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What Might Have Been?

I haven’t told many people about this. Very few know any details. My husband knows the gist of it, but not all of it.

I was around 15 years old and I’d already spent time battling my personal demon. It was named Self-Harm and it came armed with a blade and a lighter.

I swallowed a bottle of… something. I can’t remember what. They had me on so many different medications. They wanted to “fix” me. The mutilation scared my parents. Not, of course, enough to try anything beyond anonymous prayer requests to the church group and a random assortment of pills. That, along with attempts, pleading with me to just stop and shaming me for my behavior, was supposed to be my “miracle cure.”

I don’t remember what finally tripped the trigger and pushed me to that point. Was it an argument? A particularly bad day? I don’t know. I can’t remember.

I remember being rushed to the ER. I remember the staff being unable to get a tube down into my stomach. I remember vomiting, repeatedly, every time they tried. Eventually they stopped trying and handed me a big mug of some charcoal mixture and told me to drink it.

Afterward, I had to stay in the ICU for 24 hours. I should have been sent to the local Psych unit for 72 hours. But I wasn’t. The doctor came in and talked to me.

He made me promise not to do this again, patted me on my head, handed me another prescription, and sent me off.

And that was it.

I went home.

I saw a “Christian Counselor” (despite religion being one of the major things my parents and I fought about) a handful of times over the next six months. My medication was changed a few more times. I can’t even remember everything we tried.

And that was it.

I stopped taking the medication when it was “mutually decided” I should move out.

I struggled with depression and other issues off and on for the next three or four years. It wasn’t until after the birth of my son and my second bout of Paranoid Personality Disorder that I started taking medication regularly or seeing a counselor on a regular basis.

I wonder how things would have turned out if they’d been handled differently way back then?

Holding Space In Crisis — Published

I almost lost my best friend last weekend.

She tried to die by suicide. I received her text that she was in the hospital while I was tutoring.

“Call me ASAP.”

“I need you to come to hospital and spend the night with me.”

“No joke.”

My response: “I know. Still working with a student.”

She: “Ok please get done soon! I need you.”

I: “What hospital?”

She: “I’m at ******. I had a suicide attempt. The nurses know me and hate me here, so they’re doing small mind tortured. Waking me every five minutes–saying duragatory things. They told my parents I’m hallucinating–I’m not, please come stay with me–I don’t feel safe.”

“Can you stay the night?”

I: “Yes, I can.”

She: “With me, please? ***** (her husband) won’t.”

I: “Yes, of course.”

She: “OMG- get here now!! Room **.”

Meanwhile, I am trying to do my online tutoring job. I can see the look of horror on my face on camera while the texts are displaying on my phone. I tell my student I have to talk to his dad. I inform him that I have to leave immediately due to an emergency. I explain while his son is out of earshot. He gives his sincere emotional support. I give a quick run-down of what his son needs to complete for the assignment, then I start packing. I text my husband to let him know that I have to help my friend, then I tell one of my twins that I’m leaving for the hospital.

My brain is racing at the speed of light. I am trying to cover all the bases: what would she need from home that she did not get since she was directly transported to ER? I text her to ask if she needs anything from home before I leave. She would like headphones. I grab my earbuds, but first I have my son help me find an extra set because I would like my own set. After trying a few sets (why is it that teenagers blow through so many earbuds?), I decide to bring my own to share. She might be too tired to listen to music.

I text her to let her know I’m finally on my way. I arrive and remind myself of several things: put on your own oxygen mask first, stay strong, and be her advocate.

She is in the ICU. She has a central port PICC line as well as two IV lines because the medical staff had a hard time getting an IV started. She’s bruised all over. She overdosed on a plethora of medications at her parents’ house while she was housesitting there, including painkillers and her father’s injectable insulin. Her kidneys shut down and the medical staff had to pump her stomach. The medical team pull her labs every two hours to make sure that her levels are improving. Thankfully, the PICC line is a saving grace.

My friend makes comments about the nursing staff. She says that they make comments about her, saying that she OD’d to get attention, that she is a princess and she is going to call her daddy, but when she confronts the nurses about it, they say that my friend is hallucinating. The hospital has a one on one person for suicide watch. This person has to document every little thing that the patient does while under their care. On Saturday night, the one on one person documented all of the unprofessional conduct.  While I was there, she said that the nurses were commenting about her again, as well as me. I went up to the nurse and asked her about it. She denied it and said that my friend was “hallucinating and making things up”. I said, “You may say that, but when you talk about patients, others can hear it and that is breaking patient privacy. Everyone else can hear it, and that is not acceptable. It is not professional. You need to stop it.”

