Identity, Living, May is Mental Health Month, Mental Health

Maybe

At the beginning of May, I set out on a mental health mission.  May being Mental Health Month, I wanted to dedicate a daily post to a condition of, treatment for, and/or living with mental illness.  While my life is influenced by my own struggle with depression, and all of my posts are therefore colored by it, I wanted these series of posts to address mental illness and health dead on.  And with the exception of one day, I did it!  And learned some interesting things in the process.

What a month of blogging about mental illness and health will teach you:

  • Focusing on your depression and what it does to you everyday makes you even more depressed
  • I may have exhausted not only myself, but also those around me.
  • Daily blogging (I had previously blogged approximately two times a week) made this ‘stay-at-home mom’ feel like I had a purpose, a vocation, a “real” job.  I had set that schedule for myself and had to stick to it.  I made writing – something I truly enjoy – a priority.
  • Daily blogging made my house look like a pit.  Making my writing a priority pushed nearly everything else to the wayside.
  • I need to work on time management 😉
  • If you write it, they will come – eventually
  • There are a lot of super-supportive people who write incredibly thoughtful comments.
  • I feel your pain’, though overused, is not a pile of horseshit.  It is extremely powerful to connect with someone who has, indeed, felt your pain.
  • That I over-catastrophize (yes, I may be making up words again).  I missed one day in my blog-a-day-a-month challenge and a bushel basket of chopped potatoes did not come crashing down upon my head.
  • That given the chance to slack, I will.  June 1 rolled around and I let the rest of life come rushing back in.
  • That, sometimes to a fault, I engage both sides of an argument, an issue, etc.  I’m forever writing that big pro/con list in the sky, which may make me come across as wishy-washy, fickle, not knowing my @## from my elbow (compare the two previous points!)
  • That achieving balance is to continually adjust on the tightrope of life.  Urgh.
  • That telling your deepest, darkest fears and foibles makes you incredibly vulnerable – or at least feeling that way.
  • That people like to know they’re not the only one feeling that way.
  • That one month of posts is not enough to explore all there is to know about mental health and illness.
  • That although I started the month of May thinking these posts would be a departure from my usual in that they directly addressed mental health and illness, there really is no separating out depression from everyday life.  It’s the constant mantle on our shoulders, sometimes blowing lightly in the wind, sometimes soaking wet with rain.

So, now it’s back to operation ‘normal’, whatever the hell that is.  I did miss writing about my crazy adventures and travails as a mom.  I did miss writing something “positive” or life affirming (I tried during May, but felt like most of it was heavy).  I’ll be glad to write something that doesn’t make you think I loathe my children and the life I lead.  But I guess I won’t be giving up writing about mental health and illness; that is woven into the fiber of my being for better or worse.  Maybe I’m finally learning to live with that.

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Living, May is Mental Health Month, Mental Health

An Imperfect Porpoise

Balance.

The very word makes me twitch.

It’s supposed to be peaceful, magical, that neutral territory where the heart sings and your psyche lies in savasana.

That is, if you can attain it.

I’m forever striving.  I want to show that boulder who’s boss, shoving it up the mountain for good.  But if it doesn’t roll back over me on its way back down, it’s got so much momentum it just goes over the other side.

I lamented to my therapist that I just want to conquer depression.  I want to beat it into submission and be done with it.  I like closure.

2011-03-25-the-epiphany-of-sisyphus

Depression is not an open-close case.  It is full of decisions and appeals, a juggernaut of self-imposed juries.

For every bright spot, there is a chance of dark days.  For every low point, there is an arc of highs.  And sometimes it’s all over the road like a reading of the Richter scale.

Unfortunately (or not), this same concept applies to life.

Whether I like it or not, I have to take the good with the bad, the ups with the downs, the victories with defeat.

While Sisyphus has been the poster-child of my life as of late, a friend tried to introduce me to someone new. She said,

Here’s to imperfect progress–a gradual improvement of mood and attitude despite life’s natural ups and downs.

