>Relapse, again

>It’s a marathon, not a sprint. It’s a long term commitment, this recovery from depression, because depression isn’t like the common cold or even influenza. It’s not like a sprain or a break that can be splinted and healed over time. Recovery from is slow but steady (remember the tortoise vs. the hare?) and may consist of two steps forward, one step back.

The times that are toughest are the times when I feel like I’m making one step forward, two steps back. Those are the days that the dark cloud hovers, never rises, never moves away. Harry Potter fans? It’s like a dementor undeterred by my patronus charm.
I felt improvement – I did! I felt like between the medicines, the rest, and the therapy, I was getting somewhere. In fact, I know I was. Feeling more energetic, getting excited about events in the world (Super Bowl!), and smiling and even laughing more often. Then suddenly and unexpectedly, I was back to square one. Two naps a day, difficulty waking up, pounding headaches, no motivation.
Doc tweaked the medicines slightly. Then he added another one. Next? Internal attitude adjustment. Personal effort. It’s my health, after all, and my responsibility. On that note, I made another therapy appointment. If only the effort didn’t take so much energy….

Share and Enjoy !

Shares

>If the doc fits

>

No one, including medical professionals, can be a perfect fit for every patient. Some, however, are a worse fit than others.

She was 30 minutes late. I know psych offices have to be flexible in case of emergencies. I understand that. But no one mentioned she was running late, no one said a word about my 1:00 appointment being pushed back to 1:30. When I finally got in, there was no apology for her tardiness. In fact, she didn’t say a word.

Counselors are listeners. They read the files, listen to the patient’s words and feelings, interpret the information and guide the patient. Listeners. Interpreters. Guides.
She assumed. She saw that my “official” diagnosis of depression had come in late November/ early December. “Ooh, you should be taking vitamin D!” she exclaimed. She assumed within seconds that the timing of my depression had everything to do with Seasonal Affective Disorder (SAD), and I should have been on vitamin D all along.
She didn’t listen to or read my recent medical history. If she’d done her homework, she might have known that my exhaustion and anemia dated back to last July. If she’d listened, she may have found out that the December diagnosis had been building since a student hit me in September.
She had no knowledge of education – in fact, she made at least one statement that was downright ignorant. It’s not my job as patient to educate the doctor or therapist.
She didn’t listen to how I was feeling, either. After an extremely brief discussion and the suggestion of vitamin D, she pointed out a poster on the wall illustrating various emotions. She singled out three of them, defined them very narrowly, and then tried to put me in my boss’ place and interpret what she must have been thinking and feeling.
What the heck?!?
I came in for counseling as part of treatment for my depression. I left the office feeling worse than when I’d arrived.
  • The unacknowledged 30 minute delay
  • Presumption of vitamin needs based on too little information
  • Lack of empathy, minimizing my illness to the level of a poster on the wall
  • Unrealistic expectations: attempting to put me, in the depths of clinical depression, in someone else’s shoes.
It took me a while – the entire drive home and a stop to buy litter, to be exact – to realize that this simply wasn’t going to work. Coming back to this clinic and counselor was not going to be effective. In fact, everything about the first session led me to believe that a second would be a complete waste of time.
Making decisions while depressed ranges from difficult to darn-near-impossible, but this one came fairly easily. I gave myself overnight to avoid over-reacting, and then called to cancel the appointment.
Then I took a deep breath and made coffee, and life went on.

Share and Enjoy !

Shares

>Staying cool, staying calm, and fighting the good fight

>But not getting down – that’s the trick.

On the to-do list: Two appointments and prescriptions to pick up. Along with the appointments, I need to discuss recent insurance communications. This will take energy, and energy is one thing I don’t have in abundance. These appointments may also be emotionally wearing; just what a depression sufferer needs, right? Uh-huh.
I found out recently that my coping skills make me look bad, too; because I’m good at coping, I’m not disabled. Not enough, anyway. But if I stop coping and just give up — no. That’s not an option, and I won’t apologize for attempting to make life’s glass appear half full.

