In my last blog I described how I had decided to take the leap from being employed to self-employed, and become a full-time writer. I’ve done this in part because of course I want to spend more time writing, and in part because I think being wholly responsible for my life will help my battle with depression and anxiety. So far – and I’m aware that it’s very early days – I’m optimistic; mostly, at the moment, I feel remarkably happy and anxiety free. Taking complete control of my life has almost been an instant cure. I still have some bad days when I feel a bit depressed, but the bad is now nowhere near as bad as it has been. Of course the days are getting longer as well, and the perpetual gloom of the Scottish winter has started to lift; I’m sure that helps, but I don’t think the weather is the main reason for my improvement. Being free is I think the major factor. I’m sure the feeling won’t last for ever – people soon adapt to changes in their circumstances – but I think it’s a good and important change.
So I have decided to reduce my medication. I have gone down to only two quetiapine a day. Quetiapine is an atypical anti-anxiety drug that is very effective against anxiety. It worked great for me, but made me extremely sleepy. I was worried that this reduction in dosage might interfere with my ability to sleep: I love the instant unconsciousness quetiapine gives you at night; I like the way I put my head on the pillow and I am asleep. In the morning I don’t even remember switching the light out the night before. I was afraid that I would lose this instantaneity of falling asleep, but I haven’t (so far). I don’t sleep quite as deeply later in the night, but I do find it easier to wake up in the morning. I hate the way quetiapine makes it so difficult for me to wake, and leaves me feeling like I just need to go back to sleep for the first couple of hours of the day. Reducing the dose has greatly reduced this zoned out feeling. So far, so good. And I’ve had no rebound in anxiety levels, which I also feared might happen.
I’ve decided I need to make other changes too. Now the general advice when changing your medication and life when mentally ill is only to change one thing at a time. So I’ll give the reduction in quetiapine some time to bed down. My previous “big change” was to try to get fit and go to the gym. This change has more or less worked out, and I’m now fitter than I have ever been. I still can’t say I particularly enjoy the gym or exercise though; I find cardio painful – literally and metaphorically. I hope to reduce the dose of quetiapine to one a day soon.
But it is also time to rethink my daily schedule to see how I can maximise writing time. The research shows that many great writers start early in the morning and get going with those words. I would need at least a cup of tea before I could do anything, but I could make writing the number one priority of the morning. No checking of email or Facebook until those thousand or whatever the target number of words are out. At the moment I go to the gym some mornings, and as the anxiety builds up, take quetiapine. Although it calms me down I feel a bit sedated as well, and I don’t like that feeling. Often (and of course it’s not always possible to do so) I fall asleep. I then feel good and perky for the later afternoon, evening, and early night. Of course at the moment the writing time is naturally heavily constrained by the day job; I won’t be able to change my life fully until I actually finish. At this time of the academic year student project work and marking more than fills the day. For now though, work comes first. The writer’s life is not an easy one. And being depressed is not easy. Being an employed depressed writer is very difficult indeed.