Today I woke up knowing I would be spending the day alone and running through the things I could do with my time. Picking up the book that I started probably over a month ago, that I only got a few chapters into was certainly on my list along with some minor chores I had been putting off. I needed something to take up my time. Writing my health update was on my possible to do list and I have been putting it off so long, this is where I have chosen to start today.
The last time I gave any major updates I believe I was struggling to figure out if I liked my new therapist, trying new medications for depression, awaiting scheduled appointments with a psychiatrist, and had stopped the only medication I was trying for my fibromyalgia. So much has been happening.
I made the official decision that my new therapist was not a good fit. We had maybe six appointments, and the fifth one was a tipping point for me. During the fifth appointment it became apparent that we had literally had almost the exact same therapy session five times in a row because she made me repeat everything. She was also very stuck on trying to change things that I am actually happy with and couldn’t move past the surface problems in my life that I know in the moment aren’t fixable. I didn’t need a life planner, I needed a therapist. I went to the final appointment with her because I was on new medication and my husband and I thought it was best that I had an active therapist while trying out a new psychiatric medication. As soon as I had a scheduled appointment with another therapist, I called her to cancel all of my future appointments.
I was between impressed and apprehensive about my new therapist. She was very thorough with me when talking about taking me on as a patient, she also was able to communicate through e-mail with me after my initial phone call so that I didn’t have to trigger my phone anxiety. I was apprehensive because she seemed apprehensive about me switching therapists, making sure I’d discussed my issues with the person I was currently seeing and such. But it has actually worked out quite well. I also had anxiety because she was listed as being in my town but she had given up that office location and was working mostly from her home office in the next town over. Going to a strangers home is definitely a high anxiety situation for me. Also, who is this lady that she is comfortable having mentally ill people over to her home? But as soon as I walked through her yard and sat in her office I was grateful. Her yard is beautiful and her office is comforting, she offers tea or hot chocolate, lights a candle, has a heated blanket on the couch. She had me comfortable enough by my second appointment that I actually got teary, that is rare around strangers. I believe I’ve shed tears at every appointment since. We quickly decided since I wanted more intensive work and had a rather traumatic childhood that we should try EMDR. EMDR is eye movement desensitization and reprocessing, it is a way of reprocessing traumatic memories so that you can deal with them in a healthier way. This is a process I read about years ago and was interested to try but had completely forgotten about until she brought it up. I knew it would be hard, but I got back into therapy to tackle the hard things so I jumped right on this opportunity. It was a risky thing to do for me with as new as our relationship is and how hard it is for me to feel safe and trust someone new. However, for some reason I feel safe with my new therapist. There is a lot of work to lead up to the meat of the EMDR and we spent the next few appointments covering all of it. Our last appointment two days ago we had our first actual EMDR session. It was difficult, it was a little weird for me, I feel like it would be really easy to laugh at this work and not take it seriously. We did some “inner child work” where I talked to myself as a child, it was hard to take this seriously for a split second, but I just reminded myself that I am in this to really give it a go and give myself a chance so I did. I really feel what we are doing in the EMDR, I have a feeling it’s just what I have needed. I am grateful for this opportunity. I can feel it changing me already, even just the prep work has been wonderful for me. I highly recommend looking into it for anyone working through trauma and dealing with anxiety who have only had limited success with other therapy methods or medications. During the prep work it came up that this type of processing is normally what our brains do for us during REM sleep, however it is my understanding that it is difficult for fibromyalgia sufferers to reach REM sleep so perhaps EMDR will be the only way I can properly process any difficult life events.
At this point in writing my wrist and back are already killing me. Break time, lol.
And I return, out of boredom rather than recovery, whoo!
