Today was the big day. I was rescheduled to see my psychiatrist’s nurse. I had to beg my mother to babysit T.D. and bribe my father to drive me the 15 miles up there in rush hour traffic, but I made it.
Here’s the big deal about going to see my pdoc. He’s located 15 miles away, I don’t have access to a car because C.S. takes it to work, and I have no one to watch T.D.
To be honest, I don’t have a great relationship with my parents or siblings. We don’t feud anymore, but decades of doing so has left our relationships strained. The state of our relationship only matters a little. They aren’t very giving people, and each “favor” ends up being a debt that can be called for repayment at any time. I’ve known more understanding loan sharks.
My friends work. And I’m also very particular about who watches my son. I prefer mothers, experienced nannies and babysitters, or female teachers. Those seem like high standards for babysitting a kid for an hour, but I consider it to be reasonable for a child with PDD-NOS and a significant speech delay. Would you leave your baby with someone with limited experience with babies? Though T.D. Is not quite a baby chronologically or physically, the same principals apply.
I actually made it there early, despite the traffic. But, it was certainly a “hurry up and wait” situation. Not only did I end up waiting the 15 minutes that I was early, I waited an additional 15 minutes past my appointment time. That is 45 minutes that my father had to wait around in the parking lot for me.
And all for what? Exactly what I predicted – a pitiful, unproductive, and largely inconvenient appointment with a nurse practitioner who probably shouldn’t be dealing with the likes of me.
I outlined the problems and ineffectiveness of my medication very clearly for her:
- I’ve been so depressed that I gained 10 lbs in three months. She answered,
“That kind of weight gain is practically impossible on Lamictal and especially Wellbutrin.”
- Yeah, I know. Both of them are notorious for weight loss. I have a genetic predisposition for extreme weight gain. That’s why I chose them.
My anxiety is unmanageable. I have regular anxiety attacks over every little thing. I’ve developed migraines over this again.
I don’t sleep anymore, apparently. I’ve been taking supplements for insomnia and now they don’t work. I started taking over-the-counter medication for it, but you can only take that in moderation without risking frying your liver. So, now I’m stuck with increasing sleeplessness.
It’s been about 6 hours a night off and on for two months now, and has been every night for the last week. And some nights, it’s 5 or less. Last night, I slept 4 and a half hours. I used to become hypomanic when this occurred. Now, my brain and my body are so tired that I am in a perpetual fog where I am completely dysfunctional.
- My moods are all over the place and I am highly reactive. This began slowly about two weeks ago. It started as only certain things that could trigger an unpredictable response. I would laugh hysterically, cry uncontrollably, or fly into a fit of rage at the drop of a hat, for seemingly little reason. Now, it’s progressed into constant states of arousal. I’m either delirious with hilarity, extremely irritated, or crippled with depression.
The nurses solution? Increase the dose of Wellbutrin and let the doctor determine the rest two weeks from now. My suspicion? She’s not allowed to adjust any medication other than antidepressants.
So now I take my medicine like a good girl and hope that I can manage my life within my two week period of the waiting game.
I decided that I hate nurse practitioners masquerading as psychiatrists more than I hate doctors.