Tag Archives: depression

New House, New Problems

Not a far move. Only 20 minutes apart

I’ve moved . . . relocated . . . only 20 minutes from my old house. Yet, my life is upside down. Moving is a huge undertaking. I have yet to unpack because we are getting all new floors installed first. The workers have only made it through my kitchen and laundry room so far. We are living out of boxes and suitcases. It’s crazy!

Faking it for now

When people ask how the move “went,” we just smile and say we are in a fixer upper and are still working on it. EVERYthing seems to have something wrong with it – electical, plumbing, floors, door knobs, paint, the swimming pool, etc. Recently, I got stuck in my own bedroom. Yes, you read that correctly. The handle on the door was loose at the wall and got stuck. There was no exiting. My husband had to save the day.

On day 6, I had finally had enough faking it. I was alone in the house for a couple of hours, and I found myself welling up inside when I thought about all of the “unknowns” still to do in this house. Depression had been my friend for days. I bean sobbing and using a nearby wash cloth to blow my nose. I kept crying for several minutes. I have read that sad or stressed tears have actual toxins in them and that purging those tears and bad feelings is good for a person. Hmmm . . . I did feel better afterward.

I sold this antique hutch for $150 on Day 7. I felt better with all of those tens in my hand. Maybe we will make it here after all. I mean, we do have a nest egg saved for just this reason, and the cats seem to like the place. We’ve spent thousands of dollars already on the swimming pool, too. It was a mess that needed re-plastering and re-tiling. We had to replace the diving board and ladder in the deep end. Then, there was filling in all of the expansion joints. We also had to order a cover for the pool. $$$$$$

Before and After

See? Much cleaner! Then, we just added water, brushed it clean for two weeks, added chemicals, and added more. Then, it was time to install a cover. (more pics to come). Whew!

This house feels like a money pit, honestly. However, part of me feels like it’s a place that has a good floorplan and just needs a chance to be a nice family home. I’m going with that one!

The kitchen floors were gross and needed new sub-flooring before prying up the existing wood planks and putting in new. But, the kitchen floor is finally finished!

Finally! Clean and sturdy floors!

We still have much to do but I see progress. I haven’t cried since day 6. That is something positive. Some nights I don’t sleep well but I attribute that to poor diet. 😉

I’m hanging in there!

Love you guys! Talk soon!

Is it Depression or Bipolar?

 

Bipolar-disorder

Thanks to Kitt O’Malley, who posted this before me. And thanks to Michael Pipich for the wonderful information.

Are You Just Depressed or Is It the Onset of Bipolar Disorder?

Michael G. Pipich, MS, LMFT

About two-thirds of people with bipolar disorder are misdiagnosed with other mental health problems before bipolar is discovered.[1] Among those individuals, a significant majority are given a diagnosis of major depression. Most people with a major depressive disorder that is unrelated to bipolar disorder (typically known as non-bipolar depression or unipolar depression) can be treated safely and effectively with a combination of antidepressant medications and psychotherapy. But when people with undetected bipolar are treated this way, a host of mental health problems can occur, making the underlying bipolar condition much worse.

It’s understandable that someone may not immediately be given the bipolar diagnosis if their first mood swing begins in a depression mood zone. This seems particularly true of people who have bipolar II disorder. And sometimes, there may be more than one depressive episode before a manic or hypomanic episode happens in a person with bipolar.

If you’re wondering about whether you may have depression or the beginning of bipolar, there are some keys to keep in mind when seeking treatment.

First of all, when assessing if your depression is a part of bipolar, know that bipolar disorder has distinct genetic foundations. In other words, it runs in families and is passed through family genes. So if you suspect that any family members may have had bipolar disorder, it’s important to inform your doctor or therapist when entering treatment. If the information is available, a thorough family mental health history can really support a proper bipolar diagnosis. Unfortunately, such information isn’t always asked for, so be prepared to volunteer all that you know during an evaluation or treatment session.

Next, your personal history of mood swings should be explored. If you’ve had severe ups and downs during childhood or adolescence, these may be more than the common tumult of growing up. They may instead be early expressions of bipolar disorder. It’s especially important to review periods of hyperactivity, bouts of unexplained rage, self-harm, or suicidal thoughts or actions that could have occurred at any time in life. There certainly may be other explanations for these, such as early life trauma or severe loss and grief experienced during these formative years. But if explosive behaviors or deep depression occurred at different times, especially with little or no provocation, it can point to underlying bipolar disorder.

