Monday, March 19, 2018

Medicated



I couldn’t think, couldn’t sing, couldn’t write.

It had stolen my ability to be Andie.

I have suffered from depression in one form or another for over ten years. First arriving on the scene as postpartum with the arrival of my strawberried Emerald, it took root in our difficult life circumstances, fed on my up-and-down hormones from four pregnancies, and flourished in autism and diabetes.


With tiny baby Emerald, I should have been suspicious when I told Michael, “I’ve read that some mothers don’t bond with their babies right away, so it’s okay if I don’t love it yet,” by his response:


“She’s already here; can you not call her ‘it’?”


From the thickets, it’s kind of hard to see though. Your body is telling you that you indeed feel this way so obviously you are supposed to feel this way—if it wasn’t a logical reaction, you wouldn’t be having it. It isn’t until you separate yourself through the lens of someone else’s perspective that you start to realize the script is all wrong—this isn’t how your story is supposed to play out.

The analogy that is most often referenced is getting glasses for the first time: you didn’t realize how blurry everything was until it came into focus.


After Benjamin was born, I was sitting at my general practitioner’s, Dr Andy, for my 25 year annual physical. It was my first appointment with him; I was referred by my obstetrician because they were golfing buddies. Michael wanted me to bring up my mood swings in response to an incident we had earlier in the week: We were running behind getting ready to go to church, so I got upset and kicked the high chair across the room. Which apparently was the wrong reaction.


As I sat there, feeling ridiculous because I had a couple of bad days and Dr Google over here was diagnosing me with depression, and the doctor is going to think I’m an idiot, why am I even here, this is stupid, stupid. Tears are in my eyes and my throat is sore because I am not going to cry again and make a fool of myself, and I’m just so, so angry and I don’t know why. I am absolutely furious, fuming, sitting there on the examination table all by myself and there is no reason.


This isn’t what depression was advertised as. You envision sadness, not anger. Thoughts of suicide. I didn’t want to kill myself. That would have taken way more energy than I had available, and I couldn’t see hurting myself. At night when I closed my eyes for the briefest moment, I would wish I wouldn’t wake up. I didn’t want to die, but living was so hard, and death sounded so...peaceful.

Dr Andy explained that depression wasn’t just sadness; it was all the emotions, right under the skin, ready to fly out before we could stop them.

He prescribed Celexa (citalopram) for depression, Elavil (amitriptyline) for anxiety.

The first week, I was euphoric. Not because the medicine had such a profound impact on me, but because I was so optimistic—we had identified the problem and there was a solution! I wasn’t a cold, hateful mother; it was a biological issue. The medicine was going to help, I could feel it in my bones.

The second and third week felt like I had been cruising down the highway going 80 miles per hour and someone had thrown the parking brake. Instead of my emotions feeling right under my skin, it felt like I carried them overflowing in my arms—in any given situation, I had to frantically sort through and figure out what exactly I was supposed to be feeling, experiencing every emotion at once in a confused and upsetting state.

After about a month and a half, everything evened out and we got on kind of a system. Weekdays, I’d put Gabe on the bus to PPCD, drop Emerald off at preschool, and go home to put baby Benjamin down for nap. While he was sleeping, I would take my two little “happy” pills and hope nobody needed me for an hour because I would be too dizzy to drive. I’d lay on the couch feeling like I was rolling somersaults; then it would pass and the rest of the day would be pleasantly tepid.

It felt like the colors had been scaled down on my life. I was no longer seeing red furious or blue sadness, but I wasn’t laughing and joyous either.

After hurting for so long, the mediocrity of okay days was paradise. 



I stayed on the two meds for a couple of years until I moved to Abilene and got a new doctor, one that reacted with horror when he saw the amount of serotonin-affecting medicine I was on. He had me drop the Elavil and cut my Celexa dose by half.

The new regimen lasted about a year. During that time, I slept whenever I could get away with it. I was a perfectly pleasant (for the most part) individual, perpetually living between nap times. What drew me up short, what made me question the medicine I was on, was when someone asked me what I did for fun and I realized:

I can’t name one thing I enjoy.

I’m a person of superlatives—I have a favorite in every category, just go on and ask me. But during that time, I couldn’t think of anything that brought me pleasure. It felt like I was doing things because I had done them before, things like watching cooking shows and reading, but there was no satisfaction, no emotional connection, just an automated response.

