Coronavirus Has Become The Great Equalizer For The Mentally Ill

For years now, I have attempted to combat the stigma associated with mental illness.  Again and again, I have given real world examples, approached the subject from differing angles, even used charts and graphs, hoping to help those who have never experienced it themselves better understand.  Yet, sadly I still often feel like I fall short.  While those who are living with mental illness have contacted me numerous times to thank me for putting their experiences into words, there are still those who could not wrap their minds around what it was like to live with our diagnosis.

That is, they couldn’t fully understand until this pandemic hit.

Day after day, for months now, I continue to see postings, comments and tweets that could have been written by any one of the millions of people who struggle every day with various mental illnesses.

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People talk about being worried all the time, sometimes not even knowing what it is that they are worried about, only that the ever-present feeling of dread is looming there, hanging over them.

People talk about being afraid of their world falling apart, the economy crumbling, their job not being there after all of this is over.  They worry about not being smart enough to home school their kids, and of the dangers of sending them back to school in the height of the pandemic. They worry about the house not being clean enough if they have to do a video conference with their co-workers or whether they are even capable to adequately work from home for any length of time. They worry about bills accumulating faster than money comes in and the continuous threat of losing their homes due to evictions and foreclosures.

Even seemingly little things like running to the store for food or toilet paper feel huge.  The world outside doesn’t feel safe.  What if the store is out of whatever we need when they get there?  What if they bump into someone sick? What if they bring the virus home?  The sound of someone nearby coughing makes them jump and want to run back home to safety.  Many even put off going out for days until they absolutely have to, the dreaded eventual trip weighing on them.

People talk about being worried incessantly and excessively about their loved ones and friends, of imagining worst case scenarios of their illnesses and deaths, even though they know they are currently safe and healthy.

Though the common sense part of their brain keeps firing off, trying to remind them that everything is currently okay, and that things will likely eventually be okay again, they cannot help but feel like everything they are worried about is not only possible but probable.  Everything seems to be hanging heavily and even little things feel too big to handle some days.

They feel restless. Their mind runs nonstop.  Even reading the news feels overwhelming, yet they struggle to look away because they feel an urgency to stay informed.  They feel like they have no control over their lives, as if everything is spiraling down into chaos, getting crazier by the day, and there’s absolutely nothing they can do to stop it.

They talk about the confusion of differing information out there, of never knowing what to believe, who to trust, and being fearful of choosing incorrectly and it leading to disaster.

People talk about being continuously exhausted as the pandemic drags on and on, about wishing things would just be over but fearing there is no end in sight. They’re tired of thinking about the coronavirus, tired of worrying about it, want it to just go away. Yet it continues to loom, to linger, to threaten their peace of mind and their very sanity.

All of that is anxiety.

THAT is what people who live with an anxiety disorder go through every single day over a multitude of things in our lives.

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People talk about that feeling of hopelessness.

They feel trapped at home without any real purpose. They are constantly dragging throughout the day.  They can’t stay focused. They are eating and sleeping all the time or not at all.  Some complain about not even enjoying their favorite foods anymore or their favorite shows no longer bringing them any joy.

Some feel all alone.  Many of those feel isolated even with others around, afraid to talk about what they are feeling and going through because they don’t want to seem crazy.  They pull inwards, trying to cope and to put on a brave face, even though they feel like they are falling to pieces inside.

Homeschooling has become overwhelming – they don’t remember school being that hard and feel inadequate because they are struggling to help their kids with basic subjects.  They feel they are letting everyone down by not being enough. Yet the thought of sending kids back to school feels equally as disastrous. It is as if no matter what choice they make, it’ll be wrong, that every option is equally bad and hopeless.

Life itself feels exhausting to them.  There’s times they just feel numb to it all.  Other times, they just want to cry.  Often, they just resort to sleeping, or mindlessly scrolling through social media or watching random shows, though they can barely recall afterwards what it was that they saw.  They feel they are just going through the motions and desperately wish life would just get back to normal – though they know there is nothing they could do to change anything.

