Side Effect City

Just over a month ago, I started taking Venlafaxine for my depression. I’ve tried lots of different anti depressants in the past, many of which I had a bad reaction to, so I was nervous. Weaning myself off the Phenelzine was hard and I was very, very depressed but somehow, I reached a point where I felt ready to feel different. It was a bit like breaking the surface after being underwater. I was, and still am, desperate to feel better.

Week 1

I started on a very low dose, half the lowest therapeutic dose, so that my body could get used to it. But despite that, I felt the effects straight away and incredibly strongly. I was very nauseous. It was so bad that I couldn’t really concentrate on anything else; all my concentration was focussed on not throwing up. It made me dizzy and I was tired all the time. I did check with my psychiatrist to make sure it was okay to keep going with it and he said it would pass so I focussed on tolerating it.

The other immediate change was my sleep. I went from struggling to wake up before eleven (and I mean really struggling: it felt like I was drowning) to being wide awake at eight o’clock in the morning. It was bizarre.

Week 2

The nausea faded around the beginning of the second week, which I was very grateful for. My mood, while still pretty low, was stable, and I was still waking up much earlier than I had been able to previously. However I started having headaches and I was exhausted all the time, which made it very hard to do anything.

Week 3

In the third week, I went up to the lowest therapeutic dose. This caused a pretty dramatic reaction. For the first few days I was so tired that I fell asleep in the middle of the day, something I haven’t done in years. But despite that, I was waking up even earlier, between six and six thirty am.

By the middle of the week, I couldn’t concentrate at all. I couldn’t hold a conversation, I couldn’t follow the storyline of a forty-minute TV episode, I couldn’t even play a game on my phone… That was scary, but I couldn’t even really feel that because I couldn’t seem to process the emotion. I started to feel faint and very shaky and that went on for several days. If I stood up for longer than a couple of minutes, my legs started to shake and my hands shook so badly that I couldn’t hold a pen. That was very unpleasant.

Week 4

Most of the fourth week was lost because of severe, unexplained leg pain that had me in tears. My psychiatrist didn’t think it had anything to do with the medication and DVT was ruled out but other than that, we don’t know what caused it. I’ve been taking painkillers since and it’s been better. So that tired me out and overwhelmed everything else. But since then, the shaking has mostly stopped and I’m back to waking up between eight and nine in the morning.

This week is the first where I’ve felt different mentally and emotionally while taking Venlafaxine. I wouldn’t say I feel better but I’ve been feeling a bit lighter. That feels very strange and a bit scary. With this new lightness, I’ve been feeling a bit lost which I’ve written about here. I’ve been so depressed for so long that I can’t remember what it’s like to not be depressed. But despite all of those confusing emotions, I am pleased that this medication is starting to work. It will probably take another month or so to really know how it’s affecting me but it’s looking positive and I’m really grateful for that.

Some of the Little Things

I was looking back through the blog and I realised that you guys are getting all these big things in my life without really knowing much about me. I struggle with all things identity (which is a big thing for people with BPD) but I’m trying. I’m trying to figure myself out. I know little things, like favourite films and TV shows or whatever, but when it comes to who I am as a person, I feel very unsure. I’ll write more about that at some point but, for the moment, here are some of the little things:

  • I don’t drink tea or coffee.
  • My favourite books are The Book Thief by Markus Zusak, Finding Home by Cecilia Knapp (although that was a show first), The Fault in Our Stars by John Green, Sounds Like Me by Sara Bareilles, and the Tomorrow When The War Began series by John Marsden. Oh, and I really enjoyed Big Magic by Elizabeth Gilbert.
  • When I was twelve, I wrote a twenty thousand word story. It’s still on the hard drive of my computer.
  • I play guitar and piano, not super well but enough to write and accompany myself.
  • I love strawberry milkshakes.
  • My favourite colour totally depends on my mood but I will probably always love blue the most.
  • As a kid, I was obsessed with history, especially Ancient Egypt.
  • I really want to see the Northern Lights.
  • One of my all time favourite songs is ‘Wish You Were Here’ by Pink Floyd.
  • My favourite place in the UK is Norfolk and my favourite place outside the UK is Nashville, but I also loved Australia and New Zealand.
  • My favourite subjects at school were Maths, History, and Psychology.
  • I love Harry Potter and it was a huge part of my childhood. I read the last book in less than two days. My favourite book is Order of the Phoenix and my favourite film is probably Prisoner of Azkaban or Half Blood Prince. And whenever I had exams, I’d put them on in the background while I was revising. When I first signed up to Pottermore, I was sorted into Ravenclaw but I forgot the password and it was an old email address so I had to sign up again and I was sorted into Slytherin. And when I took an online quiz, it said I was equally all the houses so who knows.
  • Puns are my favourite type of humour.
  • I’ve never broken a bone, although I have cracked a rib.
  • My favourite movies are Cloud Atlas, Tomorrow When The War Began, I Robot, Nausicaa, and The Fault in Our Stars. And Arrival.
  • I love swimming.
  • I don’t think I’ve ever been in love but I have had my heart broken.
  • I’m fascinated by space and the universe.
  • I’m a big TV show person and I love Agents of Shield, Supergirl, Criminal Minds, Reign, Scott and Bailey, Fringe, Orphan Black, Nikita, Sanctuary, Stargate SG-1, Law and Order SVU, and Stalker. I have also enjoyed Doctor Who, Torchwood, Spooks, Grey’s Anatomy, Private Practice, and Glee.
  • I love the musical Wicked and my favourite Elphaba is Willemijn Verkaik.
  • I’m terrified of going to the dentist.
  • I’ve always loved animals and my dog and cat make me so, so happy.
  • I have a degree in Songwriting.
  • I was born in London.
  • Amanda Tapping is my hero and I’ve been lucky enough to meet her. She is the loveliest human being alive.
  • I listen to a lot of different music but my absolute favourites are Taylor Swift, Sara Bareilles, Against Me!, Halsey, OneRepublic, Maren Morris, Lauren Aquilina, and Natalie Hemby. There are lots more but that could take a while.

So now you know a bit more about me. Hopefully this gives a little context to all the other stuff I post.

Moving Forward and Looking Back

A few months ago, my therapist moved to a different office and as much as she tried to smooth the transition, it was hard. It didn’t feel real; I felt like I was just waiting to go back to the old office. But last week, for the first time, I walked into the new office and it felt normal. It felt right.

A part of me does still miss the old office. A lot happened there. So this is a little tribute to the old office and my armchair there. A lot of different versions of myself sat in that chair. Depressed me, joyful me, panicked me, hopeful me, hopeless me… That room saw a continuum. It was the setting for a lot of important conversations. I said out loud things I never in a million years thought I’d share. I processed an Autism diagnosis, I talked about the people I’ve lost, I played each new song I’d written, I cried when I was too depressed to talk, I talked about giving up, I talked about changing the world, I even took my cat and her kittens.

That place will always be special but I’m getting used to the new one. I’m learning how me and my emotions fit into that new space and I think they’re starting to.