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depression blog

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Dissociation

by Heather Loeb

Dissociation — I’m good at it. If you can be, I guess.

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Dissociation is when someone becomes disconnected from themselves or surroundings. According to WebMD, dissociating can temporarily alleviate overwhelming emotional experiences, such as traumatic memories. It can help reduce feelings of shame, anxiety or fear. It’s part of avoidance coping, when a person changes their behavior to avoid thinking about difficult things and intense feelings.

I have major depression, an anxiety disorder, avoidant personality disorder, binge eating disorder and trauma in my past. You could say that dissociation is my jam. I’ll be the first to admit that I avoid hard feelings and difficult situations.

In 2019, before I went to The Menninger Clinic, I used my anxiety meds to escape. I’d take more than I should just to escape. Escape what, I don’t know. Even now, after a stent in a mental hospital and vast behavioral changes, I still get the urge to escape. It drives me crazy that I can’t answer why.

I live a good life — better than most. And I love it. I love my family, I love my husband, I have a beautiful new house and my blog is taking me places I didn’t think possible.

Yet, after the kids are asleep and my daily chores done, I start to escape. I can feel it happening — I go into a haze, I feel my body relaxing and I just float. Sometimes I binge eat to escape and achieve the haziness. But, obviously, that’s not healthy. It could be worse, I could be swallowing pill after pill to get to that place. But I don’t.

I’ve tried exploring why I have the need to escape with my therapist, but honestly, I don’t remember the outcome of that, thanks to amnesia. I guess I’ll have to consult my notes on that one.

I know dissociating isn’t a good long-term solution. I know that I need to face my problems, my demons. But it’s so much easier to just melt away from the world — go to a place where my problems aren’t so heavy. Because the truth is depression sucks. Especially mine. Because I have treatment-resistant major depression, most medicines don’t work. I’ve had to resort to doing electroconvulsive therapy (ECT), where electric currents are passed to my brain, triggering a seizure. Somehow, and they don’t really know why, it’s like a hard reset to the brain. Depression is kept at bay, temporarily at least for me. I go every eight weeks to get a treatment, but some people can go years or are cured after the initial treatments. I’ve had more than 20 treatments, which kind of makes me sad. Sad because I have to go through so much to feel somewhat normal. But at the same time, those treatments have allowed me to live happily at times and spend quality time with my husband and kids. I’ll always be grateful for that.

But the pain is always there. The anxiety lingers. The trauma from my past is still there. I guess we have our answer on why I yearn to escape. The pain is just so deep and unrelenting, no matter how hard I try to put on a happy face.

I think (almost) everyone dissociates from time to time to cope. Some things are too big, too overwhelming. And that’s OK. But it scares me just how much I want to escape. At this rate, I’ll never face my demons, but I know they’re there…waiting.

I know that at some point I’ll have to push through — force myself to discover why my pain runs so deep and discover how to heal myself. And I keep waiting to wake up one day and be different, to be the person who faces their problems head on, but that doesn’t just happen. You have to decide to make changes, take baby steps and harness your strength to do the hard things.

And while that sounds great, and I almost feel optimistic I could actually do that, it’s just overwhelming.

So, maybe tomorrow then.

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Recently, I was told I posted too much about depression — that I was “bumming” people out. This comment not only infuriated me, but it hurt my feelings. How often do people like me — the chronically ill, depressed and others suffering with a mental disorder — deal with some inane comment like that. A comment that’s meant to shame and only discourage people’s truths.

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I’m sorry, not sorry that I’m “bumming” people out. People need to know what it’s like to have a mental disorder. I’m done being told to “chin up,” “get some fresh air,” and “exercise” to cure my depression. That’s not helpful.

