Searching for the Perfect Antidepressant

Searching for the perfect antidepressant can be such a difficult process. Prozac was my companion for a good 8 years. During that time, I was always aware of and worried about the arrival of the day when I would have to switch. Prozac was never 100% effective (it didn’t do much for my anxiety), but it worked well enough that I was able to manage mild depression and anxiety on my own with self-care while I was on it.

Almost two years ago (November 2015), I started noticing some issues popping up. I wrote a note on my phone to make sure I kept track in case I needed to go back to my psychiatrist. My notes read:

  • Scatterbrained, difficulty focusing in conversations
  • Disproportional anger
  • Increased headaches/migraines, back & neck pain
  • Stress dreams almost every night
  • Decreased interest in doing things I normally enjoy

sleeping woman in bed

It then took me a year of feeling this way before I finally did anything about it. The big reason for my delay was fear. I knew Prozac wasn’t the best medication for me, but it felt good enough when I thought of what I would need to go through to find a new medication. Changing antidepressants is, frankly, horrible. The mood swings are intense, and the withdrawals can be debilitating.

But my mental health problems started impacting my relationships and my work. Good enough was no longer cutting it.

I reached out to my friend Chelley and asked her to do me a favor. I asked her to bug the heck out of me until I made an appointment. And she did that for me, sending me a few messages over the course of a week or two, and then I finally went in to see my (new) psychiatrist in November.

To my surprise, my psychiatrist suggested I stick with Prozac. He gave me something called Seroquel to help with anxiety on an as-needed basis. Unfortunately, it put me to sleep when I took even a quarter of a pill. That was not going to help me in the middle of a work day!

It took me until March to go back and see the psychiatrist again. He then suggested I try Wellbutrin with the Prozac. So I started with a low dose of Wellbutrin a couple of days later. At first, I felt pretty good and could deal with the mild side effects (thinking they would dissipate). I was able to concentrate better at work and I wasn’t dreading every single task at home. I was optimistic that this medication would work out.

BUT–of course there is a but–a few days in I started feeling physically unwell after increasing the dose to what was supposed to be a therapeutic level. I got a headache on the right side of my head and around my eye and it wouldn’t respond to pain reliever. Around 3pm each day I started getting nauseated and exhaustion would hit. I thought I was just adjusting to a new medication, but about a week in, I ended up in bed, completely laid out with nausea, headache, exhaustion, sweating and shivering. Plus, it felt like my brain was literally burning.

It was Serotonin Syndrome.

So I went back to the psychiatrist again and we decided to stop the Prozac and Wellbutrin and try something else. Thus began the withdrawal journey!

I won’t bore you with those details, but it wasn’t pleasant. I got off the Prozac and transitioned onto Lexapro in mid-April. I started off small (my psychiatrist is cautious after the burning brain incident), and then increased the dosage when it didn’t seem to be working all that well.

Three and a half months later, it’s still not working well. Sometimes I’m okay and feel like myself, and sometimes I am bawling for no reason or hiding in my bedroom with paralyzing anxiety. My hair is also falling out. (Note: My psychiatrist says, “Hair loss is not a common side effect from Lexapro, so I’m not sure what’s causing this.” My internet search suggests differently, but whatevs. I’ll see if it goes away after I stop the Lexapro.)

I feel bad for those around me. I snap at or start arguments with my husband. I am spacey with my kids. I make stupid mistakes at work. I complain almost constantly on Twitter. And I feel horrible about all of it.

I have an appointment this week to go back in to see my psychiatrist and hear what he suggests trying next. I just want to feel okay again. Why is it so hard?

Helpful Books for Anxious Kids

Coming out on the other side of a life-threatening medical diagnosis and the ensuing treatment takes a lot of ingenuity and resources. We’ve run the gamete looking for ways to help Jack deal with anxiety and depression during and after his bout with cancer, including various types of therapy and a whole lot of books.

While there is no substitute for a good therapist (particularly if you are a worried parent who is also trying to deal), books are enormously helpful on a day-to-day basis. For the other parents out there dealing with anxious kids, I thought I would share some of the books that our family found helpful. Please note that the below photos contain Amazon affiliate links.

Story Books for Kids with Medical Challenges

Little Tree

Age Range: 4-8

Franklin Goes to the Hospital

Age Range: 3-8


Story Books to Help Children Deal with Emotions

Is a Worry Worrying You?

Age Range: 4-8

When I Feel… Series

Age Range: 4-8


Workbooks for Kids with Anxiety or Medical Challenges

My Feeling Better Workbook

Age Range: 6-12

What To Do When You Worry Too Much

Age Range: 7-12

Digging Deep Journal

Age Range: 12+ (Artistic kids and mature kids as young as 8-9 could do great with this, in my opinion)

Do you have recommendations to add? I would love to hear about more, particularly any books specifically for tweens and teens!


