I was dying.

At the beginning of last September, I almost died.  I'm not being dramatic; I almost lost my life.  My mental health had been in a decline for almost two years, and I think my brain and body just gave up.  For reasons I'll explain a little later, I don't remember a lot of the details of what happened, but between my memories and what my husband has told me, I do know a few key things, and I want you to know them, too, so you can better understand psychiatric hospitalization.

For one, I decided it was no longer safe to have my guns in our apartment.  That has never happened to me before.  I grew up with guns; they've always been a part of my life.  They've always been in my house.  I used to keep my home-defense shotgun hidden behind my old prom dresses.  But for the first time, I was afraid of what might happen if I let the guns stick around.  I called my grandpa, who lives a couple of towns over, and I asked if my husband and I could stop by.  When we got there, I wish I could remember better what happened.  I'd imagine he was pretty alarmed.  He has already lost one grandchild to suicide.  I remember him locking the guns in one of his gun safes, I remember we didn't talk much, and then I know we left.

It's important to note that I didn't have a suicide plan.  I didn't have a specific reason to get rid of the guns; I just felt like it was a bad idea to keep them around.

A few days later, things were even worse.  Every hour dragged on and on and on and on and on and on and on.  I remember feeling like every hour felt like an entire day.  I knew I didn't really want to die, but all I could think, over and over, was, "I can't live like this any more."  My mental pain was seeping out my pores.  My will to live was growing dimmer and dimmer, like a firefly glowing its last as the winter frost sets in.  Nothing could distract me from the pain and exhaustion of just existing - not Netflix, not knitting, nothing.  I used every tool I had the energy to try, but nothing alleviated my suffering.  And I couldn't accomplish anything - not even brushing my hair. 

I had my husband come with me to therapy that evening.  We were only there for a few minutes before my therapist told us that if ever there was a time for hospitalization, this was it.  I thought he meant at the end of the session, but he didn't.  He meant now.  And he told us which area hospital was the best.  Since it was an hour away, we headed home to pack a bag for me before driving up there.  We didn't know how long it would be before my husband would be able to visit and bring the things I would need.  Clothes, books, a hairbrush, and the lightsaber travel toothbrush he got me on our honeymoon.  And with that, we were off to the ER.

This post is long enough as it is, and I don't have the energy at the moment to write the rest of the story.  But I will.  Soon.

Depression is...

Depression is sobbing to your husband because you have a toothache but no energy to make a dentist's appointment.

Depression is sitting at home watching Netflix all day, bored out of your mind, but knowing that you don't have the ability to focus on anything else.

Depression is showering once a week because the exhaustion brought on by the thought of all of the steps it takes to shower outweighs your disgust with yourself.

Depression is 71 unanswered texts and 20 unanswered voicemails.

Depression is overdrawing your bank account because you don't have the energy to make sure that your bills get paid.

Depression is not talking to your friends because you're sick of saying, "No, it's worse again, not better."

Depression is gaining tons of weight because you don't have the energy or motivation to exercise and cook healthy food.

Depression is only brushing your hair when you actually have to leave the house (and not always then) because you don't care what people think anymore.

Depression is not leaving your house unless you absolutely have to.

Depression is constantly checking the clock during an activity you should enjoy because you're out of energy and you wish it was over already.

Depression is eating uncooked macaroni out of the box because you know you need to eat something, but you don't have the energy to actually make anything.

Depression is dreading going to the zoo, an activity you've looked forward to for months, because you're afraid there won't be enough places to sit and rest.

Depression is all this and so much more, this is just how I've been feeling lately.

Learning to let go

I'm just going to be real for this post, no warm and fuzzy advice.  I feel like I've had to let go of a lot of things over the years.

When I was younger, my dream was to be an actress.  I had enough talent to get into a top acting school in New York City on a partial scholarship, but it wasn't meant to be.  I had to do something more 'realistic.'  Even though it was my dream.  I let that go. 

When I was in high school, I was one of the 'smartest' kids around.  My test scores were always high, and I never had to work for it.  I got into a great college, but my mental health tanked and took my plans of finishing a degree in four years with it.  I let that go. 

