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Can't Work Without Meds, But I Hate Them

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Sunset

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So I'm supposed to see a psychiatrist Monday to get meds. And I feel like I have to, because I can't work and can't get disability right now. It's the only thing that might keep me paying the bills.

Thing is, I don't want them. I almost killed myself twice because of meds taking over my mind, once when I was very young and once when I was barely 18. Both times...it really felt like the meds were more for others' convenience, to make me behave, than for me.

And I guess I still feel like that. I feel like meds are just an excuse to shut me up and ignore the trauma, pretend it didn't happen. I don't think there's anything wrong with me. I think the problem is I'm being forced to live in a society that doesn't want me and doesn't care what happens to me. So it labels the results of that "sick" and gives out drugs so I don't bother anyone else.

It's a society of abusers. Police, therapists, psychiatrists...I've had it from all of these, threatening me because I dared to say their world wasn't perfect. Because I had the audacity to talk about abuse, I was threatened to make me shut up. Meds were part of that - if you can call it a disease, you can ignore the real issues.
 
I am sorry you took meds which felt like they took over your mind.

By the time I was 30, I could no longer hold down a job. I was in constant fight or flight and was breaking down at every level. I was given a med that did not affect my thinking in the least, but allowed me to sleep at night, which stabilized my health, allowed me to think clearly, and keep a job.

If you are doing good without medication, don't take any. No one will force you.
 
Sunset, I'm sorry all that happened to you.

Please tell the psychiatrist all this. The doctor needs to have this info to help you both work as a team. You are in charge of making your own decisions no matter what the suggestions are. You're just finding out more info about your options right now, not making a commitment.

You have autonomy now.
 
That's just it...I don't really feel like I have a choice. And I don't think I can ever tell anyone in that industry how I feel, because of how badly they all treat you if you do. I'm not functioning, but I still don't think that's a problem with me - just that society's so broken that there's no place where I can ever function as just me.

I may not be literally forced, but...no job and no disability without it, and no one cares to fix the real problems.
 
Take heart. It may feel like you don't have a choice, but feelings aren't facts. You have many choices, even if none of them get you where you really want to go.

It is an over-generalization to say that all the thousands of people in that industry will treat you negatively for sharing your feelings and emotions. There actually are plenty who won't treat you negatively. You will find one, eventually.

Your health is about you, so who cares if they don't like what you say? They don't have to like it. But choosing to withhold such information really limits the amount of help you'll be able to get. They can't treat symptoms they are unaware of. Worse, they may give you something that makes your symptoms worse. Please give them all the details so that doesn't happen.

It's also an overgeneralization to say nobody cares to fix the true problems. We care. Many professionals care. Not all are abusers, though believe me, I sure do struggle to believe in anyone at times.

I'm sorry if I missed it, but are you seeing a therapist? Your writing reminds me SO much of myself where I was when I came to this forum. I'm pretty sure I've written everything you have here at one time or another.

You have some mental defenses in play, such as an all-or-nothing view of the world, which helped you survive. But, eventually, when those defenses aren't needed, we need help learning what to replace them with.

Cognitive-behavioral-therapy (CBT) really helped me develop healthier skills so I could be a LOT more functional in life. Also, a lot safer, as I got some kick-ass assertiveness and advocacy skills as well. It's made such a difference in my life!

But, it began by my trying to trust the professionals in a way that my brain resisted the entire way. So, I know how incredibly brave you'll need to be to share.

But the rewards just might be well worth the fear. Please let us know how it goes. Imagine us going with you to your appointment if it helps.
 
Seeing one now. I've seen, what, 6 by now prior to her, and interacted with 4 more? 2 dumb ones that were too busy treating imaginary problems to screen for abuse, 1 outright abuser, 2 more that justified it happily, 2 that just couldn't be bothered to care. The good ones just spout platitudes - that's the problem with my current therapist, she just repeats stuff about forgiveness and worth that doesn't make any sense. I've heard CBT stuff but I don't want to go near it again, I don't like having my life picked apart and "treated" like that.

The abuser and the ones that justified it? They threatened me. Basically said if I didn't take stuff it just meant I was so sick I was a danger to myself and they had to make me see someone they approved of. And absolutely everything was up for treatment - the actual trauma was never the issue, it was all about how weird my clothes were and why I was in a less practical field and everything else that they didn't, personally, like about me. And if I ever objected it was "intellectualization" or "black-and-white thinking" or whatever the latest buzzword was for why nothing I said mattered.
 
Hi Sunset. I'm sorry you are in a difficult position and that it is causing you so much upset. I have to agree with BloomInWinter here. Your past experiences with medication need to be brought up with the psychiatrist. It's possible that certain classes of medications should be taken off the table for you. I cannot take any kind of phenobarbital as it makes my anxiety and aggression head off the charts. Which is the opposite of what it should do.

