Antidepressants


I’ve been thinking a lot about “letting go” in the context of loss. Specifically, the loss of my father and both brothers; all the male members of my family, within eleven months. The deaths happened in such quick succession. My oldest brother died suddenly last April. I brushed it off. I knew it was coming. Some day. I’d been waiting most of my life for that one.

My father died in October, six months after his oldest son. I had a little more time to prepare for his death. I spent five nights with him, just the two of us, in hospice. But even so, when my remaining brother died suddenly a month ago, on March 25, I was still trying to grieve the loss of my father. Only five months had passed. And I hadn’t even begun grieving the loss of my oldest brother last April. That death was complicated.

imageWhen I think about grieving, about letting go, I feel my heels planting more firmly into the dirt, my body leaning back against the rope I’m gripping. But it’s beginning to slip, sliding through my hands, in my own private tug of war.

I don’t want to let go. I don’t have time to feel the losses. To feel their impact. How can I let go of that rope?

Why am I not grieving? Why do I fear feeling it? Am I afraid it will take me through to “the other side”? To a place where I’m “done” with the loss? To a place where it doesn’t matter any more? To a place where they don’t matter any more? Back to my meaningless “before” life?

And so I lean back harder against the rope and hold on tight, even though my hands are torn and bloody.

I went from one death to the next to the next, with no time to grieve. My focus has been to push it away. Get back to work. Back to billing hours. Back to being productive. Back to fitting in at the mega-firm we merged with two years ago. Back to attempting to fit in at that firm even though I don’t share their ambitions and goals, let alone their pedigrees. I didn’t feel their level of ambition before the losses. I feel it even less, now. It all seems so trivial. Moving money from one deep pocket to another.

I need to let go of the rope. To be left alone to grieve. To let go of the rope and just fall apart. Why are we not given time in this culture to grieve? When did that stop? Why can’t I wear black for a year and have people leave me the fuck alone?

Since my brother died, I’ve had very few weekends to myself. Two were spent with family. Last weekend was spent out of town with my firm. And today I have to travel to a client event in a town about an hour and a half away. It’s a fundraiser for a good cause, and it’s being held by my favorite client. But I’m so tired. I just want to be alone. I want to write. Pet the cats. Sleep.

Nothing matters much right now. All the things people worry about at the office seem ridiculous. I want to slap them and tell them to stop fretting over stupid, tiny, small things. But nice things don’t seem to matter either. My jasmine is in full bloom. It smells lovely. And I don’t feel like sitting outside enjoying it and watching the birds. I want to be inside, in my bed, with a cat on my lap.

Last weekend, when I returned from Chicago, I got sick. Just a little cold. Maybe allergies. I wished I was sicker. Even so, I worked from home for a couple of days. In my bed. Papers strewn about, a cat in my lap (Sally), the drapes closed against the world. Just me, in my space, eliminating as many of the things that irritate me as possible. Next week, I may do the same. The boss will be traveling, so it won’t matter whether I work from home or not. He won’t need to walk down to my office every ten minutes to interrupt me with some idiotic, inconsequential tidbit. I like the man. But he’s annoying the crap out of me these days.

I know the irritation is part of the grieving process. But I want to drop the rope and move on to the harder pieces. I want to fall apart. I sometimes fantasize about being locked up in a loony bin for a month or two so I can just be alone and fall apart without all the meaningless bullshit distractions.

I’ve fallen apart exactly once since Steve died on March 25. Last weekend in my hotel room in Chicago. After the after-dinner drinks, of which I had too many, I crawled into the hotel bed. Maybe it was the unfamiliar surroundings. Maybe it was the lack of kitty sleeping companions. Maybe it was too much wine. But the next thing I knew, the dam broke. I sobbed into my pillow for over an hour. I was in such deep despair, I couldn’t prise myself off the bed for a tissue. But I was in a hotel, so I didn’t much care about the snot-covered pillow case. I just kept crying. Ugly crying. Body-wracking-sobs crying. I don’t recall ever crying so hard for so long. I was weak and hollowed out when it subsided.

