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electroconvulsive therapy

Me crying, struggling with depression
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Misconceptions About Depression

by Heather Loeb
written by Heather Loeb

A few years ago I posted an Instagram photo with me crying and a caption that said, “This is the face of depression. Be kind to others because you don’t know what they’re going through.” That photo upset some of my friends because I hadn’t really discussed my depression before in such an open way. To them I was happy and a goof ball. What most didn’t see was I was moody, miserable and even suicidal at times.

Though I was diagnosed with depression 17 years ago, it was after my babies were born that it really got bad — and scary. I had dealt with postpartum and post-weaning depression but had inadequate psychiatric care.

On the outside I was posting pics of my kids in cute outfits and everything online told a completely different story.

Many people mask their pain for different reasons. I had the idea that depression wasn’t talked about, that having depression makes you weak. That it was a matter of willpower. I didn’t want to be the depressed mom, I wanted to be the mom that does it all, which is a dangerous and unrealistic expectation for anyone. That stigma that I was buying into keeps a lot of people silent about their struggle. It can be especially hard in certain cultures, such as Asian cultures (read more about that here.)

There are definitely common misconceptions about what depression looks like. In my case, I’m not sad every minute of everyday. There are good and bad days, just like anyone else. Sometimes my depression manifests in other ways, such as overeating or binge eating; sleeping too much; having a short fuse; or partaking in other unhealthy behavior.

I was freed of the heavy weight depression holds when I admitted to all my friends and family that I went to a psychiatric hospital in 2019. I even wrote a forum piece about my experience for the local paper. It was not easy, in fact it was a little terrifying knowing that essentially the whole city knew my secret, but like I said, it set me free. I just didn’t care about anyone’s opinion anymore. I know it can be annoying when I plug my blogs or pieces in the paper but I’m hoping they will reach someone who needs to hear what I’m saying — that it’s OK having depression and there is no shame in it. Those who I’ve met who struggle with depression are the strongest people I know. We are fighters. We are survivors.

Ideally, everyone should be able to talk about their mental illness but I understand why people don’t. It’s terrifying being vulnerable, especially when there’s a chance someone will react negatively. But I urge everyone to reach out, even if it’s to one person. You’d be surprised how free it makes you feel, and by telling a friend or family member, you’re lightening your load. Your support system can help you carry that load, and you should take help where you can get it.

If you can’t reach out to someone, please know there are several online resources that can help. To learn more about depression or find resources visit the Substance Abuse and Mental Health Services Administration. They have a 24-hour helpline.

Other Misconceptions About Depression:

  1. “It’s all in your head.” – Depression is a psychological and biological disease. You have no control over it, so if someone tells you to “buck up” just know that the problem is not with you — it’s with them and their lack of understanding. You don’t have to pretend or fake it, just do you.
  2. Depression = being really sad. – Sure, you get sad when you’re depressed but someone equating it to “just being sad” is trivializing your feelings and your disease.
  3. Depression means you’re weak – I already touched on this but it’s worth repeating — I think people with depression are so strong. Depression can wreak havoc in all areas of your life. Some people deal with suicidal ideation daily and others have to tap into a reserve of strength and energy just to take a shower (me!) or go to work. Often that reserve is depleted.
  4. Depression is not treatable – There are a variety of medications that are safe and effective in treating depression. There might be side effects and it might take a while before finding the right combination, but (most of) patients feel better. There are also therapies you can try, such as talk therapy, TMS (Transcranial Magnetic Stimulation), ketamine infusion therapy, and my favorite, ECT (electroconvulsive therapy). Please consult your doctor before trying any medication or other treatments.

These myths are damaging, but again, please reach out if you are struggling. It gets better.

If you are suicidal, please call the National Suicide Prevention Lifeline at 1-800-273-8255 or visit their site for chat support.

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The Exhaustion of Barely Surviving

by Heather Loeb
written by Heather Loeb

Warning: This post mentions suicide and suicidal ideation. If you will be triggered, please go back to the homepage. 

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Me, playing with the kids

 

There are days where each of my limbs feels like I’m dragging 50 pounds. All I want to do is stay in bed or on the couch, which proves difficult when the kids are home, which is all day, every day these days.

