Changes

We have recently moved for the 9th time in about 12 years.

It’s been a chaotic few weeks with packing and unpacking, and then for good measure we threw in a dog CCL surgery!

We are loving the new digs and the ocean of cardboard boxes is slowly diminishing.  San Diego doesn’t get winter weather, although you’d not know it based on the winter jackets and Ugg boots in abundance any day that is below 70 degrees. There have been a few overcast and even rainy days that have induced me to make some yummy soups in my fabulous new kitchen. I actually have room for all of my kitchen gadgets and I missed my coffee mug selection more than I had realized!

Internal things have been changing  in addition to our physical location. This post has been sitting in my mind, and the drafts folder, for a couple of months. A few years ago, I  arrogantly posted a meme about exercise being equal to medication for the treatment of mild depression. It was a platitude photo with little concrete research behind it. I regret posting it because I now know better. For years I’ve used exercise as a way to combat depression. And it kind of works – for a while. But it’s not the only way or even the best way to combat depression for many people; myself included. (I’ve also used retail “therapy”, and of course alcohol. What I’ve come to learn is that drinking with depression/anxiety is like pouring kerosene on a fire. It makes everything significantly worse.)

There’s definitely a stigma around the subject of mental health and seeking help – but it shouldn’t be. Knowing this intellectually for other people is one thing. Getting my head around it for myself is another thing all together. My psychiatrist explained a couple of things. “We use what works, until it no longer works.” For as long as I can remember I’ve been a “pull yourself up by the bootstraps” kind of person. “We can often point to life circumstances as reasons as to why we feel what we feel, which is why the average span from onset of symptoms to getting help is 10 years.” Oddly enough, this blew my mind when really it shouldn’t have because I should’ve sought help years ago. When you see a therapist or psychiatrist, they take in your history – a sort of timeline of your life snapshot. I don’t think most people look at life like that, but it was enlightening because patterns emerged of depression, low moods, unexplained or irrational thoughts and behaviors, etc. Laid out in that way, it was not only surprising I didn’t recognize the pattern before, but confirmed the statistic that people just don’t get help – for many reasons.

Depression is more than just being sad. We all get sad. It’s part of the ebb and flow of feelings. But actual clinical depression is much more and can have different causes. It also presents in more ways than simply low mood. Depression can come out as anger and irritability, irrationality, physical aches and pains, fatigue, and restlessness to name a few.

• Biological differences. People with depression appear to have physical changes in their brains. The significance of these changes is still uncertain, but may eventually help pinpoint causes.
• Brain chemistry. Neurotransmitters are naturally occurring brain chemicals that likely play a role in depression. Recent research indicates that changes in the function and effect of these neurotransmitters and how they interact with neurocircuits involved in maintaining mood stability may play a significant role in depression and its treatment.
• Hormones. Changes in the body’s balance of hormones may be involved in causing or triggering depression. Hormone changes can result with pregnancy and during the weeks or months after delivery (postpartum) and from thyroid problems, menopause or a number of other conditions.
• Inherited traits. Depression is more common in people whose blood relatives also have this condition. Researchers are trying to find genes that may be involved in causing depression.

– Courtesy of Mayo Clinic

As part of my treatment, I now take an anti-depressant/anti-anxiety medication. It was like seeing in black and white and then after a few weeks, the color came back. Technically speaking, more neurotransmitters are firing and working properly in the brain. I didn’t know what I didn’t know. In other words, I didn’t know how bad I felt because it was normal. That’s what depression does – it’s a slow creeper that you don’t see coming. I was no longer jumping at every little noise. I didn’t feel panicky at the irrational thought spirals about awful things happening to the kids. I wasn’t having panic attacks in a store and feeling like I couldn’t breathe walking with a group of people picking up our kids from school. I wasn’t irrationally irritated by the sound of my kids saying, “Mom…” Having depression and anxiety is exhausting.

I *may* have told my doctor that he would have to pry my medication out of my cold dead hands – I feel like myself for the first time in a long time. He laughed and shared that I wasn’t the first patient to have that reaction. “Medication helps a person with depression let more of their personality shine through.”

I’ve returned to exercising, although not at my previous “running marathons” pace. I’ve missed the endorphins and the mind-clearing adrenaline of a great workout. I will get there again, but there’s less frenzy and anxiety about it now. I’m doing it because moving feels good. I’m walking the dogs because I love them and spending time with them makes me happy. I’m running on the beach because I can and the sand helps cushion my injured ankle/tendons. I’m riding bikes with the kids up insane hills because we can do hard things, it feels amazing, and as Hannah says, “the steep downhills are FUN!”

I hesitated in sharing this part of my life because it’s not comfortable to need help. Who doesn’t like to feel like they have all their shit together?  Growth and change are rarely easy and often uncomfortable but to not do so would be worse. My hope is that sharing my experience might encourage someone who needs it to seek help. I’m grateful for a handful of friends that were open and brave enough to share their own struggles, which in turn gave me the courage to get help for myself.