Anxiety and Missing Medication Doses. A Missed Effexor Dose.

I woke up from my husband’s alarm this morning. It’s Saturday, and what most people would consider a day to sleep in. But for us almost every week for a different reason, for the past 9 years- there is some reason to get up.

6am today.

The beeping jarred me awake from a very vivid dream that I try to hold onto for a moment or two- trying to make sense of what it meant.

At some point just moments later, I realize that I feel EXHAUSTED. I mean exhausted, in case the uppercase didn’t relay this feeling well enough. Next I notice an almost unbearable throbbing of my head. My nose is stuffed. My mind is racing for no good reason. So badly that my heart and breath (with stuffiness) matches the anxiety.

But there is a reason for anxiety. We are moving and had just spent a week in the new house meeting with contractors, getting quotes, installing ductless air… working for work… working around the house… managing upcoming renters and our mostly adult children. A week of some big changes too. Devin, the youngest of our brood of 4 passed his road test on Thursday. Days of carting kids are just suddenly over.

I went through this week like any other. Feeling like I’m going through the motions to get to the next step. Feeling like I’m barely hanging on and can hardly make it another day at this pace. Telling myself and my husband that we cannot keep going on like this. That the work we are doing has to be for some great reason so in the near future we can finally rest.

Massive changes taking place around me hardly phase me. If I went back to every week in the past 9 years- nearly every one of them would show at least one or two mega great changes and things to celebrate or mourn. It’s constant. This week was really like no other. So why am I anxious today? It’s no secret I struggle with anxiety disorder and PTSD. But it’s felt very under control for about a year now with a few relapses. Why now?

I think back to yesterday when at some point around 2 or 3pm in the afternoon I felt unbelievably restless. Then it turned to feeling trapped. Next I’m frantically texting my husband about how I feel. This alone is an old familiar feeling. I hadn’t done this in about a year either. I’ve had relapses of panic and/or PTSD episodes, but this one is different. It feels a little more uncontrolled.

We’ve had workers in our house since Tuesday around the work day clock. They were supposed to be done Wednesday. Then they said Thursday. Thursday when I arrived home at noon they were still there. 7:30pm and wanting to eat dinner with no where quiet to sit… they are still there. Thursday evening they say they will need to come back for a half day Friday (yesterday). I am ready to go back to our home on Cheshire. We have renters coming today (Saturday) and I haven’t been home in a week. We are also going to Long Island. I’m starting to feel overwhelmed again. Like I have no time for myself. There is so much to do. I’m sick of eating take out, I want to cook but need to shop first. The house in Cheshire is on the market and I can’t even think about what it might look like after my quite messy 22 year old came home for the month of Aug. I can’t bear to look at my broken fingernails with dirt underneath due to the copious amounts of yard work- and there is more to do in Cheshire. My body is sore from what feels like non stop physical labor from cleaning, fixing, working. I have bruises, bug bites and cuts everywhere. I need to unpack my clothes and loads of food in Cheshire only to pack an overnight bag… then unpack again Sunday.

As the hours tick by and the workers are still there- relaying they are ‘almost done’ every 1-2 hours. I become increasingly more agitated. At 4pm they announce they are in fact done and start to clean up.

I drive home in commuter traffic with a car packed to the gills with air conditioners, food, photo albums, clean and dirty clothes, frozen items defrosting rapidly in the nearly 90 degree heat, amongst a myriad of other things. My car is constantly packed with stuff to cart from house to house or to drop off here or there. My anxiety starts to go over the roof.

Somewhere on Route 10 about 20 minutes away from home while moving at a snails pace I start to cry. Really really cry. And it feels good. It’s a release of all the toxicity I feel has been building up that I just pushed away and dealt with.

Long story short I get home and feel fine, but the night is filled with mixed emotions ranging from sadness to anger to despair to PTSD related thoughts. I’m crying, then laughing.

What is wrong with me?

IS there anything wrong with me?

Wouldn’t most others hit a limit of feeling like it’s too much as well?

