The cortex and the amygdala. How do these tie in with serotonin, dopamine, and norepinephrine? Are my neural pathways wired wrong? Where's the damn neuroplasticity kicking in to rewire things and get my brain back to its normal baseline?
I've been struggling with my mental health for about two weeks after being stable for years. Anxiety, depression, the whole shebang. I've been on the same medication and dose for years, but I'm now on day 11 of slowly increasing my dose.
I'm constantly battling myself, my physical symptoms, and my thoughts, both voluntary and especially involuntary. The symptoms keep changing slightly and evolving, but the underlying discomfort is always the same. I can't tell what's the original flare-up, what's activation from the dose increase, or what's a combination of both.
I'm sick, tired, and exhausted. Moments of genuine comfort are few and far between. It's frustrating, and honestly, it makes me angry and hopeless. How much patience am I supposed to have? I feel like breaking down crying, which I already have earlier in this flare. Some days I have the willpower to push through, and other days I just can't.
Today was one of those days. Stay in bed it is. Dwell. Recuperate. Run more time off the clock. Wait for another dose of medication and more time for my brain to learn that I'm safe.
I recently picked up a book called Rewiring Your Anxious Brain. Actually, I bought a few books, although I'm not sure how the hell I'll read them. I've never been much of a reader, especially in my current state. I could barely concentrate through the first few pages, but I did learn about two things: the amygdala and the cortex.
Apparently, these are major players in anxiety. The panic, impending doom, existential dread, and that persistent feeling that something is extremely off in my head and body. This seemingly never-ending mental and physical discomfort. The stomach issues and lack of appetite, which are so damn annoying too.
Constantly sensing danger, fight-or-flight-or-freeze, breathing discomfort, feeling scatterbrained yet somehow laser-focused on myself, hypervigilance, and rumination. It's like my brain and nervous system are stuck in a perpetual state of unease.
But if the amygdala and cortex are responsible for anxiety, what about depression? How are the two so intertwined? Does being stuck in this overwhelming mental and physical anxiety somehow deplete other brain chemicals or throw everything out of balance? What comes first, the chicken or the egg? Either way, screw them both.
I have a small prescription for benzos to use "as needed." Ha. I feel like I've needed one for the entire two weeks. I've been saving them for worst-case scenarios, partly because I'm worried about dependence and tolerance, but also because I've been told that learning to live with anxiety, accepting the uncomfortable sensations rather than fighting them, is how you eventually overcome them.
That's great for the anxiety side, but what about the depression? The sadness, intrusive thoughts, apathy, and complete lack of desire to do anything or see anyone. There's little to no joy in life in this state. That's difficult enough on its own, and obviously the constant anxiety makes it even worse. Everything that should be simple feels like a chore, and everything difficult feels insurmountable.
And here's something I find strange. Sometimes, when I'm genuinely focused on something, whether it's a work task, answering emails, or finally getting absorbed in a TV show or movie, I get a brief moment of relief. For a little while, I'm no longer hyperfocused on myself or how I'm feeling. It doesn't happen often, but those few minutes are a nice break.
But the second my attention shifts back inward, the hypervigilance returns, the symptoms intensify, the rumination starts up again, and the cycle continues.
Then I'll walk down the street and see homeless people struggling with severe mental health issues. Part of me feels guilty for complaining about my own problems, but another part becomes terrified that I'm just one more downward spiral away from ending up like that myself. And that it could happen completely involuntarily, if my brain somehow decides that's what it wants to do.
Reddit can feel the same way. I come here looking for support or somewhere to vent, only to read about people in even darker places. It's scary. Mental health genuinely scares the shit out of me, and I feel like I have no choice but to navigate this storm, often feeling completely alone, with no daylight in sight. It's like a living nightmare where you're praying the scariest parts are already over and behind you, rather than still waiting to get worse.
I guess my point is that there's anxiety I can consciously recognize and try to manage, and then there's the involuntary anxiety, both physical and mental, that seems to happen regardless of what I think or do.
I desperately want to get better, but it feels like my effing brain is broken.
How do I do this? How do I keep fighting? When does that normal baseline feeling finally return? When do the constant anxiety headache, bad thoughts, chest tightness, and mental unease end? When does the joy return?
When can I lie in bed all day and actually feel completely relaxed? When can I go to work, sit in my office chair, and not feel like I'm losing my mind?
I'm not comfortable anywhere. Not at home, not at work, not even when I'm supposed to be relaxing.
I just want to feel like myself again. I want to get better. But holy shit, it's so difficult.
When does it get better?
I feel like I've been patient enough.