Depression Roundtable, Part I: In the Beginning

Posted by | March 1, 2010 | 33 Comments

Welcome to Part I of Segullah’s UP CLOSE series about depression. If you haven’t already read the series overview, please do so before proceeding.

In this post, our group members introduce themselves by describing how they came to recognize depression as a problem in their life. Depression is an untidy concept, and our semantics reflect that. We use the term to describe a vast spectrum of emotional and mental states, from mild and temporary situational distress to severe and abiding pathology, and even with the help of diagnostic parameters it can be tricky to distinguish between the “normal” depression of human experience and the mood disorder called clinical depression.

“There are many grey states between full-blown depression and a mild ache unaccompanied by changes of sleep, appetite, energy, or interest,” writes Andrew Solomon. “In an era in which we are increasingly alienated from our feelings, we might be comforted by the idea that a doctor could take a blood test or a brain scan and tell us whether we had depression and what kind we had. But depression is an emotion that exists in all people, fluctuating in and out of control; depression the illness is an excess of something common, not the introduction of something exotic.”

The definition of “excess” can vary from individual to individual, and presenting symptoms for depression differ from case to case. This variation shows in our group’s responses to the question, When did you realize depression was an issue for you?

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Anna: When I was about six my parents bought me a set of Childcraft encyclopedias, and the volume I spent the most time reading was the parent guide. I also spent many hours reading the family medical guide and anything else I could find related to physical or mental diagnostics. The field just always interested me, even as a small child.

Because of that background, when I experienced my first major depressive episode at 13 I knew what was going on. I didn’t feel safe talking to my parents, though, so it was a lonely experience. Eventually I pulled through it with the support of an observant mentor. My second episode came a few years later, and still not feeling I could turn to my parents for support, I plotted ways my science-minded boyfriend could medicate me with lithium (that never panned out–which is probably a good thing!)

Over the years I have experienced other bouts of depression. I have learned that my body has a tendency to flip into depression when I get overwhelmed by too many stressors at once. So far I have been able to pull back out each time, either with patience and good self care or with medication, but given my history I know the odds are that it will happen again.

Abigail: Funny thing is, I didn’t realize that depression–that is, clinical depression–was an issue for me until I was well into my second major bout of depression. And I think that’s one of the insidious things about depression: once you’re entrenched in it, it’s hard to recognize that you have a medically diagnosable problem because your thinking is so skewed. I had a major episode of depression in college, but I just thought of myself as being sad, and somehow incompetent (why was I unable to cope when everyone else seemed to be coping?) and I blamed myself for being unable to pull myself together. I think I vaguely thought that maybe I needed counseling, but I was too paralyzed by then to seek counseling–and I also felt ashamed at the thought of having to get counseling (at that time, I thought that only “crazy” people got counseling, and I didn’t want to be one of those people). Luckily, I eventually pulled out of my depression after about six months or so.

Years later, when my fourth child was about a year old, my husband and I went through a very difficult period in our marriage. We were under extreme financial stress; I had two church callings and was heavily involved with a community project. I became depressed, but I didn’t realize that’s what was wrong with me. I knew I was stressed; I knew I was unhappy and feeling more and more unable to cope; I was short-tempered and weepy all the time and feeling hopeless and despondent. I fought with my husband and was impatient and sharp with my children. But again, I blamed myself for being weak, for not being able to pull myself together, for being a terrible wife and mother; I thought my irritability and pessimism were character flaws rather than symptoms of a medical disorder. I could not get outside of my head enough to recognize that I was ill.

After several months of this, while I was feeling more and more desperate and actually wishing I could cease to exist, I came across an article in Ladies Home Journal on mothers and depression. And it was as if a light bulb went on. The article talked about how difficult it is to recognize depression when one is in its throes. And as I read the list of depression symptoms in the article I recognized myself in every symptom. I started to wonder if, in fact, I might be clinically depressed. Honestly, it hadn’t occurred to me before then. As I was still turning this over in my mind, several days later I was driving somewhere with my two youngest children, and out of the blue my four-year-old said: “Mommy, what could I do that would make you happy?” I remembered how the article had said that children pick up on their mothers’ depression and want to help their mothers feel happy again, and again, a light bulb went on. It took me another couple of weeks before I finally admitted to myself and my husband that I was depressed, and another couple of weeks after that before I got up enough courage to make an appointment with a counselor. But that magazine article was the catalyst, and I came to see that it was an answer to my desperate prayers.

It wasn’t until I was in counseling that I could recognize that I’d actually been clinically depressed in college, as well. And as I examined my childhood I realized that my parents had also struggled with depression. No one had ever labeled it as depression before, but that’s what it was. My siblings have also struggled with bouts of depression, and I now am able to say that in my family, we have a genetic tendency towards depression. But it’s taken me years to get here.

Lydia: I have seasonal depression.  Except it lasts for about 9 months of the year.  I don’t remember having it when we were first married and living in Boston.  Then, I remember hating that dusk arrived at about 3:30 p.m., but I hated it in a “this is just wrong” sort of way, not with the crushing fatigue I experienced after we moved from Berkeley to Utah.

It hit me the very first winter here.  Berkeley doesn’t really have winter, maybe a rainy month or so, but you can enjoy the outdoors almost the entire year.  Lots of sunlight.  A very close student housing community, like family to each other.  Leaving that life was almost like they had all died at once.  We scattered across the country, coast to coast, likely to never completely reunite again.

There was such a sudden and obvious difference in how I felt that I knew right away what I was dealing with.  What was unexpected for me was that it didn’t feel like sadness exactly.  I didn’t have negative thoughts about my self-worth.  I didn’t even consciously pine away for my friends, not daily anyway.  Daily I just felt exhausted, like every thing was way too hard, not just big things that really are hard, but small daily tasks, showering even–it all felt impossibly heavy.

Of course, that meant that nothing was fun.  Things that normally brought me great joy seemed just blah, or, again, too hard to really do.  It felt like I just dragged myself through each day.  And then I’d be constantly berating myself for what I didn’t get done. (I guess that does count as negative thoughts about myself.)

Since my husband and I have both watched depression in our birth families, we were pretty aware of all the different ways it can manifest itself–moroseness, anger, rage, no sense of humor, Eeyore-like martyrdom, criticizing others, quick to take offense, inability to act decisively, as well as sadness and lack of self-worth.  Understanding that depression has many different faces gave me a big leg-up in recognizing it in myself.

My obsessive research nature also helped me out.  After much internet-trolling (these days you’d find the info within a few seconds, but 7-8 years ago people were just starting to talk about SAD), by our second Utah winter I knew I needed light therapy.  That brought me up out of the heavy depths but has never gotten me quite to where I fully enjoy life the way I’d like to.  Except during the three summer months.

