One Decision; Five Minutes in my Mind

Precursor: Why I’m Not Sure You’ll Ever Really Understand (to my friends who do not have a mental illness)

When you feel sad or uncomfortable, your first thought is: what can I do to alleviate this pain. That is my initial thought that gets quickly eaten by this Pac-Man thought of “You can’t fix this. You deserve this. You should feel worse. You will never fix this. If anything, you should feel worse.

I know that voice is wrong. I know it’s ineffective, hurtful to myself and others, perpetuating a whole host of problems that continue to get worse.

You’ve got to nip it early. When you first start to feel bad, that’s when you have to get out, do something, don’t let it hold you.

Sometimes at night, when the day’s over, and most likely ruined with disappointments of things I should or could have done, I think about the next day. How I can do things differently? How I can wake up and leave the house first thing just to get outside and breathe the fresh air? How I can without doing anything else, just put on my gym clothes and walk my half-awake self over and know whatever comes out of it, it’s better than nothing at all.

I can’t describe the frustration, the anger of wanting to hit myself, scratch my face, slap myself at the simplicity of knowing this to be true. Every time I read yet another article about how exercise could actually make my depression lessen, it seems so simple. “So your problem is you don’t exercise. You just need to move. You can do yoga inside. You can take a walk around the neighborhood. You can dance in your apartment. It’s as simple as that.”

And so this morning, I woke up with the intention of going to the gym. This is what went through my head. Don’t know if you relate, but this is just my thought process in deciding whether to leave the house this morning.

I said I’d go to the gym this morning and instead I slept in and now I’ve been at the computer for hours. I should go. I feel awful. My limbs ache, my neck hurts from sitting, my back hurt from arching. I can feel the energy in my body, vibrating, wanting to be set free. All I have to do is put on a bra and a pair of shoes, maybe a hat, oh and some water, and maybe a snack because I might go farther than I expect, and my wallet because what if I need to buy something or there is an emergency and I get hit, and a book if I decide to sit and read, and my phone and headphones, and of course an extra sweater and my keys and my headphones and probably a hat. I should probably put on sunscreen because even when it’s foggy out I can get those rays and they’ll just make me look older and less desirable.

Where am I going to walk? What if there are other people out there? What if they see me and I look disgusting. Maybe I should wash my face and put on moisturizer and brush my teeth because well, it’s kind of gross. Well maybe I should eat breakfast first – ugh, I feel so fat and yet I’m still hungry. Oh, I have to go to the bathroom, I have the worst cramps from overeating last night. I have no self-control. Why am I trying to punish myself? And I eat, I don’t need to, and then I hate myself. And I was just sitting there all night. I could have done homework, or taken a walk. I could have done art or called someone. I could have been effective.

What is this self-compassion thing anyway? An excuse to not do things that could make me feel better than just watching TV and wishing my life was different. I suppose it was fine to eat that first piece of bread but then I was so disappointed, for just failing yet another night. Why did I have to eat the other piece? And then at that point, I was so sad and angry and nervous about this lack of control, this fat beast with no self-control that will never look good enough and never be loved and never allow themselves to be loved or love themselves, so I ate the pistachios. Now I’m bloated and sitting here thinking about it just makes me fat.

Ok, so then I just have to open the door and lock it. I have to expose myself to the world. My fat, lazy, worthless, pathetic self to others. And maybe I will see someone who is young and maybe they don’t exercise but they still can look so amazing in their leggings. And how do they not show their underwear line? I’m so cheap-looking, I look like someone who is just so ugly and stupid and can’t even wear their underwear right. And people will see that and they will just think I don’t deserve to be outside walking. Or they will think I’m ugly and somehow just knowing they could think that just proves what I know to be true – that I am. And then it will be cold, it will hurt because it’s cold and because I still haven’t bought those over-pants because I’m too lazy and even when I could do it while sitting watching tv, I still do an NYTimes crossword which I’m not smart enough to figure out so I just cheat. So pathetic. But can’t even go on Amazon to buy the pants. Not that I have the money. And I’m so pathetic still getting money from my parents. And I spend too much while telling everyone how frugal I am because I can’t do basic math. And I have to just keep eating so I have to keep buying food. Because I’m selfish and fat and have no self-control.

