I have discovered that the more upfront and honest I am about what's up in life, the easier it tends to be to deal with it. I'm sorry if that means that there's a lot of junk I write about that you just really don't want to hear. Feel free to skip reading it. It just helps me work through it all.
Thanks to genetics, hormones, physical issues, etc, I am one of the more than 21 million Americans that deals with severe chemical depression and anxiety. I have been medicated in some form since it because a serious issue about 6 years ago. Currently I'm working with a doctor to try to improve my general health so over the next year or so I may be able to reduce my medications and handle things as much as possible in other ways.
Here's a little Depression 101: Any surgical procedure of any sort (even as little as a knee scope) can set off a round of depression. Chronic pain and/or illness can set off a round of depression. High levels of stress (emotional, physical, financial...) can set off a round of depression. Also an obvious key to keeping depression at bay: stay on all medications and only go off them gradually and under close supervision.
Now let's consider my last week... I had surgery which has resulted in severe pain for the last 10 days so far (okay, so technically that's more like a week and a half). Stress and chronic illness are also hallmarks of life for me. Oh, pain pills can add to depression also, and I discovered a time or two the absolute idiocy of trying to skip those early on. Immediately after having the tonsillectomy I experienced severe throat pain (not really a surprise ;)). Swallowing *anything* was severely painful. I was diligent in drinking ice water. It hurt to swallow but felt good going past. I managed to take my pain pills because I knew that while they hurt like ^*&$# to get down they were key to living through the next 4 hours. Swallowing an extra 4-8 pills per day, though....
Yes, I quit taking my pills. I knew I wouldn't be alone during that time and I didn't have the energy to do anything naughty anyway, so I went ahead and didn't take them. After about 4 days I started taking my reflux medication again because the pain in my stomach outweighed the pain of swallowing the pill. And I still skipped the other 3 pills. I promised myself that no matter what I would start taking them all again this last Friday -- 1 week after the surgery. It seems like starting back on the meds after being off for a week was as bad as being off them was! I was finally recovering a little energy and it all turned very grumpy. Then the "nightmares" started.
Nightmare is the wrong word. That insinuates that it happens while sleeping and that something actually *happens*. This was creepier. Saturday night I was lying in bed waiting for the pain pill to take the edge off enough that I could sleep. >sidetrack< Have you ever had that experience of seeing or feeling or hearing something that you're so sure is right there until you open you eyes and realize you must have been more asleep than you thought? That's kind of what was happening. I would shut my eyes and could see us both lying in bed and then things started to appear around us. Bottles of pills, sharp knives, rope, plastic bags... things that in and of themselves could be quite innocuous, but considering everything they were downright frightening. I pulled my eyes opened and could see that I was just in bed. Nothing weird. But the second I shut them again it kept happening. I didn't feel a great desire to *use* any of these things, but they were there. It was nearly petrifying.
I decided I needed to focus my mind on something positive, cause neutral territory was apparently no good. I was drowsily thinking through various pictures of me with my husband and with out little family. Beautiful, you'd think. Except pretty soon that changed too. I would "see" a picture, then a mask of gore would cover me in the image. As I startled I'd "flip" to another picture and the same thing happened. Seeing your own face covered in blood while smiling up from the midst of loved ones is quite uncomfortable.
By this point it was exceedingly late (or early, depending on your perspective). I woke Michael up and tried to tell him what happened, though it wasn't until the next morning I actually made sense. After he tried comforting me I sat straight up at the end of the bed and refused to shut my eyes again.
After giving me one of my anxiety pills (the kind I take rarely) Michael finally convinced me to get back in bed. As usual, once the pill knocked me out I slept so soundly I didn't remember any dreams. The next day I barely passed out of Michael's view. Feeling that subconcious onslaught was so utterly overwhelming. If I had it all to do again (NOOOOOOOOOOOOOooo!!!!!!!!!!!!!!!!!!!!!!) I would open up my cymbalta capsules and sprinkle it in my pudding before I'd skip it entirely again.
So my words to the less-than-wise are these: First: don't skip the medication. Second: if you have some compelling reason to skip it, keep company around. Third: just because you're back on your meds doesn't mean you're out of the woods yet! I had been back on for two days before this crazy muck happened.
I think I"m finally on the upswing of the recovery. It is a very SLOW upswing, but things are improving. I think at least most of the scabbing is gone now. I feel less like I'm choking and my saliva isn't so gummy. Gross I know, but it's all gross. It is still very uncomfortable to do much talking. Eating is still tricky and painful also. I'm hoping as the swelling continues to go down that food will quit getting stuck in the surgical site too. It would be so refreshingly unexpected to swallow and have food just go from mouth to esophagus without getting sidetracked! The referred ear pain is pretty well calmed down now too. I think I was at an advantage versus the ear pain. I've had so much severe ear pain and I knew it would come sooner or later, so it didn't catch me like some unexpected undertow. I was better able to stand it because I know every bit of how it feels and how bad it can get. It was bad enough, but not so bad as my infection in January. I'm still absolutely wiped out, but I think I see a light at the end of the tunnel and I'm not walking on railroad tracks this time ;)