To add other weird fuel, I have 4 known trigger dates that I’ve identified in my PTSD treatment. Trigger dates are times to rest and realize your body recognizes similarities in the atmosphere (light falling certain ways, temperatures, smells, etc). One should rest because our lower brain only feels these things without rational thought and goes into fight or flight mode in an attempt to protect itself. If we don’t consciously pick up on this with the higher brain, the lower brain shuts the higher one down at a certain point to divert all energy to fight or flight. This used to happen to me a lot. With and without dates, brought on by other known triggers. The only thing is you don’t know when those other triggers will strike. At least with dates there is an ability to prepare and take it easy.

Three out of four of my most prominent annual trigger dates take place on & around July 9th through on & around August 9th.

I’m not taking it easy or treating this time of year with any special care. In fact I’m feeling busier than usual and barreling ahead like someone is chasing me.

As I move around in bed my body hurts in every single which way. Mind, belly, headache, muscle pain, sinuses, heart, third eye.

I mentally go through the morning and imagine going downstairs for coffee and to take my daily dose of Effexor. That is when I horrifically realize that I never did take my medicine yesterday morning. Pieces of the puzzle start to fall into place. My emotional breakdown and complete instability last night. The way I feel today. The feeling of being trapped yesterday. It makes sense.

More often than not if I forget my pills by 10am I have a dizzying headache and feel crazy nausea. I take them as soon as I remember and I’m fine within a few hours. No head ache yesterday. No head ache = no physical reminder something was amiss. Only hours later when my old mood symptoms returned did anything feel off.

So is it the chicken or the egg??? Anxiety from missed dose or missed dose due to anxiety.

Both??

Twice this week when going into work I forgot my pills. One day my husband delivered them and the next I had some in my car. Perhaps I’m anxious, my thoughts are jumbled and I can’t remember?

Is this anxiety or is what we are going through something that would make anyone anxious? 9 years of non stop activity and life momentous life changes taking place back to back (divorce, kids driving & going through all firsts of puberty, graduations, college starts, new jobs, house moves, new schools)

Is it my trigger dates?

Do societal expectations to do it all, hurry faster, give and experience as much as you can cause anxiety? Would my PTSD kick in less if I weren’t so busy and experienced the same levels of increasing anxiety that society in general seems to feel? I know I’m not the only one. Stress and anxiety seem to be a quiet epidemic virally rolling through our nation like a barely detectable tsunami before it strikes.

Does it matter to me where it’s coming from?

This morning I cried some more. I cried because even though I know how sick I get when I miss a dose, I didn’t realize how much the Effexor was keeping the anxiety at bay. Like I said I’ve had relapses. But yesterday’s was something different all together. It was like I never started a single pill and I was right back to where I was before I began dealing with this issue. It feels like a complete and absolute loss of thought and emotional control. The lower brain did take over. It sensed some kind of danger and shut the rest down. It’s terrifying. But I do have to admit the crying jags feel really good! They actually hurt physically in my heart, throat and head- but it is like there is a release of pressure in those areas and it is coming out. Am I not allowing emotion to pass through by taking pills?

The struggle is real. The pills really work. The issues are complex and are both personal and societal.

There is no point to this blog other than to just wonder, chicken or egg? To share with others how missing a dose feels because an hour ago I wanted very badly to read someone else’s experience. To see how long it was before they felt better once they took their dose. To see if anyone else wonders if their life experiences would affect anyone or if there is something truly wrong with the wiring in their brain. 9 years of running around and with delayed onset PTSD creeping in slowly through that time. Would an occasional breakdown be expected?

I used to be so afraid of the thought of having a mental illness. So afraid I didn’t even want to find out. It’s stigmatized.

Once I couldn’t take it any longer and started meds, I was afraid of anyone I know finding out.

Now I just want to shout from the rooftops that it is ok, you will be ok. We all struggle. As soon as we stop pretending we are struggling & that all is hunky dory- it miraculously becomes easier.

Why is that? Because we let the emotions pass rather than holding them down & hiding them? Does the medication prevent real healing then? Or is it a bandaid?

I don’t know. All I do know is that I’m starting to feel a little better about 2.5 hours after my dose this morning. I haven’t left the couch yet so I can’t speak to the level of feeling better other than I’m not suffering through stillness any longer.

Writing about it and seeing my fleeting thoughts in front of me helps.

If it helps anyone else too either now or in the future, then all the more beautiful.

Esterina

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