So, I shared in one of my previous posts that I had gone to see new primary care provider and liked her a lot. She started me on Prozac but after about a week I began having chest pains and I was taken off. I was given Paxil instead to take when the side effects from the Prozac wore off. It took maybe two weeks before the chest pains seemed to return to normal and I finally began the Paxil. I have been on it a little over four weeks now. I did have some chest pains at first on the Paxil; however, they were no worse than the usual pains I experience because of my fibro just slightly more frequent. I didn’t bother to mention them to my doctor. They have gone away. The other side effects I’m having to cope with are a slight loss of appetite with a slight increase in nausea, extreme daytime sleepiness, sweating of my hands and feet when I wake in the morning, and finally a physical sensation very similar to ecstasy for me when I first awake or when I am extremely tired. All of these side effects have reduced to almost nothing, they are 80 to 90 percent gone depending on the side effect. As for it’s positive effects, I feel as if it is working. Not as well as the Prozac seemed to be working the last day or two I was on it but perhaps that was actually the beginnings of serotonin syndrome, and not the medication working, considering the side effects I was experiencing and how rapidly I reached what I would call almost a euphoric state. On the Paxil I just seem to have more control over my negative thoughts, it does something when I challenge them. I can be the voice of positivity in a bad situation, this has never been my role before. And I have been doing much better in social situations that would normally be very overwhelming and anxiety causing for me. So, yay! Oh, I may also be having some sexual side effects, I seem to be a little aroused almost constantly now, which isn’t so bad for me, I typically have a high sex drive so this isn’t too disturbing or unnatural for a healthier me; However, when I think about something sexual actually happening it sounds kind of uncomfortable, I have pushed passed this and tried anyway. Sex seems to feel okay, but oral stimulation and masturbation seem a little weird like I’m not connected to that part of my body and it is pretty difficult to orgasm. Still, as my side effects seem to be lessening and the medication seems to be working to some extent, I believe it is worth sticking out. I think even if this is where the medication plateaued I could accept the side effects as they are to be able to enjoy the benefits.
I had an appointment scheduled for May 12th with a psychiatrist. I wanted to make sure I had help getting back on to the right medication for me. As usual with new psychiatry appointments it was a long wait. I think about two months, and I know for others it can be much longer. When I arrived at my appointment, about a week and a half into my new medication, I couldn’t figure out how to get into the office. That is because it was closed. The doctor they had scheduled me with had apparently left their practice and they took down the wrong phone number so couldn’t call to reschedule with me. I was lucky enough to be standing outside the office door when the receptionist was leaving. She explained what happened and scheduled me a new appointment. Now I have to wait until some time in July, another month and a half to two months onto my wait. At least by this time I should be fully settled into my low does of Paxil and we can decided whether I want a higher does, to switch, stay the same, or add in other medications. But still this was a very frustrating experience.
During my appointment with my new PCP to discuss medications she suggested I return in a few weeks for a regular physical, I hadn’t had one in a long time if ever. My physical was very thorough and I still really feel I have found a good new PCP. She sent me for lab work since it had been so long and I am not the picture of health. Everything came up fine except my vitamin D is low. She recommended taking a 1000IU supplement daily but I already take a 2000IU vitamin D supplement daily so she told me to double up for a week and we would check again in a few months. She referred me to a new rhuemetologist to treat my fibro. I made an appointment with him. Less then a week before the appointment I had waited weeks for, I got a call saying there was an insurance issue. Confusing stuff but essentially they accepted my insurance but not if I was on the network I was on but if I changed to their network I couldn’t keep seeing the PCP I like. Appointment canceled. I asked my PCP for a new referral that was in network. She got back to me quickly. I’ll have to have my husband drive me like 30 minutes away but the new rheumetologists office seemed like they were on their shit and had an appointment only about two weeks out. During my physical my PCP also suggested I schedule a follow up appointment for after my specialists appointments, just to check in. Yes, you read that correctly. She actually wants to just check in with me after I see my specialists. With all the health problems I deal with I have always wanted (and expected) my regular doctor to be kind of my health coordinator. I have never gotten that, until now. I am so excited for that. I can’t tell you how excited I am for that.
Over all I guess you could say I am on the right track here. It’s been slow going but I am getting it together. I really hope the new rheumetologist can help with my fibro pain. My new anti-depressant has given me some more energy and a lot more drive to do things but my body cannot keep up. I am too weak and end up in too much pain trying to keep up with myself but I have been getting so damn antsy in my bed with all of these wants in my head!
I hope everyone else keeps(or starts) making progress! Best of luck to you all. We all deserve a little relief and a little hope.