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major depressive disorder

I don’t know about others with depression but I have a real problem when it comes to making plans. I usually make plans or commitments when I’m feeling good or whatever passes for good, and at that moment I’m truly looking forward to whatever plans I make.

But then, my depression overcomes my desire to socialize or perform whatever task I signed up for. I’ve taken to doing things last minute or being non-committal. It doesn’t impress my friends or social group to which I belong.

Even if it’s something I know I’ll have fun at (girls’ night, group workouts), I still have to summon up the energy to take a shower, put on a happy face and go. And by now, my friends have accepted that it’s just who I am. But I’m required to go out in public where friends and acquaintances don’t know where I’m coming from and I know I can come off rude or flaky. I hate that.

In the past it’s caused rifts and arguments with friends and definitely problems at work. I don’t know what I would do now if I were working outside the home. My depression has gotten much worse than before I was pregnant and working, I can’t imagine facing workplace obligations, not to mention the drama, again.

I also feel so burdened when I have an obligation hanging over me and I get anxious when I put off a friend because I just can’t even. I’m still supposed to set up a play date from 2-3 years ago. Sigh. Plus, there’s always the drama of coordinating schedules with the kids. That just adds to my problem, hence why I don’t have a lot of mom friends. I want them, I do, it’s just hard now.

Hopefully, the TMS that I’ll start next week will change things: I’ll have more energy, my anxiety will lesson and I’ll feel less encumbered.

Maybe going out and taking on more responsibility will be easy peasy. Who knows? I’d like to do more than barely get by with socializing and start cultivating my friendships.

Let’s just hope TMS really helps.

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I’m back and with news

by Heather Loeb

Vacation has ended and it’s back to life, back to reality. It has been awhile since I’ve blogged but my last blog talked about how I forgot my meds while on vacation. I was truly expecting a depression storm but actually I feel great. Maybe a little restart was what I needed. It was just three days without my total regimen, so it wasn’t too bad. No breakdowns, no withdrawal symptoms, nothing. I freaked myself out all for nothing.

And I’m still feeling great. It’s weird, but I’ll take it. Nothing has changed except the medicine hiccup. But I’m thankful.

In breaking news, I’ve decided to take the plunge and try transcranial magnetic stimulation or TMS. I was recently approved by insurance and while it sounds weird, I am hopeful it will improve my mood even more and I won’t have as many depressive episodes.

So, TMS. In a nutshell, you sit in a chair similar to a dentist’s. An electromagnetic coil is placed against your scalp near your forehead. Next the magnet delivers a magnetic pulse that stimulates nerve cells of your brain – the ones that involve mood control and depression. In people with depression, it’s thought to activate regions of the brain that have decreased activity. It’s not completely understand but TMS is known to greatly help those with depression and anxiety. People like me.

Because I’m treatment resistant and I have MDD, this is the next step. It has fewer side effects than ECT (electroconvulsive therapy), which is a big commitment. With TMS, you do have 30 or so treatments in a row Monday through Friday, but you’re able to drive yourself home and one of the most common side effects is headache. That worries me a bit with my migraines but I’m willing to give it a try.

One of my friends in Dallas is almost over with her sessions and she told me she can feel a real difference. She also said the electromagnet feels like a woodpecker tapping at your brain but doesn’t necessarily hurt.

I’m hopeful.

I start August 15, so think good thoughts for me.

 

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Oops

by Heather Loeb

So I start packing for a vacation to my family’s lake house last week and I begin with my kids. I’m in charge of packing for four, you know. Not so much for my husband but I do have to find his bag and remind him where we’re going and what he’ll need. Wife problems. Anyway, so I get everyone packed. Except me.

I forget my medicine. All of it. Unbelievable because I never forget anything important and I need my meds to be emotionally stable and I’m now 8 hours away from my stability. I also forget my wallet so this trip is starting off amazingly well.

I’m able to get an emergency three-day stash but because of the pharmacy’s rules, my refill situation and whatnot I can only get a few medications. How many meds are you on, you ask? However much it takes me to feel normal. I’ll let you know when that happens.

So I have some meds but not at the right strength/dosage. I am now in the unique position to know that a storm is coming. I only have a couple of psych meds. I couldn’t get my birth control, so my hormones will be thrown off. I have three days to get to my meds or disaster could strike and my depression could come back in full force. All the progress I’ve made lately, gone. I’m very dramatic tonight.

