Life Changer

"Depression is a lifelong, chronic condition, and it needs to be maintained like any other disease." Catherine Winters

A "lifelong, chronic condition." "Like any other disease." 

Oh my fucking god. No one has ever expressed this concept to me. All these years, depression has been something that happened to me, or that I let happen by not stopping it in time. It was something that came and went, often for no discernible reason. And I've always wondered why it keeps happening to me. Why do I keep getting depressed?

Because clinical depression is a chronic condition, like my fibromyalgia. Neither of them currently has a cure or even a known cause, just surmises and theories. But the depression, like the fibromyalgia, needs to be treated and I need to stay on top of things that may trigger an event. Looking at it this way, I can handle it. 

I know how to handle my fibro (and I haven't been doing so well, but I think the heat and sun are providing balance against the lack of exercise), and I have to take a regular med to keep it under control. I know the warning signs of a fibro event (and I am thankful that I haven't had a major one in years). If I can stay on top of the fibro, I can stay on top of the depression. (You have no idea how difficult it was to type that sentence without any modifiers such as "I think I can stay on top" or "I can probably/most likely" stay on top.)

For example, if I overexert myself, do something physical enough to cause extreme fatigue, then I will suffer from this fatigue for a few days. I know that fibro makes me become more tired faster than other people, and it takes me much longer to recover from fatigue. Strong emotional events or highly stimulating events (such as going to a crowded festival or concert) have similar effects. And if I keep going and don't attend to my health needs and the signs from the fibro, I could end up in bed for days and barely able to move for weeks.

So how does this translate to the chronic condition of depression? Well, I didn't have a lot of options this last time, what with grief and exhaustion and all that I had to do. I got hit with a sledgehammer and there was no way around it. But I'm coming out of it, here and there, so I have the opportunity and the mental and physical capacity to examine this condition and learn how to keep it under control in the present and the future.

Like with the fibro, keeping myself healthy will have the greatest benefit for my mental condition. If I eat well, I'll have all the right nutrients and chemicals roaming around in my body and brain. If I exercise regularly (take walks, do a few body strengthening exercises, do some yoga), I'll get endorphins and keep the fibro pain down — pain can trigger depression, which is why fibro and depression are such close companions. And probably one of the most important factors in controlling the depression: do what I love to do. Write. Draw. Make things. Play. Dance. Maybe the effort it takes to completely inhibit my creative aspect causes depression because it takes so damned much mental energy!

There. This whole idea is going to roll around in my mind for weeks now. Always before when I've been told ways to get out of depression, it seemed like guessing. And besides, it always came back. Well now I see it from a new perspective and suddenly everything looks different. As a visual person, I can tell you everything literally looks different. As a tactile/kinesthetic person, I can also assure it that it all feels different, too, as if the texture of everything around me — even the air — has changed.

I'll probably go on about this in the near future. A lot. So you've been duly warned. Now I need to go watch the marbles roll around inside my skull.

Among the Stars, Floating Freely

I've had difficulties coming up with something to write about. Part of it is that I haven't done anything dramatic in therapy lately and part of it is that I'm not feeling anything intense right now. 

I have to remind myself that this blog is not about entertaining anyone, not even myself. It's a journal of my journey through therapy and mental health. Quiet times are part of that journey — I don't think I could manage if my life were all sturm und drang.

Right now as I sit on the couch in the near dark, I feel like I'm floating almost weightless, wheeling in black space surrounded by stars in all directions, near and far. This floating is different from the floating of "broken thinking"; I am connected and centered. I guess this feeling is one of calmness, quietude, and restfulness, like the calm within the eye of a storm, or the quiet when all the neighbors are asleep and the traffic has died away.

My life contains so many difficult challenges right now, on all fronts, that I'm enjoying this hiatus, now that I've realized it's nothing pathological. I think that's one of the problems of being in therapy a lot: soon every mental state seems like a pathology. It's like when I first paid attention to "what cancerous moles and lesions look like" and I realized that most of my moles and freckles etc. have all the characteristics of "bad" ones! Yes, I am a touch hypochondriacal. Does the psychiatric community still use the word "neurotic"?

