WHAT! Another diagnosis?!

I stayed in bed most of the day. I feel like garbage. I finally got out of bed around 6 pm, that was to answer the door to obtain my McDonalds I ordered. I ate too much because I'm depressed. I'm trying not to beat myself up. It's hard. I'm really angry with life always feeling so difficult. Angry I have so much wrong with me.

Recently I was diagnosed with FND - Functional Neurological Disorder. For about a year and half I think (if I think back, my migraine stroke symptoms in 2012 could be a part of this), I have been having involuntary muscle movements.

At first my family doctor thought I was having seizures and told me he was going to have my drivers licence revoked. I cried in my car. Thoughts of how much more difficult my life was going to be because I wouldn't have the freedom of driving - the transit system here isn't great. Thankfully, he consulted with a  neurologist first and called me and told me the neurologist didn't believe I was having seizures and didn't recommend revoking my drivers licence. He said he was going to refer me to the movement disorder clinic, it could take a year or so to get in. Wait. Waiting is all I could do.

My symptoms were getting worse. They were happening almost everyday. Somedays worse than others. My eyes will clamp shut. My jaw will contract to the left or right. I will twitch throughout my body. I will lose my balance as I walk. A few times I had full body episodes. Twice, I had seizure like episodes but I was fully aware of it, I didn't lose control of my bodily functions. I couldn't stop them. After they finished I felt really out of it. Couldn't think straight and felt really tired. A couple times I got up off my couch and as I went to walk my muscles starting contracting. My body was being ridiculous - I felt like a marionette, my limbs moving around, out of my control.

I made an appointment with my family doctor to let him know my symptoms were progressing. He called the neurologists office and within a couple of days I got a call, they had a cancellation and  they could get me in a few days later. That was fortunate, we all know seeing a neurologist can be a long wait. This was my 1st appointment with the neurologist. He did a bunch of movement tests and said he felt what was happening was psychological. He prescribed me clonazepam and told me to take .5 mg a day, if after 3 months my symptoms seemed to have somewhat improved, to take the medication twice a day. I ended up going to twice a day and my symptoms improved quite a bit.

A week ago I had a follow up appointment with the neurologist. He was happy to hear that my symptoms were improving. He said since the medication was working that showed him that it was on the psychological side. He stressed that doesn't mean I am making the symptoms happen, it means they aren't caused by a neurological disease but the symptoms are real. He told me to check out the website fndhope.org and that if my symptoms do get worse, to call his office to see him again.

My symptoms have been shitty this weekend - but I'm not surprised. I had a stressful week at work and realized how much I hate my job. The workload is insane, my manager is toxic and I left a toxic job believing this one would be better. On top of the stressful week at work, I get diagnosed with yet another illness.

I have HIV, Asthma, IBS, Anxiety, Bipolar, Borderline Personality Disorder, and now Functional Neurological Disorder. Oh, I also have a Hiatal Hernia, Tinnitus and sometimes Gout - might as well list them all right? Haha.

Today, I stayed in bed most of the day, ate a lot of McDonalds and then put my ass on the couch and watched t.v. And you know what, I needed today to be a depressing day. I needed today to be a woe is me day. It's been a rough week and it shouldn't be unexpected that I feel overwhelmed and sad.

Forgiving Myself - A letter from my adult self to my adult self

I've been struggling lately. I'm depressed. In my last post, I wrote about an experience I had at the bathhouse. This most recent experience made me re-live being raped there. I left the bathhouse upset. Instead of blaming the guy who didn't want to accept my no, I blamed myself. I told myself that it's my fault that this happened to me. It's my fault because I'm a whore for going to the bathhouse. It's my fault because I sleep with too many guys, I'm disgusting because I use sex as an escape.

In my last therapist appointment I brought up how I was feeling. I got really upset. I was shaking because I was so angry with myself. I wanted to hit myself I was so angry. I talked about how I keep watching more extreme porn, using bigger sex toys and having so much sex and making more extreme sex choices because it's like trying to achieve a high. I'm trying to numb how I feel. I know the numbness from the sex is only temporary but it's better than nothing. After my appointment, I realized something. I need to forgive myself.

