It sounds more as if you saw a psychiatrist, who mainly assign medications, rather than a therapist, who specialize in talk therapy.
Were the medications helpful? If not, or if you'd rather not go the medication route for now, could you look into setting something up with a therapist?
I'd like to think so, yes... i guess i'm just trying to find meaning, i want to keep living because i have a reason, and not just keep on moving by inertia.
The most difficult reality I've had to learn to confront and live with in my past four years of existential anxiety and suffering is that, given my view of the universe, there is no given meaning. I spent a long time trying to find it, and then when I gave up on finding it I tried to run from the inherently meaningless truth of the universe. Neither worked.
I learned that meaning is something created, not given. I've had to slowly learn what creates meaning for me and gradually work on creating it. It's been a slow process with ups and downs but it has snowballed a bit, which is nice; I don't think I'll ever go back to sticking my head as deep in the sand as I was in 2010-2011.
I have two questions:
Is there anything you can identify that brings you meaning and purpose?
and
What is that inertia composed of? Where there is an unlikely inertia / will to live there is perhaps something to be learned.
Yeah, I would try to force myself to do the things they asked me to and I just couldn't do it, then I'd feel guilty about it the next time I saw them. I haven't really discussed that with my psychiatrist, but I think my therapists got the idea, since I always had to tell them I couldn't do what they asked me to. With most of them it would get to the point that they would say something like "we can't make any progress unless you're willing to take some risks," and I never could, so it just never worked.
I don't know if I necessarily feel like a "bad patient," I just feel like I'm not really doing anything to help myself and so it's not really worth the time and money. I'm also just not very good at expressing my thoughts and feelings to strangers - well, to anyone really - especially verbally. They would usually do most of the talking since I never had a lot to say, and I often felt like they were leading me to certain conclusions that weren't necessarily true, whether they meant to or not, and I never really knew what to say to correct them, and I wasn't even sure they were wrong to begin with.
I certainly wouldn't mind giving other medications a try, but my psychiatrist told me he didn't think anything else would be better, so I don't really know what to say to that.
Hmm.
Re: the therapists, I still believe, truly, that your struggle to take their advice, in itself, would give plenty to talk about. What I mean is, they give you advice, tips, assignments, what have you and then you either follow through or not. If you follow through, great, you can talk about how it worked and what you learned from the experience. If you don't - well then one would think you could talk about
why you were unable to follow through. Or if you don't want to talk about that at all, one would think you could talk about
why you don't want to talk about it. This chain can go infinitely deep, it's just a matter of figuring out where it ends and picking things up from there.
That being said, your therapists are not necessarily incorrect that you will have to take the initiative to do some things that make you uncomfortable. I've long felt that the operative verb in a therapeutic situation is deceptive - we don't
receive therapy, it's not something you just go sit and and office and have showered on you. It's something both therapist and patient must work at, together, with much effort.
It can be very, very difficult. For some people it's even more difficult than that. Ultimately, the best tool you, as a patient, can take into therapy is a willingness to be uncomfortable, to the best of your ability. Therapy is uncomfortable. You're going to have to get comfortable with willingly being uncomfortable. Otherwise those uncomfortable things may never become comfortable. You say that "never could" seem to implement your therapists recommendations; I would suggest that perhaps it's not that you "can't" but that it's just very, tremendously, extremely, agonizingly uncomfortable to do so.
When my anxiety was at its worst I was stuck for a while not listening to anything my therapist said and lying to her to appease her. I knew that listening to her meant letting go of the few things that I was holding on to very tightly, the few things I thought were keeping me going. I went on like this for 9 months and gradually stopped seeing her. I didn't make any progress until my life, finally, fell apart a bit and I
had to change my attitude.
One would think there is a therapist out there who would make you feel comfortable with being uncomfortable, at least enough so that you could begin to walk over the eggshells. But that being said, there will always be eggshells.
Why do you think you're not good at expressing your thoughts and feelings to strangers? Is it easier with those whom you know well?
Ideally at therapist is someone who you build a relationship so that they don't feel like a stranger, and rather feel like someone whom you can trust and who "gets" you. That being said, it takes a while - months - to get to that point and it requires a lot of blind investment by both parties.
Sorry to ramble.