When you’re depressed and anxious, you can’t “pull yourself up by the bootstraps.” In my case, when I’m going through a depressive episode, all I feel is pain. I get bone tired that no amount of sleep can alleviate. In my head, all I hear are criticisms of myself, how I’m a loser and unworthy. That nobody loves me. That I should kill myself. And the guilt — it’s overpowering. I feel guilty that I’m a depressed mom and that I have limitations that other moms don’t have. I feel guilty because I can’t control how I feel. I feel flawed, defective because growing up I came to understand that depression was something you could wish away with fresh air and sunshine. That strong people didn’t get depressed.

So, that makes me weak, right? That’s the stigma of depression talking.

I know better now. There’s nothing weak about me, or anyone who suffers with a mental disorder.

As I write this — and I’m not even experiencing a depressive episode — I’m purposely overeating, doing anything that will make the pain I feel go away. Overall, I’m doing great right now, but the thing about depression is that it lurks, always waiting for an opportunity to blanket my brain in doubt, fear and pain. And it’s so lonely. Not everyone understands and there are so many misconceptions about depression. My brain, my own brain, tells me to isolate from friends and family, making me even lonelier and in despair.

Luckily, I was able to go to a very good psychiatric hospital where specialists properly diagnosed me, prescribed the right medication and started me on electroconvulsive therapy (ECT). I’m so sick that doctors have to pass electric currents through my brain to trigger a seizure, resetting my brain. I have to do treatments every six to eight weeks, along with weekly therapy, just to feel almost normal.

My diagnoses are as follows:
Persistant depressive disorder (dysthymia)
Major depressive disorder, recurrent episode, severe
Generalized anxiety disorder
Binge eating disorder
Avoidant Personality Disorder
Opioid use disorder, moderate
Sedative, hypnotic or anxiolytic use disorder, moderate

I’m one of the lucky ones because I can afford a high-dollar hospital and therapy. There are people who can’t. There are people who are suffering in silence, all because some people feel uncomfortable and “get bummed out” talking about mental illness. It’s bullshit. No one — and I do mean no one — should ever suffer in silence. There’s nothing embarrassing about struggling with depression. It’s not a weakness. It’s the same as having any other disease or disorder. So many people put on a happy face in order to hide their illness, and that too is bullshit. And that can be so dangerous if that person has suicidal ideation. People literally die because they don’t feel free to share how they’re feeling. The CDC reports that more than 48,000 people die each year by suicide. That number is surely to rise because of the pandemic.

It has to stop. I’m done being embarrassed by the fact that my brain is wired differently. I’m tired of feeling weak, when in reality I fight for my life every day. I’m strong as hell. I’m scrappy and I have grit. I’m proud of who I’ve become. And I will certainly NOT stop talking about depression or other mental disorders. I don’t give a fuck who I’m bumming out, because I’m also giving a voice to those who can’t quite find theirs yet.

I’m free from the embarrassment and guilt. I’m done with caring what other people think — the weight of their opinions is far too heavy. I will continue to lend my voice because I want others to be free too.

Please let us be free.

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In 2019 I went to a psychiatric hospital (The Menninger Clinic) after battling suicidal thoughts, abusing my anxiety meds and hitting a low I didn’t know was possible. For six weeks, I was away from my family, which is almost as painful as fighting depression and anxiety.

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While I was there, I was assigned a psychiatrist, social worker, therapist and a psychologist. I underwent many psychiatric tests and was taken off all my psychiatric medications. It was rough.

I knew I had major depressive disorder, because I’ve struggled with depression for almost two decades. I knew I had anxiety, because of the crippling panic attacks and intrusive thoughts – thoughts telling me I should kill myself or that my family was going to die.

What I wasn’t prepared for was the diagnosis of Avoidant Personality Disorder. I had never even heard of it. Avoidant Personality Disorder, which affects about 1 percent of the general population, is described as having feelings of extreme social inhibition, inadequacy and sensitivity to negative criticism or rejection. It’s more than being shy or awkward in social situations (which I am). It makes it hard for those suffering with the disorder to interact with others and maintain relationships. It’s also common for “us” to avoid work or school, mostly because of extreme low self-esteem.