Plus I have this homework. And it will probably take me longer because I keep procrastinating. And I won’t like what I write. And I can study for the quiz but how will I know if I’ve studied enough? I mean I’ve aced all the other ones but it will feel so awful to get it wrong when I know this stuff is so easy. But studying for it is better than reading the other stuff on counseling because that just makes me so scared that I can’t do this. And I have that mock this week. I’m going to fuck that up. I have no idea what to do. I don’t know how to set goals with clients, I’m horrible at that. It just doesn’t make sense. What if I’m not feeling good and I’m out of it and I just can’t think of anything to say or I do what I always do and drone on and on? I hate my voice. And I can’t believe how fat I looked on that last video.  I can feel my stomach fat.

I can’t believe I was in shape and I let it go. I worked so hard. I mean I still felt so fat and clothes still didn’t fit right but at least I was thinner than now. Now I have no muscle. I should try to just do some push-ups or sit-ups. Man, it’s going to be so depressing to not even be able to do one or two. I used to be able to do 16. I mean not well, I can never do them well. I can’t believe I thought I was so strong. I mean, I knew I wasn’t I just let others think I was. But I knew I wasn’t. I knew I was just skimming by. I do that with everything. Never fully committed. Always just doing the bare minimum to get by.

Why do I feel like crying? I’m so weak. I can tell people I’m depressed but they’ll still be disappointed and they probably won’t believe me. I ate that breakfast so fast. No wonder I’m fat. I don’t even know how to enjoy food. But honestly, it just doesn’t taste that good. I feel like people enjoy food, it tastes so good and I don’t. And I try to keep myself from eating foods that are fattening but I eat so much, I stuff myself because I’m weak and then I will keep gaining weight. Plus I don’t move.

My g-d, it’s been two hours and I haven’t left the house. And I have work to do and if I do go to that thing tonight, I have to give myself a half hour to get there. It only takes 10 minutes but what if there’s traffic, or I somehow get lost? Better to get there early and wait in the car. Well, it’s going to take me an hour to get ready. How does it take someone who barely does anything to get ready so long to get ready? I don’t shave my fat legs, I barely wear makeup. I could try to do something nice with my hair but what if it looks stupid and then everyone will say it looks nice because they’ll know I tried but it won’t look nice but I can’t say that to them because it sounds pathetic and self-serving like I’m asking them to say no, you really do look nice, even though I know I don’t. I know I say that to people sometimes just to make them feel better even if I don’t fully mean it. Who am I to judge other people? They still have a boyfriend and some self-respect and here I am judging their hair or clothes. When was the last time I went shopping? Not that I have the money to or that I’ll like how it looks.

Man, I feel sorry for myself. And why do I sweat so much? My clothes are going to just start smelling. It doesn’t matter the deodorant. I haven’t done laundry in two weeks. How can I not do it? It’s a building away. Why am I scared to do laundry? It feels like fear. If someone is in the laundry room, what if they rape me or what if they don’t and think I’m ugly. Well, which is it? Do you want them to find you attractive enough to rape or too ugly to even think about? My g-d that’s sick. You are seriously pathetic. I feel this deep pain, starting in my throat all the way down to my stomach and I think kind of in my thighs though that makes no sense. Are those nerves? Why am I sad? Maybe it’s energy which I could get out if I just left the house. But what if it doesn’t work? Besides, it’s not the gym and it won’t really help make me more fit. It’s all this anxiety of worrying that I will be attacked that people will judge me that I will judge myself for not walking long enough and for what? For the chance that I will feel better and then be more effective? I don’t know, last time I went I didn’t really feel better. And my knee kind of hurt. Of course maybe if I wore the right shoes and wasn’t so fat.

I need to buy new shoes but I don’t want to go to the store. My socks are old, my toenails are gross, and even though I waxed my leg, you can still see some. If I get a guy he’ll think I’m gross and if I get a girl she will judge me. What’s a fat girl doing getting athletic shoes? And they’re so expensive. What if they’re not comfortable but I have to wear them because they’re so expensive? And mom will joke that I will return them but it isn’t really a joke because I probably will. Why am I so indecisive about the dumbest shit?

