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.

The Truth About Depression and Suicide

Suicide has quickly become one of the top killers across all age groups, races, sexes and socio-economic classes. You cannot go a week these days without seeing multiple stories in the news about suicide. Celebrities. Children. Veterans. And those are just the stories the press finds newsworthy enough to report on. Across the country and all around the world, people are dying by their own hands every single day at alarming numbers. And yet it is a topic nobody wants to talk about until it hits close to home. Even then, most people would rather talk about it in hushed whispers, a shameful secret they wish would just fade away, than to openly talk about it.

I have struggled with major depression my entire life. I have been suicidal more than once. I am honestly not sure how I am even still alive today because with each of my attempts, I told no one, I secluded myself, I gave no forewarning or signs that things had gotten so bad that I wanted to give up. Though people knew I was struggling, nobody really knew how badly. I didn’t want anyone to know because I didn’t want to give anyone the opportunity to stop me. More than once, whether by the grace of God or some strange twist of fate, someone came through a doorway to find my unconscious body barely clinging to life. More than once, I woke up in the hospital not sure how I even got there.

I have also been on the other side of that fence, losing people I cared about to suicide. I have been blindsided by their death, torturing myself for feeling like I didn’t see the signs, not realizing how bad things were, not being there to help when they desperately needed someone. I have spent endless hours thinking back over missed opportunities that I might have been able to intervene and make a difference. I have been haunted by words I did not say and calls I did not make that might have made the difference between life and death.

Part of me, though, knows better than to torture myself with hindsight. I have been on both sides of that fence. I know all too well that unless you actually know what to look for, the signs are usually not even visible until someone is looking in the rear-view mirror. But by then it is too late. The crash has already happened. And you can’t turn back time. The best anyone can honestly do is to be proactive, to talk openly, honestly and regularly about their own mental health and that of those they care about. We need to make everyone’s mental health as much of a priory as our physical health.  As hard a topic as suicide may be, it’s harder still to bury someone you love. I believe this difficult conversation is long past due.

Please know that most people don’t normally wake up one day out of the blue and decide to kill themselves. Barring some drastic, life altering circumstance or great loss that seemingly destroys someone’s entire life in a heartbeat making them lose all hope in an instant, suicidal feelings usually develop over an extended period of anguish. The weight of the world is piled on again and again, making everything feel increasingly hopeless.  Eventually, you reach the point when you cannot take anymore. You’ve found the proverbial straw that broke the camel’s back and you collapse under the weight of it all.

You don’t go directly from life being fine to choosing to die like a car going from zero to sixty in a few seconds flat. It is a slow build. It begins with feeling overwhelmed with life itself. Everything feels increasingly too hard, too overwhelming. You begin to feel like you’re drowning, like you can never fully catch your breath. It feels like no matter what you do, nothing is ever going to change, that you’ve been dealt a losing hand and there’s no way to exchange your cards. The deck is rigged and you’ve lost big time.  Everything in life begins to feel like a struggle, an uphill battle, a fight you cannot win. You feel like you no longer have any control of your own fate.  You become mentally, emotionally and physically exhausted, not sure how much more you can keep going, how much strength you have left.

The first suicidal thoughts that creep in are abstract. You’re not making specific plans to kill yourself. You look outside during a snowstorm and ponder how long you would have to be exposed to the elements before everything just faded to black. You look at the currents of the river coursing by and ponder what it would be like to just be pulled under, swept away. When you pass a set of train tracks, you wonder where along the tracks it might be dark enough that they wouldn’t see you until it was too late. The thought of death is more of a fade to black. A sweet escape. Death itself becomes a daydream. Those abstract thoughts are commonly referred to as suicidal ideation.

With suicidal ideation, it isn’t so much about dying as it is about wanting to be freed from a life you feel is too painful to continue. The thought of death almost feels like a peaceful, sweet release. You become increasingly consumed by the thought of ending your suffering, of fading away, of just disappearing from the story, not having to fight or cry anymore, of just being free.

Most people who are suicidal honestly don’t want to die. For days, weeks, months, they’ve been soul-searching and agonizing, looking for any reason to keep going and not give up. It isn’t a decision made lightly or spur of the moment. They’ve been secretly fighting to hold on, to live, to find any reason to cling to so they don’t give up.  They have just reached the point where they feel they cannot take anymore, cannot hurt anymore, cannot go one more day living in their own personal hell.

Neither suicidal ideation or suicide itself are a plea for attention. It honestly is not about anyone else at all. Nobody who tries to kill themselves is thinking “I’ll show them!” or “they’ll be sorry when I’m gone!” like a kindergartner contemplating running away from home. By the time someone has made that ultimate choice to give up, they aren’t even thinking of anyone else beyond being convinced that others would be better off without them. They feel completely isolated and alone, in agonizing pain that they can no longer take. They are convinced their life is out of their hands and there is no way to fix anything in their life. Death is the only exit they can see in the darkness.

People often describe a loss by suicide as “unexpected” and “out of the blue”. Those who have lost someone to suicide often feel lost and confused, bewildered about how anyone could give up on life when they “had so much to live for”. The problem is that by the time someone is at that point of giving up, they have fallen so deeply into the darkness that they can no longer see any of the light. All they can feel is hopelessness and despair. And they feel utterly alone.

It’s nearly impossible for those who have not been there themselves to understand how anything could possibly get that bad, how anything could feel so hopeless, how anyone could feel so alone. I have frequently seen suicide aptly described as a bi-product of depression, heard others refer to suicide as a death caused by a person’s mental illness. Truer words have never been spoken.

Depression is a nefarious and deadly disease. It eats at your mental and emotional well-being just as surely as cancerous tumors eat away at a person’s body. And just like cancer weakens the immune system, making it harder to fight it off, depression feeds off your ability to distinguish reality and see anything but the darkness and despair that the illness wants you to see.  It systematically breaks and devours you until there is no will left to fight anymore.

Depression is not an illness you can easily disregard. You cannot just “suck it up”. It will not go away because you spew out some tired cliches about life or insist someone just try a little harder to be happy. Depression cannot be cured by taking a walk, going for a run or getting yourself a dog. It is not mind over matter or learning to toughen up. It is a serious medical condition and one that can have deadly consequences if left untreated.

People talk about being dumbfounded by someone’s suicide, of not seeing it coming. But honestly, there are plenty of signs there if someone takes the time to actually look and listen.

Has the person withdrawn themselves from family and friends, frequently making excuses about being too busy, swamped with life or feeling under the weather?

Have they stopped doing things they enjoy? Quit groups or teams? Given up hobbies they once loved? Are they spending a good portion of their time alone seemingly doing nothing?

Have their sleep patterns changed drastically? Are they laying down and sleeping more or are they up more with insomnia, tossing and turning, unable to sleep?

Has their appearance changed drastically? Losing or gaining weight? Not showering as much or wearing dirty clothes? Keeping their hair pulled back so they never have to tend to it or not shaving for long periods of time that is inconsistent with how they used to present themselves?

Is their room or house even more of a mess than usual or are they frequently wearing stained clothes like they just don’t care anymore? Do they always seem to be asking you to “excuse the mess”?

Are they frequently talking abut being exhausted, overly tired or fed up? Do they make comments about being tired of fighting or regularly insist life shouldn’t be this hard?

Are they frequently edgy, snippy and short with everyone as if they’re trying to push everyone away? Does everything seem to annoy them?

Are they frequently uncharacteristically silent as if they’re lost in their own world? Do they seem more scatterbrained than usual, life their mind is always off somewhere else?

Are they frequently sad, overly emotional or teary?

Do their emotional responses in general seem more raw, exaggerated and over-the-top as if they are feeling everything much stronger than usual?

Are they smiling and laughing less or are they pursing their lips together when they smile as if it was forced? Does their laughter seem less frequent and insincere, as if they’re trying to give you the reaction they believe you want even though their heart is not really in it?

Do they often blame puffy eyes or stuffy noses on allergies even when it’s not allergy season or they have not ventured outsides to be exposed to seasonal allergens?

Do they often insist they’re “fine” with no elaboration and claim they don’t want to talk about it when pressed, using dismissive phrases like “it is what it is” as if they have no control over their own life?

