Me, part 673 *TRIGGERS*

[Suzi]

You don't think that the nurse prescriber who you saw could help?

[Jaquaia]

It would mean another referral and having to be assessed again.

[Suzi]

Or a phone call? Could you call him and ask?

[Jaquaia]

Again, it would mean going through the HTT, and they would just refer me to go to my GP as I'm no longer a patient. He did say that if there are any problems then I should go to my GP and I can always be referred. It's scary though as he said if this doesn't work then the options are either an older antidepressant which I know can have nasty side effects. He was reluctant to take that option because of that. I can't take tricyclics because I'm on hydroxychloroquine and they can increase the risk of arrhythmia. And his other suggestion was antipsychotics. With it being a relatively new antidepressant too, I'm not sure about augmentation therapy. The vortioxetine is working, it's just not perfect.

[Suzi]

Fair enough, but please, don't rule it out completely?

[Jaquaia]

I promise that I won't. I know things aren't right at the moment, I'm irritable, lethargic and always feel tired. I reminded J about spoon theory last night as he's struggling at the moment. I remind my mum about spoon theory. I just never apply it to myself.

[Suzi]

But you deserve it to be applied to you too.....

[Jaquaia]

I don't see that. But at least I got all my mums meds sorted.

[Paula]

Thing is, love, you know as well as we do that treatment is not just about the meds, it’s also about making those changes in your life you need to which is mainly about self care. If you’re not looking after yourself, you’re not giving the meds the optimal chance of working to the maximum. Please, please try to put yourself first at least some of the time

[Jaquaia]

I think the biggest thing I need to change is my drinking habits. I've not even had a litre yet. Going to go get another drink in a minute though, been on the phone with J and have my orders.