Depression After Eight Months of Medication Part II

February 15, 2006 - 1:02pm

The Emotional Journey

There is the physical side of depression recovery, of course. It may involve medical intervention for physical symptoms and emotional states. In my case, as my depression deepened, I began to have migraine headaches for the first time in my life. Apparently, the neurotransmitters that I seem to be deficient in also have something to do with the dilatation of blood vessels. Migraine headaches are a classic symptom. I also developed a facial tick and serious sleeping problems, along with a few other assorted symptoms.

It is astonishing how quickly those physical symptoms went away as soon as I started taking medication. To be honest, I might be willing to take the medication just to avoid the headaches. And after a period of time, I found that I no longer felt depressed, but was engaged and interacting with people in ways that are important to me.

So this is good, right? Sure! Of course it is. It's freakin great!

But when you start to recover from depression, you may find that there are some emotional and relationship messes that cannot be fixed with pills.

Yesterday was Valentine's day. On this day I have traditionally given a flower to each of my three daughters along with a card that contains a VERY personal and carefully written affirmation of love from me. These little love notes are not filled with trite sayings. I write my heart out in them. It's always something special and just right for each of them. Watching them read my words has always been something I look forward to.

This year I didn't have to buy cards because I still had the three cards I bought for them last year and never gave them. One year ago I was in the deepest part of my depression. I had a number of emotional collapses that frightened Jeanene very much, because I had always been a steady and reliable presence in our family. Suddenly, with me falling apart, she was facing the reality that she was the last line of defense.

It's hard to man the fort alone. And she had to do it.

At that time I wandered into a store and picked out three Valentine's cards, one for each girl. I took them home, laid them on my nightstand, and never picked them up again. I have no memory of what I did or didn't do that Valentine's day. But one thing is for sure, the three sisters did not get their cards. I remember noticing the cards around the end of February. "Oh yeah." I said without much emotion. I didn't even feel regretful.

You really can't drop out of your children's lives without doing damage. That's the bad news. The worst damage was with my oldest daughter, with whom I had a number of hard conflicts at that time. We were drifting apart, and if it had continued it would have been much harder to set right. The good news is that no one forgives with more grace and love than a child. You have to sit down, tell the truth about yourself, and apologize. You can't make a lot of promises, but if your daily interaction with them shows them that you're back, all may be forgiven and you can move forward. I don't know if I have ever been closer to the three sisters than I am today. And that is VERY good news.

When it comes to Jeanene, things are little harder. I need to be very respectful of my wife's life and privacy, so I think I'll just say that it is my turn to be patient and wait. When the meds took effect, I was suddenly the old Gordon again. The change happened very quickly, and I was ready to pick up right where we left off. That's nice, but she doesn't have any magic medicine to change her life. And she has been carrying a huge burden because of me. It isn't easy to lay down a burden you've carried for another. All change takes time, even good change. I don't need to feel guilty and apologize a million times. I just need to be very tender and let her know how I feel.

If you find yourself in this situation and you're smart, you might just pretend that you and your spouse are dating again. In that case, "Go get her, boy. Win her affection. Sweep her off her feet!"

The last thing I want to talk about might be called the "It's my turn!" syndrome. When a family system absorbs the impact of the loss of one of its component parts, the rest of the family has to take up the slack. If father suddenly appears after a long absence, there is another trauma to the system as people try to get used to life with dad again. Sometimes someone else in the family has been waiting their turn to crash. In our case, our precious middle daughter suddenly developed a few issues of her own. I think it is no coincidence that this arose just a month or two after my medication began to help me.

So it's her turn, and it's my job and my honor to walk with her through her hard time. She will be fine, I'm sure. She has good ego strength and a wonderful connection to Jeanene and I. But yeah, there are some things to work on.

I guess I could sum up the whole thing by saying this:

"I'm back, and that's a good thing. But family repair isn't quick and easy. There's a lot to do, and it's certainly my turn to shoulder a good bit of the load."

rlp

Submitted by Anonymous User on February 15, 2006 - 2:06pm.

