{"id":883,"date":"2007-06-21T09:43:11","date_gmt":"2007-06-21T13:43:11","guid":{"rendered":"http:\/\/52.52.55.152\/?p=883"},"modified":"2007-06-21T09:43:11","modified_gmt":"2007-06-21T13:43:11","slug":"rough-visit","status":"publish","type":"post","link":"https:\/\/www.jennamagee.com\/?p=883","title":{"rendered":"Rough Visit"},"content":{"rendered":"<p>Last night saw me in Dr. Steve&#8217;s office again for my regularly scheduled visit.  And it was a <strong>rough<\/strong> visit.  Lots of tears.  New issues coming out, or rather old issues coming back up to the surface.<\/p>\n<p>You see, I am my own worst critic.  I am extremely hard on myself.  <strong>Extremely.<\/strong>  I don&#8217;t know why; I don&#8217;t know how I&#8217;ve fallen into this trap, but I&#8217;ve always demanded the absolute best of myself for decades.<\/p>\n<p>But, we&#8217;ll start at the beginning&#8230; of the session, that is.  It was quiz time again.  Every few months, I have to answer two sets of 25 questions &#8211; one is the Burns depression test and the other is the Burns anxiety test.  This allows Dr. Steve to analyze how I&#8217;m doing across time.  The depression score wasn&#8217;t too bad.  It was an 18, which is good for me and indicates that I&#8217;m managing the depression.  The anxiety score was high, though &#8211; 33.  As high as when I first started seeing him over a year ago.  Isn&#8217;t that mildly distressing?  \ud83d\ude06  Actually, I knew that one or both of the scores were going to be pretty high, based on how I&#8217;ve been feeling over the past week and a half.  It&#8217;s not necessarily indicative of how I&#8217;ve been doing in the months since the last time I was scored, but it is true to how poorly I&#8217;ve been feeling of late.<\/p>\n<p>And my diagnosis has been changed.  Which I knew was coming, based on last week&#8217;s and then last weekend&#8217;s events.  The anxiety diagnosis is obviously still there (in a BIG way), but instead of dysthymia (which is low-level, chronic depression), he&#8217;s changing it to cyclothymia.  This takes into account the swings, so it is basically dysthymia with upswings.<\/p>\n<p>According to one website, &#8220;Cyclothymia is a chronic bipolar disorder consisting of short periods of mild depression and short periods of hypomania (lasting a few days to a few weeks), separated by short periods of normal mood.  Individuals with cyclothymia (thymia: from the Greek word for mind) are never free of symptoms of either depression or hypomania for more than two months at a time.&#8221;<\/p>\n<p>That sounds about right and I&#8217;m actually fairly comfortable with the diagnosis.  It&#8217;s basically the mildest form of bipolar disorder, with two levels of severity above it.  &#8220;Genetic factors appear to be causative in cyclothymia as they do in the Bipolar Disorders.  Many of those affected have a family history of major depression, bipolar disorder, suicide or alcohol\/drug dependence.&#8221;  Check, check, check and check.  ALL of those are in my immediate family.  Also, &#8220;Sleep difficulties are prominent, with affected persons sleeping little during hypomania, and &#8220;unable to get out of bed&#8221; during depression.<\/p>\n<p>So, Dr. Steve is now anxiously awaiting the psychologist&#8217;s verdict when I see him on July 6th.  I told him that I didn&#8217;t want to medicate for it, that I didn&#8217;t want to be a zombie, I still wanted to feel the highs and lows of life and I actually didn&#8217;t mind the hypomanic periods.  His response, though, was that there is a price to pay for the hypomania and we both agree that that&#8217;s the part I don&#8217;t like.  I can&#8217;t afford to miss work because I can&#8217;t get out of bed in order to provide the energy for the later hypomania.  *sigh*  I know he&#8217;s right, but &#8230; I just really hate to change meds again.  I know it&#8217;s all part of the process, but I dislike not knowing how I&#8217;m going to react when I try a different medication regimen.  I just want to be stable.  I want to be normal again.<\/p>\n<p>But, enough about that.  There&#8217;s no sense crying over spilt milk.  We&#8217;ll cross that bridge when we come to it.  How many other clich\u00c3\u00a9s can I throw in there?  \ud83d\ude09<\/p>\n<p>You know what?  I&#8217;m tired of talking about it for the moment, so the rest of my update will have to wait.  More later.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last night saw me in Dr. Steve&#8217;s office again for my regularly scheduled visit. And it was a rough visit. Lots of tears. New issues coming out, or rather old issues coming back up to the surface. You see, I &hellip; <a href=\"https:\/\/www.jennamagee.com\/?p=883\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[],"_links":{"self":[{"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=\/wp\/v2\/posts\/883"}],"collection":[{"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=883"}],"version-history":[{"count":0,"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=\/wp\/v2\/posts\/883\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jennamagee.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}