Today I see my psychiatrist again. These appointments make me nervous because there is always worry that my meds might get changed and I might have a bad reaction to another one, like I did the Cymbalta. I also often wonder what to share with him. I want to be as honest and open as possible, so I get the best treatment, but I also sometimes have a tendency to overshare or over-explain things that might not be pertinent.
I figure the things that I should share with him most this visit are my “episodes” of rage and paranoia the past couple months, even though they only lasted a few days to a week each. I have actually had a couple “episodes” of feeling almost hopeful and optimistic recently, so that is good I think. It was really odd that during one of these times of having at least a few days in a row of feeling pretty good, I had one of the worst days I have had in a while, where I was so horribly depressed and so full of despair that I sat on the couch holding a bottle of pills and wishing I could take them all and maybe not have to wake up again, but of course, I know that wouldn’t be the right thing to do. Especially to my husband. Oddly enough, the very next day I was back to feeling fairly decent overall.
I also always wonder how much to address my physical problems with the psychiatrist. After all, he isn’t a doctor who treats those conditions, but those conditions greatly affect my depression and anxiety levels. When the physical pain is extremely bad for a few days in a row, that tends to bring on a kind of despair that is hard to cope with. It blackens my view of my entire future and makes me honestly feel sometimes that life isn’t worth living if you have to be in this kind of pain. I probably should take my Tramadol (opioid pain killers) more during those times, but I am afraid of becoming dependent on it if I take it too often.
Well, thank you for listening to me overthink things as I always do lol.
Not feeling very good today. A lot of it has to do with physical stuff. My back has been really messed up for a few days now. I’m not sure if it is the degenerative disc disease or the slipped disc causing the awful pain in my neck and back, but it is starting to take a toll on my mental health too. I find that even when you are doing fairly well mentally, that if you are in chronic pain, it is almost impossible to keep your mood high.
I did hear back from our health insurance that they approved my epidural shots for my slipped disc, but I have to pay hundreds up front for the deductible, so I’m not sure when I’ll be able to afford that. I’m also quite nervous about getting the shots anyhow. Having a needle stuck into my spine is scary.
Well, I found out yesterday that as well as having degenerative disc disease throughout my cervical and thoracic spine, I also have a bulging disc that is pressing on the nerves surrounding it and likely causing most of the excruciating upper back pain I have been experiencing for several years now. The doctor wants me to do traction therapy and then see pain management for injections and other pain modalities that might help. I’m pretty bummed about it.
On one hand, I am thankful they aren’t pushing for surgery yet, but on the other hand I know the doctor isn’t ruling it out and that kind of scares me. I know for some people traction works wonders, but for others it doesn’t. I hope it helps me. Anything that keeps me from having to be eventually sliced open is a good thing in my opinion. I figured I would share this information with an old drawing I did years ago entitled “Crick in the Neck” (pictured above). I figured it fit the subject matter well, and it was always one of my favorite drawings I’ve done. If the treatments do help the pain, it would be really good for my art and my writing, as both are hard to do when my back is acting up (since the pain shoots down into my arms as well).