Usually, most people with bipolar who seek treatment on their own are currently or recently depressed, or are experiencing consequences of untreated bipolar disorder. Any history of mania or hypomania is less obvious, however. And often, bipolar patients will either not understand manic symptoms or will avoid discussion about them. If you have had at least one occurrence in your life of intense euphoria, excitability, unexplained energy and creativity, avoidance of sleep, or impulsive behaviors, inform your treatment professional. But also bear in mind that mania and hypomania may be marked by intense periods of irritability and agitation, know as dysphoria. This is in contrast to the euphoria that most people think about with bipolar mania. Often a dysphoric type of manic or hypomanic episode can be mistaken for the kind of agitation seen in major depression. This can mislead the course of treatment to focus only on depression, while missing the full bipolar condition.

This brings us to the most important part of knowing whether you have depression or bipolar onset. According to the Diagnostic and Statistical Manual of Mental Disorders (5th edition), if a patient is given an antidepressant medication, and it produces manic symptoms, the person is then diagnosed with bipolar disorder.[2] While this is a very clear indication of bipolar, how the mania surfaces in the individual may take different forms. For example, a person in a depression mood zone can improve early in the treatment, and as a result, may not show manic symptoms right away. Any slight improvement may provide a hopeful sign that treatment is working, but when the person starts to get worse because of emerging mania—especially if it’s dysphoric—the unwitting response may be to apply more antidepressant medication. Now we have some real problems.

So, if at some point in your treatment, an antidepressant medication makes you feel more agitated, more irritable, more aggressive, or you start to experience hyperactivity or greater impulsivity, tell your treatment professional right away. This could be the start of a manic episode that is revealing a previously undiagnosed bipolar disorder. Even more importantly, any increase in suicidal thoughts or possible psychotic symptoms, such as hallucinations, should be reported immediately, as these can be life-threatening. Any antidepressants will either likely be eliminated at this point, or possibly paired with a mood stabilizing or antipsychotic drug to keep a lid on mania.

With bipolar finally recognized, bipolar medications can be introduced to decrease manic-type symptoms, while keeping depression in check. Alongside medications, it’s important to have therapy focus on the unique challenges facing people with bipolar disorder. Major depression is frequently considered an acute condition because it often can resolve in time, so medications may be discontinued at some point, along with a shorter overall approach to therapy. But bipolar disorder is a lifelong condition. Even though its symptoms can come and go in episodes, the genetic nature of the condition means the bipolar patient will need continuing care through the lifespan.


[1] Hirschfeld R. M., Lewis, L., & Vornik, L. A. (2003). Perceptions and impact of bipolar disorder: How far have we really come? Results of the National Depressive and Manic-Depressive Association 200 survey of individuals with bipolar disorder. Journal of Clinical Psychiatry64(2), 161–174.

[2] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author, 128-130.


 

Michael G. Pipich, MS, LMFT is a psychotherapist and author of Owning Bipolar: How Patients and Families Can Take Control of Bipolar Disorder, (Citadel Press, Sept 2018). He practices in Denver, Colorado, and can be reached at MichaelPipich.com.

Press Contact: Janet Appel Public Relations
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212-258-2413

Bipolar Disorder – My Shadow

 

shadow

A mood disorder is tough to deal with – whether you are the sufferer or the loved one of a sufferer.

It’s like my own shadow but one that often catches up and overcomes me, Bipolar Disorder. And it doesn’t play fair. I go along with my life “normally” for a few weeks until a dark mood sneaks up behind me and bites me in the behind. I’ve had a few episodes of severe mania but now mostly experience the severe depression side when the disorder kicks in.

I dutifully take Zoloft and Abilify to even things out. Thank goodness for those. They allow me to live a life of being stable most of the time. However, when PMS hits or when perimenopause changes my hormone levels, watch out!

zap

An old friend and I text now and then. She never knew I had been diagnosed with this disorder, and I had hurt her feelings a few years back. I tried to apologize many times  but she kept me at arm’s length in fear of being treated poorly again. I finally told her why I’d been on a roller coaster of emotions back then. I imagined she didn’t want to complicate her life with a friend who had mood issues.

