Friday 28 June 2013

Medication only part of the solution not the answer

About 4 months ago my doctor finally agreed to put me on medication for my anxiety level as it was just unbearable and stopping my every day life.  I have a love/hate relationship with the medication and recently moaned a lot about it to friends and people on twitter so I thought I would explain more about my thoughts and feelings and how being on medication makes me feel and what I have learnt.  

Last year I had a very depressive episode and when I finally got some grief counselling it lifted and exposed underneath the anxiety that has been building up really over the last 4 or 5 years.  I think reflecting back on my childhood I have always been an anxious person but always hidden it well which causes more anxiety.  Once I had done the grief counselling and gone back to my doctor I finally persuaded her to let me try some medication for it.  She prescribed my citlopram and started on a 10mg per day routine.

Now I got quite a lot of negative reaction from some friends.  Many were like are you sure you need to be on medication?  Are you sure it is the right idea and what about the side effects?  I hide my anxiety on a day to day basis and even though these friends knew I had had a hard time they still don't see all those worries that go round in my head.  I explained that at that time I was very anxious and that it effects my sleep, my eating, my speech and was giving me IBS through stress and worry.  Most once I explained this could see why maybe medication was a positive thing.

I have always known that medication is not the long term answer.  I had counselling when my parents split up and again round my Dad's death and I know it is a positive step for me.  Also I very much like talking things through and have also done some cognitive behaviour therapy programmes online.  I know that I need to do some of this therapy work rather then just rely on medication.  However getting these talking therapies on the NHS is a battle and a struggle.

I was asked to self refer myself back to the service I had tried to access last year.  Now asking someone who has anxiety disorder to self refer is really not the way to go about it.  Therefore I still have not done because I hate hate hate talking on the phone.  Also when I did this self referal last year I had to do a telephone appointment and through a very stressful process had no outcome.  They basically said we don't provide grief counselling and so I worry that there is no point to putting myself through this process again.  However my doctor is trying to see if I can access the counselling service at the surgery and if I can do that in evenings or on a Saturday.  I teach special needs and missing a morning or afternoon of every week would create so much more stress then it solves because the nature of my students.

Now all medication comes with side effects and I accept this.  I am quite happy to take medication if it is going to help me.  I think the benefits of taking citlopram is worth it because it means I can carry on with my normal life whilst waiting for another solution to help.  However I do not like taking it as I never know if how I feel is a side effect or just life.

A prime example of this is dreaming.  Now I have always been a dreamer; I can remember dreams from my childhood and still see them vividly.  However recently I have had so many dreams which I remember and unsettle me in the morning.  They are not good or bad dreams as such but they usually reflect something true to life and me.  They just put me in a weird mood for the day especially if I remember them for a while.  This recent dreaming could just be me but it could also be the medication.  

Other side effects include itchy skin but compared to the horrendous bed bug bites I got travelling it is a mild annoyance.  I also have at times insomnia and fatigue both of which could be life or medication.  One that I am very unsure of is the way I can feel very paranoid usually about friends and do they care for me and other feelings around trust.  

I am back at the doctor next week to discuss medication because of this paranoia and a few other things I have been feeling.  She possibly may put my dose up for now and hopefully she has had an answer back about counselling during out of hours.  

I know medication is only part of the solution and I need to seek help to use talking therapies and self care to find the bigger answer.  







Sunday 16 June 2013

Happy Father's Day

Dear Dad,

Happy Father's Day where ever you may be.  It has been over 2 and half years since I last saw you.  Much has happened in that time good and bad but not a day goes by when I do not think about you.  It seems just like yesterday the last day I saw as well as a life time ago.

I want you to know I have never been angry at you for your decision.  I saw the pain you were in and how hurt you were, that nobody could you help you.  From the minute it happened I have always felt comforted by the fact you are at peace now.  Suicide is not the choice to die but inability to live anymore.  

You meant everything to me and the life I have now is down to you.  Your hard work, love and support has made me the person I am today.  You came from nothing and fought your whole life to make a better life for yourself and your children.  I have taught many children who either do not have a dad or have a very bad home life and it makes me appreciate how vital you were in my childhood even if you think you were never there for me.  Mum was horrible to say you were a bad father that Christmas day because she has no right to judge and to me you were an amazing dad.

The other week I performed for the first time in a long time with my pole dance studio.  I know not the most usual thing I have started doing but it has been amazing.  When I finished my routine and at the break I just wanted to cry because I wanted you to see my performance.  You have been to many performances over the years of me dancing or performing.  I know you did not always understand it but you came and that is what mattered to me.  


I miss you sense of humour and spirit for life.  On April fools day you trying to wind me up about something or other to get me to laugh but usually I just got mad.  The jokes we had and your ability to always joke about or mess about like we did in the photos for my graduation.  The way you would tell us stories or eat fish eyes in front of us to make us laugh.  

One of the biggest things I will miss is if I ever get married the father of the bride speech you would have done to embarrass me as much as possible.  I have thought from a young age what you would say and I find it hard that you will never be able to do that.  Maybe I will stand up and say it for you.  

Favourite sayings bring back memories of you:
There is no such thing as bad weather just the wrong clothes.
Night night don't let the bed bugs bite
I am just going outside I may be some time - Lawrence Oates from Antarctic expeditions 

I wish you could see everything I have accomplished in the time since you died and that you would be proud of me.  Travelling was an amazing experience and I wish we could have trekked the trails together in Peru and Bolivia.  The mountains are a beautiful place to be and where I remembered you so much.  I wish you could have been the one to come to my Queen's Guide presentation in London like I had promised all those years ago.  You would have been so proud to stand there and see me receive my award. 

I am a special needs teacher now.  It has been hard work and still is because I have to teach all the subjects but I know you would be happy for me and proud of what I have done.  I know you always joked about me being a quantity surveyor but you knew that it would not make me happy and you supported me in whatever did make me happy.     

I have so many good memories of you that live inside of me and I try to hold onto those.  You have made me the woman I am today and I thank you for so much for that.  You live through me in so many ways.  I work hard to get what I want, like to be alone sometimes and have such a sense of adventure.  I wish I could have helped you more but I know that you were so ill and things were just so black for you.


Love you more every day Dad.

Nicola

xxxx



Graduation Day                                                                                 Trip to Northern Ireland