The thing about meds is that the choice to take or not is deeply personal. It's not just a cost/benefit analysis. Although that is an important part of the decision. Ideally the doc will make recommendations based on your medical history, your lifestyle and your comfort level. Then give you some time to do your own research and get used to the idea of adding this to you routine. You actually play a huge role in the decision making process. After all that you can still say no.

Trust takes time to build. It's understandable you would be wary in the beginning of any relationship. It sounds like the psychiatrist is someone new. Give it some time and remember your therapy is all about you. You get to set the pace for everything.

I hope you have a positive experience.
 
If nothing changes, nothing changes.

You're quite quick to reject medication based on experiences as a teen. Did you know that meds that were previously prescribed heavily to those under 18 are no longer handed out in such a manor because teens can have worse side effects?

You're also quick to reject CBT because you don't want your life picked apart in that manor. I see this as a defense mechanism as you much rather stew in your negative skewed thoughts rather than try and see things for how they really are.
 
It's not just that they have side effects. It's that...I've felt like treatment has always for me been primarily about imposing some external idea of "normal" or "acceptable" on me, rather than actually trying to make my life better. The first time, when I was young? The only reason was that it was easier to treat me for adhd than actually have someone bother to provide a program where I wasn't being bored out of my mind because it was way too easy. The second? Because someone else was insisting I was stressed out about something I was totally fine with and I needed anti-depressants to make my headaches go away. I didn't want it but I got told if I didn't take the meds I was given I wasn't getting any treatment. And of course when I reported the side effects it just got written down that the treatment was discontinued because I was "uncooperative."

Same thing with therapy - I got the "you absolutely have to stop self-harm right now" lecture, not because I was actually in any serious danger from it (I wasn't), but because the therapist at the time was obviously disgusted by it. I had another for whom the primary issue was that I wear a gothic style, and that clearly meant I was disturbed. Had a third where the primary problem was clearly that I didn't want to see a particular therapist that she thought I should be seeing. Had another where my reporting abuse just meant that I was "delusional", and two more where reporting that guy's bullying got labelled as a symptom. You get the idea. That's what it's always been about - my style, my sexuality, my religion, anything that the person across the room doesn't like. Even having the guts to actually report abuse gets added as a symptom rather than taken seriously.

That's why I don't want to do this sort of thing - because in every case when I've gotten to the end the goal has been to make it so I'm not a bother to anyone else. Not to help me get a life I actually want, but to shut me up and make it so other people don't have to be bothered by me.
 
Damn, well I sincerely apologize! I now understand why you don't want meds or therapy. You've gotten a bad lot of therapists.

I understand being written off because of your looks and it SUCKS! In my case, I don't look like a "mental" person (whatever that's supposed to look like?!?) so I've been dismissed as not having serious problems. One publicly funded mental health program discharged me, one of the reasons given was because I "look too good". Lol, I'm not a vain person but I believe that taking care of myself helps me feel better. I was just shocked to be dismissed like that.

I really want to urge you to keep looking for someone who will listen to you and take you seriously without judging your looks alone. They're out there, but sometimes the good ones are hard to find.

Maybe you don't need medication? There are a lot of us here who don't take daily medication. I only have an as needed med, and try to only take it when I really need it.
 
Sunset, I am going to say a few things and they are just my opinion, nothing more. Feel free to discard anything that doesn't fit you or your situation but I hope you'll at least consider what I have to say because I have been where you were, and I have gained some wisdom that has greatly helped me in my recovery.

I've seen, what, 6 by now prior to her, and interacted with 4 more? 2 dumb ones that were too busy treating imaginary problems to screen for abuse.

Because of the chronic abuse I went through, I had to get good at guessing what my abusers were thinking so I could try to keep myself safe. I did get good at that guessing game, and I believed I could read their minds because it seemed so.

Once I escaped, I went into the world believing I could tell what other people were thinking. I would often act on what my perception was. I believed my interpretation of their outsides was a factual reflection of their emotions & thoughts.

As it turns out, I couldn't read any of their minds nor accurately guess what they were feeling, most of the time. Neither can you, or anybody else. This false belief is coming out very strongly in your writing, and it will greatly impede any progress you might be otherwise able to make. Because once we've made a judgement, we can switch off and refuse to allow any new information to get in where it might help us. I know, because I did this too. It caused me to miss out on many friendships, enjoyable activities, and develop a healthy network of healthy people.

For example, your statement "2 dumb ones that were too busy treating imaginary problems to screen for abuse." Ok, you have called them dumb. Generally people who meet that criteria are not successful at making it through college and then through the training necessary for clinical practice.

Labeling them 'dumb' in our minds allows us to put up a psychological defense to be able to, in our minds, dismiss everything they say instead of truly examining it to see if there's anything that might be helpful. Even if we would dismiss it after examining "it" (whatever "it" is), fear of our traumas being unlocked causes us to keep that mental defense in place.

