(Ok, I failed at quick, please feel free to skip most of this and get to my...well, I guess if it's just a rant, it doesn't matter, but if anyone has an opinion or experience to share, I would like to hear it.)
BPD (this forum - FINALLY, people like me, people who understand!...maybe?...I hope?

So much for quick.
The past 4-5 months have been major depression, agoraphobia (idk, I have the dx, but I guess my movie-influenced notions that it means people never leave the house were very wrong, I do...sort of...but it also explains a lot), almost complete social isolation - not good, not fun.
I've been dealing with most of this my entire life that I can remember. I've had a psychiatrist and tried SO MANY DRUGS over the past 7-10 years (but the good one, the one I liked, moved to another state). Therapy for...past couple of years? (Memory loss- thanks ECT and depression!) Therapist that I trusted, kind of, I think, until my crappy, crappy health insurance provider (I know I'm so lucky to have insurance at all, especially as I'm on a COBRA extension) - well, HIPAA prevents me from knowing exactly what happened, but I don't think someone specializing in patients with abandonment issues would have just up and left that quickly without some sort of conflict. (Might get to start with him again Monday - terrified.)
So, months of depression. A few med tweaks. And then - I don't know. I don't even know. The world turned upside down. Paradoxical responses to everything. But not with timing that made sense. And not in ways I've ever really experienced before. Opposite symptoms. Strange. Visited the schizophrenic forum to assure myself that wasn't it and then - aren't psych drugs fun? - I don't remember the last week or two or three or whatever. Anger, anxiety, dreams again, opposite GI reactions, memory worse than usual, brain confusion. Might be hormone related - PCP last said something about IUD not doing what it was doing because something something uterus wall, cells not touching, I don't know. Might be lots of things. Finally realized last week that the 3-4 RAGING ANGER incidents I had in a week were "hypoglycemia" (or - I don't know - I haven't been tested and I don't know what to call that, the thing that has all the same symptoms). Felt pretty stupid for not realizing it sooner. Luckily was not arrested or locked up. Overdosed on internet-hypoglycemia info, saw something suggesting propranolol could cause it, sent psychiatrist's nurse message asking if safe to decrease. Started to decrease. A medication I was taking (and that was actually helping in a noticeable way, so sad) for anxiety. Needless to say (or I think so anyway) - it wasn't an easy week. ANXIETY! etc. But I knew I had an appointment with my psychiatrist at the end of the week and at least my memory seems a little better again (I can remember what happened yesterday, yay!).
But my psychiatrist kind of sucks. But he kind of doesn't (didn't), and the therapist I liked swore that nobody else ever had a problem with him and if I consider him simply as a prescription-writer and nothing else, I guess he was ok. (Cannot get any sort of read on him to save my life and it drives me crazy.) 20 minute appointments every 4-6 weeks and I honestly clocked him at a whole 3 minutes once. That's what I got. 3 minutes. But he at least seemed kind or not mean and wasn't forcing drugs on me and was open to suggestions, and I had a lot of problems getting a new psychiatrist when the good one moved (I need a written letter "releasing" me from care before I can schedule with a new one, how is that legal???? sorry, separate rant), so I stuck with him.
But yesterday. GRRRRRR. I go in all excessively-anxious and all that, obvious from everything about me and I told him (as fast as I could, because the 20 min appointments always start about 10 minutes late) everything going on and he just poo-poos EVERYTHING! (I guess he's probably sort of done this in the past, maybe this was my last straw.)
I KNOW I'M NOT A MEDICAL PROFESSIONAL AND HE IS, BUT I'M THE ONE LIVING THIS CRAP!!!! (And I do have psych and neuro degrees, although admittedly old and mostly useless, but I know something.)
Could it be the propranolol? I mean, doesn't it decrease adrenaline, so wouldn't decreasing the med mean I'm getting more now? Him: no, no, blah blah, no (but at least he let me stay on a reduced dose)
And then (I think this was fairly unprecedented), I don't know, uncharitable me thinks he was just in a hurry to get my appointment over and start his weekend (because the day before, they switched my appointment scheduled 6 weeks ago from 12:40 to 10:20 because he had to leave at noon) he starts in on how I've tried all these meds (yeah, DUH, it was LOADS of fun trying all this crap with minor and major side and life effects and nothing ever worked) and you know, I think I finally got some sort of read on him (or maybe it was my anxiety/paranoia), but it really, really felt like (I know - FELT, feeling, not thought) he was basically accusing me of being the problem or non-compliant or the reason the meds have never worked. AND THAT MAKES ME WANT TO SMASH BUILDINGS! (On a positive note in this whole mess of the last however many weeks - I've felt definite increased impulse control.)
