Wednesday, May 27, 2026

Can't sleep

 It's 1:53 am and for the first time in years, I fear I will not sleep tonight. I have a decision to make, and that is whether or not to go to a psychiatry appointment in the morning. My gut tells me to stay away, because the inevitable outcome will be to be on more lithium. I am already on too much lithium for my body, and am feeling quite overloaded with the drug.

The theory goes like this: add as much lithium to the patient as possible until there is a therapeutic amount of the drug in their blood. Nominally, this works out to a value between 0.6 and 1.2. My lithium level, according to bloodwork, was low. Therefore, this doctor is going to increase it. Bottom line is, I don't feel I need more psychiatric treatment. I cannot say what a doctor would divulge on the subject, but I can speak in terms of my own personal needs. Therefore, I am at a crossroads and am not sure if I should go to this appointment. My gut is telling me no.

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