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major depressive disorder

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Unraveled

by Heather Loeb

A couple of weeks ago I realized that I needed another ECT, but I didn’t admit it because I hate them so much (really, it’s the anesthesia). But after confessing it to my therapist and husband this week, I’ve noticed that I’m not trying to hard to hold it together. And man, I must’ve been trying hard because right now I’m a mess. I’m exhausted and have been riddled with a migraine this week. My old, not-so-healthy coping habits are making an appearance, and I just feel so blah. My limbs feel so heavy and tired. My heart hurts.

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I keep thinking to myself that I put up a good fight — I lasted more than four months without a treatment, but maybe I shouldn’t look at it as fighting. I should view it as fueling up to go farther on my mental health journey, even if it does sound cheesy. The ECTs only benefit me and that trickles down to my family and friends. I’m a better person because of them, and there’s no need to “fight” or deny that I need one. But I do.

So, here I am. I’m depressed, exhausted, fatigued, forgetful and battling a migraine. I’ve been binge eating for the past couple of weeks and have heavily relied on my anti-anxiety meds. I’m irritable, and I’ve been snapping at everyone. I know it won’t be this way forever. I have an ECT scheduled for Monday, so I just have a few more days. It’ll get better, it always does.

I don’t need to lie about anything, because that only hurts me. I have a lot on my plate right now, but if I’m not honest with myself and others, it’ll just keep overwhelming myself. I’ll keep bingeing. I might stay in bed all day. I might even make poorer decisions than those.

But it’s so freeing being honest. I’m not without limitations, I’ve always admitted to that, but I still find myself trying to be everything to everybody and going at a pace that I can’t keep up with.

I’m in pain, and I know it’s temporary, but I have to cop to that pain and honor it. That might sound weird, but remember it’s OK not to be OK.

And I’m not OK today.

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This past week was a hard one. The kids went back to school, and it’s been an adjustment to have the kids at different schools. But we’re getting there.

Both kids had a great first week, and I’ll get used to the new schedule. We all will. I’m looking forward to having more time for myself, but I don’t know how realistic is because I’ve been asked to be a part of the leadership team for the local chapter of the National Alliance on Mental Illness (NAMI). I’m very excited. I’ll be doing their monthly newsletter and speaking at the suicide prevention symposium in September. I’m very honored.

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I haven’t had much time to blog lately, but maybe that will change with the kids in school. You can still catch my column tomorrow and on every other Monday.

That’s it for now. I hope back to school went great for y’all. stay in the light.

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Let Them Be Little

by Heather Loeb

I remember when I was a kid – the summertime was so magical. No homework, project deadlines and no alarm going off at 6 a.m. I try to remember that now as the kids slow down (sloth speed) on their chores and get out of routine.

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But it’s hard for me. I love routine and its cousin, structure. I thrive on both because of my depression and anxiety. The summers are always hard because there’s such disruption to my day as well as vacations and road trips to see my family in Dallas. Even though I enjoy those things, it’s still hard, and I try to cling to routine where I can. I think it’s the uncertainty that gets me — I hate not knowing but with routine I always (almost always) know what’s going to happen and when.

I find myself getting mad about missed chores, Isla sleeping in late in the morning and later bedtimes. I snap at the kids and even my husband, who doesn’t run as tight a ship as I (who are we kidding, our ship’s not that tight), but then reality hits me right in the face. This is Isla’s last summer before starting “real school.” She’s about to start Windsor Park where she doesn’t know the teachers or students. She’s been lucky with JCC, it’s been a second home to her. But next week, she’ll need to wake up earlier, stay at school longer, abide by a dress code and more. It’s going to be an adjustment to say the least.

Then I hear the voice in my head say, let them be little.

So I do.

On the weekends, we stay in the pool on Sunday afternoons until our fingers prune. We float on flamingo floats, sunbathe on a giant unicorn or pretend we’re mermaids. We eat brunch at the Yacht Club, eating more of the chocolate muffins in the breadbasket than our order. We have movie nights where we buy sweets and make popcorn and attempt to watch a movie that never really gets watched. We have dance parties and stay in our pajamas all day.

We have fun because that’s what the summer is about in our house. Our kids are going to grow up no matter how much routine and structure fills their days. I just think we need to add a little fun to their days, too while we can. And a little magic.

What kid doesn’t need a little magic? What ADULT doesn’t need magic?

I know I do, especially right now as COVID cases climb once again. But I’m not too sad to see summer go. I’m looking forward to the fall months, using new fall decorations for the house, buying Halloween costumes, making Thanksgiving dinner, the High Holy Days and more. I’m getting excited just thinking about it. But I won’t get too carried away. I’l enjoy the days of summer we have left as much as I can.

I hope your summer was good. Here’s to a wonderful (and healthy) fall.

