Sunday, December 18, 2016

What Depression Really Looks Like for Me

Depression doesn't look like what you think it looks like. It is not just someone with a flat affect, or someone who contemplates suicide. It can be those things, but it's also the person who smiles in company and laughs at things.

People, even close friends, are sometimes surprised to hear I struggle with depression. I talk and interact with people, so they assume I am fine. Partly that's because I'm an introvert and I guard my inner self carefully from those whom I don't have a deep bond of trust with. But sometimes even with those people I don't talk about how I am feeling. They don't have answers, I don't have answers, and it makes me feel even more down to admit to my mental state.

Depression in my life means I accomplish nothing. I have no drive, no ability to push myself. I have little interest in even those pursuits that bring me joy in better times. I only have energy for more passive forms of self-medicating like reading or watching television.

While I do have low energy reserves from my disabilities and fibromyalgia, depression pulls those even lower. I am still aware of the household chores, creative pursuits, and income-producing activities that I need or should be doing, but can't focus on one to pursue. I am overwhelmed and feel inadequate to any of them, so I do nothing. This compounds my depression because I'm accomplishing nothing. The perceived expectations of others (whom I am disappointing) also weigh on me.

Depression also looks like anger. I have unreasonable lack of tolerance for the inconveniences and mishaps of daily life. Instead of just handling things and moving on, I can't cope appropriately with the accidental spill, dropped object, etc., and it seems like these things occur more frequently (though that may just be perception since as I said, I can't cope with it). I get truly angry, I have less patience with family members, I lose my temper more easily and often. I may be seething with rage simply because I dropped the tv remote between the bed and the wall and have to get up and fish under the bed to retrieve it. I get more angry about “strangers on the internet” and more prone to responding to comments I disagree with instead of just ignoring and moving on.

About two years ago I tried medication, which did help. Until it didn't, because higher doses of it induced panic attacks during/about driving, resulting in isolating myself more while I weaned off the medication and tried to work through the anxiety so I could drive again. I didn't like how the higher doses of the medication made me sleepy during the day. I hoped I could stop taking the medication altogether, because while on it, I'd somewhat forgotten how bad I'd felt before that.

Now I'm on a very low dose, close to being off of it altogether. I don't know what to do. I've almost eliminated panic attacks about driving now, returning to my pre-medication reaction of intense butterflies in the stomach instead. Still not ideal but more manageable. But my creative drive is gone again. The crushing weight of feeling useless and worthless is back. Tears threaten at the drop of a hat.

For a few days I tried an herbal supplement that is used to treat depression and works for my mom. I don't seem to metabolize it the same way. It made me so sleepy the next day, even if I took it before bed. I felt a little less angry or prone to cry, but not more able to just get something done. (Yes I'm aware of interactions between some supplements and drugs for depression.) I may have to go back to this supplement though, and see if I adjust to it over more time.

If I have caffeine, sometimes then I can do something. It doesn't seem to take full effect until well into the afternoon. On some days, it just makes me feel off.

I don't really have a conclusion here. I wanted to write out my thoughts and try to do something to relieve my feelings.