Depression and what it's really like

here's links to those books

http://www.amazon.com/Feeling-Good-Therapy-Revised-Updated/dp/0380810336

http://www.amazon.com/Mind-Over-Mood-Change-Changing/dp/0898621283

i just want to make it really clear, what you call the ability to approach how I'm feeling in a more rational/sensible way is not an inborn human characteristic. it's a learned skill, and it's something that some people seem to have a deficit in, either because of nature or nurture or some combination of the two, whatever, but it's a learned skill, and one that you can better at. the books i linked to are written by clinical experts and are used in many, many clinical settings to help people get better at what you're talking about.

er, shit, i linked to the wrong edition of the burns book. i recommend this one:

http://www.amazon.com/Feeling-Good-Handbook-David-Burns/dp/0452281326/ref=sr_1_1?s=books&ie=UTF8&qid=1305879977&sr=1-1

Depression and what it's really like

To me, it's like you know all the answers/solutions but feelings of being trapped and hopelessness just envelop you. It's like sitting with all the bits of a flat pack wardrobe, instructions in hand, but just thinking "What's the point?". You just wonder where to start on putting things right, and end up just getting frustrated with yourself because you haven't looked for jobs, you haven't cleaned up, you haven't got in touch with people, you struggle to be open and tell people close to you what's really going on, because you don't want to burden them, and you want to be there for them. The subject of you bores you to tears, but you end up talking about yourself all the time (like this). I saw a counsellor, and he asked me what do I want to do, what do I want from life, and I really don't know.

I know I've always had an underlying feeling of being vaguely depressed, and I could cope with that, and I would love to go to back to that because it made me appreciate happy times and being alive more. I got prescribed Citalopram back in October, but I never took it. I remember posting about how I never cry on ILX a few times - I've cried so much in the last little while, even over things like the end of Return of the King and the episode of How I Met Your Mother that was Marshall's dads funeral.

Anyway, if you're depressed, or a bit down, then I hope you get through it.

I want to be embarrassed by this post a few months from now, or more to not recognise the person who posted it.

depression is caused by irrational thoughts if you follow the schoo l of cognitive psychology -
write down you r thoughts that are blue on paper and you will see that they are somewhat irrational
- in fact we should start just such a thread

feel like i've been on this thread & others going "rah rah antidepressants," but i wanted to say again that i can totally understand the worldview yr putting out there jel -- at the worst low of my depression i came up with the maxim "life is something other people do" and thought i had summed up my whole miserable existence in the phrase. couldn't see the point in ANYTHING. like why would people take the time to hang posters or paint walls to make their living space look good? of what possible use was that? other people would go out and do things like hike or go kayaking and i was like, what in god's name is the point of that? why would you stir a muscle if you weren't compelled to by urgent necessity?

i've been a year on citalopram now, and there's a tremendous difference in my mindset, my energy level, and my ability to interact with people. meaning came creeping back until now it's like night and day. and i've had more success creatively since going on 'em than i did before (my fear was it would interfere with my ability to write; turns out i write the same AND i'm less afraid of failure/other people's opinions). so i really do encourage folx to give it a try at least.

what do we think of this

http://www.nybooks.com/articles/archives/2011/jun/23/epidemic-mental-illness-why/

jel, your post right there...I would say I identify, except I don't know if that statement is adequate enough for my reaction to a direct transcription of my life.

I think the epidemic of mental illness can very broadly be chalked up to the fact that we perpetuate a society that is increasingly indifferent to the needs of the (non-wealthy) individual while simultaneously becoming less defined by any real sense of community. Which is, say, something that generations of people may have come to just accept during centuries of feudalism, but when you're aware of (or actively recall) a time in the not-so-distant past when there was less economic disparity, when the idea of owning a home wasn't a pipe dream for most, when technology wasn't actively eroding people's connection with and empathy towards others, etc., it's kind of difficult for a lot of people to adjust.

wow Jel really nailed it there - I'm relating to every word

what do we think of this

http://www.nybooks.com/articles/archives/2011/jun/23/epidemic-mental-illness-why

We do not take it seriously because all three of the people mentioned in the article are against medication for mental illness.

i don't think it is that easily dismissed

I am waiting for part 2 – I thought it was interesting. I'd heard stats about SSRIs performing not that much better than placebos but I'd never seen it spelled out like that before.