The nurse called her supervisor and she came down to talk with all of us. My friend finally voices how she feels. The nurses, of course, covered their butts and say that my friend had been hallucinating from her OD. I interject and say, “Even though that did happen, it is not professional for you to discount how she feels. Nor is it professional of you to talk about her while other people can hear. She does have recipient rights.” The minute I mentioned the term “recipient rights”, the two immediately changed their tune and started apologizing. My friend apologized as well for things (even though in my opinion, she didn’t have to, but it is part of healing the relationship). I asked if my friend could be moved to step down critical care since her levels were improving, and the nurses agreed. Two hours later, my friend was moved to a quieter, private room with a more caring team. Ironically, the bitchy nurse stays after her shift end to help us move.

We get settled in, and my friend finally has the best sleep she has had. Her levels improve so much, her kidneys are normally functioning, and the medical team clears her. The next day, she gets her PICC line removed. My friend keeps telling me to go home, that she is OK. All of a sudden, we learn that Community Mental Health (CMH) is on their way to start the intake process to find her a facility. Things start accelerating at an astronomical rate, and my friend has no idea how to process this. I stay to help her process things and to be her advocate. Her parents come to the meeting, as well as her husband. I ask the CMH representative if it is OK if I stay during the meeting to be her advocate and he said if it was OK with her it was OK with him.

Here is where I see mental health stigma magnified. Thankfully, the CMH person is neutral, asks all the appropriate questions, and takes my friend’s requests seriously. I was floored when my friend’s stepmom was blaming my friend for what happened. She said, “Your dad is so angry at what you did to him.”

I couldn’t hold it back anymore. I said, “I’m sorry. With all due respect, when you make comments like that to her, you are blaming her for her illness. We need to help her instead of telling her what she did wrong. She didn’t do this to you.”

The stepmom got angry at me and said, “Well, with all due respect to you, you haven’t been here for the past eleven years.”

I responded, “You’re right. I haven’t. But, you need to understand that constantly telling her how bad she is isn’t helping her heal.”

When her parents left, my friend said, “That is the first time that anyone stood up to my stepmom.”

I pack up to go home because my friend’s husband is there. I feel that she is stable enough now. Her husband made the comment, “Well, I would have come earlier, but I had a half talk of gas and no money.”

I looked him and smiled with my sweetest Southern smile and said, “I had only the change in my pocket, a quarter tank of gas, cancelled my tutoring job that I was doing, cancelled my other two tutoring jobs and packed up to stay the night with *****.”

He looked at me, laughed and said, “What is wrong with you?”

I said, “Nothing is wrong with me. My priority is taking care of those I love, and I love ******.”

I was hurt for my friend. It is hard enough battling mental health demons, but when you are alone with no emotional support from your family, it is almost insurmountable.

Once I got to my car, I video chatted with one of my friends, and I finally cried. I let it all out. I cried body rocking sobs for my friend, the pain that she is shouldering on her own, the fear of the unknown that she is facing, and the aching of wanting to heal. I sobbed in anger against mental health stigma, the blame people put on those with mental illness, and the broken system that is failing so many. No one should be blamed for his or her mental illness. It would be akin to being blamed for having cancer, diabetes, or asthma.

I received a text from my friend’s husband. It read: “Thanks for being such a good friend to ******. I don’t think I have ever witnessed such devotion from a friend of hers. I will try to keep you in the loop as much as possible ok” I responded, “Thanks for keeping me in the loop. I appreciate that. We all need to rally around ***** and help her to recovery and wellness.”

This is my prayer. I pray that we work on our recovery and wellness, be our best advocate, and remember to put on our oxygen masks first.

 

 

 

 

 

I Am Complicated

I am neglected.

I’m the product of parents who didn’t know how to fulfill my emotional needs.

I alternate between believing both that “my parents gave me everything; I had a happy childhood; I don’t have any reason to be this messed up,” and “my parents emotionally neglected me; I had an awful childhood; no wonder I am this messed up.“

I fantasize about being in the hospital because that seems like the ultimate (and only) way that people might finally see me and care about me. Logically, I know that it’s not true, but my emotional brain is convinced that being sick or hurt is the way to get the love, attention, and care that is not present in my daily life.

I am ashamed.

I’m a 22-year old who is still desperately attached to my mangled childhood stuffed animal, Lambie.

I surreptitiously, but uncontrollably, pull out my own hair. I know have trichotillomania (and dermotillomania while we’re at it), but it’s one of my most shameful “secrets.”

I eat spoonsful of Nutella straight from the jar, and sometimes that will be the only thing I eat for the majority of the day.

I am depressed.