That’s the kind of grief I want to feel. Over and over again. I know it’s there lurking, beneath the irritation. If only I could drop the rope again and fall flat on my ass in the mud. I don’t know how. I don’t know how I did it last weekend. It just happened. I think I just need to be alone. I need to stop with the tv-watching with my neighbor every night, which generally has included wine and a nice dinner. She’s my distraction. She’s been my distraction since the night I got the news Steve was dying. I haven’t spent a single night after work or on the weekend alone. Not one. Before Steve died, I was alone most nights. My neighbor was in Hong Kong and I spent my evenings in solitude. She is my defense against the grief. She’s supposed to leave this week, but is still waiting for word from her husband. I want her to go.

But I fear being alone with my grief. What if I fall into a pit of despair and am unable to climb out? What if the depression returns? I am depressed. Death does that to a person. But what if the regular non-situational depression returns? What if I can’t keep myself from being sucked under by the quicksand?

Depression is a part of grief. I know that. But what makes that depression different from clinical depression? Why is depression caused by death okay, but depression caused by life is not? How would I feel off the pharmaceuticals? Would I find grieving easier? Would I grieve too much? How can you grieve too much?

Maybe that’s why I’m having trouble grieving. Maybe I need to get off these meds.

Another rambling post. Forgive me.

My mother hasn’t spoken to me for nearly two weeks due to my attempt at setting boundaries with her and suggesting she attend Al-Anon meetings. Having spent the past 58 years with an alcoholic husband (who died nearly four months ago) as well as two alcoholic sons (one died ten months ago; the other entered rehab just over a month ago), it seemed like a good idea. I thought it might help her learn to focus on herself, now that she has no one left to take care of. Apparently she disagrees.

My therapist has given me lots of ideas and suggestions about dealing with my mother. She’s impressing upon me that it’s okay to set boundaries. In fact, rather than being selfish, it’s healthy. Here’s a simple diagram she gave me the last time we met:

Looks fairly simple. Unless "Other" is "Mother."

My mother refuses to go to Al-Anon. There’s nothing I can do about that. So it’s time I stop focusing on her, and redirect my efforts to my self. As the book says: Codependent No More.

I want to get off the antidepressants, which I’ve been on a little over a year now. I don’t have anything against pharmaceutical assistance. In fact, they’ve helped tremendously. I was able to work through the effects of being in an abusive relationship and get out from under the black cloud (mostly) before my brother died. I was able to resist the quicksand after his death and work on my recovery through October, when my father died. I was able to be present with my father in hospice. I didn’t numb myself with food or alcohol (unlike the rest of my family). I’m grieving, but I have managed to keep the depression at bay. But if I can keep the depression at bay without the drugs, I’m all for it.

Dr. McEnroe (my psychiatrist) says he’d like me to have one good, relatively unstressful, uneventful year under my belt before I taper off the drugs. What do I need to do to accomplish this? Nobody dying would be great. But I cannot control that. What can I control? Self care.

What does self care mean to me?

  • Moving my body in ways that nurture myself, rather than punishing my body for having more flesh than I’d like. Walking, throwing in jogging when it feels good. Running gave me plantar fasciitis, which took nearly a year to resolve fully. So now I am mindful when I lace up my shoes and head out the door. I’m moving toward replacing lifting weights with Pilates. Muscles are good, but more is not always better. And the way I lift feels a lot like punishment to me. No Ashtanga yoga. I’ve seen too many injuries, including my shoulder.
  • Nature. Hiking in the woods. Walking down by the river. Outdoorsy vacations. I’m thinking the Great Bear Rainforest, this year.
  • Regular massage.
  • Plenty of sleep.
  • Cuddling and playing with my cats.
  • Seeing my therapist regularly.
  • Eating healthfully.
  • Writing.
  • Reading your blogs.
  • Avoiding emotional eating. And drinking. Being mindful with both. Using healthier ways of coping.

The last bullet point is the most difficult for me. In fact, all the previous bullet points support the last.

I’m guessing many of you have similar challenges. What helps you cope? I’d love to hear what’s on your list.

I was thinking about grief the other day. Thinking my grief over my brother’s and father’s deaths last year didn’t last long. The crying wasn’t overwhelmingly intense. Or at least it wasn’t more than a handful of times. I wondered what’s wrong with me. Why aren’t I more broken by the events of last year? Am I cold? Heartless? Unfeeling? Are the antidepressants numbing normal emotion?