These are just some of the common signs of depression. Though they do not necessarily mean a person is currently considering suicide, it is likely they are struggling along that path. If you see drastic changes in mood and appearance, don’t be afraid to speak up and ask whether they’re okay. If someone doesn’t seem like themselves, there is usually a reason why. Don’t be afraid to call attention to drastic changes that concern you.

And please know it should never be a “one and done”. Even if you inquired once and they insisted they were fine, you can’t shrug and walk off, telling yourself that “hey I tried”. If someone’s depression has gotten bad enough that you can see multiple signs, it did not happen overnight and it is not going to be resolved overnight either. It might take multiple times of checking in and reaching out before someone is finally able to open up.

That is because depression isolates us. It gets into our head and convinces us that nobody cares, that we are all alone in the world. It is easier for us to believe that someone is asking how we are just to be nice or to make polite small talk than to believe they’re genuinely invested in our well-being.
People struggling with depression also have a lot of trust issues. Most likely, we have tried talking to others in the past and have been shot down or had our feelings minimized. Or we have heard you or others talk dismissively about their struggles so we’re unsure how supportive you’ll be for us. We’re afraid of being seen as weak or broken or crazy. We’re afraid to let anyone in only to get hurt again. Everything has felt like a fight for so long that we’re weary about letting anyone else in, too. And we don’t want to be a burden or to let anyone down by admitted we aren’t “strong enough”.

You cannot let yourself be discouraged, though. Continue to reach out every few days, even if just to check in about how they are doing. If someone seems to be cancelling plans a lot to go out, offer to come over and visit. If they make excuses about a mess, offer to help them clean it. If they claim they feel under the weather, offer to bring soup. Whatever you do, don’t let them continue to isolate. Let them know you miss them and just want to see them. Reinforce that they matter.

Coordinate with others in their life. Take turns checking in and offering reassurances. Make it clear that multiple people care and that they are not alone. Create a united front where everyone can face the depression together.
Most importantly, make it clear that it is okay to talk about whatever they are feeling and to get help. Don’t further stigmatize doctors or medication.  Don’t suggest it’s all in their head or tell them to suck it up and get over it. Don’t treat them like they’e crazy or broken. Remember that they are sick and need help. Be supportive. Be part of the solution not part of the problem.

If you are seeing yourself in these words, if you are exhausted and struggling to keep going, tired of fighting, tired of hurting, wanting to give up, please realize that those feelings are not reality. Your depression is lying to you, making all the bad in your life feel exaggerated and overwhelming and is snuffing out the light. Please know that you are not alone and there are others out there who understand completely what you are going through. You’ve got to fight this. Don’t give up. Reach out. Talk to friends, family, a therapist, a pastor. Someone. Anyone. Just don’t give up. Don’t shut everyone out. I know all too well that siren’s call that death will bring peace but it really won’t. Not for you and not for everyone in your life that you’ll be leaving behind. You can get past this.

Looking back, I am grateful I never succeeded. I feel blessed to still be here. Because now I have the ability to reach out and help others, to be the voice that shines like a beacon to light up the darkness. I am in a unique position where I understand not only the great loss that comes with losing someone to suicide but also the steep descent into the hopelessness of depression myself. Suffering in silence for years almost killed me multiple times. I can only hope that by finally speaking up, speaking out, I can help save others from succumbing to that darkness themselves.

Depression and suicide have robbed the world of so many beautiful souls. Fathers, mothers, sisters, brothers, children, friends. They have stolen so many lives from us far too soon. We can no longer stick our heads in the sand like an ostrich then claim later that we didn’t see the signs, didn’t know things were that bad. We are one society, one world. We have to start acting like it. We must start looking out for one another, be there for each other, truly listen and hear. The signs are there. We just have to take off our blinders and see them. We cannot pretend everything is fine because we don’t want to have an uncomfortable conversation. Inaction kills. We need to be proactive, not only with our own mental health but towards those we care about, as well. We all have the power to save lives if we are willing to actually reach out and try.

How I Spent My World Mental Health Awareness Day

I woke up early.  Not fifteen or twenty minutes early or even when the rising sun peeked in my window.  I woke up around three in the morning, not because any alarms were set or any loud noises woke me from my slumber.  My sleep is always spotty and restless, frequently dotted with anxiety and depression-laden nightmares.  Most nights, I’m lucky if I get more than five hours of sleep. Last night was no different.

I laid there feeling empty and stressed for hours, my thoughts racing, unable to get back to sleep.  When his alarms began going off three hours later, I resigned myself to the fact that there would be no more sleep for me today.

I helped him get ready for work, timidly smiling as I ushered him out the door. I said nothing about how I was feeling because I did not want to burden him with things he had no control over.  Easier to smile and to pretend, even though I know deep down I’m not kidding anyone.  Not myself. Not him.

After he drove away, I sat on the couch ruminating about everything I have to do today.  I sat there immobile for hours, beating myself up for all those things I should be doing.  I put a movie on, but it turns out it was for background noise more than anything, because I cannot recall anything about it.

I sat, I laid this way and that, I tossed on the couch for hours, not even quite sure why I was in such a funk today.  I felt lost and alone, the world utterly hopeless, which made no sense because things truthfully aren’t going that badly right now.  Yet those feelings were there all the same.  I couldn’t shake them, couldn’t stop them, any more than I could mute all those thoughts racing through my mind.

It was noontime before I managed to pull myself up.  There were days mountain climbing would take less effort.  I had been awake for 9 hours, out of my bed for six.  I was already exhausted and ready to climb back into bed.  Yet I managed to prepare some fresh salsa and straighten up the small mess I made on the counter today, piling those dishes on the side.  The dishes from yesterday still sit in the sink.  I ruminate about whether I’ll be able to wash them today.  I know I should.  But some days I just don’t have the energy.

I spent the majority of the afternoon watching an old series on television.  I know that I’ve seen it all before, which is a good thing because re-watching those episodes today was a blur.  I tried playing a game.  I tried checking my social media.  The truth is that I have no interest in anything today, no ability to focus on anything.

I want to scream and shout.  I want to cry.  I want to laugh at the pure insanity of it all.  I want these feelings to stop, this pain to stop.  I desperately want to be happy, to not have my mental illness always leaving a thick, dark sludge over everything in my life.  It taints everything.  Even the most delicious food tastes bland, the most upbeat music feels melancholy.  I don’t understand why my own mind would do this to me, why it wants me to hate my life, to hate myself.

It’s an hour until he is due back home.  All I have to show for the day so far is a container of salsa.  Strangely, even that feels like a victory.

I tell myself I will get to those dishes right after I finish writing this.  I don’t know if I will but I’m trying to be hopeful and positive.  I’m not sure I really feel it or believe it, though.  People say “fake it until you make it”.  I do it every single day when I try to encourage myself that today will be better, that I will be better today.  It all feels like lies because nothing ever seems to get better.  Yet part of me remains hopeful.

I breathe deeply and try to re-center myself.  I wash the tears from my face.  I mentally prepare myself to paint that smile back on my face, to pretend I am doing better than I truly am.  I know that, as long as I can force a grin and my cheeks are not salty from tears, he will assume today at least wasn’t an absolutely horrible day and not bring it up.  I actually prefer that today because I’m not even truly sure what has me so shaken to the core.  I wouldn’t even know what to say if he asked what was wrong.  I just know those feelings are there.

I do a mental tally of what foods we have that would be quick and easy because I’m not sure I have the energy to make anything more than that.  Truthfully, I don’t think I even have the energy to do that, but I’m terrified of letting him down, of disappointing him, of him thinking for even a moment that I am as worthless as I feel inside.

I catch myself, reminding myself that he would never say that, never think that.  That is my depression talking.  Part of me knows my depression lies, yet those sentiments always feel so real.

I settle on an easy dinner and turn back to do one last proofread.  I tell myself that writing this is a huge accomplishment, that I should be proud of myself for opening up at all.  It doesn’t feel like an accomplishment, though.  It feels like nothing, a waste of time.  I feel like a waste of space.  I question why anyone would even want to read this, to hear anything I have to say.

Again, I catch myself.  Easily, a dozen times a day I realize I am spewing that narrative, buying into depression’s lies.  Part of me wants to scream “shut up! Shut up! SHUT UP!”.  Unfortunately, though, stigma already has many people assuming that those with a mental illness are crazy.  I can’t feed their ignorance and their fears.  Still, I wish my mind would go silent.

