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True Stories: Still Medicated After All These Years
My love life, on and off drugs.
by Jeremy Glass
Growing up, I thought I was going to die every single day. It wasn't the kind of fear that kept me looking over my shoulder every minute, but rather a grim acceptance that the end was near and that I needed to come to terms with my life. The exact nature of my demise proved to be a fixation of mine: scenario after scenario streamed on repeat in my head. When I was driving, I envisioned an enormous grizzly bear running into the road, smashing into my car, and then feasting on my body. When I showered, I thought about how I would slip on the wet tile and crack my head open on the faucet. This fixation on the end carried over into my love life: every relationship was ill-fated and anxiety-stricken from the start.
My first serious relationship was with Sara, the girl I thought I was going to marry. On the surface, we were compatible and cute, but further down, we were perfectly awful for each other. She went to a college close to mine and we made the choice to spend every moment together, foregoing friends, sunlight, and socializing. Our dual anxieties complimented each other: we could quell each other’s panic attacks the same way smoking cigarettes quells hunger. Sara and I lived in my bed freshman year — I can count on my fingers the number of times we ventured outside in the daylight. Sara met my every attempt to make friends or pursue hobbies with hostility. When I started getting into filmmaking, I'd spend hours helping my friends shoot their projects and would come back to my dorm room to her fuming.
“Where were you?”
“Oh, I was just helping Matt with this thing.”
“All day?!”
“Yeah, I mean it takes kind of while to shoot...”
“I was fucking bored all day!”
“So why didn't you just go back to your dorm?”
“We were supposed to hang out!”
“We hang out every day...”
What I should have said was something like, “I'm sorry, but this is what I wanted to do today. It makes me happy and I like doing it. I should've told you it was going to take a while.” But that was how we communicated. I never got the chance to tell her why sitting in a dark room for hours watching TV wasn't conducive to me feeling better — or that getting berated about leaving said dark room added to my anxiety to the point where I felt like I was walking on eggshells every time I had friends over to my chamber-of-sadness dorm room. My five-year romance with Sara consisted of nonstop fights, insults, make-up sex, and ill-attempted dates. It eventually ended when she moved away and I found myself alone.
Eventually, I got tired of waking up feeling like I had a ton of concrete on my shoulders, and it took less than ten minutes with a psychiatrist to produce a diagnosis: severe anxiety disorder. The prescribed treatment was two small pills (clonazepam and oxcarbazepine), taken at bedtime. Barely a month into my treatment, I noticed a complete change in my behavior. I was speaking more slowly and intelligibly, without my usual whirlwind of fragments and abrupt segues. Overall, I felt extremely... pleasant. I felt myself becoming outgoing and social ― I could converse without the fear that no one could understand me.
The biggest change, though, was my ability to connect with people ― specifically, hu-man female people. My first “on-drugs” date was with a tall, sweet girl named Cindy who I met on the internet. We went on a few dates and eventually ended up in a relationship. She was, admittedly, very much my type ― quirky, silly, and friendly. What was different, though, was the way I felt about her: I didn’t feel the need I was used to; (the flame, as Cheap Trick put it), but rather a calm, slow-burning smolder.
I cared very much for her and really enjoyed her company, but our relationship just kind of... coasted. We never fought, we were rarely outwardly affectionate, and we would occasionally go days without contact without any hard feelings. We ended up drifting apart, like continents.
Our last day together was spent walking through a grocery store.
“God it's cold in New York!”
“You're back! How was it?”
And then... that was it. We still text each other on birthdays.
Life was like that when I was taking my medicine ― weirdly quiet. I felt like my anxiety was an imaginary friend, now yanked from my life. If I had to compare it to a movie, my first choice would be Heart & Soul with Robert Downey, Jr., where all his ghost friends decide they have to turn invisible. (That actually looks a lot stranger typed out than I meant it to, but you get the point.)
