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Tag Archives: Depression

It’s Time

So I had been on a pretty steady writing roll at the beginning of the year, publishing about a post a week, when something unfortunate happened. My psychiatrist thought that my antidepressant wasn’t working so she recommended that I taper off of it. She thought the problem was that I have PTSD and should do some trauma-based therapy instead.

My therapist didn’t think it was a good idea to taper off my meds while depressed without adding anything, and she did not think trauma-based therapy would be helpful at this time. I completely agreed with her. I’m not used to having my providers be on different pages. She and my previous psychiatrist used to work closely together and often gave each other updates. I try to do what my doctors tell me to do but I was at a loss as to how to do so in this case. So I listened to my psychiatrist about the meds and went down on my dose, and I listened to my therapist about the therapy and did not start trauma-based treatment.

Guess what happened? My therapist was right about both things. She has known me for over 20 years, whereas my psychiatrist has known me less than a year. My therapist also has more than 40 years of clinical experience, and my psychiatrist is at the beginning of her career. So really I should have just listened to my therapist from the get go. I don’t really know why I didn’t. It was a costly error in judgment because I got severely depressed and anxious a few weeks after lowering my meds.

In a previous post, 50 Shades of Blue, I talked about how there are a lot of different flavors of depression. When my psychiatrist thought my meds weren’t controlling my depression in March I was still highly functional and I didn’t think it was that bad, relatively speaking. Maybe a light to medium blue. At the lowest point of this depressive episode in April I would describe it as an inky blue-black. Things got better for a little while in June but then by July my depression was more of a cold grayish blue.

What really sucks about going off of your meds is that simply going back up on them doesn’t correct the problem. Sort of like how it takes months to lose weight but just a few weeks to gain it all back. So for the past 5 months I have led a fairly marginal existence, mainly saving up my energy for my clients and working on self-care. I would try to get a little exercise, some sunlight, meditate and pray, eat, see my family. I even started playing pickleball, because it’s easier on my body than tennis, and I could have some social interaction, since I don’t have friends here yet. But I could not get myself to write. Could not blog, write in my journal, or even jot down writing ideas in my Notes app.

But here’s the good news. A week and a half ago I suddenly decided that it was time to write my book, and I knew this meant I was finally getting better. If you’ve been with me since the birth of my blog, which was almost 9 years ago, you know that the purpose of this whole endeavor was to get me to write a book. And now that this goal feels like my destiny again I finally feel alive, fully like myself again. I write in my journal. I read books on writing books. I jot down lots of ideas for posts and chapters. I’m blogging at this very moment. There are interesting ideas in my brain other than worrying about my lack of funds and when I’m going to start my new job. I feel joy and excitement rather than feeling empty and dead inside. I finally feel awake.

I’m sharing this with all of you because if it weren’t for you, dear readers, I would have never been ready to write my book. I would have never known whether or not what I had to say was interesting or funny or meaningful or relatable. I wouldn’t have felt the joy of having someone tell me that sometimes they feel the exact same way and it gave them comfort to know that they’re not alone. I wouldn’t have received the encouragement to write the book that many of you have given me. I’m going to continue to rely on you for support as I go through this process. In fact, in next post I’m going to ask you a favor, so I hope you’ll participate.

I Haven’t Moved Yet and Other Updates

It’s June and a lot has happened since my last post. Inquiring minds want to know.

First, after another semester in COVID, surgery #1, and obsessing about all of the things I have to do for the move, I am finally feeling better! While I was going through all this, I knew it was bad. But I guess you can’t fully realize all of the things you had to do to survive while you are in the process of surviving. It’s only when you look back that you realize you’re stronger than you think.

The other thing about depression is that when you’re in it you think, was there a time I wasn’t depressed? My boyfriend was always trying to get me to go outside to get sunlight, but I was too tired. But then I began to doubt myself. Did I like sunlight at some point? Maybe I’m just making excuses. But I vaguely remember playing tennis. And watching my team play tennis. And I remember thinking it was fun.

But then when you’re not depressed you think, did I really just crash on the couch after work every day in a comatose state? Did I really have that little energy? Wow. Thank goodness that’s over with.