I’ve done very little today beyond battling my own mind.  That, and beating myself up for everything that I haven’t done.  It feels like I’ve gone ten rounds with a heavyweight champion.  I’m already exhausted and ready for bed.  Ironically, I know when I finally get to go to bed, I won’t even be able to sleep.  I’ll lay there like I do every night because my mind never shuts up.  The words might alternate between despair and emptiness, but the endless chatter always remains.

Today is supposed to be World Mental Health Awareness Day, but in truth it could be any random, generic day to me.  They all bleed together, all feel the same.  The intensity varies day to day but the struggle is always there.  The world only schedules awareness one day a year but it is my reality every day.

The Depression Chart – Helping Others Understand Depression

*Ever since I created my Anxiety Chart, I have been asked by readers to create a similar chart for depression.  After much thought and consideration, this is the chart and accompanying graph that I designed.

Many people do not understand depression, assuming it is just random bouts of sadness and crying.  Unless someone has suffered through their own struggle with depression, it is near-impossible for them to truly understand how debilitating it can be to live with that diagnosis.

One of the hardest parts of explaining depression is that it is neither rational nor is it predictable.  It is hard to provide relatable examples because the feelings connected with depression would feel wildly irrational to anyone not experiencing them at that moment.  It is also impossible to predict or predetermine depression because it often comes unexpectedly in waves.

Therefore, instead of providing a chart with relatable examples, the chart I devised shows the increasing intensity of this mental illness.  My hope is that the statements provided at each level, combined with the descriptions included, will help those who have never struggled with depression understand how our frame of mind is magnified as our condition worsens.

It is also important to note that depression is not all sadness and hopelessness.  Instead of providing a chart listing levels 1-9, I have split this chart in half.  There is a 1-4N to designate worsening stages of numbness and a 1-4D to describe stages of downward spiral.  This chart is extremely simplified, yet illustrates how, as depression worsens, the intensity of the condition increases.  However, unlike conditions like anxiety that worsen in one direction, depression can and does frequently occur in both the realms of numbness and hopelessness to varying extents.

It is also important to note that depression is not linear.  It comes in waves and spikes.  It is not uncommon to struggle with days of increasing numbness, only to wake up the following day in the midst of a downward spiral.  Depression randomly alternates between the two, with no rhyme or reason to the length or intensity on any given day.  Some days you feel nothing at all, other days you feel everything too strongly.  There’s no way to predict when you will be pulled in either direction or how long either will last.

There will be days when someone might even feel fine, or even just more functional.  On other days, you might be unable to pull yourself out of bed or might seem to cry over everything.  There are days that feel like a struggle and others that feel completely impossible, days where you find yourself crying a little bit more and days you just want to give up.

When describing increased emotional pain, the best example I can think of is to compare it to the pain of loss.  Milder stages of depression might be akin to losing something that matters to you, perhaps something of sentimental value.  As depression increases, imagine the pain of losing a beloved pet, your parents, your spouse or your child.  Imagine the ache and the pain, the feeling in that moment of things never being okay again, of wanting to give up, to crumble under the weight of that pain.

Except the person you are mourning is yourself.  Your happiness and who you used to be.  And the loss comes again and again in waves, sometimes mild, other times so severe that the tears and the pain feel like they will never stop.

At the same time, you loathe and disgust yourself.  You feel worthless, a waste of space.  Your own mind lies to you, convincing you that the world would be better off without you in it.  That is where rationality parts ways.  Everyone can understand loss, pain and grieving.  But it is hard to wrap your head around losing yourself, let alone hating yourself, unless you have spiraled down to those depths yourself.

Yet those feelings are there, along with a tremendous amount of guilt.  You feel guilty that you are such a mess.  You feel guilty for subjecting everyone else to your mess, as well.  Often, you are also ashamed of your illness because you feel you should be stronger, more capable, better than you are.  That shame often leads you to lie or minimize the intensity of your suffering for fear of being judged.  Depression makes you feel like a failure just for being sick.

When someone is struggling with depression, their very perceptions become distorted.  It is common for everything to feel much worse than it actually is.  Think back to when you were a little child.  Things on the counter felt up way too high, the door knob out of reach.  Even simple things like tying your shoes were a struggle and felt like a monumental task that took maximum effort and concentration.  That is how everyday tasks feel when you have depression.  Everything feels harder.  Every problem feels bigger.  You feel small and helpless.

Think back, too, to when you were a young child and were upset with your parents, when you felt completely misunderstood and all alone in the world.  Think back on the time when your four or five year old self was convinced you should run away, that nobody would care if you were gone. Think back to any other point in your life, as well, when you felt completely alone, when you had no help, nobody there.  With depression, those feelings are ever-present.  Your mind tells you that nobody understands, that you are alone in the world.  Depression isolates you by telling lies that you do not matter.

Think back to the last time you were sick, laid up in bed with a bad flu or stomach bug.  Remember how physically and mentally exhausting it felt to even move or pull yourself out of bed?  How easily you found yourself worn out, just wanting to lay back down and sleep?  How you put off going to the bathroom for hours because you didn’t even want to move?  How you ate frozen waffles or canned soup for three days because you just did not have the energy or the desire to cook a real meal?  That is what depression is like, too.

The numbness, however, is hard to explain to anyone who has not experienced it firsthand.  If you’ve ever had someone or something upset you so much that you no longer cared, magnify that lack of concern tenfold.  It is similar to that catatonic shock following an accident or trauma.  You feel nothing, lost, blank, numb.  Eventually, you mentally shut down.  You are immobile, held hostage, trapped in your own mind.  You have no interest or motivation to do anything.  You see no point in even trying.

I wish there were more relatable examples I could give but it is impossible to rationalize the irrational.  There are some examples that are somewhat similar in one way or another, but even those don’t quite equate.  The best I can do is to illustrate the directions depression can go and to quantify how bad it can get.

When trying to explain depression, the best someone who is struggling can do is to explain how close we are at the given moment to either shutting down or wanting to give up.  The worst part is that the status can change in a moment’s notice on any given day.  There is no way to predict when it will veer off in either direction, let alone the severity of the bout.  You cannot even predict what will cause your condition to worsen, or whether it will even be something large or small.  Something as tragic as a great loss is just as likely to cause a period of numbness as a simple broken plate is to cause a severe downward spiral.  There are times we are honestly not even sure why we are feeling the way we do, only that the depression is there.  There is no rhyme, reason or rationality to any of it.

It is not something that a person can control in any way, either, let alone simply snap out of on their own accord.  Depression is a mental illness.  It is a medically-diagnosed condition that severely affects the ability to cope with life, negatively impacting and impairing both thoughts and behaviors.  Having a mental illness is no different than having any other type of illness.  Much like a diabetic has a pancreas that is malfunctioning, when a person has a mental illness, their brain is not working correctly.  The only difference is the organ affected.  Both conditions need medical treatment.

I understand how difficult it must be for someone who has never suffered from depression themselves to understand. Depression seems irrational because it is.  It doesn’t make sense, even to those of us struggling with it every day.  We find ourselves on a roller coaster ride that is speeding out of control, flying up and down every which way, with no way to stop or slow down.  Nobody asks for a mental illness.  Depression is not something anyone has done to themselves or is causing because they are not trying hard enough.  We don’t understand how we even ended up on this ride, let alone how to get off.  How can we adequately explain something we don’t even understand ourselves?

The confusion surrounding depression is also in part due to the stigma attached to mental illness in general.  For years, anyone with a mental illness was labeled as lazy, crazy, dangerous or a joke.  Either way, they were not taken seriously.  Mental illness was a dirty word that wasn’t discussed openly.  People fear or mock what they don’t understand.  The lack of education about medical conditions like depression led to wide-spread ignorance and misinformation.  Unfortunately, once that cat is out of the bag, the damage is done and it will take much longer to properly educate people about mental illness than it took to originally spread the falsehoods and misconceptions.

I understand fully that depression makes no sense to someone who has never experienced it themselves.  It honestly makes no sense to us, either.  But please know that depression is much more than just merely feeling sad from time to time.  With depression, you sometimes feel everything so strongly that it is completely overwhelming, the emotions feel agonizingly painful and never-ending, and the world feels utterly hopeless.  Other times, someone with depression is completely numb, feeling absolutely nothing at all.  Either way, everything feels much harder, more intense.  Depression is exhausting, both physically and mentally.  Perhaps worst of all, you feel helpless to do anything, like you have no control over your own mind.  And depression is not linear.  It goes up and down, every which way, changing direction and intensity on the drop of a dime.

