Treatment update #2

Hi all!

I’m here to update you on how I’ve been doing.

In short: okay.

I’m continuing to take 125 mg of sertraline daily. This may change in the next month or two a) to see if a different medication works better for me, and b) because of side effects (add me to the long, long, long list of SSRI-takers who notice sexual side effects). In the past, I took bupropion (300 mg daily) in addition to sertraline, and this made a bit of a difference. So I may be prescribed that again, but who knows?

I’ve also started therapy; the wait list wasn’t quite as long as I expected! My therapist and I are using a combination of interpersonal therapy, ACT, and mindfulness. We’re off too a bit of a slow start, but I think things are going well overall.

I’m still volunteering. I’ve been going to job-searching workshops. I’ve made a friend! So my social life is considerably better than it has been in the past couple of years. Of course, socializing gives me anxiety, but I push on as best I can.

There are still “sad days” – days where I feel down and depressed for no good reason. But these days are less frequent now, and I don’t get quite as depressed. I figure if I have the occasional day where I lie in bed for an hour or two and feel bad for myself, that’s not as bad as spending a day or two in bed feeling bad for myself.

I’m not cured yet – I doubt I ever will be – but I’m doing okay, and that’s good enough for today. 🙂


Treatment update

Hello all!

Thought I should pop on to reassure everyone I am still alive. In my last post, I said that I was pursuing treatment, so here’s an update on that.

I’m currently being treated for my depression an anxiety. I’ve started taking medication again – sertraline (Zoloft), since it seemed to help before. As of yesterday, my prescription was increased to 125 mg/day. The medication does help. I’ve noticed a significant reduction in my general anxiety, and a small reduction in my depression and social anxiety. It’s not perfect, but it’s better than nothing.

I also met with a therapist for a screening appointment and have been placed on a waitlist for therapy. I’m not sure exactly how long I’ll have to wait, but I expect it will be a while. However, the therapist I talked to was very kind and I liked her a lot, so I’m looking forward to working on things when my time does come around.

In addition to all that, I’m taking all kinds of supplements – B12 (and man, do those injections ache [apparently I’m a baby when it comes to intermuscular injections]), and iron, and vitamin D, and multivitamins. It seems like this has increased my energy a little bit. That’s nice, because laying around all the time always makes me feel even worse about myself.

Aside from my treatment, I’m trying to get out of the house more. I’ve done a little volunteering that involves socializing with strangers. It triggers my anxiety, but it gets easier with practice. I figure it’s like CBT or exposure therapy – eventually, my anxiety over starting conversations with strangers might disappear altogether! Plus, it’s a good way to brush up on my social skills, which, I confess, have gotten a little rusty from the way I secluded myself as I descended in to my depressed and anxiety-ridden state.

Currently, my only real complaint is that I’m still having a lot of difficulty with concentration. It takes ages for me to read something. I struggle to watch a half-hour TV show. Writing anything isn’t easy because my mind wants to wander. I’m trying to improve things with baby steps – start with 5 or 10 minutes on a task, then 15-20. It’s getting a little easier (or maybe the medication is helping), but there’s definitely room to grow.

I’ll try to remember to post again when I have further updates.

Hope your year is off to a great start (and if not, that things get better)!


Down but not out

Hello! It’s been a long time since I last posted. Thanks to those who’ve been reading the blog, leaving comments, and sending messages. And thanks to those who are reading this 🙂

Depression and anxiety have been kicking my ass lately. Anxiety especially. It’s funny, in a way: generally, I feel like I can control my anxiety pretty well, but when it gets bad, I become quite aware that my anxiety controls me.

I wake up anxious. As soon as my eyes are open, the anxiety sets in. My mind starts going a million miles a minute trying to worry about every little detail of every little thing. On occasion, my anxiety wakes me up in the middle of the night. It’s exhausting. I think that makes the mental illness harder to combat – sometimes you’re just too tired to fight.

Panic attacks have been a frequent friend over the past few months. The heart palpitations are always disconcerting, no matter how often I experience them. The palpitations aren’t a medical concern for me, but when my heart is thumping away like that, I can’t help but take notice. My poor heart works so hard for me; I don’t think I treat it well enough.

I’ve begun the process of seeking treatment. Meds and therapy again, probably. It’s slow going (partially because it’s a struggle for me to get anything done and partially because the health system can be slow if you’re not dying on their doorstep [I’m not complaining though; I might actually be dead if it weren’t for Canada’s socialized medicine). I’m not exactly jumping up and down at the prospect of treatment, but medication and therapy were a big help to me in the past, so I’m fine with trying again. Really, I probably shouldn’t have been off meds or out of therapy in the first place, but I wanted to try going without, and I was fine for a while. My brain caught up with me, is all!