I’m trying to frame this in terms of my buddy Sisy and his vertical hangout.  I can’t.  A long, gradual slope comes to mind, maybe strewn with boulders along the way.  Or maybe it’s like that part of the trail where you hit the tree line and think the summit is just over the next hump, but it stretches on and on and up and up.  The view improves, but the trek is still arduous.

Rolling this new idea of imperfect progress around in my head, the words transmuted themselves into ‘an imperfect porpoise’, which not only made me laugh, but kind of fits.  I’m happy, but I don’t chirp like Flipper; can’t.  Some days I flit about the surface, skimming the waves, others I plunge into the depths.  And all the time, I like to turn words and things on their heads and see what comes about.  Porpoises are intelligent; I wonder if they over think things as much as I do.

What IS the porpoise of life, anyway?

What IS the porpoise of life, anyway?

“An Imperfect Porpoise” is my modern-day myth.  It is about the ever-elusive balance.  The disgruntled admission that this is what I need to seek, rather than domination or perfection.  And maybe that a moving target has less chance of being flattened by a boulder ;-).  Hey, old habits die hard.  This new guy and I are just getting acquainted.  Sisy and I go way back.  This whole life is imperfect anyway, right?

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May is Mental Health Month, Mental Health, motherhood, postpartum depression

Destymie-ing Dysthymia

http://www.health.harvard.edu/newsweek/Dysthymia.htm

 

The American Psychiatric Association defines dysthymia as depressed mood most of the time for at least two years, along with at least two of the following symptoms: poor appetite or overeating; insomnia or excessive sleep; low energy or fatigue; low self-esteem; poor concentration or indecisiveness; and hopelessness.

With all the myths and tragedies running around my head lately, it’s perfect poetic justice that the word dysthymia comes from the Greek.  And I’m starting to think that’s what I have.

My raison d’etre in this land of depression (or whose labor and delivery unleashed the beast) is now approaching four years old.  My depressive symptoms linger on.  They’ve certainly lessened, that’s for sure.  I no longer want to chop off my fingers, run out the door and never come back, or think I’m a completely horrible, terrible mother.  But like a thin fog that spreads layer after misty layer until the terrain is no longer recognizable, it’s lurking and oozing its way into the corners of my life.  On the days the sun doesn’t shine, I’m chilled to the bone, the damp crawling inside and refusing to leave.

Postpartum has passed the baton to dysthymia.

The Internet can give you whatever leverage you need to make whatever case you want so I can prove it.

Depression that begins as a mood fluctuation may deepen and persist when equilibrium cannot be restored because of poor internal regulation or external stress.

Postpartum = mood fluctuation

Poor internal regulation = my anxiety-ridden self

External stress = meeting the needs of three small children

Equilibrium null and void = deepened and persistent depression

I also never had the appetite or sleep disturbances associated with clinical depression, but have my fair share of “anhedonia (inability to feel pleasure), social withdrawal, guilt, and irritability,” which the American Psychiatric Association is considering adding to an alternative definition.

Nothing like self-diagnosis.  But if it’s an open and closed case of dysthymia, why am I not responding to treatment?  The article mentions recovery.  I’d like some of that please.

I think there’s a hole in the fabric of mental health for women beyond the grasp of postpartum, but still not functioning in a productive and positive way.  If a traumatic event, which birth and what follows can be, unleashes a maelstrom of symptoms that were lying just below the surface, what then?  What can we do for those women who don’t fit the textbook mold of either postpartum or major depression?

How do we destymie dysthymia?

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Living, May is Mental Health Month, Mental Health, Recovery

Getting from “I can’t” to “I’ve GOT this”

“We have to let go of what the world wants us to hang onto and hold onto what the world wants us to let go of.”