The other update is that last week was my last week of work. 19 years. That’s longer than any relationship I’ve had. But I always knew I’d be better at work than marriage. I still have to pack my office and transfer files, but I’ve said my good-byes to clients and colleagues. We had a nice get-together during a work retreat last week. That was the first time I had seen most of my colleagues in over a year. In a way, I’m glad I’m leaving during Covid. I wouldn’t have wanted a bunch of people coming up to me saying good-bye. I may seem sociable, but I’m really not.

My next update is that I am able to do a lot more stuff now. Like

  • play tennis again–it’s starting to come back to me
  • ride my bike–managed not to crash
  • see the Star–with a short hike uphill after playing tennis to boot
  • rollerblade–not very smart but it did inspire this haiku

As I laced my last

rollerblade I remembered

I’m too old to fall.

I didn’t fall. But hopefully I won’t try to do it again.

Most of the time these things were done without coughing, and I’ve only thrown up a couple of times. I’m getting a little less rusty and out of shape, but I’m still getting old. My body can’t do what it used to do. And there’s nothing that can fix that. So, I’m trying to focus on being grateful that I can be active at all. And I’m putting that self-care commitment I made in my last post into action. I spend a lot of time resting, icing, stretching, massaging, and doing yoga. All things I didn’t do before because I thought they were a waste of time. Hence the neglect of my body.

Which brings me to my next update. I had to take a bunch of tests to see if I needed surgery for my GERD, and one of them was a pH test. You have to get this tube inserted through your nose and down your esophagus and wear this big monitor where you had to indicate if you were eating, sleeping, or taking a pill. For 24 hours. But I still went outside for a walk, as indicated in the Rocky-like picture below.

The cutoff score for high acidity was 14, and I had a score of 80! My surgeon said it’s the highest score she’s ever seen! So I’ve been bragging that I have the worst GERD ever. I know I said I wasn’t going to be competitive about health stuff anymore but that one is just too good.

Plus it makes me feel vindicated. When I was watching my team play a few months ago, I noticed how quiet it was. No one was coughing. Why am I the only one? I was worried that when I moved to Knoxville no one would play with me because they’d probably think I had Covid. But now that I’m having surgery, maybe things can get even better. Maybe I’ll be cough-free by the time I meet people to play with. Maybe they’ll want to be my friend.

Thanks to all of you who prayed for me last time. If you think of me on June 18, feel free to send some healing vibes my way. This time I’ll have to spend the night for observation, which makes me a little nervous. I haven’t stayed overnight in the hospital since I was 5.

This brings me to my final update. I haven’t moved yet. In retrospect, I should have said in that initial post that I am moving months from now. Probably in August. Ever since I wrote that, people keep coming up to me saying, what are you doing here? I thought you moved. I don’t think they’re disappointed or anything, but I just want the rest of you to know, in case you see me in the near future.

Déjà Vu

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At the end of 2013, my youngest brother R. stopped taking his antidepressants. My mom, who is a doctor, was giving him samples, and she told him that he needed to find a doctor to prescribe them. Because it’s the legal thing to do. Not wanting to have depression on his record, and coming off 5 years of steady employment, he decided to go off of them instead. I begged him not to, but he was afraid to be dependent on them in the advent of an apocalypse and wanted to prepare himself.

Three months later he was depressed. And, as I’ve mentioned based on my own folly, every time you have another depressive episode, it’s harder to recover. My psychiatrist described it as breaking your leg in the same place over and over. Still, he did not go to the doctor until his depression and anxiety were so bad that he could not make it to work. His job was very generous, allowing him to cut back his hours to as little as he needed and keep his job. But ultimately the shame and guilt of not being able to go overwhelmed him and he quit.

After a few months of unemployment, my brother moved back home with my parents. My dad, who had been depressed for 4 years, went straight to a manic episode and was blowing through his retirement money. And my mom’s retirement money. And she could do nothing to stop him. So he took on the impossible job of trying to figure out how we could stop them. But the situation was so bad that, instead of helping them, he had a heart attack. At the age of 40. And since they were in no mental state to care for him, he moved in with me. And still lives with me.

