Thank you again to everyone who responded to my post--it was all SO helpful. Chart, I'm especially floored at how similar our situations / symptoms seem to be in this case. Thank you for sharing your experience, it has helped more than you know! The latest updates are below:
I apologize for being away from the forum for so long--I had an intense several months (including getting Covid, which was a ride but a story for another time). I didn't have an opportunity to practice alone time or observe how my nervous system responds to being alone overnight until this spring. First I had a trip to visit my siblings in another state. Travel is generally pretty stressful for me (flying alone in particular), but I have my routine now so it went ok. The trip itself was incredibly stressful for several reasons, including just general chaos and busyness of my family's schedule and a particularly troubling situation with one of my sibling's kids that triggered a lot of parentification trauma for me. But the relevant part is that I was going to be "on my own" (i.e. the only responsible adult) watching one of the kids while my sibling and family were away over night. I had a good deal of anticipatory anxiety the night before this event and some trouble sleeping--finding a new video with some calming techniques helped in this situation, as did doing my best to remain curious about the unfolding and ebbing and flowing of sensations. Since I clearly knew in advance that I might find the solo caretaker night challenging, I planned an evening of low key activities with said kid, invited someone over for dinner and a movie with us, and most importantly, tried situational meds (in this case meclizine, which is the non-drowsy Dramamine sold over the counter--I chose this since I take it for travel anyway and had it on hand). I took it at the part of the evening (7PM) that I normally start to feel a big buildup of dread and....it really helped! Evening was pretty ok, very low symptoms, and I was able to sleep. And no doubt it helped knowing that there were pets and the kid in the house as well and I wasn't truly alone.
The next opportunity I had to practice was when my partner had to go away overnight for a work trip in April. Given my decent experience withe the meclizine, I decided to see if I could trial aother situational med to get through things more easily. In consultation with my therapist, I contacted my doctor and tried (*before the trip*) both hydroxyzine and clonazepam. The hydroxyzine made me feel more obviously "drugged" and weirdly made falling asleep more difficult because I would start awake every time I fell asleep (so a really pronounced "hypnic jerk" kind of thing)--it felt to me like my nervous system was like "we can't actually be this relaxed" and my hypervigilance was fighting against the sedation effect. So for me, a no-go. I called the Dr's office back and got a scrip for short term clonazepam. Tried it a few nights later (all these drug trials I did with my partner still in town so I didn't have to worry about trying new meds alone on top of my normal panic). The clonazepam was totally uneventful and I didn't feel groggy the next morning. So working with my therapist, we came up with a three-legged stool of a plan: I would have meds on board--taking them earlier in the evening (several hours before going to bed), I would have a loose sort of schedule (not rigidly trying to plan every minute) BUT would add in a "social" aspect by using the virtual co-work platform I use during my work from home days to have others "virtually" there with me. A note on the virtual co-work thing: It's CaveDay, you do stints together with others via Zoom and chat in breakout rooms before starting and then come together at the end. You can leave your camera on and see others working as well. Many people use it for household things as well as working--so you'll see people making dinner, doing chores, eating, taking breaks, doing their bedtime routines, etc. Lots of ADHD-ers are basically using it for body doubling the activities of daily life, as well as folks using it to get work done on their computers. Then the third thing I would have on hand is all my nervous system calming techniques that I use (weighted blanket, breathwork, somatic movement techniques, ice /cold water, etc.)
And folks, it worked. My symptoms never rose above a 3 out of 10 all night. I didn't have the crushing dread, severe diarrhea, frozen panic, closed throat. Just mild anxiety that came and went in waves. I slept. I was able to eat. The next morning I felt pretty good.
I am VERY proud of myself for taking this step. It was SO hard to ask for meds from my doctor (I really did not want to have to go into my trauma or my symptoms, but he just heard "CPTSD" and "trauma triggered by staying alone overnight" and "have been working on it for 5 years with my therapist, who thinks it's time to try situational meds" and was totally fine writing a prescription.) I also told myself that I have dogs with severe anxiety (at the vet and also staying alone) and I have no problem thinking of medication as a necessary part of their care and don't I want to treat myself as well as I treat my dogs?
I also think this was the right time to try meds--if I had just tried them *without* the other two supports (the social aspect of CaveDay) and the nervous system work (AND without the accrued knowledge of what was actually happening when I experience these freeze / panic / EF responses and what the "theme" of this trauma is), I don't think the meds would have worked as well on their own. Standard disclaimer that this is not medical advice: meds are not for everyone / they are a very personal choice, clonazepam is a benzodiazepine and therefore meant for short-term use due to addiction risk, etc. But I was very happy to learn that what I feared (that meds would worsen the freeze / trapped response) did not come to pass and they really helped.
