Category Archives: depression

Inviting the Dragon to Tea

I don’t have an appointment with my therapist since I am seeing him as needed. I emailed him the dragon slayer story. He suggested that I should invite the dragon in for tea. When he starts saying I am worthless, a failure, no good, I will argue with evidence to prove that is not true, I wrote something, listing some of my qualities. I can’t get out of the values assignment.

Dragon silhouette

I saw an ad on Linked In for a site called Share Well, sharewellnow.com It is a site for hosting video support groups. I went to one on depression tonight. It was pretty good. After you go to one, you can sign up to host. I made one for psychosis and/or mood disorders for the 15th. I am going out of town the 6/8-6/14. I set it for one hour. I am hoping people want to talk but I will prepare some things in case I need. They are free sessions. If you are an expert, you can charge people to attend.

I went to a family gathering, my husband’s side. I went off by myself quite a bit. His family is friendly, no one was bothering me, I just did not feel social. At one point I left and sat in the car just to get away.

My car airbag light turned on. We had to get it fixed at the dealership $1000. I was not sure if we should get a new car but my husband pointed out that we can’t sell a car like that. I do want a newer car, but everything is so expensive right now.

Dragon Slayer

.

My therapist decided that I am doing well enough and run out of things to say, so he will see me as needed. I was feeling down earlier this month and he was able to give me a phone appointment.  I had an epiphany of sorts, maybe obvious to others but it struck me.

Image: Dragon silhouette

I was raised that you were valued for performance/achievements. So, any time I feel I did an inadequate job I think  I am bad/worthless.  So, little things can spiral me into depression.  

I emailed that to my therapist and this is what he wrote back:

       ”  do two things:

first, list the values you would choose to measure your life by then how you see yourself adhering to it…..

second, would you use the same standards that you grew up with to measure your children’s worth or value…..

write this out…..

lastly keep the things you have written out to re read anytime you begin to experience these thoughts….. and shame that comes with it”

There is no time limit since I don’t have another appointment set, but I have started thinking about it.  

I went to a journaling group on zoom last night. Everyone has some kind of illness so I can talk about mental health and it is not weird,

They have different prompts and you choose one and write for 10 minutes, then you can share. I usually share,

The prompt I chose was fighting your metaphorical dragon.

This is it, It is really rough but I like the imagery. 

The dragon in my life is negative core beliefs. I was raised to believe that how you performed was related to your worth. Whenever I think I did an inadequate job, I think I am a failure and worthless, I fall into a pit rapidly.

To fight my dragon, I would face him head on at first. I would yell and stab at him to get my anger out.

Then I would turn away in disbelief.   The dragon is not real, but I am keeping his image alive.  When I stop believing he will get smaller and smaller until he disappears.

I will rejoice and not miss him when he is gone.

Update

Image: Yellow smiley face

My therapist was able to fit me in with a phone appointment on my lunch break Monday. He validated my feelings which helped a lot. Then, he gave me cognitive behavioral therapy homework to find evidence about being worthless, a failure, etc. There is no deadline. I don’t have a scheduled appointment. I will let him know if I need an appointment. He is going to retire soon.

Then, I talked to the assistant to my boss, I don’t know her title, and told her how I have been feeling. She said she has had no complaints from anyone about me. That helped, too. I made sure to document my encounters this week and this month already looks better.

I have a LinkedIn friend, I don’t know if we have met ever, who volunteers in my field. She mentioned she was looking for work. I told her we had an opening, part time and how to apply. She jumped on it and got the job. I think today is her first day. I hope it goes well for her.

I saw my new psychiatrist. He works in the same office as my last one, but he is covered by my insurance. I don’t know what to think of him. He barely spoke to me, just checked boxes while I talked which was off putting. He took a personal call. I am maxed out on the meds I take and he thinks my antipsychotic is too high, so he decreased it and told me how to taper down. No one has wanted to change my meds because they are working. He does not want to see me for 3 months.

I am a little worried I will destabilize in that time. When I made the appointment for August, I asked if they can switch me back to the other doctor when they get the insurance worked out. They put me on a list.

Sad

What do you do when all your coping skills only help a little?

Image view of blue sky from hole in ground

I am in a pit. I know it will pass, but it feels agonizing. My dog and husband try to comfort me, it helps some. I had thoughts of not existing but I have decided against that. I am here to stay, even if I am miserable. I want to quit things that cause me stress. My husband wants me to wait a month to make Important decisions.