And then I read a blog post tonight: Daddy’s Little Girl, and I posted a response. As I wrote, the deep, gaping cavity in my chest that I’d been clenching closed these past months broke open, the grief spilling out. Maybe I’ve been too consumed by my mother’s neediness to have enough stillness to access my grief. (She hasn’t called since she hung up on me a week ago.) Here are the words I wrote that broke through:

When I was growing up, I hated him more than I loved him. When I hit my 30s and 40s, the hate faded bit by bit (as did the abuse) and the love grew. When he was dying in hospice in October and it was just the two of us alone every night, all I felt was love.

Speaking of love, Sophie the stray cat had disappeared for an entire week. I kept telling myself she was fine; she’d found her way home. Last night when I pulled into the driveway after work, she was out front waiting for me. I couldn’t believe it. No more skulking in the shadows, luring her out with a trail of Greenies. There she was, waiting. I thought perhaps it was because she’d gone hungry over the week she’d disappeared. But tonight was even one better. When I got home, she wasn’t waiting. But when I went outside and called her, she appeared! We then made our way through the steps she has established for us over the past six weeks:

  1. Eat tuna that I spoon onto the saucer for her from the can, bite by bite.
  2. Stretch (downward facing cat, and then each leg straight out behind her, one at a time).
  3. Bathe, taking meticulous care each whisker is back in place.
  4. Meow once or twice as she walks back over to me. (She has a very high-pitched squeaky meow, much like her sibling to be, Sally.)
  5. A minimum of five minutes of intense petting, paying particular attention to her head, cheeks, and under her chin, while all the while she purrs quite audibly.

Sophie appears to be well on her way to becoming an inside cat. Will it take another six weeks? Stay tuned.

I went to see Dr. McEnroe yesterday. It’s been thirteen months since he put me on antidepressants. Placebo or not, they’ve done wonders. Thirteen months ago I was over 40 pounds heavier than I am now. I showed up at his office hiding myself in baggy black clothes and cried during the entire meeting. I felt like I needed a forklift to get out of bed in the morning. Although always an introvert, I’d become even more reclusive. I didn’t go to a single holiday party. I went months without a pedicure.

No, this isn't really my foot. But without antidepressants, it could have been.

No, this isn’t really my foot. But without antidepressants, it could have been.

I was extremely overdue for a teeth cleaning. I didn’t cook any more. I didn’t have the energy. (Lack of movement and takeout probably were largely responsible for my weight gain.) In fact, I didn’t have the energy to do much of anything. Except turn the channel with the remote. When I was not at the office, I’d be either on the sofa or in bed. I went to bed as early as 8 p.m. because I had no interest in doing anything else. I’d sleep 10 or 12 hours a day. And still I was exhausted.

In the midst of my fog, it occurred to me the black dog was back.

After trying a few different combinations (one that made my hair fall out), we settled on 300 mg Wellbutrin in the morning, along with 15 mg of Deplin. (Deplin is a medical food. A super duper form of folate that has been shown to boost the efficacy of antidepressants.) I was taking 30 mg of Deplin in the morning, but Dr. McEnroe has suggested I take one in the afternoon, so now I’ve spread them out. Along with dinner, I take 40 mg of Viibryd. So that’s it:

Morning: 300 mg Wellbutrin, 15 mg Deplin
Noon: 15 mg Deplin
Dinner: 40 mg Viibryd

Initially, there were side effects. Eventually, they all dissipated. Except muscle twitching (myoclonic jerks) when extremely relaxed. (No, these are not ex-boyfriends. Go here if you’re curious about my jerks.)

I mustn’t forget the weekly (or bi-monthly, depending upon how things were going) visits with Annie, my therapist. Outdoor exercise (Vitamin D) also is part of the equation, along with good nutrition and less wine. And of course cat therapy.

On this regimen, I’ve made it through two deaths in my family within six months (brother and father), the holidays in the wake of those losses, cancer (and recovery) of my remaining brother, followed by an intervention in hopes of helping him to stop killing himself with alcohol. (He’s in rehab now, and doing great. :) ) Oh, and I was thrown together with my sister and her husband (who molested their daughter) due to the deaths of my brother and father, and so had to manage my feelings about all that (a post I’ve been avoiding).

