Talking about mental illness
Sep. 26th, 2013 01:43 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
And, you know, there's all sorts of reasons I think it's very important to talk - and talk publicly - about mental illness. So: hi. I have chronic depression with anxiety; I've been depressed at least since I was thirteen. I strongly suspect I also have undiagnosed PTSD.
I started medication when I was 21, because I couldn't put it off any longer. I'd delayed seeking diagnosis for so long because of the stigma: both medically, in that it would have been even harder to get my chronic pain diagnosed if doctors could happily dismiss it as somatisation, and socially/academically. As it is, I took a year out of my undergraduate degree, and every time someone asks about it I have to decide between the bland and anodyne "for health reasons" and the braver - and more informative - "I went very, very mad".
Crazy is a thing I am. It's a thing I can't hide, even if I want to: ask me, maybe, about the times I've suddenly realised, walking through a supermarket or shopping centre, that I've been muttering out loud for several minutes. Or, well, ask me about the way it impacts on my work.
But: "crazy", being crazy, isn't the bad thing here, particularly: it's hard, some days or weeks or months, but I am medicated and I have people and I have a counsellor and mostly, for the time being, I'm alright.
The bad thing is the way people react to "crazy": the way that in trivialising it they trivialise me, or that in fearing it or despising it, it is me they fear or despise, or that in being visibly crazy in public I put myself in danger - and in more than one sense this is not something I can control.
Here's another thing: it feels very strange to say "I am depressed" when my medication and support network are currently keeping me functionally not-depressed [most of the time]. But: I have endometriosis even when I'm not in pain; I have endometriosis even when my painkillers, or my GnRH agonists, or whatever, are working. And I am aware - and sometimes it is painfully, desperately aware - that the only things between me and my illness are my daylight lamp and 30mg a day - forty in winter - of citalopram hydrobromide. Like
![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
And that? That is why I am going to keep on talking.
(no subject)
Date: 2013-09-29 10:34 am (UTC)Sometimes I think depression could almost be defined as the disease where we think it's "all just me", and where we're convinced we'd effortlessly surmount it if we had just a little more energy or grit or that intrinsic personal worth that we so abjectly and manifestly fail to have even the faintest vestige of (*inhale*) and therefore we're too insignificant even to be worthless and the world would be better off &c. &c.
And then one day we stick a hand up and gurgle out, "... drowning!". And the astonishing thing is that from time to time, someone does actually reach down, grab our worthless insignificant selves, and pull. A miracle, of the kind that makes screens turn blurry.
On shame: yes, me too. But little by little I accommodated it, and as I gingerly exposed it to the outside world, I found that the world accommodated it too. After seven years of taking the little brain sweeties, I now keep a strip of 'em on my desk at work and pop one at morning coffee.
So: for the most part, the neurochemically-normative sector of the population seems to be unflustered by those of us that need pharmacological fine-tuning. At least, that's my experience—if anyone has reservations, they sure haven't bothered me with them.
I rather suspect the citalopram will be on my desk forever. Once upon a time I railed against that. Now I accept it, with only a faint disgruntled sigh, as a vastly superior alternative to the alternative alternative.
What am I talking about? I don't know exactly; maybe I'm just savouring the relief of talking to people on a natural resonant wavelength, rather than forcing myself to the more hectic frequency that our society seems to favour. Or maybe I'm offering you a parable on how one rather second-hand human critter learned to stop worrying and wear its failings on its sleeve, and found that people didn't actually ostracise it (Before And After! This Too Could Be You!). Or maybe I'm just wittering. Or venting some of my own grievedness. Or offering vacuous talk as phatic support.
No; actually I'm doing all of the above.
Do look after yourself. And us. As we you. I hope.
(no subject)
Date: 2013-09-29 08:29 pm (UTC)