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Anxiety Flies Free

by Heather Loeb

Note: This blog was written last week. No airbag sickness bags were actually used, lol

I’m on a plane as I’m writing this, on the way to enjoy a much needed getaway with my husband, but I just can’t get in vacation mode because of my brain. Always my brain.

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I’ve been on at least 20 flights in my life, and they’ve always gone smoothly. But that doesn’t stop my anxiety from putting a damper on the trip. Apparently, anxiety flies for free along with my bags.

Here I sit arguing with myself whether the plane is going to crash. This is what people misunderstand about anxiety — these aren’t fleeting thoughts I have as I’m boarding. No, this is my brain telling me over and over again that I’m going to die despite part of me knowing I’ll be just fine. It causes a physical reaction, and my body becomes full of tension. My head starts to hurt, and despite the comfortable temperature, I’m sweating. I look for the air sickness bag but can’t find it..

I did find a seat in the exit row because my husband wanted more leg room, so then I worry that I won’t be able to get the door open in an emergency. That I’ll accidentally touch the door and get sucked out into the air, and again, die. That’s not a logical thought, and I’m clear enough in my thinking to know it’s illogical. But I can’t stop that stream of thinking. Even with three anxiety pills I may or may not have taken.

I kid, but it’s important to know that anxiety takes over your thoughts and catastrophizes. It’s not like I’m nervous about a job interview or going to the dentist. This is my own treasonous brain, betraying me and making me wonder how my kids are going to live without me with every bout of turbulence.

I can learn tricks to distract myself. I feel I have an arsenal of coping mechanisms, but it’s still hard. My anxiety doesn’t just manipulate me when it comes to death and disasters. There are times I hear that nobody likes me, I’m unlovable and unworthy. It exploits me in almost every aspect of my life. And at times, it’s debilitating.

I can do everything right when it comes to being mentally healthy, but my anxiety will still be there, waiting to pounce. I haven’t been able to escape it since the seventh grade.

Anxiety is all-consuming and causes pain. I know being a friend to someone with anxiety is at times exhausting. I know those struggling need lots of reassurance, among other things, but please know they’re needy for a reason — it’s uncontrollable and scary. Please know that people with anxiety almost always have another diagnosis. According to the National Alliance on Mental Illness (NAMI), some estimates show that 60 percent of those with anxiety also have depression. Some of us are dealing with a lot of demons, and patience and understanding is a must. It isn’t always talked about, but it needs to be.

And just like that we’ve cleared 20,000 feet, and it’s smooth sailing. It’s peaceful, even. A brief respite. I can see everything on the ground, looking so small and far away. I’ve stopped sweating. Worry has loosened its grip on me as we cut through more clouds clouds. I can finally look forward to my vacation.

Right after we land.

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I used to love getting sick. To me it meant all my troubles melted away while I sat around in my jams and watched TV. When I was in school, it was easy to catch up with what I missed. But when I started working, I met with resentment from coworkers and hostility from bosses because I missed so much work. And I was sick a lot, and sometimes I was faking for the down time or because my depression was so bad.

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I wrongly thought that the world stopped when I had a migraine or virus (or when depression hit). I welcomed being ill because I thought it was a Get Out of Jail Free card, and now I know it wasn’t.

A lot of that was the depression talking. I didn’t always care who was inconvenienced by my illnesses, and now the one who is most inconvenienced is me. Go figure.

Today I woke up feeling dizzy and nauseated, among other things. I asked my husband to take the kids to school, but he couldn’t. I asked my mother-in-law to pick them up after camp, but she had an appointment. Some things can’t be helped, and it’s a reminder that now I HATE being sick because there’s only me to take care of the kids. And that’s fine. It sucks sometimes, but that’s the way it is. (Although usually I do have help with my kiddos).

When you’re an adult there’s not always someone to pick up the slack, and there’s nobody to wait on you hand and foot — believe me, I’ve looked everywhere as I love being waited on and adored.

I don’t mean to complain about adulthood (we can do that another time), but my point is that I don’t like being sick anymore because I’m not as depressed. I don’t have to fake a migraine or other illness to get some “me” time. I generally feel good and every morning I’m ready to get up and get going. It turns out, I like being healthy, and I love being happy. I’m truly miles from where I was just two years ago when I was at the psychiatric hospital.

This is progress! I welcome it because it makes me appreciate all the things I’m able to do now because my depression is managed at the moment. And I celebrate that — or I will when I’m feeling better.

To all you moms out there who don’t have help with the kids, I see you and admire you.

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Last night I had a movie night when two of my girlfriends. We didn’t get to hang out much last year (Covid), but we’ve had about two movie nights this year, which is better than nothing. Time with them is something I need. We eat junk, talk through whatever movie we’re watching and laugh. Laughter is the thing I need the most.