Through it all, I’ve stayed out of the quicksand.image

I asked Dr. McEnroe last week whether I’d be on them indefinitely. After all, it’s been over a year. He said he’d like me to have one good year under my belt before tapering off. A year without crises or uber-stressful life events. A year where I could focus largely on me and taking very good care of myself. My goal is to make 2013 that year. With any luck, no one will die.

So the bottom line is, don’t listen to Newsweek.

Ignore this.

Ignore this.

For some, including me, antidepressants do indeed work.

***Because antidepressant-related searches are at the top of the list for traffic to my blog, I’ll continue to provide updates on my progress. Feel free to email me: unconfirmedbachelorette@austin.rr.com.

The most frequent searches leading people to my blog involve pedophiles and depression medication. It amazes me how many people out there are married to, or know, a pedophile. But I will save that post for another day. Today, it’s about the medication.

Wellbutrin and Deplin

I have been on Wellubtrin 300 mg and Deplin 15 mg since late December. The only side effect I’ve noticed from that combo is constipation. I’ve been on Wellbutrin before, and did  not suffer from constipation. This time, it’s different. First, I tried switching from generic to brand. No improvement. Then I did a web search. My new theory is that because the Deplin is helping the Wellbutrin work better, it’s also making me constipated. The only way I’ve been able to get relief is to do a daily dose of Miralax. Since I’m feeling better on the Wellbutrin, I’ll live with it. For now.

Abilify (Nasty Shit)

Next up: Abilify. That stuff is awful. At least it was for me. When I’d exercise, I’d get overheated way too easily. I’d get a half mile from home and have to stand in the shade for five minutes before I could go on. And that was back when it was only in the 80s. The last thing I need is something making it difficult to exercise. So I knew it had to go. But even worse, it made my hair fall out. It was falling out by the handful. I avoided washing my hair because I couldn’t stand to see all the hair in my hands and the tub. My hairline receded around my temples. It totally freaked me out.

I was doing the comb-over so I didn’t have to see it. Ponytails were out. Yes, that crap had to go. I stopped it cold turkey without telling my doctor. Actually, I called to tell him on a Friday, and was too flipped out to wait for the return call on Monday. So I went cold turkey over the weekend. I was on a fairly low dose, so I figured I’d risk it. It was fine. (Disclaimer: I’m not advocating this for everyone. Don’t stop your meds without discussing it with your doctor!) Now that I’ve been off of it for a while, my hair has stopped falling out and there’s new growth filling in around my temples. So, it appears totally reversible. Hallelujah.

Viibryd

Next, he put me on Viibryd. http://wp.me/p1jL9y-gF We started slowly, and he eased me up to 30 mg. I was fine right there, but apparently the recommended dose is 40 mg, so he stepped me up again. That’s when the shit hit the fan. Every time I was even slightly exerted, I was dripping in sweat. Like I’d run a 10k in a sauna. My personal trainer thought I was going to keel over in the middle of a workout. The woman was seriously worried. In addition, whenever I exercised, be it yoga, strength training, or walking, I’d feel like I was going to vomit for hours afterward. So, I called the doctor. He told me the side effects likely would go away if I’d stick with it. I told him I wasn’t willing to do that, and he switched me back to 30 mg.

All was good in the world again. Until one night last week when I forgot to take my evening dose of Viibryd. That was a night of some seriously messed up dreams. All night long. In one of the more memorable dreams, which seemed to go on for hours, Mack had gone batshit crazy and had decided he was going to kill me. He was stalking me with a gun. I was hiding behind people who didn’t much appreciate that. I knew he would only shoot me and no one else, so they were safe. But they were having none of it, and so I kept finding myself without cover. And there was Mack with his big gun, laughing maniacally and taking aim. Eventually the snipers were called in, intent on shooting him before he shot me. For some reason, they couldn’t get the shot. Mack eventually escaped. With my help. How fucked up is that? I helped my killer evade the police. Now that’s some serious enabling.

