (the Fluoxetine) I'd managed to pretty much terrify myself by reading various accounts of what people had gone through for the first six weeks of taking the new medication. As far as I could tell, most people were taking it for anxiety rather than depression however, and they hadn't previously been taking an SSRI (Selective Seratonin Reuptake Inhibitor such as Citalopram). Contrary to everything that I read, my first week has gone really smoothly. Even the doctor thought I'd have a hard time adjusting to the new medication but strangely, I've been alright. To be honest, on my first day of Fluoxetine, I did have a breakdown in the bathrooms at work. I think it managed to terrify everyone - they keep asking me how I am and how I'm adjusting to tills and if I'm okay. I just keep telling them that I'm feeling a lot better and that working on checkouts is better for me than the fresh department. Which it is - fresh was lonely and I had far too much time to dwell on things whereas with checkouts I can't do that.
After I got over the virus and the Citalopram withdrawal, I've not really felt anything - I don't feel worse, apart from the occasional bad spat of anxiety, but I don't feel all that better either. I'm forgetting things, spacing out, getting confused easily. I don't really feel happier or anything like that so I'm suspecting that, on Thursday, when I go back to the doctors, he'll increase my dose.

Aside from the new medication, I've also started drinking the Herbalife meal replacement shakes. They're really nice and I think I'm already noticing a difference in my eating after just three days! I'm having two shakes, two teas, two snacks and one nutritious meal per day. It feels kind of like Slimfast but I feel nowhere near as bloated and sluggish as I did after their meal replacements. It's obviously forcing me to eat a lot healthier too - even though I have approximately zero money.
Last night, my main meal was noodle salad with a whole egg. The salad part comprised of half a green pepper, half an onion, half a tiny turnip, a third of a cup of broccoli, half a cup of cos lettuce and some dried chilli salt, half a vegetable OXO cube and pepper for seasoning. It was gorgeous! Less than 300kcals too! (Notice how I've put in my MyFitnessPal page for you! My screen name's Sarah2808 should any of you wish to follow me.)



I'm hoping, once I've been paid on Friday, to get to pole dancing at least twice a week and I'm going to start walking to and from work as of tomorrow and maybe even to and from town when I'm at college and things - saves a hell of a lot of money! Also, now that I've got the spare room under control, I'm wanting to get a little space heater and use it as a yoga/pole dancing room as well. That way, not only will I - hopefully - be losing weight through Herbalife, but I'll be getting leaner and more toned through exercise too.

Well, that said, I'm off to make my morning shake (yes, I realise it's past 2pm but that's beside the point...) 
TTFN!

Saturday, 26 January 2013

A Post From The Snowstorm and Happy Burns Night!

Well it's snowing outside - nothing new if you've been in the UK at all for the last fortnight - and it's forecast for about 10cm over the weekend. 10cm! That's like the middle of my shins! It's already ankle height - coming in over the tops of my shoes when I walk - it'll actually just swallow me whole if it gets  that much deeper.

That aside, most things have been going pretty well. My tattoo has healed beautifully, my degree's going well and my medication has stabilised for now. I think I'm successfully not addicted to Diazepam and my last therapy session is on the first Monday in February. It would have been last Monday but due to the inclement weather conditions, Sarah and I just spoke over the phone. We agreed that, because my anxiety was still quite an issue and I didn't really want any telephone sessions, she would provide me with a reading list of helpful books in order to try and keep everything under control. My review date for where I'm at mentally will now be May 4th (Star Wars Day!!!) rather than the 21st of April but not to worry - it's a three month wait whichever way you slice it! I've got a review at the doctors for my tablets in a week or two, I'll have to mention that I'm still getting very anxious from time to time so I'm not sure what'll be going on there. I'm fairly certain he want's to take me off the Diazepam altogether since it's so addictive but I'm just a touch worried that I'll get too anxious and things without it... Maybe he'll exchange it for something else rather than just leaving me hanging.

