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.

Why Sara Bareilles Means So Much To Me

Since I’ve already posted this week (tips for talking about mental health), I wasn’t sure whether or not to post again today, whether I wanted to write something else as well as that. But last night, I went to the opening night of Waitress the Musical in London. The music was written by Sara Bareilles (who I LOVE) and the songs I’d heard from it (she released some of them as an album) were absolutely gorgeous. So I was very excited to go.

The show was amazing, hilarious and heartbreaking, and exactly what I needed. It’s not the story of the chosen one facing ridiculous obstacles; it’s about a woman who found herself very unhappy and how she tries to find happiness. Jenna, a baker at heart, discovers that she’s pregnant and starts making plans to run away but of course it isn’t that straight forward. I won’t give anything else away because if you can see it, you really should. Plus they make the theatre smell like a kitchen full of freshly baked pies. It was lovely.

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It was a great evening but what made it all the more special was that Sara herself was there, introducing the show and then bidding the audience goodnight. I haven’t seen her since her two London shows in 2014 and I’ve really missed her. She’s funny and warm and genuine and she even sang us a little of her latest single. It was so nice to see her again.

I went to both London shows in 2014 and at the first, I left her a letter. I was really struggling with depression and social anxiety and I just wanted to thank her for all her music had done for me, how much it was helping me with all I was dealing with. And during the second show, she dedicated her song ‘Uncharted’ to me. It’s my favourite song of hers and it was such a special moment. That show was just a beacon of joy and having that through the difficult stuff that followed is something that means so much to me. I’m more grateful than I’ll ever be able to express.

I’ve been listening to Sara’s music since I was thirteen and I’m now twenty four. A lot has happened in that time: I got through sixth form, took a lonely year out, decided that I wanted to be a songwriter, worked through my degree, moving out of my childhood home, plus all my mental health stuff. I’ve had her music through all of that and it’s helped me process it and get through it.

When my depression is at its worst, I can’t listen to music. I find it hard to put into words because it’s so deeply rooted in feeling but it’s suffocating and miserable and painful. It takes me a long time to recover from that state and coming out of it leaves me feeling fragile and raw. It’s like I’m made of glass and anything too loud will shatter me. It causes me a lot of distress. I can’t listen to music straight away – it’s just too much, in terms of both emotion and sensory information – but I can listen to Sara Bareilles songs. They’re gentle and genuine and they strengthen my soul. I’ve had her music in the best of it all and the worst of it all and that means the world to me.

I also really connected to and loved her book, Sounds Like Me. I read it in one sitting and just fell in love with this new form of her writing. Again, her writing was so gentle and I loved getting even more of the stories behind the songs. If you want to understand me, read the chapter ‘Red.’ Reading the book, I felt connected to her and that was very strengthening.

She’s also one of the reasons I got into songwriting. Her lyrics are beautiful and honest and heartbreaking and I learn something from every song. If I could write songs half as well as her, I’d be ecstatically happy. And when it comes to pursuing music as a career, her choices as a creative have really inspired me: to be authentically me, to try out everything I can, to be brave, to stick to who I want to be and to what I want to create. When you’ve got people trying to mould you or redirect you at every turn, that’s magic.

Sara Bareilles and her music will always be so special to me. Hopefully one day I’ll be able to thank her.