I’m pretty sure this dream was prompted by these faces all over the news of late:

Yeah, I won’t be forgetting to take the Viibryd again any time soon.

Today’s post is about natural antidepressants. Here’s on of my favorites:

Cat Digging My Shoes

I think psychiatrists should hand out kittens, along with the drugs. (While this is not my cat, those are my shoes.)

Next is nature therapy. I took these shots at a park not ten minutes from where I live. When you can walk, trail run, or ride your bike here, who needs a gym? I’m a firm believer that outdoor exercise is way better for mental health than slogging away on a treadmill. You get your vitamin D, a little nature (yesterday I saw a gorgeous deer), and lots of fresh air. The last shot is of my favorite tree in the park.

But don’t take my word for it. Here’s a link to a scientific study showing that outdoor exercise is better for you than indoor exercise. http://www.sciencedaily.com/releases/2011/02/110204130607.htm

Also, these two types of therapy don’t make your hair fall out. No more Abilify for me! (But I am still on the Wellbutrin and Viibryd. For now.)

I saw Dr. McEnroe on Monday and told him I stopped taking the Abilify ten days ago. Since stopping it, I’ve felt a little anxious, but thought maybe it was just a side effect from getting off the drug. Apparently my acceptable level of anxiety and his acceptable level of anxiety differ. So he gave me samples of a brand new drug called Viibryd. Who comes up with these names? This one sounds like a cross between vibrator and vibrant. So of course I accepted the samples. I did, however, think long and hard Monday night about whether to actually take them. By Tuesday night, I figured, what the hell. So now I take 300 mg of Wellbutrin and 15 mg of Deplin in the morning, and 10 mg of Viibryd at night. After a week, I  move up to 20 mg of Viibryd, and then maybe 40.

Before I decided to take the new drug, I scoured the internet. Apparently everyone is having “explosive diarrhea” and nightmares involving Sleestaks. Nevertheless, I plunged on and took the dose. I had pretty bad insomnia the first two nights. That settled down a little the third night. And last night, I slept pretty well. No explosive diarrhea or Sleestaks. Although a Sleestak or two might have been fun.

While I’m feeling virtually no side effects, I’m not really feeling any effects yet, either. This drug is supposed to start working more quickly than other antidepressants, but it is early days. I shall keep an eye on things and report back. Since there’s not much out there on this drug Viibryd, updates on this one might be useful to someone.

I’ve scoured the internet, and there’s a dearth of information on the topic of Abilify withdrawal. Hopefully this will help those searching for information, if only a little.

I started Abilify on February 2, 2012, on top of 300 mg Wellbutrin and 15 mg Deplin. My psychiatrist slowly eased me up to 5 mg after starting with the wee dose of 1 mg. On Friday June 1, I quit cold turkey. (Disclaimer: Do not follow my example and quit your antidepressants cold turkey. Always consult with your physician, who likely will wean you off them slowly.) I figured it would be no big deal since I’m only on 5 mg. For the most part, it has been no big deal.

First, why I quit.

I noticed that when I try to exercise outdoors, even walking, I get overheated, even if it’s only 90 degrees in the sun. While 90 might sound hot, for those of us living in Central Texas, it’s not too bad. It’s when we hit 100 that I might opt for indoor exercise. I hate indoor exercise, so getting overheated so easily is a problem. And then there was the constipation. Having a bowel movement every five days, even with the help of Miralax, is awful. Before the antidepressants I prided myself on being a regular girl (if only when it came to bowel movements). And then there was the hair. I was reading about Abilify’s side effects, and discovered that hair loss is often mentioned. Hair loss? Hell no, will I risk that. And come to think of it, it did seem that more of my hair was finding its way into the sink and the tub. So we’ve got overheating, constipation, and hair loss. Could it be any worse than that? Yes! How about weight gain, or even an impediment to weight loss. Lots of people complain of significant weight gain on Abilify. I don’t weigh; it makes me crazy. But I do know that despite being conscientious with my eating and getting more exercise, my clothes are not getting looser like they were in the early days of taking Wellbutrin only. Even if it’s not the Abilify, like hair loss, this is not something I’m willing to risk.

