The Proverbial "Before"

Last week, I made the decision to finally see a doctor about the feelings of depression I've been suffering from all my life but which have intensified and become nearly overwhelming. It was not an easy decision to come to and I practically had to force myself to dial the numbers to make the appointment. You can read about my feelings regarding this decision here. In the week that followed between the call and the appointment itself, there were moments of such relief at the impending change that I was brought to tears thinking of how I would explain what I've been feeling and how the doctor might help. My hopes were encouraged by friends and family who told me about their experience treating their depression, and hearing the ease of the process. There was a light at the end of this tunnel of despair.

And there were also moments of clarity, when it became so very clear that I needed this help that I had set out to get. A neighbor's cookout left me grappling with such intense social anxiety. It felt like a rash under my skin, just this slight discomfort, and all I wanted was to leave and curl up on the couch with a book. I wondered if medication would change my homebody-introverted self, but I found that doubtful. What I hoped was that it would cure that itchiness. It shouldn't hurt to be around people. There was no cause for the discomfort; my presence was practically unnoticed, and when I was engaged, the conversation was cordial. Still, I left early, leaving my friendly husband behind to socialize. He couldn't understand my discomfort (and likely resented my rudeness at just ghosting). We argued when he got home because I wanted him to come home with me so we could spend time together, but I failed to communicate that effectively, and he was left feeling controlled. "Why should you wanting to leave trump my wanting to stay?" Why indeed, I considered, and finally decided, "Because I am uncomfortable. My discomfort should trump your indifference to staying." He hadn't realized the intensity of my anxiety. And it's hard to understand when there is no cause for it. Our neighbor's are perfectly welcoming people with kind friends, and they are fun to be around. Overcome by my feelings, I sobbed. "I am a burden," I thought. "I'm saddling him with my issues and making everyone else think I'm a bitch." I locked myself in the dark bathroom, sat on the edge of the tub and sank into the darkness of my mind as I choked on my sobs. "This is why you're going to the doctor," I saw. When I got a hold of myself, I apologized to my husband for making my problems his. "I'm sick," I said. "I don't want to feel like this. But I can't do this alone." He held me and said he's there for me and he loves me and supports me and he's sorry for not understanding. And I cried at my good luck of finding someone so good to me. 

This will forever be known as the proverbial "Before". Before I Got Help. Before I Went On Prozac. 

Here's to feeling better.

When I arrived to work late after my doctor's appointment, my boss kindly asked, "Is everything okay?" With a sense of relief, I replied, "Yes, everything is fine. And it's going to be better. Got me some Prozac." A self-described narcissist, he asked, "It's not because of me, is it? It's not work?" I had to laugh. "I've just always been like this. And I'm tired of it." I have lived for nearly 30 years with depression. The despair, the listlessness, the nihilism, the weight, the ruminating, the self-defeating thoughts. I don't know who I am without these feelings. But I am ready to find out.

I have been on Prozac for almost a week now. I literally feel lighter, like a weight has been lifted from my shoulders. I feel like the dark cloud above me has moved on. I laugh easily at things that a week ago would have made me grin at best. I actually feel joy in a way that is hard to describe, but which I never really felt Before, when at its worst, joy was sometimes tinged with pain, and always clouded with that familiar heaviness.

I'm still me. I haven't lost my creativity, that darkness that fuels my writing -- a fear that I had previously used as an excuse for not seeking treatment, and then finally decided was a risk I was willing to take. I am still lazy, and will wait until the last possible second to do something -- even now I should be cleaning my house. But now there isn't that heaviness pressing down on me, stopping me from doing the things I need to do. Before I couldn't even make myself clean up the house or go to the store or go visit with the neighbors. Now I am simply able to do it. I am able to find the motivation. Things that would wear on me throughout the day Before, dragging me down, simply don't anymore. We've gone over to the neighbors and played Cards Against Humanity and had a lot of fun. 

