oyceter: Delirium from Sandman with caption "That and the burning baby fish swimming all round your head" (delirium)
[personal profile] oyceter
I've been meaning to write this for a long time now, but I couldn't figure out how to organize it, or what to say, or how personal I should make it. I knew that I wanted to make this (and any subsequent) post public so that other people who are suffering from depression can stumble on it and read it.

I think I'll limit the content of this post to the experience of depression and leave recovery and the experience of having people you care about being depressed to other posts. Also, when I talk about depression here, I'm talking about major depressive disorder, not seasonal affective disorder or the downswings of bipolar, though it may also apply.

I used to read magazine articles on depression and wonder how people could tell the difference between being depressed and being moody, or sad, or angry, all normal reactions to external circumstance. As such, it's easy to go out and say that depression isn't really a mental illness, that it's just a slightly more extreme reaction to things. After all, everyone feels sad or down every so often.

Depression (for me at least) makes it so that the sad, down, grey, dreary feeling is the norm, that anything that brightens your day will quickly pass, that all you have to look forward to is drudgery, misery. [livejournal.com profile] coffeeandink writes that depression is the least linear of narratives; it's an endless loop of self-loathing and recrimination, of a constant lack of energy. Every step forward only leads to two steps back, everything good is temporary, everything bad is forever. It's not dramatic, except for the occasional bursts of temper or crying jags, the suicide attempts or suicidal ideation, the bouts of self-injury. Even these are relegated to monotony; from the inside, it's only an increase in the level of misery. It will go away, but only for greyness to take its place, only to lurk around and come back another day when you're more susceptible.

That sounds bad enough, but the problem is, that's only the foundation. I don't know which is the cause and which is the effect, but on top of this drab existence is self-loathing, disgust, anger at yourself, at your friends, at your family, at the world. There's the bone-deep conviction that something is wrong with you, and that it's not a mental illness, but a character flaw. There's the thoughts that while other people have real and serious problems, you're only being weak and selfish. Other people suffer from depression; you are just stupid and lazy and fat and ugly.

I hope this doesn't sound romantic. It's not. It's tiring and boring and repetitive. After a while, you get sick of yourself, you get sick of your own misery, but the worst part is that you still can't stop. The suicide attempts and self-injury look like action, the anger and the crying jags are extreme emotion. But the day to day is feeling so worn down that the thought of getting out of bed to shower is too much. And you know that this is an easy thing, that everyone in the world over the age of six can do it, and yet, you continue to lie in bed while people tell you that you're going to miss class, miss work, miss going out. And you care, but not enough.

Everything in depression feeds into itself; you can't be depressed because you're just lazy and selfish, so you resist treatment. Labeling yourself as depressed is just a way out, it's another excuse, another act of selfishness that takes away from the seriousness of the disease. You're so mired in self-hatred and pain and lethargy that you can't imagine another way of being; you convince yourself that this is normal, that the brief moments of happiness are all you'll ever get. You remember the happier you of the past and believe that that person is dead and gone, or you remember the you of the past and can only hate yourself more for all the things that have gone wrong.

You lie there, unable to do the simplest things, while everyone around you gives advice and means well, but you can tell that they don't understand why you can't just get up/clean your room/write your paper/answer email. You feel like an even greater failure. Or else you rage at yourself for lacking the willpower, for being a failure, for being wrongwrongwrong. Then you hate yourself even more for being a horrible, ugly person, even as you alienate the few people who are still sticking around. You want to make them see how awful you are, make them leave, even while you're desperate and lonely and terrified of being abandoned. You test people to make sure they'll stay, and nothing is ever good enough. You cry without knowing why.

There's so much self-destruction underlying this, there's so much self-hate. You hate yourself so much, not passionately, but with a dead, grey certainty, that anyone who sees anything positive about you must be deluded or stupid. You sabotage everything you do. Your brain is your worst enemy.

Sometimes it gets so bad that the only thing you can do to make it stop is to hurt yourself physically, to scratch or cut or drink, to distract yourself from the pain that your life has become. Sometimes it gets so bad that the only thing you can do to make it stop is to think about everything stopping, when the only way to not hurt is to not be. Sometimes you only fantasize about these things and shy away, and instead of this being a good thing, it's only another sign that you're not really depressed. Sometimes you read about these things and know that you aren't there yet, so you take it as a reason why you are just messed-up and not mentally ill. Sometimes you are there, and you take comfort in the cold planning, convince yourself that everyone you know would be better off if you were dead because your very existence wrecks everything.

