Category: Survival

Happy pills – the changing of the guard

Disclaimer: I know there will be people reading this who don’t think medication for mental health is a good idea. That is your prerogative. I have tried living both with and without it and have come to an informed decision that I would rather be a functioning human being on cray cray pills than the wretched creature I am without. Please don’t send me articles about side effects and studies saying they will turn me into an evil alien cyborg. Trust me, I have read them. This is not a blueprint for everybody. It’s what works for me. Please respect my decision.

Right, now that that’s out of the way;

I have been on my little blue (sometimes green, sometimes purple and blue) happy pills off and on for 20 years.  I found something that made me able to function and achieve in the world and eventually I stuck with it.

Last year my old faithfuls stopped working.

It didn’t happen suddenly. In fact it took me quite a while to actually work out what was going on.

I’d have little ‘episodes’ completely out of the blue. I would be happily going about my day, then have a screaming anxiety attack. My jaw would start aching, then I would realise I had been clenching my teeth for an entire day. I would feel really low and lethargic for no apparent reason or I would be overcome by unaccountable rage.

It wasn’t until I started experiencing OCD symptoms again that I realised something was really up. It was just the preliminary stuff – having to stop myself from repeatedly checking whether the door was locked or the iron was on, counting, having to repeat certain phrases a certain amount of times or something bad would happen – but i knew if I didn’t do something about it things were only going to get worse.

Even then, it wasn’t until I talked with a friend who had been through something similar, that I worked out what might be going on.

Like everything, there are differing opinions about this, but for some people – my friend included – once you reach a certain age (in my case *cough* mid-30s) the meds can stop working as well. The colloquial term is ‘Prozac poop out’

It certainly doesn’t happen to everyone, but I was pretty sure it was happening to me. I was put on fluoxetine when I was 15 years old and there are many different drugs out there now, so I figured it might be time to give something new a try.

My GP wasn’t keen to change my prescription without an expert opinion, so off I went to an incredibly good (and incredibly expensive) head doctor. It’s crazy (‘scuse pun) that you have to spend so much to access decent mental health care in this country and so wrong for people on lower incomes – but that’s another rant for another day.

Brain doc said fluox shouldn’t conk out but agreed that something wasn’t working in my case and thought something different might be better for me in a lot of ways.

Enter sertraline (more commonly known as Zoloft) my new kid on the block.

I won’t lie to you, I was pretty scared. Changing something that has kept you sane for decades is bloody frightening. I remembered what it was like in the black days when I was really bad and I was so afraid of going back there. But what I was doing wasn’t working anymore.

I did the switch over the holidays so it wouldn’t affect my work in any way and I’m glad I did because the first couple of weeks were pretty awful.

I stopped the fluox completely and started with small but increasing doses of sertraline until I got up to what we thought would be a therapeutic level. There was a period of time, when one drug was leaving my system and the other just entering it, that i was definitely undermedicated. I was twitchy as all hell and would start hyperventilating and crying while making dinner for no apparent reason.  I was determined to stick with it though, and eventually it passed.

After the first couple of weeks I did begin to notice a rather surprising side effect. I had energy again.  I guess because I had been on the fluox for so long I hadn’t really noticed that my normal was pretty much a permanent state of drowsiness. It had become worse over the past couple of years but it had always been there.

I was on quite a high dose of fluoxetine for my OCD and one of it’s known side effects is that it comes with extra added sleepy. Considering how permanently wired I was when I started taking it this was a welcome side-effect. It meant I could sleep and make it through life without bouncing off the walls. Some people don’t like taking it because it makes them vacant and foggy in their mind, but I never had that. I was still myself and I could function without screaming.

What it did mean though was that, in the later years of taking it, I didn’t realise that fantasising about going home and going to sleep at 3pm every day was not normal. That sneaking off for a nap at any possible moment at any time of the day wasn’t something that everybody did. If I got home from work before Paddy did I would crawl into bed and try to sneak  some z’s before he got home. He told me later there were a lot of times where he thought ‘where’s Anna? Oh, she’s asleep.’

Over the past few weeks I have felt more awake and alive than I have in a long time. I’ve achieved so many things over the past few weeks that I have been putting off all year and I’m getting back into writing again. It feels amazing.

One of my friends asked if I felt ripped off that I hadn’t done this earlier, but I don’t really. I needed to calm my mind and body down when I was really sick. After years of terrible insomnia it was a blessing. It’s only really been the past few years that it has been a problem, and even then I didn’t realise that it was. I achieved some pretty awesome things during that time. I sailed and scuba dived, I wrote a book. I don’t feel ripped off, but I do feel better than I have in a long time now.

The only other side-effect I have noticed is insomnia, but that is definitely easing up now. And the funny thing is, I didn’t get anxious about not sleeping. Previously not being able to sleep would wind me up like a corkscrew until I had to knock myself out with drugs. I don’t feel like that now. I just read a book  until I eventually conk out, and when I do I stay asleep, which is a new and exciting thing for me.

It’s still early days, but so far I have been having very few anxiety symptoms and I’m not getting the breakout OCD stuff anymore.

I feel awake and alive and happy – so roll on 2017!

PS – shameless product placement.

50% of proceeds for Which Way is Starboard Again? now go to the New Zealand Mental Health Foundation. Just click here or drop me a line at whichwayisstarboardagain@gmail.com  

Which Way is Starboard Again? the book

What a Canadian going to space can teach me about going to sea

I’ve just finished reading An Astronaut’s Guide to Life on Earth – Colonel Chris Hadfield’s autobiography.