Thank you for this, Gordon. I am playing the role of Jeanene in the story of my husband, his depression, and me. We are recovering, too, and as you've written, the burdens we are forced to take up are difficult-- and difficult to let go. "It's hard to man the fort alone," you wrote. In my case, I'm thankful that it's just the two of us. It's been hard for me as we are, so I can't imagine what your children have had to bear, each in her own way. I am happy for you that you are making amends and that they are letting you. I still find that difficult, personally, from time to time. I don't want to be left alone or hurt by some guy who only looks like my husband. I wish you all peace and happiness. God bless you all, and may you continue to find the light through the darkness.

Submitted by jazzadog on February 15, 2006 - 3:25pm.

Thanks, again, for sharing your experience with your depression. I feel lost at times with how to share my struggles with depression with my daughters and your frank way of taking full responsibility is a great example to me. Thanks so much.

Submitted by Anonymous User on February 15, 2006 - 5:53pm.

Depression is such an insidious, callous beast. It steps into your life and destroys huge chunks of it while robbing you of the energy to care that it's happening. Find yourself able to notice that and take steps to stop it is such a struggle, and I'm glad you're reaping what rewards you can.

Submitted by wayabear on February 15, 2006 - 6:04pm.

And that last was from me without being signed in.

Submitted by Anonymous User on February 15, 2006 - 7:39pm.

-also,
Any herbal supps, some vitamins, minerals, etc. you take, even some things you eat or drink can -Interact Badly- with Pharmaceuticals & Meds of any type, even over the counter, based on dosage, etc., etc. etc. Ex: Mixing SSRIs and MAOIs is bad news.
-so definitely clear everything with the doc.

ok, ltr. -Will

Submitted by Anonymous User on February 15, 2006 - 9:13pm.

Thank you for sharing. I finally went to the doctor today and she gave me Welbutrin. I can't wait to start feeling better.

Submitted by quasifictional on February 15, 2006 - 10:04pm.

I really appreciate your sharing of all this.

It's strange, but I think I'm afraid of recovery.

Submitted by Anonymous User on February 15, 2006 - 10:55pm.

It's strange, but I think I'm afraid of recovery.

I've felt the same way, now that I've been pulling out of my most recent slide down into the pit of despair. I can think of at least one time when something has happened that not too long ago (when I was off the Wellbutrin—lost my health insurance when I lost my job, which the depression had a lot to do with) would have caused me to collapse in tears, unable to do more than go to bed and pull the covers over my head. This time, whatever it was happened—my husband said something in the "wrong" tone of voice, or I broke a glass, or whatever—and I could feel that I was holding myself braced, waiting for the collapse. When it didn't come, that was almost more frightening. The depression is familiar to me; I've been dealing with it for at least 18 years, more than half my life. I know how it feels to collapse. What I don't know how to do is keep functioning when something difficult happens but the collapse doesn't come.

My therapist has helped a lot, both in my learning better coping skills and in how she's helped me "reframe the narrative"—changing the way I see and interpret the "story" of my life. Since I've been seeing her, I've come to believe that if you've been dealing with a protracted depression, while medication is essential to get you back on your feet, a good therapist is also essential to help you learn both how to stay on your feet, and how to pick yourself up again when you fall down, without beating yourself up over it—because I will fall down again, guaranteed. I've been struggling with this for so long now, I think it's certain that my brain has been permanently damaged by this disease. (For a good look at some of the recent research on depression and its effects on the brain and the body, I highly, highly recommend Peter Kramer's latest book, Against Depression. I thought I was reasonably well-informed about depression, but wow, there're some fascinating things the researchers have learned about it in the past 10 years.)

Another book that's been helpful for me is How I Stayed Alive When My Brain Was Trying to Kill Me: One Person's Guide to Suicide Prevention by Susan Rose Blauner. Even if you're not suicidal, she has some excellent advice on learning to function again after depression has made you unable to function.

Submitted by Bob Smietana on February 15, 2006 - 11:10pm.

None of this is easy, is it? It had to watch a spouse go through depression, and care for them, and catch all the fallout. Kids sometimes get the brunt of it--when your spouse is depressed, the kids either get no attention, or grumpy parent attention.

Hope the recovery continues to go well

Submitted by Anonymous User on February 15, 2006 - 11:37pm.

RLP,

I'm thankful for your strength and concern that enables you to share all of this. I'm blessed by it as well.

