Apologies to anyone seeing this more than once. Google Reader seems not to be picking it up, even though it’s in the RSS feed. So I’m trying deleting it and posting anew. –SDJ
It is sometimes hard for me to take myself seriously these days. Not in that good “oh, I can laugh at myself” kind of way, but in the sense that I find it difficult to come to grips with what is going on in my own mind. Which is half the problem, when you get right down to it. There’s no blood test, no brain scan, no lab culture, that will definitively tell me I am really, truly, still in the midst of a depressive episode. It’s literally all in my head. I don’t mean to say that it’s imaginary, but the only measure of it is subjective and internal and self-reported. I’m not sure how far to trust that.
That’s not so much a problem when the symptoms involve really dramatic weepy episodes, or even obviously distorted thought patterns. I can look at that and say, “Yes, I am still having this problem.” Depression is more than sadness or poor self-image, though. It also involves a lack of energy, a lack of motivation, a lack of focus, a leaden weighed-down feeling. Not having enough spoons, as it were. When you decouple that part from the rest of it, it’s more difficult to evaluate internally. And for the past few months, that’s exactly what’s been going on with me. I don’t have near the problem with weepiness that I used to, and I’m quickly learning how to identify and counter what my therapist calls “cognitive errors”. (A lot of that involves sort of an overbearing, involuntary pessimism in my interpretation of what others do and say, excessive pressure on and criticism of myself, stuff like that.) What’s hanging around, mostly, is this intermittent feeling that life is taking more out of me than it should and I just can’t keep up as well as I want to. Or as well as I feel I should be able to.
Why is that more difficult to evaluate? Doesn’t it seem like this stuff would be obvious too? That I am at times exhausted is obvious, yes, but what tends to be less clear is the cause. It’s so easy to fall into thinking that I should have gotten more sleep, should have eaten healthier, should have been more active through the day. That I’m just lazy. That I’m using the depression as an excuse to not do things I don’t feel like doing. I have, after all, no proof that depression is behind this. I just feel tired. I don’t even feel tired all the time; it comes and goes, and as such it can be tempting to think that I must have done something to make myself feel this way.
(I should pause here to mention that yes, I know that if I’m often feeling overtired it’s also possible there’s something physical besides depression going on, or that a different medication might be more helpful, or etc. I have a follow-up with my GP next week, and I’ll be discussing this with her.)
The other part of the problem is figuring out what to do about it. This sort of fatigue is counterintuitive in that the things you’d expect to help often don’t. They might give a temporary boost, but it’s only very temporary and then I’m back where I started. Sometimes they at least break the loop and keep it from getting worse, but then again sometimes they go the opposite direction and I wind up even more drained. A quick restorative nap turns into a 1- or 2-hour sleep that leaves me groggy. Caffeine just makes me feel like my eyelids are propped open with toothpicks. Getting up and moving around to get the blood flowing, taking a leisurely walk, going out and doing something relaxing, taking a hot shower (I prefer showers to baths), even just sitting at home and reading or knitting — all of these things consume spoons, consume energy, in varying amounts. Which only exacerbates the issue. At my lowest points, sometimes it feels like the only alternative open to me is to sit and stare off into space, but of course that’s not really going to help anything either.
To myself, I don’t look “sick”. I don’t even look like someone invisibly ill; after all, to best of my knowledge I don’t have Lupus or RA or Fibromyalgia or any number of other things that are not very visible externally but painful and tiring internally. I just can’t seem to get it together. To myself I look inattentive and idle, I look self-indulgent, I look easily distracted and flighty. How dare I use this serious condition for my own drama? How can I justify the lack of effort I put forth sometimes, the sheer volume of bitching and whining I do about things that are equally bad or much worse for other people, the absentmindedness? How dare I even co-opt terminology like “invisible illness” or “spoon shortage” when depression is the whole problem rather than one symptom among many and I don’t even experience that one symptom as severely as a lot of people do?
Sometimes, that train of thought throws up a red flag and that gives me the foothold I need to calm the fuck down and get back on track. When I look at it all written down like that and I’m feeling relatively levelheaded much of it does rather seem to fall under the “obviously distorted thought patterns” heading. I mean, it’s a whole paragraph of cognitive errors. That other people have it worse does not invalidate my own problems; spoon theory is a really useful limited-energy metaphor even for those who are lucky enough to not usually have to worry about it; depression is real and does have a real effect on how much I can do in a given day. Etc. But those doubts are always there in the back of my mind, and it is not always possible for me to distinguish between reasonable, responsible, honest self-questioning and distortion.
Why am I rambling about this? I don’t know. Part of me wants to sort of defend myself, I guess, because if I perceive myself this way what must others think? I want to try to explain why it’s not entirely some inherent indolence or irresponsibility motivating my conduct. Part of me knows that there are people in my life who legitimately and genuinely do want to understand what’s going on with me and hopes that babbling about it here will help with that. I frankly suck at talking about this in person, because I feel so silly going on about being tired and sad for no apparent reason, but it’s easier to organize my thoughts here. Sometimes. To some extent I’m also just kind of talking it out, in hopes that even if it doesn’t help me find any answers, at least I will have this record to refer back to when the going gets rough and remind myself that I am probably not thinking clearly about what I’m feeling and how I’m perceiving myself.
I didn’t intend for this space to become a depression blog. It may lean in that direction for a while, though, while I work through this.
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