Can’t say I blame my old friend. I don’t like having me around at certain times, either. However, I do the best I can to treat others with respect and understanding (when I have my wits about me).

So, please, if you know someone with this (or other) type of mental challenge, consider being as understanding as possible with him or her. It takes a lot out of a person to ride this coaster.

roller-coaster

How it Feels to be Suicidal

Jumper

 

I have come back from the brink of suicide. I have visited that place several times. During the depression years, before I changed my life circumstances and also found a med that helped, I felt mostly heaviness in my chest and was hopeless, tired, and apathetic. During those 6 years, I “knew” I had no future. I couldn’t hold down a job for longer than 12 months, so I’d be on government aid and not enough of it to actually live a semi-comfortable existence. Severe depression is crippling and scary. I was often afraid I would never find my real self again. Was she in there somewhere or had this helpless slug of a woman taken over completely?

“When I was suicidal, it was because every single day was literally the worst day of my life.”                                                                                                                                Thoughtcatalog.com (13 Heart-Ripping Testimonies of How it Feels to be Suicidal)

I married at 19, and it lasted 25 years. We had two fantastic children who are now successes in their careers and family lives. For reasons that are saved for another blog, I ran away from home and husband at age 44. I ran wild for almost a year before my mind slowed and reality appeared. I was without a degree, training for an occupation, and had no previous work (to speak of) to complete a decent resume. Employers want to hire 20-somethings or 30-somethings. I was past prime, and it showed by the employment rejections. Depression became worse over each year until I came very, very close to speeding my car off of a high , multi-level interstate system. I drove, cried, and considered my options for type of demise. However, there was a tiny flicker of light still within me because before I chose the moment I could jump in front of an 18-wheel truck traveling 70 mph, I turned the steering wheel and exited the freeway. It was my gynecologist’s office exit. I knew Sally would try to help me. She was always empathetic and helpful. It worked, and the emergency feeling lowered to  just plain depression masked with humor. Always crack a joke and no one will know you hurt inside, right?

(In same article on Thoughtblog.com, the following testimonial was given)                                “I understand that feeling of utter hopelessness that can so easily consume a life. I’ve suffered from depression on and off for most of my life. My mother suffers from bipolar disorder. As a result, both of us have struggled with suicidal tendencies. It’s hard to go through life when your own brain has turned against you. Getting out of bed is a struggle. Taking a shower is a struggle. Looking in the mirror is a struggle. Ah, I wish I didn’t understand. Honestly, for a long time I thought that suicide was the nicest thing I could do for myself. I knew it was selfish to put my loved ones through, but at the same time it was so goddamn difficult to stay alive just for the well-being of others. I could easily rationalize it and say that they were better off without me. God, depression is a bitch. It has taken so much intense therapy and self-reflection and, yes, even medication for me to realize that giving myself a chance to heal was the kindest thing I could do for myself. So I guess I’m trying to say that I empathize with suicide victims. When your own mind betrays you it’s hard to get back up again.”

suicide3                    suicide5

Today, 8 1/2 years from the time I ran away from home for a different life, I’m on an antidepressant, remarried to a kind man, keep 4 precious kitties, and enjoy my family and friends again. I live in a house again and not a tiny apartment or noisy duplex. I get to decorate this home and even have the desire to do so. I now drive a 2 year old car instead of a 15 years old one with no sun visors or key fob. We’re going to Hawaii next month and to New York in December. Life did a 180 for me, and it happened quickly! Before meeting my current husband, I had zero hope of gaining the strength to break up with an emotionally abusive boyfriend, moving out of an undesirable location, or having a regular income. Then, a new friend helped me leave the codependent relationship I was in, and I soon (and unexpectedly) found love. Life is settled. The depression isn’t crippling and no more suicidal thoughts. But guess who has moved into my home?! Perimenopause! Ugh. I’m dealing with up and down mood swings – like way down. I still take an antidepressant and keep Xanax on hand for anxiety or insomnia. I’m very thankful that summer is at its end. Not so many hot flashes!