I am pained getting out of bed in the morning. It’s hard to relate to people who casually say, “Yeah, I didn’t want to get up this morning,” but may not understand the gravity of depression. It hurts to the bone.

I have trouble taking my daily antidepressants because a hidden part of me doesn’t believe I’m worthy of feeling better.

I am obsessed with filling my brain with as much information about mental illness as possible. And yet, no matter how much I read books, articles, and studies about eating disorders, depression, anxiety, or impulse-control disorders, I struggle to control my own mental health.

I have a hard time with “I’m depressed.” Maybe because I don’t believe that the real me is just buried under mental illness. It’s more like “I’m a person living with depression.” It has taken so much of my personality and soul out of me, but without depression, I am a lively, joyful girl.

I am taking care of myself (or I’m learning to).

I practically begged my parents to see a therapist, nutritionist, and psychiatrist, when I was only 15 years old. It certainly wasn’t easy, especially because we didn’t talk about anything “emotionally charged,” but I knew that it was a step I had to take in order to alleviate my pain.

I reach out to others when I need it most. Even though I isolate, too, I also know that in moments of desperation, I do instinctively ask for help and support from those I trust.

I treat myself to occasional manicures, special purchases (a dress, a pillow, some art supplies), and a lazy Sunday. As much as my brain tries to trick me into thinking that I am worthless and unlovable, I try to actively do things for myself that remind myself that I deserve care.

I am brave.

I share my story with very few people, but when I do, it is the most rewarding experience. Sharing real experiences and thoughts is how I create deep connections with people.

I moved to Denmark for my first job out of college. I don’t speak the language, I’ve never been away from home for more than four months, and I left my entire support network at home.

I am working full-force in therapy at facing the demons and insecurities I have hidden for years. I am taking charge of my life by learning to be vulnerable, accept my flaws, and love myself in spite of them, and find happiness for the first time in my life.

 

Sometimes, It Hurts More Than It Should

I’m lonely.

I’m really lonely.

Yet I’m married, have four amazing kids and a dog. Yet, I am so lonely that it sometimes feels like my chest will explode.

I used to have friends.  I used to be the life of the party.  I was always the one that did the crazy stunts or stayed up for two days drinking and having a good time.  I used to have a great marriage, and the kids and I always had fun and went and explored.

But then I lost everything.

Money, cars, my house, my mobility, my health.  I became disabled in September of 2005.  I won’t go into all the boring details but let’s just say that I will be lucky to be able to walk in a few years, even if the rate of progression stays slow like it is now.

I lost almost every friend.

People I had always been there for.  People I loved, loaned money to, made soup for when they were sick, gave a shoulder to cry on, etc.  Yet, at a pretty steady pace, all these people no longer cared about me.  I could no longer party, no longer stay up late, no longer hike or camp with them, no longer go on long car rides.  So they replaced me or just stopped calling.

Yet I could have still had a glass of wine with them or played video or board games; shit man I even knit.  Yet it wasn’t good enough.  And like a fool, I called, emailed, texted and IM’d all of them all the time.  No response.  Instead, I torture myself by reading their Facebook posts.  I see the pictures of them having fun and hanging out, hugging and laughing.  I see them interacting and carrying on like I never existed.  It hurts.  It hurts so bad that I cry a few times a week as I look at the pictures and see the joy in their face.

But what about my wife you say?

My wife has since become a roommate.  She has had a long term affair with another man and acted like it was no big deal when I found out.  She is never home and leaves me here with the kids all day every day.  She can go three or four days without saying more than a single word to me and the kids.  I’ve been with her since I was 17 years old.  I’m now 33.  So that makes the heart hurt worse, the tears burn a bit more and the darkness just that little bit thicker.

The kids, four boys who I live and would die for, try and understand.  They don’t, and I don’t want them to know it all.  It would scare them.  They don’t get why I can’t give them piggy back rides, wrestle with them or just sit on the floor and play.  So they aren’t around much.  They go to my mom’s house to play over there, go to their friends’ house, or sit in their rooms and play games on the computer.  They see the pharmacy on my night stand and see me cry out in pain. They’ve seen me fall down and they’ve seen me in the hospital.

And that, my invisible internet friends? That makes it all hurt so much more than anything that’s ever been done to me.

I sit here day after day.  I look out the same window and wonder what other people are doing.  I wonder if my name ever comes up in conversation or if people see old pictures of me and ask what happened to me.

I wonder if I will ever have somebody to sit with and tell them how I feel? Someone I can cry to and explain my fears to. Someone I can laugh with, and for just a minute forget what my life has become.  Someone who will hold my hand, or brush a stray hair from my cheek or maybe a rouge tear or two, or many.

