Monday 6 September 2010

Don’t send in the clowns...

This may surprise a few people but I have suffered from severe depression for many years. I know, weird isn’t it?

“But you seem so cheerful!” people say to me “You can’t be depressed!”

Anyone who says things like this to me has clearly never seen me in private when I have reached the extreme low points.

Now, you may be thinking ‘Oh, well this is going to be a miserable blog post!’ and I would say ‘Aah, well that is where you’re wrong!’ so there!

On the contrary, this blog post may delve into misery at points but I assure you that it has a happy outcome. With that in mind, I shall continue.

As I was saying before I so rudely interrupted myself, I have suffered from severe depression for many, many years. Whether this is due to my OCD is unknown – it’s difficult to know which came first. All I know is that I was a miserable child, a miserable teenager and a miserable adult.

Several people have said to me in the past that depression doesn’t exist and that it is all in my head – so to speak. I always find this completely insulting and it really doesn’t help when I am feeling so low. Anyone who has suffered through depression will tell you that it is a terrible illness and one which can have an enormous impact on your life and the lives of your loved ones.

In my case, there was nothing particularly bad in my life that caused my recent terrible spell of depression. I have a job that I love, a husband whom I love, I’m now debt free after a lot of effort, I have everything I could want – yet several weeks ago I felt like I couldn’t go on and apart from my OCD there was no reason for this to occur.

It didn’t help that I was recovering from viral meningitis and felt physically terrible but that wasn’t the cause of it. For about a year I have spent most of my time feeling dreadful, feeling unworthy, fat, ugly, useless and a disappointment. My husband tells me I’m wonderful on an almost daily basis but to no avail. Nothing seemed to lift the darkness, I found myself having some terrible thoughts – not specifically about harming myself but I just didn’t want to have to go on feeling the way I did.

There was no obvious reason for it, a time when I should be the happiest in my life and all I could think about was how miserable I was. The worst thing was that I knew that my misery was making my husband sad and it was hurting him to see me that way – but that just made me feel worse.

So, I sat in my psychiatrist’s office around two weeks ago in a sorry state. I was at as low ebb as I could have reached to be honest. I’ve tried everything over the past year to improve my mood but nothing seemed to work. I have had Cognitive Behavioural Therapy for my OCD and have taken various anti-depressants but I just didn’t feel any better.

This time my psychiatrist advised me to take new medication, I was offered the same medication last year and I refused it as I didn’t want to take any more medication than I was already on. However, this time I was so miserable and so desperate to feel better I accepted the medication at as low a dose as possible. Now, everyone is different and I am in no way suggesting that what helps me will help anyone else and I would strongly advise anyone with depression to seek help from their GP as different therapies benefit different people.

I took the low dose of the medication and I have to admit that I felt like a zombie for around 2 or 3 days, I kept drifting into sleep at odd times. The first day I couldn’t keep my eyes open, I was so sleepy. The side effects were not nice but after a few days I started to feel quite cheerful.

For the first time in a long time I actually felt quite happy, sort of content. I didn’t feel drugged up or hazy – just a feeling that everything was going to be ok. The OCD voice in my brain that generally told me that I hadn’t done things properly seemed to quieten down considerably and for the first time in a year I found myself looking forward to things.

The oddest thing is, I’ve spent so much of my life feeling miserable inside that I actually have no idea how to cope with not feeling that way. Isn’t that weird? I’m so used to feeling miserable and worried and desolate that now I don’t feel it I sort of miss it – I was so used to it, that living without the constant misery is actually very peculiar. I commented to my husband recently that I am so used to living with depression that I don’t really know how to act without it.

I don’t feel euphoric or high, I just feel like everything is ok. Who knows how long it will last, I am only to be on this medication for a few months so we’ll just have to see what happens over the next few months but even a break from the depression is very welcome, regardless of how long it lasts.

It at least gives me hope that perhaps I won’t feel as bad as I did forever, there is hope.

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