Let This Be The Toughest

Sometimes you need to be grateful for your own challenges.

I was reading through my blog post notes– the ones I send myself from my dictation app as I talked about a couple of posts ago. I have been really hesitant to put this up because it’s quite personal and really exposes my vulnerability. I’ve been told that, as a writer, I am not open enough and that I would benefit from showing more of myself.  Also, since I’m documenting a journey here, scenes like this are a very real part of it, though thankfully, they don’t happen too often.  With that in mind, I’ll go ahead and post this:

Not too long ago, I spent three quarters of an hour sobbing in my car. By sobbing, I mean the kind where your whole body is involved, lots and lots of tears, with the nose contributing it’s own fluids. There is gasping and choking. It’s not pretty.  In fact I think the internet has a name for it– ugly crying.
I was alone in the parking lot outside the gym– which I hardly ever get to, and definitely didn’t venture into that day. Thankfully, nobody saw me, or if they did, maybe I didn’t appear too approachable. I don’t cry like this very often. The last time I remember doing it was when I forgot to put my kid in a white t-shirt and send in a fruit for some themed day-care situation — that was about a decade ago. I was pregnant and working at least two jobs so I put it down to hormones and stress.  Prior to that, I remember crying this hard over a breakup. It was a bad breakup but, like so many bad breakups, good riddance. The common element between these episodes was, fortunately, not pregnancy, though who knows when emotion-inducing hormones decide to rear their heads. I was definitely stressed in each situation, but that’s to be expected. After all, we’re not talking tears of joy here.  The real common element was an underlying rationalization process.  Under the cloak of tears, my mind is racing: What’s happening? Why am I crying? Does the precipitating event really merit this outburst? No? Then what is causing me to feel so bad?
Concurrently there is a sub-thought process going on: I am so grateful for the things I do have. Nothing is terribly wrong here. Let this be the toughest. Let this be the toughest thing I have to face. Let these be the worst tears I ever have to shed.
I have a lot of things going on right now.   I’m trying to write an edit and make a living at it. I love writing and I love editing. I’m trying to build up my own business, which I haven’t really talked about in this blog, but it has to do with education and empowerment, and it’s something that I love to do.  I didn’t look so empowered making hoarse noises in the car that day — snot has a way of taking the edge off a power situation. I was, at that time, going through a renovation which is difficult on so many levels– a change in living conditions, keeping on top of the work day-to-day, managing all the people who come in and out of the house, planning, contending with surprises– things that I am grateful to have the opportunity to do, but which still cause a great deal of stress build-up.  Just the simple act of trying to have a meal is stressful because I don’t want to feed an entire crew of drywallers and painters every day, yet I feel a sense of responsibility to offer other people food when I’m eating. So I end up either not eating or sneaking food around my house and into my office to eat in secret.  Of course, then there is the day-to-day running of the family and the house and all the things that entails.  I also work in a couple of roles for DH’s business, and that work alone could amount to a part-time job. (In fact, if you add up all my  ‘jobs’ together you’d probably find that I carry several full-time positions.) But none of that was the trigger for this sob-fest.
The reason I started crying is that I found out I didn’t get a job I applied for which I really, really thought I was perfect for, and which was perfect for me, and which I thought I was definitely going to get.  It’s true, I don’t need one more job on top of everything else, but I would have dropped a bunch of my other ambitions if i’d gotten it– or at least I’d be able to relax about accomplishing them.  I’ve spoken about this before— that I need to be able to answer the question ‘What is it that you do?’ with a sense of pride and satisfaction.  This job would have helped me meet that criteria. Also, it would have gotten me out of the house and given me a chance to mingle with creative people. I put so much heart in to the application. I was dealing with my kids being home from school that week and  a friend whose husband was suddenly admitted to the ICU (he’s fine now), and still I pushed through and managed to submit a piece of work that brought me so much pleasure that I simply could not stop rereading it. Why didn’t they see what I saw?
Also, I know that I could have done the job really, really well. Judging by the job description, what they were looking for was what I do best. Still: Rejection.
On top of everything else, and I feel very petty acknowledging this feeling, much less committing it to paper, I am dealing with some serious jealously towards the business owner.  Why is their business taking off and not mine? My product is better! My personality is better! Good, old fashioned covetousness.
But that’s not why I was crying.
What really triggered my emotional outburst, though it took a few hours for it to sink in, was the fact that DH was disappointed for me. As in, he was disappointed on my behalf. Knowing that he felt bad for me made me feel the badness twice as hard.  We’d talked about it the night before, gone to sleep, woken up, dropped the kids off at school and then, when  the self-pitying thoughts were allowed to come in to my head, they took over and had their way.
Hopefully this will turn out to be a growth experience. Hopefully, one day I’ll look back on this job that I didn’t get and say ‘good riddance’.  I have been trying to channel my jealously into good wishes for that company, because their overall goal is to bring betterment to the world and not to screw me over. I asked for feedback on my application.  I am working on turning that frown upside down and using it to fuel my own growth.  Onwards and upwards.
Here’s another aspect of this situation to consider; one which turns this post into a Drupdate (if you’re unfamiliar with the expression, see here). I can’t remember which medication I was on at the time, but I’d just taken it that morning for the first time in two weeks.  I haven’t had an overly emotional reaction to a medication since adderall, way back in the beginning of my medication journey.  Concerta, as I’ve noted in the past, has made me a bit emotional, but nothing like this.  Could the medication have contributed to the outburst? Eight Ball says Maybe So. I did note over the days preceding this incident, that my mood would suddenly turn to blue– fleetingly, but strong enough for me to take notice.  Maybe I should have paid more attention.
I cried, and then I felt stupid for crying because I consider myself to be very even keeled, so I cried some more because I’m not being me, and then I didn’t go to the gym. A release of emotional constipation with a side dose of medically induced hysteria. That’s most of what I thought about and how I felt before, during, after, and about this episode. I did leave out a couple of things, but did the overall vulnerability add value to my writing?This has been a very difficult post for me to write, on many levels. Was it worth it?
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No Way To Know: Drupdate

