Psychiatrist Appointment Review

So I saw my lovely Psych last Monday and to be honest I thought I couldn't be bothered to talk and have been feeling grrreeeeeaaaatttttt! But when I got there I suddenly found myself becoming very articulate, clear thinking and demanding answers to questions in a much more forthright manner than usual (drugs or....?)
The Cipralex started working pretty quickly after he prescribed it to me at the end of September (10mg/day) and he seemed pleased with that, as am I and I explained about my clear thinking, positive mood, feeling HAPPY when I walked my friend's dog in the forest the other day (totally wierd and unexpected experience as I don't think I've had a flash of that since 2008) and that in general I am now fine and not mad. So he's upped it to 20mg/day in the morning to top up the Venlafaxine (now down to 150mg) with the Seroquel as a top up when needed (still every night to get me to sleep although I've had one night since getting back from the UK I had a normal night's sleep without it - yeay!) and the stash of other old medications at the back of my drugs drawer that he doesn't know I still have - never know when they might come in handy heh heh.
So, then onto the ECT debate.  Some of you have emailed me with some very sage advice which I am very grateful for.  I agree that in CH the psychiatric profession seem quite....well....keen to pursue this option in cases such as mine but I am still researching, researching, researching.  I explained to Dr I that at the moment there is no way I need it, but who knows what I will agree to when in the depths of despair and depression, so I would rather be informed as much as possible before that situation would arise and if necessary draw up a treatment agreement/non agreement stating what I would or would not consent to.  I asked when they give the treatment i.e. when I am feeling great and do it anyway, or when I am feeling shit.  He said they were able to guage how effective it was being if I started when I feel like shit.  He went through how many treatments there would be and that usually when I started it would be as an inpatient for two weeks to monitor me and then be treated as an outpatient until the "required" number of treatments had occured and then.....get this.....once a month "maintenance treatment"! When did that enter the plan? So, after a bit more discussion about how my family felt and the conflicting views of friends, plus my indecisiveness still as I am still confused by it all, I agreed to visit the Private Psych clinic where I was incarcerated 4 years ago around this time of year, for an appointment to discuss further.
However, whatever I decide, it is unlikely any treatment of such will be carried out in Switzerland for me.  I am planning on going back to the UK next April/May and start in Ski School in a couple of weeks and there is NO WAY I would be able to be admitted as an inpatient or attend outpatient treatments a couple of times a week over the winter AT ALL, unless I go a bit mad in the meantime (which is a possibility, who knows where my moods take me) in which case, as I mentioned earlier, I want to have a Crisis Treatment Plan in place that everyone understands what I have or haven't agreed to.  I need to look up the Swiss law anyway on being "sectioned" as I would imagine they are probably a bit more strict over here given their love of law and order.
Watch this space people.....I will let you know how that appointment goes and they had better be prepared because I will be demanding answers.

Treatment options following Psych appointment

So last Tuesday I had a Psychiatrist appointment, the last one being in July due to my health insurer no longer paying for my medical treatment.
Let me explain, I have been feeling REALLY bad - one of my GPs has been seeing me every two days to check I am still alive and to support me towards my psych appointment.
The kind of things that have been happening have included feeling suicidal, crying a lot, not sleeping (well that's been ongoing since April), heavy body feeling, no energy, feeling empty and imagining conversations have happened when they haven't, imagining experiencing things when I haven't, poor memory - I could go on but don't want to bore you.
Anyway, Dr I said that what I was experiencing was typical of deep depression and considering I have this, plus a mood disorder (daren't ask him which one), plus the stress of no job and the stress of a relationship split have all contributed to my current state of mind.
We went on to further discussion about treatment options, including another medication change (number 5 I think) and he told me not to worry, there are another 81 medications I can try (he has a sense of humour like mine).  So he has reduced the Venlafaxine to 150mg/day and added Cipralex 10mg/day.  Plus the Seroquel at night (100mg) and Lamictal 100mg twice daily.
Then, and this was the shock (!), he asked me if I would consider ECT.  My first thought was, "bloody hell, I really am that bad" and promptly told him NO, NEVER.  he talked through how it works and encouraged me to do some research and that he had seen good results when he was doing ssome training in America and that it might prompt the medication to work in the future.  With treatment resistant depression and with me, the meds work for a certain period and then I become "tolerant" to them.
I sighed, cried and then said if this round of meds doesn't work then I might consider it.
He then suggested I went as an inpatient for three months.  Problem is my health insurer.  And I think it's a good idea to go back to the bin for a while. Am considering going back to the UK and trying to get admitted there if I can't here.
All a bit of a heavy appointment and too much to think about.  However, I am feeling a bit lighter today and haven't reacted to the new medication yet, but it would probably help if I stopped getting roaring drunk every night (starting on the Tuesday by meeting up with a good friend of mine).
My BBF will be phoning me later to persuade me to come and live with her in the UK.  A friend I met up with yesterday also told me to go back as I "have no life here and it isn't doing me any good".  Yeah, she always makes me feel better....not.
So I will be on holiday in the UK to see friends/family from Wednesday to the last week of October - thinking time and decisions to be made.

Drinking again

Really shouldn't. Really really shouldn't. I drink far too much in one go, end up making a complete tit of myself and feel like crap the next day. Plus it's not strictly recommended on the meds I am on (Venlafaxine 300mg, Wellbutrin 300mg, seroquel up to 100mg, latriwahtever no idea how many milligrams as changes each week).

So the new meds (Latriwhatever) are building up slowly in my system and last week I had the headache from hell. Can't decide whether its from the new meds or from sitting in the sun for 2 days in my lifeguard job. Anyone?

So this week have sat in the shade, slapped on more factor 50 and no headache as yet. Actually, that's not true - just remembered I did have a headache yesterday afternoon and thought it was a thunder storm coming in (a headache is my early warning system for storms - maybe its cos I live at altitude). Well, whatever.

My medical insurer has kicked me out of their membership because I am behind on my premium payments. So I have one more week to come up with an alternative plan and there is no guarantee that the new insurer will give me a low premium. either way I am stuffed.