And then, when you can't go through with it, that's yet another thing that you fucked up, not a reason for celebration, because your life isn't worth celebration.

Depression is a disease. It's the worst kind of disease, one that takes over your entire self and convinces you that it's the real you. It closes you off in your own self-contained world. It flips a switch in your head so that any criticism or frown means that you suck, that any praise only means that you will disappoint people later. It translates "I like you" to "I liked you the way you were and now that you're like this, I'll abandon you." It takes everything good and twists it. And then, after it's done all this to you, it convinces you that you aren't sick at all, that this is the world, that this is reality. Or even if you do realize that things aren't normal, you lack the energy or the desire to make things better, because you don't deserve it.

And the worst part is, even when you're armed with knowledge, the voice in your head still goes on and tries to convince you that you are worthless, takes anything around you or in you and turns it into a weapon.

More smart people write about depression:

http://www.livejournal.com/users/rachelmanija/10020.html
http://www.livejournal.com/users/rachelmanija/104788.html
http://www.livejournal.com/users/rachelmanija/107785.html
http://www.livejournal.com/users/coffeeandink/298674.html
http://www.livejournal.com/users/clementine13/47906.html

Index of "On Depression" posts
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(no subject)

Mon, Dec. 26th, 2005 04:09 pm (UTC)
ext_6428: (Default)
Posted by [identity profile] coffeeandink.livejournal.com
Thank you for posting this.

(no subject)

Tue, Dec. 27th, 2005 01:06 am (UTC)
Posted by [identity profile] cdew.livejournal.com
I was pointed here by a close friend who I've kept up-to-date on my own battle with the depression - very apt description. I've only recently put the label to the 'problem' and there's still a sense of guilt of it being a character flaw, but it's manageable. I tend to be able to keep a sense of humor about it and put on a good face (recently dubbing myself Depression Girl, with the tagline "when adversity strikes, she curls up in bed"). I've hid it so well that many of my close friends were surprised when I said I was going to see a therapist, but most have been supportive once I described what I went through day to day. What gets my goat is when people who have never known depression brag (unknowingly) about their own mental health and capacity to deal with problems. I can't think of any examples at the moment, which weakens my point, but it is a pet-peeve of mine.

I'd like to suggest good reading material: 'The Noonday Demon: An Atlas of Depression" by Andrew Soloman is a very intelligent, well-researched book that covers all angles: the nature of the disease itself, treatment (including anti-depressants, pros and cons), history, suicide, prejudice, etc. The author suffers major depressive disorder himself and thus gives an enlightened angle to the discussion.

I think most people are reluctant to try anti-depressants because it seems 'inauthentic' - the old existential crisis. "If I take a drug that 'makes' me happier, then that happiness isn't really true, and I'm making my whole life artificial." Or, "...there really is something wrong with my life, and taking an antidepressant will make me complacent to that." However, it's my understanding that no drug on the market can 'make' you happy - it's only a tool to make it easier. If you (like me) are battling a biological pre-disposition for depression, it might very well be a futile, or almost futile, effort to do it without shifting the chemical balance that hold you down in the first place. It seems an antidepressant can only change your functioning, not your character - you're good or bad person whether or not you're depressed. In my experience, nothing makes me more complacent with the status quo (despite a simultaneous hatred of it) than depression itself. If the anti-depressant I just started taking will help me bounce-back from my setbacks more quickly and easily, if it can help my sleep problems and give me more energy during the day, and thus more energy to tackle the other problems in my life, I don't see that as either inauthentic nor promoting complacency.

(no subject)

Tue, Dec. 27th, 2005 09:54 pm (UTC)
qiihoskeh: myo: kanji (Default)
Posted by [personal profile] qiihoskeh
It's a bit late, but I was just able to read this now. Coincidentally, I'm feeling depressed right now. And I don't even have money for razor blades.

My medication helps some. My chanting helps some. My living in fantasy land helps some. But sometimes not enough.

I hope you get the comment notification.

