Depression is like Blindness

TW FOR MENTIONS OF SUICIDE

 

Maybe I wanted to die. Wanted to die for real. Collapsed on the dorm room floor. The jar of pills rolling from the edge of my desk and scattering across the floor like candy. In what would’ve been my last moments, regret would’ve filled my body like the pills filled my stomach. Like cement. In those last moments, I would’ve had the will to live but not the strength to pick up the phone and dial 9-1-1.

Luckily, I had both. Coming back from the edge and learning to see again.

That’s how depression works. It’s much like blindness. For it’s not darkness you feel even in your darkest moments, it’s nothingness. As huge and heavy as the entire ocean in your chest, and as silent and empty as a room with only a whirring fan at its center.

It’s soft and quiet and filling and hypothesizing. It’s exhausting like nothing else you’ve ever felt. And before you know it it’s got you and all you want to do is close your eyes and die.

And eventually, you might try. And it will be up to you in that moment to decide whether you really want it. And you will either pick up the phone and call for help or you won’t. That will be up to you, and I hope you make the choice. It will either be the last decision you make or the first one on the path of change. That’s your call, quite literally.

Don’t give up if you can help it. Because somewhere, someone or something is going to teach you how to swim in that ocean that fills your body. And if you want it, you’re going to get better.

 

tumblr_orabipYacQ1uatsebo1_540

18110645_1297248813727115_748983076_n (1)

The Short and Sweet Story of How My Childhood Cat Saved Me From Myself

I lined up all my pills as I poured them from the bottle. I straightened them out like moon phases. Waxing and waning green caps of Gabapentin all the way across the brown dorm room desk. There were a lot. I finished the note, signing shakily at the bottom. I folded it up and pressed it into the corner of the desk. And then I gathered all my courage and put one pill in my mouth. I swallowed it. So every pill became easier than the previous. At first a few and then more and more. I found myself shoving them into the corners of my mouth and crying out and swallowing too may gulps of water until I had spilled it all over myself. I was sobbing by the end. I took almost my entire bottle of Gabapentin and then, I began to shake. I tried very had to stay quiet. Hands pressed to my hot face, trying to hold the crying back. Thinking over and over that I was undeserving of this spectacle, of this life. I wondered how well this would work if I couldn’t manage to stay still? How long would it be until my liver began to metabolize the toxic dose I’d taken? I focused on my breathing. In and out and in and out and in and out. A cell phone clutched in my right hand now, knuckles white. My left hand on my chest, below my heart. An inconsistent madness settling at the back of my throat.

I tried to wait for death but I was too scared, too impatient for the silence.

“My nerves are bad tonight. Yes, bad. Stay with me.

“Speak to me. Why do you never speak. Speak.

“What are you thinking of? What thinking? What?

“I never know what you are thinking. Think.”

“I think we are in rats’ alley

Where the dead men lost their bones.”

I recall A Game of Chess. Next comes, The Fire Sermon. The Burial of the Dead. “April is the cruellest month, breeding/Lilacs out of the dead land, mixing/Memory and desire,/stirring/Dull roots with spring rain.”

My brain is twitching now, spasms at the bottom of my brain stem. My entire frame begins to tingle and it is then that I call for an ambulance. I don’t want this. I don’t. I don’t. I don’t. I fucked up. I started having a hard time breathing. The next part happened in pieces. Police appeared. Flinging back the door. Only to see me now, my left hand still near my heart my other now wrapped around a crinkled suicide note. My eyes, I imagine, filled with tremendous pupils.

“I don’t-” was all I could manage before falling to the ground like a sack of laundry.

Then it was the paramedic’s turn to arrive.

At some point, I pissed my pants.

After that, I don’t remember much.

I do I remember all the kids in the dorm looking at me as they carried me away. I should’ve thought about this part, even in my incoherence there is a sense of embarrassment. That nervous hot air pressed close to my face. My chest hurt. And I remember the bright insides of the ambulance. Tubes and wires and needles and cuffs and lots of nitrite gloves all bathed in argent light. Red, blue, and white flashes on my pale skin.

Then the hospital.

And then a nurse, “This could do some damage,” she said.

She seemed huge and looming. Like a taciturn giant at the foot of my bed. Her hands wrinkled and she wrung them together as if trying to squeeze water from them. Was she too a hallucination? Was nothing real anymore? Even the nurses were fake and huge like cartoon characters. Between the drug overdose and Schizophrenia, I knew very well that I couldn’t be sure of anything.

Then she checked my IV and was gone.

