The New Plan

The last few months have been tough, medication wise. I had a wonderful, un-depressed Christmas (which I’m massively grateful for) but since then, I’ve been struggling. My mood just kept dropping and my anxiety just kept getting worse and we tried to alter the medication to compensate, to find that perfect balance, but it’s gotten to the point where we just need to try something new. So I’m taking stock of everything and trying to figure out how I feel about all of it.

The Clomipramine (a Tricyclic anti-depressant) worked for a while. As I said, I had a really good Christmas where I felt joyful and energetic and actually happy for the first time in a really, really long time. But then it seemed to lose its effectiveness and my mood dropped, whether that was because I was taking a magnesium supplement (I talk about that here) or because it just had a short shelf life. I don’t know. But it stopped working and my depression returned. Since then, my depression has been stifling and I’ve really struggled with suicidal thoughts, at an intensity I’ve never experienced before.

My anxiety also skyrocketed so, in addition to the Pregabalin (also known as Lyrica) I was already taking, I started taking Flupentixol to help manage it. At first I felt no different but after adjusting the dose, my anxiety decreased dramatically and I started to feel a bit more functional. But in the months since then, it seems there have been a number of difficult side effects: my energy levels dropped dramatically, to the point where even a shower is a real struggle. Standing for any length of time is impossible and I ended up being wheeled around multiple airports in a wheelchair during my Nashville trip. The worst part though was that my hands felt thick and clumsy, like my fine motor skills had just evaporated into thin air. Playing guitar was practically impossible.

At first I didn’t realise that these things were connected to the Flupentixol but thanks to my Mum and her incredible attention to detail, we realised that the dates all seem to match up and since we reduced said medication, these problems have disappeared. I’m ridiculously grateful to have my hands back, even if my anxiety has flooded back in.

We’ve reached a point where I can remain where I am or start over. So I’m starting over. I don’t want to live like this. So, after a lot of thinking and talking to my psychiatrist, I’m coming off both the Clomipramine and the Flupentixol. I’m not a massive fan of the Pregablin either to be honest but even changing two things at once is ambitious. So that one can wait. I’ve already started reducing the meds and I’m bracing myself for a barrage of mood swings, depressive episodes, and more. It’s not going to be fun. But it will be worth it. Hopefully.

The current plan is to come off the two drugs, go the ‘wash out’ period (two weeks of no drugs – apart from the Pregablin – so that there aren’t any negative interactions between the medications), and then start Phenelzine again. Yes, Phenelzine – the drug I stopped taking two years ago because it had stopped working, because the joyfulness it gave me felt fake and suffocating. BUT it’s the only drug that’s allowed me to be functional – creatively and otherwise – so we’re giving it another try. It did work for a long time and if it doesn’t, we’ll try another MAOI (monoamine oxidase inhibitor) anti-depressant.

I’m not sure how I feel about it, to be honest. Part of me is frustrated and disappointed. I’ve spent two years trying to find something better only to end up where I started. But on the other hand, that’s two years of knowledge, experience, and confidence that I didn’t have before. I’m a different person and chances are, my reactions will be different: our bodies change and our chemical makeup is constantly shifting. These medications all but cause a hurricane inside us. So I’m trying to be optimistic. I’m trying to be hopeful.

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Nashville Looks Good On You

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This trip to Nashville wasn’t exactly what I’d expected. I’d had this vision of going out there and writing a load of songs and going to show after show after show and seeing all the friends I’ve made out there. I managed to do some of those things – and I’m really proud of what I achieved – but my mental health really dominated the trip, much more than I’d hoped it would.

We got off to a pretty rocky start when I forgot to take my medication the night before we flew out. We had to leave at two o’clock in the morning so I never really went to bed and therefore my nightly routine was disrupted. Plus I was excited and nervous and just generally all over the place. We got to the airport and I couldn’t even walk the distance to security, I was so completely out of energy. I thought it was the lack of sleep and stress of travelling but I physically couldn’t do it. We ended up asking the airport staff for assistance and they were absolutely amazing, at every airport we travelled through over the trip: they got me a wheelchair and took me wherever I needed to be, getting me early access to the planes, and so on. It was so helpful and honestly made the whole thing possible. I don’t know what I would’ve done without their help. It took a few days to recover and it was only then that we realised what had caused it.

The reason we go at this time of year is because the Nashville Songwriters Association International hold the Tin Pan South songwriters festival, where hundreds of songwriters perform songs that they’ve written. They have a great mix of famous and up and coming so you get a lot of different, beautifully written songs. All of the shows that I went to were good and some of them were fantastic. My favourites include Lori McKenna, Alyssa Micaela, Emily Shackelton, Hannah Ellis, Natalie Hemby, and Travis Meadows. They were truly incredible.

There were a couple of other musical highlights too. By some wonderful coincidence, Kelly Clarkson was playing the Bridgestone Arena while we were in Nashville. I’ve always wanted to see her and I’ve always wanted to go to a show at Bridgestone. And to make it even sweeter, Kelsea Ballerini – who I LOVE – was opening. So it was perfect. The show was amazing and I had a blast. Totally a bucket list moment.