Euodias: When I was 16, I quit sleeping. In our basement we had a laundry room that had a door that went back deeper into a large pantry with a glazed concrete floor and rows of wood shelves and one light bulb. Beyond the second room, even further back lay another room which was used like an attic. It held old furniture and boxes we weren’t using. I would go into the deepest part and sit on the cement floor, the light coming in from the aluminum window well. I spent my days there, sometimes sleeping, sometimes sitting, and returned to my room at night. I knew I was depressed then.

Years later when my first baby was born, I was worried I would become depressed, but I didn’t. It wasn’t until my fourth child was born that I became aware of my depression again, but didn’t realize I was depressed until I began to come out of it. Looking back I realize I had some depression with my second and third child too.

Elisabeth: Growing up in the church, I think I often conflated emotion and the Spirit.  I don’t think I am too far off if I say that we are taught that when we feel really good it is the Spirit witnessing truth; when we feel an absence of joy it can be a signal that the Spirit has withdrawn. I didn’t realize that an absence of joy could mean anything else until I was serving a mission and began to have bouts where I was convinced that I must be doing something horribly wrong because I was not feeling the Spirit. Things spiraled out of control and I would wake up in the morning and sob because I couldn’t pray and then we would go out and work and I would fall apart and berate myself for not knowing the most effective things to be doing. I think my real wake up call was the morning I screamed at my companion at the top of my lungs”I am not normal! This is not normal!” It was my mission president who had the insight to see this as a mental illness problem and not a spiritual problem. He had me speak with a psychologist on the phone and eventually they began to convince me that I was experiencing panic attacks that had nothing to do with my worthiness. That was the beginning.

It was not until after the birth of my second child that I finally admitted that the problem was not an occasional panic attack but depression. I agree that it can be extremely difficult to self-diagnose when you are in the throes of depression. Without the support of my husband I would have simply believed that this was what life was like, had always been like, and would always be like. Medication has helped me a great deal, but I am still dealing with the patterns and habits I developed before. While the chemical balance seems to be restored some days, I am very adept at creating depression in myself by reverting to old thought patterns. And even after I realized I had depression, got treatment, and was feeling better, I was not able to recognize a slip back into depression until it was pointed out to me.

Abigail: You are so right. Even though I know now how to recognize depression, when I’m in it, it’s difficult for me to diagnose myself and I seem to be too paralyzed to take action.

Deborah: It can be so hard to imagine being so incapacitated that you can’t fathom completing the task of making a phone call. But that’s what depression can do. The prospect of looking up a phone number, pushing the buttons, talking to someone, having to answer questions–it can seem utterly impossible just from a logistical standpoint. And that’s not even counting the emotional roadblocks, the denial and shame and guilt that so often comes with depression–you can’t bear the thought that you’re clinically depressed, you blame yourself, you feel weak and stupid for being in the state you’re in, if you can even see it for what it is.

Abigail: So true! I remember, when I was in the worst of my depression, actually having to will myself to get out the phone book, look up phone numbers, make an appointment–it took weeks for me to get up the courage and muster the willpower to actually take that step. And I actually got out the phone book several times, then put it back, then took it out. Such a simple thing, but at the time it seemed like an impossible task. And I felt so ashamed. I was afraid that if I sought counseling and revealed my thoughts to someone I would only have my deepest fears confirmed: that I was, indeed, a terrible person. The guilt and shame can be overwhelming and incapacitating. It was such a relief–and a surprise–the first time I met with a counselor and he told me, “No wonder you feel the way you do.” I came away from that session weeping with relief, feeling validated, understood, and, for the first time in months, hopeful.

One more depression symptom I meant to mention: withdrawal. I notice that I stop wanting to talk to people or go places when I’m depressed, and I withdraw from my husband, as well. It feels very lonely and isolating.

In fact, if I were being completely honest I would have to say that I’ve actually been feeling depressed again the last several months (and I’m taking an antidepressant, so I must need to up my dosage) but I haven’t wanted to acknowledge it as such (so this is a timely discussion!). This time, though, instead of having the mood swings, I’ve been feeling apathetic and numb most of the time. I’m functioning okay and I’m not losing my temper, but I can’t seem to enjoy things. I don’t look forward to anything–it feels like I’m just trudging from one chore to the next. And I don’t have my usual sense of humor. It’s not completely black, like it has been during severe depression (thanks to the antidepressant, I’m assuming), but it feels gray and blah.

Elisabeth: Exhaustion is a big part of it for me, too. I start sleeping a lot and find excuses to keep sleeping.

Anna: The thinking distortions that come with depression are so hard. And they take on different forms. I usually can figure out that I’m depressed (it is obvious to me that I shouldn’t be crying all day long and sleeping for 12 hours at a time, which is what I do when I’m depressed) but I do have trouble connecting the dots in the rest of my life. Like it won’t be obvious to me that feeling frustrated and overwhelmed as a mother has to do with the depression. My husband will have to remind me, “Anna, you’re depressed. You’re not going to see things the same way once we get you stabillized.” And I have to hold onto that, because from where I am I don’t have the perspective. It’s like I get amnesia and forget that I used to handle lots of things more gracefully. I think it’s also helpful to remember that there are different flavors of depression. Some people may have such intense feelings that they can’t get out of bed for weeks at a time. For other people it isn’t going to look like that. They might experience a chronic low mood that is also very dehabilitating in a different way. Some people have seasonal depression, some have depression that cycles with manic episodes. If you think depression only looks like someone else it is that much harder to grasp when it might be influencing you.

Elisabeth: Euodias, Did knowing you were depressed help you? Were you less prone to do something drastic because you were aware of it?

Euodias: Yes. Even though there have been fleeting thoughts of suicide, I never really wanted to die. Knowing I was depressed helped–hoping I could get it fixed at a teenager, but not knowing how. As an adult, I hoped I could work through it. I had been in that place before, had better tools, and knew it was something treatable.

It was much easier for me to recognize depression as a teen than as a mother. As a teen I could quit life. I just quit going to school, refused to socialize, eat, or be with my family. That basement has become symbolic for me. I felt like I was in a deep hole in the ground, with mud all around me, and whenever I tried to climb out, it was like clawing at roots and clumps of dirt falling on me. The hole would become deeper and deeper. It seemed bottomless.  That is how I tried to describe it to my parents.

I became so delusional I thought I heard voices telling me to kill myself. I told my parents. To say they were ill equipped to handle it is an understatement; they took me to a friend to be exorcised. It all seems surreal now.

After a long series of events, things changed. The following year when my sister was suicidal, they immediately chose more conventional means and put her in the hospital. Medication had become a family friend.

As a mother you can’t quit life. You have to function somehow. I knew I was struggling with my last child when he was 6 weeks old I completely fell to pieces, sobbing uncontrollably because he didn’t like the new stroller I bought. He simply fussed when I put him in it, and I thought it was the end of the world. Only recently have I realized as I come out of it, how bad it really was for about 2 years.