I want to feel again.  I want to smile and laugh.  I want to feel wanted and appreciated and not cold and angry.

So, I sit here.  I write these words.  Maybe a person or two will read this.  In the end though, none of my old friends will read this. None of them will realize how bad they’ve hurt me.  My wife will never change, and it’s too late for that anyway. The divorce papers are sitting in my sock drawer, waiting to be signed.

I never would have thought that the final years of my cut-short life would be spent in such physical and emotional pain.  I never knew that loneliness would seem like it’s killing me faster than any disease and disability could.

This is just me venting.  This is a great way to express what I really feel, without having to keep it all bottled up.  If I had to keep this bottled up, it would drive me down, it would pull me under.  I can’t let that happen. I have to be able to find small joys in life, like singing to the kids, making fun of Jenny McCarthy, and just living life to the best of my ability!

I love this site and the writers on here.  You all are amazing people, and Aunt Becky is my hero!

(ed note: I love you. I’m glad you wrote this out. We’re all here for you. xo, AB)

Antenatal Depression – The One They Don’t Talk About

Depression and I have been dancing partners for more than a decade now. Sometimes it’s a slow waltz, sometimes a spinning reel, and sometimes I get to sit off to one side and take a nice relaxing break from my dark friend.

Over the years I’ve learned to observe my own triggers and put safety valves in place. For example, I go to therapy once a year, even if I’m not depressed, just to keep tabs on the way I’m feeling. As soon as I discovered I was pregnant in 2008, I knew I had to keep a watchful eye on myself. I was prepared – absolutely certain – that I would end up with postpartum depression, and I was terrified of feeling as low as I could go with a baby to look after. When I hit rock bottom, I can hardly care for myself. How was I supposed to look after this tiny new person as well?

So, I lined up a therapy session at 34 weeks of pregnancy, aiming to build myself a nice set of mental defenses against the coming storm.

I went to my first session, wanting to talk about my anxiety over going on maternity leave. I loved my job, and I didn’t know how I could stand to be at home all day every day with a baby. We talked about it. I cried a little.

No, I didn’t. I cried a lot. I cried so much that I couldn’t even talk. I just sat there on the couch, sobbing so hard that my unborn baby started squirming, and the psychologist had to go get a second box of tissues. I did that for a whole hour, all the while trying to gasp out explanations for my behaviour. Hormones, obviously. Stress. Fear of change, of the unknown. I knew all my triggers.

Didn’t I?

Later that night, I was at home when there was a knock at my front door. There was a lady standing there who I recognised, although she didn’t know me. She was the niece of a work colleague – and she was a drug addict who was mixed up in all kinds of bad things that I’d been hearing about for weeks at work. She asked me if I could give her a lift into town. Odd request from someone you don’t know and I blurted out the question, “What for?”

She informed me that she was out of her anti-psychotic medication, and if she didn’t get to the pharmacy as soon as possible she was going to end up really sick.

Yikes. I threw out the first excuse I could think of – I told her I was pregnant and tired, and I couldn’t do it.

Mistake. Her eyes shot to my belly, and she spent the next couple of minutes telling me how lucky I was, and how she wanted her own baby, and… And by that point, my other mental dance partner was knocking loudly on the door of my brain – anxiety. I got her to leave, to go ask a different random stranger for that lift, and then I stayed awake. All. Night.

Convinced, utterly convinced, that she was coming back with a knife, and she was going to try to take my child from me.

By the time my next therapy session came around a week later, I wasn’t just a bawling mess- I was a shaking, hysterical, terrified mess, convinced that some kind of evil was heading my way. No ifs or buts about it, something bad was going to happen – from this girl, random strangers, an accident – I was sure that either my baby or I was in trouble, and no amount of logic or reasoning could sway my reptilian brain centre from this fear response.

And at that point I realised that this time, my depression and my anxiety had snuck around that safety valve, and I was in the extremely intense grip of something they hadn’t talked about in any of my childbirth classes:

Antenatal depression.

Before the baby arrives, you’re supposed to be the glowing mother-to-be, fondly looking forward to the arrival of your new little one, taking it easy, enjoying your last days of freedom. Sure, you might get depressed once you’re sleep deprived, struggling to breastfeed and awash with postpartum hormones, but before the birth – no, that’s all supposed to be sunshine and moonbeams.

I was ever so glad I’d gone to that first therapy session, because otherwise I would have been running up against all these feelings with a baby in my arms. Or not, as the case so happened – it turns out I wasn’t wrong about my dire predictions, and everything did in fact go horribly wrong. But by that stage, despite a crash c-section, my baby being airlifted away from me, a month in the NICU, I found myself able to handle some of the greatest stress I’ve ever experienced without breaking down. By that stage, I was seven weeks into my therapy course, taking antidepressants, and acknowledging my fears.

