Don't Judge Me for My Good Days: Psoriatic-arthritis.com

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  (This was posted Feb 16, 2024 - but I thought it was such a great topic that I wanted to repost it.) Please don't judge me based on my good days. Looks can be deceiving for someone with a chronic illness. What looks like a good day might actually be a good day. Or it might be a good few hours. Or it could be someone doing their best to function through the pain. You don't honestly know what someone is going through, especially when they have lived with the pain for a long time. You'd be surprised how much pain people can learn to smile through. Read the full article at psoriatic-arthritis.com

I'm Sorry; I'm Sick.



It's been a long time since I've last updated. I don't want to sugar coat it; the past few months were extremely difficult. Though I'm hesitant to say it was the worst period of my life, it was definitely the most exhausting in all respects- physically, mentally, and emotionally. While there were many things going on that were extremely demanding, I wasn't exhausted solely due to those stresses. Rather, it was because I was very ill. And I owe it to many people -the people in my life and to my readers- to explain why I was absent and very much not myself for a few months.

In July, the medication (Sulfasalazine) I had began in May was causing harmful side effects, so I began taking Plaquenil. I was very hopeful that this would be the treatment that would bring me to remission in a year or two. It seemed to be successful for many of my friends, so why not me? Plaquenil takes a very long time to work, so I wasn't surprised I hadn't felt any benefits by August. What I didn't expect was that I'd feel so sick.

Per usual, I had the 'normal' side effects: I wasn't really eating all that much, I was tired all the time, and my skin became very dry. But I didn't expect to experience severe depression and anxiety. I was constantly panicking over small things, and whenever something didn't end up exactly as it should've, I was reduced to tears. Sometimes I'd act out on it by snapping at people, especially the people I love the most. And when I wasn't worrying, angry, crying and feeling my heart racing, I was so empty. The depression is harder to explain. Somehow, it just made everything slow, tiring and worthless. Life didn't have a purpose other than being a cruel torture, anymore.

I knew I was a killjoy at the time, so I stopped talking with my friends and I rarely left the house. When I did leave the house, it was to go to my part time job. Though I kept myself composed there, I would come home and break down crying from the treatment I received from my supervisor. I began to get so anxious about my classes, I fantasized about dropping out and working online and from home so I wouldn't have to see anyone other than my parents.

Two or three weeks before I was due to go back to my classes, I consulted my rheumatologist. She opted to put me on a lower dose of Plaquenil. It seemed to work, and I began to calm down. Life wasn't as miserable as it was on the full dose, and I began to let the smaller things slide. But things were not perfect. It took me a long time to realize that lowering the dose would not take away the side effects; it would just reduce them.

When the dose was lowered and classes were in session, I hoped I would be able to handle myself- not let myself be a killjoy or appear neurotic in any way. It worked for the first few weeks, before one particular situation pushed me over the edge. After confiding with a few friends about how this situation made me feel, and receiving feedback from some that I was wrong to feel the way I felt, I began to close myself off from everyone again.

By late October, my rheumatologist decided enough was enough and she discontinued Plaquenil. Thankfully, she prescribed Enbrel- a medicineI did well on in the past. But just discontinuing the medicine didn't make the side effects go away over night. I dealt with them for a couple more weeks anyway. My mental health is only recently where it was originally- needing occasional reassurance everything will be okay, but still able to look at the bright side of life, knowing and feeling how loved I truly am.

During my struggle, I occasionally confided in very close friends about what I was facing. However, it was hard for me to admit something was terribly wrong. I was so afraid of being a burden, asking for extra support, patience and prayers. I wanted to pretend I was stronger than these side effects and emotions. And I am- I got through it, didn't I? But I needed help and wasn't letting myself receive it because I wasn't being honest and I felt guilty. I regret now not reaching out.

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