Some people are attempting to regain control of their lives, to go out and do something, anything, to reclaim the life they once knew. Yet, while out and about, they are distracted by all that could go wrong, by wanting to return to the safety of their homes. Though part of them desperately wants to enjoy their time out, their thoughts and feelings hang heavy on them, throwing a dark cloud over it all. They feel guilty for everything – for even trying to go out, for trying to have fun, for being too lax or not taking enough precautions. They apologize to others for sucking all the fun out of what could have potentially been a nice day, feeling they somehow seem to be ruining everything they touch.

They see other people being productive, using their downtime wisely to accomplish so many things. They wish they could get things done, as well, but seem to have no desire, no drive to do anything. They find themselves procrastinating and then beating themselves up for their inactivity, which in turn makes themselves procrastinate more, caught in an endless loop where nothing gets done and then they beat themselves up for that lack of productivity.

All of that is depression.

That is what people struggling with a depression diagnosis go through on a regular basis.

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I have seen people talk about wanting to be productive during this downtime, taking on a multitude of projects, more than any one person could legitimately handle, convinced they have the time and energy to do it all, only to crash into an overwhelmed, discouraged heap days later with everything half completed.  They go through cycles of manic, larger than life aspirations and heavy, depressing reality.

People talk about feeling irrationally angry, of feeling fed up about everything and nothing in particular at the same time. They find themselves continuously annoyed with everyone in their life and even the pandemic as a whole.

They describe many of the feelings common with depression, but with an entirely different mess added to the mix. They talk about having feelings that boomerang and yo-yo from one end to another, or sometimes both extremes at once. They talk about feeling so much, in so many directions, that they cannot even put it all into words.

Those highs, lows and extremes are all aspects of bipolar disorder.

People struggling with bipolar disorder often find themselves experiencing a wide variety of emotions and extremes with no rhyme, reason, pattern or predictable duration.

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The list goes on and on of ways this pandemic has helped mirror mental illness in the everyday lives of people who have never experienced it before and struggled to understand it. In the last few months, I have seen these sentiments appear and reappear throughout the country as pockets of positive cases sprung up and the epicenters continued to shift. No matter where the worst of the pandemic currently resides in the country, though, the narrative has remained largely the same.

Whenever I see people talking about their struggles during this pandemic, I want to call out “YES! Yes to this tenfold! That is exactly what it is like!” in hopes of turning it into a teachable moment.

At the same time, I find myself saddened, because I wouldn’t wish any of these experiences on anyone else, even if they are temporary and likely to end when this crisis is over.  I know what it is like to live with anxiety and depression every single day for years on end. I grew up seeing my mother struggle with bipolar disorder and now watch my fiance battle it on a daily basis. I am intimately familiar with many of the struggles of living with a mental illness. It breaks my heart to see so many others going through these struggles because I know firsthand how hard it can be.

As strange as it sounds, though, beneath it all, this pandemic has given me a strange sense of unnerving calm. For the first time in my life, I don’t feel entirely odd, different, unbalanced or crazy.  For the first time, I don’t feel singled out, the odd woman out in a world where everyone else seems to be breezing through life, coping much better than I could ever dream. For the first time, everyone else can finally understand all the feelings I go through every single day.  At least in that one aspect, the pandemic has become the great equalizer for those of us with mental illness.

I can only hope that their memories do not fade, though, once all of this is over.  Perhaps now that more people understand and have experienced many of the feelings commonly associated with mental illness even on a temporary basis, they will be more empathetic to the struggles many of us face every single day. Though even if those memories do eventually fade away, I hope everyone currently struggling to cope with the weight of the pandemic knows, as those of us in the mental health community often reassure each other, that none of you are alone. Though there are no easy answers or solutions to much of what you are feeling, we understand and we are all here, even if physically apart, to offer our support. Please never be afraid to seek help if you find you cannot cope on your own. Stay strong.

More than Just a Faceless Number in the Pandemic

There’s nothing quite like those moments of enlightenment when you realize that your feelings and motives go deeper and are more personal than you previously realized or openly admitted.  Why do I care so deeply about people being responsible and staying home as much as possible during this pandemic?

