Progress on Several Fronts

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I met with my therapist today.

We talked about the last two weeks – about the SCA event over the weekend, about how I managed to avoid much anxiety, how much fun I had, and how glad I was to be getting back into an area of the SCA that I used to enjoy very much. She was very pleased to hear about everything, and when I was quick to give credit to having the Zoloft on board she was just as quick to correct me. She said that most of what I did over the weekend was me, and not the medication. The Zoloft might have taken the edge off, but the complete lack of panic leading up to the event and the relative low amount of anxiety I felt during the event was because of my progress over several months and my own efforts were what kept the panic attack at the event at bay.

We also talked about school, and she mentioned that my classes over the weekend will go a ways toward preparing me for my classes in the fall. She was concerned that I was going to be doing four classes at once, but she was relieved to hear that I would be doing them sequentially. I told her that Austin Community College offers an associates degree in Health Information Technology that would expand on the learning that I would receive through the certificate program, and that the associates degree transfers to the Health Information Technology program at Texas State University for a bachelor’s degree. She asked if I could go back to Texas Workforce Commission and ask if they would greenlight the associates degree instead of the certificate program. It’s six semesters versus two, but it would open more doors for me at the end of my education, and presumably increase my asking salary. I told her that I have a new counselor at TWC and that I’d send something over to her tomorrow.

We also touched on my fear of dying. I mentioned that it had come up in the book that I’m reading on her recommendation, and that the entry wasn’t very helpful. The end result of that conversation was a little surprising. She wants me to do some soul searching to arrive at what I believe happens when we die. I’d never given it much thought beyond “if there is something, living a decent life on Earth is the best way to secure a happy afterlife, and if there isn’t something, living a decent life on Earth is its own reward.” But I suppose that over the next couple weeks I’ll be deep in thought about this so I can report back to her.

It was a good session today.

Steady As She Goes

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I had my first follow-up appointment with my new psychiatrist this afternoon. He asked how things were going, and I told him about the event on Saturday – how I didn’t have panic attacks beforehand like I’ve been doing recently, and how I handled the minor panic attack at the event. He said that it sounds like the Zoloft is working as expected to control my anxiety, perhaps even a little bit better than expected, and he said that he was going to keep my meds where they were. He wanted to know if I felt myself wanting to do things that I had been avoiding and I told him that the event on Saturday was my return to an aspect of the SCA that I hadn’t felt up to pursuing in years, so he was pleased to hear that. He inquired about side effects and I told him that I haven’t seen anything. I was honest – not every day is rosy, but very few days are truly down right now, and he commented on how things seem to have turned around for me pretty notably in a short period of time. He advised that the Zoloft still hasn’t reached maximum efficacy, so I might see that similar attacks like the one I had on Saturday are even easier to deal with in another month or two. He asked if there was anything on the horizon that might test the Zoloft at full strength and I told him that I was returning to school in the fall, and that the plan was for me to be working again about this time next year. He was happy to hear that I’m looking forward to school and to getting back to work. He wants to see me again in August, just to follow-up around the time that the Zoloft has well and truly kicked in. All in all, it was a very good appointment.