A lot has come together for me in the past couple of weeks, which culminated in me deciding to make a dr’s appointment for this afternoon to get advice on how to go about tapering off my dose of anti-depressants – currently I’m on 30mg mirtazapine per day.

I didn’t really come up with a good pros/cons list of staying on or going off the medication, but in the end I’m starting to realise how tired I am doing day to day things, to the point that I haven’t really done much at all. I hadn’t really noticed how I’ve been acting or feeling recently, as I thought I was doing fine, but my (dearest) mother keeps on at me for not being more active or enthused or getting out and about. To which all I can say is that I’d love to be active/enthused/out and about, if only I didn’t keep feeling like I could do with another nap or a bit more sleep.

I’ve tried going for runs, but they only make me spend the rest of the day exhausted, I’ve tried eating more to get more energy, but I’m at the point of just putting on more weight, and I’ve tried getting more sleep, but I’m already getting plenty, and the need for sleep keeps eating into and destroying plans for doing other things like meeting up with friends in the evening or going out to photograph sunrise.

The other thing my mother keeps trying to tell me is how I ‘don’t seem happy’. Again, all I can say is that I’m doing my best to ‘seem happy’, but pretending to be happy is really starting to get exhausting, and being properly happy, without the inverted commas, is equally exhausting, and too hard not to be cross when no one can understand me because I’m slurring my words because I’m so tired, and too hard not to be upset at what I’m missing out on with friends when I’m just too tired to make plans, let alone think about actually get myself to town and back again, or being decent company.

I don’t think I’m depressed anymore, not in the depressed way of not being able to bring myself to do anything, or not feeling anything is worth moving for. Rather, it is a pure and simple problem of not doing things because I don’t have the energy. Basically I know I just need to get a grip. Which I feel like I could do if only I wasn’t so tired…and round and round in circles I go, making myself upset as I don’t have the energy to fight the tears either.

I’m not blaming the medication entirely on my tired state, but given that one of its headlining actions is to help insomnia, the mirtazapine is almost certainly not helping me stay alert and energized through the day. While the medication almost certainly helped me through April and May, and the side effects were worth putting up with, now the side effects are outstaying their welcome. I’m imagining myself as a hot air balloon, and while the mirtazapine was a useful safety tether while sorting my supplies and gear out, now I need to cut the anchor and lines so I can rise up and float away.

So I’m now cutting my pills in half, down to 15mg/day, for the next two weeks, and then I’ll take half (15mg/day) every other day for the following two weeks. I  hope I’m ok with that. I think I should be. Through the day today, after I decided on my plan and felt like I was taking decisions into my own hands, I felt excited and lighter in my step, and for the first time in the longest that  I can remember, I felt a slight crackle of electricity coursing through my veins. I’d completely forgotten that feeling, but I like it and am glad to have it back.

Advertisements