In the meantime, I try to keep myself occupied – crochet, paint, read, cook, listen to music…whatever distracts me for a little while. I’m taking things day by day. Today was a little better than yesterday. Maybe tomorrow will be a little better than today. I can hope at least!

Hopefully you have a good day too ❤




Negative Thinking

Hello, all! It’s been so long! I’m afraid I haven’t been in much a writing mood lately, but I figured I should check in and let people know I’m still alive. 🙂

I wouldn’t call myself an optimist. I like to think of myself as a realist. But, let’s be honest, that’s just a fancy marketing-type term for pessimist, isn’t it?

In the past, I have frequently and compulsively let myself mope and ruminate about all the awful things in life. It’s kind of a chicken and egg thing with the depression; do I feel depressed because of the negative thoughts, or do I think negative thoughts because of the depression?

When I began treating my depression and anxiety, I had to confront my own thinking patterns. The negative thoughts were not helping me. If I wanted to be happy, I had to learn to think more positively, or, at the very least, realistically about things. Instead of telling myself ‘Today is going to be hellish,’ I had to begin telling myself ‘Today might be a good day; I won’t know until I get on with it.’

The change in perspective has helped a little, though it’s not a pancea. There’s a bit of a learning curve to it, but eventually it starts to feel natural to challenge the negative thoughts. I assume the eventual goal is that you don’t have all the negative thoughts to challenge, but that seems like a distant goal at this point.

Now, here’s my confession: sometimes I still let myself mope and ruminate and relish in those terribly negative thoughts. I do this for two reasons.

The first reason is that it allows for a cathartic release. Once in a while, I curl up in bed and think awful things and have a cry. Sometimes I feel better after. Not always. Sometimes I feel worse. But the times that I feel better allow me to justify it in my own mind.

The second reason is to combat anhedonia. I spend a lot time comfortably – or uncomfortably – numb. Sometimes it seems like I don’t feel much of anything. Letting myself think negative thoughts and feel bad for a while serves as a reminder that I do have feelings, no matter how well I manage to push them down most of the time. I wonder if this doesn’t make me a bit like an addict. Perhaps I’m addicted to feeling bad. I’ve spent so much of my life feeling miserable that there’s a certain amount of comfort in it. Still, I know this won’t help me to get better, so I try not to do this too often.

But let’s look on the bright side since that’s what we ought to do: at least I don’t mope all the time anymore. Any progress is good.

Three-day Rule


Forewarning: this post discusses suicide.

Hello all! Still alive? Yes, me too. I’m going to credit this fact to the three-day rule.

No, not the dating three-day rule. I’m not qualified to give relationship advice!

This rule: if you are going to commit suicide, wait three days…or five days…or a week. Just wait.

Suicide might seem like a really good idea – or, at least, a very tempting idea – at a particular moment. But there is a very real chance that if you wait at least three days, it won’t seem so appealing.

Now, if three days seems like way too long, or if you still intend to attempt suicide after three days, I’ll encourage you to call emergency services (911, 999, 112, or whatever it is in your location), or a suicide hotline (here’s a list of hotlines by country), or go to an emergency room, or talk to somebody…anybody.

But the decision to commit suicide can be a very impulsive one. And impulses pass.

For me, the impulse came on very suddenly. One moment, I was okay (well, as okay as I ever am). The next moment, I was very much not okay. In under an hour, I had a method and a note planned. But I still had a few details to work out (I’m a stickler for details, even in a life-or-death situation it seems!). While trying to work out those details, I came across the three-day rule online. Three days isn’t very many – it’s very few in comparison to being gone for all of eternity – so I figured I could suffer through them. By the end of those three days (hell, by the end of the next day), the impulse was gone.

I’m glad the impulse passed. I’m okay (again: as okay as I ever am). I still have bad days, and I still have suicidal thoughts sometimes. But not every day is awful. Some decent things happened in the months following – like eating great food, or watching interesting T.V., or petting a dog, or talking to my family, or meeting my goddaughter, or spending time with my friends – and I would have missed out on those things if I hadn’t followed the three-day rule.

Take things one day at a time…or three days at a time. Whatever works for you.

If you want to read more about the three-day rule, try this website.


Side note: apparently, the blog is 5 years old today! It doesn’t feel like 5 years!

Changing is hard

Changing is hard. Okay, lots of things are hard when you’re depressed. Getting up in the morning. Finding the energy to do everyday tasks. Looking for the will to go on. You know, all that good stuff. But changing yourself and your thoughts is especially hard.