Abigail: Here’s a scene that comes to mind (and I’m not proud of it): During the worst of my depression, before I realized I was depressed, our washing machine had broken, and we were using our neighbors’ washing machine next door. My husband went next door to put a load of wash in and I asked him to make sure the dial for water temperature was turned to “cold,” because I didn’t want my new pair of pants to shrink. I emphasized the point several times (while he rolled his eyes). But when I went over later to take the clothes out of the washing machine, I noticed that the dial had been turned to “hot”–not even “warm,” but “hot.” I couldn’t even see straight, I was so mad. I stormed home, full of rage, weeping, and just lit into my husband in the kitchen. I remember him standing against the fridge, looking cornered, while I raged at him, accusing him of doing it on purpose and wailing uncontrollably. And he actually flipped me off. I think that was the low point.

Other images: Weeping night after night after I went to bed, crying myself into exhaustion. Standing in the shower and crying for 20 minutes at a time. Going around with swollen eyes most days. Standing in the kitchen, trying to figure out what to fix for dinner and feeling paralyzed. And yes, the insomnia. I also lost 10 pounds (and I was thin to begin with), had no appetite.

One more image (again, not proud): I had been working myself to death on a community project. I had gone downtown to drop off some papers, and I had my four-year-old and eighteen-month-old with me. After we went back out to the car, I was trying to strap my toddler into her car seat and she started throwing a tantrum. I was so frustrated that I slapped her on her leg several times and forced her into her seat. I got into the car, shaking and crying myself, and drove off with my toddler wailing in her car seat. I knew, at that moment, that I was the world’s worst mother, and I remember feeling completely hopeless, that my life was all blackness and despair. Painful to remember.

Lydia: I totally relate to what Anna said about how depression responds to everything in life, especially feeling overwhelmed as a mother.  Mothering is always a bit overwhelming, but under the cloud of depression it feels pretty much impossible.  Even getting up to take a shower seems too hard.  Plus I’m really easily offended to little things my husband will say, etc.

I’ve been thinking about concrete images that capture the experience of depression for me.  Though I can’t remember any particular moments, I do have images, mainly a big, dark cloud.  I’m inside it.  I can barely see or hear anything going on outside it.  People seem to be very far away, even my family.

The other image is me in bed, held to the bed (or the couch) by my own weight.  I’m too heavy for me to lift.

I don’t think I ever stayed in bed all day (unless I was sick), but like Anna, in depression mode I sleep way long and feel under-rested unless I get at least 9 hours.  And that heavy feeling stays with me all day, like I’m dragging something around.  And, because of the seasonal (circadian rhythm) aspect, the sleep has to happen at very consistent times.  Fewer hours is better than the wrong hours, as far as how I’ll feel the next day.  When you’re really tired it’s hard to convince yourself you’ll actually feel better if you always get up at your regular time, even if you got to bed late.

Deborah: Lydia, thanks for describing that darkness and heaviness. So familiar. I’m remembering times of depression where I can’t bring myself to bend down and pick up a sock on the floor. I’m overwhelmed by the presence of the sock lying there, needing to be dealt with. It requires extreme effort to move my arm, and to use my brain to figure out what to do with the sock. Another example: I can’t go grocery shopping when I’m depressed. The rows and rows of things to look at and evaluate, the hundreds of little decisions, the effort of pushing the cart, the loneliness of a nearly-empty store with the music playing through the ceiling speakers or the awfulness of having to maneuver around people during peak hours–all of it is overwhelming.

I’m glad Anna pointed out the huge spectrum of symptoms wherein depression can manifest itself. Even within the same individual, there can be very different experiences depending on circumstance and the degree of depression. When I’m mildly depressed I feel a constant weight of guilt, inadequacy, fear, and sadness, but it’s not always in the forefront of my consciousness. I can distract myself from it. Measures like exercise and conversation with friends can take the edge off and help me feel capable of fulfilling my responsibilities. This has been my normal for as long as I can remember, but I didn’t realize it qualified as depression for a long, long time. I just thought it was my personality.

When I’m moderately depressed I can tell something is wrong because I cry, and cry, and cry. The despair feels bottomless. It’s frightening because it’s not attached to anything–if I try to pin it down to some specific fear or point of sorrow, it immediately shifts out of reach. Basically, I can feel extreme sadness over just about anything. My mind twists every thought into sorrow. I remember one afternoon crying inconsolably to a friend on the phone because my kids hated whole wheat bread and I felt like a terrible mother for letting them eat white bread. I didn’t have the wherewithal to fight them on it, but I felt like a complete failure for doing the “wrong” thing. It sounds ridiculous to me now, but at the time the guilt couldn’t have been more real or compelling.

When I’m severely depressed I grow numb. I feel paralyzed and almost catatonic, disconnected from reality, like being encased in an almost-rigid material–I can move, mentally and physically, but just barely. I struggle to speak even in short phrases. I don’t have the energy for bouts of weeping. I don’t feel anything, really, except for a desire to cease existing.

Abigail: That big, dark cloud image is so appropriate, Lydia. That darkness feels almost physical. I’ve noticed that when I’ve been depressed during the summer that even sunny, blue-skied days feel dark and obscured, like a cloud is over the sun. I can relate to Deborah’s feeling of being tongue-tied as well. I do remember feeling like I could not open my mouth or frame the words, my mind being completely blank, yet still racing. It goes along with being withdrawn, feeling disconnected from everyone. For me it’s like being encased in cotton wool. And that numbness and inability to feel anything, not even having the energy to cry–yes. Paralysis. Heaviness. Blankness.

For me, the numbness and apathy and blankness have felt more typical during moderate depression. For me, severe depression is the continual crying, the fits of anger and inexplicable rage over little things, feeling like I can’t cope with even the smallest things, feeling like I’m completely worthless and life is hopeless–blackness, tears, despair. That’s when I want to cease to exist.

And Deborah, I dislike grocery shopping on the best of days, but when I’m depressed, yes, it’s absolutely unthinkable. Having to fix meals is another task that unhinges me.

Deborah: Why is making dinner such torture? I can’t explain it, but it is. Maybe because it involves so many steps, so many choices, so much cognitive skill (which I didn’t realize until I couldn’t do it). Maybe because it’s an act of nurturing others and when you’re depressed you have no wellspring of caring or motivation to nurture others. Plus it comes at the worst time of day (or, at least, one of the worst–mornings and bedtimes are awful, too)–I feel somewhat depressed in the late afternoon just about every day, even on good days.

