Wow, where to start...
I was exactly where you are, only worse, last winter. Not only was the stress overwhelming (just from the prospect of work), but I literally
could not figure out which step was first, when trying to sit down and do simple work tasks. Like, I would sit there and look at the different areas of the office, and after about 15 minutes I was pretty sure I had identified all the steps? but I could not fathom where on
earth to start. And since this was my own business, I had
created the systems and processes myself! I seriously could do them in my sleep, before my trauma. Now... scrambled eggs. It was just a pile of scrambled eggs. *sigh* Finally, I would admit defeat, get up from the chair, and collapse in my bed in utter exhaustion. I would sleep 4+ hours, like drugged sleep, from having tried to figure that out.
Fast-forward 1 year. Two weeks ago, my doctor started me on a 2nd anti-depressant, Wellbutrin, in addition to Paxil. I thought the Paxil was doing the job... it wasn't. :-P I was depressed as hell and didn't realize it. It took a few days on the Wellbutrin, and things changed
big-time. Now, when I look at a project, I feel an internal urge to go
DO it! And it's with a
can-do attitude. (I'm talking core attitude here -- not what I'm trying to engineer/bribe my brain into feeling.) I also don't feel so heavy, physically... like it's not as laborious to move my body through space. And I had been dizzy and lightheaded for better than a year -- all of a sudden, that's
gone.
I'm not touching on what therapy did for me last spring and summer, although it did
wonders. However this winter I had really backslid again, primarily into depression and anxiety. (Which as you all know, feeds on itself) It was paralyzing me again, and my work (what little I do; I work from home now) was
majorly suffering. My doc spotted it and started me on the Wellbutrin. I was really reticent to start a 2nd AD, I thought I would be masking my issues rather than dealing with them? But that wasn't the case
at all.
What I have learned (or at least, the way I see it) is that this isn't a matter of "resting up," or "pulling on your socks and getting with it," --
PTSD isn't mind over matter. We aren't
choosing to be this way... although I understand, we do start to question whether we are, because we can't figure any other reasonable explanation for what we are experiencing. Nothing else makes sense? Well, I will tell you -- No. We
aren't choosing this.
What I have come to realize through my Wellbutrin Experience™ (LOL) is that
this is a matter of screwed-up brain chemistry.(A bit of Past History: In my case, all of my docs (3 of them now) are confident that I have inherited depression, as both of my parents have it, my Dad went through PTSD due to a work incident, and my Mom's been on ADs for 15+ years? as was my maternal Grandma. My Dad takes St. John's Wort -- and it is not working very well. Please believe me, we aren't talking people who are having "a few bad days" or are situationally depressed. They were med candidates long before our society went to the "prescribe a pill for everything" medical system. I haven't gone through the expensive testing -- I can't afford it -- but I have been satisfied that based on family history and my own experiences, that I have hereditary depression.)
To repeat,
this is a matter of screwed-up brain chemistry.
The reason I say that is because once the Wellbutrin corrected some of my screwed-up brain chemistry, all of a sudden, some of my old ways of doing things started just "clicking" again. Things that I had
completely lost the last 19 months, that no matter how hard I tried, I just
could not get them back. Click! They were back! Examples...
- Spontaneously finding random things funny, and giggling at them... parroting funny quotes or funny-sounding words, twisting them around to be funny.
- Taking out the garbage. Seriously, I could not get from Point A to Point B on this.
- Every time I go to my Mom's, I shovel her front deck without even thinking about it. It's automatic, like reaching for the shampoo bottle in the shower... just a matter of routine. Heh... it wasn't routine last winter!!! LOL
- My sense of silent self-confidence is back. Like, I can stand in a room and feel as though I am worthy to stand and occupy the space that I do, like I don't owe anyone an apology for being there.
The biggest thing for me is, my ability to "sort and file" events vs. emotions is back, and works like it was never missing. In the past, before my trauma, I perceived the things going on around me as
events. I did not mix them up with my emotions. For instance, when I went on an ambulance call, I perceived it as dealing with
events, not
people. I would not personalize the things I saw, I would react to the events happening around me but keep the majority of my emotions separate from it. (That is not to say I was not empathetic, or thoughtful, or sensitive to my patient... I have always been
very caring of my patients. But I did not invest my ego into it so much that my
intimate emotions got all mixed up with the events going on around me.) As things would happen, I would mentally put them in their "box" in my mind. Then when I had an emotional reaction to it, I would deal with the emotions, and once I had sorted my emotions out, they went into
their "box" in my mind. It's just how my brain processes stuff... everything's got a "box." I'm a very linear sort of person.