It was hard hearing this new diagnosis. For one, I already felt saddled by depression and anxiety. I wasn’t fond of the idea that I had this disorder, another albatross around my neck. And yet, I couldn’t deny it. Reading about the disorder was like reading from my memoir; I knew the symptoms and behavior well. I’ve always been social awkward. I avoided school like the plague, and later when I worked, I avoided that, too. I haven’t worked outside the home since 2013.

There was no denying the diagnosis. And, even though I’d probably been dealing with it since adolescence, I felt more broken because my many flaws were well documented and it was “official.”

But that’s bullshit. I was broken but not because of the diagnosis. I was broken because I had kept my struggles to myself and hadn’t reached out until it was almost too late. I was stifled by the stigma that surrounds depression and other mental disorders. The stigma and keeping my struggles to myself almost killed me.

Having depression, anxiety, a personality disorder and binge eating disorder is nothing to be ashamed of. That’s what I have – not who I am.

Now, I blog about my troubles and speak freely to others about anything and everything mental health related. I’m no longer afraid of being judged. The weight of others’ opinions is far too heavy to bear.

Now, I’m free.

Reject the stigma. Be proud of the fighter that you are. Seek help if you need it. By doing so, we help eradicate the judgement and stigma. Be free with me.

If you are struggling with suicidal thoughts, call the National Suicide Prevention Lifeline at 1-800-273-8255, go to the nearest emergency room or call a trusted friend. You are not alone.

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I’m not going to lie, this past week was a struggle. For some reason a past trauma popped back into my head, and it was so hard to get it out. Thinking I needed to resolve it, I started thinking and reflecting on it more and more. It proved dangerous though, triggering my binge eating disorder. That’s the thing about trauma — you think you’re over it and then it comes back, making you relive your painful emotions surrounding the it. I’ll get through it, though. I always do.

I had some more blogs published on The Mighty this past week. If you haven’t already, please check that website out. They have such good articles from people who are struggling with mental disorders. Here’s a list of mine that were published:

https://themighty.com/2021/01/mental-health-emotional-pain-food-medication-abuse/ https://themighty.com/2021/01/binge-eating-disorder-body-binge-eating-disorder/
https://themighty.com/2021/01/depression-electroconvulsive-therapy-memory-loss-positives/

I did get some really good news that I can’t quite share yet, relating to my blog, but you’ll just have to stay tuned. I hope your week was great last week, and I hope you have an even better one this coming week.

That’s all for now. Stay in the light, my friends.

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Retrograde Amnesia

by Heather Loeb
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As many of you know, I have retrograde amnesia, caused by the many ECT treatments I’ve had to do in order to obtain relief from my depression. For the record, I must have these treatments — my depression is treatment resistant, meaning that most medications can’t help alleviate my symptoms. Not much does except the ECTs, which I started in 2019.

During a treatment, I’m anesthetized and electric currents are sent through electrodes that are placed on my forehead, inducing a seizure. It’s not known exactly how the treatments help; I’ve always looked at it as a hard reset of my stubborn brain.

I would be lying if I said I don’t mind the treatments — I actually hate them, because over time I’ve developed a phobia of the anesthesia. And it’s definitely bothersome that I can’t remember some things. My memory loss goes back years, decades even, and it’s very hard to retain information even now. It’s also pretty embarrassing. I’ve forgotten who some people are, their names and how I know them. And when I say I have amnesia, I’m met with blank stares. And then I have to explain ECTs, which sounds unbelievable if you’re not used to it.

When I do try to recall something, I see only a gray wall where the memory once resided. Things aren’t just fuzzy — they’re just not there most of the time.

This must sound awful, but there is one good thing about my memory loss: the memory loss.

That’s not a typo.

