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Constant internal monitoring and self justification

9 replies

SalmonPinky · 05/07/2024 10:07

I've had depression and anxiety on and off for years. I manage it generally, I've had antidepressants but they make me feel quite woolly in the head and so I've recently stopped them again. I've had periods of therapy but not for any long period. I get down and overwhelmed if I'm not careful about doing the things that help and getting enough rest.

The thing that bothers me most is that I constantly feel as if I have done something wrong, and in my head all day long I am justifying every single action and thought and approach to some perceived judgemental person. This person changes, sometimes its my partner, sometimes someone else, often a near stranger. Usually someone who's been a bit brusque with me who I feel I have to appease. I anticipate criticism from everyone, for years when I went swimming in my head I was preparing a defence about why I was swimming 'like that'. When I was on long walks I was preparing a justification for why I'd chosen that route, that bag, those shoes, that anorak, this day, this place, that snack etc. Literally every single thing.

Lately I've had to have a minor operation and a few times the doctor said some possibly slightly insensitive things, clearly due to his own stress about his working conditions, nothing particularly awful. These comments go round and round in my head, and over and over every day I am mentally rehearsing a conversation with him about how I really do appreciate the NHS and how difficult it all must be and all of that. I haven't seen this doctor for months and it's unlikely I'll ever see him again. I have ideas about finding this person and explaining, and resolving and justifying etc. Clearly I am going to do no such thing but I can't shake it.

Often I find all this so exhausting and all consuming that it's hard to have conversations with people, hard to be in places where there are lots of people etc. because I feel like I just can't cope with the endless backlash in my brain. I just feel like staying home under a blanket and crying. I've tried meditation, CBT, positive self talk, journalling and it helps a bit but not much. I am outwardly fine, I have kids, a job, a partner, a good life and I come across as a confident and assertive person. Is this normal? What should I do? This week has been particularly bad and I just feel so stuck and despairing about it.

OP posts:
Eyesopenwideawake · 05/07/2024 10:19

You need to be able to talk directly to the voice in your head - it's your subconscious mind and it's role is to protect you and steer you towards happiness. However if it developed an (incorrect) belief that you need to monitor and pick up on every action, no matter how insignificant, that needs to be changed. This IS possible.

How was your childhood?

trainedopossum · 05/07/2024 16:19

Has it got worse over time? What made it worse for me are 1) menopause and 2) social media.
Have you had proper treatment with antidepressants or has the GP just tried one or two and left you to it? I had treatment resistant depression and really needed a specialist.
Sorry you're going through this 💐

SalmonPinky · 05/07/2024 16:44

possum. Thank you. I think it’s similar to how it’s always been, am on HRT now which has helped a lot with the depression. No, they just gave me citalopram and lots of assessments, and told me they couldn’t give me therapy as I was seeing someone private at the time (which I had to stop due to cost soon after) and to keep taking the pills. I think they did help, but as I say, side effects were difficult. No follow up since then. How did you get to see a specialist?

eyeswide - I was probably lonely as a child. I had to move schools a lot due to family stuff so didn’t really have close friends. I think that definitely contributes to it.

OP posts:
trainedopossum · 05/07/2024 17:59

How did you get to see a specialist? It was a very long time ago.

Giving it more thought, the referral didn't really solve the problem (only one of the meds helped me significantly and then abruptly stopped helping about 18mos later) but it deserved the attention to see if any improvements could be made. In my experience the GP had very limited understanding of antidepressants but again it was a long time ago and they use them more now.

Have you asked to try something other than citalopram? Something that works on intrusive thoughts but doesn't have the same side effects? It's one thing to have side effects initially but if they don't calm down over time and they're a problem then it's reasonable to ask to try something else. You can also tell them that you had to stop your self funded therapy, see what they can offer. It's hard to stay positive when this kind of thing is eating up your energy.

Eyesopenwideawake · 05/07/2024 22:25

I had to move schools a lot due to family stuff so didn’t really have close friends. I think that definitely contributes to it.

Yup. Think about it, you were constantly having to make new friends, negotiate the minefield of school social politics (difficult at the best of times, never mind as a newbie) and try to fit in. I'm guessing that you therefore had to almost shape-shift your personality, your instincts and your reactions, simply to survive and that's what still going on in your mind today. Does this resonate?

SalmonPinky · 11/07/2024 16:48

Eyesopenwideawake · 05/07/2024 22:25

I had to move schools a lot due to family stuff so didn’t really have close friends. I think that definitely contributes to it.

Yup. Think about it, you were constantly having to make new friends, negotiate the minefield of school social politics (difficult at the best of times, never mind as a newbie) and try to fit in. I'm guessing that you therefore had to almost shape-shift your personality, your instincts and your reactions, simply to survive and that's what still going on in your mind today. Does this resonate?

Yes, definitely. But what do I do about it?

OP posts:
SalmonPinky · 11/07/2024 17:22

I feel like I can identify patterns, I know why they’re there, I see them happening but I have no idea how to change them. I’ve never encountered anything in therapy that seems to help with this, it all seems to be about what the problem is, not how to solve it. I don’t know. I wish I could let go of all this stuff but it’s there all the time. Maybe I should go back on the citalopram.

OP posts:
Eyesopenwideawake · 12/07/2024 08:55

Have a look at my AMA on remedial hypnosis. The issue isn't in your rational/logical mind, it's in your subconscious - which is why the attempts to deal with it so far haven't been successful. Your mind isn't trying to hurt you, it's trying to protect you but it's using a strategy that you no longer need or want.

SummerFeverVenice · 12/07/2024 09:03

If it is an internal monologue, you can tell yourself to think about other things. When I get a monologue like that I will first ground

  • focus on things you see, smell, feel and hear
  • think about one of those things- I tend to build a story around it - birds, people, a cute dog.
  • when all else fails, think about future plans even if the plan is very immediate like I’m going to do two more laps and then a sauna and count the strokes or time myself.
  • this doesn’t work for me, but others have said ear buds with favourite music or podcast helps keep their mind off criticising themselves internally and just enjoying whatever they are doing.
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