I previously wrote a letter to myself, my child self writing my adult self, forgiving me for everything I had been through and forgiving me for how I felt. I realized I needed to write a letter from my adult self to my adult self for what I've been through as an adult, choices I made to help me survive my feelings.

The letter:

You're hurting, a lot. You're sad. You're angry. You feel ashamed. You blame yourself. You're disgusted with choices you've made. Sexual choices. You've been chasing a high to avoid how you feel. It hasn't worked. It just makes you feel worse. You keep making extreme sex choices because you feel lonely. You feel empty. Because it takes away the pain even knowing it's only temporary.

I forgive you. I really do. This isn't your fault. You do it because you don't know what else to do. I forgive you. You do these sexual things because of your past traumas. Being raped, having an alcoholic, angry father. A sister who committed crimes. Being bullied. Feeling abandoned. Feeling unwanted. Feeling unloveable. Feeling worthless. Feeling like an inconvenience.

Watching porn, using large sex toys. Going to the bathhouse and having sex with lots of guys. Putting on a blindfold and letting guys fuck you. You did all that because you blame yourself for everything. Because of what you've been through. I forgive you. You are not worthless. You're not an inconvenience. You're not unloveable. You are worth everything. You are loveable. You are worth kindness. You are worth respect.

You don't need to be extremely sexual. You don't need to escape your feelings anymore. You are capable of managing your feelings. You are capable of changing your circumstances. Your family loves and cares about you. Your friends care about and love you. I care about and love you.

Your past doesn't have to weigh you down. Your past doesn't make you less than. You are worth loving. I'm excited for you to accept and move past this. You've been surviving for so long. You have permission to live your life. You deserve happiness. You are forgiven. I love you.

Overwhelmed with Feelings

Fuck. The darkness is back. It's heavy, it's exhausting, it won't leave me alone. I went grocery shopping today. It felt like I was trying to complete a marathon. I kept wandering around aimlessly, forgetting what I needed. A mental fog slowing me down, my brain tingly with confusion. There was one point where I wanted to give up shopping for groceries and just sit down in the aisle. I didn't. I pushed through and got back to my car. I sat in my car for a few minutes, I was so exhausted.

I tried to give myself credit. Credit for getting out bed and showering. Credit for buying groceries and putting them away when I got home. I know those are accomplishments when I'm feeling like such garbage but the negative talk takes over. I start telling myself, people do these things everyday. They are expected of us. People do these things with kids and other obligations. I'm pathetic. I'm not, but I am, but I'm not. Fuck off negative thoughts. Fuck off.

The darkness, the depression, the negative thoughts are because I've been avoiding something. My previous post was about writing a letter to the man who raped me at the bathhouse. I was finally starting to free myself of that. It wasn't consuming my thoughts, every minute of every day anymore. I was breaking free of it's grip until I was at the bathhouse a couple weeks ago. I was laying on my stomach, this guy was fucking me. I wasn't enjoying it and I wanted to take a break. I said "I need to take a break." He responded "ah, really?" in an annoyed tone. "Yes, I want to take a break."

When I tried to get up he wrapped his arms around me, his arm pressed against the front of my neck and said "shh, shh, just lay there, lay there, it's okay, it's okay." I froze. I wanted to move, I couldn't. My brain, my body, wouldn't let me. When I was raped, I was also on my stomach. I said I wanted to stop. When I tried to get up, he pushed me back down.

As I laid there with this guys arms wrapped around me, his arm on my neck making it uncomfortable to breath, I was frozen. I wanted to yell. I wanted to get up. I couldn't move. I wanted his dick out of me. Instead, I laid there, replaying what happened to me the last time I said no. Remembering when I said no and tried to get up, the guy pushing me back down. Remembering when I tried to get loud, the guy putting his hand over my mouth and biting his hand didn't stop him. Not just remembering but reliving it.

