Night Guard and Onto 40mg?

Today was the day I had been waiting for in fearful trepidation. The thought of going to the dentist and the hygienist is truly nerve-wracking for me, so I spend the week-or-so leading up to the appointments worrying about what might happen and agonising over everything that could possibly go wrong. I am relieved to say that both the dentist and the hygienist were very happy with my teeth and gums. However, I did have to be fitted for a night guard to wear over my teeth at night to prevent me damaging my teeth and jaw through grinding and clenching them. I already knew that, due anxiety and stress, I clench my jaw in my sleep but the dentist wanted to prevent long-term damage coming from it, so wearing a mouth guard in my sleep is going to be an experience!

I went to my GP again last week and was told to double my antidepressant dose from 20mg to 40mg. To me, this is nerve-wracking, as this particular antidepressant caused me side-effects when I went on it initially (after trialling Sertraline unsuccessfully for a year), so I am worried that these side-effects will return. However, I do see the logic in doubling my dose because I have been particularly low recently; having suicidal ideation and engaging in destructive behaviour. It feels slightly like I am in a catch-22; if I don’t double my dose I risk carrying-on feeling this way, however if I do make the increase then I face having all of the side-effects return which will possibly make me more depressed because they may leave me unable to do much.

Recently, my focus has moved away from criticising myself for the things I do and the ways I feel towards accepting these negative aspects of myself and trying to protect myself as best I can from them. Constantly fighting against the dark parts of me has been making me feel lost and hopeless, so until I get the therapy I require to attempt to undermine these negative thoughts and behaviours, I will instead just try to prioritise protecting myself from long-term damage. Hopefully, when I eventually do get more treatment, I will be able to rebuild my habits in a healthier form with the help of a mental health professional, right now trying to do this on my own seems an insurmountable and possibly dangerous task.

 

If you want to hear my daily ramblings, follow me on Twitter – @RyanBInNature

 

Find some of my other mental health related life-updates here:

My Relationship With Alcohol

Antidepressants and Nightmares

A Mental Health Update

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