Love is the drug.

by therapyjourney

I had some realisations about love recently. I don’t doubt that love is all that the universe is made from. I don’t doubt that to love is to live authentically. But I have my doubts about the existence of the love between two people in a romantic sense. This hit me like a punch in the stomach in the not so wee hours of yesterday morning, at a moment when I needed the kind of solace that only I can provide to myself. A shroud lifted and I felt strangely brighter. I felt relieved rather than saddened. It put an abrupt end to my epic and ridiculous nighttime weeping.

I’ve been living with more fear than I am used to because a few days ago I unexpectedly and suddenly ceased taking my anti-depressant paroxetine. I’ve found myself cold turkey just before Thanksgiving. The circumstances are somewhat convoluted but I will outline them so that others can see how easily these things can happen in the fractured world we live in. So, I came to the States a few weeks ago with a small supply of my anti-depressant, thinking that it would be easy enough to get hold of more. I intended for my friend to post me a couple of months’ supply, and provided her with the paper prescription. Unfortunately she informed me it turns out that all items entering the US through the postage system are scanned and medication isn’t allowed in.

My second idea was to see a doctor out here and get him to write me a prescription. Medical care is covered under my travel insurance so I thought I would claim back the costs of the physician visit plus the meds. Wrong. Because the meds treat a pre-existing medical condition, no costs associated with obtaining anti-depressants will be reimbursed by the insurance provider. And as the cost I was quoted was $220 for the appointment alone, I won’t be going down that route. My final idea was to buy from an online pharmacy, the kind that dispense anything you want without a prescription. After a bit of searching I was surprised to find the cheapest option would work out in excess of $2 per single 20mg pill for a small order. So that also isn’t going to work for me.

The upshot of all of this means going through real or imagined withdrawal symptoms of coming off paroxetine. These for me included complex and very disturbing dreams, severe difficulty falling asleep and staying asleep at any time of day, fear, anxiety, irritability, vertigo-like “welling up” short waves in my head not stomach, and bouts of crying for no ostensible reason. I did some research online and found that the following symptoms were reported in patients coming off Paxil. This is from the Royal College of Psychiatry website, with the rate of reported incidence in brackets:

anxiety (70%)
dizziness (61%)
vivid dreams (51%)
electric shocks/head zaps (48%)
stomach upsets (33%)
flu-like symptoms (32%)
depression (7%)
headaches (3%)
suicidal thoughts (2%)
insomnia (2%)

I have had all of them apart from suicidal thoughts. That’s probably a good one to skip out on.

While I didn’t plan coming off anti-depressants to be so sudden, I plan on weathering this storm. My doctor back home suggested staying on paroxetine until I am successfully installed in a more permanent and stable living arrangement in the UK, and I agreed with his advice but the non-availability of my drug here in the States has rather scuppered that plan. No matter though. I will stay off the meds even if by some weird chance there is a way for me to get my hands on more. I just hope the withdrawal symptoms abate soon. Not that I am letting that stop me from doing all the things I normally do, most of which includes “venturing into the complete unknown” which is awfully good fun.

The realisations I’ve had have made me feel somewhat disillusioned but at the same time grateful that a veil has been lifted that kept me encased in a bubble. I was willing to believe anything other than what was right in front of my eyes. Love is indeed all, and it’s simpler than I ever imagined. It is oneness without the complication of romantic relationships which are by their very nature confused, conflicting, contradictory, frustrating, complex and impossibly, horribly, resolution-free. I’ve heard it said  ‘let each soul walk its path’ and I understood the meaning of those words for the first time.

amor y respeto

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