Chronic Depression and COVID-19

I have had diagnosed depression for the last 26 years. I can barely remember a time when I didn’t have it. Honestly, I probably was depressed since birth. It is just how my brain is wired. I have always been a chronic pessimist, seeing the glass fully empty. I was the one who knew I wasn’t invincible and expected bad things to happen to me. I would stare at happy people and wonder why I wasn’t circuited that way. And then as I aged, I just accepted that I was never ever going to have a sunny disposition.

In the beginning, my depression started out with episodes of major depressive disorder. As a teen I had MDD because we moved to a different state right before high school. Then came the stress of completing my senior year in high school followed by beating myself up over a poor semester in college.

Then it morphed. It became postpartum depression bringing anxiety, a new friend, into the mix. At some point it changed to dysthymia with episodic MDD. Then, it metamorphosed into cyclical depression last year becoming difficult to treat and adding several bipolar disorder medications to my regime.

I was somewhat stable, let’s say status quo, and then COVID-19 hit, the global pandemic that has made us all feel like we’re living in an episode of the Twilight Zone.

At first it was my anxiety disorder that took possession of my body. I was worried that I would obtain this novel virus. This was enhanced by my daughter’s anxiety that had her thinking we were all going to contract and die from this coronavirus. It kept me awake as I could not shut my brain off even with 100mg of Trazodone, 100mg of Lamictal and 300mg of Gabapentin.

Then on April 1st anxiety departed and my chronic depression stood center stage. In the cruelest April Fool’s Day prank, I was laid off, except this was no joke. After I got off the phone with my boss, I told my husband I was going on a long walk. I was upset, crying (which is rare for me) and needed to clear my head. I wound my way through many local streets and the educational park. I couldn’t understand why. Yes, I knew on a large scale this was happening everywhere. I knew my company laid off 70% of their workforce and shut business down for who knows how long.

It was the smaller scale ‘Why me?!’ that was driving me into the dark abyss. There were four of us in the department who did the same thing. Two of us were let go. Why didn’t I make the cut?! I understood why one of the people in my department stayed but I couldn’t understand why the other one was there and I wasn’t. I had excellent reviews, my projects hadn’t been shut down yet, and I was not the last one hired. My husband explained to me that it was probably due to salary and I most likely was making more so to save the company money, I had to go.

But I couldn’t let go of this. It gnawed at my brain. The negative thoughts repeated themselves over and over again:

“You’re useless!”

“You’re worthless!”

“You sucked at your job! Why would they ever keep you?!”

“You’re not needed!”

“You couldn’t hold on to your job. Are you stupid?”

The guilt and self-loathing are the worst. I now feel as if I am not contributing anything to the family anymore. My income was almost equal to my husband’s. In my head we are now going to lose all our savings, including the savings we created for emergencies, you know like for a global pandemic! I just never thought we would have to actually use it. I have applied for unemployment and miraculously have not had to wait long as others have.

But the guilt is still there. I have self harmed several times since April 1st because I feel I deserve the pain. The loathing got worse when my coworker texted me for some information regarding one of my projects (the one who was hired after me). That day I had strong suicidal ideations. If I had a plan, who knows what I would’ve done. Luckily, I did not act on them and virtually met with my psychiatrist the next day and my therapist the day after.

It scares me. It scares me to not have anything to ‘do’. I’m petrified of how my thoughts may worsen. I thought my depression that lasted all of 2019 was bad, but this, this has gotten worse and in such a short amount of time.

I try to avoid my former coworkers because I am afraid of how this may trigger me. This is hard to do sometimes as my boss calls me weekly to ‘check in’. Check in on what? How sucky my life is right now? He called last Friday right after I found out that my uncle passed away due to COVID-19. Talk about triggers. I was done. I seriously did not know how I was going to survive anymore pondering the question ‘What else could go wrong?!’. Because, you know, I cannot view anything as a positive.

Both my psychiatrist and therapist suggested I create a schedule that way I am not dwelling on the negative thoughts. I am working on several of them now: One for rainy weekdays, one for sunny weekdays and one for weekends. I logically know this will help me. When I have things to do I can easily get out of my head. My negative thoughts do not stay away all day. They flutter in and out like a butterfly seeking just the right nectar. For the most part though I can tell them, my Inner Bitch, to shut up.

I am not really sure what the next few weeks or months will bring. I am sure I will be riding this rollercoaster for awhile, with a few contently lucid climbs, many spiraling downfalls and some corkscrews constantly circling my brain.

I just have to hold on for the ride and not let go.

Mental Health Monday: My Hospital Roommate

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The first time I was hospitalized for mental illness I had two roommates. The first, child-like but middle aged, I would see years later in the same ward. It is the second roommate I had that comes to my mind right now. Unfortunately I do not remember her name as it was over a decade ago (almost 13 years in fact) but she is now making a vivid appearance in my mind.

At the time she was roughly the age I am now, hovering around 40. She had long wavy dark brown hair and glasses. What I used to remember about her was the fact that her sleep movements were monitored. She walked with a cane for reasons unknown to me and because of it every night the nurses would wrap some band-like contraption around her waist. It was for her own safety, physical safety that is. Mental safety would come later. If she fell out of bed, honestly if she moved at all, this alarm would go off.

I remember it waking me up several evenings. The lights would expeditiously fly on with nurses racing through the door. Sure it annoyed me at first, but I was so drugged up I usually fell asleep again rather quickly among the commotion.

But I absorbed a lot more of her than I realized at the time. An abundant amount that lay dormant until now. I am now becoming her.

Like myself, she was one point of a triangle family along with her husband and child as the others. In her case a 15-year-old son, in my case an almost 13-year-old daughter. A triangle, the strongest shape you learn in geometry (and structures if studying architecture). But, what if one of those points fails? What happens to the others?

