I had an appointment with my psychiatrist today, which couldn’t come soon enough, even though it’s only been 4 weeks since my last appointment. I’ve been going through a severe depression for the past 3 weeks, right after the short hypomanic episode triggered by my misuse of my light box (I was supposed to start using it for 30 minutes, but I skipped right to an hour). Because of the hypomanic symptoms, and under doctor’s orders, I went a week or so without using it.
My mood slid smoothly from one pole to the other (hypomania to depression), so with my doctor’s permission, I began using the light box again for 30 minutes max per day. It hasn’t helped, but today we agreed that I’d start using it for up to 90 minutes a day. Still, I think I’ll work my way up from 30 minutes to 90.
The depression has been so severe that if I want to change out of my pajamas and into sweats and a t-shirt, my husband has to help me. I haven’t showered in a week (and for 2 weeks before that), and I can barely brush my teeth. Once, when I couldn’t stand the way my hair felt, my husband had to wash it for me in the sink because I couldn’t do it myself.
I’ve also had terrible insomnia, so not only do I have my depression lethargy, I’m even more tired from lack of sleep. At least I’ve kept up my meditation practice and blogging daily.
I have no desire to go anywhere, but I did go to a hockey game, saw a friend’s acoustic show, and went to a coffee shop with my husband maybe twice, in the past month. A hat is good camouflage!
I’ve also made it to my weekly therapy and salon appointments (self-care, you know? 😉 ). I don’t particularly care about my appearance right now, but it’s nice to be pampered. Other than that, I haven’t left my house, not even to walk Rudy.
And that’s another thing. I’m experiencing hip pain, so it hurts to fu@king walk! I’ve been on 2 different anti-inflammatories that haven’t helped, and had an x-ray that looked normal except for a touch of tendinitis. I see my primary care physician for a follow-up in 2 days. It’s very painful to walk, even in my own home, so that hasn’t helped my depression.
So I described all of this to my psychiatrist, and after thinking for a few short moments, he was the conveyer of news I didn’t want to hear: he thinks the best course of treatment for my current episode is ECT. I was hoping not to have to go through that this winter, like I have for the past 4 years.
I’m taking high doses of 6 different medications for bipolar and anxiety, and he was hesitant to increase any. The good news is, there was one medication that he felt he could adjust, and that’s the Prozac. So starting tomorrow, I’ll be taking 40 mg instead of 20 mg. I’m hoping this will help.
He said we’d see how I feel in a week, and if my depression doesn’t improve, then it’s ECT for me. It’s my choice, of course, but if even my meds aren’t helping, and ECT is the only thing that helps (based on my history of ECT treatments), then I guess I’ll do it. (If you’d like to read what the procedure is like for me, check out this post.)
I don’t really want to do it, mainly because I hate going to the hospital so early in the morning; getting a nurse who may not be good with inserting needles — I’m a “hard stick” — very few discernible veins; the anesthesia. But I can’t stand living the way I have this past month. Fingers crossed that the Prozac helps.
Have you ever had ECT? Would you be willing to share your experience? You can always use the Contact form if you want to discuss it confidentially.
Post inspired by Daily Prompt: Conveyor