This guy kept kissing me and telling me not to move, to just relax, to wait a moment, saying to me "it's okay." I finally was able to speak, I said "I want to stop, I don't want to do this anymore." He said "ah man!, fine!, lame!"in an angry tone and finally got off of me, got out of me. I laid there, unable to move, waiting for him to leave the room. He slowly wrapped his towel around him. His tone changed. In a friendly tone he said "okay, well have a good one, oh, oh, here's your lube, don't want you to lose it." After what felt like an eternity, he finally opened the door and left.

I stayed motionless, thinking to myself, how many times is this going to happen? I thought about the past, when I wasn't comfortable saying no, before I had the courage to withdraw consent, before I was able to assert my needs. I thought about all the times I wanted to say no and I didn't. The times I wanted to stop but I let the guy finish because I didn't want to make him mad. If I would have been able to say no, how many of them would have kept going?

(On a side note, I am listening to music while I write this and "Do what you want with my body" by Lady Gaga came on - bad fucking timing).

I know I shouldn't blame myself.  I shouldn't blame myself but I can't help it. I keep thinking, that it's my fault, my fault because I'm a slut for going to the bathhouse. It's my fault because I let him climb on top of me and fuck me, without even saying a word, without getting his name. I keep thinking about what a whore I am. I'm angry. I'm hurting and directing it all inward.

When these negative thoughts manifest, I become overwhelmed. I want them to stop. I keep imagining myself walking into the bathroom, grabbing a razor blade and sliding the blade across my skin. Anything to make the pain, the feelings stop. I would rather the pain of the blade than the pain of what I'm feeling.

It's been almost a couple years since I've cut myself. The last time I cut myself, I cut the word whore into my left thigh and the word faggot into my right thigh. The urge to do so again is strong, so strong. I resist because I don't want the scars. I don't want the daily reminder of what I did. I am lucky, the cuts healed last time, what if they don't this time? Instead of cutting, I eat. I eat too much. Too much fast food. After I gorge, I hate myself and I want to cut myself.

Instead of cutting myself, I am writing. I am talking about what happened. Sharing my feelings in the hopes of lifting some of this weight holding me down. Letting it out. However,

I'm... I'm... just so tired of trying to survive. When will I feel like I'm living and not just surviving? Will that ever happen? Is it possible?

Dare I Say, Thank You HIV

A life reborn, finding myself one day at a time.

7 years. 7 years ago today I was diagnosed with HIV. 2555 days with HIV. 61,320 hours with HIV.

I went to the clinic to get my results. I was sure I had HIV. My friend told me I was worrying for nothing. I didn't tell her, I had unprotected sex with an HIV positive guy. A month after having sex with him, I had the worst "flu" of my life. I could barely eat, I had no energy. I lost 20 pounds in under a month. I knew what the results were going to say.

The nurse sat me down and told me "your test came back positive." She gave the speech, "it's not a death sentence, the medications are better now days, blah blah blah." I asked her how many people she has had to tell. She said I was her first. Awe, I popped her HIV diagnosis giving cherry. I told her she was doing a good job. WTF!? Typical me, putting others needs ahead of mine. Easy to do, when you have no self worth. I saw the time and said "crap, my parking time has run out. I need to go put more money in. I'll be back, I swear."

I put more money in and went back to the clinic room. She was surprised I returned. She told me I had an appointment with the infectious disease doctor in a couple of weeks, gave me some pamphlets and asked me if I needed anything. Need anything? Seriously? In 15 minutes you told me I have HIV, you gave me a bunch of pamphlets and now I need to go to work. I don't know what the fuck I need.

I got into my car, I tried to cry, I couldn't. I just started laughing. I drove to work, as I was walking from the parkade to work I texted my friend "I have HIV." She messaged me back saying that's not funny. I told her I wasn't joking. She called me, told me everything was going to be okay and that she was here for me. Maybe a text wasn't the best way to tell someone, oops.

I took a deep breath and walked into work. I knew it was going to be a difficult night. I was working till 2 am, I just received life altering news and my job was to take escalated calls from angry dick heads who didn't get their dipping sauce for their pizza. Fuck!