I'm going to enjoy the quiet as long as it lasts and take this time to focus on finding work and doing my damned therapy homework. More than likely, this next set of homework will take a chunk out of my quietude.

You Are What You ...

Eat. Watch. Read. Listen to. 

Everything that you are exposed to has an effect. For example, people who watch, listen to, or read the news regularly tend to have a more negative view of the world and feel that crime has increased over time, because that is what they are exposed to.

I'm a highly sensitive person. Add to that extreme introversion and PTSD and you'll find that my nerves are all right there at the surface. Some of them may even extend past my skin. 

I learned over a decade ago that I have to pay attention to what I let in. Very dark books, tv shows, and movies are hard on me. I take them inside me and the darkness tends to stick. I remember the most horrific things from such stories and they pop up years later. Given my obsessive thinking, it can take days to get the thoughts to go away. 

When it comes to the news, I keep in mind the way it can bend your perceptions, so I mostly scroll over the headlines online.

Although I learned my lesson over a decade ago, I have to keep relearning it and re-remembering it, as I do with everything. I have remembered to not read books about serial killers that won't die, but I keep forgetting about TV shows. I watch CSI and CSI NY (I think CSI NY is less dark than the original). But the worst is that I've been watching Criminal Minds. That's all about mass murderers, serial killers, and bombers! It's one of the worst things I can do to myself. It's like an addiction. When the next season comes around, I'm going to remind myself to Watch Something Else. 

Now, I cannot watch movies about psychopaths, because they are monsters that exist and I'll have nightmares and my anxieties will increase. But I can watch movies about non-human monsters, such as giant sharks and behemoths that come out of mountains. And I can watch natural disaster movies — the worse the disaster the better. Maybe these are cathartic for my anxiety, my PTSD. Certainly they stimulate me and make me breath faster, make my heart race. Perhaps they are helpful in balancing out how withdrawn I can become due to the hypersensitivity and the introversion.

Some of my friends are very thoughtful and mindful of my sensitivities and will caution me about various movies or books, even going so far as to say "don't watch that, ever" or "don't read that, ever." I love that they care and that they know me well enough to be able to tell me this. Their doing so makes me feel loved.

Lately I've been bingeing on monster movies, now that I have Netflix Streaming Video. It coincides with a lightening of my mood. I cannot even apply a correlation because I have nothing to base it on; there are other things that do have some correlation. However, the movies don't seem to have a negative effect on me, so I think I'll continue. Anything to feel better, right now. Anything to feel better.

This time I'll remember what is good for me to watch, read, or listen to. This time I'll remember what is bad. This time I won't listen to the little voice that says "it won't hurt you, you enjoy this." I'm sure many people have heard that voice and knew it meant the exact opposite of what it says. This time I'll remember to sick my big, protective voice on the evilly seductive voice. Who do you think will win?

This time I'll remember to take good care of myself. Forever.

Decent day — good day

When I was thinking of the title for tonight's post, I thought "I've had a good day.  A decent day." The fact that I downgraded it from good to decent struck me. Why do I so often diminish the good, but the bad is always way up there — awful, horrible, terrible? When I exchanged greetings with someone I know around the complex, he said he was "good" and I said I was "not too bad." Am I afraid that I will attract The Bad by giving attention to The Good? It's weird, whatever it is.

Therapy Day today. I still hadn't done my homework, so we talked about all the other crap. Then I learned that while I thought I'd been doing cognitive therapy in the past, I hadn't done it in the orderly manner that Karen does it. 

We were discussing, hell, I don't remember all of it specifically.  We discussed my living in the past and the future. We discussed my meltdowns of last week. Then she asked me if she'd gone over the Cognitive Distortions checklist. No, she hadn't, and I'm glad she thought to do so today. I have a lot of the distorted thinking patterns on her list. For example, All or Nothing thinking, where everything is black or white. When my meltdowns occur, that's the first place I go. Or "Mental filter: you pick out a single negative detail and dwell on it exclusively so that your vision of all reality becomes darkened, like the drop of ink that discolors the entire beaker of water." Might as well put my picture on that one. One bad thing can color the rest of a predominantly good thing for me. 