I wish I could provide a chart that was more relatable for those who have never experienced depression, but, as I have stated before, there really is no way to rationalize the irrational.  The best I can do is to lay out what depression is like in a very simplified form and hope for your empathy, compassion, understanding and patience.

Republished on The Mighty on 2/18/19.

Republished on Yahoo: Lifestyle on 2/18/19.

Republished on Yahoo: News on 2/18/19.

Republished on Yahoo: Finance on 2/18/19.

Republished on Core Wellness on 2/18/19.

Republished on MamaMia on 2/23/19.

Republished on MSN on 2/24/19.

The Spiraling Cycle of Depression & Loneliness

Much like the classic question of whether the chicken or the egg came first, it is equally as hard to determine whether depression or loneliness comes first.

Does depression come first, causing a person to isolate, contributing to their own increased loneliness?

Or was the loneliness there first, causing worsening depression because you feel alone, like you have nobody there who cares, nobody who understands?

Often the two go hand in hand, causing a vicious cycle that spirals down, magnifying the impact of both.

In the beginning of the downward spiral, you don’t want to bother or inconvenience anyone with your problems.  The depression is there, but it feels like more of a trivial nuisance in your life than a bonafide issue.  You minimize your struggles because you don’t want to appear weak or helpless.  Your depression fools you into believing that you’re doing others a favor by not bothering them, that they have other, more important things to worry about than you.  You feel like you should be able to handle everything on your own so you begin to pull away, to isolate, and to justify those actions because you don’t want to trouble anyone else.

You feel disconnected and lonely, like you’re completely on your own.

And, over time, your depression continues to worsen, unchecked.

You close doors, put up walls and stop communicating.  It is not long until you’ve distanced yourself for so long that you feel you’re no longer entitled to reach out to those you have pushed away.  You feel guilty for being a bad friend.  You rationalize that it has been so long since you’ve spoken to everyone that to contact them now, just because you’re struggling more, would be wrong.  Even the thought of reaching out to anyone else feels awkward.  You feel like you’re being unreasonably needy for even wanting or wishing someone was there.

By this point, the depression has bled into every aspect of your life.  Everything feels utterly hopeless.  You feel completely lost, isolated and alone, like no one else could possibly understand.  Your depression convinces you of the fact that you are inherently broken in some strange and unique way that nobody else could ever understand.  You are struggling to function, struggling to even pull yourself out of bed.

You have not only pushed away everyone who was close to you, but you have also started to avoid everyone and everything else, as well.  You have stopped doing many of the things that once brought you joy because you feel you don’t deserve to be happy.  You don’t want anyone else to see the mess you’ve become.  You shut yourself off from the world, telling yourself the world is a better place without you in it, mucking it up.

And you have nobody to turn to, no one to talk with, nobody to lean on or confide in.

You’re completely alone.

The farther into the depths you spiral, the worse the loneliness and the worse the depression.  It isn’t a cycle that just loops endlessly in circles.  Instead it is a downward spiral that feeds off each other, making each worse in turn, dragging you further and further into the darkness.

Ironically, at the bottom of the spiral, you feel betrayed and abandoned.  Despite the fact that you intentionally isolated yourself and pushed everyone else away, your depression lies to you, telling you that if others truly cared, they would have seen all the signs, that they would have been there all along.  Your depression deceives you into believing that they would have fought harder to be there, refused to be pushed away.  It convinces you that nobody truly cares, that you are completely alone now and could not turn to anyone else even if you wanted to do so.  Your depression projects onto them the ability to read minds and to see everything you have hidden from them all along.  In the depth of depression, the irrational seems completely rational.

I have been there myself more than once.

Every time my depression begins to worsen again and spiral downward, I find myself isolating more and more.

I pull away because I don’t want to bother anyone else with my issues.  I always feel like a massive burden to everyone in my life.  My family and friends have seen me struggling for years.  I figure they must be tired of it all, exhausted from it by now.  I tell myself they don’t deserve to be plagued by my problems any more than they already have been.  I tell myself I am sparing them from my drama, saving them from any more heartbreak from seeing my continued struggling.

I feel like a horrible friend, a horrible person for even wanting to have them there during my bad times.  I feel like they deserve better than me.

I tell myself that I am doing them a kindness by keeping them away.

I desperately yearn for someone to talk to, someone to lean on, to have someone who truly understands.

Yet I feel completely alone…

…Because I have chosen to make myself alone.

It isn’t that I’m alone.  I have an amazing fiance who loves me to death and is both caring and compassionate about my mental illness.  I have wonderful children that have grown into incredible adults who want to be there for me.  I have a loyal and understanding circle of friends that have stood by me over the years.  I have a supportive team of doctors and other professionals whose primary goal is to help me.

That is the reality.  I am not alone.

However, the reality is also that I have depression, a mental illness that often convinces me both that I am alone and that I am a nuisance to everyone else in my life.

I don’t want to be alone.

But I don’t want to trouble any of them with my struggles or be a burden, either.

It is a catch-22, spurred on by the lies that my depression tells me.

It takes a continuous, conscious effort to remind myself that I am not a burden to any of them, that they love me, care about me and truly want to be there for me and help me.  I have to remind myself regularly that I am not alone and that others do truly care.  Again and again, I find myself itching to pull away, wanting to distance myself and my problems from everyone else.  It is a constant struggle not to isolate myself for the perceived benefit of others.

I have to remind myself, as well, that I don’t have to carry everything on my shoulders alone.  Often, I have to push myself to reopen those doors, tear down those walls and let others back in.  It is admittedly very hard a lot of the time to lean on others, to bother them with my problems, to even ask for help when I need it.  Instinctively, I always feel like everyone else has enough on their own plates without adding my mess to the mix.  I always feel guilty for needing other people.  Whenever I start feeling that way, I have to remind myself that others are there because they want to be.

Deep down, I know I am not a burden.

I know I am not troubling or bothering anyone with my problems nor am I forcing anyone to be there against their will.

I know I don’t have to face my illness alone.

I know all these negative feelings are lies, though they feel completely legitimate and real to me at the time.

We feel completely and utterly alone because our depression lies to us, convincing us that loneliness is a reality when you have a mental illness.  We don’t have to be alone, though.  Don’t let your depression deceive you.  There are others that care, others that want to be there.

There are people you have pushed away who are yearning to be back in your life, people who truly care about you and your well-being.

There are also others out there who you may not even have met yet who would be willing to be there, who understand what you are going through and don’t want you to have to struggle alone.

There are doctors and therapists, as well, and support groups out there who are willing to help.

I honestly cannot tell you whether the spiral starts with depression or with loneliness, though the two often go hand in hand.  Together they form a symbiotic relationship that feasts on your mental health, starving you of your happiness and well-being.

I do know one thing, though.

You don’t have to be alone…

…So please don’t choose to be.

Love.. When You Both Have A Mental Illness

Everywhere you look nowadays, you see stories about Ariana Grande’s whirlwind romance with Pete Davidson.  And almost everyone seems to want to put in their two cents on the matter, claiming everything from the fact that they’re too young to they’re moving too fast.  So many opinions abound.

More than anything, though, I keep seeing people chiming in about the fact that they both have mental illnesses that they have spoken publicly about, as if their illnesses play a large part in their relationship in some negative way.  Ariana Grande has spoken out about her struggles with anxiety and post-traumatic stress disorder.  Pete Davidson has shared his experiences with borderline personality disorder.  Yes, they both have mental illnesses but they also have found love.  And two people loving each other is not a bad thing.

There are many people that buy into the stigma surrounding mental illness, assuming that everyone struggling with one is crazy, unbalanced or even dangerous.  Some assume that nobody can have a healthy relationship while they have an unhealthy mind and that two mentally ill people coming together is a recipe for disaster.

I once even had a friend tell me specifically that “two unhealthy people cannot have a healthy relationship”.  Based on their premise, because I have a lifelong mental illness diagnosis that has its roots in my genetics, I have no hope of having a healthy relationship, especially if I fall in love with someone else who is struggling with an illness, as well.  If he were to be believed, I was destined to be alone.

As someone who struggles with mental illness who is in a relationship with someone else who is mentally ill, as well, I can tell you from my own personal experience that is not the case.