Abigail: I once heard someone describe that late-afternoon/dinner preparation time as “the suicide hour” (except it should be “hours”). That’s how it felt to me when my children were younger and I was depressed. That late afternoon time, when everyone needed help with homework and needed to be driven to their activities and I was trying to make dinner while holding a baby on my hip and my husband was late, yet again, and I had absolutely nothing to give–yes, “suicide hour” describes it well. It’s not nearly as bad, now, but late afternoons are still my least favorite part of the day.

Lydia: That analysis of why cooking is torture rings very true.  I had never thought about why–so many choices, so much thinking, and nurturing when you have nothing to give. On top of that, like you and Abigail said, it’s definitely my worst time of day–I’m already worn out and the biggest jobs of the day (dinner, homework, bedtime) are yet to be done.

Eve: I appreciate the thoughts shared about difficulty making decisions.  I remember my counselor telling me that making decisions was the major symptom of depression.  This was a relief to hear.  I remember so well experiencing postpartum and walking down the rows in the grocery store slowly feeling paralyzed with indecision.  I remember fear and sadness–utter confusion because I had no idea what to put in my cart.  What on earth is wrong with me?  It’s just picking up a few groceries.  But, should I buy 2% or skim, or is it true about dairy being detrimental–should I buy soy?  Should I buy organic–but it’s so expensive.  But then, what about the fertilizers, etc.?

House hunting during my lowest depression to date created exhaustion, confusion, and deeper depression.  One Dr. advised us to wait six months to make a decision–considering the mental state I was in, but we were reluctant to wait that long.

Euodias: Reading this all is making me realize how depressed I still am. But it is so helpful, recognizing how alone I am not, that other people experience the same feelings, the wanting to cease to exist, to just dissappear.

I too feel like everything is overwheming, and like am failing at everything–raising my children (I am certain anyone else could do it better), my marriage (I feel completely unloved, and unlovable). Meal preparation is unbearable. When I am depressed my children watch a lot of TV–I don’t interact with them- often retreating to my room to sleep.

I feel detached from the rest of humanity, disconnected from other people. I try to pinpoint what is making me sad, or worse, numb, and can’t find anything–but feel like there must be something, I must be doing something wrong. I feel socially awkward and avoid being around other people. I can’t make decisions, and have a hard time even decididing what I like, food, clothes, paint colors-any part of my personality that makes me, me. My sense of humor goes away. Nothing is funny.  I can’t read books. I can’t concentrate.

Deborah: Euodias, I’m sorry this is your reality right now. Depression sucks. Really, really sucks. We understand, and we’re with you all the way.

I know well that sense of failure. It is crushing, and compelling. Now that I’ve spent some time outside of that state of being I can believe that it’s a delusion. Even so, it’s awful when it hits me, and all I can do is hang on to the thin string of logic in my mind that it’s not real and that it will go away at some point. It was far worse, though, before I had that string. I spent so many years convinced that this twisted perspective was the Truth. I had no reason to believe otherwise. The more people tried to convince me that it wasn’t real, the more real it felt to me. They were just trying to make me feel better about being such a loser, I thought. Or, they’re so blind they can’t see the truth — they’re in denial and I’m the only one who sees things as they really are.

Lydia: When you’re in the middle of depression, it seems like reality–either you or other people, or your situation, or some combination–things really are that hard, you really are that lame, people really are that mean or annoying or complicated or noisy.  Reading and writing about it has helped me step outside enough to actually see the depression.

It’s been freeing, for me, to see real reality:  I’m depressed.  I feel like I have permission–and attention–now to do something about it.  I’ve upped the dose of the supplement I’m taking, I’m resting more and nagging myself less.  And even just seeing it for what it is already is making me feel better.  Thanks, Kathy, for creating a safe place to talk about this, and thanks, everyone, for this honest discussion that has helped me see more clearly.

Deborah: Yep, you nailed it, Lydia. Those moments of clarity when you step outside your depression (theoretically) and see it for what it is make all the difference.

I’ll never forget the first time this happened to me. I was on the phone with a friend, crying inconsolably, and she suggested that I might have PPD. I said, “No, I always feel like this. It’s not the baby. I’ve felt this way for as long as I can remember.” And she said, with great gentleness, “Okay then, don’t you think it’s time you did something about it?” In that moment I stepped outside myself and realized how stuck I’d been. I’d thought that the strong, responsible thing to do was to tough it out and not “give in” to the idea that I was truly depressed. That sounds so strange now, but it made perfect sense to my depressed self. When the big “aha” lightbulb turned on I realized that the strong, responsible thing to do was get help for myself. Instead of using my willpower to “beat” the depression through resistance and denial, I needed to use my willpower to treat the condition. So obvious, and yet so counterintuitive to a depressed mind.

That initial breakthrough has made all the difference for me. These days, when I need to, I can get un-stuck mentally, like Lydia just did. It doesn’t make the depression go away–I need to emphasize that, because I think it’s a terribly dangerous thing to suggest that clinically depressed people can just snap out of it. My feelings don’t change. But my interpretation of my feelings can change.

Before that first breakthrough I didn’t have any other ground to stand on, no spot within myself where I could observe myself with clarity. It’s like my mind was a radio with only one channel, one full of distortion and static.

Hannah: I’ve been hesitant to respond, because my personal experiences with depression have not, for the most part, been chronic or severe. Most of my experience comes from living with and loving people suffering from depression. But I can certainly relate to that feeling of heaviness and darkness and it was all very real to me.

My first bout was with postpartum depression. I wasn’t sure what was wrong with me at first, but I felt a heaviness on my heart and my mind. It affected my whole body, really. I was tired and lethargic and I remember actually feeling guilty for not feeling joy. I didn’t do much other than take care of my baby (who was colicky and who didn’t sleep or nap well). But when I did do something I had a vague awareness that I was mostly just going through the motions. I felt like I was having to fake it just to have a normal conversation with someone. I remember sensing the falseness of my voice and my heart and feeling like I was not being true to myself being so miserable or pretending to be happy or normal when I wasn’t feeling that way at all.

I think I began to suspect postpartum depression (although that was over 20 years ago and no one talked about depression then) when I stopped answering the phone because every time I did I would have to fight to keep myself from bursting into tears. One of the most frustrating memories I have at that time was when I finally had the courage to bring it up with my doctor at one of my postpartum check-ups and being told it was all in my head. (At least I had the presence of mind to break up with that doctor. Someone else delivered my next child.)

The next time I dealt with depression I think it may have been more SAD (which, apparently, my father had) than postpartum depression. At that time we lived in a tiny basement apartment. While I somehow managed to clothe and feed the kids, I was completely overwhelmed by the rest of my life and was probably only barely functional. My house was a wreck (more extreme than the usual state of chaos in which we sometimes live) and I was just not managing. I don’t believe I realized I was depressed until I started to come out of it. An experience I had with my youngest best summed up the realization:

We finally moved out of the basement into a house. This home had lots of large windows and I will never forget one of the first mornings we woke up in that home. It was winter still, but that didn’t stop my youngest from exclaiming with wonder and awe: “Mommy, is that the sun?” (Lest you worry about my kids–we did let them out of the apartment to play, so he had seen the sun before, but it was obviously his first time being able to see it while still inside a house. He wasn’t used to a constant awareness it.)

