deane: (Default)
The day after my previous post the nasty thoughts went away, a sure sign that the paxil is starting to work. I still sometimes worry about my various problems, real and perceived, and they may make my gut knot up briefly, but I no longer obsess over them and I can move on to other thoughts more easily now. Most importantly, the nagging thought that I'm incapable of handling anything has been banished.

The bad morning cramps have also cleared up. I still suffer from digestive distress most of the day but it's far milder than what I was going through before and I'm able to function fairly normally. It is a bit tiring, though, so I'm spending more time in bed. I'm keeping my fingers crossed that the remaining "pang" is caused by the paxil, as opposed to lingering anxieties, in which case it should gradually fade away over the next couple of weeks.

I'm now into the shaky side effect, where my whole body feels like it's vibrating. It's almost comical when I try to stretch while yawning as my body jerks spasmodically. Sounds worse than it is. It's not particularly debilitating, though it does make my voice tremor a bit, particularly in the morning when it's at its worst. I remember going through the same phase the last time I went onto paxil and it should pass in a week or so as well.

It's surprising what a difference a little pink pill can make to the way I think.

Before the paxil: "I'm spending all of my time at work on regular duties X and Y, but there's still project Z that's falling behind. I can't keep up. I can't possibly do this job. They're going to fire me!"

After the paxil: "Let's spend a couple of weeks meticulously recording the time I spend on X and Y, calculate how much that leaves for Z then pass that info on to my boss and see how he wants to handle it."

Oh the strange and mysterious workings of brain chemistry.

Paxil Pang

May. 29th, 2011 04:23 pm
deane: (Default)
One of the joys of paxil is that the side effects while your body adjusts to it often mirror and amplify the very feelings that you're taking the damned stuff to get rid of. In my case that means that my gut is knotted up like a B&D sub, I get flashes of adrenaline running through my system and a little voice in my head telling me how worthless I am. Lovely.

The paramour and I refer to this as paxil pang, though "pang" really doesn't do it justice.

The pang is at its worst in the morning, starting shortly after I wake up. Most mornings I'm able to get about an hour of work done before it gets to be too bad. Then I take a break, curled up on my bed, feeling sorry for myself. Sometimes I can distract myself by reading or playing mindless games on my phone. If I'm not too dizzy then I can get out for a walk which is great as that really seems to help.

After about two hours the nausea eases off enough for me to have breakfast, though I have to be careful. I'm only eating about half of what I normally would and space it out over half an hour to keep my stomach from getting too upset.

About an hour after that the pang fades away and I feel fairly good, albeit exhausted from the battle. It's then that I can get 3-4 hours more work done.

In the evening the pang returns, but at nowhere near its level in the morning. If I eat dinner early enough I can enjoy a full meal and keep it down. Leave it too late and I'm back to half-rations. If nothing else the pang ought to help me lose some weight. :-)

I can get more work done in the evening, just so long as it's not too challenging.

Fortunately the pang doesn't stop me from sleeping at night, otherwise I'd really be screwed as far as work goes.

Yesterday was the worst day so far. The pang did not go away during the afternoon but continued throughout the day, eventually tailing off later in the evening. I was afraid that this might be the new pattern, but today it returned to "normal".

It takes 2-6 weeks for the body to adjust to paxil. My recollection from the previous time that I went on it is that I was over the worst of the pang after just two weeks. I've got my fingers crossed that I'm equally lucky this time around as that would mean only another 3-4 days of agony.
deane: (Default)
A little over a year ago I stopped taking paxil. While it had helped with my problems with anxiety it never really did anything for my depression. In the 11 years that I'd been on paxil I had learned other ways of dealing with anxiety so I decided to give them a try.

After the initial mood swings I settled down and things were pretty good for a few months. Then, slowly, the anxiety started to return. At first I could chalk it up to one-off events and, most recently, to an enormous amount of stress at work. But that's all several weeks behind me now yet my levels of anxiety have only grown and become more frequent. For the past two weeks my gut has been in a near continuous state of turmoil and I often feel like I'm on the verge of vomiting. Tonight I was having dinner with a friend when I broke out into a cold sweat, something which in the past has presaged a panic attack.

So tonight, when I got home from dinner, I went back onto the paxil. When I was coming off of it, a year ago, I found that at a quarter does I didn't experience any ill side-effects, so I'm starting out at just a quarter dose. Hopefully that will be enough to rein in the anxiety. I should be able to tell in a couple of weeks if it's working.
deane: (Default)
I very rarely call people up and ask if I can come for a visit because I always feel like it's an imposition. No one is ever going to say, "No, piss off!", so they're pretty much obliged to say yes, even if they've got better things to do. At least that's how it plays out in my internal world model. In my saner moments I realize that there are gentler ways to turn someone down other than telling them to piss off. And who knows, it's just possible that they might really enjoy a visit from me!

