Wednesday, August 3, 2016

Let's just spend a few minutes blaming OCD

I was trying to do schoolwork. But I don't know how to cite my source - it is some confusing web page where you aren't really sure who wrote what. Therefore, my OCD has been officially invited - or at least it acts that way. And I'm frustrated. And angry. And tired. And this stupid piece I have to write is worth hardly anything. OCD likes worthless things - they are more fun for OCD, because it adds an element of ridiculousness. Because if I'm all worked up about something inconsequential, OCD probably gets extra points.

I was going to write about how I am finally starting to like my new psychiatrist - the first time I saw him, I got pretty upset. But now, I feel like he is starting to understand me better. Like when I explained how I feel morally guilty for not finding a better paying job. I know that isn't quite logical, but OCD likes that, too. Extra points, you know. And then the Psychiatrist starts saying something about how he hopes eventually that I'm able to work any job, regardless of how much or little I make, without feeling morally guilty. And I think I might have interrupted (OCD likes to tell me I interrupted inappropriately - actually, some kinds of "interruptions" are not inappropriate or rude). And then OCD was like, "You were getting awesome reassurance from your psychiatrist that you can stop feeling guilty about not making more money, but then you interrupted him, so you don't get reassurance, even though you could have, if you hadn't blown it by interrupting him..." OCD also likes to repeat things, like the word "interrupt." Oh, and yes, I might be blaming OCD for every single thing right now.

Anyway, the Dr. is putting me back on an earlier SSRI, and for the first time, I'm okay with the concept of repeating SSRIs. I think it was the combination of realizing that even if something new and untried would work for me, it still has a good shot at quitting working in several months or a few years. A very good shot a stopping working. The other thing I've been learning from this psychiatrist and maybe others is that you can just rotate between a few different SSRIs that each work for a brief amount of time. So if this SSRI I'm restarting will work for 10 months or so, then I can switch to the SSRI that worked for over a year, and then I can switch back to this one, or we could try something else. So basically, instead of trying for one single miraculous med combination, I'm now trying for a few temporarily miraculous med combinations that I can switch back and forth between. Which means dips in mood between them, I suppose, but maybe we can keep them from going too low.

The Dr. also finally caught on to my fears of the PRN (as needed) anxiety med he prescribed. Last visit (2 months ago), he just told me that the less I used it, the better it would work. So I've used it a grand total of 4 times in three months, despite many sleepless starts to nights (I fall asleep eventually, just not as soon as I would like). This visit, when I asked how often I could take it without it wearing out or screwing with my cognitive abilities, he said I could take it a few times a week. (OCD is slowly wearing away on that memory - "How many times? Are you sure? Are you sure? You will need it more often than that. You are going to have trouble. TROUBLE. And I will make sure you stay mostly miserable. Because this is MY SUMMER. Not yours. This is the summer of OCD! And P.S., please don't start that SSRI. It might impede my progress.")

So basically, this was a sort of nice break, except that my OCD thought it should help me out with blog writing, too. But now I'm going to make my "best attempt" at citing that stupid page (actually it is a quite nice page; I'm just frustrated). And publish the stupid post (I can call my own post stupid, right?). And enjoy the unwanted, not-asked-for exposure. And try to figure out what else I'm doing tonight.

P.S. I'm supposed to call my doctor for another of those tests for when things aren't necessarily right but they aren't necessarily wrong, either, but the Dr thinks the test is worth it. I think OCD will enjoy accompanying me to another medical test. Oooh, maybe I could take the PRN medication so that the test doesn't scare me as much... (Oooh, but that was one of my frustrations with the PRN medication; I wanted to be able to handle life myself, without the aid of medication. Although I do take ibuprofen easily enough, so maybe I should be more fair. I should call my PRN med the ibuprofen of mental illness.)

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