Is there a dead rat in the wall or is that me that smells? If it’s a dead rat I have to call maintenance and then someone has to come in here. If I’m not here, then they are privy to all my stuff. But if I am here, what if they hurt me? But would they? Is that arrogant to think that? It’s awkward anyway. And if there isn’t a rat, that’s embarrassing and if there is, they’re going to look through all my stuff. And I am so disorganized because I’m lazy. Why didn’t I kill myself? Oh please like you could make that strong of a decision but you find picking out fruit overwhelming. Why do you make everything such a big deal? You must be so exhausting to other people. Who wants to be around someone that complains constantly, that makes everything such a production. You are so needy, you are such a child.

Are you going to blame this somehow on your childhood? Honestly, grow up. I wish you were strong enough to either kill yourself or at least hurt yourself. But if you’re going to do it, do it with something that will help you – like exercising too much or anorexia. Cutting is so pointless. You never do it right – you see those teens and how much they cut – that’s real pain. Remember how you told everyone and it made them so freaked out? But you didn’t even do it well. And now you’ve scared people away. You are a bullshit artist. All I want to do is get under my covers and just watch some tv. But what if later I regret that? Wasting all that time when I have work to do and then I’m going to be stressed out because I have all this work and no one to blame but myself? But is this work even important? Am I learning anything?

Oh my g-d, I have so much work to do. I have all those papers and I have to find articles. I have to go to that meeting but I just don’t want to leave the house. There’s so much to do to leave the house. And I just feel so sad. And angry. I’m such a pathetic broken record. And I’m so fat.

Fuck, it’s been two hours. I’m never going to the gym now. This is my fault. I mean, it doesn’t feel like I can, I don’t know how to explain that to people, like, I just feel too anxious, scared, ugly, fat, worthless, pathetic to leave the house. I can’t call anyone because I don’t even know how to explain this to them. And they won’t understand. I barely do. Is this an illness or am I just a spoiled brat? How can a house be so boring and yet so messy and disorganized? Remember when you used to be organized? When you were super depressed but still high functioning? Maybe being severely depressed was better for you. Now you’re just pathetic.

Maybe the meds are working, you’re just scared to handle life. You’re making this up. Or maybe you’re forcing it to happen. What if one day they do a test and you don’t have a chemical imbalance and they tell you that you have been lying. But like, this doesn’t feel right. I mean I suppose it is under my control but I can’t do it. I am too weak. I swear I want to. I want to go to the gym. I can feel that. I just can’t seem to and now I have to do work. I just want to watch TV. Maybe if you were more effective you wouldn’t feel that way. You did this. I know it doesn’t feel that way but you did. Why are you so weak?

I can’t believe I’m going to cancel tonight. I can say it’s a migraine. They won’t believe me. I want to see those people but I can’t. I don’t know why it has to be so complicated but it is. Maybe I’ll feel better later. Of course, if I stay in the house all day I probably won’t. I wish someone would come pick me up. I wish someone would come take a walk with me. I’m so lonely. I can’t ask. Who am I going to ask anyway? Only person who would do that is mom and I would feel so guilty but also pathetic – I need someone to come to get me to take a walk. How can I be 37? What a waste.

I did that assignment though. I mean, not well and it’s really small and there’s that larger one I’m avoiding. Why can’t I appreciate the little things? I’m so ungrateful. My back hurts. G-d, I hate myself so much. I feel this rage inside, this little creature inside. I want it to tear my body apart, to tear me apart from the inside out. At least then I will have a reason to feel pain. My eyes are tearing up. I’m so exhausted.

I wonder if I’ll leave the house today. If I don’t, I probably won’t leave tomorrow. Fuck, I have work on Monday. I hope my clothes fit. I hope I have the energy to do it. I hope I don’t fuck it up. Jesus, it’s Saturday. Why don’t you just try to not fuck up today? I can’t stand not knowing what will happen today. This is my life and I’m wasting it one day at a time. How am I going to explain this to them? I’m so weak. Worthless. And I still haven’t gone to the gym.