Showering seems like an impossible task and honestly, I can go days without one. It takes me that long to get the energy to take one and then it’s an exhausting ordeal.

With the kids home, I don’t have the luxury of lying around and mustering the strength for a shower. The kids have needs and those needs have to be met. Don’t get me wrong, I love taking care of the kids but at the end of the day it feels like I’ve run a marathon or I’ve been hit by a truck. Not only is there zero time for self care but also I have zero energy or desire to take care of myself. There’s just nothing left – no reserves to tap into. And that’s ok, for a little while, but it’s not sustainable and almost always leads to total exhaustion or a breakdown.

How I combat these feelings is with medication and ECT (electroconvulsive therapy). But guess what? When you’re depressed, you don’t want to take your meds, even though it’s so simple. Another impossible task. Taking care of yourself while depressed is a full-time job, one that my brain prevents me from showing up to. And what’s dangerous is the belief you’re not good enough to take care of. That it’s easier to make bad decisions. Bad decisions can make you feel so good – like overeating or bingeing on terrible foods.

In the past, I’ve also abused some of my meds, like benzodiazepines and sleep meds. These self-destructive behaviors are just my experience. Other risky behaviors include excessive drinking, drug abuse, unsafe sex and cutting. I don’t condone it but I certainly don’t judge – I understand it all too well. What’s scary is that people who do these things are more likely to attempt suicide or die by suicide. I can’t speak for everyone but when I have engaged in self-harm or risky behaviors, it’s all about stopping the incessant pain that’s felt everyday. And even though it might be there, it’s hard for depressed individuals to see the light at the end of the ever-elusive tunnel.

I get why people attempt suicide. I have thought about it many times, unfortunately, but each time I just wanted to numb the pain, drown out the mental and physical pain. Before I went to the Menninger Clinic, I felt there was no hope with my depression. I was labeled treatment-resistant, meaning none of the meds available would help. I won’t go on a tirade now but I was lucky to go to Menninger. Not everybody has the funds or time to be inpatient at a facility like that. Hell, no everyone can afford medicine, therapy or psychologists. My therapist and psychologist are cash only – they do not accept any type of insurance. I guess my point is that there are many obstacles that people with depression face, internal and external.

Even if I take my medicine perfectly, get regular ECTs, go to therapy and avoid risky behavior, I’m still going to struggle. Those things definitely help stay on track but during a depressive episode, every day – and everything I have to do to life – is exhausting. I have to do all those little things to barely survive and I’m not the only one who feels that way. Mental health care in this country sucks – not everyone with depression is treated and those who are aren’t treated well or efficiently. Some people still wrestle with reaching out for care because of the stigma.

It’s easy to abandon a treatment plan. It’s easy to fall by the wayside, and it’s so unbelievingly hard to fight through the pain and fight the stigma on a daily basis. The exhaustion of living can wear you out. It does me, anyway.

Many people are fighting this invisible illness, some fighting just to get through each day. I certainly relate. I’ve been through hell and back and even though I’m doing much better now, I still feel the weight of depression (and everybody’s expectations), not to mention my sometimes crippling anxiety. I don’t know if that weight will ever lift but at least now I’m strong enough to carry it. I pray that others suffering will feel the same.

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To My Future Self

by Heather Loeb
written by Heather Loeb

A year ago I started electroconvulsive therapy (ECT) for my severe depression. I try to do one every four to six weeks because I need them to live, truly. When I’m going through a depressive episode, it resets my brain somehow, and after my stint at the Menninger Clinic, I want to avoid going to that dark place (in my head) again.

While the ECTs help me to be my best self, they have crippled my memory. Usually, ECT will affect your memory around the time of treatment, meaning you might not remember coming in for the treatment or directly after it. For me, I can’t remember things from years ago. My memory is just so random; I can’t figure out how my brain has decided to keep some memories and discard others. I’ve also forgotten entire people. Months ago I went to a nail salon and a woman asked about David and the kids. I did my best to talk with her but I was so embarrassed and frustrated. 

