Mental Health: Depression Suppression!!!

On Wednesday I got bilateral foot surgery for boring, non-urgent reasons – basically something that was going to get worse with age. My insurance and timelines aligned and I decided to just go ahead and knock it out. I’m set to have my full mobility back in two months, a couple weeks before school starts again.

Before the surgery I did as much as I could physically and tried to postpone all stationary activities for post-op. I raced around to finish a job for Tidy B Organizing, I cooked ahead of schedule for Bummed Out Baker, I went and got ~the final pedicure~. For the first week of recovery I wasn’t meant to walk more than to the bathroom or maybe to the kitchen to grab something (definitely not to stand around to cook), and not much else. Stationary was compulsory. Stationary was good.

The day after surgery, I woke up and relished relaxing in bed all day, watching bad TV, lolligagging on my phone, and housing the cupcakes my sister in-law and brother sent me. On Friday I felt an inkling of stir crazy coming on. How long was I gonna be in this bed, again? By Saturday the dishes had begun to pile up around me and remained far longer than typical me would ever allow (Rick was in charge. Rick is relaxed. Be like Rick). Unwrapped packages littered the desk, random shoes weren’t put away, and clothes were slung over the chair. I’ve never been a clothes-over-chair-slinger, and it was painful to look at. When I managed to hobble into the kitchen while Rick was away working, I was aghast at the damage done without my religious dish-doing and counter-wiping. I hustled back to my bedroom as fast as a foot-bound, drugged up person can and shut the door, hiding away like Quasimodo. I got back in bed and looked around me. Picked up a book, set it back down. Opened Instagram to find nothing new from ten minutes before, swiped up to close it. Got tired of Gilmore Girls, so I just slept. And slept, and slept, and slept. I’m famed among my friends and family for sleeping suspicious amounts, which my psychiatrist has pegged as my emotional escape mechanism, so you’d think this would be my dream (see what I did there). At first, it was. But then I got tired… of sleeping. The pinnacle of my emotional spiral was when Rick made an innocent joke and I burst into tears. #PoorRick

There is no busy work I can do, no collecting Rick’s damn Nicorette wrappers that seem to infiltrate every crevice of everywhere, no bathroom sink to wipe off. I grew terribly depressed in a matter of days and then realized the depression wasn’t new, it was simply emerging from the mountain of unnecessary tasks I typically bury it with. Instead of scuttling around the house doing things that don’t really matter, I was forced to write on Bummed Out Baker, brainstorm marketing for Tidy B Organizing, workshop fellow writers in my collective, organize my digital photos and analog notes, read, write, and reckon. I was being forced to reckon with myself and what’s going on in my head. When there is no choice, there is no excuse. I lean so firmly on busy work to numb my mind that being forced to take a literal seat for weeks at a time has left me with some interesting tea leaves at the bottom of my cup, if you nom sayin’.

these Mickey Mouse feet crack me up every time

Written on Tuesday, June 18, 2019.

Related on Bummed Out Baker:
Mental Health: Depression Lies to You
Mental Health: Guilt and Golden Retrievers and Headaches
Mental Health: Weight Gain and Mental Medications


Subscribe at the bottom of Bummed Out Baker to get my mental health musings and recipes emailed to you directly – Follow on Facebook for mental health articles and discussion – Follow on Instagram for behind-the-scenes panic attacks and my begrudging, meat-eating husband captured in the wild.

If you or someone you know needs help right now, call the Suicide Prevention Lifeline at 1-800-273-8255.

Advertisements

Mental Health: Guilt and Golden Retrievers and Headaches

Another day, another bout of random, crippling depression.

I texted Rick asking him to please bring Apollo (XXL golden retriever) to the city with him when he comes back from playing golf on Long Island because he brings me great comfort and joy. When I’m having a blue day like today, to hug and snug with Apollo for just one day (before he returns to the wide reaches of a yard a dog his size deserves) does wonders for my mood. When Rick confirmed Apollo was coming into the city for the night I walked around smiling like a nut. In case you’ve somehow missed it in my writing so far, I am, indeed, nuts.*

I woke up with a gnarly headache. Again. I’ve been especially suspicious of booze lately but, save for a 1/2 tablespoon of Triple Sec used in the strawberries romanoff recipe, I haven’t had a sip since a friend’s wedding Rick and I attended last week.