The wise deacon who gave the homily this Sunday morning spoke these words.
But how do we operate within this paradox?
Why is it always about balance?
How much of it is our attitude and how much is our chemical make-up?
What miracles will ‘heal’ us if we believe?
This post raised similar questions.

Admin's avatarOff Duty Mom

I have struggled for most of my adult life with borderline depression and probably a little anxiety, too.  These things, however, have not existed in real life like I would have imagined they would.

cryingI had previously figured that depression was reserved for people who had SOMETHING to be sad about.  And those poor saps wouldn’t be able to get out of bed each morning.  They would cry constantly.  They would probably resort to maniacal meth usage, would wear all-black and would get swoopy haircuts, but would ultimately not really wash or style their hair much, anyway.

I figured that people who had anxiety would be nervous wrecks 100% of the time, would talk really fast, drink too much coffee, talk incessantly about governmental conspiracy theories, and would be all twitchy and weird.

Most of that stuff is dead wrong.  For me, at least.  Except, I could get into a…

View original post 696 more words

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anxiety, Identity, Living, May is Mental Health Month, Mental Health, postpartum depression

The Blue Chicken or the Anxiety Egg?

Which came first? DownloadedFile

It’s the proverbial question.

Did my anxiety beget my depression?  Or am I worried how things will turn out because of my depression?

Worry-wort.  My own worst enemy.  Always running things through my head.  So sensitive.  Beating a dead horse.  All of these are terms used to describe me at one time or another.

I do have a tendency to perseverate.  I can’t let things go.  I worry them like a dog with a bone that is impervious to bite marks.  It’s not productive.  It’s not reassuring.  It’s a form of torment actually.

In college, after my roommate had left for the weekend, I would lie on my top bunk and stare out the window, wondering why I couldn’t go out and round up new friends as easily as everyone else seemed to be doing.  I would watch the sun set, thinking how alone I was.

As August neared its end one year, I bought a thin volume entitled, Why Are You Worrying?  As the cashier plugged my purchase into the register, he asked, “Are you a teacher?’  He said he’d bought the same book at the start of a school year once too.  While he may have bought the book for the same reasons I did, no self-help book could help me turn off the worry.  I triangulated every possible scenario in the classroom; how I would put out fires, cut off conflicts at the knees before they stood up, squash rebellion before it started.  But you can’t plan for every permutation.  The very nature of education is the X factor.

And this nervous nature – is that what plunged me into depression when life became so overwhelming as a mother of three?  I couldn’t control anything, didn’t understand and couldn’t fix the feelings I was having, and felt really crappy as a result.

Or is it viewing life through the dark glasses of depression that makes me see the shadows of worry in every corner?

It’s all tumbled together in the dryer at the highest setting anyway.

The only ‘good’ thing about all of it is that what I thought was a flaw on my part, a weakness, an inability to achieve, connect, push myself, believe in myself, is really anxiety.  I’m not this wimpy, pathetic, sad sack.  I have an excuse!  A reason, a rationalization, a disease.  Good for me!

So chicken or egg – it’s all part of the cycle of life.  All I can do is try not to get scrambled.

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Marriage, May is Mental Health Month, Mental Health, motherhood, parenting

They’re Baaaaaack

And what a hell of a reentry that was.

They came bearing packages, bags of laundry, and lots of noise.  All of which happened to coincide with the whine of chainsaws and segments of tree thudding to the ground as we removed two more trees from our property.

The yard looks like a tornado came through, which I would think was totally fitting, if I wasn’t the one swirling around in its center.

Apparently there are findings that show people experience depression upon returning to their routine schedules after vacation.  This weekend felt like the ultimate vacation.  I was calm.  I was peaceful.  I was not done.

The moment they walked back in – in fact, even as I rushed around trying to finish things I knew I wouldn’t be able to when they came home – my stress level ratcheted up.