These books are helpful for anxious kids between the ages of 4-12 who are dealing with big emotions and medical-related anxiety.

Not Your Average Mother

I have a complicated relationship with my mother. I know that is not unusual in the least, but my mom takes quirky to a new level, and I learned so much from her. She is not your average mother, and thus, neither am I.

This Mother’s Day, I thought I would share some of what my mom taught me, whether directly or through her actions. Some of what I learned from my mom is pretty badass (in my opinion), but there are also unexpected twists…

mom and daughter

My mother and me, circa 1998.

If someone tries to abduct you, even at gunpoint, scream. It’s better to be killed on the spot than to go through what they have planned. And you don’t want to have to live with the memories of what they will do to you.

Be assertive. Something is wrong with your order? Talk to the manager. If someone is sitting in the booth you want? Ask them to move.

Learn to type. If you can type, you can get a job. And having a job is very, very important so that you never have to rely on anyone.

Don’t trust anyone with your money. Your husband might very well drain the bank account and charge up the credit cards buying a fur coat (in Sacramento!) for his mistress. It’s best to have separate bank accounts. And make sure your paycheck can cover the bills entirely because your boyfriend may up and go to prison.

Keep calm and carry on. If you find out your boyfriend has committed atrocious crimes, stay calm and don’t let him know you’re onto him. Instead go immediately to the courthouse to get a restraining order and have your 6’4″ brother deliver it. Don’t tell said boyfriend why he is being kicked out. Later, work with police to get his confession to the crime recorded over the phone.

Okay, you can break down but only in the shower when you think your kids can’t hear you.

Plan ahead. Get your will and life insurance and safety deposit boxes in order, and then tell your kids all about it, even if they are preteens. “I added you to my bank account. If I die, you need to go withdraw all the money right away because otherwise it can get caught up in legal proceedings and it will take forever to get the money and it might even disappear.”

Pay attention to your maternal instincts! When your spidey sense starts telling you something isn’t right with your kids, listen. You might just show up in the middle of your kids getting a lesson about their dad’s drug use.

I think about these lessons from time to time and the depth of experience that comes with them. My mom has survived so much in her life and I can honestly say I look up to her a lot. At the same time, I hope to never have to share most of these lessons with my own kids.

With that said, I have my own history and quirks. Time will tell what kind of lessons my children will glean from me.

What about you? What life lessons have you learned from your mother that she may not have intended to teach you?

Trying to Figure it Out

Recently my doctor said he thinks I have ADHD. He said I could get a full assessment to be sure, but that the first treatment he would suggest to treat some of the depression and anxiety symptoms I’ve been struggling with would also address ADHD issues.

I was taken by surprise. At this point in my life, I hadn’t expected to add yet another thing to the list of labels and acronyms assigned to my mental health. The implications of this felt a bit overwhelming, and I wasn’t sure what to think about it.

I don’t like surprises.

I did some reading to try to process it all. Processing takes a while for me, even for things that seem simple. I have to gather tons of info, jumble it all around, chew it up, poke at it, and look at it again and again. That’s how I work and at this point in my life I’m mostly used to it. My first answer to a lot of things is often not the true one; it’s the reflexive one. I’m still working on my reflexes. I’m still trying to integrate my emotions and my intellect, two seemingly opposing forces.

The more reading I did, the more it all made sense to me. I reviewed the symptoms of ADHD and wondered how in the world I hadn’t seen it sooner (and why my prior doctors hadn’t suggested it). I talked to a friend who was surprised I hadn’t already been diagnosed – she had assumed I had because it was clear to her.

I have always thought I was a pretty self-aware person but this new information made me doubt that.

As I started looking at my struggles in a new light, I though about Jack and his struggles. And I felt guilt.

I should have found this out earlier. I should have known this about myself. And why didn’t I take it more seriously when Jack was diagnosed? Why didn’t I do more reading then? Why have I let him deal with this all on his own?

Intellectually I know why I didn’t do more reading and why I didn’t take it more seriously when Jack got the diagnosis a year and a half ago. I couldn’t. I was overwhelmed and wrung out after getting him through 3+ years of cancer treatment. Not to mention, I had a newish baby to take care of and was looking for a job. I couldn’t handle another thing at that point in time. I needed to take a breath.

That breath has lasted a lot longer than I anticipated.

As I said, my intellect and my emotions don’t always get along. They seem to each have their own separate timelines. So this may take a bit more time to process, but I will get there…I hope. In the mean time Jack and I will talk about our challenges and our strengths and maybe we’ll figure a few things out together. I’m sure he’ll teach me a few things along the way, as well.

Sometimes the challenges your kid faces are the very things that give you the kick in the pants to get your own shit together.

