Thursday, November 12, 2015

Battles from the Inner War - On Clinical Depression (6-21-2013)

Battles from the Inner War

Joe Stay

Alissa Davis wakes up early today, very early.  The darkness seems to be weighing down upon her like a thick blanket that does not comfort her nor does it keep her warm.  It is smothering.  The daily battle of bed versus work commences in its usual hopeless way.

The year is 2010, and the place is Portland, Oregon. 

Alissa doesn’t know which side of the battle will win today, but she does know this.  Whichever side reigns victorious, she is still losing the war regardless.

If she could have her way, Alissa would remain in bed.  She would never leave, not today, not any day.  But she has to get up for her job at Target, where she works every day early in the morning as a stocker.

She dreads having to go today.  She always dreads having to go.

Alissa finds that at her job, she gets down on herself over the very simplest of things.  In the mindless work of moving boxes and organizing products she has plenty of time to think and to dwell on the unhappiness that is consuming her.  She has little to no energy, and has trouble keeping up with her coworkers.  What’s worse is that the supervisor’s dominant opinion of her was that “she’ll never do anything right.”

“I was failing, losing my ability to live,” Alissa says now of those dark days three years ago.  “I was never suicidal.  I made that choice.  (But) everything was shutting down.  I didn’t feel like anyone could help me.”

Alissa had suspicions that there was something terribly wrong with her way of thinking, and that it went beyond simply feeling “blue” or “down.”  It wasn’t until she was fired from Target, however, that she took the matter seriously enough to go see a doctor about it.

It was then that Alissa, then and now a college student, was diagnosed with clinical depression.

Being Diagnosed

Being diagnosed with clinical depression, also known as major depressive disorder, wasn’t a surprise to her or to her family.  She had had these feelings for some time, and they had only been amplified when she was working those early mornings at Target.  As for her family, the women on her mother’s side were almost all manic depressive.

According to the Department of Health and Human Services, major depressive disorder is characterized by biological, psychological, as well as social factors.  In spite of her struggle, Alissa says she is very grateful that she is not at this point haunted by manic depression, which is a genetic commonality on her mother’s side.

It has been difficult with friends and acquaintances however, she says.  “They think that somehow I will pass it on to them,” she says.  She adds that because of the erroneous thought that depression gets passed around as would a cough or pink eye or some other contagious illness, her clinical depression alienated many friends and acquaintances.

Alissa admits that being around a depressed person can instigate depressive moods merely by suggestibility, but also laments the indifference and opposition she has received from some people around her.

Since being diagnosed, she has been regularly taking three medications to help her fight her battles and win her war:  Azomdal, Lexapro, and Anamectal.  Unfortunately, as medicine goes, they are not little magical pills that go in and kill the depression right away.  To this day it continues to be an ongoing battle for her.

“It is very easy to think down on yourself,” Alissa says of her daily struggle.

She also noted on some of the many ways that her depression can be triggered.  In the quick-paced academic life she leads at Brigham Young University-Idaho, she is constantly bombarded with the expected presence of homework, tests, papers, etc.  If she does not do as well as she would have hoped on any of these, if she does something wrong or not the way she intended to, she will come down on herself.  Hard.

Her frustration and depression then outlets; she says that she will get angry at the people around her for nothing that they personally have done.  She will get extremely worried about what will happen and the consequences for having done so “poorly” on her assigned work.  She will begin talking a lot but hardly being conscious of the words that are coming out of her mouth, or if they even make sense.
Sometimes her depression can come on the way back from a positive experience.  If something amazing happens to her one day, it is not uncommon for her to sway to the other extreme the very next day.

“What goes up must come down,” she says.  “It’s like a high and a low.”

The people around her have influenced her negatively as well.  She tells of a semester in which all she could do to keep herself afloat was to lock herself in her room and bawl her eyes out when her unsupportive roommates were not around, or to simply disappear for a small period of time to go walking, driving, or simply to be alone.

“My room had become a prison,” she says.

Fighting the Battle
Alissa notes happily that this semester she finds herself surrounded by good friends and incredible roommates that not only are supportive of her, but know what she is going through.  Some of them experience the same type of depression that she does, and all of them at least have had exposure to the life events characterized by highs and lows.  In fighting her depression, Alissa claims that “the influence of people around you” is a huge factor.

She also has little things that she does for herself, what she calls “self-care” projects, that in addition to her medication she uses to fight the depression.

“I work on positive thinking,” she says, “like happy thoughts.”

Some of the things she does for herself besides remaining cognitively optimistic is to eat at regular times and not let her mood convince her to eat less or more than that, to have a consistent and early bedtime, do uplifting things before going to bed such as reading her scriptures and avoiding looking at a screen, and listening to calm music.  If she slacks on any of these, she says, she is likely to have horrifying nightmares, which also plagued her before she was diagnosed.

Alissa has also participated in counseling, and has had both good and bad experiences with this treatment.  She despised working with her counselor from family services.

“He told me it was all in my head,” she says.

She emphasizes the importance of having the right counselor, a counselor tailored to her needs.  She found hers in the weekly counseling she receives at the BYU-I campus.

“Here I have exactly what I need,” she says, asserting that visiting with an LDS counselor assures a spiritual value added to her treatment.

She says that her doctor also has good advice, and that some doctors are better than others.  The one she is seeing now, for example, speaks to her on her level and helps to keep her uplifted.
Especially, Alissa emphasizes that happy people around her makes her happy.  She notes that even her roommates who have depression choose to be happy and so help to uplift her.  People who care and people who listen when she needs to talk have been her salvation, she says.

Winning the War

Though major depressive disorder is a lifelong struggle, Alissa says she is confident that things will get better.  She has come up with many ways to edge the depression out of the picture as much as possible.

“Never ask that stupid question, ‘Why me?’”  she says.  “There’s always gonna be hard times.”

There are other things one shouldn’t do, she says.  Outlets that dwell on the poor emotional state, such as writing dark poetry, watching depressing movies or listening to sad music, are a sure-fire way to never make one feel better.

“The little pity parties don’t help any,” she says of this.

She further adds that taking little steps and remaining positively social is a major factor.

“Don’t let people tell you that it’s not real,” she says.  “Don’t keep the people around that get you down.”

She adds that negative and sarcastic people are a poor influence on those who suffer from depression.

For her, God has been the greatest source of all.  In her life, she says that He has made Himself manifest as she studies the Atonement of Jesus Christ, searches and studies the scripture, and keeps meaningful, positive journal entries.

“Never give up,” she says, “and never give in.  Don’t stop helping (people.)  Every day is a new day, even if it feels like it’s never going to change.  God is on your side.”


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