I have depression, anxiety and PTSD.  He has been diagnosed with bipolar disorder and PTSD.  We have both struggled with our illnesses for years, even being hospitalized for breakdowns at different points in our lives.  Yet, in each other we have found a love unlike anything either of us had ever experienced before.

We knew each other years ago as children.  He was my older brother’s best friend for a time and my first crush.  In our teens, life sent us in different directions and we lost touch for many years.  We found each other again a year and a half ago, after twenty five years apart, and sparks flew.

Like Ariana Grande and Pete Davidson, we’ve had people look at our relationship with judgment because we moved so fast.  He found me online again, listed as a friend of a friend he might know and we reconnected.  For two days, we talked non-stop whenever we had a moment to spare.  On the third day, we arranged to get together in person.  We’ve been together ever since.  As they often say “the rest is history”.

A month and a half later, we found ourselves living together.  We hadn’t planned it that way honestly.  His father had inoperable end-stage cancer and was placed in hospice.  There was no way I was going to leave his side for even a moment and make him endure that alone.  I had lost my own father to cancer a few years earlier, following his own brief stay in hospice.  Going through that together brought us even closer.

All the people from the outside looking in saw were two people who jumped ridiculously fast into a relationship.  They don’t realize that we knew each other as children and had a pre-existing familiarity and closeness that was brought back to the surface again.  The don’t accept that facing hardships together as we had done brings people closer.  They don’t consider that we have physically spent more time together in the last year and a half together than some couples have after dating for years.  They don’t see how we are with each other behind closed doors and how close we’ve continued to grow with each passing day.  Some people come directly from a place of judgment and automatically think it’s irrational to be so serious after such a short time.  Or worse, they label our choices as “crazy”, as if our love was just another way our mental illnesses have presented themselves.

Because of our mental illnesses, we’ve both always felt different, broken, damaged.  We both never felt we quite fit in or that anyone else could truly understand what we’re going through.  We’ve both felt so lost and that life should not be this hard.  We both have struggled for years to stay positive when it felt like our world was spiraling down into a dark abyss.  We both had numerous people in our lives who just couldn’t understand, who told us it was all in our heads, that we just needed to get over it and suck it up.

The difference now is that we both have someone we can talk to about everything we’ve been through.  Someone who truly gets it because they have been there themselves.  Someone who listens without judgment because they understand all too well how much that judgment hurts.  Someone who sees us not as damaged and broken, but for the big hearts and beautiful souls we have inside.

With that level of love and acceptance comes an incredibly strong bond.

We’re able to open up to one another and talk on a level that we never had before, to share experiences and traumas we’ve kept to ourselves for years.  In each other, we’ve found the one person we can completely be ourselves with, say anything to, without fear of rejection.

We both have a portion of our mental illness that is unique to us.  I have a generalized anxiety disorder and he has bipolar disorder.  Though I have not struggled with his disorder myself, my mother had bipolar disorder so I had some experience with his illness, at least from the outside looking in.  We have patiently explained to one another everything the other didn’t understand and offered tips to one another for how to support us when we are struggling.  We listen intently to each other and are supportive to each other because we both know very well how it feels to have nobody there who understands.

The depression side of his disorder I understand all too well.  The manic side not so much, though I had learned early on in life to spot the shifts in my mother because she shared his diagnosis.  When he has a manic episode, I am always there to offer support and encouragement.  He often becomes hyper-focused on one task or another and I intervene to make sure he does not lose himself, putting off self-care and disregarding his basic needs like eating.  On the rare occasion that his mania presents itself as rage, I do my best to deescalate the situation in a non-confrontational way.  No matter how his mania presents itself, I offer a calming presence to soothe him and bring him back down again, often rubbing his back, head and shoulders to help him relax.

When my anxiety makes me think irrationally, he is there to talk me down, to help me see reason.  Following anxiety attacks, when I desperately just need the quiet presence of someone else, he holds me closely without judgment and reassures me everything is okay.

Depression hits us both pretty hard.  In the past, we’ve both dealt with people who never understood and who insisted it was all in our heads.  But we both know the signs.  We can see in each other when our depression is raging strong.  And we are both there for each other how we always wished someone would have been there for us for all those years.  We are gentle, kind and compassionate with each other because we’ve been there ourselves and we understand how hard it can be.

We both are plagued by PTSD, as well.  Nightmares of past trauma are especially hard for us both.  When either of us is battling the demons of our past, the other can see the signs, intervene and offer comfort and support.  When our pasts are haunting us, we can talk openly about it on a level that we never were able to with anyone else.

On days either or both of us are struggling particularly hard, we have learned to lean on each other without judgment.  We each pick up where the other leaves off.  We have developed an ever-shifting balance in our relationship.  On days we both are struggling, we curl up together and lean on each other for comfort.

We cheer each other on for our successes and support each other in our struggles.  We encourage each other to stay strong, to keep fighting and to get the treatment we each need.  Neither one of us judges the other for the ways our illnesses present themselves because we understand all too well and empathize with each other on every level.  We not only offer each other support but we’ve become proactive in each other’s treatment, as well.  We’ve attended doctors appointments with each other and helped bring up concerns the other may not have noticed or may have been too uncomfortable to discuss.  We love and support each other in every way.

Yes, we jumped into a relationship that became serious relatively quickly.  But it was not because our mental illnesses had us thinking irrationally.  In each other, we saw someone who finally understood everything we had been battling our entire lives.  In each other, we found that one person who could accept us completely for who we were, loving us not despite our mental illnesses but because of every single thing, mental illnesses included, that made us who we were.  In each other, we discovered what we had been needing, what we had been missing, our entire lives.  Pure unconditional love.

When you find something like that you don’t question it.  You don’t hold back, think on it or weigh options.  You thank the heavens for placing someone in your life and in your path that makes you finally feel not just that it’s okay to be you but that there’s not a single other person in this world you’d rather be.  You run with it and you love them back completely because life is short.  We have to make the most of it.  And a love like this is too good to pass up.

Yes, we may lean on each other more than others do because of our conditions, but that doesn’t make our relationship unhealthy.  We give each other exactly what we each need.  We might both have mental illnesses, but we both are so much more than our diagnosis.  And now we are both blessed to have found someone who can truly see that.

After all, mental illness is just another medical diagnosis and one that is largely treatable.  The only thing that makes mental illness different from other illnesses is that it presents itself in the brain instead of the body so it’s not as easily visible.  People with different medical conditions live their lives and find love every single day.  Those with a mental illness are no different.  People who have a mental illness are just as worthy and deserving of love as anyone else.

So please don’t judge others, or their relationships, based on the fact that one or both of them have a mental illness.  Don’t let the overwhelming stigma surrounding mental illness turn you into a naysayer that pronounces doom and gloom on two people in love just because they both happen to share a similar medical condition.  Instead, celebrate that, despite the fact that there are millions of people walking this earth, they were able to find that one person who loves them completely for who they are.

Republished on The Mighty on 6/28/18.

Republished on Yahoo Lifestyle on 6/28/18.

Republished on Yahoo News – Canada on 6/28/18.

Republished on Yahoo News – India on 6/28/18.

Having A Positive Mindset Will Not Cure Depression

Many people assume that those who are suffering from depression are just caught in the wrong mindset, that we’re being Debbie Downers and Negative Nancys, wandering through life with a Trelawney*-sized penchant for doom and gloom.  They assume a great deal, if not all, of our mental illness could be solved simply by trying a little harder and adopting a more positive mindset.  I can tell you firsthand that is not the case.

I have been told by multiple people over the years that I am the most positive, cheerful, upbeat little depressed person that they have ever met.  I refuse to be a victim.  I am a fighter.  A Survivor.  Even in the roughest of circumstances, I still search for something positive to cling to like a life preserver in rough waters after being thrown overboard during a raging storm.  I am a firm believer that there is always something positive to be found if you look hard enough.  Even on the worst days, I am that one person you can count on to offer an encouraging smile and to point out something good to be grateful for in life.

I do not intentionally surround myself with negativity.  Over the years, I have systematically removed many so-called friends and family from my life who found more pleasure in knocking others down rather than helping each other up.  I’ve chosen instead to surround myself with people who believe in kindness and compassion, those who prefer to cheer openly for the success of others rather than privately snickering over their defeat.