I am not sure what I would do with more free time. My therapist moved my appointments further and further out because I was doing well and had trouble coming up with things to talk about. So, he moved me to “as needed”. Now, I need it but I have to wait for a time he can fit me in. I see my third psychiatrist this year next week. My insurance has been denying claims.

If you have any tips on how to ride this out please comment

What is one thing you have always wanted to do?

Image palm trees and water

I saw my therapist today telehealth. One thing he asked me was what do I do for fun or to relax. My knee jerk reaction was that I don’t know how, but I corrected myself. I am a couch potato but I enjoy computer games. I am happy on my couch with my dog typing right now. He asked what is one thing I have always wanted to do, for example, travel, and would I be disappointed if I never do it. I rarely travel, and would like to, but I don’t have a dream destination that I would be upset about not going. I can vacation in my backyard. We go on short overnight trips about an hour away that I enjoy.

It did get me thinking, though, I want to visit my sister in Boston when the weather is nicer. She suggested summer or fall, I have been there once when she first moved but it was a different house. She has a lake she likes to go to that I want to see. I can start planning that trip. My nephew is getting married out of the country but I don’t think I will go. I would like to but it won’t upset me not to be there. Just the coat is too much.

I have new health insurance and took a survey and the result said I am depressed but I feel fine. I am going to ignore that result.

I joined this zoom journaling group through the Mighty. I know everyone has a health condition, not sure if it is all mental health. They list prompts, give 10 minutes to write, share and then repeat. It goes for 3 hours but I leave early because I have another zoom, DBSA later. I feel like my writing is rainbows and puppy dogs and other people go deep. They are nice to me, I can’t go this week but I think I will continue. I know I have other emotions they just aren’t being prompted.

i zoomed with endocrinologist after therapist.My labs were good. I told her I stopped keto in dec and don’t want to go back to where I started but I don’t like logging food and counting carbs. She said I can visually see if my meals are less than 1/4 starchy carbs. I fill myself up with veggies. Beans are my main starchy food. I can do that.

I got a call from an old co worker. we worked at an activity center for adults with mental health issues. we have both moved on. he is now working at a new peer advocacy non profit, I don’t know if it is the grass looking greener. I am content where I am but get antsy when I am not busy I have a lot of down time that should change once I can get trained on some more tasks.

Intermittent Fasting (IF) and Stigma in Plasma Donation

Image of insulin and glucagon levels over time source Digbi Health

I saw the image above of how insulin drops between meals and while fasting. While insulin is low, glucagon can burn body fat. I was intrigued. I am 10 lbs away from a healthy BMI, but still have abdominal fat. I am type 2 diabetic and asked my doctor if fasting would be safe. My glucose is pretty well controlled and I don’t have hypoglycemic episodes. She said it is fine, but recommended 12-14 hour fasts. Which is mainly cutting out the nighttime snacking and eating breakfast later.

So far, no change. My weight has been stalled for awhile. My diabetes medication was reduced in June and my biometrics went south. Glucose up, ketones down, weight up. Thankfully, that stabilized but I can’t get my weight to go down. I log my food on an app (Cronometer) but sometimes I estimate weights. I am going to have to get better at calorie counting to start losing again.

So I am gung ho on intermittent fasting. Watching Dr Fung YouTube videos. Then, I saw this study. https://pubmed.ncbi.nlm.nih.gov/34135111/
A randomized controlled trial to isolate the effects of fasting and energy restriction on weight loss and metabolic health in lean adults

All I can see is the abstract and I heard a review but this is what I got out of it. There were 3 groups. One calorie restricted, one calorie restricted (same as group 1) but alternate day Fasting and a third group with no calorie restriction. The calorie restricted groups both lost the same amount of weight but the non fasting group lost more fat.

It was a short study 4 weeks, I think, and these were lean adults. Also, they were doing longer fasts than I am. But, I don’t know what to make of it. I would have expected the fat loss to either be similar or more for the fasting group since they have lowered insulin during the fasting period. if anyone has any insights let me know in the comments. I will stay with 12-14 hr fasts and keto diet for now.

I tried donating plasma at a donation center. I tried calling ahead to ask about restrictions but they do not give that information over the phone. And, they don’t take appointments for first time donors so I had to walk in and wait. For what it was it was not too bad. First someone checked my veins, which are fine. Then I had to fill out a bunch of paperwork. Then, I watched a video on plasma donation and read through a manual for first time donors.