It has been a rough 3 and a half years, but in the past year R. has been feeling much better. He is able to go to make it in work, has friends, a church community, extracurricular activities. He’s the happiest he’s been in a long time. But it was a 6 year journey–a high price to pay for going off his meds.

Last winter my other brother M., who also struggles with depression, stopped taking his medication. Because he didn’t want to have to see his doctor for his yearly follow up. And he didn’t want to be dependent on the meds. In case there was an apocalypse. And he got depressed right a way.

A few days ago in our sibling Zoom meeting, M, confessed that he had stopped taking his meds and recently restarted them. He was feeling anxious, having chest pains, shortness of breath. He couldn’t eat, couldn’t think clearly. He was afraid of losing his job. He was a loser, a failure. He worried about homelessness.

It was déjà vu.

We did everything we could to talk him into going to his doctor to discuss getting back on meds. And to rule out the possibility of a heart attack. Like R. did when he was depressed and anxious, M. makes excuses because he doesn’t see how dire his situation is. Doesn’t seem to remember anything that happened to R. Doesn’t recognize that history is repeating itself.

I’ve been trying to convince him to come stay with me until he gets better. Yes, there is a travel ban, but I consider the possibility of him committing suicide or having a heart attack essential travel. I feel as anxious as I did when my younger brother was about to be released from the hospital and would be in may parents’ care for recovery. Which meant certain death.

It’s strange to be in this catch-22: trying to convince my brother of something that will save his life, knowing that it will once again probably cause me to become anxious and depressed. This is the first time in a very long that I feel mostly relaxed. I’d like to enjoy it for as long as I can. But I don’t think he can get better in isolation. And he is also at risk for a heart attack. And he’s bipolar and could become manic.

Is every family like this? One mental health crisis after another? Will there ever be a time when things can be “normal”? Just for a little while? Just so I can catch my breath?

R. thinks it could be a good thing for all of us if M. comes. He will have someone to talk to. They can exercise together. R. can take him to church, introduce him to his friends. Maybe one day he and M. can get a place of their own, which is their dream. M. would be closer to his kids. I could have my space again but have them close by.

I hope he’s right.

How to Tell if You’re Lazy

lazy cat

I have clients tell me that they’re lazy all the time. Even though they are all high achieving, perfectionistic, over-scheduled students who work more hours in a day than I do. And I work a pretty full day myself. Why is that, you may ask? That doesn’t make any sense. Because that’s how mental illness is; it doesn’t make any sense.

Usually when people beat themselves up for being lazy it’s a telltale sign that they’re probably depressed. A better word for laziness would be something like fatigue. When people are depressed they have no energy, no motivation. Nothing is enjoyable. Getting out of bed is too much effort. But it can’t be depression. That’s just an excuse. I don’t have real problems. I’m just being lazy.

Sometimes being paralyzed with fear can feel like laziness. Because fight or flight aren’t the only possibilities in the face of fear. Sometimes you freeze, like a deer in headlights. This is usually what happens when students have a paper due the next day but they have been staring at a blank screen on their computer for hours without typing a single word.

We do need a certain amount of anxiety to be motivated to do anything, but it doesn’t take much to go from the kind of anxiety that motivates you to the kind of anxiety that paralyzes you. Especially when you try to motivate yourself by saying you suck, you’re disappointing everyone, you’re going to flunk out of school and end up homeless. Not exactly a pep talk. And yet, this is the kind of stuff we say to ourselves all the time.

The ironic thing is, when I was looking for a meme on laziness, I discovered that people who really are lazy don’t feel bad about it. They’re out there looking for hacks to make the most out of their laziness–trying to figure out how to make it seem like they do yoga, or what comfortable clothes they can buy to lounge around in. There’s no shame about it at all. In fact, many of the memes are about wearing their laziness on their shirts like a badge of honor. Literally. Like this one:

laziness.jpg

And this one:

Not productive

In case you were too lazy to read the whole blog post, I’ll summarize it for you.