I was determined to be productive today. Just in case the meds help me to be productive, because after two years you know I’m still not sure, I planned on taking a dose his morning. The problem was that by the time I got it together to take action on this thought, I was far away from my stash. Lucky for me,  I know myself well enough to plan for this in advance. I had a little bottle of 10mg Methylphenidate in my purse. This is the same medication I would usually take, but the dose is lower and this formulation is short-acting. I got this supply when for the days when I forget to take it in the morning but don’t want to take the slow release too late in the day because it’ll keep me awake.
The directions tell me to take either one pill or two. I took two, which, if you’re familiar with my early should I/shouldn’t I medicate days. I figured that if it was too strong, at least it would wear off in a few hours.  I don’t remember if I’ve ever taken any pills from this bottle. I’ll have to count them up to see. Certainly, I don’t remember what effect it has on me, if any.
 That being said, I’ve been feeling a lot of acute disorientation lately. Like, in the past I wasn’t really aware that I was being distracted or that I couldn’t prioritize.  However, lately, I’ve found myself  wandering aimlessly or ‘waking up’ suddenly from a daze in which I wander about without realizing that I am directionless. I don’t know if I was like this before or if my radar is just much more accurate now for this type of behavior and so I notice it more. My fear is that these drugs are messing with my mind and actually making me worse. Possibly, this is a symptom of sleep deprivation, pure and simple. Or perhaps it’s a combination of things.
I was on my way in to the grocery store to pick up a few things when I took these 20mg.  I thought I’d be in and out in about half an hour, but it ended up being closer to two and a half hours. Why? Where did the time go? I really can’t figure out what I was doing in there for so long. I will say that I bought a LOT of things. I haven’t stocked up in a while and our fridge and cupboard were looking pretty bare.

Was I more focused as a result of the meds? Hard to say. I didn’t feel the meds kicking in, as many people describe feeling when they take them.  I didn’t feel them wearing off, so I don’t know if they ever did. They may or may not have curbed my appetite; I was sucking on a coffee the whole time I was in the store, so that might have masked it.  Also, it ‘s difficult to measure my productivity in the grocery store. I wasn’t wasting any time, but then again, it did take me five times as long as I thought it would. If I’d been sitting at my desk after I took it or at any point while I was still supposed to be ‘on’ it, I might have a better point of reference of the drug’s effectiveness.