Him: We've tried blah and blah and all the anti-depressants, geodon didn't work (PET PEEVE - oh yeah, geodon didn't work? You don't say? Yeah, I remember that (how, I don't know) - yeah, random doctor in the hospital decided to put me on that, but obviously it's my fault that they gave me ONE DOSE, did an EEG (EEK? what's the heart test?) and then TOOK ME OFF IT IMMEDIATELY, all very hush hush of course, I'm not a person with a right to know what was so alarming that ONE DOSE caused so much concern (I know, I have a right to my records - depression, avoidance, bad at everything - just ranting here, angry, I know it's not productive, but neither is glaring at my innocent pets).
So he gets back on his dictaphone, because he's a middle-aged white man too lazy to learn how to type (dictaphones are awesome, but really, c'mon) and is just like - well, you've tried every other SSRI on earth (I am exaggerating only a tiny bit), but let's put you on Zoloft.
(IMPORTANT NOTE to anybody reading this far: the following is my personal experience with SSRI's. They seem to work very differently for different people, probably because nobody *really* seems to know how they actually work - I know, selective serotonin reuptake inhibitors, but there's more theorizing than science right now. So don't listen to me like I know what I'm talking about. I think I know what I'm talking about for ME, but that's it.)
Me: SSRI's don't work for me.
Me: I hate SSRI's.
Me: I told you 2 minutes ago that I was having SSRI-like dreams again and want/NEED them to stop.
Me: All I get are nasty and sometimes REALLY NASTY side effects. Going up and down.
Me: I thought I just read that it's officially been decided that they don't work at all, it's all placebo effects. Stopping them is hell and makes you think they must have worked and that's it. (AGAIN, please note, I'm sure this is controversial, talk to your doctor or at least research it yourself.)
Me: And I keep reading others' experiences that even if they take them and they help, when they stop, they rebound into another depressive episode.
Me: And that they're possibly messing up the serotonergic systems in my brain permanently.
I probably didn't say all this, just mumbled some of it. But he dismissed it all. And I went along with it. It's pathetic, but it's what I do. I'm always terrified of rejection and abandonment and I was getting the vibe that he was sick of me and going to drop me or blame me or label me non-compliant and I am struggling with life enough right now. (Don't know how skewed this thinking was by all the anxiety weirdness yesterday. I'd be kind of relieved if I suddenly understand him in some way, because he's really, really strange to me, it freaks me out, like he must be a robot or just a totally "doesn't care at all" sociopath (no offense to anybody?), but I know my thinking has been and was very off, about everybody.)
So I got the Zoloft. And switched my benzo from Lorazepam to Clonazepam because the 2nd will make me too sleepy in the long run, but with how I was feeling...well, sleepy makes me harmless at least. And you know, yesterday, in some sleepy Clonazepam stupor, I felt relief. Just a respite, a break. And I really needed that. So that was good.
Today - take the first zoloft. AND AGAIN - WAT????
Maybe it's the clonazepam (old doctor - benzos can cause depression, this guy - oh, no), maybe reducing/masking the anxiety revealed the depression (I didn't really think it just *POOF* went away, I felt like it was hiding in the corner maybe, afraid of me or the other weirdness temporarily ate it) because I know SSRIs don't (I guess I should say normally, because nothing has been normal, I'm down the rabbit hole) work this fast, they take 4-6 weeks, not 12 HOURS! But I'm back to depression and (can you believe I'm not even to my rant yet) a sudden disappearance of all libido.
About that. Mini-rant: I AM SO SICK OF PEOPLE DISMISSING LOSS OF LIBIDO/SEXUAL FUNCTION AS A SIDE EFFECT THAT DOESN'T MATTER. The sneers and rolled eyes. It's not that my depression has not been bad enough that I wouldn't sacrifice a great deal to control it, it's that I lost a decade and possibly a marriage and FOR WHAT???? Because no SSRI worked for me! If they ever made me feel better or different, I suspect I might have a different opinion on this. Oh, depression, anhedonia, lets take away sex too! I have enough sex issues, I was finally started to get to, I don't know, like a 12 year old's level of knowledge, at an embarrassingly old age (this is worded poorly, I don't know how to word it but I am not endorsing pedophilia in any way) after ditching the SSRI's a year ago and now I'm just back to one more area of my life in which I was trying to make progress, maybe was, thought I might be able to, but no, it's failure, I can ditch that, I can have another failure, another regret, another BAD instead of GOOD. Another shame instead of something to enjoy or look forward to. And I'm angry that this is just expected too - well, I should just listen to the smart doctor and I don't deserve things "normal" people do. (I'm having problems dealing with things lately. Not sure why. Just accepting "life is suffering" and all that. Stalled.)