But this time I know it’s coming. Before, the waves of depression would just crash down on me with no warning. Is it any different now that I know I have a recipe for disaster? Probably not. I’ve warned my support base and I’ve even been trying to be my own hype man but I can feel the fatigue in my bones, the brain zaps from withdrawal, the heaviness that sits on your chest.

Or am I just imagining it all? I only have the recipe, I’m not cooked yet.

You’d think three days (Lawd, let it be just three days) wouldn’t do any harm but I’ve gone through withdrawal in just hours before with zero medication. It sucks how one mistake can derail you so much.

Here’s hoping it doesn’t. I was starting to feel pretty good.

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I love when people try to help with my depression. Actually, I’m not sure I really do. What I like is when someone is truly educated about depression, especially MDD and anxiety, and makes a helpful suggestion, i.e. a certain vitamin or therapies I’ve yet to research such as TMS (transcranial magnetic stimulation) or ECT (electroconvulsive therapy).

What bugs me is when someone has vague knowledge of depression and assumes there’s a cure – there is no cure for MDD, only medication and therapies that can relieve symptoms. What really bugs me is hearing I’m doing something wrong or there is a cure and that I don’t want to find it. Believe me, I work hard at fighting depression and finding things to make me feel better. It’s no fun feeling this way.

And while I realize some people are truly trying to help, there are those ignorant people who fray my nerves whom I’d like to educate.

A while back I met a woman who had overheard me discuss my depression with another woman in my workout group. The woman came over, introduced herself and started discussing how society is overmedicated and suggested that depression was something we did to ourselves. We could heal ourselves. I felt so stupid and sick to my stomach. At this time, I had barely begun to discuss my mental health openly and I didn’t stand up for myself. She also began telling the other woman in our conversation, who had a thyroid problem, that she could heal her own thyroid through holistic methods. Now, I also have hypothyroidism and I want to say for everyone’s sake – NEVER DO ANYTHING WITHOUT CONSULTING YOUR DOCTOR. Going off your medication and trying holistic methods could do permanent damage. I’m not a doctor or a health professional, but please, always talk to your doctor.

Anywho, I was so upset I asked to change workout groups. Then I realized, screw that. This woman needs to see what a depressed person looks like – someone who can work out, someone who can be happy but have terrible days. And she needed to hear me talk about my depression over and over again. She needed to listen and needed to be educated. And hopefully, she has been. But the point of this story was that while thinking positively is helpful, you can’t think yourself happy when you’re depressed. Alternative therapies certainly can help but if you could cure yourself with happy thoughts then nobody would be in my predicament. Suicide wouldn’t be the 10th leading cause of death in the U.S.

I also want to address people who pinpoint one thing you’re doing and assuming that’s what’s causing your depression. If you are suffering and reading this, please let this be your takeaway: You are not causing your depression. You are not doing anything to cause it. You are mentally ill because of your brain chemistry and that’s not your fault either.

Here are some things that “cause” my depression, mind you some of them can make it worse depending on the person. These things have also been the “cause” of my migraines, too. What do you know!

Diet Coke, carbs, not enough sunshine, not enough exercise, not eating healthily, not eating enough, eating dairy, too much sleep, not enough sleep, negative thinking, carbs again and drinking out of plastic.

I also need to try crystals(?), essential oils, meditation (which actually does help me with anxiety), thinking myself cured and something about putting a banana peel on my forehead.

I’m always polite with the suggestions and maybe I should just tell people there is no cure. It’s a disease, I keep repeating myself but it’s unlike any other disease. If I had Type 1 diabetes, I don’t think anyone would list any of the options above. Surely, people know that you’re not responsible for causing diabetes, that you need medication to live and it’s nothing you can cure yourself of. Surely.

To sum this up, no matter what you can’t give yourself depression. Nothing you’re doing can cause depression. It’s not your fault, I promise on Diet Coke and carbs.

 

 

 

 

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Happy and Depressed

by Heather Loeb

Can you have depression and be happy?

Yes and no. This isn’t going to be confusing at all, no worries. I’m constantly wondering if those who have never suffered from depression think depressed people are sad or supposed to be sad all the time? I have Major Depressive Disorder and it’s treatment resistant so it’s really hard to keep at bay BUT I consider my life a happy one even when I’m experiencing a depressive episode.

Why? I live a good life. I have an awesome family. I talk to my mom and dad everyday and tell them I love them. My friends crack me up and I spend a lot of my day texting or messaging them. I love to laugh, although it’s been characterized as more of a hearty guffaw. I truly love my life and consider myself beyond fortunate.