After nearly a year on Clonazepam and Oxcarbazepine, a combination of laziness and lack of money resulted in my failure to re-order my drugs. Unfortunately, the former is a habit-forming drug that causes some uncomfortable side-effects when the supply is cut off. For days, it felt like I had stuck my head in a blender. I was constantly wired, shaky, and exhausted all at once. The withdrawal symptoms only lasted for a week before I began to feel like “old me” again. It was strange, feeling nostalgia for the way my brain used to work. Still, it didn't feel exactly how things had been before I’d started my drugs. Maybe I was just growing up, or maybe I’d evolved after experiencing life on prescription pills. Either way, I was interested in taking this new brain for a test drive in the dating world.
Without much planning, this “test drive” came in the form Abby. Abby and I had been friends for a long time in Connecticut, and kindled a romance when she visited me in Brooklyn. We started texting back and forth after she visited and I found myself glued to my phone every night. We would have long conversations, without ever actually speaking. I felt like a giddy teenager, and sure enough, my old habits crept back into our weird pseudo-relationship.
I would sit in my room and visions of my freshman year would come back to me. Of being with someone and being alone all at the same time. Of spending an embarrassingly long time crafting text messages, like, “I wish you were here with me. We could watch stupid movies and do karaoke.”
Then, when Abby wouldn't text me back, I wouldn’t assume that she was unable to get to the phone. Nor would I jump to conclusions within the “normal” range of paranoia, like that she was cheating. No, instead, I’d be wracked with fear that she’d died, victim of an aberrant stroke or possibly my old friend the grizzly attack. Of course, she'd eventually text me back:
“Hey! Sorry I was showering — aw, I'd love to do karaoke with you.”
I’d fallen back into old patterns: here I was putting an absurd amount of time and emotional investment into a girl in a different state, months after I’d let a real, here-and-now relationship disintegrate while on my medication. I recognized how wrongheaded that was, but recognition didn’t change the way I felt. Ultimately, I had to stop things: there was sadness on both sides, but in the spirit of self-growth, the whole codependent mess had to be euthanized.
I’m older now. I have a steady job that lets me afford drugs, and I’m back on said drugs. Dating while on and off my medication taught me that I'm not like Dr. Jekyll and Mr. Hyde — more aptly (and deliciously), it's like the difference between hot pizza and cold pizza. But it also taught me about the dangers of idealizing any one state of mind, or way of being. On meds, I missed the passion (read: craziness) that had been the norm. Off meds, I just wanted to be able to think straight.
Now, life is mostly about dealing with my odd tics, idiosyncracies, and droopy left eye (unrelated to medication, but worth mentioning), and trying to find a girl who can, too. If she ends up being someone with as much anxiety as me, so be it. Or if she has her life together and could never possibly understand what I'm going through, but will put up with me anyway, how could I turn someone like that down? My problems (and my meds) will always be there. I just have to find someone who'll be there too.
Want to find someone to bond over a fear of grizzly attacks with? Meet them on Nerve.







Commentarium (14 Comments)
As far as my experiences go, meds can't replace "real" psychotherapy. Do you have / did you ever have such sessions?
damn for somebody with severe anxiety you get more action than me :) And you don't neeeeed drugs..... what do you think humans did before the drugs were invented? They just handled their shit and got less anxious over time. Don't assume that you feel any more static in your brain than anyone else, just because some Dr. told you so. The drugs are just an idea somebody had, an invention. You (and I) are certainly not the only people to be overtaken by anxiety on a consistent basis. I just force myself to handle it. I also find hypnosis helped. And heavy exercise.
It's great that you found ways to deal with your anxiety and I agree with you that, if you can do it, there are big advantages to learning to deal with mental illness without medication. At the same time, I gotta plug the fact that takings meds is definitely the best choice for some people and we ought to temper our anti-meds points of view with that. What do you think humans did before toilets and the internet were invented? They probably just lived shittier lives than we do today but handled it as best they could
Yes to all you said, Lawrence. Well put.
Chances are, before medication and therapy came along, people with severe anxiety disorder, depression, bipolar disorder etc either killed themselves or made themselves and their families miserable. Don't assume people had no issues just because there were no solutions availabe.
