I'm considering doing one of these graphs each week and displaying it like a flashcard for Dr A, so he can better "assess" me. It's colourful. It occupied some of my day. I am trying hard to focus on the tiny, but brightly visible, sliver of hope still present at the top.
I keep thinking longingly of the activating qualities of fluoxetine. My memories of taking it (2000) are clouded by the intense migraine headaches I had at the time, which may or may not have been a side effect. I imagine myself lucid, energetic and focused...less "rejection-sensitive" (Peter Kramer, Listening to Prozac). My shrink was torn between prescribing an activitating SSRI or a sedating one (namely citalopram aka Celexa, Cipramil). He asked me to make the decision...ie: "would you rather turn positive behaviours ON, or turn negative behavious OFF?" How the %^$#$%^ would I know? I used to think the "right" medication (or the "right" relationship, job, pair of shoes) would do BOTH. Would make me turn away from cake and towards the gym. Would make me see beauty in the mirror instead of horror. Now... I seriously doubt the capabilities of medication. Been there, done that.
- Fluoxetine - failure.
- Sertraline - failure (admittedly after working for a couple of years)
- Mirtazapine - failure.
- Diazepam - failure.
- Venlafaxine - GROTESQUE failure.
Of course, these days I have a more accurate diagnosis and with that, the realisation that medication doesn't really help Borderline Personality Disorder the way it can help other mental illness. Basically, the way to work through BPD is therapy, continuing the CBT and DBT I have started. Dr A seems to think that the therapy might be "easier" with the help of fluoxetine, make the darkness lighter and the energy levels a bit higher.
I know I keep flogging this dead horse. It's what consumes me, when I'm not trying to decide what kind of cheese to eat lol. I'm fairly sure that once I get my disability/heathcare card (with it's associated discount on medications) I'll shuffle off to the pharmacy and fill the script. If only to deflect the questioning of the persistent Dr A. And I will take the tiny pill (or half), and try not to choke on the weight of my sliver of hope.