I’ve suffered for decades with major depressive disorder, an anxiety disorder and a personality disorder and it’s unbelievably painful. But, just like I can’t remember who I ran into at the grocery store last week, I also can’t remember the most painful, darkest moments of my depression. I only know about it from my husband’s or best friend’s account of it. Or previous blogs.

Even with the ECT treatments, I still suffer with depression, just on a much lighter scale. I’m glad I can’t remember every time I couldn’t get out of bed or every time the pain was so deep that I wanted to end my life. Because if I sit and dwell on just how bad it was or can be, then I might forget that I do want to live — and live happily.

I don’t know if that makes much sense, but I do know that I (likely) will be struggling with depression and anxiety for the rest of my life. That thought alone makes me sad, and I can see how that thought can make me — and others — lose their faith in life and just put their suffering to an end. Mental illness can be so lonely when you’re in such pain all the time. And people still don’t understand it; the stigma of having a mental disorder is still there, too. So, if you do know someone who struggles, please be more understanding and empathetic. It’s just so lonely.

Even if I have to go under anesthesia and have electric currents sent through my brain every eight weeks, it’s not so bad. Not compared to the reality I was living without the treatments.

I just have to remember to take notes anytime I’m awake.

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Radical Acceptance

by Heather Loeb

I had an epiphany today. I was watching an episode of Bones where they were talking about young girls being in beauty pageants. Please note that I am not judging that — I mention it because it got me thinking about all the things girls and women go through to appear beautiful. In that episode, young girls were dyeing their hair, wearing corsets to define their waistlines and watching their weight. It depressed me, honestly. It brought back memories of being called fat when I was in the 5th grade — 5th grade, people! I should have brushed the comments off, but there were already seeds of fatphobia planted in my little head — from society, friends, family, etc. That seed grew and now is a full-blown eating disorder (Binge Eating Disorder).

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I’m only 12 here, but this is when I really started to worry about my size.

My worth has been tied to my weight. The way I feel and care for myself is tied to my weight. When I’ve gained some extra pounds, I punish myself…hate myself.

I eat my feelings, which leads to more weight gain. Which fuels more self-destructive behaviors. It’s a vicious cycle. To help break it, I signed up to do one-on-one coaching on intuitive eating with my beautiful and sweet cousin, who’s a registered dietician. On our last call, she told me to get rid of the ideas of “bad foods” or “being bad” or “cheating” on a diet. There are no forbidden foods. There’s fueling your body and doing everything in moderation.

I have a lot more to learn and I’m eager to do it.

But here’s my epiphany — what if I just accept who I am? What if I give myself some grace — some compassion? What if when I gain weight, I just buy bigger clothes and focus on my health and not my caloric intake?

What if I practice radical acceptance? I learned about radical acceptance in therapy. It’s a skill or tool that can help people face painful emotions and experiences by accepting them fully WITHOUT JUDGEMENT.

This may not sound much different than a blog I previously posted about loving myself and body positivity. But the thing is, I’m still struggling and writing helps me come to terms with my feelings. And this is a topic that can’t be fully explored with one blog. Or three. Maybe 10. And that’s OK, too.

My point is that maybe I don’t think I need to focus on losing weight or looking a certain way, so much as I need to reprogram my brain. And those of you who follow me should know — my brain is a stubborn asshole. It’ll take time. So much time.

But I’m done with fatphobia, fat-shaming and all that judgement that goes along with it. I’ve had gastric sleeve surgery and a tummy tuck. Guess what? I’m still not skinny and I don’t think I’ll ever be. Why has that plagued me so much?

Why are people so afraid of being fat?

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At My Worst

by Heather Loeb

The thing I hate the most about depression is that I can be feeling so good about myself and then — bam — something triggers me or I get into an argument with my husband or best friend. It could be something small, but it can throw me into a downward spiral of despair and pain.

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That’s what happened tonight. I was reflecting on my day and how good it was. I made progress with my intuitive eating program (I didn’t overeat at all). I started to put more work into my blog, which excites and drives me.