I don’t carry within myself an undue amount of anger, hurt or resentment.  If someone has grievously injured me, I have learned to just remove them from my life as a doctor might amputate a gangrenous limb.  I do not allow their cruelty to continue to fester and grow but rather I accept that they do not deserve a place in my life and I continue onward without them.  I have accepted that not everyone belongs in my life and that some people were merely meant to play the passing role of a teacher of harsh realities.  I refuse to waste undue amounts of energy dwelling on the cruelty of anyone who would not give me a second thought.  I choose to focus the majority of my energy on improving myself and my future rather than dwelling on other people or a past I cannot change.

I have trained myself to consciously focus on happiness and positivity every single day.  Every day I strive to accomplish three goals.

1. Every day, no matter how rough the day might feel, I look for at least one reason to smile, one thing to be grateful for in my life.
2. Every day, I try to reach out and do something kind for someone else without expecting anything in return.  This could be as simple as holding open a door or reaching out to someone else to see how they are doing.
3. Every day, I make sure to tell at least one person in my life that I love and appreciate them.

At my core, I have a very positive mindset.  I have a fundamental belief in the strength and resilience of the human spirit, that we as a species are stronger than we realize and are survivors at heart.  I carry within myself a genuine hope that one day things will get better and I am proactive in working towards that goal.  I encourage not only myself to power through and not give up on a daily basis, but I reach out to others, as well, through my writing.

I also have friends and family that I have opened up to about my illness.  I do my best to be honest with where I am at mentally and emotionally at all times.  I have constructed a support network of people I can reach out to if I need help so I am not facing everything alone.

I have not given up on myself.  I not only see my doctors regularly, but I push myself as much as possible to attend wellness activities such as yoga, tai chi, meditation and art classes.  I take my treatment seriously.  My wellness and emotional toolbox is chock full of useful techniques to use when I am struggling.

I make sure to eat regularly even if I am not feeling particularly hungry so that my body receives the nutrients it needs.  I do not smoke or use drugs and very, very rarely do I drink any alcohol, let alone have more than one drink.  I practice self-care and engage in hobbies such as writing, sketching and painting so I have positive outlets to focus my attention upon so I do not lose myself along the way.  Over the years, I have learned to love myself and to treat myself gently, with the same kindness and compassion I would show others.

I have not surrendered to my mental illness or turned a blind eye to it, pretending it is not there.  I read up on the latest studies on a regular basis.  I belong to multiple online support groups that share not only encouragement but share information, as well.  I want to remain knowledgeable about my illness so I can make educated decisions about my ongoing and future treatment.

My mindset is not an issue.

I am fighting every single day.  I am like the cancer patient who pushes herself to eat even though her chemotherapy has left her feeling nauseous because she knows it is what her body needs or to go for a short jog because she is determined to not let her illness defeat her.  I am like the woman with rheumatoid arthritis so bad that every step wracks her body with pain who still goes out to work in her garden because she doesn’t want to lose herself to her illness.  I am no different than many other people with hundreds of different debilitating diseases, illnesses and ailments who are fighting the good fight every single day not only to survive but to find some way to truly live despite their diagnosis.

Again, my mindset is not the issue.

All the positivity in the world will not negate my illness.  A wellness toolbox full of handy tricks will not fix it.  It is a medical condition that needs medical treatment.  As good as things like having a support system, a positive attitude, eating well, exercise and engaging in healthy hobbies might be for someone’s emotional well-being, they will not cure mental illness any more than they would cure cancer or arthritis.  I have learned to cope with my illness to the best of my ability but I still need ongoing treatment.

The main difference between other more widely accepted ailments and mental illness is that my condition stems not in my body but in my brain. That, and the stigma attached to mental illness that prevents others from viewing it as a legitimate, treatment-worthy condition.  Because it cannot readily be seen by the naked eye, it is often doubted, minimized and trivialized, treated largely as a joke.  Though it may be considered an invisible illness, I am fighting it every single day.

From the time I wake up every day, I am fighting my own mind.  As much as I struggle to stay positive and focused, a very real part of me is trying to convince me that the world is hopeless.  Whenever I attempt to reach out to friends and loved ones, it tells me that I am a burden to them, that I shouldn’t bother, that I should leave them in peace.  It pushes for me to isolate, to hide my pain, to succumb and surrender to it.

There are days I am overwhelmed with emotions.  I feel everything so deeply and there appears to be no way to turn it off.  I have this intense need to cry, to weep not only for myself but for everyone else struggling, for everyone who’s lives have been made harder by my illness and for everyone else who has lost their battles along the way.  On those days, my world is overflowing with so much pain that it is overwhelming.

On other days, I feel nothing at all.  I find myself trapped in a dark void where nothing feels like it matters, least of all me.  There is no joy in that darkness, no light, no hope.  I struggle to even move because I feel swallowed up within its depths.  Everything on those days feels like an insurmountable obstacle.  Even simple tasks like eating make no sense because everything tastes bland, like nothingness.  That voice within my head echos through the darkness, asking what’s the point.

No mater how much the sun is shining, my world always feels dark, cold, hopeless and full of despair.  No matter how many times I tell myself that it isn’t truly the case, it still feels that way.  It is like my mind has constructed its own alternate reality and has taken me hostage within its walls.  I feel helpless like I have no control over my own life, let alone my body or my mind.

Every single day, I have to fight myself to even get out of bed.  It isn’t a case of laziness or just not wanting to get up.  The weight of everything I want to do and need to do rests so heavily on my shoulders that I often find myself immobile, incapable of action.  Every single day I am beating myself up for everything I know I should be doing but cannot manage to bring myself to do.  I desperately want to get up, do things and be productive, but the weight of my illness pins me down.  It then uses my inability to function against me as evidence that I am worthless and a waste of space.

Every single day, my mental illness presents itself in very real and physical ways as well.  My body is always as exhausted as my mind.  I ache all over.  My anxiety frequently has my head spinning and my heart pounding.  When confronted with stress, my chest tightens and my thoughts race.  My stomach is always in knots.  I regularly experience nausea and vomiting and have a recurring bleeding ulcer.  I have absolutely no desire to eat most days or to even do anything at all for that matter.  Every night, I struggle to get to sleep and to stay asleep.  I am plagued by horrible nightmares on a regular basis.  No matter how much rest I might get, I always feel sluggish, like I am running on empty.  It is like my own body has betrayed me.

My world feels hopeless.  I feel helpless.  I feel lost and alone.  I feel broken beyond repair.  There is not a single day that I do not have to remind myself multiple times that this is not reality.  This is my mental illness.  There is not a single day that I am not fighting with myself, pushing myself to do something, anything, even if it is just to pull myself out of bed and eat something.

I am not consumed by negativity, nor am I lazy or weak.  I have not given up on myself or the world.  I have hope for my future and a strong will to fight.  I am doing my best.  I refuse to let my mental illness beat me.

My mindset is not the issue.

My mental illness is.

I struggle every single day not because I am not trying hard enough to have a positive mindset but because I am ill.

 

*For those unacquainted with Sybill Trelawney, she is one of many wondrous creations from J. K. Rowling’s Harry Potter universe, the Divination professor who at one time or another had foreseen the death of every student at Hogwart’s.  Whenever I imagine anyone embracing hopelessness and envisioning a world full of nothing but doom and gloom, I think of Trelawney.

 

An Average Day Living with Depression and Anxiety

From time to time, I come across random memes that try to explain what it is like to live with both anxiety and depression.  Though everyone who has been there always nods in agreement because we understand the struggle behind those few words, unfortunately no meme could ever adequately explain what it is truly like to live with both.  Even simple, average days can feel unbearable and insurmountable.

Upon waking up today, I began jotting down random ways both my depression and anxiety presented itself throughout the day and how they interacted with each other.  This was just an ordinary day.  I did not expect anything monumental to occur.  I just wanted an honest portrayal of an average day living with both depression and anxiety.  Yet by the end of it, I am thoroughly exhausted.  Not because my day was particularly eventful but because the mental illnesses inside my head have left me yet again mentally and emotionally drained.

