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Okay, I'm Desperate For Stabililty

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VioletButterfly

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So, well, my major issue is anxiety and motivation. I just feel like nothing I do is going to make a difference so why try? So, well, I try everything I can think of cognately; however, am wondering if I should try Lexapro again. Unlike Zoloft which I recently tried (nightmare), I didn't have side effects, but I remember feeling like anxiety was in a box in my tummy. I just wonder if SSRIs are meant to treat a really anxiety-based issue. I did try Buspar years ago without success, but my situation and body chemistry were different. Why do I even feel like I need medical support anyway? Isn't it all up in my head, really? Isn't it about working it out and building a healthy life for myself? I just don't know if I'm fooling myself and therefore beating myself up in terms of expectations or not. What goes through my mind is a wand or a secret pill, when it's really about hard work with the right professional(s). Insights appreciated. I know my nutrition needs to improve and also my movement, but I can't seem to see that this would make that much difference. I don't even get where this comes from, but part of my being tells me that nutrient and exercise won't really make that big of a difference because of all that I've been though. It sees these approaches as another rose-colored glass, wand waving issue. I think I'm lacking perspective, but don't know how to proceed beyond that. VB
 
Just personal experience and I'm sensitive to medicine. From what I know some SSRIs are good for anxiety or nightmare. I tried Lexapro first. Helped at first - then nightmare. Tried Zoloft (and getting off currently). Feels the same. Helped at first - then nightmare! So just be careful.
 
What goes through my mind is a wand or a secret pill, when it's really about hard work with the right professional(s).

I've felt that way too. But realizing I have to add patience to the mix. I've found that over time any med I take dulls me or further numbs me out somehow. SSRIs don't work for me at all. Neither do SNRIs, NRIs, and my doc won't prescribe me benzos because I'd be eating them like candy. I'm on the tiniest bit of gabapentin for pain right now and it's helping that some, plus I do feel a little more relaxed. But there are some side effects so this might not work for me either. And even when something does work for a bit, it seems to just eventually stop working. Not saying that's the case for everyone. But I've personally given up on hoping for a pill fix. For me it's actually more empowering to work on the fix within my own system (like ways I can work at regulation), even if it's messy and complicated. It feels like I have more control and am actually changing vs just chemically subverting the issue.

I don't even get where this comes from, but part of my being tells me that nutrient and exercise won't really make that big of a difference because of all that I've been though.

The simple stuff actually makes a huge difference for me. Cutting back on stimulants, eating cleaner, exercising some almost every day, rest. It's what helps me just do my life, sometimes enjoy it, and also be patient with recovery because I don't always feel like I need a fix right now because I don't feel powerless or broken all the time. I'm just living my life, imperfectly. I've switched to more of a process perspective. But I still have many moments of wanting it to all go away or be able to just take a pill to fix it. For sure.

Why not talk to your doc about the meds but also consider steps you feel like you can take in your life and stick with them even if you don't see a change within a few days. Track for 30 or 90 days or something and just keep doing it (whatever it is...exercise, some self care goal, etc). If you've been through a lot, there is actually plenty reason for continued little steps and not hoping for one big one. I've been working to build my resources mostly across the board...little bits everywhere, usually in patterns of 2 steps forward, 1.5 steps back. But it's progress and change, so it feels empowering.
 
Solving my anxiety and depression took trying a few medications.And, at least, I have that tightening in my upper abdomen.

1. SSRI; After getting anxiety at low doses of Zoloft, we figured out that I am a slow metabolizer of the SSRI drug class. (Fortunately, I have a pharmacist who did research on SSRI's.) I do very well on a pediatric dose of Lexapro. It does decrease my depression, and it does decrease 1/2 of my anxiety. For the rest of my anxiety, I uses a pediatric dose (once again, a slow metabolizer) of clonazepam.