What the ACA Means to Average Americans

Last week I posted something to Facebook about how upsetting it was that the GOP is taking actions to dismantle the ACA. That post ended up in the trending topics on Facebook, and I had to turn it to friends only as a number of strangers and trolls decided to chime in. I was headed out of the house for the Women’s March and couldn’t address the ugliness entering my feed, so I put it on lock down.

I thought I would take the time here on my blog to post in more detail, though, and address some of the rhetoric I’m hearing out there. I can offer some additional insight into the issues since I’ve worked in the healthcare field (to be specific, I worked in the Administration and Finance department dealing with contracts, physician payments, and Board meetings). Others in the healthcare may have a different take, I suppose, but here is mine.

First, a note: There has been a lot of spin about what the Affordable Care Act (a.k.a. Obamacare) is and why people want it. Republicans have lobbied hard against the ACA for years. Many people have forgotten that the original iteration of the ACA was torn apart by Republicans and what we were left with is just a shadow of what President Obama intended–literally, the bare minimum he could get through Congress. There are a lot of things wrong with the ACA, of course, and that is in large part because of the refusal of Republican lawmakers to work with Democrats during that time (and since). Some states were able to develop their own ACA-related programs to address the holes in the law, and some were not. So in many areas around the country, insurance companies have hiked rates because there is little or no consequence to them.

Ewokmama.com: Why we Need the ACA

Logistics of implementation aside, I want to make it clear that my support of the ACA is not about wanting free healthcare for my family. In fact, we don’t have insurance through the ACA programs. We have an employer-sponsored plan because we are lucky enough to be in good health and able to work. The unemployment rate is pretty low at the moment and my husband and I have pretty secure jobs (as secure as any job is these days).

With that said, the tenants of the ACA impact ALL healthcare plans. See this article for more on that.

When I use my family as an example of why we need the ACA, it’s because my family is pretty typical. Our circumstances are subject to change at any time, just as most Americans who don’t have a hoard of cash as a safety net. We are living paycheck to paycheck and have credit card debt and have experienced lay offs in the past. We have a house and cars, but those things could easily be taken from us if we hit hard times–just like so many other Americans.

There are many, many Americans who do not have employer-sponsored plans. Some are unable to work, perhaps due to illness or because they are caregivers. Some are self-employed or work with small companies that do not offer healthcare. Some have lost their jobs–most people I know have experienced a lay off at some point in their lives! The ACA is meant to help all of these people and prevent them from going into catastrophic debt from which they can never recover.

You can easily google “how much does cancer cost” and find out just how financially catastrophic that diagnosis can be.

And then there are those pre-existing conditions clauses. These do directly impact my family. My older son, a cancer survivor, is considered to have a pre-existing condition. That will never go away. He cannot hide it because he will need monitoring for the rest of his life to catch any other issues that cancer treatment causes. I have mild asthma and a history of mental health issues. My younger son has Reactive Airway Disease, which is often a precursor to asthma; he is only two–who knows what else will come up for him.

Prior to the ACA, even employer-sponsored healthcare plans could exclude us from coverage for periods of time. Prior to the ACA, and before I had employer-sponsored healthcare, I was denied private healthcare insurance due to a history of mild asthma and depression. I could not afford to pay for the medications to treat these health issues out of my pocket, so they went untreated.

When people cannot afford to take care of their health, that impacts their ability to work and be fully functioning members of society. Their health problems do not magically go away during that time!

Now let’s talk about hospitals. Did you know that if someone shows up in an Emergency Room, the hospital cannot deny them care even if they can’t pay? Some uninsured patients that show up in ERs are able to qualify for Medicaid (which, I might add, also doesn’t reimburse the hospital 100% for cost of care), but some are not. So many hospitals are taking on the cost of caring for uninsured or “under-insured” patients. If there is a large number of these people who need health services and cannot afford to pay for them, the hospital accrues large amounts of debt. The hospital has to then raise their rates for the rest of us to make up for the gap in operating costs.

And what happens if we refuse to pay those higher hospital bills? Well, in many cases those hospitals get shut down. This was a major issue for the Catholic hospital where I worked in rural northern California. It nearly shut down. Hundreds of people were laid off to keep it operating!

These issues snowball. Rural hospitals and facilities in debt have trouble hiring quality medical staff. The quality of care goes down. More mistakes are made and more lawsuits happen. People die, and costs continue to skyrocket.

This was happening in rural areas all over the country before the ACA. And these rural hospitals are still struggling due to key provisions missing from the ACA.

But if the ACA is repealed, it doesn’t fix any of these problems. We just go back to large numbers of people being uninsured or under-insured!

We need to fix the ACA. We need healthcare reform to hold insurance companies accountable–not a big gaping hole.

Please, call your representatives and demand they either KEEP THE ACA or develop SOME sort of bandaid in the mean time!