The sun is shining big and bright, but I can’t shake the feeling of doom. It’s the week before my period, and per usual I can’t stop crying. A mix of exhaustion, tension and depression has clouded my judgement and sense of self. The sun is shining, but I don’t feel it’s warmth or sense it’s brightness. The air is crisp and cool, but I feel hot and bothered. At any moment, I feel like the very sky will collapse on me. It’s been almost 2 months that this doom feeling has lingered over me, and once again Premenstrual Dysphoric Disorder is holding me hostage. At this point I am no longer subclinical, meaning I am spending more than an hour a day obsessing and ritualizing.
I have to go back on medicine.
I make an appointment to see my Doctor. It’s a fancy, clean office with fixtures out of Crate and Barrel. I hate coming to the Doctors. I feel like sick people come to the Doctors and leaves their germs and body fluids everywhere. Pretty much everything is contaminated to my brain – the buttons in the elevator, the door handles, the cups and water in the lobby area, along with the magazines and arm rests on the chairs. Pretty standard stuff. I get a cup of water, ignoring the fact that it feels dirty to me and somehow my brain equates hydration with bathroom breaks, with stress. I take a sip, remembering not to gulp. “Come on brain”, I think to myself, “same team”.
I handled the rest of my visit pretty well. Despite a red spot near her keyboard being confirmed as salad dressing and her insistence on hugging me after three rounds of travel vaccinations, none of the obsessions lingered much later. Of course I did shower that evening as planned so I am sure that helped. Still it was hard to convey to my doctor what I have been experiencing. I totally forgot the last time I was there we didn’t talk about my carliving situation so she had no idea what I had been up to. We talked more about the PMDD and how terrible the symptoms of irritability, sadness and anger had become. We decide a low dose of Zoloft before menses is the way to go. I’m hesitant- I don’t like the idea of altering my body with chemicals that retard my brains natural ability to absorb serotonin by blocking receptors (Select Serotonin Reuptake Inhibitors, or SSRI’s for short). On the other hand, no amount of positive thinking or perseverance can rouse me from reality. I’m ritualizing way too much and little tasks feel like monumental efforts. The combination of OCD and depression is unbearable and I’ve been down this road before. It doesn’t end at a good place.
For a full day I obsess about whether or not I can keep my drugs in my car or if the cold will do something weird to them or if it’s safe to leave them at work or if someone will take them or taint them. I know what you are thinking, ridiculous right. I spend another 1/2 day pretending I I don’t need the medicine and will stop ritualizing with shear will power. After getting up to use the restroom at work and realizing how anxious and angry and exhausted and trapped I felt with this simple task (I hate the bathroom at work because the trash is located beneath the paper towels. My job is also kind of life sucking at the moment, so the irony of it being the only place I can get a reliable bathroom and check adds to the drama). So after a moment of brief defeat, I popped the 25 mg of Zoloft in my mouth and drank a glass of water.
Taking medicine is the ultimate mind fuck. I can feel the zoloft ooze over me- a hot swoon of sweaty, focused energy. Everything feels different, almost like someone dipped reality in cocaine cotton balls and stuffed them around my senses. It feels like I exist in an alternate reality. Maybe that’s why I feel nauseous and sweaty-clearly this is jetlag from traversing the space-time- continuum.
The first few days are the worst. I feel stuffed and tense. I forget to eat and drink. My lower back and legs prickle and tingle. It’s hard for me to fall asleep then it’s hard for me to stay awake. I get the shits and I feel even more anxious than I did before. My body feels twitchy and I want to pace and tick and tap things. I sweat through the nights and my face starts to get oily. I try to write but no words come. Everything is muddled and messy and confusing and my skin is crawling on top of me. Finally, my mind starts to quiet and the energy comes back. I’m focused and alert. For a moment, the clouds part and I can feel the sun again.
I needed this.