 

When you make a big purchase, it takes a long time to pack up into bags. It is difficult balancing those bags on the way to the car. It takes ages to get them in the house, and it took me about an hour to get everything put away because of the amount of stuff and because I needed to repackage some items for freezing. Then I spent some time cleaning and organizing my kitchen and some parts of the basement which have been neglected for months…. and then it was after 2pm.
Where did the day go?
I was very excited for today– it is the first time in many many weeks, due to changes in kid’s and DH’s schedule that I get ‘my day’ when DH picks up the kids and I can stay working on my own projects as late as I want or need to. Ideally, I should be able to spend all day doing this, and when I headed in to the grocery store, I fully intended to devote most of my day to my own enterprises. In fact, I ended up getting down to work in my friend’s studio, due to assorted delays, only after 4pm.
Where did my day go?
I didn’t accomplish as much as I’d hoped to today. I’d had such high hopes. I’d meant to sit down and map out my activities for the next few weeks.  Instead I wrote three blog posts– which is good, but it should have been a warm-up for the rest of the day.  The day is now over.  I’m not much further ahead than when I started.
This is kind of a depressing conclusion for this post, but I feel optimistic about making a lot more progress in the weeks to come.

Back to the Shrink

I visited my ‘temp’ psychiatrist today.

As a reminder, my usual shrink is on maternity leave, and it appears that she has not yet returned, though I thought she’d be back by now.  I hope she is well.

I first visited this temp doctor more than six months ago. I had a second visit scheduled which completely forgot about– though I don’t understand how.  At our last visit, I’d asked her about being transferred to an altogether new psychiatrist, because I think it’s time I saw someone who specializes in ADHD.  At that time, she gave me some instruction about how to go about it– calling one office or another to set up the referral,  but my well intentioned efforts did not pan out.  Nobody in the department answers phones. Nobody returns phone calls. When I finally do manage to catch a real, live person, they give me yet another number to call.  It’s extremely frustrating, especially when you have a neurological problem with remembering to make phone calls and follow up on them.  In this case, I must have aced the test because I finally managed to come full circle, back to Temp Shrink’s office where I told her this story pretty much as I just told it to you, but without all the back-links.

She completely agreed with me and apologized. But isn’t my regular doc back from her maternity leave yet, she asked.

“Not according to her voice mail,” I replied.

The System. Sigh.

I also told her that the reason I finally felt motivated to push my way back to the system and find her is that I realized that maybe, because I am terrible at remembering to take my meds in the morning, I need a shorter acting medication that I can take later in the day. The later I take a stimulant, the longer into the day it lasts.  The effect already carries over into the evening, sometimes past 10pm. I don’t want to risk having it mess with my sleep, so I won’t take it after around 10:30 am. Many days, I won’t remember to pop the pill until that time or later, and so I don’t take one at all. If I had a short acting pill, I could probably take it as late as 3pm if I needed to.

Temp doc found this predicament amusing.  How ironic that the very pill you need to remember to take your pills wears off before the time you need to take it. I like this woman.

She did give me the scrip I asked for, as a stop-gap measure. I went on and on about how setting an alarm to help me remember to take the meds won’t really work for me because it means I will drop whatever else I am doing and just forget about the medication before I even get to the room where I keep it.  Then I’ll find some other purpose that needs fulfilling and, basically, it’s all a landslide from there and my kids are half an hour late for school again.

She eventually uncovered the fact that I have never actually tried the phone alarm system, and asked me to try it, even if it meant just snoozing the buzzer until me, my phone, and the meds are all harmoniously in the same room together.  If that happens after the hour when it’s practical for me to take the slow-release formula, I’ll just take the short acting one.  I agreed.

She also spoke about starting me on strattera (sp?), but I don’t think I’m ready to start a new medication yet. I’ve been taking this one on a slightly more regular basis lately– I still have never managed to take it regularly enough to establish a baseline, though I do have an idea that I will write up in a future post if I ever get around to it.  Anyway, I’m pretty familiar with it’s effects on me, though I still can’t say for certain that it’s working. I HAVE had quite a productive couple of weeks, though.  Maybe that says something.

I’m a wee bit nervous about taking this short acting drug. The dosing might take some getting used to or adjusting, but I guess that’s just part of the game now.

And that’s my drupdate for now.

