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Ha ha @Bunniekins

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Hi @oceangirl 

 

{Longish post ~900 words}

I can understand both the difficulty in relaxing and the concern about morning appointments. The relaxation part is just something, I think, that we should not put too much effort into. Too much effort can increase the tension, so relaxing is really just something of which to be quietly aware. The morning appointments are where I sometimes surprise myself in actually getting up, fresh and in time to get ready, without a lot of fuss. As long as I don't trick myself by thinking I've got time to get something done that could have been left till later.

 

Fatigue is an issue that we have discussed previously. Though I am pleased that you say you are feeling somewhat more relaxed about the appointment. I believe that the preparation you are doing, with regard to your history, can relieve the tension also. That helps to reduce the chance of the fatigue and tiredness feelings building up.

 

The feelings of loyalty are, I believe, valid and, I may say, commendable. Sometimes, a change can be the jolt that we need to get past some blockages and plateaus that may occur from time to time. We can become, dare I say, complacent in our 'familiar comfort zone'. A nudge from a different direction accompanied by a new perspective can sometimes be rewarding, despite a little discomfort. It sounds as though you are conscious of that anyway.

 

You refer to "just anxiety and depression". I do believe that it is easy to think that anxiety and depression are somehow lower on the scale of concern or should somehow be minimised. I know from my own experience, that those two characters, anxiety and depression, are not to be considered trivial or minor. I am aware, while I am talking with you, that I am endeavouring to deal with issues in that area right now. So, this discussion is helping me too. Paraphrasing your comment, I think that you are quite correct in saying that

anxiety and depression have a very negative impact on our lives and quality of life.

Until we are able to address the root causes of the anxiety and depression, that negative impact on our quality of life is likely to continue. The desire to not do it alone and my perceived need for assistance is the reason for me having sought the assistance of a counsellor. So I can, very much, identify with the sentiments that you have expressed.

 

All of what I have discussed above is tangled up with those feelings of being judged, of being considered somehow less than we "should be", of being weak, etc. In saying these things, I am being very blunt. Those "three fingers are pointing back at me", in as much as I am aware of having those feelings also. They are a big barrier to us seeking the assistance that we may need or from which we may benefit. I had to get over those hurdles and recognise that it was ok for me to seek assistance from outside. I have been fortunate in having gained access to a counsellor with whom I have a good working relationship.

 

Opening ourselves, our lives and thoughts and feelings can be scary. But no-one else can live our lives for us. So we need to make the decision as to whether we are prepared to do what needs to be done to enable us to live the best life that we can. Sometimes, that means being prepared to unlock a few of the hidden recesses of our minds and allow others to know something of who we really are. If we are not prepared to do that, then we might not live the best life that may be available or possible for us to live.

 

We can protect our privacy, but from what? We might need to ask ourselves whether we are so prepared to protect our privacy that we can live a less than full and meaningful life. In order to protect our "privacy", whatever that means, we may also keep within us the very attributes, qualities and limitations that prevent us from living the best life that may be available to us. I think that sometimes we need to review exactly what our "privacy" is.

 

Sometimes, I think that our concern for privacy can become a barrier to our receiving the best possible support, without any real benefit accruing from our "protected privacy". I present these ideas for your consideration. Each of us has to make our own decisions about what is important to us, or that we think is important to us, even when it may or may not have any value to us.

 

The last paragraph may be a little challenging, but those are issues that I have also had to face and make decisions about. I think that it is useful to write down our concerns, because on paper we can untangle them more easily. In our mind we can tend to trip over loose ends and get tangled in the cobweb in our mind.

 

I hope that these ideas may help you, first in your progress toward your appointment and then in getting the most that you possibly can from the appointment and any subsequent discussions.

 

With My Very Best Wishes

@HenryX 

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@HenryX  How are you? Thank you for your message- you have given me a lot to think about. Small steps forward and learning better ways to manage my anxiety and depression. I am feeling quite fatigued tonight but will respond some more in the coming days. 

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@HenryX Sorry for taking so long to get back to you. I have had a busy few weeks. The appointment went well but not sure if he is the right fit for me. He was pleasant enough but I got the sense he was not that interested but I could be wrong. We had some type of alarm go off during our appointment. But we were able to pick up, where we left off.

 

Btw I was trying to quote your reply into the message but I couldn't see the link for me to do it. Do you now if we can still quote replies into our posts?

 

I have been back for a second appointment and I told him that I had been quite fatigued and especially in the group today. If I was at home I could have been able to sleep- that is how fatigued I was. It felt uncomfortable to be that fatigued and to be in group and it made me anxious. He questioned me saying that I was anxious because usually when you are sleepy that you are relaxed. I'm not sure how to take that or what to say to him. From that point I pulled back from him. 

 

He was going to send me a report from our fist appointment but I didn't receive it (before my next appointment) He printed it off while I was there. His plan for me - possible change my medication from SSRI to  SNRI or another SSRI. From starting medication, I have only been on one and I never wanted to get on the medication merry go round. Because I made that promise to me, I am not sure how I would feel changing my decision on medication. 

