Though it’s Wednesday morning again, I’ll avoid quoting from She’s Leaving Home, or referring to my tied-for-favorite of Charles Addams’s characters.  I’m back at the bus stop, just as I was yesterday and the day before, of course, and I still feel very tired.

In fact, I feel a bit more tired than I did yesterday, though I had a nominally better sleep last night—almost five hours (it wasn’t uninterrupted, though).  For me, that’s middling to decent, but it’s very clear from the inside that it is not the amount of sleep my body requires for optimal, let alone maximal, function.  It may, however, be the most sleep my nervous system is able to accomplish without pharmaceutical intervention.

But, of course, with such interventions, I always feel more tired even after a long sleep than I would normally.  Actually, come to think of it, last night I took half a Benadryl™ before going to bed, so I did have some slight pharmaceutical influence, perhaps accounting for the fact that I got all of five hours of sleep.

Jeez, that’s all really boring, isn’t it?  I’m so sorry.  My life is boring, unfortunately, so if I talk about my life, things are generally going to be boring.  I appreciate your patience.

I also appreciate the people who commented and responded and so on to my previous two blog posts.  You’re greatly appreciated, I want that to be very clear, even if in supporting me I fear you are throwing pearls before swine.

I’m considering going back on Saint John’s Wort, which is an “antidepressant” that worked for me in the past, when I first took it (along with therapy, so it isn’t easy to separate variables).  I wouldn’t expect much from it.  I’m actually almost hoping to get that little bump in motivation that sometimes comes at the beginning of antidepressant treatment and puts a depressed person at increased risk for suicide, because before, they were too crippled by lack of energy to take action, but now that the will is growing, they can do it.

The last time I took it, though—which was far from the first—I just felt worse overall in general, even after several weeks, so I don’t even know that it’s going to do anything if I take it.  I can hardly be certain that the first time I took it the beneficial result was anything more than a placebo effect.

I’ve been on other antidepressants, of course, from Paxil to Celexa and Lexapro, to Effexor and Wellbutrin, as well as more old-school ones like Amitriptyline.  They clearly had effects (including benefits), of course, but I don’t know that they were for the better.  Coming off Paxil led me to experience the only two episodes of sleep paralysis I’ve ever had, which were utterly terrifying but still quite fascinating, at least in retrospect.  So in that sense it was worth the course of treatment.  The side-effects weren’t good, though.

I can’t really take prescription antidepressants now, though, because I don’t have a doctor to prescribe them, ironically enough.  I have neither a general practitioner nor a psychiatrist (nor psychologist or social worked, either, but they can’t prescribe anything, anyway*).  I don’t even have a dentist.  My only interaction with any medical care since 2015 or so has been the time I went to an urgent care place with a respiratory infection/complaint and was sent to the ER and admitted because I was de-satting, and they thought maybe my congenital heart defect had reappeared a bit (based on an echocardiogram, not just my symptoms and the drop in oxygenation).

That was maybe five or six years ago.  They wanted me to get follow-up, obviously, but I have no interest in pursuing it, and certainly cannot summon the motivation to do so.  For one thing, I’m unconvinced that they’re correct, though that in itself is not a good reason not to pursue more information.  For another, I have no health insurance, and I certainly have no money to be able to get involved in paying for significant healthcare myself.  Also, I don’t want to have any more cardiac interventions of any kind, frankly.  I went through all that when I was 18, and I don’t want to go through it, or anything like it, again.

I also don’t have the mental resources—in terms of will, executive function, whatever you want to call it—to be able to seek out any kind of state or federal healthcare assistance.  I’m in Florida, anyway, and the public programs here suck.  Anyway, I’m no good at taking care of myself; I see myself as a nuisance, and I really want me to leave myself alone, but that’s obviously difficult.

Yeah, Florida really doesn’t make much very easy.  But, hey, at least there’s no income tax, so people like the Donald can enjoy living here.  The government is dicey at best, of course, at state and local levels, even relative to many other states and the national government—though our representatives there also aren’t exactly the cream of the mental or moral crop.  We really are the Mordor of the United States, in many ways, and not merely because it’s down here in the southeast.  Unfortunately, there are no volcanoes, and though we have big spiders, none of them are Shelob-scale ones.

Anyway, I probably won’t take any antidepressants, and I don’t expect to seek out any healthcare or mental healthcare.  It’s too much trouble, it’s too difficult, I can’t focus or concentrate on things like that.  I’ve been dealing with that shit too often in my life, and for too long, and despite my best previous efforts, I’ve ended up here in Mordor, all by myself.  I’m sick of it.  It’s not worth the effort.

I’m not worth the effort.

*I did get on BetterHelp for a bit, and it was okay as far as it went, but some difficulties arose, not anyone’s fault, certainly not my therapist’s, and I was off it after a little over a month, I think.