I didn't expect it to go any better this time but oddly it was very good. I'd decided already to accept some courses I had been offered - Confidence / Self-Esteem and also an Anxiety Management one. The last few times it had been brought up, I had panicked at the thought of having to go to an unfamiliar place and meet strangers and just couldn't.
Just lately I feel I have been progressing again. I've been getting out and seeing friends again, been feeling the desire to get out too which I haven't felt in a long time. Ok it's only once or twice a week but better than once a month. My mood has been low but I have also been quite positive about things and that led me to the decision to see if I could gain some insight from these courses. Maybe deciding it for myself rather than it being pressed on me made the difference.
The psychiatrist thought about changing my medication since I was still getting these low moods but I honestly said that since they didn't last any where near as long as they used to, I could cope with them and also felt that in general they kept me fairly stable. I felt he was listening to me and agreed to keep things the same as long as I felt I was 'OK'.
We had a chat about Dysthymia in general and how having a positive outlook and be willing and accepting new things to try makes all the difference. I know the tablets won't cure me but they will help me to have a quality of life I am relatively happy with.
I seem to have had a stair like progression throughout the years with my illness. I climb a step then have to wait a while, until I get used to it and then feel I can progress again. I really think I have taken another step.
Anyway, enough introspection, here's a lolcat :)
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