Baby steps in managing depression

A friend recently asked me how I figure out whether I’m depressed (in the clinical sense of the word), or just really, really sad. Based on experience, I would boil it down to asking myself this question: am I mourning a loss or a tragedy, or am I mourning my entire existence? Another helpful clarifying question, one which the people I love can help answer, is: am I still able to find meaning in the things I’ve always cherished, or have I lost vitality in these pursuits and concerns? Of course, these aren’t fool-proof diagnostic tools, but they’ve served as a good starting point for me.

Most recently, I learned to also ask myself this: Am I suffering due to things beyond my control? Or am I inflicting suffering on myself?

Because my current depressive episode was specifically triggered by mistakes I’ve made, I subconsciously began punishing myself. Perhaps I’m stating the obvious, but there’s a difference between humbly accepting the consequences of my mistakes, and actively torturing myself.

This dawned on me when I recently found myself feeling faint from just trying to grade my students’ work. A few days prior, I almost passed out in the classroom. I noticed my ribs beginning to jut out more than usual, and my skirts no longer clinging to my waist. I realized that for more than a month, I’d been consuming one meal a day, sometimes less. Most days it would be a bowl of instant oatmeal, other days a couple of granola bars from my roommate’s stash, some days nothing. I hazily mulled over these observations after returning home from work, and eventually burst into tears while struggling to chew on a cold, half-eaten burrito that had been sitting in the fridge for a week. And then I made a very important resolution. It’s time to “grow up” in the way I handle depressive episodes.

If this is going to be a recurring theme in my life, I can’t and don’t want to always count on being babied. A close friend recently told me, “Take care of yourself as you would care for your own child.” I thought about that. There will come a time, perhaps especially when I have my own family (if I do), when I’ll want to be able to take care of other people while depressed. Before I can do that, I first need to know how to take care of myself, regardless of how I feel about myself.

Learning to seek professional treatment independently, while it’s a significant breakthrough, wasn’t enough. There’s a lot more I need to do to stay healthy and better poise my mind and body for a speedier recovery: eating well, exercising, spending time with people, putting my best effort into my work, and so on.

Yesterday, I finally made a trip to the grocery store. Did I feel self-conscious and anxious asking for help? Yes. Did I think that every stranger I saw was secretly thinking bad thoughts about me? Yes. Did I think I was useless and stupid for not being able to find cilantro? Yes. Did I regret leaving home at all? Yes. But most importantly, I did what I needed to do anyway. I then cooked myself enough food to last me at least the next three days. It’s not the most balanced or nutritious of meals, but it’s a start. Baby steps!

Experience does help. This being my fourth depressive episode, I’m now quite familiar with depression’s arsenal of tricks. When someone at work stares at me and my mind instantly jumps to ridiculous conclusions, I’m able to tell myself to ignore the thought. When I’m having dinner with friends and I find my mind preoccupied with thoughts like…I’m too stupid to engage thoughtfully in this conversation. My friends invited me only because they feel bad for me. I have no friends. I don’t deserve friends…I’m able to tell myself that those aren’t true, no matter how true they feel. In being able to identify false or distorted thought patterns, I’m able to direct my behavior accordingly. Conduct that lesson no matter how uncomfortable it feels. Meet that friend no matter how scary it seems. Finish your lunch no matter how undeserving you feel. The more I push myself, the more I feel myself getting better.

I attribute these milestones to a combination of factors: the mitigative effects of mood stabilizers (which I was already taking prior to the onset of this episode), consultation with my doctor, wisdom from experience, and honest communication with the people who care about me.

As a Catholic, I must also add that most importantly, access to the Sacraments has granted me access to extra graces I previously didn’t have. And there’s no better reminder that I’m loved than to receive Christ, who gives me His body, blood, soul, and divinity in the Holy Eucharist.

I still remember talking to Fr Peter, way before I entered the Church, while in the thick of depression and a major faith crisis. He advised me to “get this under control” by seeking a diagnosis and proper medication, before adding, “And you might want to consider becoming Catholic.” I had no idea at the time, but he really knew what he was talking about. Previously, my despair would know no bounds and suck me down a bottomless abyss. These days, it’s clear that there are limits to how much I can actually despair. As rough as things get, I know that I’m building my house on solid rock. The rain fell, the floods came, and the winds blew and buffeted the house. But it did not collapse; it had been set solidly on rock (Matthew 7:25).

Perhaps when the brain fog clears, maybe in a couple of months or so, I’ll be able to write a more articulate post on the theology of suffering and how it’s helped me. But for now, this will have to do.

Thank you for accompanying me on this journey. Peace be with you. 🙂

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An appointment with the Divine Physician

I know that many of you read this blog for the positive voice I bring into difficult topics like depression and bipolar disorder. Some of these posts might make it seem like I’ve figured it all out. But in recent months, I learned that I have not.

I’m hurting a lot. I’m still traumatized by the aftermath of an unrecognized, mismanaged, unmedicated hypomanic episode. I’ve learned a lot through all of this, but every day I wish I didn’t have to learn the hard way. I understand now that a lot of the mess I created could have been avoided if I’d had a better understanding of bipolar II, if I hadn’t underestimated it, if I’d recognized the symptoms early and nipped it in the bud, and if I’d been more consistent and proactive about taking care of myself. What is most painful is the realization that I could have avoided hurting myself and someone I love most dearly. But the fact of the matter is that I didn’t. And as I’ve grappled with these thoughts and emotions, it’s pushed me into another depressive episode.

But in this time of darkness, I am discovering my true love. It is exactly what St Augustine wrote: “In my deepest wound I saw Your glory, and it dazzled me.”