This roommate’s husband and son visited her almost daily. She had told me that she has been in and out of psychiatric wards for years, since her son was a preschooler. I remember feeling compassion for her… and pity. I couldn’t believe that she constantly put her husband and son through that over and over again.

Oh karma! What goes around comes around. I understand this perfectly.

While I didn’t know it at the time, she was my future. We, her and I, are the same. Although I have only been hospitalized twice for mental illness, I have been battling and fighting this war for years with my husband and daughter in the middle of the combat zone strategically avoiding the rapid open fire.

Like my roommate’s husband and son, I know my husband and daughter love me. They continuously comfort me in their own weird ways. But I wonder… When will they break? When will they say they can’t handle me anymore? When will I become too much of a burden?

For now I think about this woman, taking in what she had and hoping she still has it as she is my equivalent. She is me, I am her. We are the same, yet different. Both struggling internally on an infinite loop while being extremely grateful for those we have and hope to keep.

They Should’ve Warned Me… The PMAD Addition

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I recently read a blog post (written in 2015/revised in 2017) by Jenny Studenroth Gerson on the Huffpost which left me slightly angry and annoyed. Actually, ‘slightly’ is an understatement. I was pissed. In the post, They Should’ve Warned Me, Jenny explains that throughout her pregnancy, she was told to “sleep while you can”, “enjoy your husband now”, and “You’ll never have time to shower.”

Then she proceeds to explain how ‘they should’ve warned her’ about the immense love she would have the second her child was born. About how crying is happy thing. About how you would love your husband so much more. About how eating healthy would create enough milk to nourish your child. About how even being extremely exhausted, waking up in the middle of the night to take care of your child is so rewarding. About how the little cries and screams wouldn’t piss you off but make you feel like a rock star… and so on and so on.

As someone who suffered from two PMADs (Perinatal Mood & Anxiety Disorder), I was angry after reading this. First off, you do not need a ‘warning’ about loving your child. Everything she lists in this post are happy things (and frankly I can’t buy that all of them are true). Who needs a warning that you are going to cry at your child’s birth because you are happy?! Really?! With all this anger, I decided I needed to counteract this post with one of my own that deserves the word ‘warned’ in the title:

They Should’ve Warned Me: The PMAD Addition

12 years ago, I suffered. I suffered first from severe postpartum anxiety that slowly morphed into severe postpartum depression. This is what ‘they’, whoever ‘they’ are, should’ve warned me and, in turn, you about:

  • They should’ve warned me that my anxiety would start right after birth. That I would constantly worry if my daughter was getting enough colostrum. That I would have anxiety attacks in those first few hours in the hospital about why after 2-3 hours she wasn’t brought to me for a feeding.
  • They should’ve warned me that the anxiety would only grow as I had to identify the color of her poop. Is it green? Is it mustard in color? Is it brown?
  • They should’ve warned me that breastfeeding is hard work and sometimes it is not the right answer to feeding your child and that that is okay. Why is she falling asleep on my boob after 5 minutes? Is she eating enough? Oh God, what’s wrong with her?!
  • They should’ve warned me that although crying is normal, keep an eye on it, it could develop into something more than Baby Blues. I cried from day one. Sure it started out being 3-4 times a day but it slowly grew in excess of six times a day.
  • They should’ve warned me that sleep is important and to push for it. Yeah, I get it, you’re not going to sleep much when you have a newborn, but if you have a prior mental health condition (such as myself with depression) then those around you should know the importance sleep plays in your life and allow you to rest for a few hours.
  • They should’ve warned me that my anxiety would worsen that no matter what I tried to eat, it wouldn’t stay down. That vomiting would become my new way of life. That Ensure won’t cure it all and that the smell of chicken cooking would have me running to the bathroom.
  • They should’ve warned me about how my love for my infant would grow into hatred. That with each shriek, I would want to pull out my hair or bang my head against the wall.
  • They should’ve warned me that I would become hysterical enough to make plans to run away, that my husband and daughter would be better off without me. That the whole world would be better off without me.
  • They should’ve warned me that I would scare my family and friends with my hysterics.
  • They should’ve warned me that I would see myself as useless, unworthy and undeserving of love.
  • They should’ve warned me that all this would occur in the first month postpartum and would culminate into admitting myself into short-term psych.
  • They should’ve warned me I would have to be inpatient for 12 days.
  • They should’ve warned me that I would go through many therapy & psychiatry appointments after my stay.
  • They should’ve warned me that I would go through multiple medication changes that first year to find just the right combination.
  • They should’ve warned me that it would be a few months before I loved my child again.

And…

  • They should’ve warned me that it would be a year before I would smile for real.

PMADs deserve warnings. The things Jenny Studenroth Gerson mentions in her article do not. It took me to one year postpartum to feel like myself again. To fully embrace my daughter with infinite love. To know my life is the way it was meant to be. For some women it is longer. Although most women will not be affected by a PMAD, there is a high percentage that are. About 1 in 5 women will experience postpartum depression. That’s just one PMAD. Let’s not forget about postpartum anxiety, postpartum OCD, postpartum PTSD, and postpartum psychosis. These are things to be warned about.

If I could tell Jenny Studenroth Gerson one thing it would be:

Research your definition of ‘warn’. Most women understand and have the immense love for their partner and child at birth. Most women will successfully breastfeed. Most women will cry tears of joy when their baby coos or cries. But you need to realize that over 20% of the postpartum population will not feel that. They will not see these items as warnings (and they didn’t, I took to my Warrior Mom community with this one). Some will find your article cruel, like if they didn’t feel what you did, they weren’t as loving as a mother as you are. And, if they read this while going through a PMAD, it would just make them feel worse. I understand you enjoyed your postpartum stage (and around 80% of mothers will) but please show compassion for the rest of us.