Drupdate #3

I’m giving myself 10 minutes to write this post. I’ve been sitting here in the quiet privacy of my friend’s studio but I’ve been working for hours straight… hmm… is this an indication of the drug working…?

Hard to say. That seems to be my theme when it comes to medication.

So in my last post– rather, the one before last  I mentioned that I was going to try taking the meds consistently for two weeks. I think I’ll just do this in bullet form, for the sake of brevity and also bc these Drupdates are really just logs.

Sunday, May 14 – ON I think. I hosted a huge party.  Like, 100 ppl. But these things are old hat for me now.

Monday, May 15 – ON.  I get mad at DH when he reminds me to take my pill. It’s a sore point. I think he thinks it’s much more effective than it really is. He was working from home, which I find to be difficult.

Tuesday, May 16- ON. Really hard to work with hubby home. Tried to get through ‘desk pile’. Didn’t get through much. I think I might have started work on my brochure this day…

Wednesday, May 17 – ON. Midday meeting. Put in lots of time at my desk in the morning and then wasted the rest of the day at the mall, where the meeting was. Sometimes you just need to get out.

Thursday, May 18 – ON.  Yoga, dentist, worked on brochure.  I think I took it after Yoga… I think. Incidentally, I had a filling without anesthesia. Are you impressed? I am.

Friday, May 19 – ON. Grocery shopping and frenzied cooking in between three different school pickups. I was hoping to get some work done but instead made 70+ pieces of schnitzel. I did get some feedback from friends on the brochures I’d been preparing.  I wrote it all down in the grocery store on the notebook I keep in my purse.  Schnitzel is a LOT Of work, so when I do it. I just do a lot.  Also I had to prepare extra for a friend who had a baby. It was my turn to bring dinner. I had the same experience as I did last time— that I couldn’t figure out how to spice the food properly. I think that my schnitzels were not quite as good this time. It’s really hard to cook when your appetite is suppressed.  I rely on instinct but that part of the brain is suppressed as well. I wonder if it’s actually NOT connected to appetite suppression, but more to impulse control??? This is definitely something to explore.

Saturday, May 20 – OFF.  Lots of reading, some cleaning.

Sunday, May 21 – ON. Pretty sure.  It was a rainy day.  Woke up late, watched some TV with the kids, bought gardening supplies, went shopping for reno supplies but everything was closed. Went swimming. Ate Mac N Cheese

Monday, May 22 – OFF. I’m pretty sure.  I was out all day on a long-weekend excursion and didn’t feel like I needed them.  Which I realize is besides the point because I’m going for consistency here.

Tuesday, May 23 – ON.  Spent all day in waiting rooms, tried to read some work material but there were too many stops and starts and people to look after and pay attention to.

Wednesday, May 24 – ON.  Took late– about noon. Spent all afternoon at studio, finishing the brochures.  What a lot of work they’ve been, but I enjoy it.

C(K)eeping Up With The Concertas

I saw my new shrink last week.  She was nice, friendly, positive, and generally affirmative (affirmational? She affirmed what I said) but, as she pointed out before we even sat down, it was a bit of a mismatch.  She deals with palliative care patients, and not at all with ADD.  She was only handed my file* because they needed people to take over for my regular shrink, who is now on maternity leave.

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Not My Shrink.                         …ok now tear your eyes away and go back to the blog post…

I was a bit disappointed because I had been imagining this new doctor-patient relationship as the one that would complete me, mental health-wise.  Alas.  I need a Tinder for psychiatrists.

She asked me, at one point, probably because I was rambling at high speed and holding a Grande Pike Place, whether I was self-medicating with coffee. I am not, and I told her as much. I usually have one coffee in the morning and one, if I am desperate to stay awake, around the kid’s bedtime.

She also told me, as my last shrink told me, and probably everyone in the medical profession will tell me, that I need to get on the meds and just stay on them if I want to have a good idea of whether or not they’re having any effect. As you may recall, this is one of the great questions that surround my decision to medicate.