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The other musical highlight was getting to see my friend, Caylan Hays, perform. We’ve written together several times and on my last trip, she came to see me play a gig and by another beautiful coincidence, she was playing on the last night of our stay. She was fantastic. She’s such a talented writer and I love her voice. Throw in some gorgeous electric guitar and I was in love. You can check out her music here.

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And of course, I got to go to two Song Suffragettes rounds. I love this organisation with my whole heart and so it meant so much to me to see both shows while I was there. They – the people who run it and the girls who play – are so inspiring and I hope I can play with them again someday.

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I had several writing sessions while we were there and for the most part, they were a struggle. I love the people I was writing with dearly but my brain still isn’t right: a casualty of my depression and the medications I’m taking. We’re still trying to find the balance where I’m emotionally stable and not creativity stifled. Still, I’m trying and I so appreciate these writers for having patience with me while I work through this. I also got to spend some time with friends, old and new, and they really inspired me in this dark patch of my life.

But throughout the trip, I really, really struggled. My anxiety was so high that I actually had trouble breathing and my depression was so overwhelming that I found myself falling apart (even in public places, which I’m usually able to avoid doing) multiple times. There were lots of tears and lots of Diazepam; it was very hard. I struggled desperately with wanting to go home and I was battling suicidal thoughts (helpfully described by Claudia Boleyn as, “my brain trying to kill me”) for most of the trip. In truth, it was a bit of a nightmare but there were some really great moments that helped me manage it and of course, I had my wonderful people (my Mum and my writing partner, Richard Sanderson) there to support me. The trip wouldn’t have been possible without them.

Also, shout out to Pancake Pantry for teaching me what it’s like to get excited about food.

365 Days of Kittens

In the afternoon of the 26th February 2018, my gorgeous cat Lucy had her second litter of kittens. As with her first litter, she made a nest on one of the levels in my wardrobe and that’s where she headed when she went into labour, after checking that I was right behind her. For both labours, she came in search of me and yowled until I followed her up to my room. She was very insistent. So I went and sat with her; every time I tried to leave, she yowled. So I sat there all day and saw far more than I needed to… But it resulted in these two handfuls of fur: we nicknamed the older, grey one ‘Mouse’ and the younger, tabby one ‘Tiger.’

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(Day 1 – 27th February 2018)

They were gorgeous. Utterly gorgeous. They were soft and warm and just so cute. I loved every minute with them and as you can imagine, I spent most of their kittenhood with them in my bedroom. Watching them grow and explore and experience the world around them was enchanting: they are so completely and fully engaged with everything they do, from eating to playing to getting into trouble. Your whole world shrinks down to the room you’re sitting in. It’s very mindful to watch. And I found their innocence very healing. Then (and now) they look at me with such trust that it takes my breath away.

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When they were two months old, we moved house. Of all of us, the cats were the least traumatised: they continued to eat, sleep, and play. They even ventured outside and fell in love with the garden. I don’t think there’s anything as cute as kittens pouncing on long grass.

I was very distressed by the move (and still am to some extent) and it really exacerbated both my depression and my anxiety. So I found it very difficult to know how I felt about anything, let alone something as significant as whether or not we should keep the kittens. I was also repeatedly weaning myself on and off different medications, which did a number on my emotions. It was a mess. I was a mess. A very sad mess.

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Eventually we decided to keep them. I still felt very unsettled but I figured that since there had been so much change, a little more wouldn’t make much difference (in the context of my anxiety). We’d thought about it a lot: before they were born, we’d entertained the idea of keeping one but after getting to know them and watching how bonded they were right from the start, I knew that I couldn’t keep one and give away the other. We couldn’t keep two out of the little family of three.

Not long after we made that decision, Lucy started getting really irritated with them, hissing and swiping at them as they approached and even going out of her way to have a go at them. And when that showed no signs of stopping, I started to get really upset. That coincided with a medication change that made me so anxious all I could do was cry. I was terrified I’d made a huge mistake, that I shouldn’t have kept them but now I loved them too much to let them go, keeping us trapped in this very stressful situation. It was excruciating.

Fortunately, things have been better recently. They’ve all started to bond again and I often find them all snuggled in a bed together, legs and tails everywhere. It’s completely adorable. We even bought them a cat tree that has both a nest and a mouse on an elastic string; they absolutely love it and I get such joy from watching them play.

Now, I’m not just writing this because I love talking about my cats. Today is the kittens’ birthday and that seemed like a good opportunity to reflect on the choices, the anxiety, and all the emotion that has gone into this experience so far. I haven’t got it all figured out yet. I still don’t know if I made the right decision and maybe I never will. Maybe it’s just a case of learning to live this life that I’ve chosen, just as we learn to live with every choice we make, sometimes quickly and sometimes slowly. But regardless of all of that, I love my animals and I’m grateful to have them in my life. Hopefully that’s enough.