Sunday, April 23, 2017

Medical Reflection



I’ve reached a new stage of depression. It’s a combination of acceptance, and being completely “fed up!” I don’t care if I am required to take medication for the rest of my life. I will do whatever is required to recover, and avoid another major depression episode. Mindfulness, yoga, cardio, weight-training, gratitude journals, happiness jars, veganism: if it works, I’m doing it! 

In the past, I’ve had a chip on my shoulders about taking anti-depressants. Primarily, this is because we’re still in the dark ages as far as how much we know about the brain, and how to treat mental illness. I’ve always fallen into the paradigm that I’ll take it if needed – I am taking them now - with the goal of getting off the meds as soon I’m able. It’s a difficult cycle of titrating on and off medication, and then worrying that every bad day will mean going back to the medication. But really, how many people over the age of forty-five aren’t on daily medication? Even if it’s a cocktail of vitamins and herbs we all seem to be popping something. The reality is, you wouldn’t tell a diabetic they don’t need their insulin, nor would you deny corrective lenses to anyone who needs them. Why would I assume that a chemical imbalance in my brain can be neglected? Stigma.

Well, fuck it! There is no need for me, or anyone, to suffer because mental illness makes someone else uncomfortable. At forty-eight, the list of people whose opinion of me matters is pretty, darn, small. That is as it should be: not everyone has earned that privilege. Certainly, a virtual stranger on the internet, at work, or at the mall, doesn’t merit a second thought.

Over the past few years I’ve grown accustomed to disappointing myself. It’s not a comfortable feeling, just one that I’ve accepted as inevitable. This is not my normal modus operandi. Disappointment in myself used to be met with tears and outrage, not acquiescence to the inevitable. And OK, that’s probably no healthier than remorseless and habitual disappointment, but that’s an issue for another day.

I’ve been too busy people-pleasing, doing all the things I thought I should do, and agreeing to things I didn’t want to do. I was barely keeping my head above water, no matter how hard I paddled! I didn’t have the energy, or tenacity, to hold myself accountable for the care I was not giving myself. The healthy habits I was able to develop were only functions of desperation. Self-medication, not an antidote. A placebo that turned to yet another burden. I couldn’t truly understand, prioritize, and embrace those habits as essential (and well-deserved) self-care. No matter how much I talked the talk, I felt ashamed of walking the walk.

So, if eating healthfully isn’t an indulgence - and an expensive used of our limited funds - and time at the gym isn’t a vain and selfish waste of valuable time; I’m stuck in the somewhat unenviable task of changing my thinking. Not only are these things essential, they are things I authentically WANT to be in place for me to be content in my life. Whether, or not those things are indulgent, or self-interested, or narcissistic, is a judgement for someone else to make. Their opinion of me is none of my business!

That sounds like determination, and it is, but it’s also giving myself the same care, consideration, and kindness that I would give anyone else I truly cared about. In short, it’s taking a page from my own book, and heeding my own advice. Imagine that!

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