Since taking them intermittently, as I have been doing (sometimes intentionally and sometimes unintentionally)  for more than a year, is not a viable option for me at this point, I have a problem.  Even if I ‘set an alarm on my phone’  (which everyone thinks is the answer to everything ADD), taking them on a regular basis has proven to be much more difficult  than it would seem.  It’s not that I don’t remember to take them. It’s that if I remember, and I am not seated at my desk (where I keep the bottle) or in a position to get the ‘travel pack’ out of my purse immediately, then the task will get put on an indefinite ‘snooze.’

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The Elusive Travel Pack              Writing About it made me remember to refill it!

At the behest of Dr. Affirmational, I decided to try once again. She asked if I could commit to two weeks straight and I told her, without much confidence, that I would surely try.  My appointment was on a Thursday, and I decided that the following Monday would be my first day. I took a pill on Monday. I took one on Tuesday. I took one on Wednesday. I forgot them on Thursday and Friday and then didn’t bother over the weekend.

Correction: I did not forget them on Thursday and Friday, Rather, I remembered on Thursday but I was in the car, driving. And I remembered on Friday but I was in the supermarket, and I  was in a rush to get out.

Today is Monday, the start of a fresh new week.  I took one this morning. It made me jittery after an hour. I calmed down. I am finishing my blog post that I’ve been meaning to write for 11 days.  Thanks to the shakes, I know it’s having an effect on me, but I don’t know if it’s actually fulfilling the intended purpose.  Hopefully, if I can keep up with the Concertas,  I’ll be able to tell you in two weeks. Wish me luck.

 

*Interestingly, she was actually NOT handed my file.  So most of my visit consisted of me recounting all the things I do and the things I don’t get around to doing and how I feel about it all. What else would we have talked about, really?

The Med Factor: Dinner Is Served

We do a lot of hosting at our house, and that means a lot of cooking for me.  I don’t particularly like cooking, but apparently I’m not half bad at it. Rather, I am half bad at it but the half that’s not completely burnt, over-boiled, or otherwise wasted due to negligence usually tastes pretty good, I’m told.

I always joke that most husbands, when they get in the door, call out ‘Honey, I”m home!’ My husband will walk in and automatically call out “Babe, what’s burning?”

Actually, that’s not a joke at all. He says that every single time he comes in the house.  Of course, with the fire alarm blasting (mine speaks English and French: FIRE! FEU! BEEP BEEP BEEP BEEP. FIRE! FEU! BEEP BEEP BEEP BEEP. And sometimes CARBON MONOXIDE! MONOXYDE DE CARBONE! BEEP BEEP BEEP BEEP.) and the kids fighting over the chance to stand on a chair with the broomstick (which we keep against the wall for this exact purpose) and stab the darn thing into silence on it’s elusive sweet spot (HUSH MODE ACTIVATEDMODE HUSH ACTIVÉ), there is no denying what I’ve been up to. Here’s another joke, but not: How do you know when it’s dinner time at my house? 

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Too obvious?

But I digress…

It’s not entirely accurate that I don’t like cooking. It’s true that I’d rather be…  dunno… writing, reading, hiking, not cooking etc. but I like cooking better than, say, washing dishes or bringing the trash cans in from the curb. Cooking is a chore but not the worst chore. The part I really don’t like is cleaning.  Cooking means cleaning;  it’s inevitable. And when you cook in a mad, hyperfocused frenzy like I do, the mess gets bigger and bigger throughout the process until it almost takes over the counter entirely., and sometimes the floor.  Peelings, wrappers, dirty dishes… I hate them all.  I can cook a four course meal (soup, sides, salads– yes, all plural–  and main) in under two hours but the kitchen is positively ravaged when I’m done.

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Not my kitchen, but close.

I never make desert, though.  Guests are responsible for bringing desert, or else I cut up fruit after I serve the main course when things have calmed down a bit.  I almost never bake. I hate it, and I am terrible at it. When you bake you need to be so careful about measuring and having just the right ingredient  and other dull and unnecessarily uptight details.  And it makes so much more mess.  Not worth it.

When I cook it’s a largely spontaneous experience and always experimental, like an art piece.  I know roughly what I’m making because I shopped for it that morning and it’s in the fridge waiting. But I never know exactly whether the ground beef is going to be meatballs, patties, bolognaise sauce, or lasagna until I start cooking. Herbed? Sweet n’ sour?  You just never know. I might consult a recipe for inspiration, but then I always revert to whatever I think is more fitting or (let’s be honest) whatever method will result in fewer dirty pans.  I have a lot of spices, and I’ve developed a feel for how to make them my own, and how much I can tweak a recipe before it turns the corner from home or exciting  to meh.