2. After so much self-awareness, and journaling, I've become aware that my abdomenal tightening is my flight, fight, and freeze response, setting in. Since mindfulness techniques didn't work, I'm using clonazepam. At first I tried lorazepam, but it doesn't work on the 'deep stuff' for me, clonazepam does.

I believe that you are on the right path, to find something, or a combination of medications, that can allow you to get through your day comfortably.
Good luck!
 
@VioletButterfly my post sounds kind of preachy when I re-read it, so sorry if that's how it sounds to you too. I don't have an answer, just understand having to work on mixing up my perspective a bit because it's taking a long time to shift things for me. I also hate meds in general but have to be careful to not come on hear with that full med-hater tone because I know they do help us get through sometimes...and work longer term for many people too.

After so much self-awareness, and journaling, I've become aware that my abdomenal tightening is my flight, fight, and freeze response, setting in

Working on skills to build mindfulness and body awareness is helpful in many ways, but I find this has helped me with the med stuff too...like I can notice more easily what a med is doing (or not doing) for me. My doctor increased my pain meds but I noticed I was becoming quite flat and zombie-like at times. I wasn't comfortable with that "fix" so am working directly with pain in some other ways, but also asked about a pain med in a non-opioid class (so now just a tiny dose of opioid, tiny dose of anti-convulsant, and generally feeling less zombie-like). So, even when working to find meds that help with day to day life, all the skills we can work on to notice our bodies and feelings, and practice responding in different ways, seems helpful.
 
@Saetva
at least, I have that tightening in my upper abdomenk!

Can you please explain more? My abdomen feels like I've been doing way too many crunches. Tight and sore. Realized it probably side effect. Otherwise makes no sense - except eating much less.
 
Thank you for your replies. You are echoing what goes through my mind regarding self-care, listening to my body regarding meds, and acknowledging that it is a process. It's good to hear it coming back from others walking in similar shoes. I have done so much study in this regard and have so much information and so many tools. The issue seems to be my ability to follow through or maintain a practice. I’m so anxious, I run off to put out another fire or hide in a closet. It’s exhausting.

I hear you regarding "patience" being one of the keys I need to work on, along with expectations, and accepting the 2 steps forward/backward scenario – baby steps. Conceptually, I get this. Emotionally, it is an entirely different ballgame. It just feels like it's been going on for so long and "I feel" I should be "better" by now. So much for self-will in this regard; I’m just providing a venue to should all over myself. I guess I can't expect the same results as I do when working a project in the professional realm. There just seems to be no end here – no due date. I'm having a lot of difficulty in accepting that I can't be "healed" and then get on with the life the way "it's supposed to be." Whatever any of those quotes mean, I think they're showing me that a lot of my difficulties are up in my noggin. That I need to change certain thought patterns. I started out my latest attempt to help myself in this journey because I was actually seeing faulty thought and behavior patterns, amongst the wreckage. I guess I got detoured by falling back into these old self-destructive patterns and hiding for a time. It's hard work. I've been working on my thinking this morning - I keep detouring my thoughts from obsessing on stuff re: my mother, telling myself that she can have 30 minutes later today, but that "now" has to do with me and my healing. I'm just starting to work on being aware in the moment of what I'm thinking, the power I'm giving to that and the effects it is having on my life. As it is mostly negative in a broad sense, I guess this is a good thing to work on in order to get myself going in a healthier direction. This is where I’m hoping a therapist can help me. It’s what I’ve asked from each one – stabilizing my thinking, reworking thought patterns… all I get is one after another wanting gory trauma details or telling me their life stories.

Chava - I appreciated your replies, especially what you wrote below. None of your responses sounded preachy, so no worries. Thank you for sharing, and your support and encouragement.