Then, a woman, I don’t know her title, took me to an office to go over my paperwork. She got to the medications and asked what each was for and looked them up in a huge book. I take 7 medications for various conditions. After she goes through the medications she goes over them with me.

Most were fine. I take antidepressants but as long as anxiety and depression are under control it is fine. But, I take metformin for diabetes. She said that is a temporary deferral. If I was off it for a year I could come back. I don’t know what the likelihood of me maintaining my diabetes by diet alone is, my husband is able to, so possibly. Then she got to abilify which is an antipsychotic although it is sometimes used along with an antidepressant for depression. But, I told her I take it for schizoaffective disorder. That is a permanent deferral.

Bone marrow donation has the same policy. It is not the safety of the product. They consider me a safety hazard. I have been stable for 15 years but still people are afraid of me because of a diagnosis. They should have a sign out front: schizophrenics need not apply. So, I would not have had to waste my time.

Discombobulated Thoughts

I had therapy, virtual, on Wednesday.  I went over what was going on in the present.  Then my therapist started asking questions about when I was school age.  Jr high and high school were not the best years of my life.  I had a friend drop me in 8th grade to hang out with more popular friends.  I had a boyfriend in high school who was very critical and was sometimes mean.

Creative Commons girlshealth.gov

My home life was horrific. My father had an undiagnosed, but quite obvious in hindsight, mental illness and my brother had a severe psychotic disorder. He was nice, just a bit scary to me. Everything was unpredictable. My dad would be fine one day and raging the next. I could not deal with being there so I spent most of my time out, with friends, drinking alcohol or smoking weed. I was very sad, and quiet.

After answering her questions she asked for my thoughts and I said they are discombobulated.  I don’t know what to think.  So, she told me to write down my discombobulated thoughts when they come to me.  She used my own words but I don’t  what she wants.  I am going to email mon.

She gave me other homework. To write what you can gain from AA, without spirituality. That is easier for me. I belong to a secular AA Facebook group. I tried one meeting but I felt out of place and have not looked at others. I did think the accountability and recognition for time sober helped me. I have not gone to meetings lately but I am staying sober,

Moods and Sobriety?

I noticed it in the tone of my texts. I am insignificant I told a friend. Another friend asked me to be on a podcast. At first I said yes, but now I am having second thoughts. No one would be interested in anything I have to say

My husband held me, the dog licked me and my son texted he loves me. I can’t feel it. I just feel sad 

I have schizoaffective disorder and take antidepressants and an antipsychotic.

Maybe it is a response to sobriety?  I am not going to drink  I will probably try to get sleep instead

The Abyss

I won’t pretend to know what Nietzsche meant by “the abyss gazes into you”. The quote came to mind as I feel like I am at the edge of an abyss, gazing into the void. I feel empty. I am ashamed of who I am. If people knew who I really am they would turn away in disgust. I want to disappear. 

I spoke of how sad I am. How I feel I have done terrible wrongs and should be banished, at a support group for mood disorders. The moderator talked about dbt and eventually got around to mindfulness. I have been trying that, but there are too many thoughts. It is hard to focus. Then he mentioned that my self-deprecating thoughts could be a symptom of borderline personality disorder.

That would have been fine, if he had a basis to suggest that, but he just pulled it out if thin air. I went home looking at the symptoms and anxious to talk to my therapist. I was a little anxious going in and very agitated by the end of the meeting. I had trouble getting any words in, it felt like a competition to speak.

I texted my therapist this morning and she wondered why he would have suggested that. She said my thoughts could go along with a number of diagnoses, including depression. And, I am depressed.

I usually find the meetings helpful, but lately I have been leaving feeling worse than when I came.

I get up and face my obligations, but I feel like hiding. “Fake it till you make it.” I never really liked that expression, but I am doing it.

If you got this far, thank you

tl:dr Depression makes everything worse

Hypocrite much?

 

imageI feel like a sham

i tell people coping skills, but I have trouble doing them myself. My therapist told me to try mindfulness. I know what it is. I recommend it. But, my mind spins so much,  i can’t be “mindful”

i have trouble breathing, cbt is out the window, i can’t seem to act as if, if as if is that things don’t suck.

my life is fine, i am fixated on the past. And, that i can’t change it.

and of course, i suck, i suck, i suck!

i slipped and drank, too, which i feel bad about, but if it is drinking or suicide, i don’t think it will hurt.

i am safe. I am afraid i would mess up, as usual, and make my life worse.

i can’t be sick. It is not a good time. It is a very bad time.