My anxiety has been increasingly intense for at least a month, maybe 2. I haven't been able to eat without forcing myself, I lay awake for at least an hour when I try to go to bed, and I feel worried all the time and easily cry. Last week it all came to a head and I basically had a breakdown.
For over 72 hours I felt like someone who is afraid of flying feels right before they board a plane, though there was nothing scary happening. I kept feeling scared enough to cry but there was no threat! I turned everything over in my head trying to find what could have caused it but there wasn't anything. It felt like torture, and I couldn't bear to think of living that way every day.
I couldn't work, could hardly stand to be alive. (So grateful to have a job that allows me to take sick time at my discretion, and gives adequate amounts!) I couldn't control my thoughts at all and even writing my 2 sentence daily summary was way too much. I was having to consciously remind myself to stop holding my breath, which I do when something is too intense physically and apparently also when I am so anxious it hurts.
I finally wondered if my meds had stopped working -- which made sense considering the appetite and sleep symptoms which are usually fixed by my anxiety meds. I looked at the bottle to see the manufacturer and it was the same one that I thought was giving me less-effective adhd meds, and then I googled the name of the manufacturer and the name of my adhd meds and my anti-anxiety meds came up, with people saying that the quality is sometimes just shit!
That made me feel that my suspicion was valid, so I went to my pharmacy and talked to a tech who ordered a different generic for anxiety, but it wouldn't arrive for days. I had asked a similar question before but gotten a wrong answer (that they didn't have any other generics). Monday it finally arrived and when I picked it up I talked to the senior pharmacist who helped me get some of the other manufacturer meds to tide me over until my insurance will cover it again, and also found me a different generic source for my adhd meds.
Today is my third day on both (though only 2/3rds of my usual anxiety med dose, because I don't have enough to last me otherwise) and I think it is better. I am still pretty anxious and my brain is still trying to divebomb at every little thing but at least I can mostly breathe. I'm desperately hoping that within a week I can feel normal, at least my normal. Basically it was like I went off my meds even though I was taking them, and mirtazapine is one of those that is VERY BAD to stop cold turkey. it also apparently needs to be kept at even temperatures, so possibly I got a batch that went off.
In addition to that, I had run out of my serine supplement, which I take to counteract cortisol. I had thought I noticed a small positive effect but now I am thinking it had a much stronger impact as time went on. I plan to be more careful to maintain that one.
Also in the days leading up to my breakdown I had not been getting as much activity as before, and I realize now that exercise really helps with my anxiety. At the worst points it was literally the only thing that helped. Even cuddles and sweet attention didn't help as much, and literally nothing could distract me enough to escape the feeling. So since I realized that last week I have been getting at least 30 min of activity every day, more on most days, strenuous intensity on most days. Thank fuck I have finally come to terms with my sweatiness and thus it is not a barrier to working out any more.
Edit: after posting this, I actually had a good night with no huge anxiety spikes in it! SUCH RELIEF.