If you are someone you know is suffering from a PMAD (Perinatal Mood and Anxiety Disorder) resources can be found at the sites below:
The Bloom Foundation for Maternal Wellness
Postpartum Support International
2020 Mom
If you know a mother or are a mother considering suicide, please call the National Suicide Prevention Hotline at
1-800-273-8255
or text 741741

The Sun Will Shine… Poetry

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The Sun Will Shine

Rocking chair moves, dark room,
Blank stare, melancholy doom,
Holding babe, lanky arms,
Tear falling, first do no harm,
Rock forth, rock back,
Losing grip, feeling slack,
Beautiful girl, pudgy cheeks,
Trying to hold close, feeling so weak,
Told you’ll be okay, trying to believe,
Closing your eyes, just feeling grief,
Slipping fingers, baby girl falling,
Quickly catching her, still bawling,
Fixated spot, empty wall,
A big void, emotional overhaul,
Losing the battle, giving up,
Hating the child, yet still in love,
Months gone, still feel alone,
Trying to fane happiness, trying to feel whole,
Body raped, pill after pill,
Combinations played, climbing that hill,
Happy eyes stare, filled of ocean blue,
Trying to love, holding and hugging you,
Dormant smiles, buried deep,
Hiding my pain, inside I weep,
Hour glass runs out, flipped once again,
Feeling less zombie, gaining control of my head,
Hearing you laugh, seeing you crawl,
Suddenly amazed, Inhaling it all,
The sun is shining,” I say holding you,
Let’s go out and observe,” just us two,
We both stare in awe, you at the sky,
Me taking deep breaths, pushing your first year to the side,
The rocking chair still sits, alone and bare,
Room still darkens, my mind is not there,
Now cradling you, swaying side to side,
I’ll never leave you, my baby girl, my pride.
– Stephanie Paige, 2016
This poem was originally published on PostpartumProgress.com as a guest post. It can be found here: http://www.postpartumprogress.com/sun-will-shine-poem-postpartum-depression
I have to say, I love to write poetry and have since I was a preteen, my daughter’s age. The odd thing about this poem is it rhymes.  I usually never rhyme in my poetry.  I also have to admit, that my best poetry occurs when I am struggling with depression. Since I am on that roller coaster ride once again, I have been writing a lot of poetry lately and expect to share more in upcoming posts.

Living With Someone Who Is Mentally Ill: Interview with My Daughter

My daughter has seen it all. From her oceanic blue eyes in her cherub baby face to now, almost 12 years later. She is a remarkable child who has not only witnessed her mother’s hysterics (& panic attacks, drastic weight loss and days of not getting out of bed) but also her own diagnosis of Generalized Anxiety Disorder. My daughter, given the name Sophia Faye at birth, is the epitome of the meaning… “Wise Fairy”. Sophia is an old soul and understands so much for such a young person. Many words can be used to describe her but at the top of the list are definitely compassionate, empathetic, caring and loving. There are days I may miss her little toddling body and cheeky grins but I love watching her blossom into the amazing young lady she is today.

When I decided to do this interview series, I knew I had to interview her. I have not hid much from her. In fact 3 years ago I was so foregone I couldn’t. She learned about suicide at the tender age of 8 and questioned me often about it. She knows I grew to hate her as a newborn. I’ve always explained things to her in an age appropriate manner and often worried about her reactions but she has always listened, digested and never ever judged. I am amazed by her and couldn’t of asked for a better child.

Sophia’s Interview

Lounging in her preteen abode full of textured pillows and dozens of Stitch stuffed animals early in the evening, we both relaxed on her bed. There were many giggles beforehand as she pictured this interview as a video recording and not just a vocal recording. She was a little nervous, as was I, and we both tend to laugh a lot when we are nervous:

Me: How did you feel when I told you I grew to hate you when you were a baby?

Sophia: Fine.

Me: How come you were okay with it?

Sophia: Because I knew you didn’t mean it.

Concerning 3 years ago

Me: What did you feel and think when I left the house 3 years ago to stay with Bubbe & Grandpa (my parents) because Tyler (former foster son) was triggering me?

Sophia: I don’t remember that.

Me: It was only 3 years ago!

Sophia: Didn’t I come with you?

Me: You did.

Sophia: It was when he left?

Me: Yes.

Sophia: Oh, I mean, I was… I didn’t even notice anything was wrong with you. Like, I… I don’t really know. I felt fine because I didn’t know you were triggered.

Me: I left the house because I couldn’t stay there.

Sophia: But wasn’t I there too?

Me: I don’t think you came the first night.

Sophia: Oh. I don’t remember. I’m getting old!

Me (after rolling my eyes at that last statement): How did you feel when I admitted myself into the hospital?

Sophia: Scared.

Me: Did you know why I was there?

Sophia: No, I’m not sure. No.

Me: What did you think when you couldn’t visit me in the hospital and had to stay in the cafeteria with Grandpa?

Sophia: I wasn’t happy about it. I mean, I wanted to see you.

Me: You weren’t allowed to see me because they were worried about what the other people might say to you, what you might see.

Sophia: Oh, okay.

Me: Were you scared when I was released from the hospital?

Sophia: No, because I was happy you were going to leave and come home.

Me: You’ve been protecting me since the hospital stay. How come?

Sophia: Because I don’t want you to go back to the hospital.

GAD, PPD, Depression, & Suicide

Me: Do you blame me for your Generalized Anxiety Disorder and it is okay if you do?

Sophia: No.

Me: Do you blame anyone for it?

Sophia: No. Why would I?

Me: Do you wish you were ‘normal’?

Sophia: Sometimes.

Me: If you didn’t worry about the things you worry about?

Sophia: Sometimes, because sometimes it is good to worry.

