Today I had...On second thought, maybe still have, a little episode going on. How do I know? Well, when I was driving on the highway, a voice in my head made many suicidal suggestions. A few were pretty good.I somehow fought them off. Secondly, for the first hour of my drive, I cried 6-8 times. I have been doing so well too.
Seinfeld is one of my favourite sitcoms of all-time. They refer to "the pop-in" frequently. The 'pop-in' is a visit without invitation. Depression 'pops-in' all the time. Much like the main character, Jerry Seinfeld, I hate the 'pop-in'.
I came across this article recently. I read it, of course. So, I hi-lighted a few sentences and key points. I will elaborate on the areas I can. I wrote my piece after each hi-lighted areas in bold. Still trying to help others understand what it is like to have Depression.
What It’s Like Inside a Depressed Person’s Head
While not everyone’s experience is the same, when people have a major depressive episode, generally the world looks, feels, and is understood completely differently than before and after the episode. During a major depressive episode, the world can literally seem like a dark place. What was beautiful may look ugly, flat, or even sinister. The depressed person may believe loved ones, even their own children, are better off without them. Nothing seems comforting, pleasurable, or worth living for. There’s no apparent hope for things ever feeling better, and history is rewritten and experienced as confirmation that everything has always been miserable, and always will be. (This is very true. I don't know why this thought crosses my mind. My son will be fine, my friends will mourn and move on, my parents will continue on. So killing myself seems like the only option. A seductive option. There seems to be nothing in this life for me. Basically, the world is better off with T.J. Smith not in it. Hope doesn't exist. I guess that's why Wednesday I am getting that word tattooed on my body so I will never forget it)
What was challenging feels overwhelming; what was sad feels unbearable; what felt joyful feels pleasure-less.
When this reality shift happens, it’s difficult to remember or believe what seemed normal before the episode. What the person believes during the episode seems absolutely real, and anything that conflicts with it is as unbelievable as a memory or message telling him or her that the sky is purple. For example, if the person is unable to feel love for a spouse, and someone reminds the person that he or she used to feel that love, the person may firmly believe he or she had been pretending to himself/herself and others—though at the time he or she really felt it. The person can’t remember feeling the love, and can’t feel it during the episode, and thus concludes he or she never felt it. The same process happens with happiness and pleasure. Attempts to tell the person that he or she used to be happy, and will feel happy again, can cause the person to feel more misunderstood and isolated because he or she is convinced it’s not true.
Even if nothing was wrong before the episode, everything seems wrong when it descends. Suddenly, no one seems loving or lovable. Everything is irritating. Work is boring and unbearable. Any activity takes many times more effort, as if every movement requires displacing quicksand to make it. What was challenging feels overwhelming; what was sad feels unbearable; what felt joyful feels pleasureless—or, at best, a fleeting drop of pleasure in an ocean of pain.
Major depression feels like intense pain that can’t be identified in any particular part of the body. The most (normally) pleasant and comforting touch can feel painful to the point of tears. People seem far away—on the other side of a glass bubble. No one seems to understand or care, and people seem insincere. Depression is utterly isolating. ( It is a pain. A wound that cannot be stitched up. It leaves a emotional and mental scar. There is nothing to ease the pain. It is the most lonely place on the planet. You could be in an arena full of people, but you still feel like the loneliest person on the world. People could be banging into you. Talking to you. You don't see them or hear them. The demons and monsters inside have your full attention)
There is terrible shame about the actions depression dictates, such as not accomplishing anything or snapping at people. Everything seems meaningless, including previous accomplishments and what had given life meaning. Anything that had given the person a sense of value or self-esteem vanishes. These assets or accomplishments no longer matter, no longer seem genuine, or are overshadowed by negative self-images. Anything that ever caused the person to feel shame, guilt, or regret grows to take up most of his or her psychic space. That and being in this state causes the person to feel irredeemably unlovable, and sure everyone has abandoned or will abandon him or her. (I feel no one can love me. I am unlovable. Abandoned, at times. The negativity takes control of your body like a puppeteer. Someone else is pulling the strings. You're just an act. Not loved by anyone)
It’s difficult to describe all of this in a way that someone who’s never experienced it can make sense of it. I can’t emphasize enough that when this happens, what I am describing is absolutely the depressed person’s reality. When people try to get the person to look on the bright side, be grateful, change his or her thoughts, or meditate, or they minimize or try to disprove the person’s reality, they are very unlikely to succeed. Instead, they and the depressed person are likely to feel frustrated and alienated from one another. I do believe cognitive therapy has an important place, but generally not in the throes of a major depressive episode. (What are you going to tell me that is going to make me feel better about my Depression? Do you know what I feel? Can you empathize with me and my feelings? Do you know what triggered it? Do you know what I feel? Thanks for caring. You know fuck all. Leave me be)
Support for People with Depression
So what does a person whose reality has shifted in this way need? Please keep in mind that I am talking about a major depressive episode—severe depression that has lasted more than two weeks. I would take a different approach for someone with milder depression, or one that is a response to a terrible loss.
For some people in a major depression, psychotropic medication works and is the only thing that works. The same could be said for electroshock treatment, though it’s not for everyone. Many people will emerge from major depression in time, though episodes seem to make more episodes more likely, so if medication works to end the episode, it’s usually prudent to take it. Nutrition, acupuncture, and other body-based treatments as well as therapy can help without the side effects of medication.
What Loved Ones Can Do
Loved ones can gently hold and show love and commitment to the depressed person, try not to take on the person’s reality, but also not argue with him or her about it. They can also gently remind the person that depression causes his or her perspective on everything to change, and he or she is unable to think outside of depression mode at the moment. It is a time for the person to avoid making decisions, or avoid doing anything significant that requires a nondepressed perspective. If this is a repeated experience for this person, it can be helpful to discuss all of this between episodes so he or she is more prepared when caught in the quicksand.
As someone who loves a person with depression, it can be emotionally difficult or stressful at times to support that person. It can be beneficial to focus on your own needs and self-care, and to reach out for help if you need it such as seeking the support of a counselor or therapist. (No idea what it is like being on the other side on this point, but I don't believe it is easy at all. People that deal with Depression through their partners should be applauded. It isn't easy. I have seen what it has done to relationships. I was a loveless, ungrateful, disrespectful coward. My illness ate away at my very being and anything good inside of me and left the bad. At least some people have loved ones to lean on. This is what makes my journey more difficult. I don't go to bed next to someone and whisper to them "I love you and thank you". I go to bed with tears, and whisper "At least I have you.")
© Copyright 2013 GoodTherapy.org. All rights reserved. Permission to publish granted by Cynthia W. Lubow, MS, MFT, therapist in El Cerrito, California
"I've cried, and you'd think I'd be better for it, but the sadness just sleeps, and it stays in my spine the rest of my life."
- Conor Oberst
Yours Truly,
T.J.Smith
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