Last week I was on the meds while cooking. I’d had a lot to do that day and cooking was just one of the items on the agenda, albeit a large item.  I started cooking earlier than I normally would, which is maybe evidence of the medication serving it’s intended purpose. The meds were still in full effect and my appetite was pretty suppressed.

All of a sudden I realized that I had no idea what spices to use in the dish I was making.  I scanned my spice rack, waiting for the right ones to pop out at me as they usually do, but they all looked the same– bland.  I had to really stop and think about it in a logical fashion; What might taste good in this meat? Cinnamon? No that’s Middle Eastern and not what I’m going for. Garlic? Well yes, obviously but… oregano? Yes, that sounds Italian..  I think I’m going for ‘Italian’…

It may not sound like a big deal, but the experience was  it was kind of freaky and unsettling for me.   I didn’t have any precedent for this kind of feeling, and I was unsure of how to handle it at first.  Imagine trying to paint a ladybug,  looking at a palette of paint colours and not having any point of reference for which puddle to dip your brush into.  You know it should be obvious, but the answer is somehow eluding you, like in a dream.

Well, I’ve been cooking dinners for over a decade now and my inference, if not my instinct, kicked in.  I know ladybugs are red, and so I dipped my  brush into the puddle labeled ‘red’.  I made the food. It wasn’t artistic, but it was good, they tell me.  Essentially, it was formulaic, like baking.

What an unexpected side effect for ADD / ADHD medication;  Regular function might be impaired due to lack of appetite.  More accurately, it was a side effect of a side effect.  I wonder what other side of side effects I’m experiencing that I haven’t yet noticed.  Sometimes I wonder if there are any effects at all.

Before I sign off, I want to include another story about food and my husband, just to redeem his reputation in case you think, based on this post, that he is overly harsh or critical.

When we were engaged, and this was way back before I became the gourmet chef that I am today, it was pumpkin season, and I was taken with the notion of making pumpkin soup.  Working from my gut, I brought the pumpkin home, baked it, peeled it, pureed it, and spiced it, and then served it to my fiancee and a friend of mine for dinner that night. The soup was horrible and not at all what I’d intended.  I couldn’t eat it and neither could my friend. But my darling man tasted it, said “It’s not that bad, maybe I’ll just put some humus in it.” Yes, he ate the whole bowl with humus in it. And that is why I love him.

Notice: No ladybugs were harmed or ingested in the writing of this blog post or ever, really, by the author, to the best of her knowledge.

Medication Today: Taking Account

So I took my medicine like a good girl this morning.

I have not been terribly productive.

I did have some distractions. Also got thrown a curveball.

I did reorganize my to-do list a bit.

I kind of lost my appetite but still ate— just, healthier foods.

I was a bit shaky after I had a coffee in the afternoon– actually a Starbucks latte drink mix which prob. had a lot of sugar as well  as caffeine.

I felt better after that.

I did spend an awful lot of time on distractions and also recovering from distractions.

 

 

 

 

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I saw my Shrink again last week, and here’s what I had to report:

When I first got this new round of prescription after our last appointment and  I started taking the medication,  it was the week before winter break.  I took it the first day and the second day, but on the third day I felt all cloudy and disoriented.  I think I skipped that day– or the next.  I had started a list so that I could keep track and maybe chart the effects of the medication on my productivity– because, ultimately, increased productivity is my goal.  At least, I think I started a list. I have one attached to my pill bottle with an elastic band but it has some very random dates on it. Seems I haven’t been keeping track very well.

Strike one against the effectiveness of medication, I guess.

I wasn’t sure if the cloudiness was due to some side effect of the medication or a withdrawal from it.  All I knew is that I was barely functional. I could hardly prepare school lunches– something that is usually rote for me and doesn’t require a whole lot of thinking (though I still hate doing it and it sill takes me waaay too in the morning.)

On the other hand, i also had a cold, and this could have led to the cloudy feeling as well. Coffee helped. Napping too, though how much of an opportunity do I really get for that?

