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Switching Antidepressants: Emsam Update

I’ve been taking Emsam, an MAOI antidepressant, for a few days now, and although I can’t say that I feel amazing, I think I do feel better than I did before I started. The two weeks between ending Wellbutrin and starting Emsam were a struggle, but hopefully will be worth it.

Emsam comes as a patch that you wear for 24 hours and then replace with a new one. It’s an adjustment to not just plop some additional pills into my organizer for the week. It’s ever-so-slightly more labor-intensive this way, but I think it has been easier for me to accept than previous medicine changes have been. I have some kind of hang-up about pills and how many I need, so adding a new one always upsets me. Even though Emsam is a new antidepressant for me, it seems to have bypassed my usual judgments by virtue of being a patch. Perhaps my inner critic is secretly a child placated by cool stickers.

I’m noticing some insomnia, but nothing horrible. In fact, the napping that had returned when I stopped Wellbutrin has been reduced again. Sometimes I still attempt to take a nap because, well, my napping problem is partly fatigue, partly escapism. So even though I still try to pass a few hours by sleeping, it hasn’t been working since the introduction of Emsam.

As a result, I’ve been doing a lot of yardwork. The dandelions are quickly taking over the backyard. Luckily, endlessly repetitive tasks are my jam. I’m digging them up one by one, a byproduct of which is some unintended soil aeration! I also took down all of the rabbit fencing that I used to make our backyard fence taller because Stella was jumping it last summer. That solution did not work for long.

In fact, she jumped a six-foot-tall fence in pursuit of a squirrel the other day, so there really is no containing her unless she’s on a strong tether. Might as well get rid of the unsightly fence addition. She causes me so much anxiety sometimes, but she’s still a wonderful dog.

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Blep

Historically, I’ve been mean to myself about napping because I tell myself I should be doing something productive with that time. Now that I’m not napping (pretty much), I have lots of time to get stuff done. And I’m still mean to myself. What a surprise.

In sporadic bursts, I’ve been searching for a new job for a while. I’ll get started on it, saving postings, updating things, applying to a few here and there, but not really dedicating myself to it because my current job is “ok.” I know that I’m avoiding it. It used to be that I’d be mad at myself for wasting time by napping. Now that I’m not napping, I’m mad at myself for STILL not tackling it, despite having plenty of time as a conscious person. Then again, it’s only been a few days since I started Emsam, and perhaps it will make things easier with some more time.

I’m attempting to heed my therapist’s advice about how a gentler approach is more effective and that no, you won’t become a stagnant blob of disappointment if you stop beating yourself up about your perceived lack of progress. I’m unconvinced, but I’m trying.