Submitted by Anonymous User on February 16, 2006 - 12:52am.

Thanks for sharing - your post a while back on not being a hero helped me to finally go get help for my depression. So far, the treatment hasn't gone well, but I appreciate your helping me get on the path; I'm sure the doctor will figure me out eventually.

Submitted by jeremyca on February 16, 2006 - 1:16am.

The end of 2002 into 2003, my partner was diagnosed with Bi-Polar 2 rapid cycling. His cycles were getting crazy and he left work suffering a nervous breakdown. For over a year prior to our wedding in Nov. 2004, I sat here reading this blog (your blog), praying with you and writing to you because I was alone in the darkest period of my "relationship" life. He needed me and I was here, and by the grace of God the drugs were rotated and tweaked and tested, it wasn't pretty, the exact mixture of drugs one needs to fix a bi-polar 2 rapid cycler. Suffice to say, the end of August, early September 2004, they added a little effexor and some wellbutrin, and voila, the light went on in the dark and lonely Lighthouse Tower. It was almost overnight, the change was THAT drastically good. I prayed my way through this period with the help of a few good friends like you. I know what it feels like for your wife, to be the one who has to "man the bridge" while the captain is out of commission. It took alot of prayer and reflection not to become angry and resentful at the time lost to the disease of depression.Not to mention the emotional void my partners absence did to me emotionally and sexually, so there's another issue for you to look at. We started to work hard at rehabilitation, that is exercise, food and his shrink to get him back on the path to good living, that took months to get right. And now Peter is well and does very well on his meds and he is monitored by his shrink and also my own medical observations of his mood swings and cycles as they occur. I've become quite a good clinician.

One thing I must tell you is that while a depressed person is down for the count, life goes on for the rest of us. We work, go to school, hit a few meetings and have our lives, even if you don't realize, life does go on for the rest of us who have to shop, cook, clean and be husband or wife. I did that every day for my partner and I learned that "what about me" is less important than "what about Him." It will take time for two people to RE-Merge together after an absence of one partner for reasons of depression or illness. Pray for peace and PATIENCE. Rome was not built in one day. She needs her spaces and times to herself, because she probably built those things/times/activities IN when you checked OUT. So to be angry that she does things without you, is unjust. She filled space that you were no longer part of. So it will take time for her to re-admit you back into the schedule because maybe that time away from you was to help her cope without you being "present." Healing takes time physically, we know this, emotional healing can take much much longer. Kids are resilient, adults are a little more tough to re-program to prove to us that(you/the absent) one can be reliable and emotionally responsible to pick up where you should AT the appropriate time and space and place.

Be good to your wife and your girls and understand that when you checked out on them they had to find a way to survive alone, without you, so give them their due in respect and dignity. Depression took you now time is of the essence to make up the missed dates, holidays and to rebuild relationships that may have fallen into disrepair.

Know that you are loved and the God loves you too.

Submitted by Anonymous User on February 16, 2006 - 3:09am.

Glad to hear you are taking care of your family, friend. Nothing more important in my world, although I can't say I always live up to that ideal.

peace,
Geodog

P.S. Can you ask your techie (Matt?) to implement the remember me function with Drupal that sets a cookie so that people are remembered (if they want to be) when they come back to your site. I am always writing a comment, then remembering I forgot to log in. Nothing important, seems a little sacrilegious to mention it in a comment to this post, but have been meaning to mention it forever and just remembered it. Sorry if inappropriate.

Submitted by rlp on February 16, 2006 - 8:34am.

Geo,

Yeah, I'll ask him.

Submitted by Lauren on February 16, 2006 - 6:41am.

I am so very appreciative that you have chosen to share you and your family's experiences with your depression. Together with your gift of writing, your words will move many -- towards loving change. Through my own experiences with depression -- and my mother's bi-polar illness -- I feel your words as a balm of honesty and hope. Two intangibles to live by.
Thanks so much, Gordon.

Submitted by dont eat alone on February 16, 2006 - 10:08am.

Gordon

Ginger says often that it is as difficult, if not more, to be the person living with the depressed one as it is to be the depressed one.

I think she's right.

Peace
Milton

Submitted by Anonymous User on February 16, 2006 - 10:39am.