Then it hit — self doubt, self loathing and despair after an argument with a loved one. All of these things were lurking in the shadows of my obstinate brain, and it didn’t take much to pull them out of hiding. It scared me. I began having intrusive thoughts that I should kill myself* and that my family didn’t need me. I tried to sort through my thoughts, desperately trying to determine which were true and which were lies. Normally, I don’t entertain my intrusive thoughts; as soon as they enter my head I stop the thought and release it, thinking of something happier. But I didn’t have the strength to stop them this time. It was a barrage of darkness and sadness. And I’ll just stop there, because this is making me sad.

All the progress that I had made during the day was gone, so it seemed. I got ice cream and binged on a couple servings, even though I didn’t really want it.

I didn’t have much time to wallow after that because both of my kids came into the room claiming they couldn’t sleep. It was several more hours of coaxing them and threatening before they finally went down. I felt depleted and frustrated.

The argument I had was inconsequential, forgotten by morning. But what stayed with me was the idea that this — me and my mental health — is probably as good as it’s going to get. I don’t mean that like I’m giving up and in to depression — I mean that I don’t know if I’ll ever feel better than I do right now. Every day, I hustle to stay on top of my depression. I take my meds, I got to weekly therapy appointments, I do ECT treatments, I avoid sleeping during the day, I stay busy with the kids, writing, hobbies, etc. And there is always room for improvement, but I think I need to be OK with the fact that this may be as good as it gets.

It’s not so bad. I’ll probably always live with these demons, but what I need more than to accept that this is my fate and life is that everybody else accepts it, too. That they love and support me at my worst, which is kind of scary sometimes. But in the same breath, it’s taught me to be grateful for all the good in my life and happy moments. And there are many.

It’s hard for me to talk about the dark or bad side of my depression (is there a good side, lol), because it’s hard for people who don’t suffer with a mental disorder to understand. It’s unknown and scary to them. But if you have a loved one who does suffer, love and accept them at their worst. And let them know that you do.

It makes this “journey” a lot easier.

*Please note that I am not in crisis or suicidal. Intrusive thoughts are just thoughts — not desire. I am safe.

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I’m coming off a very happy weekend. My parents drove down on Thursday to visit and it was so good to see them. I usually see them a lot more often but the pandemic has halted our travel. The kids were so excited and my parents were very happy with the new house.

It was also a good week. One of my blogs was published on The Mighty website! I have submitted two other blogs that they’ve decided to publish, so maybe it can be a regular thing. And because of that, my friend who’s a TV news producer said she’d like to do a story on my blog getting published and how important body positivity is to children, especially girls.

That’s really all for now. I hope you have a safe and healthy week. Stay in the light!

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After MANY therapy appointments, my therapist and I have discovered that I don’t like to be uncomfortable. Of course, I’ll write about it and I’ll be the first one to tell you that real growth starts by being uncomfortable. But holy hell, I will go to great lengths in order not to feel discomfort in almost all aspects of my life.

This “ah-ha” moment came yesterday after telling my therapist that if I eat something and it gives me pleasure, I will continue to eat that thing over and over in order to feel the pleasure. I’m always chasing that high you get when your pleasure center is activated. We then jokingly decided that I would make a fantastic drug addict. Maybe not that funny but it’s true. I wasn’t far off when I started abusing my anxiety meds in 2019. I would take six or seven a night — six or seven benzodiazepines. It’s a wonder I didn’t do serious damage to myself. But I’d take all those pills so I wouldn’t feel what I was feeling. And guess what that was? Discomfort.

When I went to The Menninger Clinic, a psychiatric facility in Houston, I didn’t have any choice but to be uncomfortable. I was hundreds of miles away from family, I couldn’t abuse my meds and I was forced to come face-to-face with all my demons: depression, anxiety, a personality disorder, Binge Eating Disorder and my medication abuse problem. And when I became uncomfortable, I had no excuse but to cope with what I was feeling in a healthy way. But out of that feeling of discomfort came growth.

