I waited exactly 14 days. Then, on Friday, I gobbled a 40 milligram dose of citalopram.
I realized that while it was a worthy goal not to say "fuck," or "fucking" around the children anymore, the fact that I was increasingly compelled to do so reminded me for the millionth time that depression is not a matter of self-control.
I spoke to Dr. Clark on the phone.
"How are you doing on this dosage?" she asked.
"Crying all the time, lots of outbursts, feeling like I want to rip off my own skin," I said.
"Mm-hm," she said. "Any thoughts of suicide?"
Only once, while rocking back and forth on the floor at my friend's house, with my forehead pressed to my knees, but it was nothing. "No," I said.
She prescribed Wellbutrin in addition to my regular dose of Celexa. How this is supposed to help with what the medical professionals call "sexual side-effects" is unclear to me. I think it's unclear to the medical professionals, too. But whatever. I'm game.
Maybe if I was single and 23 the decision between being semi-orgasmic or crazy wouldn't be quite the no-brainer it is now. It's fine to be nightmare in your 20's. Some fellas even dig it. But now when I go off the rails it truly dampens my husband's spirit. And damn, I've got kids to raise now. I've got important shit to do, too, like enjoy vacations in Mexico and do half-moon pose without a block and post pictures on MySpace. (Not to mention teach pregnant ladies how to relax when they feel like cows, and contribute to the good of humanity, and basically be a bright star whenever possible.) I don't have the space to wander in those woods anymore. I'm intimately familiar with them, and they never lead anywhere.
I'm back on the path of wellness.