Category Archives: depression

Two Birds

The first bird seemed dead or near death. She sat frozen after flying into the doors of my high school. I knew how she felt. I was like a zombie back then, my body filled with what my mind wouldn’t accept – grief, anger, and loneliness. It drained me. I shed weight and light until I was a shadow. 

I picked up the bird and moved it toward a tree, so at least she could die in peace. She flew out of my hands, a shock of life. I clung to that moment through the rest of high school and well into college. I used it as evidence that God was working in my life as I sunk deeper and deeper into my faith. I didn’t know that was death, too. To fit into Christianity, I was bleeding my true self away, wearing the mask of a freed, spirit-filled believer. I thought this was flying, but I had just traded one death for another.

———-

The second bird was still fighting. Washing on the beach shore, she was battered by the waves and trying not to drown. I knew how she felt. Years after high school, I was still fighting, too. I fought the grief of my past and persistent doubts about everything I believed. I felt everything but compassion for myself. Anxiety electrified me, even though most days, I trained myself to ignore just how deep it went. 

I picked up the bird and moved it far up the shore. There was no resurrection this time, no eruption of flight. I’m sure she died there, but at least I gave her a quiet place where she didn’t need to fight. I realize now that that’s all I ever needed. I didn’t need prayers or church or the Bible. I didn’t need promises of healing or strange hands on me casting out demons. They never let me rest. 

I thought freedom could only be found in flight, but maybe, it’s just a quiet place where I can let go.

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How Much Is Too Much?

I’ve been off Effexor completely for about a month and taking CBD gummies, and I’m now asking myself a key question: how much loneliness is too much? When do I need to start asking myself: is this new mental health structure working?

I’m feeling a lot more these days. Like, at the drop of a hat, something will make me want to cry. I haven’t really gotten comfortable with letting that just happen yet, because I’m afraid of feelings. I’m afraid that they will overwhelm me, drown me, and I’ll have to do something about it. And what is left to do? I’ve done various stages of medication, and now no medication, and therapy and blah blah blah blah. I’m worried that it’s my environment that makes me sad.

I’m really disconnected from community. I haven’t liked to admit that, because it makes me feel like I’m dismissing or insulting the friends and family I do have, but at the end of the day, I’m very isolated. Sometimes it feels like days go by and I haven’t had a real conversation with anyone except Chris. I certainly haven’t done anything with anyone except Chris, because the friends I do have are not close by. Sometimes it really feels like I’m just standing on the edge of a cliff, shouting into the void. I’ve kind of felt that way my whole life, always trying to hear the echo.

Now, at night, I’ll have trouble sleeping because of an aching hollow in my chest. It’s the feeling of loneliness the medication has numbed for a long time, and I’m really scared that I’m feeling it again, and it’s scary that it’s never really left. I don’t know what to do. I don’t know what to ask from people. I’m trying to do things differently, create a different social structure for myself. I’m going to church now for god’s sake, but in a lot of ways, it brings up so much anxiety and fear, it makes the ache worse.

I don’t know what I need to make this ache go away, because what if it can’t go away? What if this is just normal for me, and I should just ignore it and focus on the positives? What if this is just what being medication-free is, and it’s the trade I make to not have side effects? How much pain is too much pain?

Location, Location, Location

Broken glass, pins, nails…these are the items that litter my dreams at night. They start growing from beneath my skin, they fill my ears, eyes, and nose, and they coat me like a suit of armor. When I told my spiritual director that these are the sorts of reoccurring dreams I have frequently, she looked taken aback. She asked if I had ever seen a Jungian therapist, or one who specialized in dream interpretation. Um, nope. That sounds…odd. Her concern did prompt me to start researching dreams, though. They are symbols of the subconscious. If something is bothering a person, it will eventually emerge in their dreams. There’s no escape.

That all makes sense to me. It’s how I know that I’m still not over my fears about witches, demons, and the trauma inflicted by charismatic, evil-obsessed spirituality. In my dreams, I’ll frequently get attacked by a witch or start getting possessed, and the language I learned from the old days comes spilling out, in an attempt to fight. It never works.

