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.
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