This part hit really close to home for me because it's basically exactly what happened to me:

For example, the SSRIs may cause episodes of mania, because of the excess of serotonin. ...As side effects emerge, they are often treated by other drugs, and many patients end up on a cocktail of psychoactive drugs prescribed for a cocktail of diagnoses. The episodes of mania caused by antidepressants may lead to a new diagnosis of “bipolar disorder” and treatment with a “mood stabilizer,” such as Depokote (an anticonvulsant) plus one of the newer antipsychotic drugs. And so on. Some patients take as many as six psychoactive drugs daily.

I was on four for a while. I haven't been taking anything since 2009 and I have been doing better than ever. Though me doing better than ever is due to a million zillion factors, a notable one being me growing up (still got a ways to go on this). My personal experience suggests sometimes prescribers can be really irresponsible with mental health medication. This is just me, anecdote ≠ data, we all know that. I'm not trying to tell anyone about their treatment because I'm not a fucking doctor, disclaim disclaim disclaim.

Going off of Lamictal was one of the worst experiences of my life btw even with the aid of a doctor. They are some powerful pills!

BTW I read Whitaker's first book Mad in America. He is skeptical about the pharmaceutical industry but I think he really cares about mental health patients getting good care overall! He might hate crazy pills but he is pro-crazy people. I know if you are pro-pill you may disagree with the equation I have just set up!

I should note too I have definitely clocked in enough hours of therapy to win the steak knife set and maybe even the Cadillac Eldorado at this point. That probably helped? Is there even a way to know?

Depression is cused by completely rational thoughts. The world isn't nice, and even people who love are often dicks to you.

It is also caused by drinking before 6pm.

Yeah...stories like yours, Abbott, are among the reasons why I'm very wary of antidepressants, even at my lowest moments. I've been on and off of pharmaceutical speed enough to know that there aren't any significant side effects associated with starting or stopping (for me, anyway). I agree that (in my experience and based on anecdotal evidence from a number of people) many people with the ability to dispense psychiatric medication are careless at best. And at the end of the day, I really don't feel like we know enough about how these medications really affect people, especially in the long term. If I need to take a cocktail of pills to deal with the side effects of the medication that I'm taking to help me, then the medication I'm taking to help me is the wrong medication, AFAIC.

This part of jel's ridiculously OTM post above:

You just wonder where to start on putting things right, and end up just getting frustrated with yourself because you haven't looked for jobs, you haven't cleaned up, you haven't got in touch with people, you struggle to be open and tell people close to you what's really going on, because you don't want to burden them, and you want to be there for them.

...is where I am right now, to an absolute T. And the part that's biggest problem, I think, is the people thing. I'm generally good by myself and not in any way needy, but I need people now and they aren't around. And that's fucking with me more than almost anything else. I guess I don't know that many nurture-y types who are likely to check up on me regularly to make sure I'm okay if they know I'm going through shit, so maybe I shouldn't be surprised. But that whole absence of others things undermines all of the other stuff that I'm trying to overcome, especially since the root of what I'm trying to overcome is the sudden loss of a lot of people from my life and the idea that everyone will be going away when I least expect it.

Ugh.

I've isolated from my loved ones that know my history, and I don't let my new people know the full extent for fear of something worse than rejection. I hurt people by leaving them more than they hurt me, but it all hurts.

[I used to be flying high on a combo of welbutrin, paxil, klonopin, risperdal, with ambien to sleep. Fucking top of the world and raring to eat someone's head off if I looked at them funny. Much better now having had some therapy and booze.

hitting myself with bricks in the courtyard. A job and some guitar helped with that.]

I turned my back on my therapist, but I'm going to need her again someday.

Not worth it to get trapped in loveless states of mind. It's really difficult to incarnate, to be a person in this world. From one perspective, it's non-stop horror. So I think it's especially important to seriously engage with the things and people in life that guide you towards love and self-understanding. I mean I get bummed out about my life and my personal failures on a pretty constant basis, but I have been privileged to learn in the past couple of years, thanks to some very dear friends, that reality is much more about love than it is doom and gloom scenarios . I was depressed for at least half a decade of my life in my late twenties/early thirties. In retrospect, I see that it was all kind of silly. I could have been giving people things that I have to give, but instead I was watching Montel Williams with the sound turned off at three in the morning. Absolutely no one benefited from my self-flagellation or heaping bad vibrations on myself.