It didn't take long before I lost my shit on a customer. I had a woman, who had been moving all day, she said she placed an order an hour ago and there was no record of her order. I apologized, offered a discount and to rush the order, that wasn't good enough. She started crying, complaining how she moved all day with two kids and then started yelling at me. I yelled back at her and I heard her phone drop. All of a sudden a man's voice came on the line and in a concerned tone said "um hello?" I flipped out and said "I can't deal with this shit! Good bye!" and hung up on him.

I can laugh about it now. I assume he was her husband. This poor guy is probably thinking, what the hell is going on? My wife is losing it, the pizza guy is losing it, I just want some food.

7 years later. 2555 days later. 61,320 hours later. I've changed jobs a few times, I've gone a few dates, still no relationships. I've gone to group therapy and individual therapy. I've had my struggles and I've had my successes. I've grown as a person. I've set boundaries with my father. I've become closer with my mother. My friends are fucking amazing! I have small group of friends, we've been friends since high school. 17 years of friendship and counting!

Lately I've been depressed. Working has been a big source of that. Every time I feel that I am moving forward with my health, I feel like work takes me 5 steps back. Butt! A big hairy bubble butt! Sorry wrong kind of butt. But! I have to give myself credit. Despite being depressed, I am still trying. I am still trying to eat healthy, I am still trying to make myself see my friends. This past weekend I went to a conference out of town for people living with HIV and AIDS. That was huge for me! I put myself out of my comfort zone and faced my anxiety head on.

Even though I've been depressed it doesn't have as strong of a grip on me and I can thank HIV for that. Contracting HIV was hitting rock bottom for me. Contracting HIV made me realize I needed help. It  motivated me to join that group therapy program. It got me diagnosed with Bipolar disorder. It motivated me to start individual therapy with a Psychologist. It motivated me to try new things. Did I mention I started taking singing lessons last year? Something I've always wanted to do, but was to scared to do.

HIV made me realized life is too short and it has allowed me to grow and become a better person. As I write this, tears are running down my face. Some are sad tears, because to be honest obviously I would prefer to not have HIV. BUT another big hairy bubble butt! A lot of them are happy tears, proud tears that I have turned a negative into a positive (I swear no pun was intended!).

Because of HIV, I am becoming a better version of myself.

The Shackles of Anxiety

I'm driving in my car, thinking to myself "I can do this, I can do this." I round the corner and my heart   beats faster every block closer I get to my destination. I attempt to turn into the parking lot, I jerk the steering wheel in the opposite direction and think "park across the street so you can see who is going in."

I'm so nervous. My anxiety is through the roof, my heart beating fast, mouth dry, palms sweaty. Mom's spaghetti? Wait that last part is from a song. Concentrate. It feels like there is a lump in my throat. I think my co-woker said that is called globus. Sounds like a travel agency.

I see a few people go in. I can do this, I can do this. I stare at my runners on the seat, just pick them up, open your door and go into the school. Nope not yet, I got here early for a reason, so I can work up the courage to go in. A couple more minutes pass, it's an all or nothing moment. I grab my shoes, open my car door and cross the street.

I open the school doors and walk down the hallway. My heart beating fast, nauseated, and the globus in my throat. That reminds me, I should plan my next vacation. I round the corner and I see a few guys sitting outside the gym. I try to make eye contact and smile, they look away. I nervously grab my phone and start looking on Facebook.

In my last therapy session we talked about how I need to be physically active. It will help with my joint pain and my mood. I've been wanting to go to recreational volleyball which is run through a local gay and lesbian sports league. Meeting new people isn't easy for me, you know with the anxiety and all. Hard to make conversation when you have a travel agency, I mean globus in your throat.

A few more guys show up and they all know each other. Everyone is laughing and hugging and catching up since the last time. Fuck. This is what I was afraid of. Afraid it was going to be a close knit group and I would have to awkwardly wiggle my way in. I feel like I'm going to have a panic attack and freak out. I try to covertly control my anxiety and tell myself, breathe, breathe. I manage to calm myself down. I tell myself once were in the gym and we get setup and were playing I will be so happy I did this.

