I don't know what to do. When one month ago the BDD reached its peak, The major depresived episodes followed one after another. Until I was able to get a bit of peace with the therapy, I was given daily citalopram (1/2 pill) and lorazepam for emergencies.
The episodes started when I moved from having no sef-image to a completely distorted one. One day I think my ears protrude too much, the next one it's my legs that look too arched, others I think on a weird ribcage... The obscene anxiety attacks come when I start thinking about why I did not transition earlier and If have wasted most of my life and now i will end looking as a monster after transition, thinking that not even with HRT and surgery i will look passable.
When I visited the therapist, she checked my file and asked me to double the daily dosage, that it was not enough. The truth is, I keep forgetting about the daily pill half of the day. Ever since I started the therapy, went into physical rehab for my poor skeleton, I started feeling better. But the meds make me slow, urge me to overeat...
I'm thinking of stopping with the daily pill and see what happens, if the anxiety comes back or I can live without that crutch. I may keep the lorazepam one for emergencies..
I don't know, It's just that I hate being dependent on meds. If I manage to recover my old lifestyle, I would have my head busy enough as to avoid over thinking about self image issues.