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Thank you, meds!

A list of things that have changed since I got on a medication that was right for me:

  • My sleep schedule is regularized and so much healthier.  I go to bed and wake up almost the same time every day without developing high levels of anxiety at bedtime or being pinned to my bed in the morning by the futile weight of depression.
  • The feeling of anticipation has returned.  Weird as it may seem, anticipation is a big indicator for me of my mental health.  When I’m depressed, everything on my list of events carries a similar bland, uninspiring flavor.  Whether I needed to get to a boring lecture or I had planned on attending a Christmas party, my plans had the same lack of drive.  Now, that sense of looking forward to something brings the impulse of excitement that most people would never expect could disappear.
  • I can drive without having an anxiety attack, which is huge for me considering I had previously never been able to do enough practice driving to get my license.
  • I developed my first celebrity crush–it may seem silly or unrelated, but realizing it hadn’t happened before suddenly showed me how my mind really hasn’t been functioning properly for years.  I had started to believe the fun, fluttery, crush-y feelings of my very early adolescence were imaginary since they had been gone so long.  (Before you ask… Matthew Gray Gubler’s character on Criminal Minds.)
  • I’m not constantly battling intrusive and frightening thoughts, including suicidal ideation.  It should never be normal to be forced to maintain an ongoing battle with your own mind in order to stay afloat and function, but for a while, it was my “normal.”
  • I’ve recognized that some people who were in my life were toxic and emotionally abusive.  Being mentally in a better place showed me that I did not deserve or warrant their treatment, and that it was okay to cut them out of my life.
  • I have the energy and motivation to take other steps for promoting my health.  For example, I’ve started learning martial arts and work out twice a week.  The exercise is helpful for maintaining my health both mentally and physically, but I did not have the stamina or strength to get myself doing anything like that before getting on the right medication.

Because of the stigma against medication for mental illness, I fought against going on meds to help treat my depression for a long time.  Now, however, I recognize and celebrate them for what they really are–an important weapon in the fight against mental illness that, for me, was an essential part of recovery.

“Return to your rest, my soul,
    for the Lord has been good to you.

For you, Lord, have delivered me from death,
    my eyes from tears,
    my feet from stumbling,
that I may walk before the Lord
    in the land of the living.”

Psalm 116:7-9

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Hall of Shame

A collection of stupid quotes by people spreading stigma against people with depression.  Here’s to hoping that by posting these and declaring them to be ridiculous, these phrases lose a little bit of their power.

  1. “Why do you listen to your therapist [about how to treat your depression] more than me?”      ~someone who is no longer my friend (and perhaps never was)
  2. “99% percent of people are taking antidepressants as substance abuse.”       ~some idiot on Quora
  3. “Your problem is you need to stop thinking so negatively!”     ~yet another clueless person of the internet
  4. “Why hasn’t [person with depression] apologized to me personally for being sick?”     ~another person I won’t talk to after her treatment of one of my best friends who had depression
  5. “Depression isn’t real.”    ~a moronic “Big Brother” contestant on Twitter

What things that people have said to you about your mental health would you put in your “Hall of Shame”?

As a dog returns to its vomit, so fools repeat their folly.”  ~Proverbs 26:11

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On-Off-On: Medication, Stigma, and Side Effects

During an ensemble rehearsal in the spring of my junior year, a professor I respected and trusted got off on a tangent about medications in the music world and how ridiculous and overused they were. At the time, I was taking medication for depression.

The time for the next refill came and went, but I never called it in. I was feeling better at that point (you know, because the medication was helping), and ashamed to need medication, so I let them run out. That summer and early fall were mostly okay. The seasonal influence on my depression worked in my favor. After the clock change for Daylight Savings Time that fall, though, things headed back downhill.

I was exhausted all the time. I didn’t enjoy doing anything; in fact, I didn’t feel much of anything aside from exhaustion. Keep in mind I was exercising regularly, eating right, and taking better care of myself than I ever had been prior to a depressive episode before. I really thought I was going to keep myself okay through self care alone. Consequently, it took a while to admit that I needed outside help again.

I finally went to the health center for counseling in January, after a rough Christmas break of hidden panic attacks, secret meltdowns, and suicidal thoughts. After resisting medication for several weeks and continuing to feel worse and worse, I finally caved and was put back on the medication that had helped the year before.

Only this time, it didn’t seem to be helping as much. The nurse practitioner overseeing my meds upped the dosage. As I waited for the increased dosage to help, I started experiencing intense anxiety, disassociation, nausea, and periods where I couldn’t fall asleep, which took away one of my few remaining escapes. When I did fall asleep, I had weird, suicidal dreams that started bleeding over into my waking life.

One Wednesday in April, I reached the breaking point and told the counselor I wanted to die and couldn’t keep myself safe anymore. At that point I hadn’t slept or eaten anything other than Gatorade and crackers in several days, and had visited the health center several times for these symptoms only to be told it was “just stress” and “normal for a senior college student” so I should “try to relax.” Fortunately, the counselor took me seriously and called a hospital, where I was admitted to the psychiatric wing.