Whenever I was asked, my first impulse answer was always that I didn’t want anything to happen to those I care about and their loved ones, that there are people in my life that are older or are immuno-compromised, friends who are considered high risk because they just got over cancer or who have just had a baby. I care a lot, perhaps too much at times, about other people, mostly because I know what it is like to struggle and suffer and I don’t want anyone else to needlessly go through any heartache or pain.

I spend a lot of time thinking about how much everything affects others that I often forget to consider my own personal situation. Perhaps I also struggle to consider myself among those who need extra protection, those who are determined to be at a higher risk, those in the biggest danger. I have come to see myself as a fighter, a survivor, and being lumped into that category is like accepting that I am fragile, weak, that I am less than the strong person I believe myself to be.

I have been through a lot in my life.  As a child, I endured every type of abuse imaginable.  Physical, mental and emotional abuse lent to my PTSD diagnosis.  Sexual abuse led to my doctors telling me I might never be able to have children.  Yet I persevered.

At sixteen, my abusive childhood culminated with my mother shooting my father.  I was bounced around among family members for a little over a year before finding myself on my own before I was even eighteen years old. Yet I survived.

Even though addiction ran in my family in the form of both drug and alcohol abuse, and trauma like mine often serves as a catalyst for substance abuse, I managed to avoid both and powered on.

I have struggled with severe depression my entire life, due in part to abuse and trauma, and partly due to a genetic mutation that deprives my brain of the substances it needs to adequately moderate my moods, yet I found ways to continue to function and continue to fight.

I have suffered much heartache over the years, from failed unhealthy and abusive relationships, to multiple miscarriages, yet refused to let any of it ultimately break me.

Cancer runs in both sides of my family.  It stole my mother’s brother way too young.  I watched as it slowly ate away at my father until there was nothing left of him and as it almost killed my mother.  Starting in my twenties, I have had numerous cancer-related health scares of my own.  I had two pre-cancerous atypical pap smears that required cryosurgery and was told afterwards that they were caught just in the nick of time.  In my thirties, they found a mass on the side of my breast extending under my arm that was deemed non-cancerous.  At forty, I had to have one of my ovaries removed because there was a large cyst on it with a fibrous mass inside.  Thankfully, the biopsy after my oophorectomy showed the mass to be benign.  And finally, a little less than two years ago, doctors found not one but two meningioma tumors on my brain.  Yet I continue on and refuse to lose hope.

I continue on because I am a survivor. That is what I do.  I keep going. I power on.  I fight whatever life throws my way.

And I do so with kindness in my heart.  I never want my own life experiences to make me jaded or cruel.  I know what it feels like to suffer and I would not wish my struggles on anyone else.  I try to always show others kindness regardless of whether it was ever shown to me in my own times of need.  I have always firmly believed that there is too much suffering in this world and it is our responsibility to be kind to one another, to watch out for each other, and to ease each other’s pain whenever possible.

And somewhere along the way, I rediscovered myself.  I found a miraculous inner strength, a renewed sense of purpose and even was blessed enough to have wonderful children and find a deep and true lasting love.  I have transformed my own pain into mental health advocacy for others.  I write and speak out to encourage others to keep going, to never give up.  I empathize with the struggles of others and let them know they are not alone.  My writing has been showcased worldwide, discussed on television, radio and internet media programs and shared by numerous government agencies, private practices, and advocacy groups along the way.  I have managed to reach and help more people than I ever imagined possible.  My children and my writing are a legacy I am proud to leave behind.

I have come a long way in life and I have overcome many obstacles along the way.  I am a fighter.  A survivor.

However, to the medical community, I am reduced to a simple list of stats.  Though in normal times, doctors often make an effort to acquaint themselves with their patients to better serve their needs, we are currently in the middle of a worldwide viral pandemic.  The number of infected is increasing daily by the thousands in my country.  And to make matters worse, I happen to live in New York – the current epicenter of the virus in the United States.  Doctors don’t have the time or the energy to get to know all of their patients well right now in an emergency setting.  They have to make split decisions based on medical history prior to infection.