Well, once I went through my trauma and developed PTSD, all of a sudden events and my emotions got all mixed up into one big jumble. Events got all muddied up with emotions. And the emotions were
all over the spectrum, just a messy mass of everything, and
none of it was good. There wasn't even
room for positive emotions, the bad ones were so prevalent and stifling, and they sucked up all the extra air. Events were so weighed down with emotions and what-not that I couldn't make heads nor tails of
any of it.
And
dear God I tried. I
tried to make sense of it, sort it out, with all my might. It was
exhausting. After 8 months of going backwards, I went through a few months of therapy, and that did wonders. My therapist really helped me sort out some core stuff (way deeper than the PTSD even, for me -- core personality and family stuff) and that got me out of the mud to maybe waist level... far enough out to breathe and talk and wave my arms, but I was still mired down in the mud so I couldn't move around.
Before Wellbutrin, I could not do the things I described above ^^^^.
After Wellbutrin, I can.
The only change there is a correction in brain chemistry. It is as if the PTSD short circuited, or detoured past, some areas that controlled normal behaviors. Now with the Wellbutrin, that's been corrected, and suddenly those parts of my brain are accessible again.
And here's the crazy thing:
It's like MAGIC.
I woke up one day, and ta-da, it was there. *blink* Crazy shit!!!
I was
so scared, and
so sure, that those parts of my brain had been lost
forever. I was 100% sure that I had become broken
forever. I thought I had permanently gone on tilt, or rewired (for the bad!) and I was
never going to get to feel those normal things again.
Nope.
Those parts of the brain are still in there.
It's just a matter of finding a way to access them again.
IMPORTANT:- I am not saying that medications are the magic answer. I am only reporting my experience, which is totally unique to me. I provided my history and background above to try to explain how this makes sense for my case. Obviously it is probably not the answer for someone else in a different situation.
- I am sharing this to try to offer some hope!!!
I remember so well, how deep that hole feels, how eternally long that "broken forever" feeling feels. It is awful. I was there too, and I do understand. And I am sitting here today not feeling half bad. I swear to God, it was like magic, I had no idea this was possible. In my opinion, there is hope, it is possible to feel better. Even a little bit. Feeling better is possible. - The key is to figure out what works for you. Maybe a med will work. Maybe your key is therapy. Maybe your key is a change in environment, or a gluten-free diet, or a combination of herbals, or a rebirth in faith. Everybody is different. We all walk a very hard road to deal with our issues and heal our minds & bodies.
All of this said, there is not a "magic pill," in that my life is
nowhere near perfect. Good God!!! Right now I am battling a virus, and hormones, and the both have had me tied up in
knots of anxiety for the last 5 days... I haven't gotten
squat done. I am also going through foreclosure right now and that is chewing at me something fierce. I am battling side-effects from the Wellbutrin that have been irritating the
shit out of me. Although I am not actively mired in gory PTSD flashes and what-not, I am still struggling with 20 dozen problems that surround me. Every day, every task, I approach with the mindset of "baby steps," because that is the only way I can make any progress at all, and not be perpetually paralyzed by the totality of everything. So the issues don't just magically go away. It's just a matter of getting to a point mentally where I can start to work on those issues, start to clean up the messes.
However, if it wasn't for making it to this new "ledge" (on the steep shear cliff that is PTSD), I am not sure how, or if, I would be dealing with things right now. Getting sick and hormones have always been huge triggers/battles for me... this foreclosure thing is just a cluster all the way around, and I am pretty sure I'd be locked in a closet right about now if it wasn't for the meds.
But somehow I am actually getting out of bed, getting dressed and getting on with my day today... which is something I
didn't do most of 17+ months... so keep your chin up. You are
not permanently broken. The good, smart, sharp, funny person
is still in there. I know you can't feel or see her right now, but she's still there. :) Just take it one moment, one hour, one day at a time. Whatever works for right now. You're fighting the good fight, and you're fighting a fight that
does have hope.
Hugs,
Bailey