Once the reasons for quitting the Abilify had piled up, I decided to quit it. I called Dr. McEnroe (not his real name, but he kind of looks like him, and has that whiny little voice) and left a message about quitting. That was on a Friday morning. I didn’t hear back from him until the following Monday. In the meantime, I got antsy, and decided to take matters into my own hands. So Saturday, I didn’t take my daily dose. And I haven’t taken the drug since. Today is Day 8. From what I’ve read, the drug has a half-life of 72 hours, meaning it’s not fully out of your system for 72 hours. 72 hours was Tuesday. So Tuesday my system was Abilify-free. Today, Day 8, it’s been fully out of my system for 4 days. Here’s how it went.

The first couple of days, I had a headache. This makes sense, as I had a headache when I was starting the drug. The next few days I felt somewhat nauseated, especially when doing yoga. I had the same symptom in the early days of the drug: I always felt like I was going to vomit half-way through a yoga routine. Especially one with forward bends. So again, not too surprising. Next, I feel tired. I want to sleep ten hours a day. And there’s been some insomnia. Hopefully this is a temporary withdrawal symptom, and not a slide back into depression. I’m guessing it is temporary, because the insomnia seems to be easing, and other than feeling tired, I feel pretty good mentally.

The last thing I’ve noticed, and this is the freakiest, is what I’ll call time-skipping. It happened yesterday when I was bowling. Yes, bowling. I had to bowl for a client’s charity event. This yearly function is a fun but humiliating little boondoggle. I’m a terrible bowler. But I did break fifty both games. Better than last year. So back to the time-skipping. I’m standing there watching one of my team-members, and he bowls a strike. Woohooo! A few seconds later I look up at the board and it screams in block letters: STRIKE! I then turn to the cute new (single!) lawyer in one of our other offices and say, “Who just bowled that strike?” He knew I’d just been yelling for the bowler as he knocked down ten pins as he was standing next to me and heard me cheer. But I’d forgotten in a matter of a second. My brain had skipped, like a scratch on a record. And then it came back to me: I’d just watched it. I covered with a mumblefuck of something like: “Oh, I thought I was watching the other lane.” Cute new lawyer now thinks I’m a ditzy brunette unworthy of my J.D. Even worse, the whole experience was rather eerie. My brain malfunctioned, and I watched it happen in real time. This had better be an isolated and temporary withdrawal symptom, but I’ll be watching it closely.

Here’s something positive I’ve observed: the constipation is easing already. This morning I had a bowel movement for the second day in a row. I almost called this blog: I POOPED! But thought perhaps my gentle readers would find it too early in the morning for that.

Next up, a walk/run in the heat. I do an up and back. On the way out, I’m fine, but on the way back, I’ve been finding I have to stop under a tree every ten minutes or so and cool off. Hopefully I’ll do better than last weekend and I won’t have to spend as much time pretending to stretch under trees.

And last: some extra-special positive news. My brother with the mouth cancer, the one doing radiation and chemo, who just had has lymph nodes in his neck removed, has now been given the all clear. His lymph nodes were clean. He is cancer free! I just crumbled at my desk when I heard the news, and cried out of sheer relief. It wasn’t until that moment that I realized how upset I’ve been about his illness, and how scared I’ve been that I might be losing another brother, after I just lost one in April, and what that would do to my poor mother, and my brother’s children. But he’s cancer free, for the second time. Come to think of it, my dad has achieved the same feat, twice.

So today I shall take in all the good things that are happening. No cancer, and I pooped!

After a fabulous vacation in Tuscany, I am back to the mundanities of life. I’ve spent the past week and a half digging out at work (and getting behind on my blogging). I traveled to Chicago for meetings this week, and while I love Chicago in the summertime, the last thing I wanted to do was get back on a plane. My reward was accepting my neighbor’s invitation to drink bubbles by the pool last night. (Much to my chagrin, I think I may actually feel the stirrings of a requited crush.) The combo of the bubbles and all the recent travel finally hit me, and this morning I stayed in bed until 11:00 a.m. catching up on sleep and recharging.

