i had a therapist appointment for yesterday afternoon, but i called and canceled. i said something about sleep, meds, being unbalanced, etc.
and the deal is: my sleep is so fucked up. the other day, i took my pills at midnight, including the trazodone which usually puts me right to sleep. i wasn't able to fall asleep until 6am, when i gave in and took more (2x dose) trazodone. then i slept most of the day, of course. i can't seem to stay awake for any longer than 7 or 8 hours, usually less during the day time. but when the night comes and it's time to be asleep, of course i can't sleep at all.
as a result, i'm missing random doses of meds because i never know when i'm coming or going. i take meds twice a day, once in the morning and once at bedtime. well, if i wake up at 4am, or after only a few hours of sleep, i don't take them right then because i'm still intending on going back to sleep. and if i wake up later, and it's dark by that time, it doesn't occur to me to take morning meds when it's dark outside. and if i fall asleep halfway through the day, i can't take my bedtime meds then because i always have the intention of taking just a nap, but then i'll wake up in a couple hours and still not take my morning meds, because now it's 9pm or whatever, and on and on...
my bedtime meds seem to be taken pretty much consistently, meaning every day, though not even close to being at the same time every day. but my trazodone, which is supposed to help me sleep, is not working very well anymore. i'm supposed to take 150-300 mg at bedtime. that stopped working so i took more and more... last night i was up to 900 mg before i fell asleep. i'm sure it's not good for me, but i am keeping an eye on it, as far as knowing the levels at which an overdose will occur and how much is safe to use in certain situations, etc.
anyway, with all this shit... extremely erratic sleep patterns and getting meds mixed up... it really messes with my head... my moods, my emotions, my reactions, my level of functioning. i'm so unbalanced and feeling completely crazy and depressed.
i've been wearing the same shirt, pants, and underwear (!!) since saturday. i haven't showered since then and i haven't left the house since then. i probably shouldn't have gone anywhere on saturday to begin with, because i think i may have lost my wallet in the process.
and yesterday, it just wasn't happening. shower, walk to the bus stop, go to therapy? i didn't even make it to the closet.
okay, so i'm depressed. and each day, i'm at varying degrees of denial over that.
my therapist said she could reschedule for friday afternoon. i haven't returned her call yet to verify either way. part of me is tempted to just disappear from her radar for a while. i've been under such a cloud for so long that it feels like i'm not getting anything accomplished because i'm just going through the motions every day. my affect is starting to dull and i can't go either way. honest, expressive emotion is beyond my grasp. i don't care enough to get up, take a shower, walk to the bus stop, spend 1.5 hrs on the bus, and see my therapist. it just doesn't seem worth it because i've convinced myself that it won't make a difference and it's dangerous to be out alone anyway. too much vulnerability. too many people seeing me. i want to be invisible.
i need some refills on my prescriptions and i've been putting off calling it in for a couple weeks now just because the pharmacist is friendly and calls me by my name. a friendly response would be in order from me, but it's too overwhelming and painful.
some other things are adding to this misery, like the food issues that are becoming more and more dangerous for me as i try to climb in the other direction. old habits die hard. god, i feel so fucked up. the obsessions won't leave me alone.
plus, i'm really anxious about seeing my psychiatrist again, but that doesn't happen until march. i guess i have 6 more weeks to dread it. and i've pretty much given up on advocating for myself with him. it's no use. i just have hate for him every time i think about it, and i fear him because he has made it clear that he will do whatever he wants with me. but i can't argue anymore. the fight has been beaten out of me. the community mental health system isn't designed with the rights of the individual consumer in mind. the system is designed to just barely maintain mentally ill people, herding them around in an unwelcoming and ill-prepared society as inexpensively as possible.