I've hit another bump in a road that seems to be peppered with nothing but potholes and crumbly gravel.
I got out of the hospital last month after some suicidal ideation, and after nine days in, I felt better...and I was officially Off Lexapro, a med I never really liked in the first place, although I took it for five years, partially because I am afraid to make meds changes and partially because I am a masochist. Nine days in the hospital, and I was freed of this SSRI, and my doctor in the hospital was terrific, and I am glad that I listened to him and that we Made That Journey together. I liked him. I like him. I would have liked to work with him outside of the hospital, but that's not how it works.
"SSRIs are a bad idea for people who have bipolar disorder," hospital doctor told me. "There are exceptions, of course."
"Of course," I said, and I believed it, and him.
After several weeks home, I couldn't believe it. It seemed that fortune had finally smiled on me. I was Off Lexapro, and if there were any side effects from having done that, I couldn't see them.
"This is so weird," I told my husband. He just looked at me. Being married to a Bipolar Wife, he has learned to reserve judgment about pesky things like side effects.
And literally the very next day, the Pure O started. I was sleeping, and I awoke in the middle of the night with a very dry throat and what seemed to my sleepy mind to be a complete inability to swallow. I panicked. I was up for the next two hours freaking out. Exhaustion won out, but a nasty obsession was etched in my brain. The next night, as I settled down and was quite sleepy, I was alarmed to feel the same panic about swallowing as I lay there. I forced myself to swallow, even if I didn't need to, just to prove to myself that I could do it. If it was time for me to swallow naturally, my mind would announce to my entire body: Time To Swallow.
Time To Swallow.
Time To Swallow.
Time To Swallow.
I eventually slept, but I was distressed, and I am distressed. Especially since I've added another obsession when I go to bed: I ruminate about my breath. Breathe In, Breathe Out.
This will not do. I had an online meeting with my regular psychiatrist (I am starting to wonder if he is ever going to go back to face-to-face) and I told him about my troubles. I didn't sugarcoat it the way that I tend to do. I told him that this OCD nonsense needs to stop.
He agreed, and promptly put me on Zoloft. You know, Zoloft, an SSRI? "There are exceptions, of course," he said. "Your brain is trying to tell you something with these obsessions, and I think medication will help."
So I am back on an SSRI; as usual, the exception, not the rule. Four days in, and I feel okay. Panicky a bit, a dodgy appetite and some diarrhea. Chagrined. I am very chagrined about being An Exception, Of Course.