I can do work when I’m awake to try and decipher the dreams, to deal with what understanding I can glean from them, but while I’m in the dream, I feel powerless. I started looking into how dreams could be controlled, and “lucid dreaming” came up. It’s when you know you’re in a dream and gain a heightened sense of awareness and control. You can effectively create objects, conjure specific people, and perform actions from thin air, just like you would if you were awake and writing a story. This time, though, you’re living the story within the dream world.

I read “A Field Guide To Lucid Dreaming,” and learned that I mostly dream in the second tier of dreaming: I know I’m dreaming, but I have very limited control. In nearly every dream I have, I know it isn’t real, but I can’t do the things I want to, like fly or make nightmares go away. In order to get more lucid and improve my control, I’ve had to start keeping a dream journal again. It’s an overwhelming process, because I remember my dreams in great detail, and I dream pretty much every time I go to sleep. If I take a nap during the day, I’ll dream, so that’s two dreams per 24-hour period.

I’ve written down about ten dreams since I started my new dream journal, and I have dozens of dreams written down from a few years back. In going through them, there are patterns that emerge. The first one I’m going to take a look at is where the dreams are set. One of the most frequent locales? High school.

High school was really hard. Making friends was like trying to tame a wild animal, when the roles of wild animal and human switch frequently. The strict adherence to conservative evangelicalism and policing of thought ground me down to an angry, throbbing pencil nub that felt like it couldn’t be useful anywhere else. I loved a boy who couldn’t love me back the way I needed, and when he left me, I realized I had poured all my energy into that relationship and I had nothing left for healing. Depression hit hard and the medication trials hit harder, so both my mind and body were exhausted.

It’s been so many years since that time and I tell myself I’m over it, but when I go to sleep, I’m back in those hallways, and things are a little bit stranger. My uniform shrinks and grows, transforming its shape, so I can’t focus on anything else. I get lost and panicked that I’ll be late for class. I try taking a math test, only to suddenly collapse with blurred vision while the teacher remains uninterested and unconcerned in what’s happening. I get into fights with classmates from my past, screaming at them, but their faces are blank and they move like shadows past me.

In those dreams, I feel a handful of emotions depending on what’s going on, plot-wise, but there are trends: abandoned, voiceless, trapped, neglected, alone. These are all feelings I had in high school, and they all came to a peak when I was so depressed, I wasn’t going to school. I don’t even know how many days I missed. During that time, I don’t recall maybe more than one person reaching out and asking if I was okay. Some would ask my brother if I was coming to school when he showed up alone in the morning, but eventually, after getting the same answer every time, they just stopped asking. If I had gotten mono or something other longer physical illness, I might have gotten get-well cards, or flowers, or a visitor or two. For depression, dead silence.  

On the rare occasion when I was in at school, I was so lifeless, I just fell asleep during class. I couldn’t fight it; I had no energy for fighting. Someone trying to keep me awake wouldn’t have been helpful, but I can’t even imagine what a pat on the back or squeeze of the hand from a girl sitting next to me would have done for my motivation to keep trying to live. It felt like people were just watching me slowly die. I have no idea what they thought of it. Pity, probably.

The dreams I keep having tell me I’m not fully-healed from the feelings of abandonment and neglect high school spawned. Those emotions are a refrain in a song that will play in my head whenever my soul aligns a current experience with the past, and they send me right back in time. All the years of learning and maturity and recovery crumble, and it’s like I never left that building.

I’m not quite sure what to do about it. Well, that’s not true. My spiritual director recommends writing letters to myself as if I was back in the moment of trauma. I would be sending my own get-well cards into the past. That sounds like a good enough plan as any, especially since I’m a writer, it’s my strongest love language, but it’s also kind of scary. It seems so emotionally overwhelming and painful, like tearing the scab off a wound that never really healed. This is the year of wild emotions, though, so I have to start somewhere.

Day Eight On 75mg

Oh boy, has this been a rough week. I don’t even want to reflect on it. Let’s just say it’s taken every ounce of will power to not explode like a balloon of puke and pain.