Anxiety is waking up far too early because the cat has dislodged the bedroom curtain, inviting the sun to shine in my face.  Anxiety is laying there as my mind begins to race, picking up where it left off the night before.  It is knowing there will be no more sleep today because I cannot shut my brain back off.  It is thinking of everything I should have done or still need to do, panicking over all that I might have forgotten and everything I know I won’t get to today.  Anxiety is my mind on an ever-playing loop reminding me of all that I’m doing incorrectly and all the ways my life could go wrong.  It is wanting to scream within my own head a hundred times a day “Oh God! Oh God! Make it stop!” even though I know full well that it will never stop.

Depression is laying there for hours after I wake, unable to move despite anything I might have to do that day.  Being hungry or having to go to the bathroom is irrelevant.  I’m not being lazy.  Though part of me knows I should get up, my depression has rendered me immobile.  I carry within myself a strange sort of apathy for the world again today though I’m not entirely sure where it came from.  Whenever one part of my mind attempts to prompt me into action, another louder part responds back, asking “What’s the point?”  That part of my brain reminds me that everything is hopeless, nothing will ever get better, that everything is a waste of time.  As much as I don’t want to listen, don’t want to believe, that voice is boomingly loud and self-assure.  It convinces me for hours that it is better to stay in bed than to start yet another day of misery.

Together, I have a combination of steady stress, apathy, hopelessness and despair.  I have one part of myself revving up, pushing for action, warning me of everything that could go wrong if I do not do something and another part refusing to budge at all because it cannot see the point.  Together, it is the combination of the panic of Chicken Little’s sky falling and that deer, frozen in the headlights the moment before it is plowed down by a tractor trailer.  It is a constant go go go and stay stay stay, a battle of opposites where I cannot help but feel the game is rigged and no matter what I do, I’m going to lose.  And all of that occurs before I even pull myself out of bed.

My depression and anxiety continue on throughout the day, sometimes sporadic, other times constant, wreaking even greater havoc whenever their paths cross.

Depression is barely eating for a couple days because I have no appetite or because I simply cannot see the point of wasting food on myself that someone else might enjoy more.  Anxiety is realizing I haven’t eaten much in days and worrying that I might be making myself sick and not wanting to saddle anyone else with taking care of me.  Together, I find myself going through bouts of not eating and then binging to make up for it.  Grazing on whatever is nearby, not because I want to eat or even that it is good for me or tastes good but because I know that I have to put something in my body.  I eat some soup straight out of the can without heating it up, because it is quick, close and convenient, telling myself that I’m making less dishes to wash, but in reality, I just don’t care.  Nothing tastes like it should anyway.  I’m just eating out of obligation so that nagging voice in my head will shut up.

Depression is wearing the same sweater for three days, making excuses that it is my favorite or most comfortable.  In reality, I have no plans to go anywhere.  Laundry is already piling up and wearing clothes longer means I can put off  washing clothes for yet another day.  My depression insists this is reasonable.  Anxiety is panicking and rushing to hand wash a spot out in the sink when I accidentally spill something on it.  One part of me is willing to wear that sweater until it is threadbare and worn, while the other cannot stand the thought of it being ruined or stained.  Though the two sides are so contrary that they make no sense together, somehow they both exist in my head.

Depression is having my laundry and dishes build up for days because I just don’t have the will or the energy to do them.  Anxiety is rushing to spot clean the apartment because someone is coming over even though I know there’s no way I could get it all done in time.  When combined, I find myself rushing to clean until the last possible moment, trying to tuck away, hide or set aside messes I don’t have time to deal with, breathlessly asking them to “please excuse the mess” as they come through the door.  That small amount of anxiety-fueled exertion to clean is enough to wear me out for days.

Depression is putting off showering for days because it’s not like I have done anything or that I am going anywhere to warrant it.  Anxiety is feeling like I have to do things such as pulling my hair back in a braid so that it doesn’t get tangled or unruly.  Between the two, I look more put together than I am, provided nobody comes too close.  I apply extra deodorant “just in case” and take an extra long shower when I finally do get in there, my anxiety trying to squeeze days of self-care into one tank-worth of hot water.

Depression is feeling completely alone sometimes, even if someone is right there with me.  It is simultaneously wanting to never let go of them and wishing they would just go away because I believe they would be better off without me.  Anxiety is wanting to talk to them, to tell them how bad things truly are, but being terrified it will scare them away, terrified I’ll somehow mess everything up.  Between the two, I find myself feeling lost and alone, afraid to speak up.  I’m afraid to let them in and afraid to let them go.  Even when they’re right next to me, I’m isolated and afraid.

Depression is sitting there for hours in a fog, unable to retain much of anything my mind has pulled in.  It is re-reading the same page or watching the same scene multiple times, before giving up because it all doesn’t really matter anyway.  There is a lack of enjoyment in everything.  Life feels stale and empty.  I go through the motions of living though it feels like a pale reflection of life.  Anxiety never shuts up, like a perpetual snooze alarm set to go off whenever my mind attempts to focus on anything else.  It is a constant distraction, constant reminder of everything I haven’t done, should have done, should be doing right now and should be doing later.  Between the two, I have constant distractions and a complete lack of interest.  It often feels virtually impossible to keep myself on track because my mind is all over the place and has no desire to cooperate.

Depression is putting off making phone calls for hours because I dread having to deal with other people on my low days.  When my depression is bad, any interaction is a struggle.  Anxiety is dwelling on those phone calls the entire time leading up to them and for hours afterwards.  It is having trouble verbalizing what I mean, reiterating some things repeatedly and forgetting others completely.  Between the two, I have scraps of paper filled with information that I keep with me whenever I make important calls because I’m afraid I might forget something important and I dread the possibility of having to call back again.

Depression regularly leaves me feeling physically worn out, tired and sluggish.  No matter how much I try to rest, I still feel drained.  Anxiety has me jumpy and jittery, my leg bouncing a mile a minute.  My body always feels revved up and over-wound, my mind won’t stop racing.  Between the two, I can never seem to get comfortable, never feel fully rested.  I cannot sleep well because my body never powers completely down.  Yet I cannot seem to harness that energy, either.  It is a nervous energy that serves no practical purpose beyond blocking me from even momentary peace.

Throughout the day, I am in a constant battle within my own mind.  It screams at me with the fierceness of a drill sergeant, nags at me with the persistence of an old world grandmother who believes they always know best.  Contradicting everything they throw at me and forcing myself into some semblance of functionality sometimes takes every ounce of willpower I have inside of myself.  I am fighting to do all I can, the best that I can, battling against my own mind to keep going though my depression urges me to throw in the towel and give up.  I know I will never accomplish everything my anxiety thrusts my way, but I have to keep encouraging myself that I have done something and that is good enough.  I cannot allow my depression to weigh me down or my anxiety to beat me up.

It has been an average, uneventful day.  I didn’t even manage to pull myself up out of bed until after ten in the morning.  It is barely ten at night and I feel exhausted.  It has been twelve hours, barely half a day.  Very little has been accomplished beyond a load of dishes, a handful of phone calls to schedule appointments, some basic self-care and one small glimpse of my mental illnesses, written down for all to see.  Yet I consider it a victory to have gotten through yet another day, managing to accomplish what I did.  I feel exhausted already and ready for bed.  It is not that the day was particularly eventful or busy.  It is the constant battle within my head and my body that has worn me out.

Perhaps the most frustrating thing about living with depression and anxiety is that, even after sharing this, there will be some people who still don’t get it, who will insist it is just mind over matter.  They will suggest I just need to be more positive, just need to stay focused and try harder, to have more faith in God or to just stop making excuses.  Some people cannot seem to grasp that this is not anything I am intentionally doing to myself.  I would not wish this on my worst enemy if I had one.  I cannot wish away my diagnosis with happy thoughts, sheer willpower or positive mantras. The fact is that this is a medical condition that I struggle with every single day.   Some days are harder than others but even the simple days like today are not easy when I’m waging a constant war within my own mind.

Minimizing Our Illness Only Hurts Ourselves

We have all been there. We are having a rough day, feeling under the weather. Our mental illness is wreaking havoc, making it difficult to even function. Yet when someone asks if we’re okay, we force ourselves to smile and reassure them that we’re fine.

Our eyes are puffy from crying and our world feels like it is collapsing beneath our feet. Yet, instead of being honest about how we are feeling, we force ourselves to smile and we make a half-hearted joke about allergies and it being that time of year.

We laid in bed for hours the night before, unable to sleep because our anxiety had our mind racing for over half the night. When we finally managed to pass out from exhaustion, our sleep was spotty, restless and riddled with anxiety-laden nightmares. Yet when someone points out we look tired, we force ourselves to smile and remark about how there’s never enough hours in the day to sleep as much as we would like.