It's a weird combination of insecurity and arrogance on my part. Insecurity because there's the fear of rejection, and arrogance because I'm making decisions for others without their permission or even knowledge. It should be their choice whether to accept my visit. I shouldn't take that choice away from them.

It's a bad habit which has contributed mightily to a dramatic shrinking of my social circle. I'm trying to unlearn it, but the going is slow.

Last night I was planning where I would go geocaching today. My Mom had mentioned that my aunt, who lives up-island from me, had expressed interest in my geocaching activities. I hadn't been to see her and my uncle for at least half a year, so I seized the initiative and gave them a call. We chatted for a bit and arranged to go out geocaching this afternoon.

My aunt seemed to really enjoy herself. I'd only planned on taking them to two caches but after we'd nabbed those she asked if there were more nearby and we eventually ended up finding six (bringing my total to 232). I doubt that it's an activity that she'll take up on her own, but I think she'd be keen to join me in future outings when I'm in the area. My uncle wasn't too interested in the geocaching itself but did seem to enjoy just being out and tramping around in the bush.

They invited me to join them for dinner afterward and we chatted for a while. I think that I may have left a bit too abruptly, but then I've never been particularly graceful with my exits. Lack of practice, no doubt.

So that's two weekends in a row that I've managed to get out and socialize. I wonder what I'll do next weekend.

Lost!

Feb. 19th, 2011 09:08 pm
deane: (Default)
Last Saturday I went out geocaching and did not have an enjoyable time: I only found one of the three caches that I searched for; when the batteries in my cellphone started to run low I discovered that the recharger for the truck was missing and my backup battery pack was dead; it started to rain (albeit lightly) when I got to the third cache; worst of all, I got lost in the woods.

The third cache was located on the northeast side of Mount Hayes above an old clearcut. The trail leading up to it was mostly overgrown and marked with occasional bits of yellow or pink flagging tape. When I reached the cache site I was exhausted from the climb, dispirited by the lack of power for my cellphone (which doubles as my GPS unit) and annoyed by the rain. I only searched for the cache for 10 or 15 minutes before giving up in frustration and heading back down. Somewhere along the way I followed the wrong set of pink flagging tape and ended up on an even less used trail which eventually petered out, leaving me stranded on the wrong side of beaver pond, in an area I didn't recognize.

Now I have to say that there are worse things than getting lost on the side of a mountain. At least you know which way is down. And in my case I knew that so long as I kept heading down, sooner or later I'd run into a road. I had a compass with me and I'd hoarded the remaining power in my cellphone so that I could get a final GPS fix on my location before it died. So it wasn't like there was any chance of me wandering in circles until I died of starvation.

Still, it did make me nervous. All alone in the woods, not sure of the way out, with sunset just an hour away and no way to call for help.

My ordeal did not last long. The GPS fix I'd gotten had told me that the main logging road was only about 300 meters away, on the other side of the beaver pond. I had no idea how far the pond extended to the south but I could see a rise at the north end, so I circled around to there and almost immediately came upon a small tertiary logging road which wasn't on my map but ran in the right direction. I followed that and about fifteen minutes later was back on the main logging road.

So as wilderness survival epics go, mine was tame to the point of being housebroken, but it nonetheless left a bad taste in my mouth and contributed to overall pall which hung over the outing and it was a week before I finally got around to logging the one cache that I did find that day.

Withdrawal

May. 21st, 2010 04:56 pm
deane: (Default)
Last week I was off visiting my folks and accidentally took the wrong meds with me. I could easily have had the paramour email me a copy of my paxil prescription and gotten it filled there, but I had already weaned myself down to a quarter dose and had been planning to take a shot at cold turkey at some point in time, so what the heck.

From past experience I know that whenever I reduce my dosage I go through a period where I'm irritable and snappish (more so than usual, I mean), so I tried to be careful around my folks. I think I only snapped at my mother once and only got testy with my brother once, which I think was pretty good. They may disagree, but that's their problem. :-)

Usually the testiness passes after about a week and that seemed to be the case this time around as well. However, over the past two days I've noticed that I'm becoming overly emotional and agitated by minor disagreements at work. Not even disagreements, really, just colleagues trying to work through a new design. But I keep finding myself geared up as if for battle and have to talk myself down.

After 12 years of having a little pink pill ride herd on my emotions it's not surprising that they might be a bit intoxicated by their new found freedom, but I had hoped that the long wind-down in dosage -- I've been on a quarter does for half a year now -- would have gotten most of that out of my system. The fear, of course, is that this is not just a temporary withdrawal reaction, but a return to my old state of permanent anxiety.

It's too soon to make that call, but writing about it here has helped me calm down and organize my thoughts, so you, Gentle Reader, are the beneficiary.

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