Friday, June 14, 2013

How do you feel?

Dear readers,
I recently had an interesting discussion with one of my good friends about depression and related topics such as anxiety. It’s such an issue nowadays, and (going by stats I heard once somewhere…) everyone experiences some form of it throughout their lives. While many things were discussed, the main points that really stuck out for me were as follows:
How much control do you have over depression?
How much do the choices you make influence how depressed you are?
Are too many people being diagnosed, labelled with and over-medicated for depression?
I think enough people are aware of depression for there to a general understanding about what it is. Maybe I’m biased though, as I and many people I know have it or have gone through it. My friend pointed out that feeling emotions is a normal occurrence. Happy, sad, upset, angry, overjoyed, frustrated… everyone feels these things and they are appropriate responses to our circumstances. If you feeling sad because your cat had to be put down, or feeling angry because your sibling trashed your room, it doesn’t mean you suddenly have clinical depression or an anger issue.
However, I feel like I need to argue that depression and anxiety are not that simple. There is a big difference between feeling low to being clinically depressed. “Mental disorders” like this interrupt your functioning. There may be an obvious cause, like a trauma occurring, but most often there is no reason why you become depressed. For some people reading this, you know what it’s like all too well. For those who are lucky enough to not have dealt with it before, just know that it is really difficult to get out of it once it overcomes you. It is not as simple as thinking your way out of it… or is it?
And this is where the questions above come into play. To what extent does one have control over a disorder like this? How can you use healthy strategies to make good choices? And if you do this will you stop being depressed? Where do you draw the line between dismissing it as a “chemical imbalance” or realising you have made unhealthy choices whose consequences you now need to deal with?
Of course I am not an expert, I mean I study animals not humans, but it is relevant to me and challenging in many ways to think that maybe I need to take more responsibility for my mental health. Eek I can even feel myself begin to prickle and get defensive while writing that. I know that when you are in the middle of a rough patch it is very hard to make the right healthy choices. Sure you can take appropriate action, go see professionals and learn how to spot the signs and implement good strategies. These things are beyond important, but does it mean that you are no longer depressed? From my experiences I have always assumed that depression is a state of being, and you just learn to accept it and deal with it.

[Phew... need to take a breather…this is such a complicated topic and there is no way I could write about all my thoughts on it…]

There is a lot more I could blabber on about, but to try and round it off I’ll give you a quick insight into my experiences to try and illustrate what I’ve been saying. For ages I had struggled with “feeling low” and never quite fit the typical description of “depression.” I knew there was something wrong though, I eventually figured out that I had an issue with “anxiety” and my low mood was secondary to/a result of this. I learnt how to recognise the signs of a panic attack pretty quickly and worked really hard to get over that. So yay, no more panic attacks. That was my choice and I took responsibility for that and I fixed it. Go me! However, I still had this underlying level of anxiety. I tried my hardest to make healthy choices. To not let it affect my normal functioning. I chose every day to go to class and do my work. I chose to look after myself and be healthy. I put all the strategies I had learned about into practise but in the end, this constant level of anxiety would not leave me alone. I had good days, but it was a struggle. In hindsight, I wasn’t myself. I wasn’t the person I wanted to be and I wanted that to change so badly but at the time I couldn’t. I eventually got over this, but it wasn’t as simple as choosing to be OK.
So, can you see that I made the right choices and it fixed one thing, but not another?
What are your thoughts on this issue? Do you think people need to take more responsibility for their mental health? Is it really all about choices? It’s very complex and everybody has their own opinion. If you have something encouraging to share then please do. If I have said anything you think is really wrong, again please let me know.
Much love,
M
xx

P.S.
I feel like I need to say this: if you are feeling low and can’t seem to shake it off, I really encourage you to talk to someone you trust and go see a doctor, and/or check out this website: http://www.depression.org.nz/

5 comments:

  1. I think by the time you are experiencing depression, the 'why' of it is secondary to the treatment of it. Yes, I had was under constant stress in my job; yes I vomited every day I carried you, had a horrific birth and that took its toll. In the end, like you, I needed help to get well enough so that I could be in a place where I had strength to cope with the normal day to day stressors. Only when I realised a) mental illness is, um, an ILLNESS and b) that, like alcoholism, can be passed from one generation to another (double whammy) and c) there was no shame if I gave it no shame that I could move forward without justifying myself or feeling guilty. Sam's diabetic; not his 'fault'; not his parents' fault. He has to manage it and, to do so, requires medical assistance.