Our stomach rumbles reflexively because we haven’t eaten in a day and a half because we have no appetite or desire to eat. When someone notices the sound, we force ourselves to smile and make an offhanded comment about it being a busy day, too busy to find time to eat yet. We reassure them we’ll eat plenty to make up for it later, even if we have no intention of following through.

We spend three days mostly curled up in bed, barely able to function. When someone checks in to see whether we’re okay, we run our fingers through our disheveled hair, force a smile and mutter something about just getting over a cold or the flu because somewhere in our mind we rationalize that a fake physical ailment sounds more believable and justifiable than a real mental one.

Someone remarks on the fact that we were wearing the same outfit when they saw us last a few days ago. We force a smile and reply that it’s our favorite or most comfortable one and joke about it being laundry day.

We force smiles and ask people who stop by for a visit to please excuse the clutter and the mess as if we have just been too busy to clean instead of being honest that we just haven’t had the physical or mental energy to do much of anything around the house in days.

We know when things are bad. We can see when our functionality begins to slip. Yet, instead of being honest with those around us, more often than not we minimize our struggles or even outright lie about their existence.

We isolate and make excuses about being busy with life. We avoid friends and family so they don’t see how bad things truly are. Again and again, we make excuses and downplay the severity of our condition as if we’re doing other people, or ourselves, an enormous favor by shielding them from the truth.

Many times every day, in virtually every interaction we have with others, we minimize our illness and the effect it has on our life supposedly for the comfort of others. We have so many excuses for doing this. We don’t want to put our drama on anyone else. We don’t want others to worry. We don’t want to be a burden. We don’t want to be accused of being an attention-seeker or throwing a pity party. We don’t have the words to adequately explain what is going on inside us or just plain don’t want to talk about it. We’re embarrassed of our diagnosis and don’t want to be judged or treated like a joke. Whatever our reasoning, we press our lips into a pained smile, pretending things aren’t all that bad and we lie.

We press our lips together in fake, forced smiles. We say we’re okay even when we know without a doubt that we’re not. We claim that we’re hanging in there, doing our best to stay positive and keep going, acting as if there’s nothing to worry about even as our world feels like it is crumbling around us.

What good does lying or minimizing our struggles really do?

Time and again, we wish others understood exactly what we are going through. In rare moments of unfettered honesty, we tell others they could not possibly understand how bad it is unless they experienced it for themselves.

But how is anyone supposed to ever understand or empathize if we keep hiding the harsh reality of the situation from them? We cannot simultaneously spare them the agony of the truth and accuse them of just not understanding how bad things really are. If we want others to understand how bad things truly are, we have to be completely  honest about it. Not partial truths, not sugary sweet versions of the truth but the whole unadulterated, ugly truth.

Because in reality, their comfort is not our responsibility. Our responsibility is our own well-being. We are doing ourselves no favors by hiding how we are doing from those who care about us. Likewise, we are doing them an injustice by hiding the truth from them. If someone is checking in about our well-being, they obviously care. If they care and are trying to be there, they deserve the truth. Not some watered down version of it but the whole truth and nothing but the truth.

Will our honesty make others uncomfortable? Most likely. But let’s be honest here. Mental illness is not pretty. It is dark and scary. It torments us to our very soul. Being honest about the effects of our diagnosis is not going to be pretty. But it is real. And reality can sometimes be very disconcerting. It can be a hard pill to swallow. But the truth is the truth and, as the saying goes, the truth can set you free.

Time and again, we complain about the stigma surrounding mental illness and how so many people do not take our diagnosis seriously. Perhaps we hold part of the blame ourselves. If we want others to truly understand what it is like living with mental illness, we need to start being completely honest about it.

I know it can be scary putting everything out there. There’s a great deal of vulnerability in sharing the whole, unfettered truth of the situation with others. But unless you’re completely honest about how you truly are, you cannot ever expect anyone else to understand exactly what you are going through.

Republished on The Mighty on 6/25/18.

Republished on Yahoo Lifestyle on 6/25/18.

Something To Think About Before You Consider Killing Yourself..

There are many quotes that resonate strongly with me on a very personal level.  One of my favorites is by William Goldman:

“Life isn’t fair.  It’s just fairer than death, that’s all.”

What makes life more fair?  I believe it is the fact that you still have possibilities and options.  No matter how bleak and hopeless today might feel, there’s no way to know what tomorrow or next week, next month, next year might bring.  Life is fairer than death because death takes away all your options, all your possibilities.

I won’t ever throw out empty promises that tomorrow will be better if you just hang in there because none of us knows exactly what tomorrow may bring and whether it will be good or bad.  But one thing I can guarantee you is that it will bring possibilities.  The possibility of action and of change.  The possibility of a future beyond today.

I would be lying if I said I hadn’t been there myself, if I hadn’t tried myself in the past.  I understand how it feels to feel lost and all alone in the world, to believe that you have no more options.  I know exactly how scary it is up on that ledge.  I know all too well that siren’s call, promising an end to the pain if you just give up, just give in.

Unfortunately, that’s all suicide gives you.  An end.  It doesn’t remove any of the problems that existed.  It just robs you of the ability to do anything to fix them.  And it’s final.  There are no do overs, no second chances, no tomorrows.  It is emptiness.  Nothingness.

Yes there would be no more sadness, heartache or pain.  But there’s no more happiness, either.  You’re robbing yourself of the chance to heal, to overcome, to see better days again.  You’re allowing the worst days in your life to steal the possibility of all future happiness from you.  You’re depriving yourself of a future that is completely within your power to transform into anything you wish.

Giving up means giving up your future and giving up the chance to make your life better.  It is final.  When you give up, there are no more possibilities.

There are also no more hugs.  No more drippy ice cream cones or licks from cute, fuzzy puppies.  No more bad puns that make you chuckle and no more all you can eat taco bars.  No more sunny days or breezes blowing through your hair.  No more singing songs loudly and off key and no more cups of cocoa with too many marshmallows.  There are no more bonfires or camping trips.  No more joyrides with friends or late night pizza runs.  There’s no more movie marathons or teaching your children to ride a bike.

There’s no second chances to fix things and no way to say you’re sorry or make amends.  There’s no new friends or new jobs.  No new children or new pets.  There’s no new hope and no second wind.

There’s nothing.

I could go on and on, listing all the things you could be giving up, but the possibilities are endless.  By choosing to live, you have millions of doors available to open, millions of lives you could live.

There’s only one thing you get from suicide.  Nothing.

I won’t guilt you by saying you should keep living so you don’t hurt others because I believe you should be living for yourself, not someone else.  Don’t get me wrong – it would devastate everyone in your life and change who they are forever but it isn’t fair to ask you to live your life for someone else.  You ultimately need to choose to live for yourself.

But please know that I have been right where you are now.  I was sixteen the first time I tried to kill myself.  I can tell you without a doubt that I am grateful I did not succeed.  I won’t lie to you and tell you that my life has been a bowl of cherries since then, but I still have been blessed beyond anything I ever imagined for myself.

I have wonderful children I would not trade for the world.  I have reconnected with my first childhood crush and found a lasting love.  I am a published author of a handful of books and with blogs that have been republished and shared world-wide.  My life has not been perfect by any means, but it’s a hell of a lot better than the alternative which is nothing.

I know others who have survived suicide attempts, as well.  Years later, we’ve talked about all that has happened since their attempts.  Children.  Marriages.  Careers.  Vacations.  Celebrations.  Memories.  Life.

I have never heard a single one of them say they wish they had been successful.  No matter how many highs and lows they have gone through since then, every single one has been glad they are still here.  I’ve heard stories on television, as well, from people who have survived suicide attempts like jumping off bridges.  They all share the same narrative about regretting that one moment of weakness and being grateful that they did not succeed.

Because you know what they would have had if they had been successful?

Nothing.

“Life isn’t fair.  It’s just fairer than death, that’s all.”

Life is fairer than death because life is full of possibilities.  Death takes every last possibility away.

Don’t keep living for anyone else.  Choose to live for yourself because living means that you still have a chance to be happy, a chance to make amends, a chance to find love, a chance to be a parent or to pursue your dream job.  Keep living because by living, you still have a chance.  With death, you have nothing.