The simple stuff actually makes a huge difference for me. Cutting back on stimulants, eating cleaner, exercising some almost every day, rest. It's what helps me just do my life, sometimes enjoy it, and also be patient with recovery because I don't always feel like I need a fix right now because I don't feel powerless or broken all the time. I'm just living my life, imperfectly. I've switched to more of a process perspective. But I still have many moments of wanting it to all go away or be able to just take a pill to fix it. Why not talk to your doc about the meds but also consider steps you feel like you can take in your life and stick with them even if you don't see a change within a few days. Track for 30 or 90 days or something and just keep doing it (whatever it is...exercise, some self care goal, etc). If you've been through a lot, there is actually plenty reason for continued little steps and not hoping for one big one. I've been working to build my resources mostly across the board...little bits everywhere, usually in patterns of 2 steps forward, 1.5 steps back. But it's progress and change, so it feels empowering.

I did see and speak with my doc last week. The Zoloft is out and I said "no" to trying anything else for now as I lost a month of time trying it out and recovering from it. It actually sent me into a downward spiral of craving alcohol – very dangerous for me. I also craved Peeps – maybe it was just an Easter thing, but heck, I don’t need to mainline sugar either. What I do need is to get to work, so I need to be clear enough to apply for jobs and then go do the job if hired. I am taking Xanax, prn, but like you do worry about eating it like candy. This is why I asked my doc for something in the first place so that I could cut back on the xanax as I was taking too much and still like a runaway train roaring down the anxiety tracks. We hesitantly decided upon Zoloft. Since another brain med is out at this time, after reading several posts about the relationship between sleep and anxiety I did ask for a sleeping pill. Wow, not good. I only took it one night and it was horrible. It’s something new – Belsomra, I think. Very different from Ambien or Lunesta.

When I sent over my list of in-network therapists for her to look over, I did ask about trying Buspar or another drug mentioned out here - prozotin, I think that's it. Anyway, haven't heard back from her yet. I'm not sold on meds as I am hyper sensitive to anything I put into my body or that I breathe in. We’ll see what she comes back with, but for now, I am rededicating myself to adding in a few manageable self-care practices that have helped me in the past. I’m also one of those people who has a long list of self-care options and then expects them all done every day. It’s such all or nothing thinking. I have so many great slogans from the programs, but the following seems to apply to me right now and what I’m fighting: perfectionism, procrastination, paralysis. Time to work on my thinking.

Thank you again for reading through my posts when, clearly, I’m bouncing off walls and not making a lot of sense, and responding so thoughtfully. VB
 
I'm just starting to work on being aware in the moment of what I'm thinking, the power I'm giving to that and the effects it is having on my life. As it is mostly negative in a broad sense, I guess this is a good thing to work on in order to get myself going in a healthier direction. This is where I’m hoping a therapist can help me. It’s what I’ve asked from each one – stabilizing my thinking, reworking thought patterns… all I get is one after another wanting gory trauma details or telling me their life stories.

Hopefully you find a therapist you like working with and is helpful. I understand the all-or-nothing. It's taken a long settle that thinking down (mostly by many failures...like trying to quit drinking and smoking and start exercising all at once). I think part of it might be the horrid feelings that I'm totally broken...and to not believe that I have to fix myself now or get better faster. Now I don't really see myself as broken beyond repair but am understanding it more like I have a bunch of really weak muscles (or some metaphor like that)...so stuff I can work on but don't have to fix today...also trying to appreciate my weird self in some ways.

For the self care stuff does it work better to just stick to a couple things you enjoy? So like you are enjoying the present, just enjoying life a bit, but also in the process of taking care of yourself? So not like a list of things you "should" do?

Anyway, maybe with a therapist you can also work on the regulation stuff....so meds can help but you don't have to feel completely dependent on them to make your inner state or feelings manageable, if that makes sense. But also the thought stuff, like you said. I don't have to go over details of my trauma, so I don't think it's necessary in every form of therapy. Being able to tolerate the present is really important. Have you done CBT trauma therapy? (I'm not a CBT person since most of my stuff is somatic, but it sounds like the focus on thoughts is helpful for you).

p.s. If you feel like getting drunk, really allow yourself some Peeps (mmmm...)!
 