Here are 5 signs that you are not really lazy:

  1. Your therapist tells you that you are depressed.
  2. Your therapist tells you that you are anxious.
  3. You think you’re a loser and a terrible person.
  4. You worry about homelessness.
  5. You feel a strong affinity to deer in headlights.

And here are signs that you might actually be lazy:

  1. You’re a cat.
  2. You own one of those t-shirts.
  3. You have a Pinterest board about hacks for lazy people.
  4. You don’t read them because you’re too lazy.
  5. Being lazy doesn’t really bother you.

And if you were too lazy to read those signs, then here is the one-sentence moral of this story:

If you’re beating yourself up about being lazy, then you probably aren’t.

50 Shades of Blue

shades of blue

When I was in grad school, clinical depression was described as this discrete period that occurred in episodes with a clear beginning and ending. It was even called the common cold of mental illness. Like you would know when you had caught it, and then you’d get better and be in remission. If you had a genetic predisposition, you could be at risk of recurring depressive episodes, potentially for life.

You could also have this more chronic but less severe form of depression called dysthymia. Sometimes you could be unfortunate enough to have dysthymia and major depression at the same time. Double depression, it was called. As though you could have carefully measured doses of depression, and double depression has 2 cups of symptoms instead of 1. Which is strange, because you can’t have double of any other mental disorder.

Now that I’m a practicing psychologist, I know that the diagnostic categories are not as neat and clean as they were made out to be. As a person who has been depressed for most of my life, I can say that major depression feels distinct, but it is not always clear when I am depression-free vs having dysthymia. There are times when I didn’t think I was depressed in the moment, but when I look back, it’s clear that I was.

Often we tell clients who are on meds that they can begin tapering off once they are in a period of stability. Over the summer, perhaps. Or some time after they have gotten settled in their new job. Maybe the problem for me is that there is never a period of stability. Never some time when there isn’t some family crisis. When there isn’t some problem that I’m dealing with. If anything, I would say there have been episodes of stability that have broken up the more chronic feeling of being depressed.

I don’t to want give the impression that I’m always miserable, because I’m not. Like I said, sometimes I don’t even realize I’m depressed. Sometimes it only lasts a few hours or a few days. And it doesn’t feel the same every time. So at least there’s some variety to it.

Every now and then I get upset about how unfair it all seems. The depression. The anxiety. The family craziness. The stress that comes with thinking I need to save the world. But life isn’t fair, right? And I am blessed and fortunate in other ways. If I had to choose my suffering, at this point I’d choose mental illness, because at least it’s familiar to me. I know what to expect. I know how to manage it.

And the meds do help. So does therapy, self-care, mindfulness, and self-compassion. I think depression has made me wiser. It has made me a better therapist. I’ve learned to accept the ebbs and flows of my mood, and of life in general, without beating myself as much, because I’m doing the best that I can.

This week is finals week. We are all willing ourselves to make it to the break, exhausted from the semester. Despite taking my meds, talking to my therapist, and practicing self-care, mindfulness, and self-compassion, I’ve still had bad days. But I’m determined to get that Perfect Attendance award, so I’ve made it to work when I’m supposed to be here.

Today I would call my mood cornflower. Which is a pretty shade of blue.

Falling Apart

I learned something about myself in 2018. I learned that I am not a superhero. I can’t do it all.

I mean, I knew that. I knew that I had reached my limit and I was going to fall apart, but I had kept it all together for so long, you know? I figured it was like knitting some complicated dress pattern. Or winning a tennis match after driving 10 hours and being injured. Just another crazy challenge that I could push myself through. But this time I met my match.

The past two and a half years have been tough for my brother and me. This was not intended to be a long-term living arrangement. I decided to get a new place at my therapist’s suggestion. It would at least give us more personal space–literally a wall between us–which was one small thing I could control.

And it is nice, the new place. But it caused 6 months of additional stress before I could benefit from it. Selling my old place. Moving out and running out of storage space. (How could I get so much stuff into 1000 sq feet?) Staying in a really expensive apartment for several weeks. Not knowing when I was going to have my new place. Changing my address multiple times. Trying to fit all my stuff in my new place. Which should have been easier with double the square footage, but for some reason it wasn’t.