Meanwhile, I’ll pick up up Harry Potter and remember that life could be worse: I could be teaching alongside Severus Snape. I don’t know how Minerva McGonagall stays cool and calm while he’s persecuting her precious Gryffindors.
Professor McGonagall is definitely a kindred spirit. She’s a leader, one who knows what’s right, and calmly deals with many big issues. With the Weasley family in her house, particularly Fred and George, I’m sometimes amazed at how calm she can be! When I saw the first movie, Harry Potter and the Sorcerer’s Stone, my first glimpse of McGonagall was a mild shock. “No, that can’t be her. She’s much too, well, old. She’s supposed to be me!” Several years later, now I can watch the movies and say, it’s okay. I can only hope to age as well. Can I wear a nifty green hat like hers? And where’s my wand?

Share and Enjoy !

Shares

>Reading the walls

>

Inspiration sometimes turns up in unexpected places. We stayed several days in this lovely inn and noticed messages in strategic places. Can you read it, or is the glare in the way?

“What would you attempt to do if you knew you would not fail?”
Below is a little smaller, but worth the effort to read it, too. It’s from Vincent Van Gogh.

“If you hear a voice within you saying, ‘You are not a painter,’ then by all means paint and that voice will be silenced.”
Look below — someone listened.

Her paintings are scattered throughout the inn.
For me, it was enough to see the quote beside the easel.
Now I think I’ll log off and work on my book manuscript.
All photos from Sweetfield Manor. Readers, you know how much I need peace in my life; Sweetfield helped provide that, and good coffee, too.

Share and Enjoy !

Shares

>Depression hurts and confuses.

>

Yesterday, my back hurt and my head hurt. My back hurt because I have no energy to stand or walk for any length of time. Making lunch or supper meant pushing my limits, which caused pain. My head hurt from exhaustion; I slept much of the morning, despite sleeping well the previous night.
Rest is hard to come by in this Midwestern work ethic. I feel like I should be constantly accomplishing something. During the playoffs and the Super Bowl, I could allow myself to watch a game or two – but there was usually laundry in the washer and dryer while I was watching. I’m taking an online class right now, and getting that work done helps rationalize another nap.
Depression hurts emotionally. Dredging out the energy to make small talk, even with family, is tough sometimes. I’ve always been a peacemaker – at work and at home. Right now, I just want to walk away. I don’t have the energy to converse, much less mediate.
Some days I have more questions than answers. I’ve had flashback dreams of that November night in the ER, the night with the chest pains that scared the heck out of me. Why the flashbacks? I don’t know. It doesn’t mean I want to be sicker or go to the hospital. This dream may just mean I’m doing too much, too soon, too fast. Maybe it’s a warning that I need to slow down, no matter what my Midwestern work ethic might say.
Lately, recovery consists of two steps forward, one step back. Days exist when I have the energy to cook, but not clean the kitchen. I need to slow down and put myself first. Slow down, rest, and heal.
Now if only our state politics would let up, and I could stop watching news….

Share and Enjoy !

Shares

>What does healthy feel like?

>Chuck and I went out for dinner last weekend. I mentioned that it had been two weeks since my last appointment and a change in medications. I thought there was some progress. He asked “How can you tell? How will you know when you’re better? What are the signs?” And then we realized together that I hadn’t been healthy in months. I might not know what healthy feels like.

I spent the summer with peri-menopausal issues, ending with surgery that seemed to quiet the hormonal changes. I was still weak, tired, and anemic.
In September I taught on crutches for a while until the good family doctor figured out that despite the negative blood tests, I did, indeed, have gout in one foot. Reaching a diagnosis meant we could treat that, and I could regain strength and walk around school again.
Then there was the Virus That Was Not Influenza.
The following months were full of one thing after another, including clinical depression, eventually leading to the decision to take a long term medical leave of absence and recover from any and all of these problems.
So once more: how will I know what healthy feels like?
On an average day, I’m here (imagine me holding hand up to chest level). A healthy person would be at this level (holding hand above head). On a Good Day I might feel like I’m here (hand at chin), but too many days I still slip to here (waist level). That’s an improvement. Before I began resting seriously and pursuing formal treatment, low days were (knee level) and average days barely made it to (waist high).
I’m smiling more often. I sleep a little better, but family doctor is still working with me to improve the quality and quantity of shut-eye. My dreams are still tense, but they’re not all school-related. I’ve decided to set up La Petite’s aquarium and put a few fish in it. It’ll be relaxing to watch easy to care for. So – is this what healthy feels like? No, not really, but I do feel improvement.
I guess I’ll keep reveling in each small improvement, taking care of myself, and moving those levels gradually higher and higher. Some day in the future, I’ll look in the mirror and realize “This is what healthy looks and feels like.” Readers, trust me; I’ll let you know when that day arrives!