Me: Do you fear you’ll have Postpartum Depression and Anxiety because I had it?

Sophia: Sometimes.

Me: Do you worry or fear you’ll have a Depressive Disorder because I have one?

Sophia: I don’t usually think about it. I guess, but that is only when I think about it.

Me: Do you know when I was first diagnosed (with Depression)?

Sophia: You were 14.

Me: And how old are you?

Sophia: I am 11.

Me: So you are close to that age.

Sophia: Yeah.

Me: That’s why I watch you a lot.

Sophia: That’s not creepy.

Me: Not in that sense Sophia. I’m not stalking you… Are you worried I will commit suicide?

Sophia: Very much.

Me: How come?

Sophia: You told me how you took that can cutter thing (a case cutter) and almost cut your hand off (almost slit my wrist).

Me: I was 18 then.

Sophia: So?

Me: That was 20 years ago.

Sophia: You also said that if you go off of medicine you’re probably going to want to commit suicide the next time you have an episode (of Major Depressive Disorder).

Me: Are you worried I will hurt myself?

Sophia: Yeah.

Me: Do you think there will be a next time?

Sophia: Yes, just because of events that can happen in the future.

Me: Like what?

Sophia: Like Bubbe & Grandpa dying or like the kitties dying and stuff.

Me: Do you think because of what I have been through that I am too overprotective with you about Mental Illness?

Sophia: Sometimes. There is no reason you should be.

Me: Do you understand why I am?

Sophia: Yeah. Because you don’t want me to get Depression and stuff.

Stigma & Advocacy

Me: What have I told you about stigma?

Sophia: What does stigma mean again?

Me: Hard to define but how people think the Mentally Ill are a danger to our society, that you should be hush-hush about it because people may not hire you, people may not want to be your friend, people don’t believe it is real.

Sophia: You’ve told me.

Me: And what do you think about that?

Sophia: I mean if that’s what they think, that’s what they think.

Me: Because you know that one of your grandparents thinks that way.

Sophia: Well, yeah, but…

Me: How do you feel knowing that you have Generalized Anxiety Disorder and you have a grandparent that doesn’t believe it exists?

Sophia: Well, that’s what he can think.

Me: Do you understand why I advocate for this?

Sophia: What does that mean, advocate?

Me: Why I share my story. Why I try to teach others.

Sophia: Yes.

Me: Do you see yourself doing that?

Sophia: I don’t know.

Thoughts on Me, Her Mom

Me: Do you think I am a bad mother?

Sophia: No. Not at all. Why would I think you were?

Me: Do you ever wish you had a mother that wasn’t like this?

Sophia: No.

Me: Did you ever think I was a bad mother?

Sophia: No.

Me: How do you characterize your mother?

Sophia: Worried, anxious, fun, caring, loving, sometimes depressed.

Me: Do you always related Mental Illness stuff to your mom?

Sophia: Like different things other than Postpartum?

Me: Well I have had Depression since I was 14. There have been others thrown in there.

Sophia: When I think of Depression I don’t think of you as ‘Oh, she’s depressed’, I think ‘she is still alive and she is strong’.

Me: You see me as strong and a fighter?

Sophia: Yeah.

Me: What traits do you hope you get from me or do you see you already have gotten?

Sophia: I want to get your determination and your strength and sometimes your empathy because a lot of times empathy is good and I want your mental strength.

Me: Any last comments on me, your mother?

Sophia: I love her.

Me: Would you want any other mother besides me?

Sophia: No.

Me: How much do you love me?

Sophia: To infinity and beyond!

I am truly grateful for this kid!

Living With Someone Who Is Mentally Ill: Interview with My Husband

I was approached by a friend of mine who offered up the suggestion on doing an interview series with family members on what their thoughts and feelings were concerning my Mental Illnesses.  I have to admit, I had been toying with this idea for a long time and at this request, felt it was the time to actually commit to the series.

Since it is May and Mental Health Awareness Month, I knew that I wanted to publish these now.  As much as we (those of us diagnosed) feel and think about when we are deep in the depths of Depression, Anxiety, Bipolar Disorder, Schizophrenia, Borderline Personality Disorder, etc., what do those close to us feel?  Do they feel as hopeless? Do they feel frustrated with us? Are they so angry they are wondering why they are with us?

I interviewed my husband this past weekend (my daughter and parents interviews will follow).  This is a man who has been with me for almost 22 years, since we were teenagers.  He has witnessed 5 out of my 6 episodes of Major Depressive Disorder.  He has been through my hospitalizations, my self-loathing, my hysterical thoughts.  And he stays.  A lot of what I asked him, I knew the answers to (I mean, hey, we’ve been together for over 2 decades!), but he did shock me with a few.

I present below my interview with my loving husband, Jimmy.

The Interview

Picture it, Master Bedroom, a late Saturday afternoon in May in New England.  I greet my husband and thank him for participating.  He nods.  He is not a wordy person which is shocking by some of his answers:

S. Paige:  What were your 1st thoughts and feelings after witnessing my episode of MDD in college where I slammed doors and pushed you out?

Jimmy:  I felt I had done something wrong to make you feel, like, the way you were feeling.

S. Paige:  Were you angry? Were you upset?

Jimmy: Defeated.

S. Paige:  What made you call my parents then?

Jimmy: I don’t remember doing that.  (He did in fact call my parents and filled them in on what was going on with me.  I received a phone call from my therapist that evening and then the campus psychologist the next day.)

Episode 4: Postpartum Depression & Anxiety

S. Paige: Okay, let’s go to something more recent. What did you think and feel when you got the phone call that I was at the hospital after Sophia was born (for severe postpartum depression & anxiety)?

Jimmy: … I don’t know.  I didn’t know what to think or feel.  I didn’t feel.