We showered them early because they had run around sticking to the tree sap and I looked at my husband at 6:13 PM and said, do we really have to wait over an hour to put them to bed?  Whatever reserves I had built up over the weekend had been depleted in a few short hours.

One validating point: my father-in-law, when recounting how the weekend had gone, looked at me and said,

“I don’t know how you keep up with the three of them all day.”

Yes, it was a shallow victory because it just confirms how life-sucking they are.  BUT – and this is a very big BUT – it means that there is not something wrong with me to find it challenging.  It’s a normal, natural response that many people have apparently.

That doesn’t make it any easier to deal with on a day-to-day basis . . . but at least I know I’m not some freak of nature.

So, the take-away.

  • I like alone time.
  • I crave uninterrupted creative time.
  • I respond well to long, drawn-out, meandering shopping trips.
  • I thrill in the perfect flea market find for my home décor.
  • I eat like a pig who has found the trough for the first time when I can do so without distraction.
  • A new dress does a girl good.
  • Certain physical endeavors provide good stress relief 😉
  • I suck at carrying over these lessons to the everyday; reality, if you will.

But I have to figure something out.  As I said when I lay in bed last night, in an exhausted stupor, ‘I love them.  I need to find a way to like being with them.’

Whether it’s situational depression or what, that’s not something a mother is supposed to say.

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Living, May is Mental Health Month, Mental Health, postpartum depression

A Sit-com of Errors

I desperately want[ed] to pin my depression on ‘postpartum’.

If the hormonal let-down following birth was responsible for my troubles, then it was acceptable.  It was normal, natural, physiologically sound.  And it was temporary.  Once my body got back to stasis, it would go away.

Three years later, though the cloud has shrunk, no wind stiff enough has come through to sweep it across the plain of my life and over the horizon.

I don’t think I can ‘blame’ postpartum anymore.

My therapist said that my anxiety and depression are situational; that the heightened stress of my last pregnancy, the trauma following it, the continued stress of a three-child household all brought out my worst symptoms.  I argued that I may have always had some latent tendencies toward anxiety and depression.  Perhaps, she said, but up until this point I had successfully managed them.  I wanted to pinpoint the origin of my maladies, while she was focused on helping me overcome them.  In my mind, if I could find a reason for it, my depression might be more understandable, more valid, more easily admissible.

I think the term situational freaked me out.  Situational.  Just because I was in a shitty situation I couldn’t hang?  What kind of weak human was I?  This wasn’t a sit-com on network television that, after thirty minutes, left the sad sack sitting on the couch for a vibrantly-colored automobile commercial that told viewers to go out and grab life by the *#&@s.  My situation had grabbed me by the neck and wouldn’t let go, throttling me for much more than thirty minutes.

Now as postpartum fades in the rearview mirror, and my symptoms continue, some getting weirder (reemergence of night sweats), I’m turning my attention to other causes.  My aunt gave me Thyroid Power: 10 Steps to Total Health by Richard L. Shames and Karilee Halo Shames.  Since adolescence, my physician has tested me for nearly every cause of low energy: anemia, low blood sugar, mono, thyroid . . . you name it.  A few years ago, she diagnosed me with Raynaud’s Syndrome (because of my frigid, ubersensitive extremies), but that was seemingly unrelated and no other conclusive evidence could be found of a specific problem.  After reading this book, it seems this is the story of many other individuals with undiagnosed and untreated thyroid issues, which – you guessed it – is a major cause of depression and energy problems.  At this very moment, I am awaiting the results of a blood test much more detailed than the usual thyroid work-up, which often isn’t sensitive enough to catch subtle problems.

But even if I never determine the exact cause of my depression, does that make it any less real?

Whether my brain is misfiring its seratonin, my hormones revolted against another pregnancy, my anxiety makes it impossible to hakuna matata, or my thyroid is on hiatus, my depression is impairing my ability to live.