(no subject)

Thu, Dec. 29th, 2005 10:20 pm (UTC)
qiihoskeh: myo: kanji (Default)
Posted by [personal profile] qiihoskeh
Sorry, I'm a bit short on friends and have been relying too heavily on acquaintences. Many apologies. My judgment about comments probably isn't very good; this will be the last comment for I guess a long long while -- I'll move you off default view to avoid temptation. BTW I'm feeling better now. And if I may say so, you give the impression of being a relatively strong person. It amazes me that someone who is depressed is able to do as much as you do. I'd better stop here, but I did want to say that.

Bye.

(no subject)

Sun, Jan. 1st, 2006 07:07 am (UTC)
Posted by [identity profile] fondued-jicama.livejournal.com
May I quote parts of this for my highschool newspaper? And if so, what name shall I credit? =)

(no subject)

Fri, Jan. 6th, 2006 03:29 pm (UTC)
Posted by [identity profile] amilyn.livejournal.com
Thank you.

(no subject)

Tue, Oct. 24th, 2006 04:48 pm (UTC)
Posted by [identity profile] hawkelf.livejournal.com
Thank you for writing this. Very much. [livejournal.com profile] fondued_jicama directed me to this post, and I usually don't comment... but thank you.

depression

Tue, Jan. 16th, 2007 03:31 am (UTC)
Posted by (Anonymous)
That was beautifully written and to the point. But why am I here reading it and why are you writing it? We must both run like hell from this so-called disease and not indulge it. I am convinced that to even admit its existence and give it a name feeds it. Why feed a thing that eats you?

(no subject)

Wed, May. 16th, 2007 07:12 pm (UTC)
Posted by [identity profile] fey-as-hell.livejournal.com
Thank you. This post speaks volumes about the condition.

(no subject)

Sun, Dec. 9th, 2007 11:24 pm (UTC)
Posted by [identity profile] fondued-jicama.livejournal.com
Thank you for being brave enough not to flock this. I've used posts like this so many times, I can't count them anymore... but this is the only one that hasn't become filtered after a while.

So accurate.

Tue, Jun. 24th, 2008 12:53 am (UTC)
Posted by (Anonymous)
Wow, you just described my life for the past two years with uncanny precision. I guess it really is that textbook. Crazy. (lol bad choice of word?)

(no subject)

Thu, Dec. 18th, 2008 10:59 pm (UTC)
Posted by (Anonymous)
Thank you for writing this. It is very well written and pretty much hits a lot of points that several people go through.

Spot on

Wed, Dec. 30th, 2009 05:05 pm (UTC)
Posted by (Anonymous)
This is so well phrased. Although I am in tears, I feel a little better reading it, knowing I am not alone in feeling like this. I came across your post by googling "depression is just an excuse for character flaws", in my latest attempts to pretend that my depression doesn't exist, that I could shake myself out of it if I really wanted to. It doesn't work, I've tried before - but as you say, it is part of the cycle.

I suffered with depression certainly since my teens, and probably since childhood (I'm 38 now). Sometimes it goes away for a while...but it always comes back. There is no "beating it" for me, I just have to live with it...and sometimes that is very difficult. There were times in the past that I was happy - I can remember it with my brain, but I don't really believe it - that seems like a different person to me now. In the same way, during the times of "normality" I know that I sometimes get depressed but I underplay it, underestimate it, forget its intensity until it creeps up on me the next time, subdues and smothers me - how can I forget this pain?

One thing I find that does help me is travelling - I'm not sure whether it's the constant and varied stimuli, the sunnier climes or a sense of adventure that does it. I've spent a total of four years backpacking, and I remember that the first time I went away, on a year-long round the world trip, it was as if I were reborn. I'd been depressed for so many years that I'd forgotten it was possible to feel any other way. In that first week I changed from a pessimist to an optimist; I found myself loving life. The positive effects lasted for over a year after I came home. It was an big blow when the depression returned.

I usually travel alone, and I think that helps (I've always been a loner - I worry about contaminating others with the poison inside of me, so feel more comfortable alone). I've been mired in this current bout of depression for a couple of years now, and have recently bought a flight to India, I hope to spend a year between India and Nepal. So there is light at the end of the tunnel for me now. I can't see it yet, but I know it is there. Until then I just have to endure the pain.

Best wishes - and thank you,

Serena
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