Work's not been too bad - that problem colleague has now mostly downgraded to telling all the staff members not to talk to me because "they'll get in trouble" since I apparently grassed him up. It's annoying but it's schoolboy stuff and I can't be bothered to get involved. This week has held loads of overtime for me - nearly twenty hours! - so that's double my contract and a bit. Because of this, I'm looking forward to my rather healthy pay slip at the end of February! To be fair, I'm going to need it - my bank account has looked rather grim since Christmas Eve. Hey ho I suppose, hopefully I'll still be able to get that grant from Student Finance for my degree. I should have applied for it in September but never mind...

When I'm not working or at college, I'm either sleeping, writing or doing housework these days. I've got a couple of photography projects to work on including some voluntary stuff for a friend and the charity, Mind. I'm at a festival on the 15th of February in Carlisle for Get Your Rock Out. It's called Rockmantic and is for all the rock 'lovers' out there. I think it a pretty cute idea to be honest and I'm really, really looking forward to going down. Hopefully if I do well enough there they'll send me to Hammerfest or Bloodstock or one of the other big festivals this year. I was asked to do Damnation for them last year but I couldn't get the time of work. I'll be buying my train tickets for Rockmantic in the morning - I'm super excited! With all of that in mind, hopefully at some point in the near future, Charlotte and I will be going down to the Warner Brothers Studio in Watford to go to The Wizarding World of Harry Potter for which I am even more excited!!! She's been before but really wants to go again and I've not been and am desperate to go - I had the chance last year but couldn't make it at the time, nor did I have any money for their gift shop and I would have been very sad indeed if I couldn't buy anything while I was there...

There was more that I was going to post tonight but I got distracted by a few different things at once e.g. apple crumble tart and twitter. And Pottermore. And Burns Night. And Wattpad... So nighty night. I may write more tomorrow during the break in my shifts at work. 11.30-4.30 and then 6-10 - the joys!

Wednesday, 16 January 2013

The End Is Nigh... Look Busy!

So next week heralds the end of my CBT sessions. I'm almost looking forward to it - my Monday mornings can be my lazy day lie-in again for the first time in forever! It's not only that though, I'm excited to be able to really have a chance to do this on my own at last - to test myself and see if I'm ready to stand up without Sarah as my weekly safety net.
Standard procedure for the end of a session of intensive CBT is 'give it three months and reevaluate'. So on March 21st - fitting, I believe at least, since it's the first day of Spring - I've got to see where I'm at and how far I've come mentally and physically as to whether I needed any top-up sessions or new courses of therapy etc. In a few weeks I'm back at the doctors to see how my medication is going. I'm finally used to not having so much Diazepam now so everything has calmed down nicely where that's concerned. Eventually I'll be able to come off everything, I think, but I'm not sure when - if tablets and them occasionally making me ill or really hyper is the price I have to pay to deal with the depression and anxiety, then I'll go through with it gladly.
As far as my psoriasis goes, it's getting steadily worse but I don't particularly want to go back to the hospital about it. I'm thinking just sun-beds and lots of intensive moisturiser - I'm not using my steroid creams at all any more, they're just too damaging for my skin. They make it thin and fragile and greasy and eventually, I get resistant to them so they stop working and I end up needing stronger ones. Frankly, they're foul. They look awful. They smell awful. They feel awful. Some of them stain clothes and bedding. It's just not fun. It could certainly be worse but if I can get by without I'm damn well going to!

On a substantially happier note, I got some new Benefit make-up recently which I've been desperate to try out properly. I got Brows A-Go-Go yesterday to go with todays eye brow waxing (first ever wax, it's really not that bad!) so I think I'm going to use that properly tomorrow when I go out to visit Stitch whom I haven't seen in quite a bit over a year. I'm taking cupcakes, six vanilla and six chocolate, as a 'sorry it's been so long but now I've got a working oven' present for him, Kymmie and Harrison. I'm looking forward to it. It's always a really relaxing environment and we've been good friends for ages ergo I'm fully intending to spend the vast majority of the day there.
I also got two assignments from college today, one is solely a photographic project - painting with light in order to advertise a product - and the other is an essay that has to be accompanied by an image in the style of the photographer that you chose to do the essay about. I'm looking forward to both of them - mostly the painting with light one, to be honest - and I've got a pretty long time to do them both too.