It’s every day. Pretty much all day in varying degrees. Again, mornings are the worst. I dread them so much, especially since I wake up feeling great. Then I have to take my pill, eat something, drink my ginger tea, and wait for the nausea and crushing head pain to start. It always does, and then I lie down in a fetal position for a few hours until it passes and I can start writing.

A few hours more and then the head pain gets really bad again. I think of it as a giant fist trying to open inside my head, but there isn’t enough room, so it’s squeezing against the inside of my skull. Tylenol doesn’t really do anything about that kind of pressure.

Haven’t been able to focus on anything for very long. Haven’t touched my book this week. Barely cleaned or cooked or exercised. Barely think in complete sentences.

Down to 75mg of Effexor

Well, I finally went down to one pill a day. I was happy about it, but also not so happy, because I knew I was willingly returning to withdrawal symptoms. They started pretty much right away that first day – a crushing, squeezing pain at the back of my head, headaches, joint pain, irritability, fatigue. It’s the fourth day now on 75mg, and I pretty much know that I’m going to be nauseated in the morning, so I head it off with ginger tea and lying down with my eyes closed until the wave passes.

The rest of the days haven’t been too bad. I even made dinner on Monday and key lime pie bars yesterday. They’re pretty much the only thing I want to eat. Well, that and ramen noodles. So I’ve mostly been eating that. Based on how I feel in the evenings, Chris is going to need to be taking of dinners this week.

I got a new job writing articles for a lifestyle magazine with a human rights focus. It pays really well and it’s right up my alley. This week, I’m doing human rights movies, LGBT movies, and human rights books published in 2018.  I don’t have linking info on the magazine yet, hopefully I’ll find that out soon.

Aaand that’s all I have the energy to do right now. Here are some pictures.

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Key lime pie bar, but with orange zest added, and orange juice+lemon juice instead of lime juice

Going Into Week 4 On 150mg

This past week (the 3rd week) was the hardest I’ve had on the lower dose of Effexor. The first half was especially rough beginning on Wednesday the 29th. The nausea in the morning was so bad I couldn’t move, just lie on the floor. My eyes felt glued shut, like my body was forcing them to stay closed to survive. I started worrying that I might be pregnant, but that was an irrational fear that I refused to entertain. The nausea returned for a few more mornings, though it I headed it off by having a cup of ginger tea right away in the morning with breakfast. It helped, and I haven’t had nausea for the past few days.

I started to feel emotional symptoms, too. On Thursday, I cried in the morning about a dream and listened to “Gravity” by Sara Bareilles. The day got better after I Facetimed with my friend while her daughter took a nap. She’s the one who gave me the succulent in the photo above.

Those were the two things of note this past week. I experienced a lot of frustration and confusion about why the symptoms seemed to be getting worse, not better, but from what I’ve read online, that can happen. It’s all just part of the body adjusting. I’ve also been having a little nighttime anxiety about finances and not having nearly as much work as I would like. I’m looking for new gigs every day, but payments are low and a lot of the work isn’t relevant to my specialties. My plan is to work on what I have as efficiently as I can and then use the spare time to hunt for jobs,  work on short stories to submit to publications, and of course, work on my novel.

I’m planning on sticking to the two pills a day until September 12 and seeing how I feel.

Going Into Week 3

Tomorrow, I will have just ended two weeks on a lower dose of Effexor, and my patience is thinning. Looking at the positives is important – I only have to take Tylenol about once a day and I haven’t been throwing up in the mornings anymore. This weekend, I was at a social event for 4 1/2 hours and didn’t pass out or feel the need to bite anyone’s head off. Progress!

This week is also significantly cooler, I can actually feel some lacy edges of autumn in the breeze, and that really improves my mood. I’m still sleeping a lot and don’t have much of an appetite. Whenever I feel the tiniest bit of motivation for work, I try to churn out as much as possible, because after an hour, I want nothing to do with writing or thinking of any kind. Today, I have done some very half-hearted research for a new cookbook introduction and then fell asleep on the couch for two hours.