My current homework is to note these distortions when I think them, label them, then replace them with corrected, undistorted thoughts.

I've been in therapy for over half my life. I was told that much of it was cognitive therapy. But I've never had it targeted this well or been given such specific information and ways to deal with it.

My other homework is to get some balance in my life with the computer. I've let the computer be my escape from reality, my distraction from thinking or living. Now my intention is to use the computer as a tool — for writing, for communicating, for doing work — and to not use it for escapist activities. Nope, no planning any prison breaks on the computer for me! Oh, not that kind of escapist. And if you check out my blog list down on the right, you'll see "zen habits." In my previous post I mentioned the blog author's book, Focus. Well part of that book talks about becoming addicted to the computer and allowing it to control you rather than the other way around. Luckily for me, this book has come to me at the right time to help me with this specific task. Oh, and with the next one.

In order to deal with my forever living in the past and the future rather than the present, my homework is to practice mindfulness and get out of my head. Think outwardly, not inwardly. Yeah, that will be easy. I worked on it while on my short walk. "Oh look, pretty trees. Ow, my feet hurt. Listen to the birds. The sun is in my eyes. Smell the scent of trees and pine needles and dust. My feet still hurt." It was like dragging a toddler along on my walk! Which, in some way, I guess I was. That inner child thing.

And, of course, I need to continue on my trauma homework.

It's a whole lot of work, certainly. I must make it a priority or I'll never do any of it. And at my advanced age, it's high time I stop suffering from my past and fearing my future and simply begin living my life. Because being miserable has lost its glamour somehow.

The balance between gravity and flight

Tonight, I and several friends spent time on Facebook accomplishing a group project and it spawned a great deal of activity; double-, triple-, and quadruple-checking; and laughter. It has also left me with the jittery feelings that come when I let loose the dogs of hypomania, to completely destroy a phrase. The feeling is the same as when I was in college and didn't know about mania and mood swings and crashes as anything other than the regular feelings I experienced and assumed that many others experienced as well. 

In my 20s, I always encouraged and followed that emotional arrow as it flew up and up, past the birds, then the clouds, sometimes clear into the lower Earth orbit. The arrow would halt there, for a moment, balanced almost perfectly between both up and down forces, and that moment of balance was better than alcohol, better than pot, better than sex. However, gravity always won and the emotional arrow would plummet down, faster and faster until it achieved terminal velocity and crashed into the solid Earth, leaving me exhausted, in a vicious mood, confused, and often ill. 

When my first therapist first talked to me about controlling my highs in order to control the crashes, I was ferociously against it. I was convinced I would lose my personality, be some dull drone. I knew I would lose my creativity and my whimsy and spontaneity. It was another 3 years or so before I gave in and, tired of the crashes, began to recognize and control the arrow as it flew upward. I was relieved beyond words to see that it didn't kill my creativity or those parts of my personality that I valued so much. In fact, I think it made those facets better by virtue of my achieving some control. Later, when we decided to go further and add a medication layer of control, I wasn't so dead set against that. I'd grown accustomed to and grateful for control and the loss of those crashes.

In the past few years, I've also learned that I do have a cycling mood disorder and that the medication doesn't remove the cycling, it only dampens it. The rest is still up to me. I didn't have any awareness of those cycles until a friend who had gotten to know me very well and who has a keen perception pointed out to me that I fell into these phases where I would feel as if rabid hamsters were running on wheels in my mind and I couldn't control them. During those times, I would become dramatic and sure that the very worst thing that could happen would happen. These phases happened, he pointed out, every three weeks. Nothing I could lay to female hormones. 

Now that I've become aware of those three-week events, I've been able to perceive and control them. Over the  years I've come to appreciate control. So do my OCD and my PTSD and my hypervigilance and my regular anxiety ....