Share and Enjoy !

Shares

>Drama. Too much Sunday drama.

>Let’s work backwards.

It’s evening, we’re watching the Grammy Awards, and I’m feeling almost uncomfortably full. I should have saved my dessert for tomorrow. Pumpkin cheesecake would have made a great breakfast with coffee. It was delicious; I’ll have to admit that it was delicious, and on top of a great pre-Valentine’s Day celebratory dinner. Chuck had rib eye and lobster tail; I had tenderloin with shrimp scampi. Both were fabulous.
It was a fitting end to the evening, though, being able to relax and reboot after all the drama.
We spent the afternoon computer shopping. I’d like a smaller laptop, maybe even a netbook, for traveling. Amigo would really like to have a laptop available with his adaptive software. We found a few good laptops on sale in the same price range as the netbooks, and decided to check them out. We took a rather anxious and tense Amigo to the Big Box Store to ask questions and try them out. We put him in charge of trying out the keyboards while we read the specifics and asked questions about repairs and warranties and features included (or not). He relaxed as he worked the keyboards and found out what they felt like and confirmed that yes, he could learn this new type of keyboard and use it successfully.
Back up again. Midday, while introducing our two smaller bunnies in the hopes that we can program them to coexist in the same space, Chuck let them get too close too soon. Fur flew. Scent trails were presented. Chuck had to reach into the melee and separate the two. To reassure you, readers, neither bunny was injured. They’re back to their Safe Mode with Krumpet in her cage in the corner and Sadie running freely through the room. They interact through the cage bars by sniffing, licking, and looking at each other. We’ll wait for another day to put them together without the firewalls.
Back up to the day’s beginning. I slept late – much too late. I’m not sure I like this new medicine; I’m in such a daze in the mornings that I just can’t move. But I digress. While I was dragging myself out of sleep mode, Chuck was already downstairs toasting frozen waffles for Amigo and turning on the desktop computer – well, trying to turn on the desktop computer. It was dead – overheated from a malfunction in the fan and cards that triggered the fan to function. We repaired this a few weeks ago; we were warned then that if it happened again, it would signal the end.
A destroyed computer is a problem. Due to Amigo’s needs and due to our tech-addicted family, we need to replace it ASAP. But this week? Chuck, the hardware and software expert, is extremely busy this week. He can’t take off from work, and he wants to do this on his own. I trust him to do it right, and he’ll stress out and send his blood pressure sky high if he’s worried about me taking care of the purchase. So… he did the research today. It’ll make the act of choosing and buying simpler and faster.
Backing up; No. I think at this point we need to move forward. I’ll take my evening medicines, leave La Petite in charge of the bunnies and Chuck in charge of the computer(s), and I’ll go to bed. To sleep, perchance to dream.

Share and Enjoy !