As for daily chores like cleaning and cooking, don’t even. I’ve made exactly two dishes these past two weeks – nectarine shortcakes and a salsa, which I’ve turned into nachos for my breakfast and dinner the past two days. I’m also very into this new peach tea I got from Plum Deluxe, an Oregon-based loose tea company. They have a vanilla latte black tea I want to get once it gets colder.

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The withdrawal could be much worse. From reading online, some people experience horrendous symptoms after going down 75 milligrams. I am a little frustrated with my doctor for not talking about the withdrawal. If I hadn’t known about it and done my own research, I would have had no idea what to expect and been a lot more emotional. That seems to be the experience of a lot of people wanting to taper down.

My goals this week are to eat more vegetables, continue eating very little sugar, and get more exercise.

 

 

First Week On A Lower Effexor Dose

I just finished my first week on 150 grams of Effexor instead of 225 grams. How did it go? It was a mixed bag.

Day 1

To ease myself in, I took half a pill in the afternoon and the other half at night. Withdrawal symptoms included lightheadedness and irritability. I couldn’t sleep that night and experienced surges of anxiety about nothing. I felt really twitchy and when I did get to sleep, I kept walking up.

Day 2

Despite a rough night, I woke up feeling pretty good. Ate leftover pasta for breakfast, took my pill, and wrote. I started to feel more tired than usual, so I took a nap. I usually try to nap about two hours after waking up. If I can’t fall asleep, I just don’t take a nap that day. Today, I fell asleep pretty much right away. Had some fatigue the rest of the day and found it difficult to focus on anything.

Day 3

SO MUCH FATIGUE. Felt like a zombie all day, took forever to write just a few hundred words. I’m supposed to exercise to combat the withdrawal, so I managed to clomp about a mile with the dog. That night I had a lot of muscle and joint pain, especially in my head and neck.

Day 4

Nausea strikes! I threw up in the morning and lay on the couch. I drank a lot of water. Couldn’t figure out what to eat. Didn’t feel like eating at all the rest of the day, but I made myself.

Day 5

Saturday! Beach day! Yoshi was super obnoxious on the drive and I felt my patience wearing thinner than usual. Started getting headache and experiencing nausea. Couldn’t really focus, so I just sat on the beach and didn’t think about anything. Took a short nap and walked with Yoshi for a little bit.

Day 6

That’s today. I threw up again and I can feel a headache coming on just above my right eye, like a spreading sunspot. Thinking about going back to bed after I finish this blog. I wrote two work things already, so it wasn’t an unproductive morning. Going to see a movie this afternoon.

OVERALL THOUGHTS: Withdrawal wasn’t too bad this week. I don’t like the fatigue part, because that makes working out SO DIFFICULT. Even just walking feels like my limbs are full of sandbags. Nausea is my least favorite symptom. I haven’t had any weird emotional symptoms yet besides some anxiety, racing thoughts, etc, at night. No weeping spells, which is good. This next week I’m sticking to my current 150g; I don’t want to taper down more until the withdrawal symptoms are completely gone.

What I’ll do differently: I’ve noticed that I’m really sensitive to sugar right now. As in, I’ll have one sugary thing and immediately start getting a headache. Will be avoiding sugar this week. Also making it a goal to get more exercise. Luckily it looks like it will be a cooler week.

Why I’m Phasing Out My Antidepressants

So, I’m finally going to do it. I’m going to talk to my doctor about tapering down my medication. I’ve been on one antidepressant or another for 11 years. For the last five or so, I’ve been on 225 grams of Effexor. It’s time to taper them down.

Why? For one, I’m just tired of having to take a pill three times a day. 225 grams is also a really high dose, and I don’t need it. I’m not in a stressful environment, I have a strong support system, and I’m an expert at self-care. Also, while Effexor doesn’t have obvious side effects like headaches or brain zaps, I do believe it has a numbing effect on my emotions and sexual drive. I’m trying to connect to my emotions more since I’ve been seeing my spiritual director, and I just feel like the medication is blocking some channels.