And the simple fact is that I have cancer.  I have two tumors on my brain.  I’m honestly not sure it even matters that the tumors are benign or that right before the pandemic was declared a national emergency, my neurosurgeon informed us that my tumors have shown little to no noticeable growth in the last eighteen months’ of MRI scans.  The cancer diagnosis alone means that I am considered high risk and my treatment is considered a lesser priority than someone else without preexisting conditions.

The fact that I have continuously fought hard and survived many things over the course of my entire life is irrelevant.

The fact that I have dedicated years to helping and advocating for others is irrelevant.

The fact that I am otherwise relatively healthy is irrelevant.

Even the fact that I am a mother and a fiance is irrelevant because every single person that comes through the hospital doors is family to someone.  They are all a son or a daughter.  Many are parents, grandparents, spouses, friends.  We all have a story.

But my story can be reduced to one word, a word that makes my treatment less of a priority during a pandemic. Cancer.

As much as I want to say, want to believe, that the primary reason if not the only reason I want people to stay inside and be responsible is to protect others, I have to accept that I need protecting, too.  My health and well-being is important, as well.  I am part of that at risk, high risk group.  If I get sick, my treatment will possibly, if not likely, be deemed less of a priority.

I don’t want to see myself as someone needing protection because I don’t want to be seen as a victim. I don’t want anyone to feel sorry for me.  I am a fighter.  A survivor.  I have beaten the odds again and again.  I have a lot of living left to do and a lot of fight left in me.  I have children who I long to see grow into their own.  I have a wedding to plan.  I have more writing and advocacy to do.  And I have this cancer to beat.

My staying home unless absolutely necessary only goes so far to flatten the curve.  I am depending on others to be responsible, as well.  Every person out there interacting is a possible carrier and the more people congregating in a given area, the bigger and more likely the spread.  The more this virus spreads, the more likely I am to get it.  Hospitals in my state are already struggling to the point where do not resuscitate orders have been put in place if somebody dies.  If the hospitals become even more overwhelmed, they will be put in the same place Italy was at the apex of their crisis – with doctors having to choose who gets treatment and who dies based solely on their prior medical history.  And having tumors means if the hospitals are overwhelmed, I might be deemed not worth saving because they don’t have the manpower, equipment, time or energy to save everyone.

It’s easy to consider terms such as “acceptable losses” or to shrug off deaths of the elderly and sick as “the thinning of the herd” when you think in terms of abstract numbers instead of considering the actual people behind those numbers.  It is different when you consider the faces and stories of those people and the families they will be leaving behind.  Even one person needlessly contracting this virus and dying should be one person too many.  We all have families and stories.  We aren’t just faceless numbers.  And many of us still have a lot of life left to live and a greater purpose left to fulfill.

I didn’t come this far to only come this far.  I’m continuing to fight the good fight because I want to eventually leave this world a better, kinder place than it was when I entered it.

I don’t want to die.

I don’t want any of you to die either.

Republished on The Mighty on 5/4/20.

Republished on Yahoo News on 5/4/20.

 

Having a Family Isn’t Exhausting – My Depression Is

My youngest just started college.  He took a train upstate for a weekend visit after his last class this past Friday.  I spent the two days prior trying to build up my energy preserves before his arrival.  We didn’t have a particularly eventful weekend, yet I was worn out by the time he left.  It isn’t that he is exhausting.  My depression is.

Even when my children were younger, I found myself building up reserves of whatever energy I could muster, saving whatever I could for them.  It seemed like I was eternally exhausted, forever worn out and hanging by a thread, trying to scrounge up whatever motivation I could manage in a feeble attempt to be the mother I felt they deserved.

We took frequent long walks to parks throughout the city, many day trips to area museums and festivals.  Yet I always felt like I fell short, like I never was able to do even a portion of what I wanted to do with them.  More than anything else, we had quiet family movie nights or game nights at home, days spent home playing in the backyard or drawing with chalk on the sidewalk out in front of the house because I was too exhausted to do anything else.

The fact is that my depression is both physically and mentally exhausting.  I am engaged in a never-ending battle with my own brain.  I begin most days already feeling like I am running on empty.  Even my sleep is restless so I never fully recharge.

