Mental Health and Me – An Update

I wrote about my anxiety/panic attack around a week ago and since then I have re-visited the Dr.  I spoke in my last update, (back in November), about how I wasn’t sleeping very well.  This is still an ongoing issue.  A lot of the time I feel too awake to sleep and yet to asleep to be fully awake, it’s affecting my thoughts and reaction times, my emotions, mood, energy levels and levels of motivation.  And if I’m honest, it’s really starting to piss me off.

I have spoken to the dr’s that I have seen about not sleeping, the first thought that upping my dosage of sertraline from 50mg to 100mg per day would help, the second one spoke about sleep hygiene and other lifestyle things (like no caffeine of an evening…), the 3rd dr I saw said it was likely due to the increase in my medication and to just “hang in there” and as my body gets used to the dosage then my sleep should return.  And it felt like no one was really listening to me, like they were all offering ideas and things but nothing to really get to the root of the problem.

You see, I don’t drink coffee of an evening, in fact, I now really only have 1 or 2 cups a day and that is in the morning, I go to bed when I’m tired, my room isn’t too hot or cold, there is a supply of fresh air into the bedroom, its dark enough in my room, its quiet enough, I don’t watch tv or play games before I go to bed, I don’t have harsh lights on in the bedroom… I’ve tried having a warm bath before bed, a hot shower, a warm drink (like herbal tea or hot choc), I’ve tried leaving all the house lights off as its getting dark and going to bed when the natural light has faded, I’ve tried essential oils, Ive tried meditation, reading, not reading, just lying there doing absolutely nothing, and still I can’t sleep.  And when I do sleep, it’s either a few snatched hours here and there or I lose a whole day because it’s almost like I have passed out from lack of sleep to the extent where I will sleep through alarms and my phone ringing.

And so, the last doctor I saw, a few days ago, sort of bore the brunt of my frustrations, maybe because I had been awake for 2 days straight, but I think it was more to do with being so frustrated with not being able to sleep, and I told her exactly how I was feeling.  I want to go back to work, emotionally I’m feeling a lot better than I was, but how can I return when I’m not sleeping which means I can’t think straight, have this awful brain fog a lot of the time, end up sleeping through whole days and just can’t seem to do anything without it taking a lot of concentration and planning to do so.

And she was lovely.  She really seemed to understand where I was coming from and all the intricacies involved with not sleeping and we went through several ideas to try, as well as referring me to therapy to see if we can overcome this problem.

I’ve got until the end of the month off, the doctor said that it would give the therapy team a chance to sort an appointment (or appointments) out for me and hopefully I can return to work in february.

I left the drs feeling a bit of relief that my lack of sleep was being taken seriously by someone.  The other drs, though they had been good, I don’t think that they had really understood how not sleeping was making me feel or even quite how bad it has become.  And in all honesty, I feel that it was down to me and not explaining it to them well enough for them to understand that it’s not just a case of not sleeping every now and again, that it’s a constant thing that is getting worse as time goes on.

So, I’m feeling a bit better with the outcome and just have to wait for an appointment to be made with the therapist and see what happens then.

Mental Health And Me – An Update

This is the first update about my mental health since writing this post, and in the time between that post and this I’ve been to the doctors for a medicine review on the 22nd November.  Thankfully some of the symptoms that I had when starting my medication (Sertraline 50mg) have subsided, the sick feeling still comes and goes but isn’t a persistent feature of day-to-day life, the hot and cold feelings have gone, and the dizzy spells are getting less and less which is good.

I’ve now developed insomnia, which I do get from time to time but never like this, over the space of a few weeks I have not been able to sleep for more than half an hour at a time if at all which is really starting to get me down.  The flip side to this is that when I do sleep, I can sleep for the whole day which has happened a few times now (the latest being sleeping through the whole of sunday 25th November).

I have still been feeling anxious and still have these anxiety attacks along with panic attacks though I can not identify a reason why, perhaps if I could then I would be able to stop them?

I spoke with the dr about all of this, he said it may help to up my medication.  I’m now taking 100mg of Sertraline each day.  I still feel unable to go back to work, mostly because my concentration levels are still really low and I keep forgetting things (like when watching tv, the adverts will come on and I have no idea what I have been watching), I still can’t settle to read a book and I’m finding myself really tired even when I have had a good nights sleep.  All of these things create a frustration in me and I know I would find it difficult in work with these symptoms, and I would end up being angry at myself for not being able to carry out the tasks I need to, taking too much time over completing tasks and generally struggling with the day-to-day things I need to do.

I’m finding it pretty hard to motivate myself to leave the house or even have conversations with people.  I feel like I’ve become a bit of a hermit at the moment.  I did manage to go food shopping at 12:30am on the 21st November…the Asda supermarket by me is open 24 hours and because I couldn’t sleep I decided to put that time to good use.  The supermarket was really quiet with only myself and shelf stackers around.  I got to walk around at my own pace and pay attention to what I was buying.  Usually, if I go in the day time I run around like I’m on supermarket sweep, grabbing things and not thinking about what I need or want in order to get out as fast as I can.  This time I only bought what I needed and didn’t forget anything.

I’ve been taking the higher dosage of medication for the last 3 days and so far have not got any more, or bought back any of the side effects I was experiencing.  I just hope that these will help somewhat!