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Tuesday, April 10, 2012

Depression


I wonder if depression can truly be defined. I know some sufferers describe it as a complete void of emotion, or an emptiness, while others refer to it as a heaviness, a grief, or an unexplained overload of all the worst feelings imaginable. I would have to concur that it feels like all of these rolled into one giant nasty, and yet even that doesn't really touch upon what it's precisely like, does it? I am at a loss as to how best pen the nuts and bolts of depression. Many writers much greater than I can ever aspire to be have taken a stab at it over the centuries.  One of my favorite passages that I have come across regarding depression is from Elizabeth Wurtzel's Prozac Nation:
 “Some catastrophic moments invite clarity, explode in split moments: You smash your hand through a windowpane and then there is blood and shattered glass stained with red all over the place; you fall out a window and break some bones and scrape some skin. Stitches and casts and bandages and antiseptic solve and salve the wounds. But depression is not a sudden disaster. It is more like a cancer: At first its tumorous mass is not even noticeable to the careful eye, and then one day -- wham! -- there is a huge, deadly seven-pound lump lodged in your brain or your stomach or your shoulder blade, and this thing that your own body has produced is actually trying to kill you. Depression is a lot like that: Slowly, over the years, the data will accumulate in your heart and mind, a computer program for total negativity will build into your system, making life feel more and more unbearable. But you won't even notice it coming on, thinking that it is somehow normal, something about getting older, about turning eight or turning twelve or turning fifteen, and then one day you realize that your entire life is just awful, not worth living, a horror and a black blot on the white terrain of human existence. One morning you wake up afraid you are going to live.

In my case, I was not frightened in the least bit at the thought that I might live because I was certain, quite certain, that I was already dead. The actual dying part, the withering away of my physical body, was a mere formality. My spirit, my emotional being, whatever you want to call all that inner turmoil that has nothing to do with physical existence, were long gone, dead and gone, and only a mass of the most fucking god-awful excruciating pain like a pair of boiling hot tongs clamped tight around my spine and pressing on all my nerves was left in its wake.


That's the thing I want to make clear about depression: It's got nothing at all to do with life. In the course of life, there is sadness and pain and sorrow, all of which, in their right time and season, are normal -- unpleasant, but normal. Depression is an altogether different zone because it involves a complete absence: absence of effect, absence of feeling, absence of response, absence of interest. The pain you feel in the course of a major clinical depression is an attempt on nature's part (nature, after all, abhors a vacuum) to fill up the empty space. But for all intents and purposes, the deeply depressed are just the walking, waking dead.


And the scariest part is that if you ask anyone in the throes of depression how he got there, to pin down the turning point, he'll never know. There is a classic moment in The Sun Also Rises when someone asks Mike Campbell how he went bankrupt, and all he can say in response is, 'Gradually and then suddenly.' When someone asks how I lost my mind, that is all I can say too.”


I certainly can't explain it any better than that. I only know when it's here, there is no escaping it. People will say Keep yourself busy. Do something you enjoy. Find a good friend to talk to. But nothing can really make it go away until it has run its course, much like the achings of a flu. The clear liquid friends may make it a little more bearable but they don't hold the answers any more than you do. And I think people who have never experienced depression are the worst individuals you could possibly cling to at a moment like this. They're going to be the ones that tell you about all the things in their life that have made them sad and how they felt better after a cup of hot chocolate. They're going to tell you to get over it. Grin and bear it. Snap out of it. Stop being selfish. But a friend who knows what it's like will understand why you feel so lonely and yet why you want to be alone at the same time. They will know that their silence or a quick "I love you" is all you need to hear. They'll know that holding you while you cry and not asking what the hell is wrong with you for the 12th time, but instead just being there, is a lot more important than trying to understand it. Those friends will know that they can't possibly understand what you are going through any more than you can when they are going through it, because it's different for everybody. I think I usually want to just know there are people who care. I don't want to see them, I don't want to talk to them, I just want to know they care about me and they'll be there when I get better.