When I try to remember something I often come up with nothing – just a fuzzy gray wall in my brain. Sometimes it shakes me to my core because I’m afraid I’ll forget my most cherished memories — being with my grandmother as a child, getting married and memories of my babies being born, etc. And as weird as it sounds, I want to remember what it was like before I went to Menninger, so I can recognize those painful feelings and behaviors and stop them as soon as possible.    

But above all, I want to remember me and the memories that helped shape me, so I thought I would write myself a short reminder. 

imageTo my future self, please remember how strong you are. Remember when you bravely moved to Corpus Christi, hundreds of miles from family and friends and didn’t know a single soul. That you had two children in 23 months and won a horrible battle with postpartum depression. Remember when things got hard again and your brain betrayed you, telling you to kill yourself but instead you found hope in a psychiatric treatment facility for six long weeks. And that during that time, how you fought like hell for your family and friends.

Please remember your big heart and limitless capacity to love. Your sense of humor and generosity. Don’t forget how loudly you laugh (it’s more of a guffaw, really) and your ability to be inclusive and open-minded. Know your worth, that you are deserving of love and respect.

Remember that you are the best mom to raise Isla and Eli and to always lead by example. Never forget the words to George Strait songs you sing to Eli at bedtime or that Isla gets scared at night and needs extra cuddles. How Eli is totally obsessed with seahorses and named his seahorse stuffie Weerow. That Isla’s sense of humor is beyond her years. Remember how amazing your mama is and how you feel such comfort and love when she is near and that Mema made you feel the same way. You are loved – and were shaped – by very strong women. YOU are a strong woman, despite what your brain tells you. 

And finally, when it is dark and you can’t seem to find the light, remember that one shines within you. If you can’t remember that, just know that you have really good friends with really good flashlights. 

 

 

 

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Beautiful girl, you can do hard things

by Heather Loeb
written by Heather Loeb

urlMy 5-year-old daughter is sensitive and she can be anxious – she’s her mother’s daughter, for sure. When she does get anxious I try to calm her down with deep breathing and I started repeating one mantra over and over – you can do hard things. Does it help her? Maybe but it definitely helps me.

It’s so simple but it hits me deep in my core. My depression (and anxiety) just crushes me, the weight of it feels so heavy that I can’t move. But the thing is, I can do hard things.

In the past five years I’ve given birth to two kids who are 23 months apart. I’ve battled postpartum depression. I went to a mental hospital for six weeks. I started ECT therapy and have had more than 20 treatments – that’s 20 times under anesthesia and 20+ seizures. I have been suicidal many times but I’ve clawed my way back to me. I’m proudly scrappy.

I will have depression forever, and I’m sure there will be dark days ahead but I can do hard things. That’s the mindset and philosophy I want to pass down to Isla (and Eli).

I try my best to hide my depressed self from the kids but I know it seeps through at times. I just hope they remember how strong I am and how much I love them. I hope they never really know how sad I can be. I want them to know I have a big heart and big emotions, and that’s ok. That they are cut from the same cloth, that they can tap into their grit and resolve.

It’s easy to give in to depression, to the despair and apathy that accompanies it. What’s not easy is to do it in front of your kids. They’re always there, watching and imitating. While it’s scary to think I could have another depressive episode, I know I can get through it. I can fight. I can overcome.

I can do hard things. And so can you.

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One-year Anniversary

by Heather Loeb
written by Heather Loeb

A year ago this month I went to the Menninger Clinic for inpatient psychiatric care for six long weeks. The months leading up to my trip to Houston weren’t good ones. I was emotional, suicidal and so damn sad. I had been labeled with treatment resistant depression, thus none of my meds were working. I also had tried TMS and ketamine infusion treatments but it didn’t lighten my load at all.

I was scared. Mostly because I feared I wouldn’t be around to watch my kids grow up. My husband, therapist and psychiatrist all agreed Menninger was the next step. After going over my history, meds and different treatments, I was told I was a prime candidate for ECT (electroconvulsive therapy). It took weeks for me to wean off all my meds – an antidepressant, antipsychotic, benzodiazepines, anti seizure meds and Ambien.