Re: the psychiatrist. I'm not a doctor so I cannot levy any sort of professional opinion on your medication, but his attitude confuses me because I was
on Zoloft, it wasn't working, and I
did find other medications that helped. There are many of them out there, especially for anxiety.
See my further writing on the subject below.
I do hope I was of some help, and I do hope you keep us posted. Anxiety is no joke and I am deeply sorry for your suffering.
All really solid advice and some nice links I appreciate it. Maybe my problems run a bit deeper though because it seems like I WANT to do all these things, grow as a person, learn new skills but I go to work, come home and just end up watching hulu/netflix or playing a game. No motivation at all and I recognize that, but the fear and doubt are still always there and I can't seem to shake it. I could write an essay about all my problems actually, from the small circle of friends with their own problems, to my housing situation, money trouble, debt, and I recently got out of a 6 year relationship.
I guess it really does come down to there being an underlying problem that I may need to seek help for. I have my medicaid card on the way but it is taking FOREVER. I have been waiting since april 5th. Maybe not that long but when your suffering physically or mentally 2 months can feel like 2 years. Thanks again though for the response..I hope I can find the will to try a few of these things.
If you recently came out of a 6 year relationship then I feel it's pretty reasonable to be low on motivation - that seems like a very tough circumstance and I'm sorry you're having to deal with that. You seem pretty conscious of your bind, though, and that's an advantageous position to be in!
I would encourage you to try to rebuild your motivation with very small things at first. I would definitely encourage you, once your Medicaid card arrives, to look into further mental health resources. I don't take for granted that you have the motivation to do that at all!
Also, I would encourage you to write out all of your problems. Seriously! Not only will it feel good to get it all out, it'll give you a script to work on once you start meeting with a therapist and / or psychiatrist.
I've taken to keeping a journal of my emotional experience and the such recently and I've found it tremendously helpful in my appointments. I don't worry as much about "missing" anything and I have a log of how it felt straight from when it felt worst.
I ended with my therapy for a month at least, because I felt that is not helping me anymore. Me and my therapist started with quite different views on situation that I am facing. So we agreed to make a time break and start a bit differently in one month's time.
I have such crazy amount of work at my workplace and at home that I have barely any free time left. And each day after work I go for fast walking (minimum of 5 kilometers). Reduced alcohol consumption to absolute minimum. Each evening I just fell into bed. Only this is keeping me sane.
First of all, I'm glad you're able to limit alcohol consumption. It's an escape, sure, but I find that once you sober up it makes life's mountains even taller. Which, of course, encourages further escape into alcohol!
Does your therapist not "get" it? Is his / her perspective simply not helpful? Or is it something else entirely?
I hope you are able to get some rest.
Thanks for the replies, Piano.
1) I'm going to try coming off of Cymbalta soon. I'm a bit nervous given the flu-like symptoms I experienced before. But if I do it slowly (how do I do that well? She didn't say) it should be a lot better than before.
2) I've felt jittery and strange since taking the Saphris pill. I only took one to help me sleep and have stayed away from it since.
My arm felt kind of numb, and then felt weak the next day.
For both of those issues I would encourage consulting your doctor, as she'll be more knowledgeable than any of us.
That being said, usually when coming off of a medication I've titrated it in several steps. Cymbalta is a bit tougher because the pills can't be split (right? it's capsules from what I remember). When I went off of it I went from taking it every day, to taking two days on and one day off, to every other day, and so on, with each stage lasting about a week. I don't remember how low I got before I discontinued completely but, again, it was done with the supervision of my doctor. I would encourage you to get in touch with her to ask for specific instructions.
Same with the Saphris. Antipsychotics can sometimes make you feel weird for the first little bit as you adjust, but I haven't got the knowledge to judge whether or not your experience was something that will improve.
Keep us posted, Chewie!
Waffling on whether or not to post this as always, but I've got kind of a mutant new issue to address.
Has anyone here ever dealt with somnophobia? A fear of falling asleep, or being asleep in general, or dreaming?