I’ve been reading Lost Connections by Johann Hari and it’s blowing my mind. I had no idea how relatively ineffective antidepressants are when it comes to treating depression and anxiety. I’m not saying they’re worthless, they’re just not as effective as Big Pharma would have us believe, and there are other treatments that could be as effective or more effective that aren’t getting researched. It was also really troubling to learn that pharmaceutical companies aren’t required to release all the information they have on their pills, so they only release the most positive. The studies are also known to frequently be biased and funded by the company itself. I feel like I shouldn’t be so surprised. Money drives everything and pharmaceutical companies stand to make billions by hawking their drugs.

It’s time for me to taper down or stop the medication completely. I’m much less worried than I was before, because now I’m not sure how much the drug by itself is responsible for my better mental health. I think back to the worst depression relapses and they all happened in really chaotic times : being in, then ending an emotionally-draining relationship/feeling isolated at a high school where I didn’t fit in/being at a college where I didn’t fit in with very few friends/engaging in a really destructive spiritual environment/switching to a radically-different college/unearthing childhood trauma. Of course I reacted the way I did and a pill wasn’t going to fix everything, even as my doctor raised the dose. Now, I don’t anticipate having the kind of relapses I did before because my environment is so different. My worst fear was going off medication and just completely shattering. That’s not going to happen, because that’s just not how my mind works. The withdrawal won’t be fun, those symptoms usually resemble depression relapses, but once those are over, I don’t see myself emotionally-teleporting back to my 19-year old self.

I’m not saying that I wish I had never started taking antidepressants or that they’re always bad in every case. However, I’m starting to grasp more fully just how little we actually know about depression and anxiety. We’ve been fed this line about how it’s a brain imbalance and if we get the balance of chemicals right, we’ll be fine, but if that was the case, so many people wouldn’t still be depressed. Focusing so much on the biological aspect of depression and anxiety ignores the effect of our environment, social lives, family, work, etc. It’s been weird to read Lost Connections and experience so many “duh” moments simultaneously with “whaaat” moments.

I see my doctor next week. I have no idea what she’s going to say (this is also my first time seeing her, so she might not be as gung-ho about tapering down as I am), but I’m going to stand my ground. I know me better than anyone, I know that it’s time. I’m basically just asking her to write a new prescription if necessary and what kind of reduction schedule I need to follow to prevent withdrawal as much as possible. It will be really nice to not have to set so many alarms and always carry pill supplies around everywhere.

 

Caught in Tangles

So, I set fires of starlight
To burn up against the despair
I was caught in the tangles of midnight’s
Long, unanswered prayer:
‘Are you there?’

Matthew Perryman Jones/”O Theo” 

In the past, self-reflection was my thing. I spent most of life facing inward. While it meant I was lonely a lot, I knew myself really well. I always knew where I stood with God, how I felt about Him. That’s changed.

Self-reflection gets exhausting. After years and years, I’ve sort of given up. Being self-aware and monitoring my feelings used to be necessary for survival, but now that I’m in a good place with my mental health, it isn’t a necessity. I prefer to fill my mind’s space with work, writing, art, movies, TV…anything but thinking about God and where I stand. Why? I think I’m scared of what I’ll learn. After giving up on our small group, I kind of gave up on believing I’ll belong somewhere spiritually. For the group, I forced myself to fit in as much as I could, but it felt incredibly fake. Talking about the Bible or praying was phony. Questions like, “What motivates you to read the Bible?” felt stupid when an honest answer for me would be, “Nothing does. So I don’t.” The idea of going to church still makes me want to run away screaming.

So, why am I googling spiritual directors? Why am I looking for songs on Good Friday that stir something – anything – inside me? Something feels off. I can’t say that I feel “a God-shaped hole,” because, again, that has a fake taste. It’s too cliche. I feel like a picture that’s off-center, or a floor with a slight slope in the middle. It’s Good Friday, and it isn’t like I feel guilty, or that I “should” feel something. It’s more like when you touch a hot stove and don’t feel anything, you know something is wrong. It isn’t guilt that takes you to the doctor, it’s necessity.

I just have a lot of questions, and I need someone to help me answer them.