For the remainder of the time before I sleep I think I'm going to read. Nighty night!

Friday, 21 December 2012

Medicated

So since the blog's maiden voyage - well, post, rather - I've done a few things. I've been to the doctor's. The wonderful, jumpy Dr McMeds then upped my Citalopram to 30mg from 20mg and put me on 2mg of Diazepam - a sleeping medication administered if Propanolol 'doesn't quite hit the mark'.
I've also decided that this 'privacy' lark is pointless - if I was THAT bothered, I'd obviously have created a totally new and relatively untraceable email address rather than using the one connected to everything I have (pretty much) on the internet. And not just that but I know this blog is linked in some way to my Google+ account so privacy is pretty much a moot point. That said, hi folks, I'm Sarah. I'll be putting up an about me somewhere and possibly editing this page in other ways to add more of the 'me' element.
The last major thing I've done, I think, is tell my mum about all this. Not the blog, but all of the depression and anxiety and therapy and medication. I always thought I'd never do that because she'd worry too much or freak out or be angry but she was surprisingly calm about it all. She said she was relieved and proud that I was doing the right thing and getting help when I recognised that I needed it. When I told her I hadn't wanted to tell her in case she was worried, she said she'd been worried about me since Georgi died (more on this later). There was also some truth-telling on her part as well but I'm not too sure how appropriate it is to mention all of that really. As much as I'm not bothered about my privacy, the personal dealings of my friends and family are another matter entirely.

All that said, I have to go and get ready for work now. I'll do a 'Medicated cont.' either tonight when I get in or tomorrow.

Tuesday, 18 December 2012

Hello World!

Now that I've started this blog, and configured it all to how I want it (for now at least), I don't know what to write.

I'm simply not entirely sure where to start. I want to introduce myself but I also want to keep my level of privacy. I want to get straight to the point but that seems a little blunt. I don't want to be all namby-pamby but at the same time I don't want to start this blog by being overly brutal. That's just not me.

I guess we'll have to go with at least a slightly more direct approach for now at least. Doubtless it won't last, it makes me slightly uncomfortable since it's very "Look at me! Behold my issues!" and people who are like that piss me off something rotten - mental problems are not something to be celebrated.

I was recently - I'll get a more specific timeline later - diagnosed with depression and anxiety. At this point I was already undergoing my second course of treatment for 'low mood, anxiety and low self-esteem'. My depression, at the time of my diagnosis, was so severe I was immediately advised to start taking Citalopram. A week later, the Citalopram - two per day - had made my anxiety so bad that I also had to start taking up to three Propanolol every day, as needed.

I'm going to go into exactly how my therapy sessions and my medication have effected me in due course but for now I think I'm going to go back to writing a little more about what I want to do with this blog.
I've been blogging for over a year now on Wordpress but it's most recent interface change was the last straw - I used to hate the way blogger looked in a similar way to how I'm uncomfortable with the way Wordpress has changed. I also had a number of people following that blog who don't currently know about my mental health situation and I would like to keep it that way until I am completely ready.
I'm not really sure what to do about the rather sizeable number of posts I have over on WP. I kind of want to have everything archived in one place but at the same time I'm not sure if I want to go about importing them all - e.g. is it really relevant? - and that would probably take forever thus I can't really be bothered right now...
I want to have this blog primarily as a 'this is how I'm coping with my conditions' record but I also want to have it as my main blog for my daily life. I want to be able to post here everyday at least once about everything and anything from my medication to my work, my family and my pole dancing!

I hope it works out alright - blogging really does help with the whole depression and anxiety thing. It's nice to get everything off my chest.