With depression, my chest ached remembering things I had once enjoyed, longing to recapture that experience. I’d get a plate of TGIF hot wings—my favorite, with the crispy outside and the buttery, spicy sauce—and will it to taste as good as I remembered, but it never did. I’d get dressed up and go out on dates but no matter how much I put on my “happy” costume, I couldn’t make my insides reflect out.

The treatment, the antidepressant, though...it felt like the candle inside me had been blown out.

If my favorite show was on, I wouldn’t look up once until the credits were rolling and realize I hadn’t heard a word. I would sit down my favorite meal and taste nothing before the food was gone.

My mind felt like a yawning, wind-filled cavern where placidity reigned supreme. I couldn’t think. Couldn’t sing. Couldn’t write.

Antidepressants had stolen my ability to be Andie. 



For a brief while, I switched to Wellbutrin to see if it was the specific med that was causing the issue, but it was an emotional cataclysm and I couldn’t finish the initial 6 week course. I talked to my doctor again, noting that my youngest child was then four years old, so the underlying issue—postpartum depression—had likely passed its course. I had ridden the wave of celexa through the last storm, but now it was time for the clouds to part and let us evaluate what was left to work with.

It was hard to wean me off because I was on such a low dose to begin with, but gradually I got to the point that my system was clearing out. There was a significant period of adjustment, a time in which Michael and my mother asked repeatedly if I thought this was a wise choice (with the heavy implication that they disagreed with this course of action). To ease the transition, I started going to counseling to learn coping mechanisms.

Three main strategies emerged successfully for me:

The first was my lists. I made a list of the minimum I was allowed to get done each day. Eat healthy, Drink Water, Do something enjoyable. If I accomplished nothing else that day, then I could say I tried to take care of myself, which was a start.

The second was taking time for myself. Twice a day—once before Michael left for work and the second after dinner—I would go for a run. It was 90 plus degree weather and I loved it because I could blast my heavy metal music and not talk to anyone or socialize with anyone for a half an hour or more. It was just me.


The last was my “Thought Vomit” journal.

My counselor had recommended a mindfulness program. He said thoughts are like leaves in the stream; we can watch them pass by; we acknowledge they are there, we hear them, and we let them pass. If we don’t hear the thoughts, they’ll just keep repeating until we do, so acknowledge them.

My homework every week was to write down what I was thinking for 15 minutes every day. Just write. It’s a different process to write than to speak or to think; it feels so much more actionable. I would find a spot, usually not long before bed, and I would write down everything I was thinking—every emotion I was feeling, every song I had stuck in my head, every complaint and every praise and everything, like a grand purge until there was nothing left.

Emptiness not like the one caused by Celexa, which felt like a desert with friends hiding where I could not see them, but an oasis where nothing was happening, no one was moving, and I could just be at peace.

I spent a year getting reacquainted with myself, remembering what brought me joy and satisfaction outside of being a wife and a mother. Lemonheads, Tim Burton movies, the dark and macabre, but also sunlight and dancing and Jude Deveraux. I liked things that were powerful evocators, things that demanded a reaction. Joy was something I had missed for so long and wanted to spend as much time in as possible, but I rediscovered things I did not like as well: loud noises, big crowds, being late, messes. It reminded me of what it took to take care of myself.

Toward the end of my pregnancy with Tula, the depression took hold again. I was snapping at the kids, taking four baths a day, just waiting. Waiting to feel better. Waiting for happiness to come back. Three weeks postpartum, having cried every day because of change in routine or unexpected events or delays, I started on a low dose of Zoloft (Setraline). I was dizzy at first, but then it just ran quietly in the background. It felt like it was gently nudging me away from the darker thoughts, away from spiraling into a panic attacks. It was a little platform that held my emotions up until I could take over again on my own.

Sometimes I felt weak or foolish for needing medicine, for not being able to handle it. I felt like I was supposed to be coping better.

When I was feeling kinder, I knew that just as Gabriel took medicine to control the symptoms of his autism and Emerald took insulin to manage her diabetes, I needed support, too. It wasn’t a matter of my ability, but a physiological disruption that had to be corrected. Taking action was coping. 

I still have bad days. Thursday was a bad day. Gabriel ruined my coffee, drank the back-up; Emerald and Benjamin would not stop fighting and I burned only dinner to complete inedibility. We were supposed to play a game as a family but my dour mood had soured it for everybody. That day, I didn’t cope so well. Spending that time learning how to care for myself, satiate my emotional needs, taught me though: it is okay to have a bad day, because tomorrow will be better.

I know how to make it better.

—Andie

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