Saturday, May 28, 2016

Shadow, Ice, and Poison (A Tale of Depression)


Depression defies rationality. How do you reason with a mind that's malfunctioning? What if that mind is yours?

For the past year or so, I've been occupied in no small part by navigating through the wormhole of depression. Upending my life and moving a few hundred miles north exacerbated the symptoms I'd already been having: uncontrollable bouts of hysterical sobbing, so forceful I injured my chest; and a dark tint that colored my thoughts.


Gazing at birds flying down the beach.
2011, when I first met depression. Or: Everything seems beautiful, so why isn't it?

Everything was fine. I loved my new job. I had people around me who weren't shy about telling me that they loved and supported me. And yet, this thing that I seemed to have no control over, this shadow creature, grew to fill the space inside my body and whisper bitter nothings in my ear. I could usually control it enough to get through the day, eyes icy and heart frozen, but sometimes I'd shatter and curl up tight as the world shrank to a suffocating and poisonous second skin. I'd moan for help, but I couldn't tell if I was making a sound. I'd lie in the bathtub crying and think how much of a relief it would be not to breathe anymore. "I'm so lonely," I'd say underwater, not because it was true but because that was the closest I could get to expressing how scary it was to be alone in my head.

During one of my first doctor's appointments in Washington, my new doctor saw the blank shield of my face and suggested antidepressants. "You shouldn't have to feel like this," she said. Immediately the other beast I keep inside—fear—rose up and clawed at me. Fear of medication. Fear of change that would upset the delicate balance of my body. I thought about it for a few weeks before deciding I needed quicker intervention than therapy would provide. I did both: enrolled in therapy, embarked on the trying antidepressant journey.

The first medication was the worst. The world warped. I slowly brushed my teeth, thinking about shoving the toothbrush through the back of my throat. I looked out the window and pondered jumping off the balcony. I couldn't go to work the next day, because I felt so inhuman. Derealization, they call that. I sat alone on the couch, staring at my hands, calling my doctor, until it wore off. The next medication gave me brutal headaches that had me throwing up and begging for death and struggling desperately not to smash my head into the floor to lessen the pain. The next was fine for months until it started giving me night sweats. I bought special pajamas made for menopausal women; I bought expensive sweat-wicking sheets. Still, the lack of sleep was unbearable after a few weeks. The next medication was lovely until it made me so drowsy I walked around feeling as if I were constantly coming up from anesthesia. 


Taking a nap in 2011, soon after the depression started seeping in.
Naptime in 2011. (No wonder I have neck pain.)

And yet, despite these landmines of debilitating symptoms, I would not trade them for how I was before. The joy I once had for life has come slowly seeping back, melting the ice that threatens to encase me. These scattered months of peace have afforded me the chance to feel myself again. The "talk therapy" helps me work toward a place of greater stability and understanding.

Honestly, I believe I first dipped a toe into depression in college, not long after I started having Crohn's symptoms. (Side note: A disproportionately high percentage of IBD sufferers are also afflicted with depression. I don't claim to know why exactly that is.) I also have a family history of it.

I think it's folly to suggest that troubling life circumstances equals depression. I also think it's folly to tell someone in the clutches of that malevolent shadow to "choose happiness." There is a point at which it's not a choice.

I feel pretty good lately, in my intestines and in my head. But it's funny that all my trials, at their core, come down to me against me. 

Me against me in Zumba class