There were side-effects. Crushing headaches the first three days, and some nausea, but the headaches have passed, thankfully. The nausea only comes now if I take the pill on an empty stomach, and even then it is very mild. My sleep has changed, but I haven't decided if it's for the better or worse. I have more vivid, memorable dreams, but it's harder to wake myself up. What I mean is: Before, I would be wide awake in the morning but not feel motivated to get out of bed, because "What's the point?"; whereas now, I wake up groggy and want to snooze my alarm. But maybe that will pass. 

My doctor gave me a questionnaire to determine the strength of my depression and anxiety -- the PHQ-9 and the GAD7. The last question is "How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?" For me, it has been extremely difficult. It should not be this difficult to live your life, you know? I'm not a doctor but if you take the questionnaire and find you have moderate to severe depression or anxiety, please do yourself a favor and tell your doctor about your feelings now, don't wait. It doesn't make you weak to ask for help. It shows your strength to have dealt with it alone for so long and your courage for standing up to your depression and fighting back. There is no prize, no reward for the person who suffers the longest. Get help now. I only wish I had talked to my doctor about my depression sooner. 

A Different Kind of Crazy

Yesterday was April 16th and around the world, people struggling with depression and thoughts of suicide drew semi-colons on their wrists in a display of strength. We will beat this, they said. We won't let our story end. 

A semi-colon is used when an author could have ended a sentence, but didn't. Pause, it says; but keep going. 

White ink tattoo, to match my scars. #semicolonproject416

Mental illness runs in my family. I've seen how it tears at a person's emotions and leaves them feeling like they are not quite themselves. I've seen how medication helps, or doesn't. How it makes a person feel numb, empty. Or how medication lulls them into a sense of security, and then leads them to believe because they are better they no longer need it, and then they stop taking it and everything falls apart again until they start taking it again. Repeat ad nauseam. Or how, when the right person finds the right medication and the right dosage, it works exactly as intended and helps maintain balance, normalcy. 

I've never taken medication for my depression. Honestly, I'm scared to. Afraid of how it will make me feel. Afraid of getting the wrong medication, the wrong dosage and feeling (more) suicidal, maybe going through with it, or maybe just going back to self-harming like I did when I was a teenager. I've been able to suppress my depression with cognitive behavior therapy. Though I've never seen a therapist. (My mother's admonition, though I am now an adult with my own healthcare plan, runs through my head: "We can't afford that, Kate.") 

I've seen the way emotions flood through a person, and all logic and rationality leave their bodies like steam from a kettle. I know how it feels to want to control everything, everyone and the frustration of not being able to. I've felt the possessiveness, the jealousy. That was me, once upon a time. But not anymore.

"I won't ever behave like that," I tell myself. The lashing out, the paranoia, the inflated self-importance. The criticism. The angry disappointment when someone lets you down, despite the insanely high expectations you had. It's not me, I say. "Oh, you have it too. Or you will," my brother warns me with a teasing smile. And I worry I do. But I won't. "My kind of crazy is different," I tell him. 

People can't let me down, because I expect nothing of them. I will never feel the inflated self-importance because I cannot see myself as important. The paranoia will never overcome me because nothing is really about me, not really, not ever. And that's okay. I don't need it to be. Our world is but a lonely pale blue speck in the great enveloping cosmic dark, and I am exponentially smaller. The things people say or do are not reflections of me or my self-worth; they are reflections of themselves. 

I'd like to believe myself incapable of the sort of sharp criticism that cuts another person down. I know the pain words can cause. The back-handed compliments that cause a young girl to feel ashamed of her body. Intended as a statement of jealousy, envy. Me, enviable? No, they must be mistaken. They must mean there is something wrong with me because I am different. I don't want to stick out, I don't want the attention. "Blend in, blend in." But no, that's not right either because I don't want to be the same. "Be unique, be you." But who am I? I am but a reflection of my environment. I am not Me in that environment. So I run away. 