The other thing I took on this year is that online therapy job, in anticipation of the added expense of buying a new place. Even though I can barely see all the clients in my primary job. Plus, it’s really hard to make a connection with someone who you don’t get to interact with face to face. So much of what heals in therapy is what happens when you literally sit with someone, being fully present to their pain, rather than the words themselves. In online therapy, all you have is words.

Plus, you know when someone doesn’t like you, because you get multiple emails telling you the person is transferring. They can even write a terrible review about you. Or file a complaint. And then you have to have a video conference with an expert who specializes in helping you be a less sucky online therapist. Fortunately, the last 2 things didn’t happen. But I did have people transfer. And thank goodness, because what was I thinking, taking all those new people?

Last semester had been particularly stressful at my primary job because one of my colleagues had to be out for the beginning of the term, so things filled up a few weeks earlier than usual. I usually fall apart some time around Thanksgiving, no matter how hard I try to practice self-care, but usually I can bounce back after a mental health day. So when I first fell apart, not surprising. After the second day, I started panicking a little. After the 3rd day, I knew I was in trouble.

I ended up taking an extended leave, and it’s the best thing I’ve done for myself in a long time. I probably should have done it 10 years ago but didn’t because it felt like admitting defeat. An extreme version of retiring from a match. So I just sucked it up, even though I knew I wasn’t doing a great job.

This time I had no choice, because unlike in previous depressive episodes, I couldn’t think. I felt like I had a concussion. I couldn’t remember words, and had a hard time even having a conversation. If I had to make a decision, I would get overwhelmed. Even reading made me anxious, because it activated my brain. I knew there was no way I was going to be able to handle my job, so I accepted defeat.

Having this time to focus solely on self-care (and moving) made me realize how long I had been operating under duress. Some of it was beyond my control, but some of it I put on myself. I push myself relentlessly. I’ve gotten a lot better since practicing self-compassion, but my Drill Sergeant is still active, bossing me around every chance it gets. I was only able to stand up to it because it felt like life or death.

Today is my first day back, and I’m glad I’m the only person here so that I can just catch up on the things I have put on the back burner for the past 6 weeks. I’m feeling pretty good but I still don’t know how much stress I can tolerate, so I’m hoping I can slowly ease my way into the crazy schedule that awaits me.

But I have to do things differently. So this year, my New Year’s Resolution is to let go of as much as possible. Moving has taught me that. A lot of what I had been holding onto went into the trash or to Goodwill. I even gave up plants that I’ve had for over 20 years, because the idea of carrying them up 3 flights of stairs to the one bedroom apartment that my brother and I were going to share didn’t seem worth the effort. When you have to carry all of your belongings around with you, you to learn to let go of material possessions pretty quickly.

I’m going to let go in other ways, too. No more captaining multiple teams because they desperately need another captain. I’m cutting back on the number of people I try to save that are not a part of my job. I’m going to stop beating myself up about working out, sleeping abnormally, and being unlike other people in general. Any thought that causes me distress I will put aside. I will only do what I have to do, because that will still be plenty.

This year, rather than choosing some challenge that pushes me to the limit, I’m going to choose me.

Living With It

Bob

I am excited to start the year with a guest post from a friend I have known for 29 years. We met during our second year of college in a philosophy course and, though we probably didn’t know it at the time, connected in part because of our struggles with depression. It’s a rare gift to be able to see what the journey to self-acceptance looks like over the life span. For me, reading it was a reminder that wisdom is born out of suffering and self-compassion.

***

I remember wandering around my neighborhood with tears streaming down my face. It was a sunny day in Austin, Texas, but to me everything was hopeless, sadness was all around, and the future promised only pain. My Dad picked me up in his car, clearly worried, and not long afterwards I was hospitalized with depression.

That hospitalization when I was fifteen was a long time coming. When I was seven years old and my parents were getting divorced, I pulled so much of my hair out that I had to wear a hat to cover up the bald spot. When I was eleven, I starved myself for months and had to be hospitalized and treated for anorexia.