I think any medication is good to take if it makes you happier and doesnt have side effects that are too bad. Why not? The truth is medications alone aren't the asnwer anyways - they are just a boost. The rest is therapy and hard work

I'm allergic to hard work!!

And the part that's biggest problem, I think, is the people thing. I'm generally good by myself and not in any way needy, but I need people now and they aren't around. And that's fucking with me more than almost anything else. I guess I don't know that many nurture-y types who are likely to check up on me regularly to make sure I'm okay if they know I'm going through shit, so maybe I shouldn't be surprised.

This is so true. I seem to always have had a lot of people thinking that nothing ever bothers me when it isn't the case at all. And at times when I've been really down I find a lot of people just change the subject if I say anything or start talking about themselves. I don't know what the secret is to finding a support system? Because whatever advice I read seems to advocate turning to something I've never really had. Like the last time I was unemployed and v depressed thanks to lolrecession my closest friend is like "maybe you should talk to someone?" and I had no idea how to respond to that - um, I was trying to talk to you, but nevermind.

Support can help but you don't have to rely on others for happiness

daria maybe what your friend meant was ... "maybe you should talk to someone ... who is a neutral person, paid for being involved in this difficult process, trained to help people process the difficult feelings they are dealing with, so that you can receive the quality of care you deserve and so that we can collectively can enjoy our friendship on simpler terms, because i am not competent to be your therapist, and frankly, the process of trying to be a therapist to a loved one is actually quite difficult and taxing"

that s true moonship - in fact some people get depressed themselves when trying to help someone who is depressed -

yeah that is the shortened version of a difficult conversation that i, my GF's sister and my GF's mom have had to have a lot lately with my GF (who is suffering from bad anxiety, not depression, which is a very different story from the stories people are telling on this thread, but still very similar re: the toll it is taking on her friends and family)

i've started going to counselling recently for first time and it's been good, but i still think people should have some kind of support system from friends or family. i have great friends but i can honestly say i would have to shoehorn any conversation about being depressed or similar into a normal discourse. it's sort of odd...

I know what she meant but at the time having no job or health insurance.. idk

Have no expectation or wish for friends to be therapists at all, I've been on the other side and it's awful, just more dismayed at it seeming like conversations that formerly might be an important part of friendship are now off in the domain of "talk to a professional" you know?

did you express these feeling to her?

Nah too late now. It's just my general impression that this kind of response is the way we live now/deserving of NYT trend piece

we as in everyone?

also reference to trend piece in a different publication

http://3.bp.blogspot.com/_ZX2d4I29N2Q/S-T7HZ03eTI/AAAAAAAABDo/Cy0eRxHAwGw/s1600/Darla_comic_2.jpg

I will say that depression has enabled me to tap into a rich vein of pitch black humor that I don't usually have access to. Maybe someday I'll get the last few months of my Twitter published, possibly with a forward by Ivan Brunetti.

Ha! I sometimes think the same thing but then I show my 'hilarious' depressio bon mots to people and they are like 'damn I wish the cold embrace of death could free me from the abyss of this joke.'

I would like to hear these bon bons abbbboottttt

haha sometimes i think like why on earth would abbott (among other people) be depressed when she is/they are so manifestly awesome

but despite *not* being manifestly awesome i have learned again and again that things don't work that way. nevertheless i would like to throw my not-inconsiderable weight behind certain ppls' awesomeness

Nah too late now. It's just my general impression that this kind of response is the way we live now/deserving of NYT trend piece

agreed, that is kind of a fucked-up phenomenon. but as other ppl pointed out on this thread being around depressed ppl makes some folks rightly or wrongly feel very uncomfortable. so in the end ya gotta respect other people's comfort levels when it comes to that. like, yeah, it's a fucked-up thing to have to pay to talk to professionals in lieu of working with friends and family support system, but at least the professionals very much want to help and have experience with some of the thornier aspects of giving help, whereas friends and family might be too overwhelmed or whatever to be of much genuine help in that area.

i don't think i phrased things very clearly earlier, but sometimes one is going through difficult times in life and has very good reasons to be feeling down, without necessarily being clinically depressed? and at those times it would be a good thing to have close friends and family with whom one could talk about it, and it kind of stinks to feel like interactions with close friends and family are dependent on mostly just presenting the upbeat keepin-it-positive version of yourself. i understand how being around those who are perpetually negative can make one uncomfortable (i agree & can't stand it either), i'm more.. exasperated by those people i know who don't know how to be supportive through times that are just part of life? or maybe my family's stoic midwesterner style is more dysfunctional than most.