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Three friends watching romantic movie on tv sitting on a couch at home

At the end of the night, one of the girls texted that it was fun and thanked me for not canceling on them. For about two seconds my feelings were hurt, but then I realized me canceling plans is status quo. I do it a lot. There are many times I feel good so I make plans but by the time the date rolls round, I’m feeling terrible, depressed and need to conserve energy in order to take care of my kids.

I imagine it’s not fun being cancelled on so many times, but my friends seems to take it in stride. They know what’s going on with me now as opposed to a couple of years ago when I wasn’t always honest about my depression and anxiety. It took a psychiatric hospital stay for me to be upfront about what I was dealing with. The stigma of mental illness kept me quiet before. And since telling them the truth, they’ve been so supportive. I’m lucky to have them. They check in with me to make sure I’m doing OK, and if I’m not, they ask how they can help. And I know they really mean it.

So I read my friend’s text again after climbing in bed and mulled it over. My friend was NOT trying to hurt my feelings. She knew I had a rough week and was acknowledging the fact that I kept our plans despite struggling (and having a migraine). That’s never really happened before. I feel like it’s a sign that I’m miles away from where (and who) I was. I’m better now and I’m coping. I’m not letting depression run my life. I’m evolving.

Depression may win the battle from time to time, but I’m winning the war. All the literal blood, sweat and tears that have poured out of me has been worth it. I look at my life, and I’m so grateful I’m where I am. I fought hard to get here, and I’ll have to be dragged away kicking and screaming.

I’m perseverant, and I have grit. And I’m not going any damn where.

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Getting ready for a cowboy/western themed fundraiser.

I was sick this past week, but I’m starting to feel better. The most exciting part of my week was a woman from the local NAMI chapter contacting me, asking me to be a speaker at their suicide prevention symposium. They’re also going to feature my blog in their monthly newsletter. I’m so happy! I feel like I can reach a lot of people through my writing and this is a great step toward doing that.

Also, I went to a fundraiser last night and several people — strangers — stopped me and told me they appreciated my column in the paper and how I was removing the stigma from mental illness. That made me feel so good. It’s nice to know there are people besides my family reading, lol.

This coming week you won’t see any new blogs because I’ll be on vacation — I’m very excited about that, too. I hope you week goes well, and as always, stay in the light.

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Dear Daughter,

Let’s not rush this. Social media can be so great, a way of meeting others and catching a glimpse of the world you might not see otherwise. But there are sinister parts to social media, too.

My worry is your self-image and self-esteem. Pictures on Facebook and Instagram aren’t always real, and if they are real, they don’t exactly depict reality. It’s hard to tell the difference, even for me at 37. I look at some of the pictures on Insta and I can’t help but compare the thin, beautiful pics of friends and strangers to myself. And if you don’t know, comparison is the thief of joy. I start comparing my body to others’ (whose bodies haven’t been through what mine has) and I’m doing myself a disservice. There’s no reason to compare, and definitely not a reason to compete, yet I do it anyway. We’re all beautiful and special in our own ways.

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You might promise to never compare your body to other’s, but because of society’s toxic diet culture, you’ll end up doing it anyway. It’s in some people’s — industry’s — best interest to perpetuate the allure of being thin, young and beautiful, but just think what it would mean to not want, or need, beauty products, dieting services, plastic surgery and so much more. I don’t think anything is wrong with using said products or services — I certainly do — but I think it’s dangerous to want and need them so badly, to think you’ll be ugly, fat or old without them. Or that you’d be unworthy.

I hope you never feel those things, but I understand if you do. Let me tell you that you are beautiful, not just outside, but inside. You are amazing for more than your looks. You are a kind, loving, generous, passionate kind of girl, and I have no doubt that you’ll grow into a wonderful adult. Because I’m your mother, I want to protect you and shield you from things like body dysmorphia, low self-esteem and eating disorders. I’ve struggled with them for the majority of my life, and it has been no picnic. I’ve dieted and lost the same 40 pounds over and over again. I have had plastic surgery and gastric sleeve surgery. I’m still not thin. I’m trying to be OK with that but can you imagine being almost 40 years old with the same body image issues from the sixth grade?

I don’t want you to go down the same road, and you might think I’m a hypocrite because I’ve gone to so many extremes to be thin, but trust me, the path I’ve taken is full of heartache and self-hate.

You might also think I’m a stick in the mud, but I don’t even want you using filters on your selfies. You don’t need to change a thing; there’s nothing to improve upon, and I mean that as a compliment.

Stay away from bullies and trolls — those people are deeply unhappy to want to hurt others. Don’t waste a tear or a minute on them. I hope if you are being bullied, you’ll speak up. You can tell me anything, I’ll lock it in the vault.