I lapsed into a deep sleep. And every second sleeping there was a sense of regret. I had strange dreams. Dreams of Christmas lights. Of dog-eared thrift store books, of dust settling in sunlight. Of my childhood cat somehow there with me, in the hospital, I could hear her purring but I couldn’t see her. I dreamt about hot coffee on cold mornings. Of second-hand baggy sweaters and used tennis shoes. I dreamt of silent snowfall and of deafening summer thunderstorms. I dreamt of cold and warm air colliding in the upper atmosphere. Of autumn and carving out the slippery insides of jack o’lanterns. Of pulling weeds and growing things. I dreamt of two incandescent bodies, one mine, after sex. I dreamt of street lights, and skeleton bones, and copper cups. I dreamt of cold river water and sharp river stones on the soles of my feet.

All the while a sense of urgency grew inside my stomach, pressing at me from the inside.

Why didn’t they pump my stomach?

I could feel my mistake growing at the back of my brain like a warm blanket pulled over my body. Sleep. Stay. Stay. I can see my cat now, stretching her way up my legs and midsection. Purring onto my chest and then collapsing into a sleepy heap of nighttime fur. Her gray body and white chin pressed to my face. I hadn’t seen her since I buried her under the lilac bush. I dreamt of lilacs, of pine trees, of sunflowers and of pinwheels spinning in the sun.

And then I woke up to a terrible pain in my head. I had an IV in my arm and oxygen pumping into my nose. I was wearing a hospital gown and no longer the pants I had ruined.

Everything was quiet and clear.

And all I could think of was my old cat, sleeping bony and ancient under that lilac tree. Some day we’d be fossils together, but for now, I just pulled on the restraints at my wrists and sighed quietly. I think about how she died, curled up under the window in our bathroom, and how my mother grabbed me by my shoulder to turn me away.  I’ve been an Atheist since then, knowing now that the only things we see at death are the memories we made while living.

I want to dedicate this post to my cat, Peanut, who taught me about dying and about living. I want to thank her for saving me from myself.

Night

Saying Goodbye to the Affordable Care Act

I heard recently that an estimated 14 million people will lose their health care when the ACA is repealed. Now, that’s just an estimate, but I don’t think any reduction in the total could make this any better. The scariest part for me is that I might be among those 14 million people. As a poor Mainer, surviving off SSI only, which is just over 8,000$ annually, I qualify for MaineCare. (MaineCare is Medicaid) Not only to I qualify, but I rely very heavily on it. The cost of my medications alone is over 1500$ a month. That total excludes the cost of treatment, of possible ER trips, and possible psychiatric hospitalizations. Even if I could afford to pay for healthcare I could never, even with it, afford my current treatment.

Now according to an article published in the BBC just four days ago called Trump Health Bill: Winners and Losers, the people who will benefit most from the ACA repeal are the rich and the urban, along with young people paying for private insurance.

Unfortunately, I’m not any of those.

This is what the BBC had to say about the people who will get hit the hardest, (not shown here is the paragraph about the elderly who are included in the list of socioeconomic groups that will be most affected).

Poor: The new plan would roll back much of the provisions put in place to protect low-wage earners under Obamacare. It would mean significantly higher premiums and reduced tax credits for middle and low-income earners. It would end the expansion of Medicaid, which covers low-income people, and overhaul the entire programme. States would be sent a fixed amount of money per Medicaid enrolee, also called a “per-capita cap”. The additional federal funding that covered expanding Medicaid would be eliminated by 2020, leaving states to bear the responsibility of making up the difference in money. States could then reduce eligibility or cut provider payments. Enrolees making around $20,000 a year at any age would be hit the hardest, according to Kaiser.

Rural: Another group that would lose under AHCA is people living in rural areas, where the cost of coverage tends to be higher due to fewer hospitals and insurers. Research shows that health insurance premiums are typically more costly in rural counties and states. Rural residents also rely more heavily on public insurance than those living in cities. While Obamacare took local healthcare costs into consideration, tax credits under the Republican plan are the same as in states like Alaska and New York. If premiums grow faster than inflation over time, the proposed tax credits will grow more slowly than those under Obamacare, according to Kaiser. Medicaid cuts could also be harmful to rural hospitals, which are already struggling to keep their doors open.

On top of all of this when the ACA is repealed, as I am pretty sure it will be, Trump’s administration’s plans to cut funding to mental health and substance abuse treatment. According to this article by Psych Central, “in 2020, the plan is to move away from open-ended entitlements in Medicaid and switch to a per-person allotment to the states. This eventual change would likely have a devastating impact on the people who are covered under Medicaid — generally the poorest American citizens. The cap per individual in 2020 would be based upon how much funding the state was receiving in 2016. This effectively means the states will be working with 4-year-old, insufficient budgets — all the while healthcare costs continue to climb.Worse things happen after 2020, too, especially if you have a mental illness or substance abuse problem and use Medicaid to get your treatment. Beginning in 2020, the proposed GOP plan would eliminate the current requirement that Medicaid cover basic mental-health and addiction services in states that expanded it. Instead, the feds will allow each state to decide whether to include those benefits in Medicaid plans. In order to keep their Medicaid costs down, many states would rollback such coverage.”

I’ll be blunt here: people are going to die.