Gordon, this is perhaps the hardest part, re-inventing your life after the absence of your emotions and feelings for so long. I am still struggling with it myself.
I was a victim of the "It's my turn syndrome" after my husband's chemo, his being off work for 9 months and me taking care of the cattle, horses, income, etc. Both boy were off at college and through no fault of their own they were unable to help. When I crashed I crashed hard and when I went for help there was so much that I had buried from my childhood that it took a long time to come back. Or even want to. But peering over the edge you somehow come to realize that you want back in on it all.
It's as if you are not really sure what to do with yourself, now that you are standing sqinting into the bright sunlight of the "real world".
How do you re-join the dance? How do you make it up to the ones you burdened for so long? I am sure we will do some things right and some things we will totally mess up. The inertia is still hard to overcome at times. The retreat seems better than actually laying it all out there to be hurt again, but now we know better, right? Now we must do better and not beat ourselves up for the past. Pray for their forgiveness and acceptance. Pray that you will not be sucked back into the pit. Thank God there are treatments available now.
Come back and dance, preacher! (I'm Baptist too...)

Submitted by Anonymous User on February 16, 2006 - 11:48am.

All I can say is thanks. I deal with the same thing. I get the headaches and my wife is also carrying my burden. I just started Wellbutrin about a month ago and things are starting to get better.

I can't express how much I appriciate your honesty. Reading this has really given me hope.

Submitted by Anonymous User on February 16, 2006 - 2:42pm.

Thanks for being so open about this. It has been an encouragement for me, and many others as I see here...
I discontinued my depression medication a few months ago because it wasn't the right one for me. I've put off calling my doctor for a different prescription eventhough I was on a downward slope, but I called today and have a new prescription waiting at the pharmacy. Whew. Just doing something constructive about it is a relief. Thanks for the boost of hope I needed to get there!
BTW - I attended a workshop you led. (UMAC - San Antonio,last fall.) I was with the A/V company at the conference, but someone needed to stay with the equipment during workshops. But, as an adult PK, I found it very interesting and have been reading RLP ever since!
(If anyone wondered, he's a standup gent in person - offered me a piece of candy.) So, thanks for the chocolate and the inspiriation!

Submitted by Anonymous User on February 16, 2006 - 3:26pm.

I can attest to that fact as well. He's a great guy in person. :-)

RLP, I think that the fact that you are brave enough to say admit that the messes are there says a lot about your character. At the same time, I think it speaks volumes about your wife, and her strength. Thank God for spouses who stand beside us even when we're at our weakest, eh?

Submitted by rlp on February 16, 2006 - 3:49pm.

Hey, I remember you! Hershey's kiss, right? ;-) I was kind of hooked on them at that time.

Submitted by Anonymous User on February 16, 2006 - 4:33pm.

That's me!
HA! I was needing a chocolate pick me up (the fifth food group). 'Twas certainly the Holy Spirit prompting you.

Submitted by Kathryn on February 16, 2006 - 5:22pm.

Thank you, as always, for sharing yourself in this way. It is so helpful to so many...

Submitted by Anonymous User on February 17, 2006 - 8:59pm.

How delightful you are able to embrace the totality of yourself, your wife, and your children. In fact, it's downright redemptive. Grace and peace.

Submitted by Anonymous User on February 17, 2006 - 11:05pm.

hi rev

re: migraines and depression - for what its worth to you...

in traditional chinese medicine, migraines manifest along an area of the body governed by the gall bladder in traditional chinese medicine- thus traditional treatments to clear congestion in the gall bladder are surprisingly effective

one simple example is the irrepressible dandelion

can you picture a beautiful golden dandelion on a beautiful spring morning?
can you feel the fresh wetness in the grass as you stand barefoot, the ease of your belly breathing in the sunshine, each breath bearing witness to the singing of birds and the lush embrace of life that surrounds you

can you fall into that golden sunshine flower, and gaze at the infinite complexity of nature's intricate design - the love in your heart reflected in a flower

dandelion... hear the roar of my heart-song!!

+

so, please take thou one plant, dig it up and clean it well with water, chop it into small chunks and pieces and kindly boil for 15 minutes

one smiling cup, 2-3 times a day

Submitted by Anonymous User on February 18, 2006 - 12:33pm.