I see my therapist and my psychiatrist, but there’s no surer, truer healing than to be in the presence of Jesus. Day after day I approach him just as I am, a wounded child. I cry, but not the same tears I cry to a friend, to my family, or even the tears I now cry to myself as I write this. When I cry to my friends, underlying all of it is a thirst for affirmation that I’m worthy of love, of forgiveness, of second chances, and that I’m not too broken to be fixed. And when I cry to myself in my room, I know deep down that those are but tears of self-pity. These tears often deepen the wound.

But when I cry before the Blessed Sacrament, I feel free. There’s no need to struggle to articulate my pain, there’s no need to pretend to be strong, to manage other’s or my own impression of myself. I’m exposing my wounds to the one who sees it all, knows it all, feels it all. The fears, anxieties, frustrations, and regrets I’ve been carrying around all day, they fall off my shoulders and lie unhidden, unravelled, and undressed before the Divine Physician. I need not even articulate my pain, my needs, or my requests. I know He’s already working on those wounds and scabs, administering medicine far more effective than anything anyone could conjure or procure.

And each time, I walk away with the graces I need to take this one day at a time, and with ever-increasing trust in Him. Jesus, I trust in you.

Out of the darkness of my life, so much frustrated, I put before you the one great thing to love on earth: the Blessed Sacrament. There you will find romance, glory, honor, fidelity, and the true way of all your loves on earth.

–J.R.R. Tolkien

Treasure hidden in weakness and suffering

The phrase “what doesn’t kill you makes you stronger” never sat right with me. I was never sure why, until recently.

It brings to mind a kind strength that is callous toward pain and indifferent to weakness. Or a cold strength of ambition that propels you forward, faster, higher, while paying no heed to what you leave behind. Maybe I’m reading too much into a quip, or maybe I’ve come to desire a radically different kind of strength.

The strength I desire could be mistaken for weakness. You could say that what hasn’t killed me has made me weaker. Weaker in that I feel pain more acutely, mine as well as others’. Weaker in that I am aware of my own shortcomings, and those more forgiving of others’. And weaker in that I relinquish all desire to live life in pursuit of self-glory, instead accepting whatever God places before me, determined to find the graces God has prepared in any given time and place. In accepting weakness we become spiritually stronger.

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I love the above quote by St. Vincent de Paul — it is an invitation to learn the art of suffering well. It’s easy to recognize the value of suffering in hindsight, but let’s aspire to lovingly receive and carry our crosses.

Again and again I discover why the saints insist that suffering is medicine for the soul. Suffering teaches me the most important lessons, purges the most stubborn of bad habits, inspires my highest aspirations, and turns my eyes toward eternity.

Related post: When you know your “good days” are numbered

Even when we have nothing

Not feeling particularly useful or valuable these days. But I’ll take a leaf out of St Therese’s book:  “Our Lord does not look so much at the greatness of our actions, or even at their difficulty, as at the love with which we do them.”

Faith enables us to know that there’s grace to be found everywhere, even in seeming emptiness and nothingness. Perhaps this is the season to be a child, and in doing so allowing Jesus to carry me like a little child too feeble to walk. 

 

Under Reconstruction (Round Three)

Round Two began about six months ago. The fog of a long depressive episode was beginning to dissipate, and my mind and soul glimpsed a new horizon. At the time, I wrote the following:

I wish it was as easy as “picking up where I left off”. But the damage and hurt I have inflicted on myself and the people who love me are all very real. There’s a lot of rubble to sift through, a lot of re-examination, mending, and rebuilding to be done. With God’s grace and guidance I will find healing. Not just restoration, but transformation. I have faith. I am reminded once again of why I named this blog “Under Reconstruction”. From this point on I will let God rebuild me, my life, and my relationships in whatever way He deems best. My Creator knows best.

In the months that have gone by, I have learned and grown a lot — this blog catalogs that journey — so I didn’t think there’d be a Round Three. Yet here I am! The above words are eerily relevant. Except this time, I’m emerging not from a depressive episode, but a hypomanic episode. If being depressed meant being in darkness, being hypomanic meant playing with fire. The initial spark was very much welcomed. A spike in energy was nice, a boost of creativity was fun, a healthy self-esteem was thrilling… But I made the mistake of not watching the flames, and I allowed them to get too big. I was enraptured, hypnotized by an illusion of grandiosity and invincibility. I made mistake after mistake, I got burned, but what I regret most is that the people closest to me got burned as well.

But I know there is mercy and healing to be found in Christ. For my mind and my soul, for those I’ve hurt, for the relationships I’ve damaged. That I know full well. It will take time, but a broken spirit and a contrite heart He will not refuse.

And this time I’m learning that I’m never “done”. There is always more to learn. More weaknesses to be unearthed and weeded out. More calls to repentance. More forgiveness to seek and grant. And in every fall is a reminder of my weak, sinful nature, and a call to continually surrender my will to the Eternal and Unchanging. And always, always a call to love better, serve better, sacrifice better.

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“Surely, I wait for the Lord; who bends down to me and hears my cry, draws me up from the pit of destruction, out of the muddy clay, sets my feet upon rock, steadied my steps, and puts a new song in my mouth, a hymn to our God.” (Ps 40:2-4)

I may not be writing as much as I attempt to sort things out internally. But you’ll probably see more doodles — where words fail me, I’ll let them fill the void. Thank you, again, for accompanying me on this never-ending journey! Peace be with you. 🙂

“I’ll be back! I always come back!” (That’s a quote from Bride of Chucky, but no, that’s not relevant.)

A smooth-sailing life is no adventure!

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I have never in my life envied a human being who led an easy life. I have envied a great many people who led difficult lives and led them well.

–Theodore Roosevelt