 

And I would prefer to get to the root of the problem instead of taking medication. Because medication is just  used to help with the symptoms. Some of the symptoms I have, the medication is not going to help. That is to do with cognitive problems etc.

 

I have to decide, on weather I stay with my old Dr, or stay with my new Dr. Ill make decision in the coming weeks and may give my old Dr a call and see if we can resolve our issues. The new Dr said I could return to my old Dr. 

 

Some things to think about

Another sleep study re 2017 previous sleep study

Who is going to look after me (specialist)

Medication options and Non medication options

Blood test

 

 

 

 

 

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Hi @oceangirl 

and other members following this thread

 

Thank you, @oceangirl , for your response to my earlier post.

 

You have said that it is possible that the person with whom you had the appointment may not suit you. I also hear that you might have felt that the alarm going off may seem to have been an avoidable and unnecessary intrusion. That may also have signified a lack of attention to your requirements in the interview.

 

In answer to your question:

"Do you know if we can still quote replies into our posts?"

Among the new graphics and functions at the top of the Reply box,

  • you can click on the three dots ... to expand the functions to two lines, which includes more functions than were available previously.
  • To quote a section of writing, left click on the inverted commas symbol " which brings the whole of the text from the message from which you are copying.
  • Then remove any of the inserted comment that you do not require, leaving what you wish to have quoted in your Reply.

..........      "      ..........

"

I find it to be quicker and easier to simply

  • select by highlighting the section in the text from which I wish to quote,
  • then Copy the selection (to clipboard) and
  • Paste the selected section of writing into my response, normally on a separate line, with added quotation marks {"inverted commas"}, as I have done above with your question.
  • I also normally colour quotes in blue, using the text colour function, in order to distinguish quotes from my own text in the Reply

Using this method, I can modify, by shortening or selecting specific items or points, in the text that I have selected, in what ever way I wish, to convey my meaning. I think that it also gives a tidier, cleaner presentation and finish to the text of the messages that I offer.

 

Fatigue and lethargy are, I believe, sometimes a sign of tiredness and consequent inability to respond to the environment. I consider that those feelings could also be a sign of withdrawal or rejection of the environment in which we are placed. The body's way of expressing a mental desire not to be in a particular situation. When either of these reactions is felt, attempting to pull ourselves up to the situation, in spite of possible feelings of anxiety and confusion, can actually exacerbate those feelings, rather than improve our responses. I think that there are times when it is worthwhile letting ourselves float, rather than trying to swim against the current. In this way we may accomplish more than we might otherwise do by struggling to be attentive.

 

With regard to medication, a change of medication within the same group of medications is unlikely to cause difficulties. A change will normally work better or not as well, but should not otherwise cause any difficulties. Unfortunately, with these medications, it is often a case of trialling until the best one is found.

 

There are types of AD medications that are not suitable for changing directly from one to another. For example, it is generally considered necessary to clear the body of Monoamine Oxidase Inhibitors MAOIs before changing to Selective Serotonin Reuptake Inhibitors SSRIs, and vice versa. However, such clearing is not always necessary when working with similar AD's within each group. For me, an initial trial with one medication was not successful, but another medication within the same group was effective. I continue to take the latter medication. Consequently, I would not be unduly concerned about changing medication, with appropriate cautions, when seeking an improvement in mood and stability. An improvement in response to medication may enhance the capacity to derive more benefit from other aspects of treatment and therapy.

 

As you have indicated, medication is best used in conjunction with other cognitive therapy. There are many studies which seem to have demonstrated that the combination of medication and other therapies such as CBT, DBT, etc., are far more effective in combination than separately or individually.

 

I very much agree with you that seeking and addressing the source or origin of psychological issues is imperative for improvement of behavioural mood and stability. Sometimes though, we can be our own worst enemy, by creating or having created, what we believe to be protective barriers around our source or origin of issues and also our developed responses to certain types of events and situations. These can result from the fear of facing the causal events of origin, or can be a way of protecting the methods and style of responses that we have grown accustomed to using and believe to have worked for our own defence and self protection. I have italicised the word belief because it can sometimes require a change of belief(s) that leads to changes and improvements in our selves and our lives.

 

With regard to your planned "things to think about", I would be interested in knowing whether the sleep study was to do with 'sleep apnoea' or another issue?

 

I enjoyed reading your message, @oceangirl . Thank you.

 

With Best Wishes

@HenryX

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@HenryX Thank you for your response but I am feeling quite depressed atm and fatigued. I will respond today sometime. 

 

You have great insight into the complex nature of MI. I will read back over your post- it was a very thoughtful response. 

 

My biggest concern is my anxiety and irritability. And that seems to impact my energy levels. Its something that I want to address. 

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@TAB @Bunniekins @MDT @Shaz51 

 

I'm having more symptoms of depression- anxiety and irritability. Its really tough to deal with. Not sure what to do. 

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Werent you seeing a GP ? @oceangirl that might be a good start

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i had a panic episode yesterday morning my friend @oceangirl
know how you feel atm my friend
jay2
Senior Contributor

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Sometimes psychiatrists can be a real pain. Say you are feeling a bit off and tell it like it is. Stray a bit and tell them you are straying ,until you feel at ease. jay2

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