It's time for the promised Wellbutrin update.
I've been on it for about a month now, and I like it. It doesn't make me sleepy, and I have had fewer cravings and lost a little weight. The dose was too low, though, because I had a lot of trouble controlling the OCD thoughts and random inappropriate tearing up / mood swings. It was *OK*, but I knew I was battling myself all the time, which was tiring in itself. So, starting yesterday I'm going to be on the higher dose, and we'll see what happens. I love my doctor - she actually listens, spends time with you, and is interested in input and conversation about what things mean and where you personally want to be health-wise. That's rare, and I love it even more after that last quack I had.
I've been thinking about the OCD, and I think I know where the
thoughts are stemming from.
Growing up the way I did, my mother blamed me for everything that ever went wrong in her life, and abused me whenever she was upset about anything at all, whether it was something I did or something she manufactured in order to have an excuse to scream and throw things and choke me. It always made me feel like I had to manage every thing, every emotion, every experience, which was of course impossible since I was just a child, and a micro-managed, ultra-unhealthily-parentally-controlled one at that. Deep down, I really internalized that I was supposed to be in control, but since I wasn't, I felt hopelessly out of control all the time, and afraid of what was going to happen to me as a result of my not being able to do so. I actually used to have little fantasies/hallucinations about things related to that, like an image of a gate opening and closing repeatedly and I couldn't stop it even though I wanted to, or a swing swinging and I couldn't stop it. I was nervous, frustrated, and afraid all the time. Looking back in that way, it only makes sense that, now that I have children, all those fears have come rushing back. I can't control every aspect of their lives, as much as I might want to to keep them safe, and as a result, I have persistent, nightmareish fantasies that they are going to get hurt, and it will be my fault. I think that it's all the anger and fear about this that causes my depression - I constantly fight with myself, knowing that it's not right or possible to be in control of everything, but yet an abusive internal voice demands that I be so.
Another reason I equate a lack of control with violence, which I have never spoken about here, is because I was raped in high school by my first serious boyfriend. It happened after we broke up, and to this day I marvel at how easy it was for him to do that to me, and how I was so conditioned to being completely disregarded and helpless, I couldn't move. I was so tired of fighting all the time, and so betrayed by this person, it was literally like I wasn't even there. I blamed myself for not stopping it, for allowing it to happen, when the truth was, it was going to happen whether I wanted it to or not. The dichotomy of those two things - feeling like I was supposed to be in complete control, and yet also feeling completely personally helpless, is so deeply imprinted in my psyche, I don't know if I will ever be able to sort it all out and get over it.
...and I'm terrified that I've passed on genetic garbage to my kids, and that something in my past could affect them through my inability to process all of this. So, until I can, drugs will be for me, I guess. I would like to not need them, to feel like I'm not damaged goods, but I guess in reality I *am* damaged, and if taking these meds will help to make sure that my kids aren't scarred by my issues, then I'll be on them to the end of my days.