I didn’t realize I’d been living in darkness until I first recognized the sun again.

***

We’re going to pause here and open up the discussion for reader comments. Our second post in this series will be about depression and spirituality–look for it on Sunday, March 6.

Related posts:

  1. UP CLOSE: Depression Roundtable Series Overview
  2. UP CLOSE for March: Depression Roundtable
  3. Crazy Club

Comments

33 Responses to “Depression Roundtable, Part I: In the Beginning”

  1. Nicole
    March 1st, 2010 @ 9:19 am

    Thank you for all of your candid comments. I have suffered from depression for 14 years, and quite often it debilitates me. It’s good to know I’m not alone in the world.

  2. Karla
    March 1st, 2010 @ 9:30 am

    I too have suffered from depression and felt most of the things described above. My problem is for the past couple of years I have cycled through where some days I feel fine, although I always feel like a terrible mom, and other days where I’m just falling apart. I keep thinking if it’s real depression, shouldn’t it be all the time? It makes it feel like it’s all in my head.

  3. Tay
    March 1st, 2010 @ 11:21 am

    While I don’t have clinical depression, I do have severe anxiety. If I keep up on my yoga and breathing exercises I can contain it for the most part, but it is so often that I feel many of the things you guys feel/have felt. Overwhelmed by the anything on the floor, unable to call anybody even if I know they are a good friend but especially not strangers, crying through my shower, etc. It is almost too much sometimes. It takes all my focus and energy to make myself realize that all I need to do is one little thing at a time.

    I’m so grateful this is a topic that women can talk about now. That it can be helped.

  4. al
    March 1st, 2010 @ 12:26 pm

    I really appreciate these stories. I have suffered from depression throughout my life. It “runs” in my family, I guess you could say. My great-grandfather, grandfather, and aunt committed suicide. My Father has been hospitalized 4 times over the last few years and had 2 almost successful attempts at his life. Both of my sisters have been medicated and hospitalized for depression, and several other family members as well.
    When I joined the church 10 years ago I thought that I wouldn’t have to deal with this family disease because I would have spiritual enlightenment and the gift of the Holy Ghost. I was wrong.

    I really appreciate the story above that talks about not feeling the Spirit while being depressed. For a long time I felt like I wasn’t worthy of the Spirit and that it was my fault I wasn’t feeling “on fire” about the gospel anymore. Now i know its just the disease.

    I so look forward to the rest of this discussion. Thank you!

  5. Natalie
    March 1st, 2010 @ 12:55 pm

    These are great comments. I’ve suffered bouts of depression and it is horrible. Those feelings that you just can’t control what is going on — hate it.

  6. Anonymous for Today
    March 1st, 2010 @ 2:25 pm

    I’ve dealt with my husband’s depression for a long time (years and years) and thought that I was an expert on recognizing depression. I’m pretty good at seeing it, I guess, until it’s showing up in me.

    I had a small breakdown in high school when I kept adding thing after thing after thing to my already tight and overwhelming schedule. My feelings of inadequacy grew until I would go home from school, sit in my room, and feel panicked. I ended up dropping most of the balls I had in the air and lost some great opportunities, but managed to pull out of the funk and have a successful senior year.

    I’ve had a couple of other instances when I just felt overwhelmed with my inadequacies and darkness seemed overwhelming, but I attributed those periods to, well, my inadequacies! If I had been better about managing my time, if I had gone to the temple more, if I controlled my temper better…

    And now I’ve been having to admit that I may really be dealing with some depression, and it is humbling, to say the least. I’ve always been the strong one, the happy one, the positive one, and to admit to feeling out of control is hard. Plus, we are in a new neighborhood, and the idea of making new friends is overwhelming when I feel so dark most of the time. “Hi! Want to be friends with a walking pit of despair? No? Why not?”

    This series, and the one on BCC are much needed. I want to add (and I need to remember this myself) that I have seen my husband move from being suicidal for months at a time to being happy, funny, wonderful, supportive, and NORMAL. I think I worried that the diagnosis of depression was a death sentence, or a prophecy of lifetime misery. IT IS NOT. It is treatable, and while there may be months or years of pain, there can be beautiful light at the end of the tunnel. The bleakness can be traded for hope.

    There was a Neal A Maxwell quote that was powerful to me in the Jan. Ensign: “One’s life…cannot be both faith-filled and stress-free…. Therefore, how can you and I really expect to glide naively through life, as if to say, ‘Lord, give me experience, but not grief, not sorrow, not pain, not opposition, not betrayal, and certainly not to be forsaken. Keep from me, Lord, all those experiences which made Thee what Thou art! Then let me come and dwell with Thee and fully share Thy joy!’…Real faith…is required to endure this necessary but painful developmental process.”

    One of the worst parts of depression is the feeling of being forsaken by God. To hear from a beloved apostle that feeling forsaken does not necessarily mean we ARE forsaken, to be reminded that Christ himself felt forsaken by our Father both in Gethsemane and on the cross, to remember that this experience can give me experience and can be for my good doesn’t take away the pain of depression, but every once in a while, this knowledge can give me the hope I need to keep fighting.

  7. Emily M.
    March 1st, 2010 @ 4:01 pm

    How do you know when it’s time to seek help? I see a lot of these symptoms in myself, and yet I usually pull it together well enough to function. As long as I’m functional, is that enough? Are there people who are really just happy for most of the time, without having to work at it? I feel like I have to work on being happy, I have to focus on it, and when I do I can be. It takes effort, though. My default state sounds a lot more like depressed than not-depressed.

