Posts tagged ‘Antidepressant’

May 2, 2012

as if it were that easy

by maria polonchek

Katie, I remember a time one of our mutual friends asked if you’d seen me around and you said something like, “You experience Maria in spurts.” Remember that? I guess it’s no surprise this is how I blog, too. You don’t hear from me for a week and then I write two posts in less than 24 hours.

this will make more sense once you’ve read the whole thing…
from sharetv.org

But I thought I would update you and our readers about the most recent cloud of depression to cover my sun. Everyone has been so encouraging and understanding. It’s made a difficult thing to write about and address feel more welcome in the public forum. Here is the concrete: the depression has lifted. It lifted sometime during the early morning hours of Monday, April 23rd, to be exact. I waited about a week to confirm, just to be on the safe side, but sure enough, I woke that morning suddenly feeling like my “self” again and wondered what in the word was ever wrong. I’ve been fine since.

What had changed overnight? I have no idea. Depression is a mystery.

But I want to write about coming out of it soon after because, like most experiences, the details get fuzzy after too much time goes by. Here are, from what I can tell, some things that helped me through this most recent bout more quickly (about 3 weeks) than I have before:

  • already taking my antidepressants on a daily basis, which kept the bottom under me from dropping even lower
  • taking my anti-anxiety med after the FIRST NIGHT I couldn’t sleep. Not-sleeping begets more not-sleeping and pretty soon the insomniac fears that death is the only respite s/he will have from her/his mind….
  • voicing to my circle of friends and fam (and, of course, my therapist) that I was not doing well
  • FORCING myself, sometimes through tears, to be mindful of my self-care: good nutrition, running, yoga, therapy, meditating, little pick-me-ups: getting my hair trimmed, getting a pedicure…
  • reminding myself what I’ve learned through the years: that though this feels real, it’s not really real; that there is always an end; that I’m not alone…

I remember the first time I saw a professional for help. It was when the boys were 18 months old (they just turned 7) and she had me take the Beck Depression Inventory (BDI) from Feeling Good: The New Mood Therapy. The Inventory lists cognitive distortions a person experiences depending on the severity of his/her depression.  You compile a score based on the severity of 21 symptoms like:

  • (0) I do not feel sad.
  • (1) I feel sad.
  • (2) I am sad all the time and I can’t snap out of it.
  • (3) I am so sad or unhappy that I can’t stand it.

I don’t remember what my original score was, but needless to say, it was very high. I was severely depressed and had been for so long, I thought the way I walked through and experienced life was totally normal. Within 72 hours of starting antidepressants, I began to feel better. (It’s not usual to feel results this quickly, but indicates a level of bi-polarity.) I literally saw things differently: the sky was a sharper blue and shapes were more in focus; also, the wind sounded different through the trees; food had more flavor; I looked like a different person in the mirror to myself. After adjusting to this “new” normal, I realized that I had accepted a way of being that I didn’t have to accept anymore. After a year, I took the BDI again, and scored as most people do. I had a new normal.

Brain chemistry is a mysterious thing and it’s hard to understand. This is clear to me after reading comments left after my last post on depression. One person offered advice with the best intentions—advice commonly heard from people suffering depression. It followed these lines: distract yourself; do things you enjoy; recognize that other people have it worse than you; define purpose for your life; your children need you….

Of course, this advice is offered with the best intentions and is very common advice. I appreciate ALL comments left on the blog, whether I agree with them or not. (As long as they are nice. People need to be nice.) Unfortunately, this type of advice, which seems so obvious, can also be the most dangerous for someone experiencing depression. These ideas feed into the very fears and insecurities she is struggling with. There is no distracting; she doesn’t enjoy anything; she knows people have it worse; she can’t remember her purpose; she can’t be there for her children…The problem is that using logic and addressing someone as if s/he is functioning on a normal cognitive level will not work.

Forgive me for quoting The Backyardigans, but I’ve been listening to their songs non-stop for three years. In Viking Voyage, they sing this song: If you wanna be a viking/ go sailing ‘stead of hiking. Brilliant, right? It makes so much sense. But a person whose brain isn’t functioning the way it would if they were well—a person who is clinically depressed—wants so desperately to be a viking, but can’t go sailing.  So she hikes and hikes into further isolation and despair and knows no one wants to go with her.

Finally, another comment left by someone who has turned his pain into art for me:

Once, I tried to describe to some friends those little things that make me want to cry. They’ve always known me as a funny person…There were a variety of reactions that I got, but one stuck with me. I was told that I was being depressing and I should stop being like that. As if it were that easy. Later that night, I cried. I didn’t want to be that person, but didn’t know how to stop being him either.

Thank you all, for hanging with me and being the compassionate people you are. This seems like a miniscule gesture, but I’d like to dedicate this post, in memoriam, to Aimee Elizabeth Ziegler. She is a woman I never met, though my heart grieves tremendously for her and her family. There are no words.

April 17, 2012

it’s harder to cry when you’re running

by maria polonchek

*WARNING: Heavy, touchy-feely stuff ahead. If you’re just hoping for a laugh, click here or here.

Well, I couldn’t start your week with a post about DEPRESSION, so I decided to wait until Tuesday. It’s a good thing, too, because I’m feeling better anyway. Several people have asked me about this depression-thing since I’ve mentioned it a few times lately, so I will try to clarify.

For those of you who might think depression is just a bunch of hoo-ha or is an example of “White People Problems,” well…the thing is…I get it. When I’m not depressed, I think those things, too. Then, when I am depressed, or even come close, I think, Oh, shit. I forgot this is REAL.