From the simplest (fear of being bored) to the most complex (fearing that I’d end up being too much like my own mother and would turn my daughter into just this kind of wreck), I had faced down those issues, broken them into pieces, examined them, and found that they weren’t as scary as I thought. I’d come to understand some of the most important rules of becoming a mother; first, you can’t control what happens, so you just have to roll with it; second, your best is absolutely good enough; third, you can’t predict the future, so there’s no point guessing.

So, I guess this leads me to a few points about my experience of antenatal depression:

  1. It exists, and it’s not always the hormones. If you feel down, anxious or sad to a degree where it starts affecting your life or your enjoyment of life, go see someone about it. Your doctor, your therapist – it never hurts to talk, whether you conclude in the end that you’re depressed or not. You might end up with post-partum depression and be glad you put those defenses in place nice and early.
  2. I was terrified of taking antidepressant drugs during pregnancy for fear they might cause problems for my child. There are safe antidepressants you can take, and my personal experience was that the pregnancy hormones meant I had greater need for the medication than on previous occasions. My daughter’s problems, FWIW, were most certainly unrelated to the drugs, although when I weaned her from breastfeeding at 18 months, I was still taking the medication and as a result she went through a withdrawal process over about a week. She was a most unpleasant character during that week, but both before and after that, she was/is the same happy, delightful little person she’s always been.
  3. There’s no law saying you have to be delighted about everything baby-related. Birth? Bonding? Nappies? Cracked nipples? Pah! But in addition to those, of course, you get that milky new baby smell, smiles and cuddles, first words and steps and everything else that’s wonderful about kids. Taking a realistic view of the potential downers is important. Don’t expect it all to be utopia, but don’t expect it all to be terrible, either. Parenthood is, of course, a buffet that serves up a little awesome, a little awful, and you never know which you’re going to get.

How’s Gabriel?

How’s Gabriel?

I hear that all the time.  There is no simple answer.  But answering it is the focus of my daily life.  Every day.  The real answer is Gabriel’s not OK. Gabriel is Bipolar. His moods shift. Daily. Weekly. Yearly. He is never OK. I spend my days like a detective trying to sniff out any small clue of a mood change, charting, taking notes, observing him. Worrying about him.

He spent 10 months of the last 12 (literally, not figuratively) suicidal, dangerous, aggressive, and explosive. His meds are controlling that a little, but he is manic right now. Which is dangerous in other ways. And his meds aren’t holding that in. They aren’t ‘stabilizing’ him like they are supposed to. And without going into a tirade about doctors, I don’t have a ‘handle’ on this the way I PROMISED myself I would last October. And last May. And last July. You get the point.

The fact that mania seeps out now means that Gabriel is hyper (he isn’t normally at all), he is giddy, inappropriate (laughing, jokes, rude comments, butt jokes, pulling his pants down in front of a friend during a play date, etc), and more likely to jump off the roof (or trick his brothers into doing it) than anything else. Which is, in some ways, better than the dangerous depressive side. However, as October comes to a close, so will the mania, and the bipolar depression will replace my giddy-inappropriate child with one who hates the world. Who hates me. Who hates his brothers. One who is so negative and dangerous that he threatens to take knives to school and kill people. That kid is hard to live with. That kid is hard to keep safe. That kid threatens my sanity and the safety of my other two children.

We have to put him on another medication.  A stronger medication.  And although our ‘nurse practitioner’ is willing to give him a new medicine now, (they want to put him on Lamictal), my next appointment with his actual doctor, a real psychiatrist, isn’t until November 24.

Yes, the day before Thanksgiving.

Why wait?  Because Lamictal has a 1 in 1000 chance of a deadly side effect.  A deadly rash that may just start itself in the depth of my son’s mouth where I am less likely to see it.  Less likely to be able to get him the immediate medical attention requiredThat scares me.

And scares my husband. So much so, that he refuses to give our son this drug until we see our psychiatrist.  Who we can see the day before Thanksgiving.

So, I will bake pies early this year.  And spend the that glorious Wednesday afternoon admiring the artwork on the walls of Children’s Hospital, nervously wondering if I will be rushing Gabriel to the ER with a rash on Thanksgiving day, and trying to hold down all those bites of pie I shoved in my throat in the anticipation of this moment where we are forced to make, yet another, hard decision about our son’s care.

But I have no choice.  So we wait.

But the cycling won’t wait.

Depression is nipping at his heels and I am not sure we can out run it.