It’s a strange battle, isn’t it? Often, you know what you ought to do or have to do. And often, you just can’t seem to summon up the will to do it.

Let’s say you want to to start exercising more, and let’s say you even found the energy to do it a couple of days. Great! That’s a good start in making a positive change in your life. Then you miss a day, or two, or three, or a month. That change didn’t go so well, and now it’s like you have to start over from the beginning. It can be demotivating.

Or let’s say you’re trying to combat social isolation. You chat with a couple of friends you haven’t talked to in a while, catch up. Everything seems pretty okay, and maybe you’re even feeling pretty good about the whole thing. Then plans you made with one friend fall through and you’re left feeling disappointed and depressed. It’s not really their fault and it’s not necessarily yours. But it can set your progress back.

I know there are changes I should make to improve my life. The problem is that my mind, my depression tells me that these changes are nearly impossible. I think of the cost, the energy needed, the risk and I find it difficult to carry things through. Changing is hard!

And I’m stubborn, really stubborn. I have negative thought processes that have slowly been ingrained in me over the past 20+ years; it might take another 20+ years to rewire those processes.And I’m so, so tired of fighting some days – tired of fighting with myself, with the world. Sometimes I don’t want to change. Sometimes I want to take the easy route.

But I think change can be good. So I try, and try, and keep trying, despite some reluctance and more than a little anxiety.

I don’t think there is some magical way to make changing easier. Take things one step at a time? Get back up when you fall? Pick your battles wisely? It’s all decent advice. But it’s still going to be hard. And it’s still going to seem pretty awful. And it’s probably going to be pretty depressing.

But I hope it’s worth it in the end!

❤ Michelle

What I’ve been up to

Hello everyone! It’s been a while! I’m still alive.

A few people have asked for updates on my job search. Well, I’m still searching. It’s kind of a roller coaster (I want off the ride now…). I went through a series of interviews for a job that would have been a fairly good fit for me. I even got a bit hopeful that time, but it didn’t pan out. This was disappointing, but such is life, I guess. I just keep sending out my applications.

It’s very easy to get frustrated – with yourself, with the companies, with the society as a whole. I find myself wondering why I spent so many years in school when it doesn’t really seem worth it from a career standpoint (But don’t get me wrong, from an education and self-growth standpoint, I loved all those years of school.). I find myself wondering why the companies are asking for 5 years of experience for an entry level job. I find myself wondering why we put so much emphasis on people’s jobs (We so often ask people “What do you do?” even though it has very little to do with who they are as people.). I know I’m not the only person wondering these things; I know I’m not the only one who is frustrated. It’s not easy, and it’s not fun, but we all just keep plugging away.

What else have I been up to in my absence? I’ve been trying to separate myself from the internet a little bit. I love, love, love the internet, but it’s so easy to waste away a day surfing the web. I don’t want to do that, and I think it sometimes makes my depression worse, so I’ve tried to find some other ways to waste my time! I’ve been doing some exercise. I’ve been reading more books. I’ve been writing some books (Two of them! I was fairly proud of this, since I’ve wanted to write one since I was very small. Whether they’re any good still waits to be seen haha). I’ve been trying not to die in the humid heat of a Southwestern Ontario summer. I’ve been catching up with family and friends. I’ve been catching Pokemon. I’ve been eating way more potato chips than any human being should.

Basically, I’m just trying to fill my time and not let the depression set in. It’s an everyday battle. Some days are harder than others. But today is an okay day! I hope you have an okay day too! 🙂

Art Therapy: Mandalas

I read somewhere that drawing mandalas (basically, geometric patterned shapes/designs) could be a good way of coping with stress and anxiety. Having a bit of a creative bent, I thought I’d give it a try. A little art therapy is good for anybody, right? So, for a while, I took to doodling mandalas (most often when I was watching T.V or doing some other mindless task that had me sitting down).

I had mixed results with this activity. On one hand, I think it can be useful to get your mind off things because you’re focused on creating your pattern. It gives you something neutral to concentrate on. This is handy if you’re feeling a bit anxious!  On the other hand, I’m not sure it’s a great task for somebody with perfectionist tendencies (like me) because you will notice every wonky line, uneven shape, etc. Perhaps for the especially self-critical among us, coloring mandalas would be more relaxing and less infuriating (You can find lots of mandala colouring pages online that are free to print off!). Colouring is also pretty popular these days as a way of dealing with stress and anxiety; I do that once in a while too.

One great things about this activity is that it’s pretty easy and incredibly inexpensive to do. All you need is some paper and some sort of writing utensil. I used lined paper and a black pen (plus a red pen to colour one). You can make your mandala very simplistic, or very intricate. If you need some ideas, I recommend looking up images of mandalas for inspiration.