Well that's fine, I wasn't assuming people had no issues before medication. My point was that before "depression" and "severe anxiety disorder" were labelled illnesses or mental health problems, they were just called being sad and anxious. Natural parts of being human for some people, as opposed to debilitating problems to be anaesthetized away. Maybe the purpose of depression is to make you aware of a problem in your life. I am not convinced that altering one's brain chemistry to block it out is a solution to that. I could be prescribed adderall for add if I wanted to, but the idea of taking an amphetamine because of someone's IDEA that my brain does not get enough dopamine is silly to me.
for the record,the labelling, medicalising and/or stygmatising depression and anxiety is not a recenent invention. the Greeks belived that 'melancholia' was caused by an excess of black bile and the medieval Catholic church considered 'Acedia' a deadly sin potentially punishable with eternal damnation.
People have a right to make free and informed choices on how to manage depression, anxiety or any other form of mental illness in ways that work best for them personally, whether that involves medication, counselling or something else entirely, without being judged for those choices.
"By fully embracing the biological model of mental illness and the use of psychoactive drugs to treat it, psychiatry was able to relegate other mental health care providers to ancillary positions and also to identify itself as a scientific discipline along with the rest of the medical profession. Most important, by emphasizing drug treatment, psychiatry became the darling of the pharmaceutical industry, which soon made its gratitude tangible."
A fascinating read:
http://www.nybooks.com/articles/archives/2011/jul/14/illusions-of-psychi...
As a person who's been dating on Klonopin since I was 18 I really appreciate this piece. Thank you for writing without platitudes and flourishes on a subject that is often difficult for people to understand. There is a notable difference between experiencing anxiety and having an anxiety attack. In an ideal world talking it out would work. However for some of us that doesn't work. Hopefully time and research will provide further answers.
^between experiencing anxiety and having an anxiety disorder
Thank you for this piece. I'm diagnosed with generalized panic disorder (isn't it funny how a diagnosis means nothing and everything at the same time?) and have been on and off medication for nearly three years. I've been on clonazapem for a few months and am loving it - fewer side effects than other meds, but still effective. It's always encouraging to read about other people who feel as I do. I grew up thinking I was the only one who felt that pressing weight over my heart all the time, and my diagnosis was a huge relief. Thank you, thank you.
I also want to suggest a book, for commenters and author alike, that has been immensely helpful for me. "Lincoln's Melancholy," by Joshua Wolf Schenk, is a good biography of Abraham Lincoln, but more importantly an amazing portrait of how depression and anxiety were viewed in the 1800s in the US. I would also say to K that I understand your point - there is a lot to be said for cognitive behavioral therapy, lifestyle changes, and vigilance in monitoring your emotions, but idealizing the past is not an appropriate path to address these concerns. The stigma surrounding mental illness that is so obvious today was also present 100 and 1000 years ago. Looking down on those who use modern medicine to manage their anxiety isn't conducive to reducing this stigma. I'm glad for you that you have found a way to manage your anxiety, but for some of us, the lifestyle changes required to live with lessened anxiety are just not feasible with work and personal commitments. Please don't look down on those who are different from you.
As a final note, I would encourage everyone to get involved with their local chapter of the National Alliance on Mental Illness, or participate in an Out of the Darkness community walk. Ask your Congressmen to support legislation that improves mental health care. Giving back is sure to make you feel better.
Been on lexapro and other drugs as long as I can remember. I really appreciate this piece, and am glad that someone has the guts to be so open and honest. ( I know that I have a hard time admitting I have problems, and mostly tell people I take medicine for pain, not depression - not that they are too different).
The only thing about Klonopin though is it's a benzodiazepine- the only thing besides alcohol that can kill you during withdrawal. Not everybody needs to be on this kind of drug for anxiety. Benzos are extremely addictive- physically and mentally, and doctors are very quick to prescribe them.
Maybe you can take a smaller dosage of the meds? So you can feel some emotions without the extreme paranoia? Its just an idea. My experience is that it can be really hard to 'fine tune' the dosage of these kinds of meds, and it can take even years to find the perfect balance.