  8. Rachel
    March 1st, 2010 @ 4:12 pm

    It is so nice to hear about other effects of depression besides the typical sleeping all day or crying all day. I didn’t know until recently, that the inability to think, make decisions and be rational was a symptom of depression. I went through a period last summer where I was completely functional. We did swimming lessons, planned and went to family reunions, went on vacations, etc. But, I could not think clearly. If my kids said, “What’s for dinner?” it would overwhelm me. A simple thing like helping my kid get dressed was too much on some days. I felt like I was losing my mind, and I consider myself a reasonably intelligent person. I knew something was wrong, but I couldn’t see how it could be depression – isn’t that where you sleep all day, close the blinds, isolate yourself? I wasn’t doing that. But I sure was irritable, edgy, and overwhelmed. I finally had a good doctor explain to me that it WAS, in fact, depression. It was very very hard for me to accept ( I SO wanted it to be hormones because I didn’t realize that depression was so much about chemistry too). With my family history, I really didn’t want to go there – to that ugly place where other family members reside. I was supposed to be the strong one. What I have learned since, however, has helped me tremendously. While I knew I struggled with depression from time to time, I could always pull myself out of it – eventually. I felt like getting depressed was some kind of failure on my part – if I just (insert all kinds of things here), then I wouldn’t be depressed. The best thing the doctor said to me was that it wasn’t my fault, it wasn’t based on anything I did, it was just the way I was wired. Just knowing that gave me some kind of freedom. I take meds now, and they seem to be working fairly well. I had no idea that it wasn’t normal to feel the way I did – I thought everyone got depressed like that. So, thank you to all of you who are sharing. Maybe there will be someone else who, like me, doesn’t have those typical symptoms, but has that brain fog that might say, “huh…maybe I struggle with this” Giving it a name and realizing it is brain chemistry and not failure has really changed my perspective on what depression is, and how to try to overcome it.

  9. Rachel
    March 1st, 2010 @ 4:32 pm

    Emily M. – our posts hit about the same time. I can only tell you my experience, but as I said above, I thought that it was normal to fall into the hole over and over again, as if that was part of life (don’t they say life has ups and downs?) but when I started taking medication, I felt SO much better.Instead of falling in the hole, I had bridges over some of them, and when I do fall in, I have a ladder to pull myself out more quickly. I told my doctor and he said, “when was the last time you felt like this for an extended period of time?” My answer was never. I didn’t know you could. Does that mean that if you get on the right meds you are happy all the time? Absolutely not. You still have bad days and hard times and issues to deal with. The difference for me is that I can deal with them and get through them. Things that were once huge setbacks now have become minor problems that just need to be worked through. And I wouldn’t say I am happy all the time as much as I would say I have a certain peace and calm that wasn’t there before (at least not for very long). When I was reluctant to try meds, my doctor said, “well, you can try them now, or you can wait 10 years and then try them and then say to yourself – why didn’t I do this sooner?” Meds aren’t the answer for everyone, and there are other things that help too (which I believe will be discussed). I say – look into it. See if you can get some help and figure out if what you feel is “normal” or if you are maybe just mildly depressed and could use some help getting through that.

  10. Kathryn Soper
    March 1st, 2010 @ 5:21 pm

    Rachel, I can totally relate to the mental paralysis you described. And you’re right, it’s a symptom of depression we don’t often talk about.

    Emily, diagnosis is tricky because there’s no clear line separating normal low mood from mood disorder. It’s a pretty subjective call to make. And yeah, some personality types tend toward a state of mild depression by default. But if you feel like you’re swimming upstream all the time–not necessarily to be cheerful/happy, but just to feel okay–you might decide it’s time to figure out ways to manage the symptoms. People with mild to moderate depression have lots of options.

    Unfortunately, depression will discourage you from doing anything about it.

  11. FoxyJ
    March 1st, 2010 @ 9:00 pm

    I am finally on the tail end of a depressive episode that lasted for a few years. Technically it was more related to anxiety/stress levels, but I tended to cycle through anxiety and then the sort of symptoms described here when my brain couldn’t handle the stress anymore. The paralysis when confronted with life and the desire to just escape were overwhelming. I have no idea if it will come back; I have a strong family history of mental issues, but the events that precipitated the depressive episodes will most likely not be repeated.

    One of the worst things about depression is that it’s so hard to recognize. I just had another baby last month, and I keep turning to my husband and saying ‘this is wonderful compared to last time’. My state of mind after having this baby is completely different this time around, and the sad thing is that last time I didn’t realize that feeling so overwhelmed wasn’t normal. I can relax, have people come visit, breastfeed my baby, sleep, plan things, answer the phone, deal with my other children, etc–all things I could barely handle after my last child. Anyways, I appreciate people being candid about their symptoms. Especially if you grew up in a family that deals with depression it can be hard to recognize what isn’t ‘normal’.

  12. mormonhermitmom
    March 1st, 2010 @ 9:13 pm

    I’ve gone through varying degrees. Environment seems to be a big factor with me. I hated living in basement apartments but never really understood why at the time. I live aboveground now. I open the shades every morning for the natural light. I visited my folks recently and I couldn’t stand how every window shade was closed during the day. I went around opening them up. I try to go outside as much as I can when it’s warmer. When postpartum hit me with my first, I put the baby in the stroller and walked. It helped. The baby stayed calm and I could breathe and even if I was crying I felt better. I know such things wouldn’t help everybody. Some NEED counseling/medication and I’m glad it’s available these days.

  13. m&m
    March 2nd, 2010 @ 12:28 am

    How do you know when it’s time to seek help? I see a lot of these symptoms in myself, and yet I usually pull it together well enough to function.

    Emily, for what it’s worth, I am one of those who has been able to usually pull it together well enough (although there have been a few times when I was really a wreck…a complex combination of situational stressors (like chronic illness) and some biological tendencies. (I think it’s important to realize that situational stressors can have a significant factor in some people’s lives…even if they are not clinically, biologically depressed in a consistent way.)

    But what has amazed me is how much I can do to *not* get stuck (or as stuck) in the same dark places when life gets hard.

    I realize not everyone can do that w/o meds (what a blessing to have that option when needed). For me, meds have not been the answer, but counseling and careful study and thought about mental and spiritual health has helped tremendously.

    I think sometimes we may have the tendency to think that help is only needed if things are completely out of control. I’d encourage those who are wondering if they should get help to at least consider trying some counseling as a start. (I personally think everyone can benefit from a good counselor, because we all have unhealthy coping mechanisms that develop simply by nature of being mortal in a fallen world.)

    I felt guided to my counselor…I’d say consider talking to those you trust to find a couple of names of people who might be able to help. I am happier than I have ever been, and it’s in large measure because my therapist helped me learn to see the patterns of thought that were sucking life and light from me. I never really knew there were options to where my mind would often go during hard times.

    Again, that may not apply to you, but I wanted to put that out there for those who may not fall into the category of severe depression, but who may feel there are some patterns of thought/struggle that might benefit from some outside, trained help. (My counselor was also deeply spiritually-based, so the quest was for Truth, not simply psychological tricks or tools.)

    In short, I am grateful to have the realization that there is much that I can do to be more “firm of mind” as the scriptures talk about, and it has changed my life. I am doing less surviving and more thriving. (Those who have done medication therapy might be able to talk to this, but I have heard it said that meds can help people get to the point of being able to look more objectively at life and thoughts and trials and such.)

  14. FoxyJ
    March 2nd, 2010 @ 1:21 pm

    m&m–

    I agree that meds may or may not be the answer. It took me a while to get around to a counselor, and I was suprised when he didn’t prescribe medication right away. His reasoning was that my issues seemed to be more situational, not chronic, and the environmental factors were changing anyways.

