My husband, JC, is a top-flight mixmaster.
This weekend, as we worked together painting our entry, stairway, hallway and living room, he treated me to the sounds of a lovely mix CD* he originally made for the party we threw ourselves before leaving Florida.
*Or, as I will call such items until the day I die, a "mix tape," even though I know full well the medium isn't a cassette tape. Likewise, I have been looking for a good yoga "video," despite the fact that I don't even own a VHS player, and the yoga product I buy will be a DVD. I am old. I'm going to go put on my dungarees now and watch a commercial for vaginal dryness.
This CD he made is a thing of beauty. My favorite juxtaposition is (withhold judgement and remember this CD was made for a pretty mass audience) Everclear's "I Can't Smile" ("I don't know what's happened to me, I. Can't. Smile.") with James Brown's "Get Up Offa That Thing" ("Dance, and you'll feel better!").
I love that man. My husband, that is, not James Brown.
And he must love me, too, particularly considering what an utter nut I've been over the past several weeks of quitting one medication, starting another, and being generally disagreeable. Or totally agreeable! Or a raging maniac! Or your best friend!
That's possibly an exaggeration of my actual behavior. But it aptly describes my internal landscape.
I share this, not because I think it's a real riveting scroll, but because I know so many people who live on antidepressants, and so many of them spend a lot of time trying to find just the right medication, just the right dosage, and just the right lifestyle/therapeutic complements to the pharmaceuticals.
With all that confusion - and so unfair to further confuse those of us seeking mental health drugs - maybe it helps to share experiences.
The background: I began taking Paxil two years ago after a radical hysterectomy (it helps with hot flashes, you see) and chemotherapy (it also helps with existential dread.)
After being on it for just a short time, I realized that something was missing. Something big - something that usually took up a fair amount of both my waking and sleeping hours: Fear.
You have to understand that I come from a family that mixed fear in my baby formula with Karo syrup. I had so much fear going on that I had ceased to identify it as fear, and I just called it being human.
Hello, we're the Hummingbirds, HOLYFUCKTRAGEDYSTALKSALLOFUS would you like some tea?
To be without fear was such a novel and beautiful experience that it would have made me cry - except that NOTHING made me cry anymore.
Paxil smoothed my psyche into a slippery, impenetrable little ball of wax.
Maybe it smoothed the edges too well. My little marble of a soul was so slick it couldn't gain enough traction too roll.
The only thing that remotely bothered me was the 20 pounds I put on in the year after starting the drug. And although my weight evened out, I couldn't seem to drop any.
I know that any conversation about female weight is loaded with very strong personal feelings. No, 20 pounds is not a lot. But in my case, it was also a 20 percent weight gain. One-fifth more of me. I went up 2 or 3 sizes in a year. This, from a body that had stayed the same size for the previous 15 years. And did I mention that this fucking traitor of a body had also gotten cancer and lost all its hair? It was already On Notice.
Cancer and alopecia, I can take. But 20 pounds?
And that is why I decided to change to a different medication that doesn't have a reputation for weight gain as a side effect.
But after a few weeks on the new med, all those little needles of anxiety that used to prick me throughout the day and wake me up at night have started to return. Last night, I woke up at 1:30 -afraid. Not of anything specific. But I turned on lights to walk through my house. I was nervous about looking in the direction of uncurtained windows. And I did not get back to sleep until 4:30, because every time I closed my eyes, I started to think about all the things in life that could Go Wrong.
And then there is the several weeks of unexpected crying fits, irritability, and general feeling that, no, I'm not depressed - I'm pissed off.
I've decided to go back to my sweet friend Paxil, who smooths my hair and tells me, "THAT'S not something to worry about. Here, eat this donut."
"M-kay," I reply with my mouth full of krueller. "I love you, Paxil."
This experience does, however, raise for me the question of my identity, and how easily that identity can be altered.
Sure, I may have an eternal soul that comprises the bare essentials of Me - the Me that God knows and loves (and only God knows why God loves).
But on a practical, everyday level, Who I Am seems to be made up of What I Do, What I Think and How I Feel. And all three of those components are completely vulnerable to What I'm Taking.
Where does the medication end and I begin?
Maybe the Me is evident in the decision to switch medications again, knowing that, although I will feel less, I also will fear less.
I've got to get back to Paxil soon so this won't bother me anymore.