While I was weaning off my meds, I underwent psychiatric testing and went to classes about how to deal with mental illness. I also had to go to the classes on addiction because I wasn’t great at taking the prescribed benzodiazepine the way I was supposed to, to put it mildly. When we weren’t taking classes, we were required to do therapy and meet with psychiatrists. The classes – and the teachers – were all very helpful. My diagnoses are Major Depressive Disorder, Generalized Anxiety Disorder, Dysthymia and Avoidant Personality Disorder.

I became close with a couple of patients who were in the same boat asI was. I still talk to them; sometimes it seems like they’re the only ones who understand what I went through since they were right there with me.

The facility was nice. It should be for how expensive it was, but hey, it did save my life. What stuck with me is that there were not rods to hang your clothes on, no drawers and no shower curtain rod – nothing a patient could try to hang himself from. At night we could shut our doors but the staff did checks every 15 minutes. The whole night. Every door leading outside was locked so patients couldn’t leave. We couldn’t have our phones but they offered cell phones for patients to use. We also had access to computers where all social media sites were blocked. It was a hard adjustment but it kind of made me feel safe, cocooned really. The girls had one wing, boys another and we all shared one common area with couches and a TV. On the weekends, we did movie nights and ordered food from outside the facility. Although it was scary and heart wrenching to be away from my family, I felt supported by the friends I made and never felt alone, despite my depression and anxiety.

When it was time to start ECT I don’t remember being scared, although it sounds scary to me now. I had three treatments a week for three weeks before starting a maintenance phase. At first, I got awful headaches after each treatment but those eventually subsided. By far, the worst side effect of the ECTs is the memory loss. Usually, it only affects patients around the time of treatment, meaning you might forget things that happened the day of treatment. But lucky me, my memory loss goes back years. I’ve forgotten people’s names, and sometimes, entire people. I still can’t remember how I met the majority of my Facebook friends. My short term memory has taken a hit, too. I can’t figure out how and what my brain is actually going to remember.

But as bad as memory loss sucks, the ECTs saved my life. And for that, I’m grateful. I relish in spending time with my kids and watching them grow. David and I enjoy each other more now, too. My mental illness takes a toll on him and I’m very thankful for his patience, love and support.

I won’t lie – there have been dark days in the past year and it hasn’t always been easy. My brain is not reliable and I have to remember during anxiety attacks or depressive episodes that it lies. It tells me I’m not good enough, that I should want to die, that there’s no way out. I ride out the pain best I can and turn to my support system – my doctor, therapist, best friends, parents and then to more ECT treatments. It’s not a perfect system but here I am.

I somehow learned when I was young that having mental illness made you weak, but after my experience I know that’s not true. It couldn’t be further than the truth but the stigma surrounding depression is certainly real. I could have easily overdosed on my meds or died any other way by suicide, but it was strength that saved me and what keeps me going now. I’ve been battling my brain for a long time – decades even – and I know I have more to go but I’m proud of the work I’ve done.

My brain has betrayed me (many times) but my dear, hardworking heart never will. Thank you to all who have supported me.

If you are suffering from depression and need help, the National Alliance on Mental Illness visit www.nami.org

If you are suicidal, please call the Suicide Lifeline at 1-800-273-8255.

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Fight Like Hell

by Heather Loeb
written by Heather Loeb

I write a lot about having depression and reaching out to get support but it has come to my attention that when I’m the one struggling I don’t reach out often. Maybe to my mom, husband and best friend but with everyone else I put on a happy face while inside it feels like I’m dying. I think it’s important I talk about the dark while I’m in it.

It started a couple weeks ago. I wasn’t being honest with myself about how things were going. I happen to have a therapy appointment and one with my psychiatrist that week so I let it all hang out. It felt good to come clean and it was decided I would get an ECT treatment ASAP. I scheduled it for next Friday so in the meantime I made an impromptu visit to my parents’ lake house. The kids were dying to get out of the house and I figured it would do me good as well. While the kids had a blast, I didn’t fare as well. I can remember one night eating steak with my parents and I was staring at the bright pink steak knife that cut the steak so well. I wondered how it would feel down my arms. Later, I told my mom to just hide the knives.

