It's been a while since I blogged so let's get up to date. I have now been on mirtazapine for 6 weeks. I adjusted to it after a week or so and after review this was increased to 30mg. As an interesting aside the pharmacy at the mental health trust was adamant that it was better to be started on 30mg rather than 15 as the sedative effects more often decrease at the higher dose; something my GP learned!
I still have to take propranolol 10mg bd which is a shame as this is messing with my ability to exercise as I would like. For some odd reason I also struggle to sleep very well without taking half a zopiclone tablet at night. Am sure this isn't a placebo effect but I know such a low dose shouldn't really help, yet there you are.
Other useful tips recently has been to eat kiwi fruits before bed! This courtesy of the TV programme Food Hospital which seemed to help with insomnia.
Overall I would say I am 60% better than I was with the reduced anxiety the biggest improvement. Have more energy once I am up (mornings are still awful) and I feel positive again.
I remain off work (8 weeks now) and I am certain the time is getting near where I need to plan the return. I am we'll aware (being an occupational health professional) that a managed return is very much part of the treatment although I am also looking for alternative jobs that might suit me better, I.e. less stress.
One more thing. I have learned that alcohol is an important factor in all of this. Anyone who is suffering from anxiety, depression and is still drinking even modest amounts is not helping themselves. You don't need it and the difference in how you feel when you stop is something you can't measure.