The doors open, everyone goes into the gym and starts changing. Okay, so change rooms aren't a thing, nice underwear. I'm awkwardly standing against the wall while everyone is still chatting and having a gay old time. My anxiety is going through the roof again. Two of the guys are setting up the net, people start getting together and practicing. Do I just walk over an join them? I would, but my feet are stuck to the ground. Can globus travel to your feet? Who is running the volleyball? Who do I give my money to? Why are they spiking the ball? I thought this was a recreational league. TOO MUCH!

FUCK THIS! I can't do this. Grab my shoes, stare at the ground and I walk out of there. As I open the gym doors, my lip is quivering, I'm doing everything I can not to cry. My eyes are tearing up, I get out of the school and there are some junior high kids hanging outside of the school. I look to the side, I don't want them to see me, this pathetic old man about to cry. I speed walk to my car, come on globus lets pick up the pace! I get in my car, slam the door shut and start crying. I slam my fist on the steering wheel and yell FUCK! What is wrong with you?!

I'm crying because I feel pathetic, I feel stupid and embarrassed. It's just recreational volleyball, what's the big deal? This shouldn't be so hard. A normal person would of just said "Hi, I'm here for the volleyball, who do I pay my money to?"

But. I have to give myself credit. I drove there. I got out of my car. I went into the school. Hell, I went into the gym. Yes, I left but I made it farther than I thought I would. I tried, I gave it my best. Each attempt is a step in the right direction. Do not give up.

Take that globus, not telling me I can't cancel my flight without penalty. Shit wrong globus.

New blog post, new job, new medication

Eek ack wowza! It has been a year and half since I have written a blog post, way too long! This past July I was laid off, it was actually a good thing. I was hating my job and hating my manager, it was hard not to walk out with a smile. I started a new job in September, I am a Team Supervisor in a call centre. I have a lot of a call centre experience and managing/mentoring people is something I have wanted to do and have indirectly done in my past roles. In the four months I have been at the new job, it has been intense. A lot of things are broken, including staff from past poor management. There is a lot to fix and some days it has been overwhelming, but change is happening, slowly, but it is happening. We have a new Manager starting and I know her from one of my previous jobs and from what I remember she was amazing, so hopefully she still is!

Another big change is, I finally got in to see a Psychiatrist this past September. My doctor had referred me back in March 2014 and he finally followed up and they didn't get the original referral, so that is why it took so long to get in; better late than never. The Psychiatrist is the cutest little old man I have ever seen. He is shorter than me, I am 5 Feet 6 Inches, he wears these old style suits with a bow tie, I swear he must be in his 80's. I want to put him in my pocket. He had me fill out a bi-polar screening test, I selected yes to everything. He looked at it and said, you should not have been on Zoloft at all. I said that makes sense, a week before my episode back in February, my Zoloft dose was increased. He said that would do it.

He prescribed me 600 mg of lithium. I started taking it right away and had my blood taken a week later. I had my follow up appointment with him and he asked me how I was feeling. I told him I had never felt better. For over two years I had been going to my family doctor repeatedly complaining of severe fatigue. All I did was sleep, sleep and more sleep. I went from seeing my friends multiple times in a week, to once a week on the weekend. As soon as I started taking Lithium my energy levels were fixed, I told him I didn't nap once this past week. He was happy for me and also surprised that I was noticing a change so quickly.

He upped my dose to 900 mg a day to get the blood levels up to the therapeutic range. The next follow up appointment he said that my blood levels were in the therapeutic range and that we would stick with the 900 mg dose. He asked me if I was still feeling good and I said that I was. I let him know that my roommate, who is also one of my best friends, said she had noticed changes in me. My friend noticed that I was coming out of my room a lot more, I was more social with her and her husband. She also said that I was posting on Facebook much more and that it was quite funny, he gave me a weird look when I told him this. He was probably thinking what's a Facebook.