Yesterday evening I had my first visit to an acupuncture / medical massage place that not only accepts my insurance, but that I also have unlimited visits to. After years of being wrecked by migraines that stem from stress and tension, a lot caused by my all night teeth clenching, this was a huge W in an effort to curb my headaches. After my ridiculous psychiatry bill, I feel like my emergency deep tissue massages were our second biggest expense.

My headaches are unruly and relentless. They’re unresponsive to sleep, caffeine, and Excedrin. They often bring me to nausea and, sometimes, when everything is really magical and the stars align, vomiting.

When Rick and I were in Mexico for a dear friend’s wedding, for whom I was a bridesmaid, one of the days I was completely knocked out due to a migraine. After fighting through a speech, I had to leave the rehearsal dinner early before I hurled or something. We returned to the boutique hotel that had no TV, so I passed out while I imagine Rick just kind of sat there staring into the dark void. Poor Rick.

The first Christmas Rick ever spent with my family, we’d gone to my great aunt’s house and my headache was so bad I had to lay down, leaving Rick with a bunch of people he’d just met. While he enjoyed going to visit my great aunt and uncle’s herd of cattle, a comically exaggerated way for someone to be introduced to Texas, it was still a little uncomfy for him. Poor Rick.

I had a terrible headache the day of my prom and, as the night wore on, it morphed into a migraine. My boyfriend and I had to leave early. He was a metal dude who didn’t really want to be there in the first place, or else I’d say “poor boyfriend”. He was probably thinking about Slayer or Hands of the Few or something, but I was thinking about how crushed I was to miss a chunk of prom.

When I am laid up with a migraine, I get frustrated about missing, well, life, and my mood plummets. I hate to be more high maintenance than usual, which causes me to then become more guilt-ridden than usual. With general clinical depression, I am often plagued by a baseline of guilt. I do my very best, but there are some days when it feels like a herculean task to just get out of bed. No matter how productive a day I might have, I always feel bad about not doing enough. Regularly being laid up with a splitting headache exacerbates this feeling. In my dark moments I try to remember that depression lies.

Guilt, guilt, guilt. Plummet, plummet, plummet.

One time I saw a psychiatrist here in New York who looked like Einstein. He’d written a book about Catholic guilt and kept trying to peg my issues on Catholic guilt, even when I told him repeatedly that I wasn’t Catholic. I didn’t see fake Einstein for very long, but I suppose he was onto something.

Does guilt accompany your mental health issues? If so, how do you deal with it?

*I was singing “You are so Beautiful” to Apollo and he stalked out of the room mid-line. Upon further thought, I don’t blame him.

Written on Saturday, June 1, 2019.

Mental Health: Psychiatrists

There are some things every person should know about people who seek psychiatric care.

STIGMA

Look, not all of us with mental illness are eating other people’s faces on the side of a highway in Florida. I mean, some of us are, but most people who seek or are in need of psychiatric care are average folks you interact with regularly: your colleague, your grandchild, your mail person, your stepdad, the person two people behind you in line at the grocery store, or you.

Unfortunately it’s common for a lot of people to suffer in silence and confusion. Not only do they need care, but they also often have no idea where to begin in terms of finding the right doctor, are overwhelmed by the expense, and have to deal with the crippling, unnecessary stigma attached to mental health issues. This stigma holds us all back from achieving ideal health and an optimal quality of life.

COST

My psychiatrist, like most psychiatrists, has chosen not to deal with insurance companies due to their overcomplicated nature, but without a psych I am unable to access the meds I desperately need. So, this dissonance then falls on the person in need of care, in this case, me.

Can you imagine that in New York City it costs me $400 to see my psychiatrist for 50 minutes? Aside from our car payment, my mental health is the biggest monthly expense for me and Rick. You may be wondering, “Why doesn’t she just seek out a psychiatrist her insurance covers?” Let me back up a moment.

CONNECTIVITY

Finding a psychiatrist you connect with is like dating, only the stakes are higher. Not only are you looking for someone you get along with personally, you’re searching for the right fit medicinally. You want to be in someone’s care who takes more than 20 minutes every four months to understand the inner-workings of your mind and know what meds would best compliment your brain chemistry. The consequence of faulty prescription can be lethal.

Couple this ideology with the fact that a new psychiatrist means a fresh emotional upheaval. You’re having to rehash everything that may be helpful to the doctor to assess your mental needs, and that requires a verbalized excavation of traumatic experiences. It sucks. The longer you’re with a psychiatrist, the harder it is to leave them because you’ve been so productive throughout your sessions, digging deeper and deeper. The better they know you, the better they can help you. Psychiatrists can brief other psychs on incoming patients, but no memo can take the place of hours spent doing deep dives into your head.