On top of my insane anxiety, I've almost stopped sleeping. Rather, I'll sleep around 2 hours every 24 hours or so for around a week, then I'll finally be so exhausted that I'll just pass out for around 10 hours and wake up feeling amazing. The cycle starts again immediately after that. Oh, and yes, I know the health risks associated with this; all too well. It's kinda all I think about these days. I'm just never comfortable enough to sleep, and when I close my eyes my brain starts racing, begging me to get back up because if I fall asleep I won't wake up again. Which is obviously irrational, but that's what it does. or I do.
Going to doctors, medical and psychological, hasn't worked. At all. Actually, taking medicines makes it way worse because I have to fight harder to stay awake. I've never been able to meditate, or receive massages, or relax at all really. If anyone's ever dealt with this - what did you do?
I apologize if this is an ignorant question, but are you able to identify at all what it is about sleeping causes you so much fear?
I'm sorry for your tough experience. Sleep can be, well, a nightmare.
It feels like less than a day goes by right now without me falling in to some kind of low mood that I struggle to get back out of.
I feel trapped. I'm in a job that I don't particularly care about, whilst friends and family are in careers that they have always dreamed of.
I've seriously thought about teaching English abroad many times, yet the idea of having to get rid of all my possessions, the home that I live in, my cat...it terrifies me.
I feel so lost.
For what it's worth, I know several people who have had very positive experiences with teaching English abroad.
That being said, it's certainly not your only option. Are you able to keep a basic motivation to keep going through your low moods? What pulls you out of them? Do you have a sense of what sort of career you'd prefer to have?
It's me again. I wish i could say i got my ass in gear and went to see a therapist but i didn't.
And now i've had two breakdowns at work in the past two weeks. I don't even know why i can't deal with the work environment anymore. I've managed for six months but now i don't know what's changed.
Doesn't help that all day Thursday and Friday, the suicidal thoughts were almost unbearable.
I know i need help. I can't deal with this alone anymore but i just can't get myself to take the step and just call. I feel like just calling in sick tomorrow so I don't have to deal with that work environment anymore. I feel so pathetic.
Is there anything I, or anyone else here, can do to help you take that step?
Is there anything we can say to alleviate your fears?
Is there a reassurance we can offer from our own experience?
Is there some other sort of support we can contribute?
Thank you for popping back in and keeping us posted.
I think my subconscious is sabotaging me on purpose so that I have every reason to kill myself.
What is it doing?
I've been on a waiting list for the next appointment with the psychologist for some time. The last time I was in there, his receptionist mentioned that all appointments that were close by were booked, so she gave me a list of random dates and said that I'd get put onto the next free one. This was maybe early-mid May. They called me back today telling me that I have an appointment tomorrow at 11. I usually don't have much to say when I go in there because I connect everything back to my central problem of being stressed and dealing with feeling alone with a low sense of self worth. I figured I'd talk more about what I spoke about in here, with feeling that I don't do enough.
I hope your appointment went well. Is there any possibility that you'll be able to see the psychologist on a regular schedule, or will it always be play-by-ear?
I'm on week 3 of this depression cycle. Having one of those days where I don't want to keep living.
Hang in there, AHB. Is there anything we can do to help? I promise you that anything you write, I'll read.
I want to take a class this summer but I don't think it's going to happen. I had to take a pre-exam to enroll in physics which I find it stupid, and the date of the exam has passed. It's frustrating because I need to get two physics class out of the way in order to take upper division classes. I might have to wait next year to take physics because the class is closed in fall semester. Now I have to search for a job which mostly likely I will fail in doing.
Why do you feel it's likely you'll fail in finding a job?
Today has been particularly bad, I'm usually in a good mood at work since it keeps me distracted from all my troubles, but today it hasn't, it has been a drag working today. I'm typing this in the bathroom so my boss won't see me.
Sorry to hear that things didn't work out, Gray Matter. Rejection really stings. That's the thing about being in the dating scene - it's got some real highs and some real lows and there's no way to have one without the other.
I had two girls ghost me in two weeks back in January, both after agreeing to meet up. I found time to be the best remedy. With some perspective, I found that their judgment - if I was to perceive it that way - didn't hold much weight because, well, they don't know me! For all I know they just got cold feet and were beating themselves up about it.
Does anyone here have any experience with medication for anxiety and what can you tell me about the pros and cons? Thank you.
Split it into its own post.
<3 to all