    You and your generation are fortunate to be living in a society which acknowledges mental illness; don't have to look too far back to see how people used to be treated. Think about Janet Frame. You and I, we 'see through parted eye'; makes us the unique and special people we are but it doesn't come without a downside.

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  2. Can I even reply here... lets find out!
    I find this a really interesting topic, because it is something that affects so many people, and most people dont even know its going on.
    In terms of whether it is something you are able to control mentally, all I know is what it was like for me. To get out, you have to want to get out. Only problem with that is it doesnt come straight away. When you are in the thick you dont have that sort of logic, you dont have any sort of logic. Everything is colourless and meaningless. I hate that I suffer depression, I dont tell many people and I see it as a weakness. So when I see a glimmer from the darkness, I take it and work towards pulling myself out.
    I do not believe it is as simple as 'Im sad today, tomorrow Ill be happy', but all I know is that what works for me is not to go easy on myself, it takes work to get out the hole...

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    1. I guess because it's different for everyone is why it is so complicated! And you are so right - often people don't let themselves heal because their pain is familiar and somewhat comforting. Making that decision to get out is one of the hardest things to do and I guess it's a journey not a quick fix.
      I'm sorry that you see it as a weakness! I definitely understand that though. I feel weak when I let my anxiety overcome me. But it takes so much strength and courage to get out of the hole, as you have been saying. I guess for those who don't understand it, telling them you are depressed will just do more harm than good. But one hopes that there are some fellow non-judgemental people out there who will be like "that's cool" and think nothing less of you.
      Thanks for commenting!

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  3. I think it is important to recognize that not everyone who has clinical depression or major depressive disorder suffers from it because of choices they make, in fact I think very few do. It is not the same as feeling down once in a while. They are diseases and should be treated as such. I think it is part of the stigma against mental illness that they are not treated the same way cancer would be, or the flue. Too often people with these disorders are made to feel responsible for their own illness.

    I was diagnosed with major depressive disorder several years ago, but had suffered for years before that because every time I told someone how I felt I was told it was due to choices I was making and that I could choose not to feel that way. When people told me that it made me feel like I was to blame or that I was weak. If so many other people went through the same feelings and just got over it there must be something wrong with me. So I stopped telling people. Until eventually I ended up in the hospital. To my family and my friends I was a university honor student as well as the number one player on our tennis team. Nobody, not even my teammates or my roommate knew what was really going on.

    I got treatment and though I still get depressed I have learned how to cope and no longer suffer. I have come to accept that it is a challenge I will probably always face. I do wonder though, if someone had taken me seriously, if someone had listened and told me it was not something I chose to do, that it was not my fault, maybe I would not have had to suffer for so long. There are a lot of people who have depression who would feel worlds better if they just made healthier decisions, but how can you tell who those people are and who are the ones that need medical treatment? And what damage can you do to that person if you make that assumption? I don't think the risk is worth it. I do not want to make anyone feel the way I did. You would never try to diagnose someone with cancer or give them advice on how to treat it, so why should you be making that judgement about people who may have mood disorders? What you can do is listen to them, take them seriously, and help them get the help they need.

    This long comment is brought to you by Kira, and the letter P.

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    1. Thank you so much for commenting. I do agree with you, that it is a disease. Growing up, my parents explained it to me like this: if you saw that someone had a broken leg, you wouldn't expect them to walk around normally. They would need help and support and understanding. It's the same with depression, except you can't see the brokenness.
      How awful that those people thought you should just suck it up and got over it. Obviously it was really damaging. But thank goodness you no longer suffer.
      I guess that the more these kinds of problems are talked about, the more people will begin to understand that it's not as simple as choices. People are definitely more aware of it than they used to be, but obviously there is a long way to go. Again thank you for sharing, I really believe that opening up about this stuff is very powerful.

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