S. Paige: Were you worried? Were you wondering what the heck was wrong?

Jimmy: No.  I just thought that is what happened (after childbirth).  You had a hormone crash.  You had baby blues.  I didn’t realize you weren’t sleeping well.  I didn’t realize it was a thing.

S. Paige:  Did you realize I was vomiting all the time?

Jimmy:  No, I knew you were taking Ensure.

S. Paige:  Were you and I living in the same house at that time?!  You went to therapy with me.  You went to the psychiatrist with me.  You weren’t concerned at all?

Jimmy:  I don’t recall going to the therapist.

S. Paige:  This is proving to be a really valuable interview (sarcasm)

Jimmy:  I blocked these bad memories out.

S. Paige:  How were those 12 days when I was in short-term psych (I admitted myself exactly 1 month after our daughter was born)?

Jimmy:  Non stop.  I didn’t have time for, like, myself.  I was always visiting you or taking care of Sophia or with your parents or at work.  I had no time for me.

S. Paige:  Did that strain you?

Jimmy:  I’ll never eat at a KFC ever again.

S. Paige: (perplexed) Why? What does KFC have to do with this?

Jimmy:  Because that is where I would eat from the train station on the way to the hospital.  The KFC on North Street.  And I just can’t eat at a KFC ever again because I link the two together.

S. Paige: So it is a trigger?

Jimmy:  Yes.

S. Paige:  How were you able to continue with that schedule?

Jimmy:  Because I knew it would end eventually.  There was light at the end of the tunnel.  I know you didn’t see the light, but I could.

S. Paige:  I feel guilty for that (putting him in this position).  Do you know that?

Jimmy:  It’s what I am here for.  I’m the husband.

Episode 6: My 2nd Hospitalization / A Next Time?

S. Paige:  How did you feel when I went back to the hospital?

Jimmy:  I had gotten used to it.  It’s just like a part of you.  Every decade or so, you’re going to have to spend a couple of weeks in the hospital.  I don’t know.  I’ve just accepted it.

S. Paige:  Are you okay with that?

Jimmy:  Okay-ish.  I would rather you not have to do that.  But, it is part of who you are.  That every time some major event occurs in your life and for whatever reason you can’t adjust to the change it is always a possibility that you could end up in the hospital for a week or two.

S. Paige:  Do you worry about a next time?

Jimmy:  No.

S. Paige:  Do you think there will be a next time?

Jimmy:  Probably.

S. Paige:  Do you ever fear I won’t recover?

Jimmy:  Depends on your definition of recover.  So like hopped up on mega does of anti-psychotics for your life type never recover?

S. Paige:  Yes.

Jimmy:  Yeah, that’s a concern.

S. Paige:  What would you do?

Jimmy:  I don’t know.  I don’t want to think about it.

S. Paige:  Do you fear I will take my own life?

Jimmy:  No.

S. Paige:  How are you so sure?

Jimmy:  I… don’t know.  I’m not so sure, but I am pretty sure.

Stigma

S. Paige:  How did you feel about having your wife in the psych ward?  Did that seem normal to you?  Seem weird?  Did stigma play into it?

Jimmy:  No.  Because… its… its… maybe for the people of the older generation than us.  I might not tell them directly that my wife is a ‘nut job’ and she’s spent time in the psych ward but people our generation and younger are much more accepting of medication and therapy and needing inpatient stuff but I might not be as open to the older generation.

S. Paige:  Taking the older generation into account, how do you feel when your father says…

Jimmy: (cut me off) He’s an idiot.

S. Paige:  I didn’t even get the question out.

Jimmy:  It doesn’t matter.  But he’s my father and its not like I can say anything bad to him because he’s a Catholic father and because you haven’t grown up in a Catholic family you don’t know.

S. Paige:  No, I don’t know.  But you have a wife and daughter with Mental Illness diagnoses’.

Jimmy:  I’m not going to change him so I just accept the fact that he’s and idiot and ignore him as best as I can.

Our Daughter, Sophia

S. Paige:  As a parent, do you worry that she’ll be like me?

Jimmy:  I worry she is going to be like me.

S. Paige:  Why, what’s wrong with you?

Jimmy:  I’m an antisocial, geeky, anxiety riddled ‘nutto’.

S. Paige:  You do not have a disorder.  You have moments of anxiety.  She has one already.  With teenage years and hormones do you worry she’ll follow in my footsteps?

Jimmy:  No, you’re still alive and you’re 38.  She’ll make it through.  It’s part of who you are, it is part of who she is.  I wouldn’t want to change either of you two.

S. Paige:  Do you think because of what I went through, we’re better equipped to deal with Sophia if she does fall victim to depression?  I know we have definitely done better dealing with her anxiety.

Jimmy:  I just hope we’re not biased.

S. Paige: That concerns me.

Jimmy:  I mean you’re super biased towards never going on medication.

(FYI, I am medicated and fine with it)

S. Paige:  It’s not that I’m biased, it’s just…

Jimmy:  … like it’s a sign you’re headed down that slope.

S. Paige:  Yeah.

Jimmy:  And I’m just like yeah, whatever, if it makes the slope less steep than who cares?!

Changing Me

S. Paige:  Did you ever just want to ‘slap’ the anxiety and depression out of me?

Jimmy:  No.

S. Paige:  Do you wish I didn’t have either one?

Jimmy:  Interesting question.  It’s hard to answer.  Because it’s part of you and I love you.  But would not having it make you better or different?

S. Paige:  Do you think we would have had more children if I didn’t have anxiety & depression?

Jimmy: Yes.

S. Paige:  How do you feel overall with this (pointing to self)?

Jimmy:  It’s interesting.  What’s the point of living life if it isn’t interesting?!

S. Paige:  Why do you stay?  Times I’ve said go, leave me, take Sophia.  I’m a disaster, you deserve more.

Jimmy:  I need you.