Now it's your turn: How do YOU describe depression, and what helps you through it? Discuss below!

4 comments:

Blue Sky Pink said...

Every time I think that I have defined my own depression, what I go through, it CHANGES! It is so fickle, like it has a rebellious existence outside of me. It feels like an illness that is (obviously) part of me and yet separate, looking back at me and laughing at the suffering going on. It truly is a very isolating condition, and almost impossible to explain to anyone. I found the article very helpful as it pointed out a lot of the things about depression not often mentioned in other writings on the subject. What really makes me the most sad and despairing about having this awful condition is that it is regarded by most mental health "professionals" as the LEAST SERIOUS of the mental illnesses that people can have..... I mean HOW can they say that? Just because most depressed people don't take their own lives? Or is it because THEY think depression is not so "dramatic" as psychotic illnesses? What do they want - to be entertained by their patients, to go on to write some prestigious medical paper about an extreme case of psychosis? I am sorry if this sounds horrible to you but after receiving virtually no effective help over the past 25 years, I feel very angry. Which in a way is a good sign, since I felt virtually numb when I was taking antidepressants (which I have now not taken for over a year, with positive results). It makes me wonder if the doctors want more suicides, the way they dismiss the seriousness of depression. I just wish that the condition was better understood by EVERYONE, medical or not, and therefore acknowledged as the horrendous, debilitating and life-destroying monster that it really is.

Amelia Purdy said...

I love your description of depression, how it feels like a part of you, and yet separate. I often feel an overwhelming attachment to my body during depression, like I can't escape myself. At the same time, it often seems like I am watching myself go through the motions, like watching someone else in a movie. I want to comfort myself somehow, but I can't make the connection. Likewise,when I have a manic episode, it is almost like an outer body experience at times, because I feel like I am watching myself and I can't understand why I am doing the things I'm doing. It's as if there are different dimensions of me and I am aware of them all at the same time. Trippy!

I agree with your assessment about the lack of validity toward depression in present day healthcare, and I understand your anger. I'm fairly angry myself! I don't think doctors understand it any better than we do, and they like to sweep it under the rug because it's not a illness that stands out to them. It's not glamorous like more psychotic symptoms; it has become much like the common cold. "So you're depressed. Everyone is. Try this pill. Maybe it will help, maybe it won't. Next please." It is very disheartening.

Jess said...

This probably sounds horribly silly. I always relate my depression as an slowly advancing Army. It's goal is to seize everything. All the land and it's surroundings. It will accept nothing less then my complete surrender.It's generals Have more information then any enemy should have been given (my mind being it's own traitor). It's strategy ranges from sabotage to Full frontal assault. In this way I have been able to characterize my enemy.I lead both armies (which feels insane) Constantly waging war on my self. Over and Over again until their is nothing left. In the depths of Battle I want no ones help and Scream for help all at the same time.The urge to surrender is constant. Sometimes I am in the trenches and other times looking down as if by an Ariel viewpoint. All wounds feel cauterized to some extent or phantom.Using this analogy has helped for me though, in that I am able to clearly define my own enemy ( led by other me)and stay vigilante to it's advance. I don't always win but I always fight.

I also agree that Psychiatrists don't do enough in terms of depression. I think it is because they have no real solid answers and yet don't want to admit that. They just don't completely understand it. So they chalk it up to some sort of ingrained human nature. They call it co morbidity or a symptom of something else. That maybe the case. Maybe depression is not the root but the limbs However treating the limbs for the root does not work . they should be looking for the root not ignoring the whole tree.

Amelia Purdy said...

That's not silly at all! In fact, it is a very good analogy of depression. I also agree with your assessment of psychiatrists. They are only human and so they often don't have any clearer of an answer for our condition than we do. Take into account that most of them don't really know what it's like because all the textbooks and degrees in the world can't make a person truly comprehend how depression or any other mental illness feels unless they experience it themselves. "Maybe depression is not the root but the limbs However treating the limbs for the root does not work . they should be looking for the root not ignoring the whole tree." So very true!

Thanks for commenting :)