I’m nearly fifty years old now, and for most of my life I’ve lived with depression and anxiety. It comes and goes. I’ve contemplated suicide too many times to count. I’ve spent days, weeks and months wishing I were not alive, crying when I thought no one would notice, and feeling like I was crazy.  

I’ve tried various strategies – ignore it, fight it, drink or smoke it away. I’ve taken all kinds of pills, and I’ve seen psychiatrists, psychologists, therapists, and counselors.

I’ve read books about depression, spirituality, self-help, mindfulness and positive psychology. I’ve quit some jobs, taken other jobs, and moved several times, at least partly influenced by depressive feelings.

Through all of this suffering, I like to believe I’ve learned a few things worth sharing. Here are my “Top 3” insights regarding living with depression – because everyone loves lists right?   

  1. Depression makes you believe a lot of things that aren’t true. A psychiatrist told me this, after I complained to him that I was a lazy, worthless bastard, and a burden to everyone I knew. He was right and I was wrong. Don’t believe the things depression tells you about yourself. No matter what you may have done or what you think your faults are, you deserve love from both yourself and others..
  2. Don’t give up. Even if the future seems bleak and promises nothing but pain, hang in there because things will get better. Even if you don’t think it will help, see that new doc or try that new technique, whether it’s yoga, exercise, diet, meditation or medication. Your depression may not completely go away, but finding a way to manage it is essential. And it’s a lifelong process. You never know where that breakthrough might come from – and sometimes a smile from a stranger is enough to get through the day.
  3. You’re not alone. The hardest part of depression for me has always been the loneliness. I feel like no one loves me or cares about me, and connection with other people is impossible. Now I know that is the depression talking, because it’s an illness that robs us of joy and love. We are never alone, no matter how lonely we may feel. Chances are at least one person in your life truly loves you, and even in the rare case where you are truly isolated, please know that many of us have been where you are, and have felt what you feel.  

None of these 3 insights are especially original, but that’s okay. I actually find it comforting that what I’ve learned from my experience of depression reflects what others have learned as well.

Maybe this is a fourth insight, or a corollary to #3 above, but it’s love that’s gotten me through. Love from family and friends who cared enough to help me when I’ve been down. Sometimes I’ve needed a lot of love, patience and support, when I wasn’t in a position to provide anything in return.

Your depressed mind may tell you that you don’t deserve love or help, that people don’t want to be bothered, and you’re not worth it. That’s not true. Reach out, ask for help. Tell someone how you feel.  

Your closest and most trusted friends are the ones who will hold you when you’re a basket case, tell you they love you, and never judge you. Those friends are keepers. Not everyone is equipped to provide this kind of support, but you might be surprised what other people have gone through, and how willing they are to help.

Sometimes I still feel like that teenager wandering around in the middle of the day and crying his eyes out. I feel fear and dread and sadness, without any apparent reason.  

But I know now this pain is universal, a drop in the enormous bucket of pain that the universe dishes up every day. It’s the pain that we have in common, and seeing that is what can unite us, and make love and joy possible.

Charles G. lives in the Upper Midwest with his family. He works in marketing, likes to travel, and gets by with a little help from his friends.

Accepting Love

I always find reading previous journal entries enlightening. Here’s an excerpt from 7 years ago about my struggle to be “normal”:

There’s always this doubt that I’m doing things right. Like if I’m passing for a normal human being. I have to learn what normal people do from observation and piece it all together. Like maybe the way someone feels when they have a learning disability in a non-disabled world. You kind of don’t want to have to point out to people that you don’t get it so you pretend that you do.

A clear precursor to Normal in Training.

I mentioned in my last post that I’ve been reading journals from way back. Once I got past the entries about Rick Springfield and started having real relationships, it was difficult to read some of them with compassion because I was so frickin’ crazy. I know I still struggle with accepting love, but back then I was downright out of touch with reality.

In one entry, a friend of mine would repeatedly call me in the middle of the night to tell me that he loved me. Granted, he was drunk every time, but based on my experience in working with college students, it is when a person is drunk that they often reveal their deep, dark secrets. I have an eating disorder. I think about suicide. I’m in love with you.