Given the nature of trauma, is perfectly understandable and was an amazing defense we found necessary to allow us to survive unsafe people. But once we're safe, this defense keeps safe people away (and us isolated from others) and perpetuates our symptoms. Healthy people experience our black/white view of the world as strange or aggravating.

Another thing that keeps us from healing is the belief that we're smarter, better informed, and more qualified to know our disease and how best to treat it than the professionals.

We are absolutely an expert on us. But they are presumably the experts on everything else we explore in the treatment room. That's not to say they don't make mistakes, nor that they know everything. Also, methods that work for most patients may not work for us, but we won't know that until our therapist tries it out. But they do have a wealth of knowledge and experience we do not.

We may think we know what they are thinking, and what they are feeling, and why they are doing what they do. But unless we ask them these questions and allow them to respond, we actually have NO idea. We can make a guess, but guessing isn't a good way to build a therapeutic alliance together in the therapy room.

If we don't ask them, we deprive ourselves of understanding the link between our perceptions of the nuances of other people's behavior & appearance, and the overlay of our traumas which colors that perception, usually in a very negative fashion.

Also, you mentioned you think they were treating imaginary problems instead of screening for abuse, but you may be incorrect.

In fact, they have many, many diagnostic questions they need to be finding a way to ask gently. They need time and some basic trust extended so they can help identify our functioning, our symptoms, our diagnoses, and the best treatment options. With a trauma patient, this process can take weeks, months, or in severe cases, years.

It does us no good to use the psychological defense of 'they don't know what they are doing.'

Though this mental defense allows our frightened, traumatized selves to find a good justification to exit therapy, for most therapists, it would be difficult to accurately assess their skills based upon just a few appointments, or even more than a few.

If we enter into the therapy room with these mental defenses up, we will tend to find the 'evidence' we believe validates our feelings. This is a good recipe for going through many therapists but achieving no progress in therapy nor functioning in life.

I fired my therapist a gazillion times in my head, a few times in real life, and finally had a hard fought breakthrough in my trust where I allowed him 'in.' It took over a year and 1/2. I made a pact with myself, my hubby, and a safe, trusted friend that I would not quit, no matter how terrible I felt or scared I got, without discussing it with them and my therapist first.

It worked. It was freaking HARD. There was a lot of triggering involved. But I learned so much about myself. The conflicts with my therapist I faced, talked about, and worked to resolve in the therapy room had marvelous benefits. Some of those include greatly improving my confidence in myself, my ability to be assertive and demand respect, and my trust in the process of therapy.

I hope you'll consider at least going into the therapy room with an assumption that they just might know some things you don't, and that they aren't your abusers. If your current therapist keeps talking about forgiveness and it pisses you off, tell her.

The forgiveness thing really ticked me off too, years ago. I'd go into a 'freeze' mode since it mirrored my abusers and their enablers words, and I couldn't respond. It took time and trust with my CBT therapist to help me learn how to 'unfreeze' at such times so I could speak up for myself.

Now, I tell people 'when you speak of forgiveness, I feel misunderstood and my pain minimized. I feel like you're just like many of the abusive people in my life. I don't trust you...and it makes me want to never come back.' That puts the ball in their court. I've gotten some wonderful empathetic responses that way.

I've also lost a few friends but as it turned out, I was better off without them.
 
I agree with other posters who said it sounds like you had a lot of bad therapists. To be judged for your looks or told you absolutely have to stop self harming to get treatment, well it just sucks. Trauma usually involves losing control and to go into treatment and have someone else control what you can and can't do to such an extreme can be retraumatizing. You need to have some control and it needs to be a collaborative effort. I've had some bad therapists and now have a good therapist, it is possible to find someone who is a good fit.

I am wondering how much of your feelings you shared with some of the not so good therapists? Did you tell them that they look disgusted when they are telling you to stop the self harm? Did you say to the one that had problems with your style of dress that it seems like they are labeling you as disturbed because of it?


I've experienced feeling like meds are for someone elses convenience versus my own. Like the therapist or Dr who doesn't want to deal with me sharing my feelings of self harm, they don't want to worry about me possibly killing myself and getting sued so they just medicate me up and not get at the reasons I have these feelings which takes a long time and a great deal of skill. I agree with what you said about it not being you who has a problem, it's abusive people that caused all the problems and that being the real issue that needs to be dealt with.

I had a very abusive childhood on many levels- emotional, physical and sexual abuse. When I started taking medication it was because I decided it was time, it was several years into therapy with a therapist I connected with. I was having many troubles in school and it was worth it to me for my brain to be treated so I could function normally for a period of time. I am still on medication, a lower dose that I am trying to wean down from and that is my choice too. Like another poster said, you don't have to take meds, it has gotta be your choice after you weigh the pros and cons. I hope you keep trying to find treatment and providers that are willing to really listen to you and work with you on your terms.
 
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