About to do a pretty big exposure…

I am having an appointment with my psychiatrist this afternoon and I am obsessing about what to do with my medication. I think it’s also very ocd like obsessing. I am currently on 30mg mirtazapine. Ive been on this for years (because of insomnia, anxiety and depression) (15mg) and after we tried to switch to another (amitryptiline) because of nerve pain, I went down the road of insomnia and later on ocd again. So I am back on mirtazapine, and weaning off of the amitryptiline. This is/was a very traumatic experience. Because the switch caused a mental breakdown. Now my psychiatrist has mentioned to up the mirtazapine to 45mg. And my obsessive self has done a lot of research and a lot is saying that the higher the dose, the more you can experience anxiety. And for ocd it’s obviously not the first choice. I am obsessing all morning about it. I am too scared to go up. But I am also too scared to try another and to wean myself of off mirtazapine. I feel stuck at this point. Taking two meds is also not something I want. I could really use some words of encouragement right now I think. 🥹

My ocd has been at an extreme all time high the past 2 weeks and I am in dire need of some relief. I’m not sleeping right anymore. for context: I live in the south and found a springtail on my sheets about 2 weeks ago. This was like 2 days before our bug guy came and sprayed (it’s a normal maintenance thing here) so it’s a common bug down here and I’ve found them all over different areas of the house before. Finding it in my bed sent me on a bit of a spiral bc I started to doubt if it even was a springtail and that i was wrong and that it was a bed bug, not trusting my brain. It was a bad, sleepless night and carried over continuing feelings. Typical ocd stuff. Well two days later, I’m a nurse and I had a patient that actually had bed bugs. This wasn’t the first day they were here and I did not see any myself but it still freaked me out. There had one 2 founds after visitors came the day before. Of course I wore PPE in the room (coveralls shoe covers and hair net) going in and took everything off before exiting the room. When I came home I stripped in my garage and bagged everything down to my shoes. Threw everything in the wash and did multiple cycles. There were no other steps I could take but I still had a terrible night. Hours of ruminating and going back and forth about tracing my tracks, thinking of new ways I could’ve taken one home with me. Just checking everything. I was already on a spiral from the springtail. Having two such back to back triggering events for me so closely related has made me deteriorate significantly. I was already doing bad with my normal OCD and starting therapy here. I obsess over the thought of having bedbugs constantly and haven’t been able to sleep. I am constantly checking my bed while in it and can’t settle down. My bed is heavy too and I keep hurting myself lifting my mattress to check. But I need to check. I’ve become obsessed. I check everything and go down Reddit rabbit holes looking for new things. And of course, I talk myself into it every time. I can’t take it anymore, it’s bleeding off into other parts of my life like friendship and marriage because I am so high anxiety right now. I need relief so bad. I’ve never felt this unstable to be honest. I feel like even someone without ocd would be really struggling with this topic, nevermind me, with ocd to a point where I just started treatment. These aren’t even my normal intrusive thoughts and compulsive acts. It’s just taken on a life in the last week and I can’t find any sign that it’s going to slow down. when I think rationally I know I did everything right to prevent but I can’t shake it. 💔

my psychiatrist is starting me on a low dose (10mg once daily as needed) of propranolol in two days. i’m very nervous as i really don’t like experimenting with new meds..it makes me so scared and so anxious. but i think my anxiety has gotten so bad that i need to start using stronger meds. before i was on hydroxyzine which is basically just benadryl. and then i was on buspirone 3x daily, which was basically like taking tic tacs for me. and what i struggle with in anxiety is the physical symptoms it gives me. which causes my anxiety to get stronger. which makes my medical OCD super aggressive. it’s a vicious cycle. so i’m feeling sort of optimistic that a beta blocker can help. i know it won’t take the anxious thoughts away, but knowing that it’ll help the racing, climbing heart rate, and loosen my chest muscles, AND it’ll help with my vestibular migraines? i think that’s a win in and of itself. i’m hopeful 😌🙌🏻 and i would like to point out that i know medications will never do all of the work for you, that you have to meet them halfway, but the medications i previously mentioned ^ weren’t even meeting me a quarter of the way!