 

And lastly…

 

S. Paige:  What would you say to a husband/father who was going through this with his wife or child for the first time?

Jimmy:  Persevere, because there is light at the end of the tunnel and it isn’t an oncoming train.  It is really the end of the tunnel.  It will get better.

When You Learn How Important Self-Advocacy Is

In the last twenty years, off and on, with my frenemies, Anxiety & Depression, I have learned quite a bit about living a life with Mental Illness. My first twelve years were in secret, keeping my mouth shut on anything relating to the words melancholy, empty, sad. I was told to hide, told that the stigma would ruin any chance of a career for me, would isolate me and make me feel even more lonely than I already did. I was ashamed that my differences made me plague-worthy. Who wants to be friends with a psycho?!

Eventually, I got fed up… or I should say, extremely deeply depressed. I couldn’t hide it anymore. My Postpartum Depression and Anxiety brought on my first step in becoming free of this stigma… I had to admit my illnesses to someone aside from my family. I had to tell my boss. I had no idea what would happen, if I would be let go for some stupid made up reason to hide the real dismissal of me being crazy. I had no other option though, I was hospitalized and in turn could not do the work I took home to do during my maternity leave.

I then started to tell some friends and upon seeing their genuine compassionate reactions, I realized not everyone believed the stigma behind having a Mental Illness diagnosis. It was from this point, about a decade ago, when I decided to screw the stigma and advocate.

Advocacy is defined as, “the act of pleading for, supporting, or recommending,” by dictonary.com. I dove right in, starting with Mental Illnesses that most were unaware existed, Postpartum Depression and Anxiety. I immersed myself joining up with a non-profit I found on Facebook one day. I bonded with fellow mothers who experienced similar events. Some of them proudly declared their stories while others still felt the need to hide. It was an amazing feeling to not feel alone.

By doing this I began to tell my story to anyone at any given moment. It didn’t matter if they never inquired about my illnesses. I wanted to get my story out there. I wanted to be a voice, a voice that was heard when many others were still so afraid to speak up. This was my main form of Advocacy. I told my stories and frankly couldn’t care less if someone responded negatively which was very rare. I rose up to the challenge of becoming a symbol of someone who could be successful and who lived with Mental Illnesses.

These last few years, I began to learn about Self Advocacy, the need to fight for my own care. This is not always easy to do especially when your own care involves a brain imbalance and what I like to call “thinking imperfections”. In the beginning, I even wondered who would trust me to create my own care plan… after all, that required someone with a healthy brain, not someone who was mentally ill. Now I don’t care. Majority of the time, I am in my right mind and can decide things for myself. But this was not always the case.

Three years ago, things changed. I quickly went from a stable human being to one having a psychotic break. There was no point in creating a Self-Advocacy plan at that time because the change was so rapid I could barely recognize it. One moment I could coherently tell my husband I needed to go to the hospital’s inpatient psychiatric unit, the next, I was in the fetal position scratching my head repeatedly crying for the rapid thoughts to leave me, that it hurt too much. It frightened my husband, my parents and my daughter who was 8 at the time. More importantly, in my lucid moments, it scared the shit out of me.

It was after this last episode with Major Depressive Disorder that I became extremely involved in Self-Advocacy. I needed to be. I knew how my body felt, what my brain was telling me, how the meds were working. When I needed a different type of therapy, I searched for the therapist. I worked together with my psychiatrist at the time in weaning off two of my medications. I made sure my doctors and my therapist were aware of each other. I began to practice Mindfulness and really took notice at how my body felt. There were no secrets anymore, no hiding.

And now, once again, I am advocating for myself. In the last 2 years 9 months, I have been through 4 psychiatrists/APRN’s at the same psychiatric group. They all left for some reason. The first, who saw me through my worst, left to have a baby and never came back. The second I saw once and then he retired. The third who aided me in my weaning and worked with me on medication changes left to become a head for an addiction facility. The last… I saw her once in July, just sent a letter explaining that she returned to work far too early when she had her first child and was now pregnant with her second. She decided to leave the end of the December. I was due to see her in January.

What to do, what to do? As I am waiting for my next assignment, whether it be a psychiatrist or psychiatric APRN, I am researching my other options because well, starting a 5th doctor in 3 years is kind of annoying. With my track record, the 5th is bound to up and leave too. There must be other psychiatric groups out there. Sad thing is, I am only down to seeing them twice a year just for prescriptions. I know for emergency purposes, my primary care physician would write a script for me. Problem is, my Anxiety has been worse these last couple of months and I foresee an additional medication being prescribed. As much as I like my PCP, I need someone who specializes in Psychiatry.

Self-Advocacy is a process that can be very time consuming and mentally and physically draining. When it comes down to it though, it needs to rank high in the self-care process. The only person who is going to care as much about your care and health, is you. What I have realized is that having a Self-Advocacy Care Plan is also a necessity. This can be used when you know you are not mentally stable. It is a list of things for your spouse, parents, or even a special friend to tell the doctors when you can’t. It allows them to advocate for you the way you would want to advocate for yourself.

I am currently putting mine together.

When I Learned To Accept My Depression Diagnosis

I am not a woman who hides her age.  I will admit it, I am 37.  I don’t look it and that is probably why I will fully cop to my actual age.  I have a young (very young) face and I am short (incredibly short).  Throw these two traits together and I might as well be 20.  I still get gawkers and non-believers when I correct people on my age.  I am 37 and for the last 23 years, I have been a sufferer and survivor of Depression.



