Starting Lexapro next month. Terrified but hopeful
Hi all. I am new to this sub, so apologies if this kinda post isn’t allowed. I’m looking for some community encouragement and insight from those who have travelled this path. This is a bit long, sorry about that.
I have been struggling for the past 2-3 years with a cluster of adhd symptoms, anxiety, bouts of depressive symptoms, perseverative thought loops, obsessive compulsive and impulsive behaviors. After working with a Psych-NP for a year trying various things I’ve agreed/am ready to start lexapro. We’ve tried gabapentin to reduce anxiety, low dose adderall to induce focus, stratera at one point to try non stimulant adhd med… the gabapentin is fine but I absolutely hate stimulants and the stratera made me feel psychotic and angry. My NP had recommended an SSRI basically on day one, but I have always resisted for the common reasons as many others- scared of weight gain, losing (an already pretty low) sex drive, and general fears about side effects/ symptoms etc.
I’m a 34F grad student working on my dissertation research/writing, and I really can’t tell if it’s just that a PhD is extremely difficult or if I really do need some pharmaceutical assistance. It’s like writers block and anxious procrastination are just my baseline now, and I feel like I have tried everything. I find myself constantly recommitting to routines of exercise, healthy diet, reduce scrolling, smoke less weed, etc, so that I can maintain a daily 2 hour writing practice but weeks later I find myself back in the same place of having given up and being so frustrated with myself. I maybe have 1-2 days a week where I can actually sit down at my desk and successfully do the analysis and the writing I need for my dissertation and academic career, otherwise it’s a mix of frustration, self hatred, so much planning around creating the perfect writing conditions, etc. I am very easily emotionally thrown off about my ability to get my work done and sometimes I find myself like “welp, not gonna happen today!” and will literally give up sometimes at like 11am. It’s such a waste of time and energy. Even writing this now I’m getting so irritated by how pathetic it all sounds. Like… just do it!
My partner and I work with a couples therapist who also sees me individually, and we talk at length about my emotional attachment to my work and how I want it to be so good but I feel like a huge failure bc I can’t actually sit down and do the writing I need to do. Everyone has so much faith in me and I just feel like I’m not cut out for academia sometimes. I oscillate between being so inspired by my work to then being so drained by it, and I think it’s largely due to the way I relate to myself / my past failures / my fears about the future, etc. I’m so sorry for rambling.
Landing the plane: my big sister has always struggled with chronic depression. Its debilitated her at points in time, and wreaked a lot of havoc on her relationships. Finally back in January she got on lexapro and says she feels the best she has ever felt in her entire life. When I told my own therapist about this and about how idk if an SSRI is right for me bc my sister was “actually depressed” and I’m just anxious and inattentive, she was like “you know, it doesn’t matter if you *have* depression, if it helps you, that’s all that matters.” She also cited research on prescription success across siblings. So now I am ready to try it, but I feel my anxiety and fear creeping in about the medication itself. How much more time will I waste trying to figure this out? What if it doesn’t work and I lose all that time? The thing is, I’m not the typical profile of depression, I sleep great, I am generally a happy person, but I feel like I need something bc I can’t live having no command over my focus anymore. I feel powerless.
My husband and I are going to Europe for 2 weeks in June and then I’m starting when I get back in about 4 weeks, but have read a bunch of things here about needing to give it 6 weeks, and I really need to get good research and writing done on my dissertation this summer. I’m low key freaking out.
So anyway here I am seeking input and support from the community. I’m obviously desperate. Anyone have similar experience with anxiety/ inattention that leads to depressive episodes and low self esteem??