Written 5/23/2013
In my post about the most embarrassing experience of my adult life I told you of my misuse of the word stigmata. In my very lame attempt to start this post light, I am using that title as a joke.
This post is actually about the stigma of mental health and drugs, as they relate to yours truly. Opinionated and/or judgmental friends and family may not want to read. Because once you see something, you can't unsee it, right? You've been forewarned. If you want to read something funny and light, I recommend reading
the most embarrassing experience post.
My girl and I hadn't seen each other in years. In true fashion of us both being oversharers and great listeners, we talked about
everything.
During our 3 hour visit she confided in me that she is on
medication for depression. We dove head first into the topic.
I told her about my self diagnosed SAD and how in previous years I was able to get through it because each night I would
have a mini wasted face party. The next day I would go through the
motions until I could self medicate again with booze. But since I was sober this past winter I decided it is in everyone's best interest if I go on medication for the upcoming winters.
She told me I should start to try out drugs
because of potential side effects. I told her that creeped me
out. I just wanted to be on something for those really bad months that
I've pinpointed and that's it. She said "It's not that easy. I had to try out a few before finding what worked for me.".
She
then told
me how open she was with her doctor. I was flabbergasted. "You did NOT
say that to him!?" She responded, "Marsh, how are they truly going to help
you if you aren't completely honest with
them?".
That conversation was about 6 weeks ago.
Recently I went in for my annual and spilled
the beans.
All of them.
I told my Ob/Gyn that I quit drinking a year ago
and since then I became aware of the frequency and severity of my moods. Since September I've tracked my periods and rage
days, which typically happen 12 days before the start unless my period is a few days off.
She asked me to describe my rage.
I told her that the physical sensation is that my body tenses up and I start to sweat and can feel my heart race. I scream as loud as I can.
The mental response is I am willing to sever relationships with anyone in that given moment. That I haven't punched anyone or anything yet but the thought has been there. I have absolutely no apathy and couldn't care less about what is happening to anyone besides me.
She asked how often I drank and I told her it was 3-5
drinks a night averaging 6 days a week. Her eyes widened but she kept cool and typed it into my permanent record. She asked if I ever drank in the morning, to which I truthfully replied no. I explained to her that drinking was my celebration for getting through the day. I also explained to her that I had been drinking like that from age 19, not just since having the kids. She asked if I considered myself an
alcoholic and I said I do because of my 2 attempts to drink again in moderation
after I quit. She asked if I went to meetings or rehab and I told her no because of my husband's sporadic work schedule. She said that must have been very difficult and I told her, with a shaky voice and tear filled eyes, it was extremely hard for the first 5 months. She thanked me for being so open with her.
My doctor asked me if there were ever
days I stayed in bed all day. I laughed and said "No." then followed it
up with, "Well, there are days I leave the bed but not the house. I
lay on the couch all day and let the boys watch movies or play inside." She said, "So
you only get out of bed because you have to for the boys?" Me, "Yes.".
My truth telling resulted in my Ob/Gyn diagnosing me with PMDD,
Pre Menstrual Dysphoric Disorder.
The doctor prescribed Prozac. She put me on half the daily dosage amount that people with depression are prescribed. I asked if it was habit forming and she said
not at this dosage. She also said that some women choose to only take
it for half of the month. That it has the same effect as being on it
all of the time. That is the option I chose.
I've mentioned before that I am anti prescription drugs for myself. That I attempt to control my self diagnosed depression with awareness, changes in diet, Vitamin B, amount of sleep, increasing physical activity, avoiding negative people or situations, etc. I can't do it anymore. I'm over it.
The remainder of the day after the appointment while my mind raced I cried good and bad tears. I felt so validated by having a medical professional diagnose me with something I've known has been debilitating me since the 7th grade. But it was/is so difficult to come to grips with accepting it. With actually giving in to the fact that it is out of my hands. It is something I can't control no matter the preparation and attention I give it. But then the relief comes in again about finally getting a break. Not having to try so hard to be "normal". Then there were paranoid thoughts about my doctor just writing a script because of big brother Pharma. That it's easier to put me on drugs than have a discussion. But, she and I did discuss all the attempts I've made at thwarting my downs.
When my husband got home from work I told him how upset I was about the prescription. About how I don't want to be viewed as a crazy person. That once I take that first pill, I am forever checking that box that I have taken anti-depressants. My husband said that he had no idea it was bad enough where I would even talk to a doctor about it. He was surprised I am actually somewhat receptive to taking the medication. He said, "I'm surprised because I'm so modern medicine but you aren't.".
His statement transported me back to the convo with my girlfriend from 6 weeks ago. We talked about how absolutely ridiculous it was to put into our body the amount of substances we did to try and feel "ok" all the while shunning prescription medications that are designed specifically for helping with mental illness. We wondered why we both did it. And why for so long.
We talked about our moods and downness. About how difficult it is to not be
able to just "power" through it, especially since her and I are
fighters and can typically do anything we put our minds to. We were professional women with loving families and friends. We had our health, our looks, our humor, everything. How do you explain to someone who doesn't know what it's like without feeling like a wuss? Her and I connected that night. We recognized how hard it is living with the
fact that we know there is something wrong inside of us and the only thing we can do is ride the wave. That we can attempt the natural remedies but that mostly just adds to the exhaustion, feelings of worthlessness, and unbelievable hope.
We realized the reason we were turning to substance abuse was because it was more socially acceptable. It's ok to go to happy hour and throw a few back or crack open the bottle of wine once the husband gets home or kids are in bed.
We didn't get help because of our fear of the stigma of being labeled as "another crazy girl
on her crazy pills" with the motto of "let's just pop a pill and avoid
reality.". There are drugs for blood pressure, diabetes, erections, asthma,
migraines, nausea, pregnancy prevention, etc. but taking anti-depressants
makes you weak and looking for a cop out.
That's what people think, right?
Well, think what you will. I took my first pill this morning and under my husband's strict supervision and open communication with my doctor hope to find this as a much needed aid in helping my mental health.
I would like to send
a special shout out to my girlfriend who opened my eyes to the
possibility of receiving the diagnosis. Had we not had that
conversation I wouldn't have been as open with my doctor. I would have
kept thinking it was depression and kept attempting to "heal" myself. Although PMDD can be a result of untreated depression, at least I got a dialogue started with the white coats and we can go from here.
As with all of my posts that seem "incriminating" or like they could potentially cause a negative response to my family, I have asked for my husband's approval to post this.
For every one of you that is sitting there shaking your head wondering why I would put this out there, please know that it was very difficult for me. This is not an attempt to get attention or help, I already got that from my doctor and husband. I am putting it out there because I'm pretty confidant there is at least one person out there reading this and thinking, "Wow, I'm not alone.".