Goldfish Memory

"They say goldfish have no memories. I guess there lives are much like mine, and the little plastic castle is a surprise everytime."-Ani Difranco

I was going to write a blog on the affects of depression, anxiety, and psyc meds on one's memory...but I forgot! No, no, no I am not joking. I was thinking this morning that I wanted to write about my recent increase of meds, and how that, mixed with my depression and anxiety have made it really hard to form full thoughts. When I got to my computer I opened up Blogger, I looked at my dashboard to check my stats, and then sat here blankly staring at the screen thinking "What was it I was thinking about writing about today?" UGGGGHHHH

Sadly, this is not totally uncommon for me. I think of myself as a fairly intelligent person, but when my depression peaks, it is like my mind jut turns mooshy. If you add to that an increase in medications, a change, or addition of medications, ohhhh it's not good. I currently take 2 anti-depressants, 1 anti-anxiety med, migraine meds, Ambien for sleep, AND muscel relaxants from time to time. They just upped my anti-depressant by 20mg and doubled my anti-anxiety. Neadless to say, I have trouble remembering little things, like where I left my cell phone, or the name of the neighbor dog. Often times I will find my mind empty, I will be looking at the neighbor dog (I have had the same neighbor dogs for 4 years) I will know I know the dog's name, but I will come up with nothing, not even the beginning letter. This is especially problematic at work, where as a sales person in a small business, I am often juggling a number of things at a time. I am also a single mom. My daughter, now 7 will say to me, "Momma I didn't brush my teeth" or "Momma what about my hair." I try to remind myself that it is ok, that SHE is ok even if I forget to make her brush before bedtime, but I often feel a pang of guilt about it. Then there is the driving! Sometimes, I get to my destination and have trouble remembering the actual journey there. Or I loose my car in the parking lot. Interesting house, horses, signs along side the road...let's just say, I am grateful for rumble strips. I constantly feel like I am walking around in this weird hypnotic state.

And then there is talking. WOW, that can be tricky! It is like my brain, and my tongue are no long connected. I stutter. I stop mid-sentance. I forget what word I was going to use. I switch letters around so I am dalking the wog, intead of walking the dog. Sometimes mid sentance, I will trail off and just loose my thought all together. People that have to deal with me must think I am a total bird brain, while those close to me imediately reconise it. It is REALLY frustrating. Especially when I KNOW what I am trying to say, but can not seem to get the words out, or when I just trip over my own words over and over. I want to carry a sign around that says "I am NOT stupid, or drunk, but please speak slowly I AM heavily medicated. (trust me it's for the best for everyone)"

Does this happen to everyone? Is it a common problem for people with mental health issues? Good golly I hope I'm not alone in this!!!

I am Well Thank You, But I will Not Recover

Yesterday I was reading Madam Bipolars Blog its just chronic, and it made me start to think about all of the talk in the mental health world about wellness and recovery. The wellness part I get. There have been times in my battles with depression and PTSD that I was defiantly NOT well, but recovery? So I did what anyone would do when they wonder about a subject, I googled it! NAMI says there is GOOD NEWS, recovery is possible. Ok but define it for me. Wikipedia has a definition of A Recovery Model. http://en.wikipedia.org/wiki/Recovery_model

The Recovery Model as it applies to mental health is an approach to mental disorder or substance dependence (and/or from being labeled in those terms) that emphasizes and supports each individual's potential for recovery. Recovery is seen within the model as a personal journey, that may involve developing hope, a secure base and sense of self, supportive relationships, empowerment, social inclusion, coping skills, and meaning. Originating from the 12-Step Program of Alcoholics Anonymous and the Civil Rights Movement, the use of the concept in mental health emerged as deinstitutionalization resulted in more individuals living in the community. It gained impetus due to a perceived failure by services or wider society to adequately support social inclusion, and by studies demonstrating that many can recover. The Recovery Model has now been explicitly adopted as the guiding principle of the mental health systems of a number of countries and states. In many cases practical steps are being taken to base services on the recovery model, although there are a variety of obstacles and concerns raised. A number of standardized measures have been developed to assess aspects of recovery, although there is some variation between professionalized models and those originating in the Psychiatric survivors movement.

