SO IT’S NOT BIPOLAR…

I guess I should have read the second part of the last p-docs report a little more closely. She says it’s not bi-polar, but Persistent Depressive Disorder. I’ve never been manic and the hypomania symptoms I’ve experienced are common with Borderline Personality Disorder, especially as one comes out of a deep depression. So the official diagnoses are as follows: Borderline Personality Disorder, C-PTSD, Persistent Depressive Disorder, and Generalized Anxiety Disorder. What I’m really curious about is how, if I’m not bi-polar, the atypical anti-psychotic is working. I’ve done some research into it, and as best as I can figure, it acts as a mood stabilizer, even in the absence of bi-polar or schizophrenia, as an adjunct to the anti-depressant. Which may or may not work without it. I’ll find out soon enough. My GP has a referral in for me to talk to the p-doc about lowering my medication. I’m on 20 mg of escitalopram (Cipralex), 20 mg of aripiprazole (Abilify), 4 mg of prazosin, and 1mg of clonazepam (Klonopin) as needed. The prazosin and clonazepam I’m fine with. I enjoy my nightmare free sleep. And I only use the clonazepam once in a while. I’ve been using a lot of it for my dentist appointments, but now that I have my partials, I only need to go every four months for cleanings. It’s the aripiprazole that I’m mostly concerned with. It’s a strong dose to be on, especially if I’m not bi-polar. I’ll probably need to be on an anti-depressant for the rest of my life, I can understand that. But if possible, I’d like to minimize the doses. The longer I’m on the aripiprazole, the more likely I am to get Tardive Dyskinesia. I’m already starting to get very slight hand tremors. Not bad enough that my doctor is concerned, but they’re still there. We’ll see, I guess.

MED COMPLIANCE

At night, the monsters come out. Since my dentist appointment last week, I’ve been having dreams of disembodied hands. Creepy and unsettling. I wake up in a cold sweat, and don’t want to go back to sleep. So I stay up and read. Or listen to books on Audible. I’m acquiring a collection of un-listened to books that will rival my to be read stack of paper books. But that’s ok. Somethings to look forward to.

Am struggling with med compliance again. I’m tired of feeling flat and numb, and blame it on the Abilify. I’ve been reading up on it, and apparently it’s a common side effect. Right away she was concerned that I was still taking them. She was genuinely concerned that I would quit it cold turkey. Given my history, I would have to say that her questioning me is warranted. I started at 2mg, and now I’m up to 20. That’s a big dose. Especially since the last p-doc I saw stated that I don’t even have bi-polar. I understand that I might need a mood stabilizer, as anti-depressants alone never work properly. I do question, however, the need for an atypical anti-psychotic. At such a high dose. The last p-doc I saw was just a consult, but she said I could see her in a year if I wanted to discuss a med change. So I need to call the hospital and find out if I can make an appointment through them, or if I need to go through my doctor. My therapist is all about getting it done. I hem and hawed and will be doing it in the new year. I may bite the bullet and call this week, so it’s not hanging over my head. But I hate talking on the phone. I have real anxiety about it. So much so that even my therapist only contacts me via email. Even if it’s the day of an appointment, she knows I’m on my email, but if I don’t recognize the number, I won’t answer the phone. I’m so glad she’s willing to work with my limitations and foibles, without making them a focus or a big deal.

I have a feeling, since last week we didn’t really touch on anything big, as I’ve been pretty stable, we’re going to do some EMDR on Thursday. Just in time to do three weeks before she takes her two weeks off over Christmas. She is also planning on taking a week off in the middle of January. I’m just glad she’s not taking all three weeks off at the same time. Three weeks is a long time when you’re used to weekly sessions. She asked me how I’m feeling about the two weeks off. I replied, “Besides feeling abandoned?” Then I laughed and told her I was joking. “You’ll be holding seminars on how to yank your therapists chain.” I have mixed feelings about starting EMDR again. I’m scared of how it’s going to go now that I’m having visual flashbacks. My flashbacks have always been somatic, meaning feelings only. Recently, I’ve been having some pretty severe visuals. Not just feeling his hands around my neck, but seeing them. His cold, cold eyes. The collapse when I tried to stand up and he grabbed me by the neck and threw me back on the bed. Instead of just feelings of dread and sensations, I’m full on remembering. Which sucks.

I have my protocols. Babette Rothschild has saved my sleep. Her “8 Keys To Safe Trauma Recovery” has provided some very solid protocols on dealing with flashbacks and nightmares. So much so that I wrote them down for easy access at night. And I’ve passed them onto friends. They’ve been so helpful. I recommend that book to everyone I know with a trauma history that impacts their daily lives. Even if only sometimes.