On the average weekday morning these days, I am up when my fiance’s alarm goes off.  I scurry around for an hour or so, helping him get ready for work.  It gives us a little extra time to spend together on days when he’ll be gone most of the day.  When he leaves, I collapse on the couch, where I spend a good chunk of my day.  It isn’t that helping him get ready is exhausting.  My depression is.

An hour before he is due home, I muster up what little energy I have left to somewhat straighten the house and start dinner.  There’s always easily a dozen things I wish I had done throughout any given day that will get put off to another day.  I truly wish I had the energy to do more.  Most days, I’m amazed I managed to do as much as I have.

The truth is that I spend most of my time alone in a fog of depression.  I often use up what little energy I do have on my family so by the time they leave I am tired, exhausted, worn out.  Some days, I am caught in a funk, immobile and numb.  On other days, I wait until I have the house to myself to break down and cry, sobbing throughout the day.  Either way, I find myself crumbling and falling apart moments after my family is out the door.

Shortly before they’re due home, I dry my eyes and paint on a smile.  I straighten my hair and tidy the house.  I try my best to hold everything together for them even though I usually feel like I am falling apart inside.  By the time they come through the door, I am already wishing I could climb into bed.  It is exhausting.

I often do my best to keep the true extent of my struggles to myself because I don’t want my family to worry about me or to suffer over my pain.  I don’t want them to question whether they are doing enough for me or whether they have been supportive enough.  They know about my struggles with depression yet I still try to shield them to the best of my ability.  My mental illness is not their fault.  I always feel like I must protect them from it, shield them from it, save them from the worst of it.

I conserve my energy for my family in part because I want to be strong for them.  It is bad enough that I feel weak and helpless – I don’t want them to see me that way, as well.  My family brings out the best in me so I want to give them the best of me in return.  A large part of me is also honestly terrified of letting my family down, of being too broken, too much of a mess to be the person they need me to be, the person they deserve to have in their lives.

Please know that they have never said or done anything to make me feel this way.  I know that these feelings, too, are products of my depression.  I prioritize others over myself because my depression makes me devalue myself.  I internalize everything, blaming and beating myself up far worse than anyone else ever could.  My depression makes me feel like a failure, tells me that no matter how much I do, it will never be good enough, never be enough in any way.

Unfortunately, though, recognizing that it is my depression is not enough to stop these feelings or the behaviors that result from them.  Depression is an illness.  Calling a duck a duck will not make it disappear.  A diabetic labeling their illness will not magically balance their sugar levels any more than someone with a mental illness acknowledging their symptoms will instantly change how they feel inside.  It is good to acknowledge the illness so you understand why you feel the way you do, but comprehending an illness will not make it go away.

Perhaps, in time, I will acquire more self-care and coping skills so that I do not always feel like I am running on empty.  Perhaps, as well, I will heal more and become somewhat more functional again.  But in the meantime, I only have just so much energy to give and I choose to give the majority of it to those who reside in my heart.

I do not resent my family for soaking up the majority of my energy each day.  It is my own choice to do this.  I do this not because I feel that I have to but rather because I want to do so.  My family means the world to me.  I would do anything for them – even give them the last little bits of myself that I have left for the day.

Because on a lot of days, that is exactly what it is.  Those little stores of energy I have managed to reserve for them are the only true sparks of myself I am able to muster.  When they are used up, there is nothing left of myself for myself.  All that remains is my depression.

I know many people will say that I must take care of myself as well.  I’ve been reminded often that “you can’t fill from an empty cup”, implying that I cannot truly be there for anyone else until I have tended to myself first.  But, for me, taking care of my family *IS* taking care of myself.  It is an all too common sacrifice for those of us living with depression.  We give the best of ourselves to our children, our partners, our family and friends because in our hearts we believe that they bring out the best in us so they deserve nothing less than our best in return.

Depression is exhausting.  Most days, I have very little of myself to give the world.  I give all I can to my family, even if it leaves little to nothing for myself.  I do this because I am my best self when I am with my family.  I am more myself when I am with them than I ever am when I am alone.  If I only have a little of myself to go around, I want to share it with those who love and accept me, depression and all.

Republished on The Mighty on 11/2/18.