I just wanted you to know I really respect you as a poster. I think you have a lot of thoughtful, intelligent, and insightful things to say. And I relate a lot to your feelings.
I was hospitalized for depression about 5 years ago. I didn’t know that day I was going to end up in the hospital. I was spending yet another day in bed instead of class. I came so close to hanging myself in my dorm room that I panicked. I ran sobbing into the local counseling center where my therapist had suggested I go immediately, and a crisis counselor took me into her room. I hate showing extreme emotions around other people, but I was just sobbing openly and begging for relief. I will never forget how acute my pain was. It was almost physical.
She was somewhat abrasive, but I think she had to be because she was trying to find out how serious I was. For example she said hanging myself was not a smart idea because it was a very painful way to die. I told her I couldn’t conceive of a worse pain than the one I was in. Next thing I know I’ve got a police escort to the psych emergency room, where I sat for 7 hours until they had a bed ready. I also had the added benefit of knowing I was going to the same psych ward where my schizophrenic uncle spent a great deal of his time. The thing is, once I was in that bed, I felt immediately better, because I realized I was completely safe from myself. Even though it was a huge pain in the ass, I needed to be there.
I was only there once, and since I was a good girl I didn’t stay long. I went to the group meetings and did my homework. There was another girl in my room who was there for like the 6th time, and I realized I really didn’t want to be that girl. So I took what I could from the experience. It would be several more years before I really began to get healthier, but I never went back to the hospital.
I know what it’s like to feel cut off and abnormal. I haven’t been severely depressed in years, and I still feel that way a lot of the time. Maybe a part of me will always feel different. But I think one of the most important lessons I’ve learned throughout my years with PTSD – you don’t have to let your emotions dictate your actions. So that’s why I go to work even when I don’t feel like working, and I go out to the movies with friends even when I think everybody is going to hate me and think I’m weird. When you fake it, the behavior actually helps the way you feel, until little by little you become a fully functioning human being again. If the most difficult thing you can imagine is getting out of bed and taking a shower, then damn it, get out of bed and take a shower. You have to do it. It’s the only way out of hell.
I’ve read The Road Less Travelled, and while it was interesting I’ve got something way better. Albert Ellis’ Guide to Rational Living and Overcoming Depression One Step at a Time: The Behavioral Activation Workbook. These issues are not as complex as we want to make them. So much of our suffering comes from the things we do and say to ourselves. That is the basis of cognitive behavioral therapy, which is an incredibly effective treatment for depression.
I don’t claim to be completely free and 100% mentally healthy – you don’t want to know the nasty thoughts I thought about myself yesterday preparing for some very important interviews. But I am basically happy and able to view depression and anxiety and flashbacks as temporary rain clouds floating by on an otherwise sunny day. My favorite philosopher, Friedrich Nietzsche, once said that the only thing keeping him from killing himself was a good night’s rest. All that means is that feelings and situations are temporary. I know you probably think that’s crazy, because you’ve been depressed all your life–and so I was I. The first 23 years of my life were complete misery. Then something clicked. I don’t know what, but I just got sick of being sick. I radically changed my approach (thanks to Ellis et al.) So believe that I’m not just blowing smoke up your ass when I tell you that you really can get better. I know you’re in deep and it’s hard to see it, but all you have to do for right now is just hold onto that hope that what I’m saying is true. All you need for right now is to get through this moment safely.
Ok? So take care of yourself. I mean it.