There, the psychiatrist switched me to a different medication, nurses monitored my symptoms until the first medication had cleared out of my system, and the social worker coordinated with the health center at the college to develop a plan for if and when I could return to classes.

Turns out that sometimes when people stop a medication cold turkey, the medication has the potential to cause severe side effects when they try to take it again. Not every time, and not enough that people are usually aware of it, but it happened to me. All of which could have been avoided if I hadn’t been ashamed of the medication that I needed, if the authority figures in my life promoted a positive, supportive outlook on mental health.

With a lot of support from family and my true friends (the ones who stuck by me), I did return to college that spring, I finished my work, and I graduated with honors despite believing my life was over a month before. Life has been good since then. I have a job in my field, I love my work, and I am taking medication regularly. I’m not ashamed of it—getting the right medication can be life-saving. Because shame and stigma impacted me so greatly in college, I’ve been sharing my story in hopes of raising awareness and encouraging others.

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A Time to Mend

One of my first diagnoses was Seasonal Affective Disorder.  Naturally, while preparing for the time change from Daylight Savings, I am worried that the severe depression that has been haunting me the past winters will return with a vengeance from the change in light.

This year was different than the others in some important ways.  My depression hit new lows and I was hospitalized for the first time, but I’m also now on a medication that seems to be working better than anything I had tried in the past.  Until I’ve made it through this winter, though, I can’t fully trust that my medication is really truly working.  Because I didn’t get relief from depression until mid-April, I can’t be sure that the improvement in my symptoms was not merely seasonally linked.  I want to think the doctors found something that worked, not that I just managed to pull through another winter, but I’m scared of believing it too soon and being let down.

This time change in particular is an important test, because I remember last year around this time was when I really started to fall apart again.  This year, I’m beginning a second job in addition to my first, in places I really like and want to do well, and I don’t want depression to catch me off guard and ruin that for me.  As I move forward, I’m praying that after many years of a time to tear down, this will be a time to mend.

“There is a time for everything,
    and a season for every activity under the heavens:

a time to be born and a time to die,
    a time to plant and a time to uproot,
a time to kill and a time to heal,
    a time to tear down and a time to build,
a time to weep and a time to laugh,
    a time to mourn and a time to dance,
a time to scatter stones and a time to gather them,
    a time to embrace and a time to refrain from embracing,
a time to search and a time to give up,
    a time to keep and a time to throw away,
a time to tear and a time to mend,
    a time to be silent and a time to speak,
a time to love and a time to hate,
    a time for war and a time for peace.”

Ecclesiastes 3:1-8

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Six Months Later

“I love the Lord, for he heard my voice;
    he heard my cry for mercy.
Because he turned his ear to me,
    I will call on him as long as I live.

The cords of death entangled me,
    the anguish of the grave came over me;
    I was overcome by distress and sorrow.
Then I called on the name of the Lord:
    Lord, save me!”

The Lord is gracious and righteous;
    our God is full of compassion.
The Lord protects the unwary;
    when I was brought low, he saved me.

Return to your rest, my soul,
    for the Lord has been good to you.

For you, Lord, have delivered me from death,
    my eyes from tears,
    my feet from stumbling,
that I may walk before the Lord
    in the land of the living.”

Psalm 116:1-9 (NIV)

Six months ago, I got out of the hospital after my first (and hopefully only) hospitalization because of mental illness.  This marks six months I can hold on to, no matter what, that show me the hope of what recovery looks like.  In some ways, looking back, the whole experience and the weeks surrounding it seem surreal.  Yet, in many ways, that period forms an inextricable part of who I am now.

In both positive and negative ways, the experience of hospitalization lingers with me. Visiting a geriatric rehab center and waiting for the receptionist to press a button to allow me out through the secured doors leaves me vaguely anxious, wondering illogically for a split second whether or not I am still confined to the psychiatric wing.  Pens hold a special significance now, since they were banned from the wing.  I don’t like pencils as much as I once did.  I take a unique delight in wearing drawstrings.  Puzzles soothe my mind.  I like being able to shut people out, not having to respond to knocks on the shower door or a flashlight shown in my face every half hour at night.  On the other hand, I’m so much healthier now, with a medication that works and which isn’t causing adverse reactions, and dismissal from counseling.  I learned who my true friends were, and experienced unconditional love and support.  Without that week, it would have taken much longer to stabilize me and find the solutions I needed, if I even made it that long.

Sometimes I find the phrase, “When I was in the hospital…” springing to my mind and being halted by my lips, unsure where or how to go from there.  How much of my story, the parts that shaped me and defined me and kept me alive, can I allow to flow freely?  So much of it seems dammed up by the people around me, their expectations, and their unspoken rules for me in the weeks and months following my hospitalization.  No one needs to say it directly for me to hear as long as you pretend this never happened, we can all continue as normal. I don’t think the people around me recognize how formative this experience has been, that it is part of who I am now.

So I am celebrating here.  For me, this six month anniversary feels like a victory. Even if I have done nothing else commemorative and no one else knows, I know that this date has significance for me.