BUT JUST BECAUSE YOU HAVE NICE THINGS OR LIVE A GOOD LIFE DOESN’T MEAN CAN’T BE UNHAPPY – look at Kate Spade and Anthony Bourdain. These are two examples of celebrities who “had it all.” Sorry to burst your bubble but depression and other mental illness don’t give a shit about what you have or don’t. They comes for anybody.

The problem with me is that my damned brain keeps telling me I’m sad – very sad – and you can’t always fight that. Depression is a disease and a deft liar. At its worst it tells me that my family doesn’t need me (they do). It tells me that I’m worthless (I’m worthy) and that I won’t ever feel better again (I always do). But it’s exhausting constantly fighting those thoughts and eventually you start to give way to them. Getting out of bed becomes hard, brushing your teeth is hard, breathing is hard.

Loeb_Family_March2017 (12 of 25).jpgFortunately, what’s not terribly hard is taking care of the kids, even through it seems unsurmountable during an episode. It takes a crazy amount of energy and a lot of pretending that I feel ok but the kids help my tune out the ugly thoughts, preventing me from showing them the sad side of their mama. They’re just too young to see and understand. Luckily, my mother-in-law is on standby and the kids love going to play at her house, so they might see Grandma a little more during the dark days but that’s fine – I’m giving my mother-in-law time with her grandkids and my kids the chance to make memories with their grandma, something I always cherished as a child. And I know they’re taken care of. It’s ok to take some time for you and for self care. Always remember that.

Every single time my little ones are at Grandma’s (and we’re talking a couple hours to a sleepover) I’m ready for them to come back home. They make me happy. And a little crazy, but mostly happy.

 

So, I’m not sure if this makes sense but yes, you can be happy while being depressed. I’m not always glum, dark and morose. The depression doesn’t go away but there are brief respites when the light breaks through and living is not so hard. For me anyway.

I’m lucky to experience those respites as much as I do; some aren’t as as lucky. And I’m especially lucky when it comes to the support I’m given and the resources I have for my depression. You would be surprised how expensive (medication, talk therapy, alternative therapies, etc) it is and how hard it is to find truly good doctors who can meet your needs. But again, I’m lucky. I just happen to have unruly neurons.

 

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Unruly Neurons

by Heather Loeb

I started this blog because I’m fed up with the bullshit surrounding mental illness.

What compelled me to start writing and blogging was when fashion icon Kate Spade (and later celebrity chef and humanitarian Anthony Bourdain) died of suicide. I was so upset about Ms. Spade’s death. Not only did she take her own life but also she didn’t didn’t seek help because she allegedly thought it would hurt her brand.

I was also pissed. I started pounding on my keyboard and opining a letter to the editor to our local paper, the Caller-Times. Here was a wealthy woman who had the means to seek treatment anywhere in the world – treatment that isn’t always available to the average depressed person but she was afraid of what others would think. The stigma of depression is what killed her and is what has to stop. We have to start talking about depression like it’s the deadly disease it is. It’s no different than diabetes, lupus or even cancer. I don’t mean to be dramatic but it’s not just two celebrities who died. I need to confirm this through Veterans’ Affairs, but 22 veterans die each day by committing suicide. It’s an epidemic, people. One that’s largely ignored and considered taboo.

What I don’t get is it affects 1 in 5 Americans – that’s about 44 million people – yet it’s all still “hush, hush” if someone has more than just the blues. Why does this bother me so much? Because unfortunately I have skin in this dark, ugly game. For more than 15 years I have been fighting depression and anxiety. My exact diagnoses is treatment-resistant major depressive disorder (MDD) with generalized anxiety (GA) and social anxiety. I’ve also been diagnosed with Premenstrual Disphoric Disorder or PMDD. It’s a real party.

The worst thing for me about having all these fun acronyms is that for the longest time I didn’t tell anyone, even my family, because of the stigma. People think if you’re depressed or have anxiety that you’re weak. That you have no willpower. That you can’t simply think yourself better, that you’re just lacking fresh air and sunshine. But it’s far from the truth. I’m one of the strongest women I know. It’s hard to go down a deep, dark hole where you feel hopeless and not so much like living anymore. It’s hard admitting you need help, and with that, pull yourself back into the light. It’s nothing but true grit to struggle through each day just to get up and do it again and hope for better. For all of you going through that now – know that I’m here, I understand and that this is a safe place.

I’m Heather. I’m 34 years old, happily (yes, you can be happy and depressed at the same time) married with two children – one girl and one boy. I’m a decent wife, great mother and a pretty good friend. But I do have unruly, misfiring neurons that can make this life pretty hard to lead this time.

Welcome.

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