My Personal Warning Signs of Depression

In a recent therapy session, my therapist and I were talking about this latest depressive episode and what I’ve learned from it. Because I’ve learned A LOT. I’m not ‘un-depressed’ yet but coming out of it a bit has given me a new perspective on it, on my depression and how it affects me. Hopefully that perspective will be helpful to me in the future. Because depression can creep in very slowly, you don’t always notice the signs but in hindsight, there are a handful of things that should be red flags in my mind. Maybe being aware of these things can help me prevent the depression getting as bad as it did this time.

  • Unable to write songs – I don’t mean a bit stuck. I mean a continued inability to reach the level of functioning necessary to write songs. Songwriters, do you know what I mean? I know exactly the feeling I mean when I write this and although it does sometimes come out of nowhere, it is the biggest sign that depression is creeping in again. It’s very distressing to be unable to do the thing I love the most.
  • Losing my excitement – This was something I didn’t realise was gone until it returned. I’d get excited about things in theory but I assumed the dampened emotional response was just part of the depression numbness. But since I’ve started to feel better, my excitement has resurfaced about as dramatically as a volcano. It’s fun but a bit disconcerting. So, in future, if my excitement seems to have gone AWOL, I know that it’s a potential sign of depression.
  • Overwhelming anxiety about the future – I am always anxious about the future so this is a tricky one but when it becomes overwhelming and it feels like more than I can cope with, than I could ever cope with, and it goes on for an extended period of time, it’s a symptom of my depression.
  • Feeling hopeless – Similar to the previous one, feeling overwhelmed by hopelessness is a real sign of a depressive episode. It feels like everything inside me has stilled, like there’s a new, sharp clarity to everything. Everything becomes very simple and really pointless. We all feel hopeless now and then but when this feeling doesn’t pass, I know I’m in a depressive episode.
  • Increased suicidal thoughts – This one is the final straw, the most telling sign. I’ve always felt very strongly against suicide so when these thoughts start to filter into my everyday thinking, I know I’m in trouble.

There are symptoms common in everyone – like low mood, fatigue, low self-esteem, and so on – but these are my personal warning signs. Do you know what yours are? Are they similar or different?

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The Next Chapter in the Medication Chronicles

Just over two months ago, I finally stopped taking Amitriptyline and started taking the new medication I’d been prescribed, Clomipramine. I’d had the prescription for over a month but I just hadn’t felt able to start taking it: I felt so drained and so worn down by what felt like an endless train of medications that made me feel worse instead of better. And on the off chance that it worked, I didn’t feel ready to feel ‘better.’ It’s hard to explain but it felt like I’d physically feel better – chemically happier – but still have all these ‘depressed’ thoughts, a juxtaposition that I did not feel strong enough to cope with.

But on this particular night, I felt a little more steady and so I took advantage of that: I stopped taking the Amitriptyline and started the Clomipramine. I felt different almost straight away; it took less than a week. I felt physically lighter, like a fog had lifted, a fog that I hadn’t felt settle. It was disconcerting – I felt a little bit like I might just float away – but it felt good too. It felt cathartic.

Suddenly, I was excited again. I was excited about pretty much everything, from swimming and playing with the cats to bigger things like future writing sessions and far away holidays. I hadn’t realised that that was something that had disappeared. I’d been excited about things in theory, in the way I thought about things – I could recognise that something was exciting. But I wasn’t actually feeling it. So to have it back was exciting in itself. It was amazing and I savour the feeling every single time it appears.

The most exciting thing is that my creative brain woke up and started firing again. It’s like my depression completely suppressed my creative brain and so I was physically unable to write songs, to function at the cognitive level necessary to write songs. I wrote about this in a post a few weeks ago. I’ve got several writing sessions coming up which I’m really, really excited about so I’ll keep you guys updated as to how they go.

I’ve also been taking Pregabalin – for several months now – to manage my anxiety. It has reduced my anxiety to a degree but I’m still dealing with A LOT of anxiety, so I need to talk to my psychiatrist. But it has helped. Unfortunately, it hasn’t been side effect free: I’ve been experiencing muscle twitches, mostly in my legs but sometimes in other parts of my body too. And it’s gotten worse as I’ve increased the dosage. That can feel quite scary, to not be in control of your body… I’m in the process of trying a new anti-anxiety, Flupentixol. It doesn’t seem to have had much of an effect so far but I’m trying not to lose hope.

The excitement and the giddiness have faded a bit since the initial boost. I’ve had a pretty bad week: my depression got overwhelming for a moment there. I’m coming out of it but it was pretty scary and I still feel quite shaken by it.

So that’s an update on the medication front. As per usual, it’s been a bumpy road but things are better than they were and for that, I’m really grateful.

The Old New Year’s Resolutions

HAPPY NEW YEAR!! I hope you have all had a lovely, relaxing holiday period and that you feel hopeful about the year ahead. I’m feeling lighter than I have in a long time and for the first time in months, I’m actually excited about what’s coming next.

But, before we move on to the new year and all the new plans, I want to pause for a moment. This time last year, I set several resolutions – more like goals – for 2018. Now, 365 days later, I want to look back at them and look at how I did, whether I achieved them or not…

WRITE MORE SONGS – Technically, yes. I did write more songs. Not as many as I would’ve liked but more songs nonetheless. As I mentioned in my review of 2018, my depression seemed to completely suppress my creative brain so writing anything was a really struggle. But I’m cautiously optimistic about my songwriting in the near future.

RELEASE MUSIC – Yes, as I said in my halfway-through-the-year post, I have music out in the world (you can listen to my first single, ‘Invisible,’ here). It was a long, hard journey to that first milestone but we made it and I’m excited about what’s coming next.

FIND THE RIGHT MEDICATION – I found many wrong ones but, fingers crossed, I’m onto a good one. Right now, we just have to wait and see (my least favourite sentence in the world).

WORK ON BEING HEALTHIER – I feel really good about this one. Since August, I’ve been going to the gym and swimming for at least half an hour most days of the week and I’ve kept it up for six months. I’m so proud of myself and I love it so much. It helps me make sense of the world and it makes me feel really good. Food is still a daily struggle but I’m not restricting and I’m also not eating everything in sight. So that’s something.

BECOME MORE INDEPENDENT – I feel like I’m going backwards with this one. My depression has been all consuming and just as it started to let up, anxiety rushed in to fill the void. So I’m struggling here. I don’t know what else to say about this one.

READ MORE BOOKS – Yes! I definitely did that! My small, achievable goal was five books and I managed to read ten! So I’m very proud of my efforts in this department. Hopefully I can keep this up going forward.

IMPROVE MY MUSICAL SKILLS – This is another casualty of my depression. My lack of concentration and motivation has just made it impossible to do any consistent practice. Even when I tried my hardest, I couldn’t do it and then I’m really good at beating myself up over it. That’s another thing I need to work on. But as I’ve already said, I’m cautiously optimistic about things moving forward.

GO THROUGH MY POSSESSIONS – Well, I did that. We moved house and so I went through everything as I packed it. That was very overwhelming so I’m sure I missed stuff. I’m still creating a new order and finding things that I can throw out or give away but I made a huge dent in this resolution and I’m pleased with my effort.

So I guess it is now time to make some new resolutions. Watch this space…

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