My response in my journal was, I wonder what he means by that? I’m going to have to ask him next time. As I read this, I was like, what the hell is wrong with you? Are you delusional?! Is it not obvious what someone means when they tell you they love you? And then the next line was, why doesn’t anyone like me? Which was even more maddening to read. No wonder my ex boyfriends would tell me that nothing was ever enough.

I get it now, though. I couldn’t take in anything good. I didn’t believe I was lovable, and there was nothing that anyone could say to convince me otherwise.

I have been depressed for the past few weeks because, even though I did a much better job of saying no and conserving my psychological energy, eventually my work load was beyond what I am capable of carrying. Because I have such good friends, many of them recognized the signs (not being social, turning down tennis) and checked on me, invited me to dinner, sent me food. Because they know me well enough to know that I never have food.

It was difficult for me to accept their love. I have the same reaction to love as I do to pain. I can feel myself tightening up, trying to brace myself against it. It’s the craziest thing. But since I was practicing mindfulness, I did what I do when I realize I’m trying not to experience pain–I let myself feel it. Consent to it. I imagined giving the love space, letting it move within me and around me, and to express itself in whatever way it wanted to. I told myself that it was OK to let them love me.

I often tell clients that receiving love is not selfish. It is a gift, and refusing it hurts the person who is giving it. That it is more generous to accept it with gratitude than to tell the person that you don’t deserve it and list all of the reasons why. I actually told a client this yesterday.

I also told a friend that this is what I’ve been trying to do to make myself feel better, so now he reminds me that I have great friends who love me, and that I need to let them. Which pisses me off. Because even though it’s good advice–my advice–I still don’t like to be told what to do. He knows about this flaw, as well as all of my other flaws, but he loves me, anyway. I’m trying to let myself believe that, at least.

And you know what? It really did help. So I’m going to add it to my list of strategies of what to do when I’m depressed–to let people love me.

Hanging in the Balance

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You know what it’s like having a mental illness? It’s like being Homer Simpson in that episode where he ate that Fugu puffer fish prepared by a rookie chef. That’s the fish that, if not prepared correctly, can kill you. He had to wait 24 hours to find out. Great episode, if you haven’t seen it.

Or it’s like hydroplaning on the highway, trying to figure out which way you need to turn the wheel so you don’t crash. That actually happened to me. I don’t think I turned the wheel the right way. I ended up going backwards in the median, wondering what was going to happen to me when the car finally stopped. Thankfully, miraculously, nothing happened. Except to my car. Which I got rid of.

I found out in the book “The Art of Racing in the Rain”–which is a fantastic book, if you’re looking for something to read–that when you’re hydroplaning, you actually need to accelerate to engage the wheels. It’s a fictional account, but that makes sense to me. So now I drive really slowly in the rain so that I can speed up if I start to skid.

But I digress. The reason why having a mental illness is like the Fugu puffer fish and racing in the rain is that there are so many things you have to do to maintain your balance, and it takes so little to throw it off.

Take sleep, for example. I am a night owl, but I’m not supposed to stay up late, because reversing my sleep cycle triggers a depressive episode. But when I try to go to bed earlier, I can’t fall asleep because my obsessive brain is wide awake, chatting up a storm. I am also supposed to wake up early, but I’m usually too freaking tired. And because I need more sleep than the average person, I still have to take a 3 hour nap.

I have similar difficulties regarding eating that is equally complicated because of my inability to wake up early, restrictions in what and when to eat because of my GERD, my tennis schedule, my inability to tell whether or not I’m hungry, and that I hate planning meals, grocery shopping, and cooking.

I also have to manage my anxiety by avoiding almost everything, lately–Facebook, the news, conversations about Trump, certain family members, relationships, looking at my schedule for the week so that I don’t get overwhelmed (which has gotten me into trouble with my colleagues).