BUT THIS ISN'T EVEN MY RANT YET!!!!! (I know, I'll run into a character limit or (correct) moderation or nobody will read this giant wall of text, but...everything I do is basically a waste of time, so I keep typing.)
I don't trust doctors. Experience. And I used to work with them and, well, they're not infallible. Good or bad, I do my own research. So I start the most cursory of research of Zoloft (one site, then wikipedia) and OH HERE IS MY RANT, HERE IS MY MOST MAJOR ANGER OF THE MOMENT!!!!!!!!
All that weird stuff I told my doctor about? That I *really* need to stop? IT'S GOT A NAME, I JUST DIDN'T KNOW IT! Dysphoric mania. A risk when taking Zoloft.
From wikipedia:
"In the context of mental disorder, a mixed state, also known as dysphoric mania, agitated depression, or a mixed episode, is a condition during which symptoms of mania and depression occur simultaneously, such as agitation, anxiety, fatigue, guilt, impulsiveness, irritability, morbid or suicidal ideation, panic, paranoia, pressured speech and rage. Typical examples include tearfulness during a manic episode or racing thoughts during a depressive episode. One may also feel incredibly frustrated or be prone to fits of rage in this state, since one may feel like a failure and at the same time have a flight of ideas. Mixed states are often the most problematic period of mood disorders, during which susceptibility to substance abuse, panic disorder, commission of violence, suicide attempts, and other complications increase greatly."
THIS IS EVERYTHING I VERY, VERY HONESTLY TOLD HIM THAT I HAVE BEEN EXPERIENCING AND THAT NEEDS TO STOP BECAUSE I CANNOT TAKE IT AND I'M GOING TO GET ARRESTED OR COMMITTED...AND HE PUTS ME ON A DRUG THAT CAN CAUSE IT?????????????? (Him dictating for chart: "...prescribed for panic disorder...")
I hope I'm overreacting and catastrophizing, because this seems related to bipolar and as far as I know, I don't have bipolar, I don't think I have bipolar and I don't think any doctors think or have thought I have bipolar. And I don't think I've ever had a manic episode.
Also, I am not concerned about self-harm or suicide attempts because I had my years of that and...I'm not trying to minimize anybody's pain or experiences, but I seem to be afraid to die or something and I've stopped and, I don't know, it's hard to explain, but in an existential sort of way, I seem to be at a point where it seems as pointless as everything else. (Oooh, bad brain, now I'm thinking "but what about relapse", "what makes you think you've seen as bad as it gets, you know you believe it can always get worse". Whatever brain, shut up.)
I don't know. I don't know. I don't know. I'm afraid to speak up and say "shove your zoloft, you're a crap doctor" because I think I have alienated so many of the psychiatrists my insurance will cover already and been labeled bad things and such (some of it my fault because of my anger and some of it just unfair, untrue crap because of how I (can I say "we") get treated for being "crazy"). I've been pretty paranoid and I'm afraid to not just toe the line with everybody, even good therapist and PCP who I kind of trust. They're sick of me. My family is sick of me. My (distant, not in the same city) friends are sick of me and few. I'm sick of me. Everybody thinks I'm being difficult (at least in my head and probably in real life), but they haven't experienced so many drug and doctor failures and ... betrayals (for lack of a better word). Why would I put my faith in any of this? It has failed me in spectacular ways, almost every step of the way. And every single person in my own life that I've heard the story of how they were diagnosed with a mental illness has gone along the lines of "well, they thought it was X and then Y and then Z, but now they say I'm Pi" and one of those has always been bipolar. Well, except for me, I guess, but even that - I kind of accidentally got a few of my medical records and...read them and now I'm going "I'm ADD? I have PTSD?" I try not to get caught up in labels, but I don't exactly put a lot of faith in diagnoses, even from almighty doctors. (Yes, I am so angry at doctors lately, and I need to let it go, it's just hatred consuming me. I know, I fail at doing.)
From the movie "The Royal Tenenbaums":
Raleigh: [Into tape recorder, softly] Dudley suffers from a rare disorder combining symptoms of amnesia, dyslexia, and color-blindness, with a highly acute sense of hearing.
Dudley Heinsbergen: [from adjoining room] I'm not color blind, am I?
Raleigh: I'm afraid you are.