Saturday, April 13, 2013

Is this the end?

Originally written 9.1.11



Is this the end? I don’t know. Everyday my outlook gets bleaker and bleaker. The meds no longer have enough of an effect to keep me in a good state of mind, let alone a normal, functioning adult. Having suffered with mental illness from the time of a child, I’ve been subjected to the full assortment of pharmacological remedies. Going from doctor to doctor in search of a cure to my mental malady made switching medications something of a regular occurrence. Each psychiatrist seemingly had their own go-to drug for success which they invariably ended up prescribing for their patients. That these MD’s also happened to be receiving large kickbacks from the pharmaceutical companies surely had nothing to do with the preference for one drug over another. Right?

While I ate at this buffet of medication for a large chunk of my youth I think it’d be more prudent to begin at my current predicament with a little relevant history sprinkled in for perspective.  Considering the pivotal role that medical drugs have played in my past and present mental health, it’s a good place to start.

Following many short stints on the various drugs popularly prescribed for depression and anxiety, I eventually found success with Effexor. During the first years of use, I enjoyed the full range of positive effects it had to offer. My mood was lifted, anxiety and depressive thoughts receded, and perhaps most importantly it supplied a sorely lacking desire to engage with other people and join society. During the height of its effectiveness I was able to lead a functional productive life. Since it’s often difficult for me to reminisce on the good experiences in my past minus the bad, I tend to forget how great things were during this period. With the success of Effexor at keeping my depression in check in addition to providing those behavioral aspects missing from my psyche, I was free to partake of the (relatively) normal existence that had always been so elusive until then. Naturally, it was only a matter of time before my mental health issues resurfaced anew.

Effexor, which in the beginning had had a noticeable effect on my mood, soon began to lose its potency as my body built up a tolerance to its presence. Currently, it has no overt impact on my mood but rather serves to keep me on an even keel. Or at least that’s the theory, because the truth is that Effexor turned out to have such severe withdrawal symptoms that it’s essentially impossible to get off of.

 I once attempted to wean myself off of it in favor of more proactive medication; but this action quickly gave rise to a severe depression blacker than I could have imagined. What I remember most acutely from this terrible time was being incapable of diverting my mind, for even an instant, away from the misery I was experiencing. Television, reading, video games and all the other menial activities that once counted among my leisure time activities could in no way capture my focus.

All the various activities that fill a person’s waking time, those menial everyday tasks done so frequently that you’re no longer even conscious of them. It’s second nature to brush your teeth, engage in conversation or enjoy a movie but each of these examples serve as a mechanism for passing time. They give the mind something to latch itself onto, even if only at a near unconscious level, and thereby distort our awareness from moment to moment. Without the ability to engage my attention in mundane, everyday activities made it impossible to escape from under the mountain of misery that was my regular mindset. To be trapped in the constant awareness of the moment, without the illusion of time quickly speeding by, is an agonizing experience.

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