ACCESSIBILITY

HOT SPORTS OPINION ALERT! Another disconnect that, to me, causes an egregious margin of error in the specific realm of medicating mental illness is the psychologist / psychiatrist team up. This model has a patient regularly seeing a psychologist who then communicates their thoughts to a psychiatrist, who then prescribes meds back to the patient. Psychologists cannot prescribe meds and are often cheaper and, therefore, more accessible. It’s certainly better than nothing, but to me this kind of two step care leaves too much room for poor communication and subpar RX.

BRAVERY

It takes a lot of guts to go into a room and figure out how to be comfortable being vulnerable in front of a stranger. It also often takes months to review what a patient may perceive as “obvious” issues before moving onto to unsuspecting things in life, which are sometimes the most insidious and medically informative. It takes time, and it takes gumption. And remember, if the doc is a bad fit, the person seeking care has to start all over again with a new doc. Speaking from experience, this redundant process contributes to mental strain.

It’s so important to normalize the discussion of psychiatric care and to be empathic and encouraging toward those who seek it.

What have your psychiatrist or psychologist experiences been like? Have you had any particular hang ups? Comment below.


Subscribe at the bottom of Bummed Out Baker to get my mental health musings and recipes emailed to you directly – Follow on Facebook for mental health articles and discussion – Follow on Instagram for behind-the-scenes panic attacks and my begrudging, meat-eating husband captured in the wild.

If you or someone you know needs help right now, call the Suicide Prevention Lifeline at 1-800-273-8255.

Mental Health: Depression Lies to You

Coming at you live from a blue day, and my head is heavy, literally and figuratively. I was doing the dishes and had to rest my forehead against the cabinet above the sink, like some broken weeble wobble that toppled over and got stuck sideways. My rubber glove’d hands worked away, and I imagine it all would’ve looked pretty comical had anyone walked in.

I keep thinking about how I should be writing to work on my thesis, but can’t bring myself to do it. I’ve got a litany of to dos, and just… cannot. It’s an inability, not a lack of willingness, something that’s hard to explain to someone who hasn’t experienced mental illness, but I am doing my best.

Here goes…

DEPRESSION: Some days I am plagued by a feeling of worthlessness. I become certain that things will never get better and everything is a downward spiral from here. Nothing sounds appealing, and my inaction builds an internal tension and a self-doubt that often leads to self-hatred. When I try to pull myself up and out of my slump and fail, my mind bottoms out and I fall further downward, mentally. I hate myself even more. I clam up, don’t want to talk, shuffle around too exhausted to pick up my feet, and would do anything for it to be acceptable for me to just go back to sleep. I become convicted that this is it, this is who I am, a big ole bump on a log and a burden to my loved ones. What’s the point?

damn you, isolation foot
source

Despite feeling the way I do, life keeps moving with or without me. Time and responsibilities don’t stop because I woke up mentally paralyzed. There is no pause button, so I push through, go through motions, and do the very best I can until the cloud lifts. It always lifts, I just never know when it will – sometimes hours, sometimes months. The unpredictability is troubling and hard to plan around which is, frankly, a big part of my apprehension about becoming a parent. How could I subject a child to this? I know deep down that depression lies, so when I’m in the thick of it, like now, I try to remember that these toxic thoughts are not true. The thoughts exist, but they’re not substantive.

My commitment to be open about mental illness on Bummed Out Baker is important to me, and I hope it helps someone either understand what a loved one is going through or feel less alone if you yourself are going through it. I’m game to die on the hill of destigmatization, which also means I will possibly never be hired anywhere else, ever again. The idea is such a bummer that I have to laugh, internally of course, because turning up the sides of my mouth today feels impossible.

In between writing the above paragraphs I had to break to rest my head on my palm, my temple on my fist, or just completely collapse on my arms on the desk until I could pull myself up again. Depression is nonsensical, physically exhausting, dramatic, and infuriating. It’s also sort of funny, but only because if I couldn’t laugh about it, I don’t know if I’d survive.

Written on Monday, May 13, 2019.


Subscribe at the bottom of Bummed Out Baker to get my mental health musings and recipes emailed to you directly – Follow on Facebook for mental health articles and discussion – Follow on Instagram for behind-the-scenes panic attacks and my begrudging, meat-eating husband captured in the wild.

If you or someone you know needs help right now, call the Suicide Prevention Lifeline at 1-800-273-8255.

