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About Me

I started this blog in 2016, I was going to start journaling, I was going to do it in a notebook. However, I realised I don’t own a notebook and therefore that would require going to the shops… And that would require the difficult task of leaving my bed. That is the story of how I ended up on WordPress.

I’m 22, female, and according to some psychiatrist have “dysthymia with superimposed major depression.” This blog consists of my thoughts in an attempt to document the mind of someone with depression.

Feel free to comment, chat, whatever you feel like really.

 

22/06/17

I’m in the mood for some philosophical thinking around psychology/psychiatry.

Reality is defined as the state of things as they actually exist, as opposed to an idealistic or notional idea of them and psychosis is defined as a loss of touch with external reality, as per Google of course. These seem like simple definitions, but lines get very blurry very quickly.

Let’s start with religion, so many people claim that they hear or see God. a very minimal percentage of this group get a psychosis diagnosis. But if you hear voices that are from other not visible beings you’re “psychotic”.

Some scientists believe that it is more likely we live in a simulation than not. We could be the Sims 100. Imagine if all my depression could be attributed to some loser picking the gloomy trait for their sim…

Anyway, this whole thought came about because the psychiatrist asked if I had ever heard voices. Which I have but only when I’m trying to get to sleep so I don’t think that counts, well hopefully not.

 

20/6/17

I want to update more but I just don’t know what to say. I barely even know what is going on in my life. I’m just riding it, but not really sure where I’m going. I don’t understand my brain? But does anyone? How do we distinguish normal from abnormal, and how can we truely ever know which side were on? 

11/06/17

Mental health people keep trying to make me tell my employer. This is just the repeat of tell your parents all over again. I’m not going to give in this time. They will just have to learn how to respect someone’s decision for once. I wonder how that will go down? Not well I am guessing. 

23/05/17

So I am supposed to see the psychiatrist again on Friday, I was apparently supposed to them last Tuesday but as I was not informed of this till the Tuesday, and via a text message I didn’t receive until 12 pm (the appointment was at 1 pm). I did not attend said appointment. Classic mental health tails here.

I have since had a chat with my, I guess they are a case manager? It was a pretty short chat as I was on my lunch break, and I may have accidentally interrupted their lunch breach too . . . Well serves them right for not informing me of appointments. Anyway back to my point, I did kinda inform them that I wasn’t a fan of either of the psychiatrist’s options. So shall be an interesting chat on Friday.

 

 

 

 

 

 

My Psychiatrist is an Idiot

My Psychiatrist is an Idiot

So last week I saw the psychiatrist, in short, they were an idiot. They, first of all, wouldn’t shut up about therapy bullshit. It’s not that they were wrong, but the reason I was referred to a psychiatrist was that the general consensus of the people who had assessed me was that I was too busy to be able to do therapy properly. Which is true.

That wouldn’t be too bad but the medication option was to switch out venlafaxine for sertraline. The Psychiatrist was all like, have you tried sertraline? And I was like, no, but I have tried fluoxetine and escitalopram. For anyone who doesn’t know their antidepressant pharmacology, which apparently includes psychiatrists… Fluoxetine, escitalopram and sertraline all fall under SSRI. General guidelines say try one SSRI for about 8 weeks if there is still no response switch to another SSRI for another 8 weeks or you can increase the dose it varies a little bit. But overall once you have tried two SSRI you then switch out of class, which is when I was put onto venlafaxine.

Fluoxetine, escitalopram and sertraline all fall under SSRI. General guidelines say try one SSRI for about 8 weeks if there is still no response switch to another SSRI for another 8 weeks or you can increase the dose it varies a little bit. But overall once you have tried two SSRI you then switch out of class, which is when I was put onto venlafaxine.

Venlafaxine is classed as a SNRI so instead of only inhibiting the reuptake of serotonin it also inhibits the reuptake of noradrenaline. A lot of Drs will use venlafaxine to switch out of the SSRI class as it offers some additional opportunity for response with a minimal increase in side effects. I also take mirtazapine which is an atypical antidepressant so is also not a SSRI.

Anyway back to me, because that is the real importance of this rant… My main point isn’t what the guidelines say, it’s that when I tried both the SSRI’s I had no response at all, they did nothing. I got no side effects, but also no response, it was like they weren’t there. When I took venlafaxine above 150mg I have an improvement in my concentration, but other than that not a lot happened and long term I got a lot worse purely because my depression just wasn’t being treated.

Then sometime late last year I managed to convince my GP to add mirtazapine on top of the venlafaxine. Which within a week actually did something. I mean not fully recovered but at least it pulled me out of my suicidal phase.

The thing is the fact that my response to mirtazapine occurred so fast would suggest that the venlafaxine may have contributed to the response. Don’t get me wrong this combination is far from perfect but it is doing something and to seriously rock the boat by removing one for a fucking SSRI is just stupid based on my past history of response.

Anyway please tell me someone else follows my logic. If anyone got this far that is…..

06/05/17

Hello friends, sorry I haven’t been very active. My life has just been a tad too robotic lately, not a lot to report on. I am seeing a psychiatrist this week so that shall be interesting. I’m sure that will spark an update. My brain just feels so fuzzy at the moment and I am really tired. I am often to tired at night to write anything here.