I ‘Forgot’ To Take My Meds

Last week I ran out of the medication which I take for OCD. 20mg of Escitaloprem has kept me on an even keel these last six years or so. One of them a day and Stephen is content. They prevent the slavering, starving wolf that is OCD from clawing at my front door and blowing down the house of cards which constitute my always fragile mental health. I rely on these pills. They are literally my first port of call every morning, washed down with a slug of Diet Coke.

This was utterly inexcusable on my part of course. I knew well in advance that supplies were running low yet did nothing about it. Why? I don’t know. Ask me a question on sport. For I knew the consequences if I came off my medication for any length of time. The tiredness, tetchiness and tension would descend upon me like three little prescription pigs, the precursors for Mr. Wolf’s grand entrance a short time later.

I’ve done this before. I know the score and it’s a bloated, lopsided one. When it comes to going toe to toe with the big bad OCD it’s a horrendous mismatch. I rarely see beyond the second round before I’m on the ropes, being pounded and pummelled to within an inch of my life. The referee has no option but to step in to spare me from any further punishment and I slump to my knees, battered and beaten. Same old story, same old stupid Stephen.

It can’t be laziness. Ordering a repeat prescription requires a one minute phone call followed by a two minute drive to the local pharmacy in order to collect it. It also doesn’t cost me anything. So it must be arrogance, thinking that this time I’ve tamed the beast, that I’m capable of throwing aside my consistent companion and striding off into the serotonin saturated sunset, a glorious new creation no longer reliant on mass manufactured medication to keep me on the straight and narrow.

I never cease to be amazed by my own powers of self delusion. Within three days of going ‘cold turkey’ I was a twitchy, neurotic mess. It started with a dull headache above my left eyebrow which gradually descended before taking up residence behind the corresponding eyeball where it proceeded to intensify until I felt like I was being stabbed in the iris with a knitting needle. I became more irascible and intolerant. The reasonably sane front that I presented to the world on a daily basis was no more.

I was about to blow a la Vesuvius….

It all came to a head last Thursday when I had two massive arguments at work when normally I would have bitten my tongue and walked away. Middle management meltdowns in the middle of an open planned office are not a good look, career wise. They left me feeling professionally embarrassed and clutching at straws to explain my bizarre behaviour. It was akin to an out of body experience. I was hovering above, powerless to intervene and switch off the torrent of paranoid nonsense that the lunatic below was spouting. Who is that madman? Does anybody know him? Oh hang on….it’s me.

I came home that evening with my tail between my legs and sheepishly explained the events of the day to Fionnuala. She suggested (insisted) that I reorder my prescription ASAP then collected it herself after I had, once more, forgotten to do so. So here I am, back on the meds. The headache has already eased and I’m ready to face the world again with the help of my little 20mg friends. Just one a day and I’m okay. That’s just the way it has to be.

I wonder. Am I that reliant on them? Or is it, and I pardon the pun, ‘all in my head?’ Do they actually. correct the chemical imbalance in my brain to such a degree that I cannot function without them. Or are they nothing more than an emotional aide memoire to convince me that I’m one of the ‘normal’ people when most days I feel anything but; I have thoughts that only fellow OCD sufferers could even begin to understand. Incessant images that only the relief of routine can remedy.

Until they start again that is. Circles of chaos which rise and fall as they rattle round my cranium that a runaway rollercoaster. The thoughts are never fall away, they prowl around the edges of the comforting campfire biding their time. Waiting for the slightest opportunity to pounce and drag down into the darkness of the abyss. I never want to reside their again. So I take the pill. Be it Escitaloprem or M&M’s. I take it.