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Loneliness: It’s Not Just for Recluses Anymore

More and more mental health professionals are citing lack of human contact as a contributing factor in depression and even trauma recovery. It has become an item on the list of “must-haves” for stability. And recently, I’m starting to wonder, as are my doctors, if my lack of human contact is starting to hurt my health and recovery. And I think, especially for a person like me who thrives in social environments where my true self comes out to play; having my interactions revolve around the checker at Safeway, the guy at the counter of my gym, my trainer, therapist, and psychiatrist, well it’s not really cutting it.

In fact, you know you’re in a deep vat of pathetic when the following happens to you. I met with my therapist yesterday. I didn’t really need to but I hadn’t left the house or talked to anyone and it was either see her or go to the gym. I got there and we talked through why my options for human interaction are so limited. At one point, she mentioned we had five minutes left, and we usually spend that time deciding what I’m going to do to survive until I see her again. (At least, that’s what we’ve been doing lately.) So I started jamming about television shows, then she jumped in; I mentioned websites I had visited to see if I wanted to volunteer and why they sucked, she mentioned a few. After a while, we were just shooting the shit and then she said she had to go because she had something to get to. And it hit me as I got in my car: my therapist just spent an extra half hour with me just so I could have someone to hang out with and talk to about stuff.

It was really kind, but also really sad. I appreciated it, especially because that is definitely not protocol, and also realized how nice it was to talk to someone I liked and with whom I share commonalities. But the thing is, while I really like her as a therapist and a person, I shouldn’t be getting my socialization requirements for my health from my therapist. I guess she was just throwing out a temporary life raft and I took it. I was embarrassed until I got home and realized that was my fill of person-time for the day.

There is such a huge divide between knowing what you can do, what you want to do, and what you are able to do. And for things to happen, there has to be a symbiosis, even if one is weak and you have to force it a bit. Maybe I’m wrong. Maybe I’m making excuses. Maybe this is my fault. But right now I am unsure of what I am able to do and a bit blank in terms of what I want to do.

I just feel like right now my goal for the day is to be alive, not harm myself, and do one or two effective things. I did have “leave the house” as one thing too, but it’s getting harder so I’ve put it in parentheses. (It’s in quotes here, but in parentheses in my mental to-do list. Just clarifying some minutiae.)

I miss the rush of making people laugh, of sincerely laughing my ass off. The joy of doing something silly or having a really good, solid conversation.

But even if I wanted that, I don’t think I could right now. So for today and possibly tomorrow, I’m just getting through the day. For now, it seems, that’s all I can, want, and am able to do.

I’m Tired.

I’m tired today.