In fact, to a large degree I've had to let all that super-intelligence go.  I'm pretty average these days. It's part of the price I have to pay to stay sane.  My medication slows my brain down a little.  But I'd die without it, so I let that go. 

I have a great job with a company that I love.  I was a top-notch full-time employee, I was good at my job, and I loved doing it.  But I had a bit of a breakdown and I can only work part time now.  I loved my job.  But I let that go. 

And I have been blessed with so many wonderful friends and family members I can hardly believe it.  But I'm not functioning well enough to stay in touch with all of them.  I have a few good hours a day, but I get exhausted so easily.  I don't get depressed per-se, but I'm just still not capable of doing a lot.  I want to be a best friend, cousin, sister, daughter, niece, granddaughter, and wife to all the people I love.  But I can't juggle it all right now.  I've made peace with a lot of letting-go, but I don't want to let that go.  I just don't know how to hang onto it.

The only pic I could come up with that felt real.

My Medication Journey ~ Worth It!

I've been on psychiatric medication off and on for over half my life. I have treatment-resistant depression, which means that it takes a LOT of work to stay on top of things. Medication is a journey, and it doesn't feel like there is really a destination, only the journey and making that journey as easy as possible.

A story:

When I was a teenager, I wasn't self-aware enough to really pay attention to how my meds were affecting me. I just knew when I was miserable and when I was a little better. My psychiatrist was kind of awful, but he was the only one in town. We tried a few different medications. One day I was reading in the DSM and thought a particular paragraph in the bipolar section might describe something I experienced from time to time. I told him about it and he didn't even ask me more questions, he just let me diagnose myself (at age 14 or so) and gave me a medication for it. That medication caused me to sleep away a couple of years of my life. My record was 22 hours straight, awake for two hours, and then asleep for 13 more. And it was a medication that required regular blood tests to make sure my liver was still functioning. Every single mental health professional I've talked to since then (and there have been upwards of a dozen) has said that there was absolutely no way I have bipolar disorder. Eventually I quit seeing that psychiatrist and quit taking my medication and I was fine for a while. Until I wasn't. 

A story:

My next psychiatrist was fantastic. I had come home from an awful first semester of college and was really devastated, but she really listened to me and talked to me and worked through all my medication concerns with me. By this time I was around 18 and quite a bit more able to monitor how I was feeling and what was helping. I ended up on a combination of two antidepressants (the first one alone made me anxious, but both of them together were a perfect combo), and I took them for a couple of years. They worked pretty well. Until they didn't. 

After that, I don't even remember how the journey worked out. Over the course of the years, I tried a LOT of different medications in a lot of different combos. Paxil, Prozac, Lexapro, Celexa, Wellbutrin, Depakote, Adderall, Stratera, Lamictal, Xanax, Clonazapam, Gabapentin, Remiron, Ambien, and Abilify. And I've probably forgotten some. There have been a lot of times where things were great. Until they weren't.

See, what you need to know is that the medication journey will never end for me. We find something that works for a few years, and then it becomes less and less effective until some sort of major stress hits and I'm back at square one. But I can not survive without medication. I need you to understand that. I need you to understand that I would be dead without medication. I am being completely serious and very literal here. My brain has a disease, and it just doesn't function without treatment. It's like how a diabetic needs insulin to stay alive. I need medication to stay alive. And I'm ok with that. 

It can be a really frustrating journey. It is devastating every time my medication stops working, because I know how long it takes to get back on track. It is weeks, sometimes months before things get better. And I'm always scared that we won't find the next magic combo. At one point a few years ago my doctor told me that we were on our last option. You see, there are only so many classes of drugs and combinations you can try and we have tried them all. We're still on that final option with dosage tweaks and supporting medications along the way. It's really scary. But it's worth the fight. 

The moral of the story is this: medication is hard. It's not the magic fix you hope it's going to be, and it can get discouraging when it takes a long time to find what works. But it's so worth it. It's worth the struggle every time I hear my nieces laugh or share a dorky moment with my husband. I'm writing this for me too, because it really doesn't feel like it's worth it sometimes and I need a reminder. Looking back from a healthier place, I assure you; it's worth it.