There's a picture of me from high school graduation, parents flanking me with proud smiles. They see an accomplished young lady, beautiful, with her whole life ahead of her. She is not Me. When I look at that picture, I see something entirely different. My smile is unconfident, my eyes sad. My white blouse clings to me too tightly, revealing too much cleavage and I'm underweight, unhealthy. I'd lost 25 pounds in two weeks that year because of depression -- anxiety caused my stomach to churn at every meal I sat down to, food was unappealing -- and I was struggling to fight the urge to self-harm, my coping method when I had first started high school. The future was opaque to me. Where was I going? What would I do? I had no idea. It was a challenge just to make it through the day. I saw no future for that girl in the photo.

My family shielded me from the truth of a lot of things. As if I needed protected. Am I that fragile? Is it written somewhere on my face like a parcel? Fruh-jilly, we used to say, the faux-French pronunciation. But I am not a delicate flower. I am strong. I battle my mind every day. No one would know it. People see me as a dog, the kind who gets kicked but keeps coming back, tail wagging low, scared but hopeful. But I am assertive. I stand up to that little voice in my head that tells me I'm not good enough and I tell it to shut the fuck up. 

I've said that same phrase to my husband on more than one occasion -- in a shrill voice not my own -- so maybe I'm not as immune as I think. Maybe I am not a different kind of crazy. I am capable of lashing out. But as soon as I see that happening, I run away. I've always run away. It used to be only after issuing ultimatums and threatening break-ups. Now I run before. For one, because now I can see it coming: the rage, the overreacting. For two, because my husband told me early on, "I won't chase after you. And if you threaten to leave me, you better just do it and never come back because I won't put up with those games." So when I feel that bubbling underneath, when I hear those words becoming shorter and sharper, when I start to lose rationality, I run and I hide in a closet, or I walk alone around the neighborhood, fuming until my head returns. 

My collage graduation photo is different. My parents flank me again, looking proud but there's something else in their faces too -- a sort of bewilderment. As if thinking, Who is this person? My smile is a little crooked, but wide. My pupils are dilated -- I'm a bit out of sorts, overstimulated, but it's okay. It happens sometimes when I'm in big crowds or when there's a lot of sensory input going on around me. And I know how to deal with it. I just need a little time alone; time to reflect and regroup. My parents still saw an accomplished young lady, beautiful, with her whole life ahead of her -- just as they saw that high school graduate. But this time they're not quite sure how she got here, or where she's going, what she'll do. And truth be told, I didn't know either. But that was okay. I still don't know, and it's still okay.

The future is wide open. Every day is full of choices, decisions to be made. Each one of those decisions as a collective make up your life. When I was younger, each day was a challenge to get through. But I made decisions that got me through, one way or another. Then I began making decisions that made getting through it a little better -- saying kind words to myself, connecting with people who understood me, cutting out negativity. Each decision is a choice, and I chose life. 

Whatever you need to do to stay strong, make that decision. Pause; but keep going.

The Semi-colon Project

When I used to cut myself, it was a way to cope with all the awful thoughts in my head -- that voice telling me I was never good enough. I realized -- with the help of my friends -- that it was getting too dangerous and that I had to stop. The day I brought my razor to school to cut myself in class, I had a moment of clarity seeing myself from an outside perspective. "You can't even go a few hours while you're in school without hurting yourself? This is a problem!" I told myself, and this time it wasn't that awful abusive voice in my head -- it was someone I hadn't heard from in awhile: me. The real, rational, intelligent me.

Let's forget for a second what "normal" is. I was not, am not normal -- whatever that means. Cutting was not HEALTHY. I was not healthy. I hadn't viewed it in those terms before. It was always good/bad, or right/wrong, or normal/fucked up. But mostly I just saw it as a way to get by, to get through each day. And I didn't do it every day. But knowing it was an option was enough. 