Yes, I need to analyze certain factors to appropriately address it (i.e. choosing SSRIs, hormone therapy, and/or just plain old people-to-people therapy), but my therapist had the right idea with simply moving forward; rather than looking back, looking forward with a positive outlook to improve my situation.

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It would be nice if the script-writer of my life could wrap it up in a nice, tidy episode, though.  To be continued . . .

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Identity, Living, May is Mental Health Month, Mental Health

A Lilac Reflected

The smell of lilacs brings me back.

To times when I awaited its coming bloom as the harbinger of spring; the pregnant buds popping with possibility.

The full bush that marked the property line at my parents’ house, silhouetted by the setting sun, a gorgeous reminder of breaking bonds as it arched toward the ground in riotous bloom.

The fragrance itself traditional and old-fashioned, yet fresh with new life.

Its smell transports me to an airy evening when I wore a gown of the same color and played princess for the night, full of promise and youthful oblivion.

Now it makes me sad.  Longing for the childhood home I left and the life I left behind.

While the memories may be sweet, they make me long for a simpler time and mourn what I’ve lost in attaining this more difficult one.  There are most certainly huge gains I’ve made in this new life; experiences and people I wouldn’t trade for the world.

But I feel fractured.

I don’t know where the split occurred, at what exact point, or if it’s something that can be stitched together.  It boggles me how I can be one thing and another at the same time.

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The medicine cabinet above our sink has three mirrored doors, that open in segments, but close to make one “continuous” mirror – except it doesn’t work.  The seams are clearly visible, a disturbance of the image, a change of light seeping through.  If the doors are even slightly ajar, the image is distorted.  My shape changes, my countenance warped.

Is depression not such a mirror?

I can no longer see myself except through this lens.  It filters everything in my life.  The longing for carefree days.  The resentment of the daily obligations of today.  The beauty and joy of life in its many forms.

In some ways, depression has given me a clarity of view I never had.  In others, it has clouded my perception like the fog on a bathroom mirror after a scalding hot shower.

Perhaps one day, I will be able to enjoy the smell of lilacs without a wistful feeling.                            Perhaps one day, I can look in the mirror and see a cohesive image reflected.

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Living, May is Mental Health Month, Mental Health

Laugh So You May Not Cry

My grandmother came from a large first-generation Irish-American family.  All blessed with a wicked, but subtle sense of humor and superb poker faces, it was easy for their humor to run under the radar.

But what if the humor itself hid something below the surface?

One of her siblings, a woman I never met due to her premature death and my postponed birth, made dear through family love and lore, apparently had the sharpest wit imaginable.  She brought joy wherever she went and had everyone in stitches.

When I was older, I learned that she had suffered from depression.  My first inclination was to think how ironic that was given her ability to inject laughter into any situation, but I realized that made her the perfect candidate, then, for family comedian.

It made sense that the person with the most pain to hide would be the one who needed the most diversion; both keeping her mind off her own problems and drawing others’ attention away from them.

It’s easier to crack a joke than to admit you’re trying so hard to force a smile your face might crack.  It takes less energy to make a witty remark drawing a laugh than dealing with the awkward silences and looks of pity.  There’s less mental energy and anguish in concocting playful banter than constructing a viable explanation for your moods.

My senior English teacher, who later became a mentor as I prepared for an education career myself, when dealing with a particularly challenging class or situation, would say, ‘Laugh so you may not cry.’  I quoted that line as I waited out the next contraction in my difficult third labor.  My midwife couldn’t believe I still had that attitude at that point in the game.  ‘You have to, right?’ I asked.  ‘Not everyone does, though, Jen,’ she answered.

I had to.

Not finding some bright spot, some positive attitude, was akin to curling up in a ball and dying.  And that was not an option.  So, then, there really was no choice.  By process of elimination, grinning and bearing it was the only way to move forward.

Whether it’s an avoidance tactic or a coping mechanism, humor gets a lot of people through their days.  And from that deep, dark place of truly authentic experience comes some damn good material.

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