For me, the problem with being in a fog goes even deeper than zombie-like, purposeless wandering.  It reinforces a deep fear of mine, which is that I will become dependent on meds in the way that people are dependent on glasses, or that they will permanently dull that region of my brain because I’m not using the muscle behind it.

I decided at some point that week–  I believe I’d had 3 out of 5 of the intended doses, to postpone the big experiment until after winter break.  I still had work to do in the intervening weeks– I was preparing for a new business initiative I’m hoping to get off the ground, not to mention all of my regular duties.  But I didn’t want to do this medication thing haphazardly– because then what would be the point? I want to know if the stuff is working and if it’s worth all the soul searching and departure from my long-standing resistance to medication. As I had discussed with the shrink at or last encounter, I need to stick it it consistently for long enough to figure out whether it’s worth sticking with at all.

I started taking the medication regularly – Concerta– when the kids went back to school after winter break when my routine, theoretically resumed.

As I mentioned above, I am working on a new program that I hope I can develop in to a business.  I am hesitant to mention it here or even tell people around me about it because it seems that every few months I embark on a new project with great enthusiasm, and sometimes at great expense or personal investment, only to abandon it a little while later — always with a different excuse ultimately forming a pattern of failure associated with ADHD. I guess it’s important that I keep trying to find success– but the process can be disheartening.

In this case, however, I gave myself a deadline. I set up a date to present my project to a local organization, and that date was last week.  Even though I so far have only that date and two subsequent ones (it’s a series) booked at the same venue, I put a ton of work into it, hoping that the investment will pay off with further bookings and that, by the end, I’d have a program I could market more broadly.

As it happened, my weekly ‘protected time’– the one day each  that I arranged with my husband would be my own time to work on my own projects without interruption when he’s responsible for picking up the kids and being with them late into the evenings–  got compromised the first week after winter break because of a job-related commitment that there was no way for him to get out of. I tried to put in time that day anyway, but then my DS called home sick from school , so that day got cut short.

On the second week’s protected time, DH was desperate for me to help him out with a few projects that he regularly relies on me for, and they also really couldn’t wait. So last week I also lost a good half day from my protected time. I did manage to get a lot done in the late afternoon and evening, however, so it wasn’t a total loss.

Throughout the past two weeks I have been taking my meds pretty faithfully. One exception was last Thursday when I did my presentation. I find that the medication can make me shaky, depending on what other elements are happening (whether I’ve eaten, slept well, etc) and just today I noticed that they actually make me a little emotional the way that Adderol did– not to the point of being crazy, but enough to cry over some sad and/or heartwarming articles I read during my brain-warm up this morning (aka acceptable procrastination time– but that’s another blog post for another time.)

I guess that the pattern I’ve found so far with these meds is that the benifit– the drive– that is (most likely) supplied by the meds, is accompanied by a degree of stress. With this med it is to a lesser degree than the last, though I don’t remember feeling it at all before last week. I wonder if it has to do with the fact that they say it can take several weeks to start working.  Is it going to get worse now? Or is this as bad as it gets, because I can handle it at this level.

There was also another day the week before that I forgot or neglected to take the meds.  Let’s say I took them for 8 our of the 10 intended days.  I was supposed to only take a break from them on Saturdays but I haven’t been taking on Sundays either.

For me,  a deadline is the best motivation to get working, and I really pushed myself to get all everything done on time, and done well. It’s hard to say whether the pills were working or not, but I felt very motivated, and I spent a lot less time ‘getting into’ the work, and a lot more time actually working on it.  When I got distracted, it was a lot easier for me to get back on track, whereas sometimes it can take me half an hour or more to ease back  in.

Also, this is work that I really love to do, and I know that I’m good at it because I have done it for years, though not lately. So again– hard to say if it’s because of the drugs.

My program went well, though I only got through about half of the materials we’d prepared. I thought the participants really enjoyed it and that it got their wheels spinning. I’ll find out when I get back the evaluations.

After telling the doctor all this, I was surprised to hear her say that she was concerned about the fact that I was feeling cloudy.  The meds are supposed to make you more functional, not less, she said.  With regards to that, and also to my fears of long-term damage, though, she didn’t tell me to stop.  She just said again that I need to do a risk/benefit analysis.  Are the meds helping me meet my goals, overall? If so, are the risks and/or side effects tolerable?