I decided to chat on the suicide lifeline messaging system. The lady was asking my history and as I told her that I had major depressive disorder, anxiety, I’ve done ECTs, been to a psychiatric facility, etc. She the said, “Wow, you’re a fighter.” Though I know it’s the truth, it’s not something I’ve heard a lot through my life. I’ve heard I’m lazy, that I’m basically useless, but not a fighter.

But I fight everyday. For my kids, my husband, my family, my amazing friends who support me no matter how depressed I am or how unwashed my hair is. And I know sometimes I’ll fall back on the idea that being mentally ill makes you weak, but I can’t stress enough how that’s total and utter bullshit. And then I’ll remember that I’m a Phoenix rising from the ashes, that I’ll regenerate and will continue to be born again. Because I’m a fighter and I will continue to fight like hell, even though it sucks, even though it’s hard, even though it tires my soul. If anything, I need to show my children that there are many ways to be strong. And that it’s ok if you’re different than others. It’s even ok if you need to go to a mental health hospital. And that self care is a necessity and doesn’t make you selfish. I’ve tried pouring from an empty cup and it got me nowhere (technically it got me to the mental hospital) so even though my journey is a messy one, my kids can still appreciate it one day. I hope.

If you need help, I highly recommend either calling the National Suicide Lifeline or using their chat function. Call them at 1-800-273-8255

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Heather Loeb, Creator of Unruly Neurons

ECT and Me

by Heather Loeb
written by Heather Loeb

I’ve talked a lot recently about my six-week stay at the Menninger Clinic but haven’t really discussed why my stay there was so helpful – doing (electroconvulsive therapy) ECT treatments.

Over the years I was told to try ECT because of my treatment-resistant depression, meaning none of the meds I tried (and I tried a lot) worked well. ECT always scared me and I think it scares a lot of people. I imagine a lot of people associate it as being “shock therapy,” a very primitive form of today’s ECT from the 1900s. But I was doing so poorly by the time I got to Menninger, I prayed that I was a candidate and it worked. Turns out I was and it did.

I did my initial (or index) treatments at Menninger. I did treatments about three times a week until I left the hospital. Each treatment began with memory and cognitive testing. After that came the actual treatment. The nurses would place electrodes on my head, which would provide an electric stimulus to my brain, inducing a seizure. It was then my brain’s job to shut off the seizure, and I was told the shorter the seizure the better. I had monitors for my heart function, blood pressure and pulse, as well.

After everything was in place it was time for the anesthesia. They would administer it, insert a bite guard into my mouth and place an oxygen mask over my face and nose. I’d fall asleep, have the seizure and be awake in about 15-20 minutes.

At first I had awful migraines after the treatments and would have to stay in bed, but now I get a minor headache, some neck pain and fatigue. Not so bad, considering.

As I mentioned earlier, I did my initial treatments at the Menninger Clinic but then switched to a facility in San Antonio, Laurel Ridge Treatment Center after I done at Menninger. Unfortunately, there are no doctors who perform ECT in Corpus Christi, where I live. Both facilities are very good but different. Whereas Menninger might see a handful of patients – if that – a day, Laurel Ridge sees much more and they’re very efficient getting people in and out.

Sometimes I panic before a treatment, although I don’t know why. Nothing scary has ever happened to me but I do get very nervous beforehand. The nurses/doctors can’t give me anything to relax because most meds in that category prolong the seizures. Regardless of my panic, I still get treatments when I’m feeling down.

If you are contemplating ECT, feel free to contact me and I’ll answer any questions. I know it can be scary and intimidating but the treatments are very safe. It has been, by far, the most effective treatment for my treatment-resistant Major Depressive Disorder, Generalized Anxiety Disorder and Avoidant Personality Disorder. I’m happier and have more energy now.

One thing I will mention is memory loss. This is normal and usually occurs around the time of treatment, so you might not remember getting to the hospital or recent conversations. In my case – and this is just me – I have lost memories from years ago and short-term as well. You can read my memory loss blog here.

Having said that, I would still recommend ECT to anyone who is suffering with depression. It really changed my life at a time I wasn’t sure if I’d make it much longer.

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