And I could very well be one of those people.

I’m terrified. I’m so terrified last night I say in the bathroom and cried. I cried for the 14 million poor and elderly people who will lose their health care for no reason, and I cried for myself, who will most likely loose my health care and have to go off my medications and say goodbye to my mental health treatment. It’s almost unbelievable…no I take that back, it is unbelievable. It’s murder. It’s unethical.

The worst part about it is not being able to do anything. I just have to sit here until I lose my healthcare and then continue to sit around until I loose my mind.

People are going to die and nobody can do anything about it. 

What it’s like to Need Unmediated Medication

I didn’t know I was going to grow up to be Schizophrenic. I guess the warning signs were there. Depression, anxiety, self-harm, magical thinking, self-isolation, and poor social skills. A preoccupation with death and a delusional fascination with religion. Even so, at eighteen and hardly an adult, the transition from neurotypical to Schizophrenic broke me. But then, no one plans on growing up to be sick. Young adulthood snatched away from me by madness and medication. Frequent psychiatric hospitalizations and a few suicide attempts dotted my calendar. Eventually, my illness changed from acute to chronic. Four years later and I’m twenty-two going on twenty-three. I’m a college dropout. I’m on disability. I take medication five times a day to function well enough to live on my own. But after all the medication I still hear voices all day every day. I can’t read, and I can hardly write.

These days I walk the line between Bipolar and Schizophrenic. I exist in a gray space called Schizoaffective. I spend most days at home with my two tabby cats, while my husband goes to work. I don’t feel young. I’m tired. I’m… sexless, achy, and confused. My brain feels like it’s full of sand. And my psychiatrist says that it’s normal, that it’s all normal. Normal for a Schizophrenic. It’s the anti-psychotics she says. She says that when my brain feels full of under-cooked bread that it’s normal too. And like so many, many Americans, I hate medication.

Or… I used to.

Because while it may have taken four years to find the right medication. I can say now that Seroquel has saved my life. I lost almost everything to Schizophrenia and then Schizoaffective Disorder. Nothing seemed sacred. Not family, not friends, not time or perspective, not school or reputation. Nothing.

The last thing to go was my faith, which I lost right around the same time I started anti-psychotics. In that way I was different I supposed, while most people find faith in dire times, mine was unredeemed. Which meant for me, and so many other Schizophrenics, that God was a chemical imbalance. A product of the over-pruning of the synapses in my brain. A product of delusions and hallucinations. Of my ill-equipped Schizophrenic brain trying to make sense of this tremendous epigram. This transition into a faithless existence happened slowly at first and then all at once. A building reversal in which I found myself back peddling. Scampering away from what had been a fascination with religion.

Yet with this new high dosage of antipsychotics, I felt a calming inside of myself. A settling of the churning psychotic debris. And although I wasn’t free of Schizoaffective Disorder, these days I am less of a slave to it.

So why do I still hate my medication? Why do I loathe my pills as I organize them into weekly and daily sections? Why do I frown as I set alarms to remember to take them? Without them, I would become an incoherent mess. The CDC says that almost fifty percent of us (48.7%) take at least one prescription drug. Strange that antidepressants are one of the most frequently prescribed medications. Yet, it seems like everyone condemns prescriptions for mental health conditions. “Big Pharma,” they say. “You don’t really need those meds.” “You could stand to come down a few milligrams.” “Aren’t you cured yet? After all those medications you take?” “Those meds turn you into someone else.” “Nobody needs antidepressants.” “Get out more.” “Exercise.” “Just be happy.” “It’s all in your head.” “Get over it.”

But to myself, I say “It’s not that easy…don’t you see…it’s not that easy.”

A patient cured is a customer lost…

Don’t you see it’s not that easy….

How can I practice acceptance and accept my antipsychotics in an age of pharmaceutical phobia? From the beginning of my journey with mental health medications, they were always bad. After all, how could I be myself if my medications changed the way my brain worked?

But it’s not that easy. You don’t get to see what an unmedicated Schizophrenic looks like. Unless you’re the one who is going to drive me to the ER in the middle of the night. Unless you’re the one calling 911 because I’ve stopped making sense and I’ve told you I’m going to kill myself. Most people haven’t seen me hiding in the closet. Covering the windows. Tearing apart my living space looking for hidden cameras. Most people haven’t heard me yelling about voices, or aliens, or the things that try and read my mind. You haven’t seen me restrained. Or in the back of a cop car. Or in the psych hospital with bandages covering my forearms. You haven’t seen me getting shots of Haloperidol in the middle of a psychotic episode. You weren’t there the first time I overdosed and you weren’t there the second time either. Few people I’ve let see this side of me… and because you haven’t I’m going to venture to say that you don’t understand.

So, to the people who think that ‘Big Pharma’ does nothing more than create customers, you forget the lives it saves.

You forget that it saved my life.

Though maybe you didn’t forget, maybe you just don’t know..