My first diagnosis was at age 14.  With all the rapid firing, teenage emotions, who would’ve known that Depression was there too.  I certainly did not.  I just blamed normal teenage angst.  The signs were there though… crying uncontrollably, hating myself, hating others, wanting to run away, wanting to remove myself from this crazy world (although not by suicide… that would come a few years later).  Once my parents realized there was something not quite right with me, I was brought to a therapist where I received my diagnosis and then to group therapy with other troubled teens.  Major Depressive Disorder.  I was angry.  I was so angry.  Why me?  Why couldn’t I just be ‘normal’?  And then there is the infamous stigma.  Back in the early 1990s, being labeled with a Mental Illness had people envisioning you in a strait jacket, talking to yourself and banging your head against walls.



I could not accept this diagnosis.  Being a teenager, I fought it like I fought everything else.  I barely paid attention at group therapy.  I still was mad at my parents.  No, nope, I would not be a Depressive.



A few years later, almost 18 and a legal adult, my 2nd episode with Major Depressive Disorder hit.  This time I was suicidal.  Group therapy was a thing of the past.  I was now seeing a therapist one-on-one.  I was deeply immersed into CBT (Cognitive Behavioral Therapy).  Even with wanting to die, holding a case cutter to my wrist, and seeing a professional, I could not accept living a life with Depression.  Nope, not for me.  I didn’t want it.  Someone please, for the love of God, take it from me.



My 4th bout of MDD was one of my worst, it was my battle with Severe Postpartum Depression and Anxiety, an illness so taboo in the mid-2000s.  I felt so alone.  I knew no one.  I became hospitalized.  Now, Stephanie, now would be the time to accept your circumstances and push past the trauma to live a fulfilling life.  Nope!  In the fight or flight aspect of Anxiety, I was and will always be a fighter.  I couldn’t understand why I had to go through this… hating my daughter, the panic attacks, crying spells, being an empty void for almost a year.  I couldn’t accept that I would never experience a typical postpartum and be the doting new mother.  I missed so much of my daughter’s first year of life, it just wasn’t fair.



My latest episode, brought on by taking care of and eventually having to give back my former foster son, was probably the worst.  I grieved for the loss of him for a good year and a half.  I was struck by several panic attacks, another hospitalization, and the realization that I was meant to only mother one child.  I lost myself, hopes and dreams I had for myself.  It brought back the trauma of my postpartum experience and ultimately gave me a PTSD diagnosis.  While dwelling so much in the past with the “Why me?”, “It’s not fair”, “I miss him”, I once again missed out on a big chunk of my daughter’s life, the child I did have.



It’s interesting though. I think we begin to learn acceptance with age.  After all, we are not as young and virile as we used to be.  I accept that I cannot run as fast I could before.  I accept that I can’t eat the foods I could eat before and maintain my weight.  I accept that my hair grays quicker after each coloring appointment.  So why couldn’t I accept my Depression diagnosis?  I have been living with it for over 2 decades.



Yes, I will never get that first year of my daughter’s life back.  I have so many pictures of my robot self from then, bad memories of myself caught on a piece of photo paper.    I will never get that year and a half of her life back from grieving the little boy who left our house.  I sat with this, after a year of EMDR therapy, and it came to me.  A light bulb literally appeared in my head and turned on.  By torturing myself with fighting my Depression, I was missing out on so much in life.  I took hold of a phrase my EMDR therapist would tell me:



“Invite your Depression in for a cup of tea.”



This time, after decades of being at war with my brain, I took his advice.  When I would find myself in pain over the past or self-loathing, I sat back and talked with my Depression, letting it consume me for that moment.  In time, I have learned to live in that moment, whether with my Depression or with my Anxiety, inviting it in for tea, and after a short time let it go.  My Depression no longer devours me.  The lies it tells me, no longer control me.  I have finally learned to live with this illness.



Twenty-plus years later, I have learned acceptance.


What My Daughter Knows

My daughter knows I hated her just two weeks after she was born. Pure hatred, where using the actual word ‘hate’ is valid and not taboo. She knows I wanted to leave her and never ever see her again. She knows I wanted to turn back time and never have her, completely obliterate her existence.

My daughter knows what suicide is. She learned this at age 8 because she overheard something on the radio. She knows that I have thought about committing suicide a handful of times and that one of those times I came very close to slitting my wrist with a case cutter I stole from work (and still have). She knows I was a teenager then, almost 18, a legal adult, only 8 years older than she is now. She knows that these ideations have blown into my mind like a breeze and have quickly left several times in the last twenty years.

My daughter knows I am sick. She has seen me at my worst, a vision I never wanted her to lay eyes on. She has seen me shaking, rocking back and forth, nails digging into my head spewing delusions out of my mouth left and right. She has seen the tears, witnessed the dry-heaving runs to the toilet, heard my self-loathing.

My daughter knows I have been hospitalized, twice. She accompanied my parents this latest time when they visited me, being forced to stay in the cafeteria with my father because she was deemed ‘too young’ for the short term psychiatric ward. The hospital feared the patients there would hurt or scare her by saying or doing something. This means they feared I would hurt or scare her too. She knows the emotional pain one feels when the only communication we had was through a phone… a phone that would cut you off if you moved wrong, a phone so desperate in need of replacement. She understands that the hospital is my safe place, when our home is unable to be just that.

My daughter knows she is an Only child because of me. She knows I was barely able to raise her in the beginning due to Severe Postpartum Depression and Anxiety. She knows at times I have been unable to care for her in the episodes of Major Depressive Disorder since. She knows that she lost her little brother, my beloved former foster son, because my illnesses prevented me from being able to function, let alone parent. I became a third child for my husband then, a childlike creature in an adult body that my daughter started to take care of, becoming a Mommy to her own mother.

What I didn’t expect for  this wonderful, kind, and loving child to learn was acceptance. Every time I had to explain these things, every time I hurt her, I expected anger and rage in return. I expected her to ignore me, shout “I hate you Mommy”, rotating the knife deeper into my back.  I expected extreme tears over losing her brother, many more than she shed (and she cried quite a bit).