The idea behind the medication, she reminded me, is not to provide a cure, but to provide a higher level of function.

Also, we discussed how I’m effectively doing three jobs at once if I take on this new venture.  Mothering, working the equivalent of part-time for DH, and now this.  Honestly, I don’t mind putting the work in to see if I can get this started, even if it means a couple more late nights.  Granted, it also means I’m pushing off some of the mothering stuff (nothing significant) and also some of the paperwork I’d otherwise be doing, which means it’s building up faster than usual.  I guess I’m ok with that too.

 

 

 

Badge: Fears

I think I’m getting better at these badges.

I took all the fears from my last post and put them all into one marble. Is that fair?  I listed at least five different fears.

It’s amazing how not trying to write about things really brings them to the forefront of your mind. I wasn’t thinking of fears at all in that post… until I was….

 

In Psych I… uh… Trust

It had been five months since the last visit with my shrink.  To be specific, my shrink is a psychIATRIST– a medical doctor who is licensed to prescribe medication, as opposed to a psychOLOGIST who is a person who studies human behavior and the human mind. Both may or may not practice psychoTHERAPY, a method for remedying  what ails the  psyche.

I’m not sure what kind of doctor BeetleJuice’s waiting room buddy there was waiting to see…  Is there such a thing as a head un-shrinker?  (Better call in Rick Moranis. Now THERE’s a movie mashup just waiting to be made. rick_moranis

The reason I make the trist/gist distinction is that the function of  my psychiatrist, as I see it, is mainly oversee my rotation through a series of ADD meds until we find the right one which will, in combination with my own efforts and personal growth and strategic planning, release me from the perils of  distraction and impulsivity that my brain, unaided,  keeps leading me towards. As a result I will, in theory, begin– or resume — my climb on the ladder of success, self-fulfillment, and fortune.   For this purpose alone has Dr. C. spent a decade in medical training. In contrast, a psychologist might try to work with me on strategies and techniques… I think.  I have never actually heard of one who deals with ADD.

My shrink laughed at me last week. I told her that I’d only called her after such a long spell because I’d run out of the prescription she’d given me in June — a 28 day prescription. It’s now the middle of December.  I told her that I was trying to take it as needed, but since I hardly had any time between July and November to sit down and do any work, I hardly took them. Also, when I did  sit down to work in that period, I neglected to or forgot to take them. I admitted that, shortly after I called her, I found another stash of about four doses in my purse where I knew I’d have them with me in case I forgot to take them in the morning.   That was the part that got her laughing.

“That’s so ADD!”

An astute, and timely observation.  I laughed along. It was a good moment; We bonded a bit, I think.

I told her about how I was not really sure about the effect of this round of medication. I am pretty sure it led to a crash on at least one occasion. I was in the supermarket on the day  after I’d taken it.  I hadn’t had a dose that day. I started to feel really over-caffeinated and jittery, and acutely aware of all the chaos around me…. which had never felt like chaos before. The supermarket is always a busy place but I don’t usually feel like I am at the centre of some storm. It was odd and unpleasant. I felt weak as well, and would have liked to sit down, but since there was no opportunity to do so, I just pushed on.

Honestly, I am not sure it was a crash or that it was at all connected to the meds, though I did notice a coming-down at other times on other meds.  This is one of the things I was afraid of.

The Doc told me that the meds certainly may have played a role in my odd experience at the grocery store, and that if I’d been taking them every day as prescribed, it might have not happened. She says I misunderstood about taking it as needed and that until I figure out what meds, if any, work for me, I should take them consistently for a few weeks.

I am always afraid that I’ll become dependent on medication. I am afraid I won’t be able to ‘get back’ to where I was before– back to my  brain baseline.  I am afraid that the medication will cause permanent changes– if not damage– to my brain. I’m afraid I will lose my ability to be creative. I am afraid I won’t see inspiration all around me.

She said I could take a medication break on Saturdays.

I dutifully took one dose the first Monday after my visit. I don’t know that it did anything.

Actually, I know it  did something because I was ravenous in the evening, which meant I hadn’t eaten enough in the day, which is not the worst side effect, in my case.

Let’s see how the rest of this stash goes.  If I really like them, I have four extras in my purse…