I went to my pharmacy to fill the prescription and the Pharmacist asked how the medication was going. I said really well, that I hadn't felt this energetic in such a long time. She looked at me concerned, and then I realized and said oh I mean normal amounts of energy, not too much energy haha. She laughed and said oh good, and she was really happy that the medication was working so well for me. I love my pharmacy, everyone who works there knows my name, they are always so friendly and genuinely care.

It has been a frustrating few years of trying different anti-depressants and having various doctors not take me seriously because I don't fit the DSM Manual criteria perfectly or because I am so self aware. Fingers crossed the Lithium continues to work for me, and a big hallelujah for finally getting to see a doctor who got me onto the correct medication.

Label Me Please

I'm cranky today. I'm sad, I'm angry. I woke up today and hate the world. I didn't want to get out of bed. I pressed snooze, over and over and over again. I finally rolled out of bed and dragged my ass to the shower. I got in my car and drove to Tim Hortons, I got myself an iced cappuccino and breakfast sandwich, hoping it would make me feel better, it didn't.

I arrived at work and was not motivated to work at all. I spun around in my chair a few times, I stared at the wall, went to the washroom even though I really didn't need to go. My co-worker and I went on a Tim Hortons run for everyone, at least I wasn't the only one not in the mood to work. Finally noon arrived and I got to go home - I am still only working half days due to my medical leave.

I'm feeling shitty and hating life, so what do I do, I go to the food court at the mall. I go back to one of my bad behaviours and get greasy bad food. This time I select Chinese food, I haven't had Chinese food in a long time. I take it to go and head home. I go to my room, throw on a Criminal Minds dvd and eat my Chinese food in my bed. Was the Chinese Food worth it? Yes and no. Yes because it was damn tasty. No because it made me feel all gross and made me feel bad about myself.

I hate these ups and downs I have. Yesterday I was in a great mood. I got home from work and decided I was going to cook. I made myself a bacon carbonara pasta and home made garlic bread. It was super tasty and I was impressed at how well it turned out. I don't normally cook. I was so jolly yesterday and now today I feel miserable. How the hell does it turn off and on that quickly? I hate it!

There have been so many times I've been convinced I have Bipolar Disorder. When I went for an assessment at the Psychiatry clinic to get into the group therapy program, the Psychiatrist quickly dismissed the idea of me being Bipolar. She asked me if I go days on end with no sleep. I said no and she quickly replied with, well then your not bipolar. I was angry. I felt like she quickly dismissed me and what I was feeling and had to say. I shut down and I immediately hated her. Just a minute before I really liked her and thought she was awesome. Looking back that was obviously my Borderline Personality Disorder kicking in.

I've been thinking about why I am so desperate to be labelled as Bipolar. I have enough labels already, don't I? I'm HIV positive. I'm a gay man. I have Major Depression. I have Borderline Personality Disorder. Why then do I want to be labelled as Bipolar? Because I want to be fixed. I want someone to give me some pills and say, take these you will be fixed. You will be normal - another label. I know in reality that's not true. I know with Bipolar disorder, trying to find the right combination of medications is difficult and involves a lot of trial and error. And even though you are on medications it doesn't mean they will always work.

I guess I am just frustrated that my depression is kicking in today. I am frustrated that I went through four months of group therapy and I am not normal. I need to remind myself what one of the therapists said. He said "your not going to change overnight, it's going to take practice. You are trying to change decades worth of behaviours, you need to take baby steps." He's right I need to take one step at a time, and realize setbacks will happen.

Group Therapy Post #3 - One Step at a Time

It's Valentines Day. Fucking happy people in their fucking happy relationships. I choose to believe they are pretending to be happy. I see a couple walking, holding hands, smiling at each other, I want to vomit. Secretly, I choose to believe they hate each other and get into fist fights every night, no one can truly be that happy. I find it easier to judge others and be angry at others than deal with my own issues.