Instead, she shocked me by becoming my protector of sorts, a role I never asked her to take and tell her now she can relinquish.  She truly cares if something will affect me, triggering me back to those dark dismal days.  She has true compassion and empathy, two traits I am happy she learned, although I wish she learned them with something other than me as the subject.  She is the Wise Fairy that her name, Sophia Faye, connotes.

There are so many things she has had to learn at the tender age of 8, 9 and now 10.  These things I would have liked to have postponed.  I have been called out by a select few saying she was too young for these strong topics.  Yes, I know.  But, I have to say, if by telling her about being mentally ill, suicidal & hospitalized has made her into the awesome kid that she is today, I am happy she knows.  I am happy she knows, because she won’t have to live in the shame and stigma of it if it happens to her.  She knows she has a loving mother who has been through hell and back that can help her.  And she knows that although at one point I hated her, wanting to leave, I couldn’t bare to live without her now.  She is my heart, my strength, my love, my Sophia Faye.

I’ve Always Wanted To Be An Architect… And Other Shit 

I remember my first Lego set. I was six and my family had just gotten back to my Aunt & Uncle’s house from the mall. I am not sure why I wanted this set so badly, but I begged, I pleaded, and now it was lying on the floor of the bedroom I was sitting in. It was a medieval boat that came with two men in helmets. I stared at it in awe. Could I build this? At six?

I worked hard on it but sure enough, I completed it. I stared at it in amazement thinking, Wow, I built this!

This teeny-tiny itty-bitty Lego set started it all. I wanted to become an Architect. I made a major life decision at the respectable age of 6.

Through the years, I challenged myself. The sets got bigger and my time to build them got shorter. I would follow the directions, quickly erect the Lego building, look at it with pure elation and then take it apart. At this point, I would build my own creations. I was, after all, a budding Architect!

As I became a teen, I shifted from Legos to hand drawings. I would draw floor plans just for fun. Soon, I developed into drawing the front elevations of houses. I received several home plan books and computer programs for my birthday and holidays. I even received a drafting table. Yes, this is definitely what I wanted to do.

In the fall of 1998, I started the 4 year Bachelor of Science in Architecture degree at the University of Maryland. I was on my way. For the next few years, I lived in the Architecture building, taking a particular interest in my Architectural History courses. I became fascinated with buildings, mainly homes, from the Colonial and Federal time periods. I graduated in May of 2002 and after a month started my career in Architecture.

But, I was far from my desire to be a licensed Architect. I kept my work records and when the time came, I began to study for the exams. 7 exams at over $200 each. I took my first exam when my daughter was 2. I anxiously waited for my results. The day finally came…

…FAIL.

I was heartbroken. I was also in the midst of my 5th episode with Major Depressive Disorder. I decided to take a break and wait for my daughter to get a bit older. After all, the 5 year rolling clock didn’t start until you passed one of the exams.

1 year after I failed the first exam, I took a different one. I felt confident going in. I felt happy when I left. I felt defeated when the results came…

…FAIL.

The word ‘fail’ and the fact that I am an Alpha with perfectionist tendencies, didn’t ease this situation. I decided then and there, I was done taking exams until I had the money to pay for the review courses and the exams.

Years went by. My job growth continued, although minimally. I began to really think about my career. Would being licensed make a difference? At that point, no. My pay would not increase. My responsibilities would not increase. Why spend the money? Just so I could put ‘Architect’ after my name?

A few years ago, I was struggling with my career. Where I was working was affecting my Mental Health greatly. It was not a healthy place for me anymore. So I once again thought about the question:

What do you want to be when you grow up?

Suddenly, the answer was no longer Architect. I had become increasingly interested in hiking and nature. Being outside rejuvenates my soul. Researching, I realized that maybe a career in Forestry, like becoming a Park Ranger would be for me. Lacking funds to go get a degree in it, I decided to start small and take a Certificate Course in Forest & Wildlife Conservation. Most of the material intrigued me. And then reality set in… there were very little, if any, paying positions in the Northeast, and we were not moving.

Next up in line, a Groupon became available to become a Certified Personal Trainer. I studied and miraculously passed the exam (an exam that most of its material was not covered in the books the course came with). To this day, I am still certified. To this day, I have not used it.

Why? I changed jobs. I found a job that still uses my knowledge in Architecture that I enjoy. Is it my passion?…

…No.

I feel like we stress deciding a career so early in life. Of course, I made the decision even earlier than necessary. I graduated college when I was 22, but one had to declare a major by the end of sophomore year. I look at my daughter now, and can’t even believe that in less than 10 years, she will have to decide what she wants to do with the rest of her life. How can we decide so young with so little knowledge and experience on what life really is? She is already starting to decide. So far she has narrowed it down to Fashion Designer, Illustrator, and Teacher (Fashionista dropped off the list a couple of years ago). These are her current passions, but when she is my age (a few years shy of the big 4-0) will she still feel that way? I don’t.

If I could turn back time (someone send me a Time Turner from the Harry Potter world), I would change my major, knowing what I would endure in the years to come. Becoming an Architect would fade away. After suffering severely with Postpartum Depression and Anxiety and with Major Depressive Disorder and Generalized Anxiety Disorder, advocacy is my new passion. I only want to help others to not suffer the way I have and to get better. I want others to know they are not alone. I want to be one of the many people to break down the stigma wall, block by block. If money were not an issue, I would go back to school now. I would get a degree in Mental Health Counseling. I would become a Mental Health Counselor. Since money does not grow on trees, I will do what I can, maybe one day going back to school.

For now, I am an Architectural Project Manager who advocates for Mental Health and Maternal Mental Health through my writing. And, I am content this way.