"talk to a professional" & having it be useful is actually a pretty difficult thing to do imho. health care plans currently don't always like to cover this, or cap the number of visits and/or charge a fairly high copayment or limit quite strictly who you can see. the challenge here can be daunting: find someone who is competent + accepts insurance + is taking patients + has appointments at reasonable times vs work schedule + has offices that are a reasonable distance esp. for those who depend on public transportation. this is assuming your insurance covers professionals who talk, and not just the professionals whose job it is prescribe this that or the other medication and say have a nice day.

and if you don't have insurance you are shit out of luck mostly. i have been to some talk therapists in the past and generally most of them were not that good tbh! in retrospect, after experiences i've had, i can't help but wonder why not one of them offered advice along the lines of getting more fresh air and exercise, cutting sugar and caffeine, eating more vegetables and less bread and pasta, moving on from work or school environments that are a bad fit and make you miserable, not hanging around with people who drag you down, not living in dangerous neighborhoods or with difficult/crazy roommates, all of which has made a tremendous difference.

i'm not trying to get real personal.. in general i just think it's a shame that the health care system in this country is set up the way it is, and also that stuff like recessions, long commutes, long work hours, poor wages and benefits, little vacation time, poor diet, lack of exercise, etc. all produce environments in which just about anyone would be depressed.

Yes we all need to cry on someones shoulder sometimes.

The vicious circle of isolation in depression is a bummer, I really feel like it prolonged my depression for years, but I can't see any way I could have escaped it

- feel too tired/anxious to keep up with friends / don't want to burden friends or feel too ashamed to talk about current situation, but can't think of anything else to talk about / friends think you're being rude or weird or just don't want to see them / friends don't want to make all the effort anyway / "oh god they hate me" / more self-loathing, more isolation, more depression

- or, accidentally whine to friends (or, uh, ILX - sorry ILX) / friends don't know how to react, may say "lol get a livejournal" or "lol get over yrself" or may ignore outburst totally / "oh god they hate me" / etc

I am guilty of both sides of this; I've had depressed friends and rapidly felt that there was just nothing to say, talking frequently seemed to result in both of us feeling upset or misunderstood, and I fell out of touch with them all too easily too

think it's hard sometimes to want to socialize when you're depressed because often you either A. don't want to talk about it at that moment, but know you're not going to be able to mask it, or B. you're afraid that you will bum your friends out with your presence and that they'll not want to invite you again in the future. sometimes can be a chore t oforce yourself to socialize in those scenarios.

or, accidentally whine to friends (or, uh, ILX - sorry ILX)

ha, don't be sorry - we choose to read this thread

i don't think i phrased things very clearly earlier, but sometimes one is going through difficult times in life and has very good reasons to be feeling down, without necessarily being clinically depressed? and at those times it would be a good thing to have close friends and family with whom one could talk about it, and it kind of stinks to feel like interactions with close friends and family are dependent on mostly just presenting the upbeat keepin-it-positive version of yourself.

I totally relate to this, it must be fairly common as well. Like I don't really know how else to live, I think honestly some people (and this may seem funny on here) would think I am the most ultra-positive person, as such there's no real room for anything else. Sometimes the cogs just kinda turn on their own and you have to just be like HI, YEAH I'M GREAT! with almost everyone, and there's no real room or time to not be like that.

i don't really think everyone on earth is a "i don't really want to know about it" keep-it-positive-around-me kind of person but i've learned a very large percentage are.

which is fine! but not so much if yr depressed.

yeah i think part of the prob is when would you bring up being depressed...most of the time i meet up with friends to do something fun or something that involves spending time with people i don't know as well or whatever.