Shares

>Sleep, still elusive; my foggy brain

>

La Petite asked me, “Mom, is your spaciness from the depression or from the medicines, the anti-depressants?” I didn’t know. I thought perhaps it was a little of both.
I don’t like the spaciness – the feeling of being in a fog. Some days the fog lifts a little, some days more. Some days it’s like slogging through a swamp, when I can hardly move around the house, much less get up and out and accomplish anything.
I posed the question to an expert, a professional counselor. He said it’s the depression in general, and the sleeplessness leads to the flakiness, the spacey feeling of not quite having it all together. We talked about sleep and its importance, clinical studies that he’d read about how and why sleep is so important to the brain. He used the analogy of a computer doing a defrag. During a deep sleep, the brain goes through its contents and organizes. The most important “files” are categorized and attached to something relevant in a brain location with easy and quick access. The less important data may go on a less frequently used pathway. Those files that really, truly, don’t matter, can be set aside or tossed in the recycle bin for good. With insufficient sleep, the brain can’t reorganize, pull itself together. Due to my sleep troubles, my brain doesn’t get to reconfigure its data files, leaving me unfocused and forgetful by day.
To sleep, perchance to dream. Or maybe not. I still have the occasional odd dream, the kind that wakes me up either tense to the point of pain or sweating from head to toe. On the bright side, these nightmares turn up less often than they used to; they’re not a nightly occurrence any more. Maybe, just maybe, the bad dreams will fade away, I’ll begin sleeping more, and my brain will bring itself back to its wise and savvy normal.

Share and Enjoy !

Shares

>Dream On: Out of the fog

>

The snowmen are still around. Packer decor is scattered all over the house. The Dream Tree on the wall is new, a gift from an artist friend. I wasn’t ready to take it down after Christmas.

Somehow, she knew what I was feeling and how down I was before Christmas. Between clinical depression, work challenges, and the physical pain caused by both, I was at my lowest when this arrived.
The tree is beautiful; it’s not just for Christmas. Did she know my dining room walls are blue, and the colors are perfect? Whether she did or not, my artist friend knew I needed to dream, and dream of peace. The colors, the design, the shapes all speak to me of peace. There is a special tiny ornament, too – can you see it?
It’s an owl. Artist Friend chose an owl for me because she considers me a wise colleague. I have a good memory and a lot of background knowledge, but I haven’t been feeling very wise lately. By giving me this small owl on this wonderful piece of art, she reminded me of a side of myself that is still present, still strong. And for that small but important reminder, I am very grateful.
The spaciness that comes from depression, especially from the interrupted sleep, is still present. As my condition improves and I make more deposits into the sleep bank, I hope to show my Wise Owl side more often.

Share and Enjoy !

Shares

>Dreams: what do they mean?

>Chuck thought my dream had a simple interpretation: I’ve been typing too much. I went to bed with a sore thumb.

He may be right. I do have arthritic symptoms in my right thumb, and my left is catching up. I have a splint for the right wrist and thumb; I wear it at night to immobilize both and ease the pain somewhat.
So here’s the dream.
I was in the emergency room – again. Same doctor, same staff, all recognized us from our back to back visits in early winter. This time, I was there because I’d dislocated my left thumb. Is that even possible? In my dream, the thumb had already been set, back in place, and the pain and swelling were gradually easing. Even so, it still hurt like the blazes. Dr. S had decided that I needed a cortisone shot in the joint. Disclaimer; I have no medical background and have no idea what would really be done at this point. It was a dream, remember? I’ve had many cortisone shots in my foot, so I know that they are very painful, but also very effective. I think the discussion went something like this.
Dr. S: Have you ever had a cortisone injection before?
Me: silent nod.
Dr. S: So you know what it feels like?
Me: silent nod
Dr. S: Okay, here goes.
Me: turn head, find focal point, breathe.
Chuck thinks it’s as simple as going to bed with a sore thumb after being on the computer too much that day. He may be right. The other interpretations could be a little more complex.
  • Why was I completely unable to answer the doctor? I’m a verbal-linguistic person; words are my strength. I’m rarely intimidated by medical people. Was my silence significant?
  • The repeat visit to the ER – likely a flashback to the last one, when I opted not to be admitted to the hospital overnight and went to school to leave sub plans instead. Bad choice; I’ll never do that again. At least in my dream I followed the doctor’s instructions, no matter how painful.
  • Then again, there’s that sore thumb. I’m relearning how to handle a keyboard and mouse in less painful ways, and I’m learning to limit the time I spend on the computer and prioritize that time more effectively.
Readers, chime in. What do you think of my dream? Simple, just a result of a sore thumb joint, or a deeper, more complicated meaning?

Share and Enjoy !

Shares