    I also realized after a while in counseling that even if I had medication, I still had developed some thought patterns and habits of reacting that were impacting my life and that of my children. Even when I felt relatively ‘good’ in my brain, I still had to change my ways of thinking about things that were sucking me down.

    I guess what I’m trying to say is that meds and therapy really seem to be the best combo for most people. I know several people who have gotten prescriptions from their general practioners without doing any therapy, and while it does seem to help, most agree that it’s not a ‘magic bullet’ that cures all their problems. I also have several family members that would be unable to function without their medication, so I certainly don’t discount that either.

  15. Caroline
    March 2nd, 2010 @ 1:43 pm

    I just wanted to say that I thought this post was amazing and insightful. Depression runs in my family and from reading the comments and the posters, I think I tend more toward situational and SAD and after talking with my physician (not therapist or anything) I took up regular exercise as a way to keep my lows and irrational explosions at bay. I can’t believe how well it works. I also wanted to say that I’m still overweight, and for me exercise is not about looking good or losing weight, but keeping me mentally fit. And if you are unsure about medication talk with your doctor about exercise as an option (but GET the meds if that will help more).

  16. m&m
    March 2nd, 2010 @ 4:10 pm

    I second the exercise thing!

  17. Sue
    March 3rd, 2010 @ 11:16 am

    My personal feeling is that those who are prescribed medication should be prescribed talk therapy as well. A good counselor is part of the equation for treatment of depression, and I agree with m&m…sometimes talk therapy alone will do the trick, depending upon how severe the chemical imbalance is.

    My son suffers from severe depression, and he is on medication which is essential for him. However, I find that he still does better at those times when he is in therapy than at those times when he is not. Medication is one necessary element of mental health for him, but not the sole component. In counseling, he is able to keep his feelings moving and address those unhealthy thought patterns that have developed over the years around the experience of depression. When he isn’t in therapy, he tends to fall back into those patterns.

    I think, unless the depression is at a critical point, it’s good to begin with talk therapy and then add medication once it becomes obvious that talking alone won’t do the trick. And again, I agree with m&m about exercise. Those endorphins act on brain chemistry, too.

    Don’t get the idea I’m against medication. I’m not. I truly believe my son would not be here today without it. But I think sometimes people are prescribed meds too readily for endogenous (situational) depression or mild neurochemical depression when talk therapy and exercise alone could give them relief.

    jmho, of course.

    =)

  18. Rachel
    March 3rd, 2010 @ 7:15 pm

    Sue, I totally agree with you. My mom’s dr. prescribed her antidepressants when she was dealing with a terminal illness and the realization of a bad marriage all at once, and she could have really benefited from talking to a good counselor because she had no idea how to deal with all of that. I do both – and I can’t imagine trying to deal with all of this without the counselor. There is something about knowing you can go back in a week, two weeks, a month, or whatever – knowing someone is looking out for you and you can talk to them about anything. You just have to find a good counselor because, unfortunately, there are some bad ones out there too.

  19. m&m
    March 3rd, 2010 @ 11:47 pm

    I think one of the things that is so amazing about therapy is the power and hope that can come from realizing that some of the thought patterns that have often just been reflexive can be addressed…not all of them, and not all at once, but to get to more layers of TRUTH really does “set you free.” I just keep feeling so amazed, because for all of those years, I didn’t know there was even a choice to think differently. I didn’t know how stuck I had been. I have been given tools to discern truth more readily in my life. A.Ma.Zing. I loved, too, having that regularity of knowing that no matter what, I would have someone to talk to during a time I really needed it. (Agreed that there are bad therapists out there, though — never be afraid to find a new one!)

    One last thing – I feel more like exercising *after* a year of therapy…the depression made it hard to pick myself up and do that. So sometimes it’s a question of chicken-egg and finding out what can jump start some progress – sometimes it will be meds, sometimes it will be therapy, sometimes it will be exercise/diet/etc — and sometimes it will be some combination of things. There is no one right formula, and I think part of the journey is to learn to figure out what is right for your own situation.

  20. Kathryn Soper
    March 4th, 2010 @ 8:22 am

    Great thoughts about therapy. I totally agree. It’s amazing how our own minds hold us prisoner.

    Today’s depression post at BCC ends with a quote from Andrew Solomon that includes this thought:

    In my experience, all the medicine in the world can provide no more than a way for you to reinvent yourself. The medicine will not reinvent you.

    This has been my experience, too. Medication has lifted me up to a place where I can do the emotional and spiritual work needed to break destructive cycles. But only I can do that work–with the help of a competent therapist.

  21. m&m
    March 4th, 2010 @ 7:15 pm

    Interesting phrase, “reinventing yourself.” Hard work, that. :)

    Love that quote…think it is a powerful principle to understand how meds can fit into the whole picture of potential progress and even healing.

    (I have to add that wise friends who have been through some of that reinvention and who have shared their wisdom have been a heavensend.)

  22. cheryl
    March 5th, 2010 @ 11:37 am

    My experience:

    My first bout with clinical depression surfaced in college, but I didn’t know it until years later. In fact, I didn’t know I had anything until my fourth experience with PPD. I just figured life was hard and stressful. That I was overweight and prone to sadness. I figured I was a drama-queen and my crazy emotions were just the result of being born that way. I had no idea I could fix it until it became unbearable.

    After my fourth child was born, I started to realize something was truly wrong. Thanks to some friends with the same experiences, I began to recognize all the symptoms. My solution at that time was vitamins and exercise. I truly poured my heart and soul into fixing myself physically, as well as reducing stress around me. Back then, it worked! It truly did.

    But it wasn’t a quick fix. And it didn’t last, because I didn’t keep exercising after I lost my 40 pounds.

    When I realized my Depression was PPD but actual D(!), I got a therapist. Medication was the furthest from my mind. I didn’t want to go there. At all. And therapy helped! Oh, my gosh, it helped so much. I got pregnant with my 5th child while I was in therapy, and I figured that would help, too (pregnancy hormones seem to help me). Unfortunately, at the same time, finances dictated that I stop therapy.

    Not a good idea, either.

    I discovered that my Depression must be serious because it continued during my pregnancy. That triggered fear. So, I became very candid with my midwife and 6 weeks after the baby was born I started Zoloft.

    I now see a psychiatrist, and I’m still trying to figure out a way to get a therapist. I’ve let a lot of stress-triggers in my life go, and that has helped, too!

    But probably the best thing that has helped me deal with my Depression is the following:
    1. A good diet, vitamins, and my meds.
    2. Therapy
    3. Exercise and a good healthy weight
    4. My MIL and SIL (both who suffer from Depression and Bi-polar and have been incredible sounding boards for me).
    5. Being extremely blunt and honest about my Depression on my personal blog (which is NOT private). Talking about it helps so much!

