Last week I spoke about starting Lexapro, so I wanted to give you a little update about how I'm feeling.
Actually, not bad. Pretty good even. My problems aren't solved by any means, but they certainly feel less impossible. I don't really know how to describe it. It's not that I necessarily feel happier, but I am having an easier time seeing how my goals and issues can be broken down into smaller, more manageable pieces. I certainly don't feel like a different person, but I do feel less "wound up," if you know what I mean.
For instance, I've been struggling to finish a short novella for the last few months. It could not be a simpler story (purely commercially driven for publication on Amazon's KDP) that I'd already completely plotted out, and yet I have not been able to just sit down and finish the damn thing so I could move on to better projects.
Yesterday I finished it. After literal months of being about 2000 words from the ending, I was finally able to sit my butt down and get it done.
Is it the medicine? A placebo effect? A combination of all the other things I'm doing? Not sure. But I'll take it.
The only other thing I've been doing differently is making more of a concerted effort to apply some cognitive behavioral therapy exercises, particularly the one related to procrastination/perfectionism. It works like this: you make three columns on a piece of paper and label them Task, Perception, and Reality. You write out your tasks and then on a scale of 0-100, rate how difficult you perceive they will be. Then after you complete the task, you rate how difficult you actually felt it was in the Reality column. Those of us that struggle with anxiety generally perceive things to be more difficult or awful than they really are, which contributes to our procrastination. I've been struggling with that issue lately, so I've been using this exercise and finding it really helpful, because it provides tangible evidence that the activities I need to do aren't nearly as hard as I expect them to be and it creates a kind of positive snowball effect for future tasks.
Anyway, just wanted to report that I'm definitely feeling a little better and having an easier time with things. The mild Lexapro side-effects have worn off and I'm feeling like it's really helping, especially in combination with the cognitive behavioral therapy I've been working on. That makes sense since the combination of medication plus therapy is supposed to be more effective than either one alone. I don't know why but I find that pretty cool to see in action. It gives me a lot of respect for psychiatry.