  • I’m tired of trying so hard to keep it together every day.
  • I’m tired of following a sleep regimen and still waking up fatigued.
  • I’m tired of trying to do everything “right” – going to the gym, losing weight, calling friends, not drinking, being vegan and not eating anything processed, and still not feeling good or having extra energ.
  • I’m tired of not being able to have more than a day or two of stability and balance.
  • I’m tired of having to make decisions.
  • I’m tired of not having a purpose that isn’t about myself. While I don’t miss working crazy long hours, I miss having a job where I am spending time thinking about others and doing work for them.
  • I’m so tired of seeing all of the hate and ignorance in the world today. Of watching history repeat itself.  Of knowing it will never stop and will only get worse. And not knowing what to do. Because $15 isn’t enough. Volunteering isn’t enough. There isn’t a job that will be enough. And people don’t really want to listen, to learn, to compromise, to change. I don’t want to stand aside – but I feel so useless.
  • I’m tired of not liking myself.
  • I’m tired of trying to understand why I do not like myself.
  • I’m tired of being told to have hope, to think positive, to just keep trying.
  • I’m tired of not being able to help the people I love. To watch them in stress, in pain, in sadness. Shitty stuff happens, but I wish I could just alleviate some of it.
  • I’m tired of the constant shame I feel about who I am.
  • I’m tired of the guilt I allow myself to carry.
  • I’m tired of not knowing what to do next.
  • I’m tired of not knowing the “right” thing for “me.”
  • I’m tired of caring so much, about everything. Of feeling so much.
  • I’m tired of trying so hard to just keep it together for everyone: my family, my friends, my therapist and psychiatrist. I’m just tired of feeling responsible for adding stress or pain to their lives because of my stress and pain. Of trying to make them happy or relieved.
  • I’m tired of all the dichotomies in my life. Of wanting to be alone but feeling so alone. For wanting to be happy but feeling like it’s a charade anyway. For wanting love but not the strings that come with it.
  • I’m tired of being so scared to do things. I don’t know when I became this way but I’m so fucking tired of it.
  • I’m tired of feeling like I have lost so much time in my life, so many chances, so many opportunities, and still wanting sometimes to just end it all because I’m just too tired to try to catch up.
  • I’m tired of my fucking side effects.
  • I’m tired of trying to imagine what it feels like to wake up without a mental illness. To have shitty days and stress and life, but not have to take drugs that make me feel like shit to just survive them, while others take none and are able to function just fine. To go to bed without fear that tomorrow I might not be able to get out of bed. Or wake up without knowing if I will be able to make it through the day.
  • I’m tired of feeling so guilty that I want more. That this is unfair. That I don’t deserve this. And then feeling guilty for thinking that. It just cycles over and over again.
  • I’m tired of having to change. To constantly fight myself, to unburden others, to hold back my anger, my frustration, my words to not hurt others. To get up every day and try to want things, work for things, be effective, have goals, work to get better at who I am. To push down the bad thoughts, the urges, the desires, to assuage others.
  • I’m tired of never knowing who to blame: is it the meds? the disease? my circumstances? me?
  • I’m tired of only seeing the mistakes I make. The failures. The not good-enoughs.
  • I’m tired of having hope. It’s almost more exhausting than just admitting defeat.
  • I’m tired of thinking.

I’m just tired.

The Power of Words: Finding the Voice of Depression

I’m sad today. Not that anything has really gone wrong. I had a restless night of sleep and am still trying to figure out if it’s the meds, the bed, or just me. I haven’t had a completely pointless day – I actually read more than five pages of a book, took the dog for a “walk”, (she stops so much it feels more like a meander,) did the dishes and laundry, and while I ate too much, I haven’t been too hard on myself about it. I have a few overwhelming life decisions on my plate, but I know today’s not the day to attempt to break them down. (I’m waiting for a bout of hypomania to deal with those.)

But I’m still sad. “Sad.” It’s funny how certain words become so trite and insufficient when you deal with them so often. Words like: depressed, sad, pain, helpless, hurt, or exhausted. They are used so often in so many contexts, when speaking of depression, the specificity of their depth and thus their significance is lost.

Example: When someone dies and you feel sad, it’s a different sad then when you feel this deep pain pounding through your body that extinguishes the luster of color, taste, or smell for weeks. Or the sadness that deflates the excitement of friends calling, stories told, or help provided. I’m not trying to say the sadness of death and grief are any less valid or don’t have similarities to the sadness of depression; I’m saying they are not the same, and yet in both situations the same word is used.

I’ve always loved words; their power and subtlety, their vast ability to make you feel and see and understand. And as much as I love our current lexicon, it never does this disease justice. Without appropriate language, how can a person describe what they feel, especially to someone who might not have ever felt that way? And therefore, how can one make someone understand the frightening reality and serious implications of this disease – how it can devastate a future, crush ones’ dreams, and lead people to a place where they find themselves pleading for death?

I have come to believe a large, painful component of this disease lies in the constant struggle to make others understand and the constant aggravation and helplessness of being misunderstood. (Often times, neither party at fault.) Perhaps that is why so many of us suffer in silence or act out in “crazy” ways in an attempt to be “heard.”

I have had the opportunity to read other blogs of people suffering through depressive diseases and sometimes their descriptions or metaphors are able to capture the daily veil of this demonic disease. But I still wonder – would someone who does not suffer really understand? Will the stigma behind mental illness ever really diminish if people cannot relate?

I’m not arguing that we create a new lexicon for mental illness. If only it was that simple. I guess I just feel sad and wish there was more I could do or say to take the pain away. As for today, I’m going to try and stay busy, push the pain away by ignoring it, and do my best to make it through until tomorrow.

Enough said.