Okay, okay. I won’t skip over the requited crush topic. My neighbor has been crushing on me for years. The trouble is, he’s nearly fifteen years younger, and wants babies. (“But not tonight,” he said, the last time he made a pass at me.) Despite the fact that he’s charming, sophisticated, well-traveled, single, stable, and has a job (the opposite of my last foray into romance), not to mention a sexy Latin accent, there’s just no point in going down that road. And then there’s the fact that it’s a terrible idea to have a fling with a neighbor. So I shall keep it as a flirtation, and enjoy that. But still, there is a stirring in my girl loins that I haven’t felt in months.

All in all, I’m feeling pretty good these days. But the anticlimactic feeling that often comes at the end of a great vacation has me looking for something more. The something more that comes to mind is getting back to my running. But I’m having trouble running in the heat on the antidepressants. The Abilify warnings state that it’s easier to become overheated while exercising, and cautions against strenuous exercise. I live in Austin. I exercise outdoors in the heat. I refuse to spend my life on my elliptical (sheer freakin’ drudgery). So I’ve made the decision to see how I do quitting one of the trifecta (Ability, Deplin, and  Wellbutrin). I called Dr. McEnroe yesterday to get his input on my plan to quit the Abilify, but he hasn’t yet returned the call. Nevertheless, I’ve decided to go ahead and stop it, cold turkey. I’m sure there will be those who protest, but I’m going to do it anyway. When I’ve made up my mind to quit something, I don’t do it by halves. Including relationships and cigarettes. And besides, having quit smoking cold turkey some years ago, I can’t imagine this could be any worse. Just rip the band-aid off and get through it. It’s the best way. In quitting drugs, and men.

Hopefully once the Abilify is out of my system, I’ll be able to run without feeling like I’m going to keel over from the heat. And just to get it out there, I really want to be drug-free within the next several months. I’m feeling better. And with proper sleep, exercise, and Vitamin D (and staying away from abusive jackasses), maybe I’ll be successful in managing the depression without the drugs.

I think I’ve got this now.

I’ve been on antidepressants and back in therapy for a little over four months. It’s difficult to remember how tired and apathetic I was. How disinterested. But slowly over the past four months, I’ve begun to emerge from the pit I had dug for myself. Not entirely, though.

You see, the pit has a certain allure. It’s an easy place in which to live. I get to feel numb. Feeling numb is great when you’ve got more shit to deal with than you’d like. Seriously. Who wants to deal with a sister who stayed married to her pedophile husband after he molested their daughter? The whole world seems out of kilter when you’re faced with that shit. Deep dark holes are where it’s at.

But I’m not hunkered down in the hole any more. And the pedophile is still here. He was at my brother’s memorial last weekend. He consoled my mother. I fantasize about choking him. I think I’m making progress, emotionally.

Now that my mother has acknowledged that he’s still wasting space on this earth, he’s exhibiting a sense of entitlement. The man glared at me across the aisle when I turned around to look for my brother, Seth. I kid you not. He glared at me. He glared at me for having the audacity to say out loud what he is. A man who sexually molested his daughter. For years. How dare I tell my mother and brothers what he’d done? You’re supposed to keep that kind of behavior a secret, don’t you know. So he glared at me at my brother’s memorial and made no effort to keep his distance from me. Yes, he’s feeling emboldened. I wanted grab him by the hair and shove his face into the holy water, holding him under until he begged for mercy. And then dunk him again, just to be sure I’d made my point. Yep, the medication and therapy are working.

If he had molested someone elses daughter, he’d be in prison. Not hanging out in churches.

But if I’m shining a light, I may as well shine it on my sister, too. If it wasn’t for her, the man wouldn’t be around any more. What kind of woman stays married to a man who molests their daughter? What kind of mental gymnastics must she perform each day to keep her head from exploding? What does she tell herself? What could she possibly say to justify his behavior, and hers?

My sister is a horrible person. No way around that. And the co-dependent cycle continues with my nieces hiding their father’s secret, as if his shame were theirs. I really don’t get it. I don’t understand how she could stay with him. Does she have her own holy water fantasies? Does she imagine beheading him and putting his head on a spike in the forest for the crows to pluck out his eyeballs? Or does she block it all out with the contents of her plastic travel cup that she carries with her wherever she goes?

I’m guessing she finds her redemption at the bottom of a travel cup.

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