Quitting wouldn't be hard, I thought. But what am I supposed to do with all these FEELINGS? And those moments when it all got to be too much? I feel really lucky to have grown up at the real rise of the Internet (and before there were camera phones). People online were sharing their stories of why they cut and how they stopped. Two really important things happened when I read their stories: 1. I realized I was not alone. Not in my feelings or in my actions. And B. I wasn't the first one who had to do this. People had lived through whatever it was I was dealing with, and they got better. And what was this? I remain undiagnosed to this day, so I call it depression because that is all I know for sure that it is. And what exactly was the goal here?

The goal was to get better, by myself. Because no one else was going to do it for me. 

Not that they should or that I expected them too. They couldn't. It all came down to me. 

One mantra I adopted and repeated constantly: YOU are the only one who decides your feelings. No one makes you feel a certain way. Happiness doesn't come from someone else. It comes from within. And if it doesn't, you fake it till you make it! Smiling, no matter how fake, actually gives the smiler the same feelings of happiness as if the smile were real. 

The most important thing I learned was this: when you feel like cutting, wait 15 minutes. If you still feel like cutting after that, wait another 15 minutes (ad infinitum). This gives you time to focus on something else, to distract yourself, to get your mind out of the rut it's in. Use that 15 minutes to just breathe. Or color. Or listen to music. Just don't cut. 

I also gave myself permission to smoke a cigarette instead of cutting. It seemed like a healthier alternative because it was more socially acceptable. In reality, I was making a poor health decision that the future me would have to deal with. Once I had quit cutting, I ended up being addicted to cigarettes, which was a different but even more difficult habit to break (6 years smoke-free in February! Woop woop!). And when people would say, "Those things'll kill ya, you know." I'd respond, "Good." Because I still had days that I wanted to die. 

I read that I should make a list of at least 5 things I like about myself and hang them on my mirror and repeat them whenever I started to have those negative thoughts. It sounded really fucking cheesy. I really did NOT want to do it. Honestly, I think I was afraid I really wouldn't be able to come up with 5 things. That's how low my self-esteem was. 

I started to recognize when that critical voice popped up, and that was the first step. Recognizing it, I could at least stop from getting stuck in the loop of negativity. Because it always snowballed. It would start with a rumination on one small thing and escalate into an imagining of all the horrible things others must think of me and end with a list of every fuck up I'd ever made. 

Then I could start to replace those thoughts with positive affirmations. Again it felt cheesy and insincere, initially. "I like the color of my hair." *eyeroll* But the more I did it, the more things I found I could compliment myself on -- honest things, deeper things. "I can tell an engaging story." I don't know, guys, it's still hard to do. But you just do it. Because that's the only way to shut up that other voice. 

And I started watching for things to look forward to. A trip to the lake, a shopping trip with friends, a sleepover, holidays, a car ride. Things in the future -- days or weeks, but preferably months ahead. If it was something I could plan, even better. Planning gives you hope. And hope is all you need (forget love, the Beatles had it wrong). 

I found a Tumblr not too long ago called The Butterfly Project. To support people who self-harm or to avoid self-harming, you draw a butterfly on your arm. You can name it after a person in your life who supports your journey to good health (or after your friend if you are a supporter). You leave it there as a reminder of why you shouldn't self-harm. It's really a beautiful idea and there are folks on there with butterflies drawn all over their arms to support their loved ones. 

The Semi-Colon Project is similar, except instead of butterflies, you draw a semi-colon for Suicide Prevention. Because an author uses a semi-colon when a sentence could have been ended, but wasn't. (Hint: it's a metaphor.) A semi-colon tells the reader to pause; but keep going. I have one tattooed on my wrist in white ink. The white ink is a reference to the white scars that are still visible on my arm over ten years later. Proof that the Future You will have to deal with the consequences of the decisions you make today. 

Anyway, searching the Semi-Colon Project, I saw a Tumblr post today that was absolutely stunning. 

http://kathrinegrey.tumblr.com/post/97080977990/writingsforwinter-this-ask-was-made-rebloggable

"3,600 seconds. SECONDS. Mere seconds that separate you from life and death, from ending your life and from something extraordinary happening."

It's your story. Don't end it.