I previously wrote that I would never go on another weight loss medication. As it turns out, I lied.

My recent surgery is negatively affecting my mental health. My last post was about having a schizoaffective episode right after the surgery. As if that wasn’t enough, I have had to go through and am going through a lot of other stress and anxiety, too. While my knee is healing well, the surgery's mental health impact is almost unbearable.

This August, I underwent knee replacement surgery and had a schizoaffective episode. I didn’t think getting this surgery would affect my mental health as much as it did. Here’s how I ended up in a schizoaffective episode.

Psychiatric advance directives are not something people talk about enough. Psychiatric medication has saved my life and helped me to function and participate in events and daily activities that I wouldn't be able to do without it. It also saved my marriage and allowed me to have successful relationships with friends and family. I believe my medication is why I do as well as I do (which isn't always great, but I have joy-filled days and many accomplishments that I can be proud of, given limitations). I want to communicate these things to doctors because medication is necessary for my treatment. I can do this by formulating a psychiatric advance directive.

My husband, Tom, and I are celebrating our 15th wedding anniversary in September. He’s been very supportive of me in my struggle with schizoaffective disorder and anxiety every step of the way since we met. Today, I'd like to celebrate my husband.

A lot of worrying comes with my schizoaffective anxiety. I am constantly worrying—ask anyone who knows me. Even someone who doesn’t know me that well knows that I worry all the time. And to top it all off, I blame myself for my worrying, even though it's anxiety-related. Here’s what it’s like.

I have an extreme case of schizoaffective anxiety, and I’m preparing for major surgery. I’m getting knee replacements in both knees--one at a time. This anxiety spike about surgery is multi-faceted.

Support groups have helped me a lot with my schizoaffective disorder over the years. Here are some ways support groups have been beneficial. (Note: this post contains a trigger warning.)

I formerly used earplugs to drown out the noise and chatter in restaurants and some other public places, but now I’ve switched to noise-canceling headphones to deal with the anxiety those noises cause. Let me tell you about them and about why I need noise-canceling headphones for anxiety in the first place.

Which is worse, having really bad arthritis in my knees or hearing voices? I don’t know. They both stink, and I’ve suffered from both. Not that rank needs to be pulled, but maybe I’ll figure out which one is worse--or which one I can cope with better--by writing about hearing voices versus arthritis.