I’ll show a few I did (and I’ll try not to mourn my sloppy line work too much haha!):

If you click on the image, it should enlarge. Number 3 is my favourite 🙂

So, if this seems like something you might enjoy, I suggest giving it a go. Just try not to stress about it too much – I’ll try this too!

Michelle’s very unscientific and inconclusive vitamin D experiment

Spring finally rolled out in my area. It’s warmer (sometimes). It isn’t pitch black outside at 5pm. This is good news for sufferers of seasonal affective disorder (SAD), also sometimes called ‘winter depression’. I’ve never been diagnosed with SAD, but I have noticed that I often feel more depressed in winter. I wanted to try to combat this last winter.

Now, let me try to explain my thinking:

  • Some research suggests there could be a link between vitamin D deficiency and depression (Just check out these Google Scholar results for the search ‘vitamin D depression’).
  • I experience increased symptoms of depression in winter.
  • I am probably vitamin D deficient in winter.
    • I come to this conclusion because the main source of vitamin D is sunlight. I live above the 37th parallel, which makes it more or less impossible to get enough vitamin D from sunlight in the winter (I’ll let Harvard Health Publications explain this one.)
  • Therefore, vitamin D deficiency might be linked to my increased symptoms of depression.
  • Therefore, increasing my intake of vitamin D might help combat those increased symptoms of depression.

That makes sense, right?

It’s difficult to get enough vitamin D from diet alone, so I decided to take supplements. Eat Right Ontario suggested that 600-4000iu was both safe and good for me, so ignoring some allegations that we might actually need far more vitamin D, I always took between 1000iu and 2000iu.

I’ll jump ahead and give you the “results” right now: taking vitamin D didn’t seem to do a damn thing for me. I tracked my mood throughout the winter, asking myself at the end of the day ‘How did I feel today?‘…the answer was usually ‘Blah!

But here were the problems with my experiment:

  • I did not take the supplements every day.
  • I varied the amount of vitamin D I was taking (and my amounts may have been too low).
  • I did not use a very rigorous mood and symptom tracking questionnaire.

This makes for bad science (not even touching the fact that I’m just one trial!). Any of those problems could skew the results of my very unscientific experiment.

So, unfortunately, I can’t really come to any solid conclusions. I might try this experiment again next winter, but with stricter guidelines. Until then, I’ll just enjoy the sunshine.

Notes: I’m not a doctor and I don’t play one on T.V. I did not do this with a doctor’s permission or under a doctor’s supervision. If you are curious about what supplementing vitamin D could do for you, talking to a real doctor is almost certainly a good idea. Stay safe, stay well, friends 🙂


Worthlessness, Depression, and Unemployment

I am almost impressed by how worthless depression and unemployment can make you feel.

If you have depression, chances are you already question your worth. Unemployment can seem like confirmation of your worthlessness. Job searching is like a really un-fun game to see how many times you can be rejected and still get back up after. Every rejection can make you question your own worth. Am I not good enough for that job? Am I not smart enough, skilled enough, nice enough? Am I not worthy of a job?

Since I graduated, I’ve been looking for full-time work. The job search isn’t going that well. I place some of the blame on the poor job market, and some of the blame on myself. Yes, it doesn’t help that I live in a city that was hit hard by the recession and hasn’t really recovered. Yes, it doesn’t help that I’m overwhelmed by anxiety every time I send out a resume. There are many reasons things aren’t going well. It’s a complex problem. Yet my brain likes to tell me that it’s a really simple thing – I mean, isn’t it clear? I’m unemployed because I’m worthless!

The truth is, I’m probably not worthless. You’re probably not worthless either. I’m not sure if I’ve met a person without any worth.

So how do you combat the feelings of worthless that come with depression and unemployment?

I really wish I knew the answer to that question!

I’ve been trying to do a few things to keep my mood up. I’ve been doing some exercise. I’ve been taking some vitamins. I try to get out of the house once in a while. I’ve been doing some writing (though not on this blog obviously, oops). It all helps a little, but it’s not a perfect solution. I still have to fight the feelings of worthlessness.

But if I stop fighting the feelings, I know I will just get more depressed, and feel more worthless. If that happens, I don’t think I will have the strength to continue my job search, which would make me even more depressed and worthless-feeling. Vicious circle, no? So even though I’m tired and sad, I keep going. Hopefully that’s enough for now.


Have experience with depression and/or anxiety and unemployment? Have tips? I’d love to hear your stories or advice, and I’m sure other readers would too! Why not leave a comment below? 🙂


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