And as previously mentioned, personal growth can be so annoying. But necessary. I’m by no means cured of all that ails me, but coming face-to-face with my demons has forced my hand — I have to grow. I have to survive. I guess I don’t have to, but that’s what I choose. It’ll take time and practice but I’ll do the work. I’ll be freed from the bondage of mental illness that’s had such a tight hold on me for the past two decades. My liberation — I already feel it. I see it.

Here’s what I want to work on: breaking the self-destructive cycle of binge eating, being compassionate and appreciative of my body (and even my weight), being mindful all times when it comes to eating as well as identifying and experiencing my emotions. I don’t want to bury or ignore my emotions. That’s just part of being free, in my opinion.

I want to feel unencumbered, empowered, in control of all my mental disorders. And I’m hopeful that I will. I’m looking froward to the journey and I’m glad you’re along for the ride.

Stay in the light, my friends.

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Fragile…Like a Bomb

by Heather Loeb

Last Friday, I had an ECT, so I was a little, rather a lot, out of it Friday and Saturday morning. I did something I haven’t done in well over a year —  forgot to take my meds. I got out of routine and just plum forgot. ECT can do that to you. 

Yesterday morning, as I struggled to get up and get going, I noticed my mistake and took my pills as I should, but a cloud of guilt and uncertainty followed me. 

I noticed a change in my demeanor almost immediately. I started my period (I missed my birth control as well as my psych meds).  I felt exhausted, scared and sad. I couldn’t believe a simple mistake could shake me this hard. I wanted to crawl in a hole and avoid my responsibilities and not think that this past ECT was a waste of time and energy. 

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It hurts to admit this but my mental health is so fragile — not weak — but fragile like a bomb. I’ll do whatever it takes not to explode. Nobody wants a repeat of 2019, least not me. 

It’s just so frustrating that I do everything I can to maintain my mental health and just three days of missed meds can sink me down so low. It’s baffling to me. And it was an ECT that made me forget!! That’s what drives me crazy. I was doing shock therapy so that I’m the best version of myself, yet it made me forget my meds. For those of you who don’t know, retrograde amnesia is common after a treatment as well as confusion and disorientation.

In therapy this morning I told my therapist what had happened and that I felt overwhelmed because I’ve been trying so hard, but it feels like it doesn’t matter. She said something that struck a chord — that I can’t stand to feel uncomfortable. Not for one minute. And that I always tend to look at the bad in the situation while forgetting the good.

She’s right. Whenever I do feel uncomfortable, I try to stave that feeling off by letting my compulsions take over — overeating, shopping and other self destructive behavior. And I do it all just so I can feel good. But why do I feel the need to feel good and happy all the time? Nobody feels that way all the time, even someone with a “normal” brain.

She also said I needed to delay my gratification, that I’m all about a quick, easy fix, “instant gratification,” but that’s how a child thinks. She’s right about that, too.

Yes, I forgot my meds on accident. Yes, I feel uncomfortable and uncertain, but that doesn’t mean it’s not worth doing. I should continue to take my meds and take care of myself in other ways because taking care of myself only benefits me and my family/friends. The end result will be worth it. Logically, I know it will.

I don’t know if this blog makes any sense or if it has a point, but that’s OK for me today. I’m blogging and reflecting on/dealing with my experiences and feelings in a healthy way.

There is a lot of maintenance and self care I have to keep up with because of my brain’s stupid and ineffective wiring, but instead of getting overwhelmed with it all I have to appreciate everything good in my life and just take everything in baby steps. Maybe that’s what everyone does? I don’t know.

My therapist did say it was important for me to go back next week, lol. So, maybe I’ll learn more then.

Thanks for reading. Stay in the light, my friends.

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