I apologize for being away from the forum for so long--I had an intense several months (including getting Covid, which was a ride but a story for another time). I didn't have an opportunity to practice alone time or observe how my nervous system responds to being alone overnight until this spring. First I had a trip to visit my siblings in another state. Travel is generally pretty stressful for me (flying alone in particular), but I have my routine now so it went ok. The trip itself was incredibly stressful for several reasons, including just general chaos and busyness of my family's schedule and a particularly troubling situation with one of my sibling's kids that triggered a lot of parentification trauma for me. But the relevant part is that I was going to be "on my own" (i.e. the only responsible adult) watching one of the kids while my sibling and family were away over night. I had a good deal of anticipatory anxiety the night before this event and some trouble sleeping--finding a new video with some calming techniques helped in this situation, as did doing my best to remain curious about the unfolding and ebbing and flowing of sensations. Since I clearly knew in advance that I might find the solo caretaker night challenging, I planned an evening of low key activities with said kid, invited someone over for dinner and a movie with us, and most importantly, tried situational meds (in this case meclizine, which is the non-drowsy Dramamine sold over the counter--I chose this since I take it for travel anyway and had it on hand). I took it at the part of the evening (7PM) that I normally start to feel a big buildup of dread and....it really helped! Evening was pretty ok, very low symptoms, and I was able to sleep. And no doubt it helped knowing that there were pets and the kid in the house as well and I wasn't truly alone.
The next opportunity I had to practice was when my partner had to go away overnight for a work trip in April. Given my decent experience withe the meclizine, I decided to see if I could trial aother situational med to get through things more easily. In consultation with my therapist, I contacted my doctor and tried (*before the trip*) both hydroxyzine and clonazepam. The hydroxyzine made me feel more obviously "drugged" and weirdly made falling asleep more difficult because I would start awake every time I fell asleep (so a really pronounced "hypnic jerk" kind of thing)--it felt to me like my nervous system was like "we can't actually be this relaxed" and my hypervigilance was fighting against the sedation effect. So for me, a no-go. I called the Dr's office back and got a scrip for short term clonazepam. Tried it a few nights later (all these drug trials I did with my partner still in town so I didn't have to worry about trying new meds alone on top of my normal panic). The clonazepam was totally uneventful and I didn't feel groggy the next morning. So working with my therapist, we came up with a three-legged stool of a plan: I would have meds on board--taking them earlier in the evening (several hours before going to bed), I would have a loose sort of schedule (not rigidly trying to plan every minute) BUT would add in a "social" aspect by using the virtual co-work platform I use during my work from home days to have others "virtually" there with me. A note on the virtual co-work thing: It's CaveDay, you do stints together with others via Zoom and chat in breakout rooms before starting and then come together at the end. You can leave your camera on and see others working as well. Many people use it for household things as well as working--so you'll see people making dinner, doing chores, eating, taking breaks, doing their bedtime routines, etc. Lots of ADHD-ers are basically using it for body doubling the activities of daily life, as well as folks using it to get work done on their computers. Then the third thing I would have on hand is all my nervous system calming techniques that I use (weighted blanket, breathwork, somatic movement techniques, ice /cold water, etc.)
And folks, it worked. My symptoms never rose above a 3 out of 10 all night. I didn't have the crushing dread, severe diarrhea, frozen panic, closed throat. Just mild anxiety that came and went in waves. I slept. I was able to eat. The next morning I felt pretty good.
I am VERY proud of myself for taking this step. It was SO hard to ask for meds from my doctor (I really did not want to have to go into my trauma or my symptoms, but he just heard "CPTSD" and "trauma triggered by staying alone overnight" and "have been working on it for 5 years with my therapist, who thinks it's time to try situational meds" and was totally fine writing a prescription.) I also told myself that I have dogs with severe anxiety (at the vet and also staying alone) and I have no problem thinking of medication as a necessary part of their care and don't I want to treat myself as well as I treat my dogs?
I also think this was the right time to try meds--if I had just tried them *without* the other two supports (the social aspect of CaveDay) and the nervous system work (AND without the accrued knowledge of what was actually happening when I experience these freeze / panic / EF responses and what the "theme" of this trauma is), I don't think the meds would have worked as well on their own. Standard disclaimer that this is not medical advice: meds are not for everyone / they are a very personal choice, clonazepam is a benzodiazepine and therefore meant for short-term use due to addiction risk, etc. But I was very happy to learn that what I feared (that meds would worsen the freeze / trapped response) did not come to pass and they really helped.
