Wednesday, February 13, 2013

brain chemicals: why i take medication, prologue.

 On Broad hill, 5 a.m., Aberdeen last May, after a night of no sleep
On the way to the beach, that same early morning, one of those times the landscape reflects the inside of the mind so precisely

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As with my last post from a few months ago, where my running alleviates my anxiety and depression due to both its chemical effect (dopamine, serotonin, and their cohorts) and also for its emotional influence (catalysed by feeling strong and reclaiming space), this next series of posts is also a story about the two-sided nature of my brain’s condition: something that is both chemical and emotional, something that is partially helped by psychotropic medication and something that these drugs still cannot touch.

I’ve wanted to write this for the past year, really, because it occurred to me that I had been taking medication for anxiety for a whole decade.  That it has taken me nearly another year to sit down and write it speaks rather emphatically about my continued ambivalence about said medication.

Or really, perhaps I am not ambivalent about my medication anymore. If I ask myself honestly, I can frankly say that I’m grateful for it. I am deeply thankful for what it has allowed me to do and writing the long piece that follows is a way of reminding myself why, despite the currents of unease that still run through me.  I am indeed still afraid of being judged for taking it, for having positive feelings toward it, and for now being unwilling to stop, for accepting that I will probably take it for the rest of my life, and I need to keep making peace with this, for now.

I felt I had to write this now because I was reading a piece recently where the writer was describing her tapering-off period on an SSRI (not one I have experience with) that was fairly heinous. And it was almost funny how  I could have predicted the four camps the responses fell into: the voices encouraging her and sharing their own tips and stories with difficult drugs very neutrally; those who mentioned that they hated how they felt on SSRIs and also faced a difficult withdrawal and would never touch one again; those who had experienced depression or anxiety but had not medicated, and mentioned  their wariness; and then those who smugly informed the commentariat that they would NEVER put such POISON in their bodies.

I get it, those first three responses.  And I completely respect those who do suffer anxiety and depression and choose not to go on medication or not to stay on medication because of how awful or wrong it makes them feel either because they tried it or it simply feels like the wrong choice for them. I have felt those things and they made sense to me at certain points in my life; I just personally reached a point where they were no longer true for me at all. In writing this, the absolute last thing I want to do is condemn others for doing what they needed to do in terms of medication or the lack thereof. But  I just get so tired of hearing people who have never been depressed, never had constant anxiety or recurrent panic attacks say things like ‘Oh, I would never take an anti-depressant, I could never put that in my body, I heard they don’t work,’ and all manner of things like that. I feel the bile rise in me when people continue to conflate taking psychotropic medication to function is 'taking pills to find cheap happiness'.  And I cringe when I remember how at one time in my life I'd be nodding along and agreeing, something I don’t do outright anymore, but oh, I did when I was younger, all the time.

I did the nod-and-agree thing when I met a boy who I would later date. We were both involved in a number of activist causes at the time, and one day we were chatting about something, and something about pharmaceuticals came up, and of course all good lefties are anti-pharmaceutical, and I agreed with him on the dastardliness of such things, and he (who had never been depressed, or anxious, I would later learn) said, ‘If I were depressed, I’d NEVER put something like that in my body’, and I mumbled some assent, oh yes, how could anyone do that, etc.  Because I wanted to be his friend. And I felt ashamed, and guilty, impure, and weak; I had absorbed so many narratives about how these medications made your feelings inauthentic, or made you into a pliant and unfeeling zombie under the control of the capitalist market, took your most unpredictable individuality and tempered it into something palatable and controllable. ‘I’m so glad you agree with me, so many people just don’t understand how BAD it is, etc,’ he said, and oh, off I slunk, because it was just after dinner, and I needed to take my second dose of the day.

And we became friends, and then we dated for over a year, and that whole time I surreptitiously slipped my pills, always hidden in the internal pocket of my purse. I told him a bit about my anxiety, my panic (I had to, because he witnessed it) but I never, ever told him about the medication.  Not until a year or so later, when we were not in a romantic relationship any longer, and I had been off the drugs for a few months, but then had another breakdown and started again. I told him then I was taking them, but not that I had before. Maybe he was already tired of dealing with me, but we started drifting even further apart then, and I’ll now never know what he thought of that.

I’ve told people bits and pieces of this, but perhaps never all of it at once, or in sequence. I suppose, though, that this story is really for myself, right now, as a reminder to remember why I am taking the medication when I start to resent it, or feel guilty, or weak for doing so. To remind myself that this a choice I made after a lot of hardship and a lot of consideration; thinking back to the times where I could do nothing at all is helpful whenever I am presently too hard on myself (which is most of the time).

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