For those of you who don’t know Hadfield became a bit of a social media rock star after posting a series of amazing YouTube videos from the International Space Station – everything from scientific experiments and stunning space vistas  to how to brush your teeth in zero gravity.

Most importantly of all, he  recorded his own version of David Bowie’s Space Oddity – IN SPACE!

Being the Bowie freak I am this of course is what first brought him to my attention.

He popped up on my radar again when I was talking to a friend about how sailing scared the hell out of me but I still found myself doing it. He said he’d just finished reading a biography that he thought I’d really like and promptly handed me An Astronaut’s Guide to Life – what going to space taught me about ingenuity, determination and being prepared for anything.

My first thought when starting to read was ‘pssshh, overachiever! There’s no-one in the universe (s’cuse pun)  more utterly out of my league. My second thought was ‘hey, wait a minute! This guy thinks just like me!’

One of my particular skill sets is being terrified of everything (it doesn’t stop me doing things – but it can make them a lot more difficult). Paddy calls it catastrophising – put me in any situation and I will come up with the worst possible outcome, however improbable.

So you can imagine me astonishment when I read that Mr Overachiever Astronaut was actually scared of heights! It seemed about as logical as a person with anxiety issues floating offshore on a tin tub (sorry Wildflower!)

Hadfield did something I really admire, he harnessed his anxiety and made it work for him. He wrote about the power of negative thought and sweating the small stuff – and of course as an astronaut you have to sweat the small stuff to survive.

While nowhere near the same league he’d got me thinking – I’d never seen my negativity as having power before. When you think about it though it makes sense, as long as you actually know what to do if the worst happens.

In fact, during the one really scary experience I had on the boat (sorry – but I’m saving that for the book), I was actually able to handle things because I had a job to do and I knew how to do it. It’s the not knowing that turns you into a wreck.

Hadfield sums it up perfectly right here;

“In my experience, fear comes from not knowing what to expect and not feeling you have any control over what’s about to happen. When you feel helpless, you’re far more afraid than you would be if you knew all the facts. If you’re not sure what to be alarmed about, everything is alarming” (pg 52 – An Astronaut’s Guide to Life on Earth)

That sentence propelled me right back to our first night out of sight of land,  the boat creaking and groaning as we punched  into the wind that insisted on blowing in the exact direction we wanted to sail in. It was a little uncomfortable, but the boat was sturdy and we were safe – all the same, I was freaking out.

The reason I was freaking out was simple. I didn’t know exactly what was going on. Wildflower was making creaking, straining, banging noises I had never heard her make before. Because I couldn’t be certain if they were good or bad, the catastrophiser in me immediately decided they must be all bad. In short, I didn’t know what to be alarmed about – so everything was alarming.

Hindsight is a beautiful thing. Taking Wildflower offshore for the first time was a massive undertaking. We had a limited time window to wind up our jobs and our lives and make sure the boat was ready, but we didn’t spend enough of that time making sure that we as people were ready.  Theoretically I was – I’d passed my Boatmasters exams, I knew the safety drill – but mentally I had no clue what I was letting myself in for. I didn’t know what I should or shouldn’t be scared of.

Paddy was then faced with the unenviable task of skippering the boat with the first mate was popping up and down like a meerkat on speed going ‘what was that?’ ‘is that noise normal?’ He lay down with me in the back cabin (one of the noisiest spots) and explained to me what each creak and groan was and that helped hugely – but that was one more task he shouldn’t have had to do.

What it taught us was that next time, along with the boat prep, there will have to be more people prep (at least for me) – and one of the things I am keen to do is an offshore survival course. The kind where you practice skills you more than likely are never going to need, where you actually deploy the life raft and bob about inside it in a swimming pool.

I already feel much better now I have actually fired off a flare and I would rather know what to do if things went to hell than have to rely on others to tell me what to do. I’m never going to be an all-singing, all-dancing, fix-it-at-sea woman – but I would like to be able to do something practical without losing my mind.

Paddy worries this focus on the negative will put me off, but I think the opposite. I think it will calm me to know I am as prepared as I can be.

Worrying is something I’m good at, so I might as well harness it.

And, as Hadfield says “Anticipating problems and figuring out how to solve them is actually the opposite of worrying: it’s productive. Likewise, coming up with a plan of action isn’t a waste of time if it gives you peace of mind. While its true that you may wind up being ready for something that never happens, if the stakes are at all high, it’s worth it.” (Pg 72 – An Astronaut’s Guide to Life on Earth)

You have to be careful though, there is a balance when you are at sea. Sometimes immediately leaping into survival mode can actually decrease your chances of survival. The thing with a boat is, no matter how uncomfortable things get, often the safest place to be is on board. It’s counter-intuitive, but it really does take an awful lot to make a boat sink – and  if you cut yourself adrift on a life raft you are at the mercy of the elements. Nine times out of ten the safest thing you can do is stay on board as long as possible – the golden rule is that you should “always step up into your life raft”

A tragic example of this was the 1979  Fastnet race that got caught out in freak weather – it was the people who abandoned ship into their life rafts who were the ones who were injured or lost their lives and when the storm cleared the majority of the boats were still floating.

So I am going into this painfully aware of the balance but also with  a sense of confidence that I think this will work for me. So thank you Col. Hadfield  for helping me realise I can use my anxiety as a tool and that the power of negative thought could actually make me a better sailor.

PS: Note to my Mum – who I know is reading this: Stop freaking out. We will be taking a ridiculously safe and well-prepared boat at a safe time of year on an easy passage across the Pacific ocean – you have nothing to worry about (but I know you will because I know who the worry gene came from!) Love yoooouuu! xxx