Ahhhhh...ok. Doesn't recovery imply a a cure? So it makes me wonder, what IS recovery for someone who has clinical depression, bipolar disorder, a personality disorder, or an anxiety disorder? I surely do not consider myself recovered, though I do feel I am well currently. That being said, are we continuing to promote stigmas and misconceptions by choosing the word recovery? Wikipedia continues to say:

Concerns
Some concerns have been raised about recovery models, including that recovery is an old concept, that a focus on recovery adds to the burden of already stretched providers, that recovery must involve cure, that recovery happens to very few people, that recovery represents an irresponsible fad, that recovery happens only after and as a result of active treatment, that recovery-oriented care can only be implemented through the addition of new resources, that recovery-oriented care is neither reimbursable nor evidence based, that recovery-oriented care devalues the role of professional intervention, and that recovery-oriented care increases providers' exposure to risk and liability

I personally have dealt with my share of misconceptions about depression. I have heard all the "suck it ups" "it's just life" "get over it" that I care to hear for my lifetime, and I know people think it is more a personality trait, like pessimism than an actual illness. So is the idea of recovery, similar to the idea of homosexual recover? If you believe in nurture or nature, the plain truth is there is not one easy answer that will "cure" everyone. Also, promoting the idea that mental illness is not a lifetime battle seems wrong to me. My depression and anxiety are disorders I will continue to treat everyday, through therapy, medication, and  support everyday for the rest of my life. I have had people say "counseling is not something you do forever" but I wonder if that is true. For me my weekly check-in with my counselor helps keep me on track, teaches me new techniques to deal with my disorders, and helps to give me a gauge on what is "normal" thought and what is "distorted" thought. It also gives me an earlier indicate of when I start to backslide. An outside TRAINED eye is much more apt to see you more clearly than you see yourself when the darkness starts to creep in, or your hands begin to shake. That is not something I can get out of 10 sessions. I will have to continue on my medications. Forever, just like people with physical disorders. From time to time those medications will need to be adjusted and changed, as my body and hormones change with age. BUT if I do these things I can stay well. Wellness IS achievable. There is no reason with the mental health community shouldn't focusing more on wellness, and personalized treatments instead of just doling out meds or putting people in inpatient facilities. Wellness is measurable to a degree. It is something that to me as a consumer sounds hopeful, do able. Recovery does not seem that way to me. It sounds overwhelming, unachievable for someone who has been places very dark and very low, and who knows they will never qualify as "normal", nor will I ever function the way other people do. Madam Bipolar wrote:
The thing about chronic illnesses is they change the way people live, possibly forever.
My disease, bipolar disorder, has changed the way I have lived in many ways. Here are some of them:

• I have kissed my highly-flying public relations job goodbye. It was too stressful and my moods and behaviour are not stable enough to be thrown into a corporate environment. This is the thing that saddens me the most. I miss working.
• I have left the inner-city for a seaside town. This was partly for Miss Charisma's benefit but also because we needed the support of family and friends.
• I don't drink much alcohol anymore.
• I take loads of drugs every day and I cannot miss a dose. Lithium, Lamictal, Cymbalta and Abilify - the fab four of my nervous system. Without these drugs, I cannot function well.
• I don't deal with stress as well as other people. An example of this happened recently when a Mum from the school knocked on my door in a psychotic state, asking me to drive her somewhere. After the whole thing died down, I had to sleep for three hours. I just can't tolerate things like I used to.

As much as I wish it were not true, people with mental disorders just DO NOT deal with stress, change, or high emotion the way other people do. We do not function the same, but make no mistake we DO function! So please accept us, support us, and help us stay well.