The walls are supposed to be white, they look like they haven't been cleaned in years. The chair I am sitting in is extremely uncomfortable. A butt plug with spikes on it would be more comfortable in my ass than this chair I am sitting in. Maybe these chairs are part of the process, if they make you angry enough and you go postal they commit you. I am sitting in the waiting room of the Psychiatry clinic at the hospital. I am here for the assessment. Am I Bipolar? What if I am? It would explain my crazy mood swings, but I don't go days on end with no sleep. I love sleep! Sometimes I sleep for 16 hours. If I am sleeping I don't have to think about my horrible life. If I am sleeping I don't feel the pain, the sadness. If I am sleeping I don't have to think about the dark gloomy cloud hanging over me. If I am sleeping, I can hide. It's 8:15 am, the assessment doesn't start until 8:30 am. There are a few other people in the waiting room with me. One person in particular stands out. I look over and in the corner sits a man, looks like he is in his late twenties maybe early thirties. He looks exhausted, like he hasn't slept in days. He has dark brown hair and his face is stubbly. He looks miserable, I feel sad for him. 8:30 am finally rolls around and the receptionist pulls back the beige partition that closes the receptionist desk. Looking at the beige partition it just confirms that they haven't done any renovations since 1985. The receptionist says anyone here for the assessment, please come here and sign in. I leap out of my seat and rush to the receptionist desk. I want my name to be first on the list, I want to be out of here as soon as possible. She hands me a clipboard with papers to fill out. When I first called the clinic they told me the assessment would take between 2-3 hours. Looking at how many pages I fill out, I might be here all week. My anxiety is through the roof. I sit back down and nervously wait for my name to be called. I start filling out the paper work.  My brain is running a mile a minute. Why am I here I think to myself? Is that what they are going to ask me? I am here because I am severely depressed all the time, I am stressed out, I have anxiety, I can be super happy and hyper then go back into a deep depression. But why? Why am I like this? I don't fucking know. I guess if I knew I wouldn't be here. Jesus I'm crazy. I really wish I had a giant iced cappuccino right now. When my anxiety is running through me I like to eat and drink unhealthy. I sit in this torture chair and think to myself, I can run away. I don't have to do this. What are they going to do? Probably just increase my anti-depressants. Tell me it's all in my head. 

Jared, please come with me I hear. Fuck it's now or never. I stand up and look at the person who called my name. It's a man, he looks nice, hair a little weird, probably in his 40's. Fuck it, I have nothing to lose, I follow him. He takes me to his office and tells me to have a seat. His office is depressing. It's small, it also looks like it is from 1985 and the lighting is brutal. He says his name is Bob and he is one of the therapists at the clinic. He starts off by asking what brings me here. I reply with I keep going through bad bouts of depression. As the years go on the bouts get worse and last longer. I went to my family doctor and told him I can go from being super depressed to really hyper, happy with a positive outlook on life and that it is mentally exhausting. I said my family doctor felt like that sounded like Bipolar but he isn't an expert in that and advised I should see a psychiatrist. Bob replied with do you go days on end without any sleep? I said no I don't, but all my life I have always slept more that normal. I tell him when I was a baby my Dad told me I slept so much that he would panic and wake me up to feed me. Your not Bipolar if you don't go days on end without sleep, he says. He proceeds to ask me many questions. I am pissed off that he dismissed the Bipolar disorder so quickly. If I'm not Bipolar then what am I? There has to be a reason, why I am like this? 