Hi, Gordon...
Haven't been here for awhile...life happening...lots of stories to be written; I'm a writer, so I write. But it's gotten in the way of the living of life. Interacting with people.

I understand and embrace the words of this entry. My own beloved and I have gone through deptression and there is no greater lonliness than entering that dark room, closing the door, and finding yourself surrounded by pitch black. We've been through the pharmaceutical solution, I've gone through some counseling, and it does help.

You were honest about acknowledging the consequences of a bout with depression: it is far more than just an issue involving oneself. It has an impact on the ones we love and who look to us for support. Sometimes a depressed person can see only the depression, the misery, the lonliness. There isn't anything else. So the ones we love feel shut out. Abandoned. Hen, in time, the depression lifts, the aftermath lingers, and we must deal with it.

I am doing that. So is my beloved. So are you. It will take time, but those walls which went up were never built with the intention of permanence. They are already doomed to fall. Life will enter again.

It just takes time...

My best hopes and prayers for you and your family, and for anyone else going through this scenario.

Pece and Love.

Marge

Submitted by Anonymous User on February 21, 2006 - 12:53pm.

Praying for you RLP. You have touched me in ways you'll never know this side of heaven; encouraged me and strengthened me and helped me to cry it out. Thanks isn't enough, but thanks.

Submitted by Anonymous User on February 22, 2006 - 1:35pm.

Thanks for the post. I'm a seminary student, married with two kids, and have struggled with depression for as long as I can remember. It was one of your posts a while back that finally convinced me to get some help. I know this site isn't a support group - but thanks.

Submitted by Anonymous User on February 22, 2006 - 7:11pm.

Oh yeah, change is hard, even good change. We went through this (not depression, other changes) so many times I forgot what a normal married life is like. Now, changing back is learning to live together all over again. Hard, even when it is good.
Elizabby

Submitted by briansp on March 2, 2006 - 1:35pm.

Gordon, thanks for sharing everything you have on your depression. My husband pointed me to your blog because of the homosexuality posts, and when I saw the depression material I had a great moment of recognition: this guy 'gets it' in terms of what I've been going through for the past few months.

C.S. Lewis is famously quoted as having said "We read to know we are not alone." I think we write for that same reason as well.

Submitted by Anonymous User on March 16, 2006 - 4:20am.

Thank you for you open sharing. I am also a minister and have just gotten medical help for depression after a long battle trying to cope. I tried going off the meds for a while but had to go back on as the awful physical and emotional symptoms just came crashing back.

It is so helpful to read your honest sharing as it makes me feel a little more normal.

God Bless

Submitted by Anonymous User on March 28, 2006 - 11:12am.

I doubt you'll read this comment since it's on an older post of yours. In any event, I appreciate this article as we're having some trials in our family at the moment as well. What I told our entire family recently was that we are a machine and when one part of the machine breaks down, so does the entire machine. And when that particular mechanism within the machine is finally repaired, the additional stress placed on the other parts sooner or later will impact the whole. Our emotional well-being is so linked one to another, but as long as we're available to each other to pick up the slack we'll make it. I hope :).

Submitted by Anonymous User on March 3, 2007 - 6:33am.

I am going on a pill or medication STRIKE!!! No more pills for this no more medication for that just good old fashioned warm water salt gargling, lemon & honey, brandy and tea... WBR LeoP

Submitted by Anonymous User on March 9, 2007 - 9:59pm.

A few years ago New Scientist magazine gave a short report from a paper in a leading medical journal on treatment trials for depressed people. Prozac treatment - ok outcome. Prozac treatment + exercise - better outcome. WBR LeoP

Submitted by Anonymous User on March 9, 2007 - 10:38pm.

A few years ago New Scientist magazine gave a short report from a paper in a leading medical journal on treatment trials for depressed people. Prozac treatment - ok outcome. Prozac treatment + exercise - better outcome. WBR LeoP

Submitted by Anonymous User on March 30, 2007 - 6:58pm.

I feel it is time to spend more time counseling and group counseling kids and spending less time on "coking them to the gills". And I`m doing fine after my surgery. WBR LeoP