Interesting observation: The people who have either been through depression themselves or been around me when I’m depressed have asked: “Is it coming?” The people who don’t have personal experience with it ask, “Are you sure you’re not just a little down?”

The answer to both of these is: “I don’t know.” First of all, past experience shows me that I don’t really know I’m in a depression until I’m out of it. Second of all, past experience shows me that “a little down” sometimes leads to “can’t get out of bed” and this is what makes me more terrified than other people of feeling “a little down.”

There are all sorts of suspected causes and treatments and preventative measures for depression. I’m interested in learning about them when I’m well. When I’m depressed, I’m only interested in getting better. Either that, or dying. I’m not being sarcastic or lighthearted. While I’ve never considered or attempted suicide, I have thought, many times, “I might be the first person who has died from despair and that would be OK.”

This post would be way too long if I wrote everything I have to say about depression, so I’ll just say this: I have both genetic and environmental factors that contribute to depression. I experienced depression a good ten years before I understood what it was. Being pregnant and having the twins made it significantly worse, yet, ironically, gave me a tangible reason to get better. I firmly believe in a mind-body connection and understand the resistance many people have to medication. I also believe that sometimes you gotta do what you gotta do. Right now I’m taking a small dose of an anti-anxiety/anti-depressant drug (a serotonin and norepinephrine re-uptake inhibitor for those of you who understand this) and working with a therapist on “self-care,” which means sleeping, exercising, meditating, eating, etc…. The sorts of things that seem to come automatically and easily to some people that become debilitating for me when I’m all fucked up. (Pardon me, Mr. and Mrs. W, for the lack of a better description.)

Here is a post I began last week, that I couldn’t finish. For whatever reason, I have woken up the last two days with peace, clarity, and energy and can finish it now.

4-11-12

Katie,

I was hoping I’d feel better by now, but I don’t. Not really. I’m hesitant to say I have sunk, but I do feel like I’m sinking. It makes blogging scarier than usual because I feel like my old companion, Depression, has been rough on our friendship in the past. Depression is rough on all my relationships in such cruel, paradoxical ways. It makes me irritable and then the people I love, who normally don’t irritate me, do. It makes me negative and tells me no one wants to listen to my negativity. I get angry or, more passively, feel anger, which isn’t so normal for me. All of this—the irritability, negativity, and anger—cause me to isolate myself and then I feel dropped (to use a cycling term) and alone. It’s a vicious cycle that gets hard to break.

So far, blogging has been part of my “practice,” in the same way running, meditation, and yoga have. I love the idea that meditation is just practice; it takes the pressure off from feeling like you fail if you aren’t getting it right. I practice mediation on a regular basis when things are going well so that the routine feels familiar and safe when things aren’t going so well. I think this is probably why runners are often so methodical and sometimes called “obsessive” about their sport. It’s the same for most people, I think, about whatever their rituals of choice are. It’s so comforting to slip into a state of mind that feels like home. When I went through training to be a flight attendant, one of my instructors told us, if we begin to melt down in times of stress, to stop and brush our teeth. It’s a ritual that has become so automatic, we sometimes do it without even thinking. When the mind is stressed, it needs this sort of automatic, soothing, repetitive motion to bring it a sense of calm. (One time, back when I was single, I got super-stoned at a friend’s house and grabbed the nearest toothbrush. I went to town on my teeth, which helped, but my friend’s roommate, the owner of the toothbrush, was pissed.)

Anyway. So far, blogging has been practice. But when we started this, I knew a time might come when it would be harder to share my thoughts with you and our readers. Most of the time, I feel like I could write all day. But sometimes, the words are slower to come or feel like they aren’t there at all. I promised myself, even during those times, I would try—keep practicing—as hard as I could to be honest and real.

I’ve been going to weekly sessions with my therapist. She mentioned recently that we may want to give the bi-polar diagnosis another look. I said that it’s possible I’m on the spectrum, but I want to be on as little medication as possible. I’ve cut way back on anti-anxiety meds, and am hoping to cut back on my anti-depressants altogether. We came to a mutual agreement that I should have time to re-establish my “self-care,” which has gone by the wayside with the move.

So I pretty much forced myself to the gym at the Y this morning, to get in a run. Outdoors is almost always better for me, but the treadmill lets me put Sola in childcare and work up a sweat. It seemed harder than usual to get there this morning. I didn’t like the way someone had parked their minivan in a “compact car” space. It felt like a slap in the face of humanity. The regular worker at the child center was gone and her sub seemed harsh to me. I didn’t like that she was focused on making a child who is new say “please.” By the time the Russian woman at the towel counter gave me a hard time for asking for two towels, I was ready to burst into tears. I saw my reflection rushing past the mirrored weight room. The woman I saw looked tired. Sad. Unattractive—no—ugly.

I have a routine on the treadmill at the Y. I walk a half-mile at 4.0 mph before settling into a 5k run. I’m not a fast runner: I start at a 6.0 mph pace (about a 10-minute mile) and vary the pace, going up or down when I feel like it. Today, when I got up to 6.0 mph, I still felt like I could cry at any moment. I decided that I would increase the speed by .2 mph (I’m an even-number person, unless I’m hanging pictures) until I didn’t feel like crying. I went to 6.2. I settled in for a bit. I felt like crying. I went to 6.4. I settled in for a bit. I still felt like crying. I kept going, pausing at each increase for a minute or so, until I reached 7.4 mph.

By then, my legs and lungs and arms and mind felt like they were wild and on fire and could tear down the Palo Alto YMCA board by board.

And I didn’t feel like crying.

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