I am very excited and happy about so many things in my life at the moment. I feel truly blessed. Soon I will start a new adventure in California, which I am naturally looking forward to. The way I am with myself, I concentrate on where I am at the present moment – in the meantime I have plenty of matters, big and small, to attend to. The ‘work’ I am doing currently is more rewarding and more demanding than any paid job I have ever undertaken. I have high hopes and make copious demands of myself, but somehow I know it’s all worth it.
I met with a new counsellor, H, today who is trained in psychodynamic theory. After listening to my life in a nutshell, she said that I sounded unhappy. I was surprised to hear her say this because it seemed to me that I was very sorted. Gradually it dawned on me though that my ideas flit about and what seems like determination is sometimes stubbornness. I am constantly both making excuses for and blaming myself. I have trouble figuring out why I am going to carry through with one particular course of action; I know only that I must do it.
I will only have another two sessions with H in my home village, before setting off on my little adventure, hopefully not returning to this place for more than a week at a stretch in the future. So if I’m not in it for the long haul, what are my aims with the therapy I’m undertaking and for life in general? What I realised during my session was I would like to be able to trust myself. I mean really and truly. When I am violent, it is a complete disavowal of myself and everything I’ve worked for. In a heartbeat, all the positive energy, good habits, honourable intentions and lofty thoughts are broken. In this way, I can never be sure when the beast might strike. So I have to tame that beast once and for all, so whatever arises in the future, violence will not be part of my response to it.
The way I see it, every moment is a part of my life and I choose to enjoy all of those moments, wherever I am. I am learning to avoid the things I don’t like, and to be OK with that. Just because certain friends enjoy sitting in a field chewing their faces off, doesn’t mean I have to find that entertaining myself. I can just walk away from the activities, culture and lifestyles that don’t do it for me. I don’t live for the future or the past because now is all we have.
I spoke to my new GP last week. In fact, being back here again in my village, it turns out he was a doctor that I already know and trust. When I was 19 and severely depressed, he was the one I turned to for ‘a little bottle of confidence’ as I worded it in my diaries at the time. As it happened, back then he refused me the anti-depressants I thought would be the panacea, and instead referred me for counselling with a youth service. That was eleven years ago, and I am grateful for his interventions. He saw that somewhere within me was a happy and capable individual, a girl capable of digging herself out of her noisy mind’s many layers of muck and detritus.
I spoke to him about my self-medicating with Paroxetine (Seroxat). He asked many probing questions and sought to understand what my dosage was, when it was raised, what problems I sought to treat, any changes I have found with it, and any side effects. I told him that at first I took only 5mg, which he believed was equivalent to not taking it at all, being purely homeopathic. As I upped it though, I didn’t feel increased curtailment of depressive feelings, nor an increase in euphoric or reckless behaviour. I just felt the same, responding to my circumstances which got a whole lot better when my last relationship ended at the end of August. Now, I feel very productive and calmer in my mind but I am loath to put this down to the Paroxetine, as I honestly think I’d be dealing with life exactly the same way if I had never touched it.
The question of whether to continue on this path was a tricky one. My doctor discussed it with the medical student that sat in on the session, and with me. At first they seemed to waver towards weaning me off it, as I hardly need it anymore in truth. And as my doctor admitted, it’s not readily prescribed these days because it has a higher than normal level of addiction. But after understanding a little about my circumstances, it was decided I would stay on Paroxetine for a maximum of six months (starting from when I began taking 20mg). I am undergoing various periods of transition – one as I returned from Spain alone, another when I head over to California and yet another when I settle in a different part of the UK on my return to the UK in the New Year. This dovetails quite neatly with the six month thing, so I should be off it by the end of January, start of February. This shouldn’t be a hard habit to kick as I can’t feel any symptoms of addiction, sometimes I forget to take it without realising. I only don’t want the risk of any upset while my life is so in flux – if this is one thing I can keep in check then so be it.