Despite all of this effort I put into maintaining my mental health, I frequently wake up feeling anxious or depressed or both. Because it’s impossible to keep all of this stuff in balance. Which really frustrates me. Sometimes I’m mad at God. Sometimes I wonder if it’s all worth it, all this work to be mentally stable given that I am inherently unstable. Sometimes I feel alone in it, because despite having my brother and friends to talk to, in those moments when you’re lying in bed trying to find a reason to face the day, there’s no one who can really be there for you.

Thankfully, those moments usually pass, often some time later that day. Or at least they fluctuate throughout the day. Or I’ll go play tennis.

On a moment to moment basis, practicing mindfulness and self-compassion are the most helpful tools to make the pain bearable, but it still hurts like hell. I remind myself that it’s OK to be in pain. That this moment will pass. That although my thinking may be irrational but convincing right now, at some point I will be able to see things more clearly. That it’s not my fault. I’m doing the best that I can. And then I try to think of things I can do to make myself feel better. Like watching “Trolls.” Really cute movie, if you haven’t seen it.

The other thing that has helped is reading Richard Rohr’s books. The one I’m reading currently, Eager to Love: The Alternative Way of Francis of Assisi, is a much tougher read, but he says some thought-provoking things. Like, he says that the best healers are people who have suffered greatly themselves. I know for sure that my own experiences have made me better able to sit with and relate to other people’s pain, and I know how much better it feels to talk to someone who really gets it because they, too, have suffered greatly.

We all have roles that we have to take on that will involve pain and suffering–being a parent, a firefighter, a soldier, Wonder Woman (I loved that movie, too), just to name a few. Any role entails pain and suffering, really. I guess the difference is whether you’re going to rail against it or accept it–choose it, even–because there’s something that you care about that makes it worthwhile. And because not choosing it just magnifies your suffering.

I know for sure that I was meant to be a healer. Sometimes I wish I could say no thank you, God, but I appreciate your confidence in me. But I can’t, because I really don’t know what else I would do. So if trying to find that balance moment to moment, day after day, helps me to be a better therapist, then so be it. I will choose it.

Appearances Can Be Deceiving

not perfect

You know what’s hard about having depression and anxiety? Having to go about your day, looking like you feel fine when you’re not. I know everyone feels this way at times, but it’s something that I have to focus on a lot. Like, perhaps people have to prepare for the possibility of a thunderstorm every now and then, but it is a daily threat for me. So I always have to carry an umbrella and think about what shoes I want to wear. Whether my outfit is appropriate. Whether or not I’m at risk of getting struck by lightning.

But then again, perhaps I underestimate how bad the weather is for everyone. Because when I listen to my clients and read my friends’ Facebook status updates, I am reminded that there are all kinds of people walking around in pain, looking normal on the outside. We all feel broken in one way or another. It’s so convincing, though, when people look like they have it all, isn’t it? So easy to believe that you are alone in your pain.

When people tell me they read my blog, they always say something about how vulnerable I am in it. They mean it as a compliment, but even though I’ve been doing it for over 3 years now, it always makes me feel self-conscious. Have I said too much? Did they read something that makes me look bad? Do they think less of me as a person? As a psychologist?

Still, it has been worth the risk, both because of how much I have helped other people and because of how freeing it has been. Of all of the things that I have done to battle my demons, blogging has been one of my most powerful weapons. And if there are clients who choose not to see me after reading my blog, I am learning to accept that I can’t be all things to all people.

I realized recently that choosing vulnerability is like choosing love: it’s risky, and you’re bound to get hurt, but it’s better than spending a lifetime trying to play it safe. It’s still hard to put myself out there and risk judgment and criticism, but most of the time it results in a meaningful connection with someone–perhaps even a complete stranger. Because now they know they are not alone. And I am reminded that I’m not alone, either.

Wouldn’t it be nice if more people were willing to take the risk of being vulnerable? If instead of seeming like we had it all together, we could be honest about our pain? I know it would be unrealistic to go around telling everyone about the holes in our hearts all the time. Sometimes when someone asks how you are, you just have to say fine or you won’t have time to get a coffee before your first client. But if you want to know the truth about how I’m feeling, I’ll tell you. And if you read my blog, you will definitely find out.