Too Much Coffee????

Perhaps it is the 12 cups of coffee I drank today, the looming visit from Child Services, the total lack of money, work stress, raising a child, or hormones, whatever the cause I seem to be increasingly on edge lately. I have been trying to meditate, draw, blog, breath, anything that might help me keep it together. Yet today, when the tension rod thingy (yes that IS the technical term) from the toilet paper holder popped out shooting across the room and making a loud pop when I reached for it earlier, I jumped and shrieked loudly enough that my co-worker heard me at the front of the store. Oh yeah, did I mention this was at work? I go back to the Psych Doc in about a week. Last time I was there we changed my antidepressant from Cymbalta to Paxil in an attempt to help with anxiety. I really don't like meds like Xanex, but I am beginning to feel that if I do not do something my head might explode! Are there coping strategies I am missing, or do I break down and use meds temporarily just for my own metal stability? Chuck is a meds person. He has no fear of taking anxiety or depression meds, but I am more hesitant. In my early 20's I had a REALLY bad doctor who had me one a REALLY large amount of drugs and I did not do well with it. No I try to do everything I can to avoid taking anything beyond the minimal amount of medication I can. The problem with this is, that as anyone who has experienced anxiety or depression knows, when you are in the midst of it you don't always see yourself as clearly as you otherwise might. That means that occasionally I do not ask for help until I am literally loosing sleep, weight, and my already questionable sanity. So when do you say when? I know I am being short with my family. I know I am crying and awful lot, and I know I am incredibly jumpy, but I am scared that more drugs= more side affects + more money. How do you know what is best? How do you balance the side affects with the symptoms if it is something that is not black and white, not life altering? I do not want to feel like this all the time, but I do not want to feel "drugged" either. I have been drugged to the point where I felt like the drugs made me feel less sane rather than more sane. It is a scary feeling. I have a much better doc now, but what if the idea of anti-anxiety meds makes you anxious? How do you handle that?

Drugging the Elephant

antidepressant use climbs as primary care doctors do the prescribing

It was interesting that I found this article today. Chuck and I were just talking about this last night. I believe that the problem here is two ply. First, we are lazy Americans who want a magic pill to make everything better. That pill has side affects, that's okay there is a pill for that too. We do not want to take a good long look at ourselves or the direction we have gone as a society and make the hard decisions we should be making. Or healing the the wounds we should be healing. We want to skim the surface, of our emotions, and continue taking the pill or eating the food, or buying the products that make us feel good for the moment. It is ALL about instant gratification. Plus, we are egotistical as Americans. We believe we know better than the rest of the world, and that there is no need to look at the way other cultures maintain their health, mental or physical, so holistic and whole person approaches are ignored. We treat the illness or the symptoms, but not the whole person. We place NO emphasis on how the mind affects the body. Reflection, emotional awareness, and depression are all considered weakness (especially among men) in our society. Meditation, mindfulness, yoga... are all more excepted, but mostly considered "new age" and not give much thought as viable options for most people. Proper diet and exercise are not as focused on as being "skinny" is. No one seems to care that ALL of that affects our moods. Don't get me wrong I am FAR from being Tom Cruise on this issue. I have been on antidepressants since I was 19. There is a very real need for them as PART of treatment for metal illness, not as the only treatment.

I think the second reason is that there is still so much of a stigma about metal illness and depression. People don't want to admit they have a problem, to themselves or to others. It makes it incredibly hard to get help and maintain your mental health if you do not have a recovery plan and support team. It is much easier to tell work, family, friends that you are going to you PCP for a check up then to go to a Psychiatrist and separate therapist to be diagnosed and treated properly. That is why it is so, so very important that we continue to make strides on improving the basic understanding and education of metal illness today and depression. You CAN NOT just snap out of it, you are NOT crazy if you need help, and you CAN get treatment and feel better.