Childhood and adolescence are hard. There are so many changes happening and you might feel awkward but please know every kid feels that way regardless how they act. You’ll get through it, you’ll flourish. It’ll be OK.

I’m always here, and I’ll love you (just the way you are) forever.

Love,
Mama

p.s. Stay off Tik Tok, too lol

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Last week was a good one. I started eating healthier, I worked (jogged) three days I week, I drank fewer Diet Cokes, replacing them with water and I kept up with personal hygiene. It wasn’t a good week, it was great.

Those kids of weeks don’t happen often, not for me. I caught myself thinking about it as a fluke, some hormonal gift that was sure to fade away because doesn’t it always?

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I haven’t had more than one of those weeks in years. I didn’t want to get attached to the idea of it for good reason. Depression has reigned in my brain for too long. It always comes back, and it’s hard to beat.

But I’d be lying if I didn’t say there was a small part of me saying, wait — isn’t this what we’ve been working on? What we’ve trained for? I haven’t modified my behavior, taken all these pills and gone to therapy just so I could tread water for the rest of my life, because damn, isn’t that what I’ve been doing? Getting through the day, weeks, months and even years to only keep from drowning? NO! I have not. I want to live, really live without the ball and chain of depression and its comorbidities.

If I’m happy now, it better not be a fluke. I’ve worked too hard. There’s been literal blood, sweat and tears thrown into my recovery and hundreds of thousands of dollars. Please tell me this isn’t an accident.

I want to believe it’s real, that it’s not hormonal or manic phase. I want to believe that sometimes I can catch a break, at the very least an intermission from the pain and heartache my treatment-resistant depression and anxiety have caused me. And not to mention my family and friends.

I want to live and not just count down the minutes until I’m unconscious again. To wake up and literally smell the roses. I want to be happy and enjoy everything I’ve been given. Some may ask, can’t you do that with depression, and the answer is yes. But having depression is like only seeing in black and white when you know others can see color, that you once saw color. It dulls all your senses and sometimes, a lot of the times, you can’t feel anything at all except for loss. Heavy, penetrating , overwhelming loss.

I don’t want to feel that anymore.

Don’t I deserve a break?

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Anxiety Sucks

by Heather Loeb

When I start my day, I go into autopilot and make breakfast for the kids, get them dressed, pack their lunches and drive them to school. I usually have errands to run afterward, and I try to stay busy.

I look forward to hanging out with my husband (my favorite human), eating dinner and talking about our days. I try to relax, but it doesn’t always happen.

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At night after the kids are asleep and my brain is temporarily relieved of keeping small humans alive, my thoughts start to race. The voice in my head is full of self-doubt, telling me I’m not worthy, that I’m a screw up. So I stay busy – I don’t like to be left alone with my thoughts because demoralizing and exhausting. Sometimes I eat to distract myself from those thoughts, to make myself feel better. Sometimes I binge, only enjoying it briefly before regret and pain set in. It’s a compulsion and it’s hard to control.

In addition to all that, I’m sensitive to noises – loud noises freak me out and make me irritable. I snap at my kids and husband over little things.

This is anxiety, what it looks like to me anyway.

Yesterday I made lunch plans with a friend, and we picked a restaurant I haven’t been to in about a decade. I wanted to seem easy-going, up for anything so I said yes and immediately looked for their menu online and choosing what I would order. I started to get anxious about going out, so I asked my friend to pick me up. I was worried about parking and whether I’d get there first. It’s just easier if I’m not alone. It irritates me though that I’m like this. I’m constantly planning and rehearsing what I will do or say in my brain before (sometimes if) I do it. Sometimes I cancel plans because I get so overwhelmed. I hate change and trying new things. That doesn’t keep me from trying, though.

For instance, next week’s menu is comprised of all new recipes. I don’t have my favorite foods, my comfort foods, planned. And I’m already dreading it.

I’ve been this way since I was in middle school. I was plagued with anxiety but didn’t know what it was, assuming my nervousness and habits were normal. They were not. I had intrusive thoughts, which I still get today. They would be things like my family is going to die, that I was going to die, and included worst case scenarios. It was hard to deal with then, I was just a child.

They’re still hard to deal with. I’ll be interrupted by the thought of my husband or kids dying or that I’d get a painful, terminal disease. Most of the time I’m able to stop the thoughts and reset my thinking, but they leave a gross residue in my mind that’s hard to clean up. A lot of the time, my anxiety manifests as irritability or rage.

I’m not trying to bum you out. My goal is to point out that anxiety is not just being nervous about something. It affects my daily life and sometimes paralyzes me from getting things done and living a somewhat normal life. Others have it even worse. Anxiety presents differently people, so it’s best to be compassionate and empathetic to others who suffer.

To sum up, anxiety sucks.

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