He asks me what my childhood was like. I tell him I was bullied a lot in school. He asks why I was bullied? I replied with I was a dork and people liked to pick on me. Also people would say I'm weak and call me a faggot. I mention that in gym class some of the boys would take my clothes and soak them in the shower so I would have to walk around in my gym clothes all day. He asks me are you gay? I said yes I am. He asks how do you handle feeling depressed? I replied I normally would hide in my room and sleep. I will sleep anywhere from 10 to 16 hours. When I am not sleeping, I will eat fast food, drink pop, slurpees, iced capps. I will have sex, a lot of sex. He asks you can be quite promiscuous? I said yes.  He asks, I see you put on the form you have HIV? Yes I do, I was diagnosed March 1st 2010. How has that been for you? he asks. It hasn't been easy, I say. I am angry with myself for getting HIV. He asks me what I would like to get out of therapy? I struggle to find an answer. I say I just want to be happy, I want to learn coping mechanisms to deal with the depression, anxiety and stress. He says do you know why you go into bad depressions? I said I don't know, I just do. I hate life most of the time. He asks, have you heard of the saying, don't cry over spilled milk? I reply yes. He asks me what does that mean to you? Don't sweat the small things I say. He asks me have you heard of the saying the river runs deep? Yes I say. He says I think with you, the river runs deep, very deep. He mentions to me that they have a program, call the Evening Treatment Program. It is a group therapy program, it is very intensive, it runs for 18 and a half weeks. It's requires quite a bit of commitment. It looks at your childhood and how it's impacted you. Is this something you would be interested in doing? I said yes if you think it can really help me. He said well let me talk to the Psychiatrist and review your file with her and we will meet with you at 10:30 am? That’s about an hour and a half away so if you like, you can go grab breakfast, just make sure you’re in the waiting room for 10:30 am. I said okay sounds good. I walk out of the office, down the hallway and exit the psychiatric clinic. I let out a huge sigh of relief. I say to myself, good job Jared, I'm glad I did this. Even though I am glad I came here, my anxiety is still through the roof. 

I walk across the street to Tim Horton’s and get a breakfast sandwich and a giant iced capp. I sit down and take my first sip of the iced capp. The sugary, creamy, coffee flavour hits my tongue, slides down my throat. Ahhhh so good. I'm nervous about meeting with the Psychiatrist. I've never met with a Psychiatrist before; I have heard mixed reviews from people about Psychiatrists. It seems sometimes you get someone who cares and sometimes you just get a dick head. I really liked the Bob guy, he seemed like he really cared. In the assessment he asked me if I wanted to stop being promiscuous and have a committed relationship. I looked at him embarrassed and said yes, but I'm too scared. Why would someone want to be with me if I am so messed up? I sit in Tim Horton’s, drinking my iced capp, staring out the window, thinking about my meeting with Bob. What the fuck has brought me here? Seriously, what has happened that I get so depressed? Why does life have to be so fucking hard? 

It's time for me to meet with the Psychiatrist. My heart is ready to jump out of my chest. I'm sitting in the waiting room, waiting for Bob. He shows up and asks me to come with him. I walk behind him down the hallway. We go around the corner and into the office. It's a woman Psychiatrist this relives me. I prefer a woman to a man, except for Bob, there is something about him that makes me feel instantly comfortable with him. The Psychiatrist introduces herself and asks me to take a seat. I go to sit down and I fall into the chair, holy crap this chair is low I say. She starts asking me some of the same questions Bob asked me. Why am I here? What has been going on? What happens when I feel depressed? She asks me about the stress at work and why I am on Short Term Disability leave. She tells me that the 50 mg a day of Zoloft I am on is a really low dose, that we should increase it to 100 mg a day. I am fine with that I say. She tells me to take 75 mg a day for two weeks and then 100 mg a day going forward. She asks me how I found out about the Psychiatric/Therapy clinic. I told her I had an appointment with my family doctor, and how he thought maybe I was Bipolar and he mentioned there was walk in clinics at the U of A and Royal Alex. So I researched it online, came across the U of A one, called and then came in. She asks me questions to figure out if I am Bipolar. She says the same thing as Bob, I don't go days on end with no sleep so it doesn't sound like Bipolar. She agrees with Bob's recommendation, that the Evening Treatment Program would be beneficial for me, to figure out the core issues related to my depression and to work through the feelings. She says she will forward my information to the Evening Treatment Team and they will contact me to setup an appointment to meet with them. I leave the clinic with my prescription of Zoloft and a follow up appointment with Bob next week. I am scared but also looking forward to getting past this depression. I go home exhausted and sleep for several hours.