You are so dead on where I'm at in your sharing. Seriously, dead on. I think I do need CBT right now as I'm living up in my head and where better to deal with the beast than in my head through changing thoughts and behaviors. I am intrigued by somatic therapy though and did Google it when I saw it mentioned in one of your posts. At a point though, I need to find a bridge between my mind and emotions - I think this will be through art and/or faith. I think the question for me is how do I stabilize and CBT seems to be the right approach.

I've also done some work today on not implementing a "list" of self-care chores on myself each day as I see that overwhelming, so I am allowing myself to pick one. I mean, I know I need to eat, take vitamins, etc..., but self care in terms of walking in nature or reading or drawing are different. That feeds my emotions. I thought I might put my options each on it's own colored notecard and then just picking one each day. I'm trying to do things differently from the past as those approaches didn't work so well. As you noted, it's a process not a project with an end date. It's a journey with no time limits.

The only real deal-breaker is getting a job. I'm really leaning toward temping right now as I'm so afraid of getting another abusive boss. So, I've found an in-between. I can still apply for perm positions and go on interviews, but at least I'll have the temp $$ rolling in while I'm getting to know the companies I'm working in. It makes sense to my sensitivities. It's a compromise. Miss Type A is not liking this, but she's not steering right now.

I thought a lot about a T last night and how I'd approach a new one. I'm so done with filling out the inch-thick form before talking to them. Well, per the advise of another poster, I'm going to telephone interview and express how I feel about this. It makes me feel violated. Like sex before a kiss??? Yeah, not for me. I want to know you before I fill out your forms that might end up in a dumpster behind your office when I never come back to see you. I think I'm many times bitten, 5500 times shy in regards to therapists. I sure hope my doc doesn't forget about me and let's me know some possibilities from the list I sent over to her. And, I hope the next T I really work with doesn't harm me. I'm very afraid of this as I've been there and lost 10 years of my life. So sad.

I just want someone who is qualified to help me help myself heal. I don't even know what that means as I don't know what "healed" looks like. What does "normal" look like? I thought about that yesterday. I think I think a lot - maybe too much?! I just want peace.

Thank you so much for taking time to reply so thoughtfully. BTW - I ate 2 packages of lavender Peeps bunnies over Easter! OMG!!! They were worth the pounds. tee hee. :) VB
 
but self care in terms of walking in nature or reading or drawing are different. That feeds my emotions. I thought I might put my options each on it's own colored notecard and then just picking one each day. I'm trying to do things differently from the past as those approaches didn't work so well. As you noted, it's a process not a project with an end date. It's a journey with no time limits.

Cool ideas. I find it really empowering just to try new things, or do things differently. It helps me know change is possible, that I have some control and can change, and that even if change isn't happening fast, I am not stuck or permanently trapped in old patterns or even how things seem right now. Lately I'm doing a lot more with sound and music. I like your colored notecard idea and just picking one thing. Tactile and visual kinds of reminders and hints are helpful (doesn't feel like I have to store every thought or idea in my cluttered head).

I want to know you before I fill out your forms that might end up in a dumpster behind your office when I never come back to see you

:laugh::roflmao::arghh;:blackeye: Oh yes! My current therapist did a phone interview with me. Then she sent a few pages for me to fill out...pretty decent questions and background info for her to have. Then we just talked during the first session...about some of my stuff and the therapy. I brought the paperwork but she looked at it later and brought up some questions and ideas at the next session. It felt like a good intake process, which is probably really helpful for establishing any basic level of trust. A different therapist I went to (was referred to her and the clinic had me set up the appointment) canceled the appointment once I got there because I had not done all the paperwork and assessments. Nobody told me about this paperwork when I set up the appointment. On some level I understand doing stuff like the MMPI and tests (which I've already done). But canceling the appointment and asking me to do the paperwork then reschedule? I took off work to get to that f*(#ing appointment. I did not go back.

I ate 2 packages of lavender Peeps bunnies over Easter!

yum yum
 
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