Mental Health: Compassion Fatigue and Hyper-Empathy

Rick is annoyed that I’m self-diagnosing myself again, but I can’t help it. I was listening to a podcast* while getting ready for bed the other night when I burst out of the bathroom to enthusiastically announce my discovery to Rick: “Hey! I have compassion fatigue and hyper-empathy!” Did I mention I get into bed about 1:00am? Poor Rick, all he wanted was to fall asleep listening to inspiring football stories on YouTube. I just get so excited when I gain language for something I’ve been experiencing and unable to accurately put into words for years, especially as a writer. It was like the time I discovered “dual diagnosis” and “co-occurrence” to describe mental illness + addiction. Revelatory.

This study discusses compassion fatigue due to the overwhelming nature of social problems that leads to burnout. It’s from 1996 and is still relevant. The fact that this is a thing shouldn’t be surprising, taking into account the stressful existence of a 24-hour news cycle. Something else that will likely be to no one’s surprise: compassion fatigue is often experienced by social workers, hospice workers, nurses, and psychiatrists. Guess what I’m talking about next week with my psych?! Cause now I’m worried about him.

I worry about government corruption, our oceans and forests, people without quality / accessible medical care, those assholes at Texas A&M who give golden retrievers M.S. so they can do tests on them, violence against women all over the world, whether people next to me are comfortable and me thinking Did I hurt their feelings? over and over, whether the person on the subway next to me has enough personal space and then arranging myself so none of my belongings are in it**, whales in captivity not getting to swim long distances with their family members, the whale pup at SeaWorld who got taken away from its mom who then just sank to the bottom of her tank and audibly cried for days, whether the man running the newsstand downstairs is happy, the time I saw $20 fall out of someone’s pocket in high school and instead of returning it I kept it and now imagine them not eating for days because of me, racial justice and reparations, the guy in front of the subway stairs who’s leg is rotting off (so I called 911), gay people who aren’t included or treated with respect while I get to go off and marry Rick no problem and am even celebrated for it, hurting the feelings of the employees at Jersey Mike’s when I parked in front of their store only to walk next door to the taco shop, that time ten years ago when my dad called me because he hadn’t talked to me that day and I responded “Do we have to talk every day?”, gentle pigs and cows getting shot in the head for unnecessary human food, forgetting to send a gift or thank you note, not saying thank you enough in general, whether or not my parents are okay, whether or not my parents know how grateful I am, whether or not my golden retrievers are dehydrated or hungry or hot or sad or in pain because they can’t talk and tell me, whether I’ve signed enough petitions and done enough to effect policy change, it goes on and on and on.

I worry about people, animals, our planet, and whether I’ve upset anyone CON. STANT. LY. Like a tick, I feel the overwhelming need to interject to apologize or explain long after everyone’s forgotten about what I’m even talking about. I cannot focus until I clear the air of things perhaps only taking place in my brain.

My parents joke that I sleep so much because I’m emotionally exhausted at the end of each day. I chew through mouth guards, subconsciously toiling away about all the problems in the world, real or imagined. To remedy, I try not to feel bad about having a cocktail and turning my brain off to watch Real Housewives of Atlanta and Beverly Hills. In the podcast* they call this type of activity “babysitting your brain.” You know, just let my brain sit over there for a while. Meanwhile I’ll be over here, strong cape cod in hand, in case it needs me.

Fun fact: hyper-empathy and compassion fatigue can be linked to borderline personality disorder. 🎶 Learn something new every daAaAaAy 🎶

Does anyone else suffer from hyper-empathy or compassion fatigue? Do tell. Revisiting all of my pet worries was extremely tiring to write, so I’m gonna go sleep for three days straight, now.


*Listen to “Too Much Empathy” from the podcast Stuff Mom Never Told You here.

**The other day I sat on the subway and the man next to me elbowed me twice in the side and, without looking at me, said “move over, you got all that space.” There were several inches between us, our bodies weren’t touching, and someone else’s stuff was on the other side of me. I am so conscious of other people’s space that I went home and burst into tears and told Rick I’d never be enough. Poor Rick 2: Electric Boogaloo.


Subscribe at the bottom of Bummed Out Baker to get my mental health musings and recipes emailed to you directly – Follow on Facebook for mental health articles and discussion – Follow on Instagram for behind-the-scenes panic attacks and my begrudging, meat-eating husband captured in the wild.

If you or someone you know needs help right now, call the Suicide Prevention Lifeline at 1-800-273-8255.