    Anyway, that is me. It’s not easy, it’s not fun, and honestly? I hate that I have this problem that seems to be an epidemic. I think for a long time I denied it because it was so common (in my experience). I didn’t want to be “another one”, you know? But that’s just dumb. I have asthma, and that makes me “another one” but I would never ignore my symptoms for that! Why should I for Depression?

    Last thought about medication. My MIL said it best when she explained that Medication, if needed, is important to get things back on track. But then we need to combine it with therapy so we can learn ways to handle stress and triggers in our life. Then we can slowly wean ourselves off of the medication and fill our lives with the things we’ve learned (or are continuing to learn) from therapy. Change is slow and hard, but it can happen. She speaks from experience –she was on medication for a long time, but because of her resolve to change and to use therapy wisely, she no longer has to be on medication. She still has “episodes”, but she recognizes them immediately before they get too out of hand and she adjusts her schedule, life, etc. to combat them before they take over. Living a life full of healthy choices is truly the ideal, and medication should be a stepping stone (if you can –there truly are some who cannot be without it, and I recognize that). That’s what I’m hoping for (for me), anyway.

    Awesome post. Good series; I’m glad you are doing it!

  23. Depression Roundtable, Part II: Depression and Spirituality : Segullah
    March 7th, 2010 @ 5:20 am

    [...] to Part II of Segullah’s UP CLOSE series about depression. Part I can be found here. If you haven’t already read the series overview, please do so before [...]

  24. www.cuteculturechick.com – The Culture-Loving Pilot Wife » Blog Archive » Depressed Bloggers Anonymous
    March 8th, 2010 @ 8:49 am

    [...] last 3 months, I’ve found a common theme: depression. I read posts on Mormon Women Project, Blog Segullah, Mormon Mommy Blogs, FMH,  Melancholy Smile, and other sites I love. I felt like these authors [...]

  25. :(
    March 8th, 2010 @ 8:58 am

    I am struggling w/ depression now. It’s been a new companion of mine for the last 3 years.

    I have a hard time focusing, and though I appreciate all that was said, I had a hard time focusing on such a long post.

    I actually only ready about 3/4

  26. Kathryn Soper
    March 8th, 2010 @ 12:12 pm

    Sad face: It’s a long post, for sure–and the second one is even longer! Not easy reading for someone in the midst of a depressive episode. Hopefully, just knowing you’re in good company helps a little bit. We’re with you in spirit. Take good care.

  27. Robin Jablon
    March 8th, 2010 @ 4:52 pm

    I am so grateful to be able to read the experiences of these woman, and realize I am not alone. My story is long, but in short I will say that over the past few years I have been under a great deal of stress. A few years ago my father committed suicide, I had finised raising my children so I went back to school, my husband lost his job, he had two heart attacks with no health insurance, we lost our house, moved to Idaho, I started a new and challenging career in health care, have no friends locally, and am barely able to buy the necessities in life. I’m scared.
    When my dad committed suicide I started taking medication which has been wonderful for me. But with my recent move and beginning a new job, and having very little money I have noticed changes in my behavior. I have wondered if these behaviors were a sign of depression, and after reading your discussion I know they are indeed.
    I have wondered why I can’t pick up the phone and call someone – a friend, or even to do business like pay a bill. When I read what Lydia wrote, ” Daily I just felt exhausted, like every thing was way too hard, not just big things that really are hard, but small daily tasks, showering even–it all felt impossibly heavy” I knew depression had reared its ugly head.
    I have wondered why it has become so difficult to do the things I enjoy, but everything is an effort. I hate it.
    So – what does one do when they already take medication. I’ve been to counseling and know the “redirecting my thoughts” trick, but it’s not helping. I force myself to do the things I know I should do to fight this demon, but it’s not going away.

  28. Melissa M.
    March 8th, 2010 @ 6:03 pm

    Robin, I would go to your medical doctor, or, better still, a good psychiatrist. It could be that your medication is no longer working properly and you need to try a different one, or you need to increase your dosage. Sometimes it takes a combination of medications to achieve the desired relief. But definitely seek help—you’ve been through so much, so it’s no wonder you’re struggling, but a change in medication could do the trick. Best of luck!

  29. Kathryn Soper
    March 8th, 2010 @ 6:10 pm

    Robin, my heart goes out to you. It’s amazing how hard life can be. I mean, we all know life is hard, but when things unravel it’s always a shock to me just how raw reality can get. There have been times I’ve wondered if I’m actually dreaming, because the prospect of having to live with and through the given situation just seems ridiculous. Like, no human being can be expected to deal with that. And yet we are.

    I hope you have access to a doctor you can trust in your new area. Antidepressants are notorious for “pooping out” after working for a time–sometimes months, sometimes years. And even if it’s working as well as it always has, additional stress that pushes you to a new plateau of difficulty might mean an adjustment in medication is needed. I’ve been through several different regimens myself. If you can get in to see a psychiatrist rather than a general practitioner, all the better.

    Also, I hope you can resume counseling with someone who has a different approach to therapy than mental gymnastics. Not to dismiss the value of such an approach–it can be invaluable–but if it’s not working, it’s not working.

    Best wishes. We’re with you all the way.

  30. Sage
    March 11th, 2010 @ 6:30 am

    Thanks for always being open, honest and full of wisdom. I’ve never been to a therapist, but probably should have. I wish there wasn’t such a strong stigma against mental illness in my upbringing. I know depression symptoms run in my family–but so does too much pride to ask for help. Bad combination! I’ve recently realized that I’ve suffered with depression. I think I still don’t know to what extent. but I can admit that I’ve been suicidal in my thoughts more than once.

    My 13 yr. old also has depression. I think maybe I’ll look into therapy. I think I am afraid (in general &) of not being able to find a good one. The gospel helps me. my husband helps (also makes it worse sometimes).

    I look forward to reading more. (although it can be a little depressing) : )

  31. Depression Roundtable, Part III: Feeling Better : Segullah
    March 14th, 2010 @ 8:12 am

    [...] to Part II of Segullah’s UP CLOSE series about depression. Parts I and II can be found here and here. If you haven’t already read the series overview, please do so before [...]

  32. Depression Roundtable, Part IV: Family Ties : Segullah
    March 21st, 2010 @ 5:32 am

    [...] to Part IV of Segullah’s UP CLOSE series about depression. Parts I, II, and III can be found here, here, and here. If you haven’t already read the series overview, please do so before [...]

  33. Depression Roundtable, Part V: Parenting Children with Depression : Segullah
    March 28th, 2010 @ 7:35 am

    [...] to Part IV of Segullah’s UP CLOSE series about depression. Parts I, II, III and IV can be found here, here, here and here. If you haven’t already read the series overview, please do so before [...]

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