If you find yourself in a depressed state that doesn’t fully leave and that often (or always) confines you to your house or bed, have hope. I’ve been there and stayed there for years. However, you can find the strength to change your life situation – even if you were like me and saw NO way to do that. It just took someone who took charge and helped me jump a few hurdles to make changes for the better. My one take-away from this blog is this: don’t try to kill yourself. It turns out that “they” are correct . . . nothing lasts forever, and you will be happy again. Yes, it’s an every day climb but it’s very worth it. It’s your very existence we’re talking about, right?

I’m here if you need to talk or have questions. Leave a comment, as well. Love to you!

National Suicide Prevention Lifeline   1-800-273-8255

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Women in Midlife Crisis – Suicide

midlife

I read an interesting and disturbing article today. It seems women in midlife (ages 45-64) are taking their own lives 24% more often than in 1999. That is a very large jump – in the wrong direction. 

I was also unaware that suicide is among the top ten leading causes of death for women.

Reasons? A few were suggested. Aging Baby Boomers are a large portion of these women – even from adolescence. Possibly, it is cultural with youth being celebrated and aging “getting a bad rap.” Social isolation is another explanation for possible midlife female suicides. Spouses die or divorce. Kids are grown with families of their own . . . busy and often living in other cities. A study showed that women who had strong social supports were less likely to have a premature death – by threefold. Another reason given was finances. With a lagging economy came more deaths. Finally, easy access to medications in the home didn’t help depressed situations. Pain killers can kill more than muscle or joint pain.

I’ve personally experienced seven years of Major Depressive Disorder and have medicated, changed my life (gotten rid of most stress), and introduced new friendships and activities to my days. I now have come through times of suicidal ideation and have a firmer grip on my emotions and behavior. Perimenopause isn’t helping much, though. Erratic hormones have turned me into a Jekyll and Hyde but I don’t give up, and I don’t give in.

We women of middle age are strong. We’re resourceful and wise enough to know how to change our circumstances. Fear will get in the way, though, if we aren’t constantly aware of our goals, and it will stall or even stop our progress toward mental and general health.

Remember Rosie the Riveter from the 1940s? We can do it!

rosie

 

 

 

From Depression and Abuse To Happily Ever After

proud-of-self

I like the part that says, “you remember when you thought things were such a mess that they’d never recover.” I lived through 7 years of hopelessness after a divorce from a 25-year marriage. I saw absolutely no future for myself. One day, I had enough support and guts to lift my head from the sand and make a change in an area of my life that was a chronic problem – I broke off  an abusive relationship. It was a tough process that involved an eventual Order of Protection from the court. That made all the difference. The clouds parted, sun shone on my face, and I found purpose again. Yes, I like the sentiment above because I AM proud of myself and the person I fought to become.

It’s never too late to live happily ever after . . .

Smiley Flower Happy!

Will Your Marriage Survive Menopause?

menopause

 

The following article is by blogger, Staness Jonekos, on the healthywomen.org site. See link at bottom of article.

Over 60 percent of divorces are initiated by women in their 40s, 50s or 60s — the menopause years — according to a recent survey conducted by AARP Magazine. Why are women running away from marriage?

I wasn’t even married when I slammed into menopause months before my wedding day at the age of 47. Despite being completely in love, I almost ran away and my fiance almost married bridezella!

Experts say the number one reason for divorce is lack of communication. My response from the ladies corner, “When everything you know to be normal is being kidnapped by changing hormones, communication may be last on the list. Throw in lifestyle changes, health and aging issues, and you are left in a small evaporating puddle of low self-esteem feeling hopeless.”

Many men blame lack of sex as the leading reason for midlife divorce. But is it? AARP poled 1,682 adults ages 45 and older on the importance of sex. Two-thirds of men (66 percent) and about half of women (48 percent) agreed that a satisfying sex life was important to their quality of life. That is only an 18 percent difference. So is it lack of sex, or a breakdown in communication chasing the women away?

Navigating a course in uncharted territory can test any relationship emotionally and sexually. It can also bring a couple closer — it did for me.

Purchasing midlife marriage insurance can help combat the unforeseen hazards during the menopause transition. How do you qualify for this love insurance? The first step is to understand how menopause can affect your love life.

Ladies first.

Menopause is a life transition that can affect you physically and emotionally. Your body is experiencing fluctuating hormones that can cause hot flashes, night sweats, itchy skin, migraine headaches, breast tenderness, vaginal dryness and irregular periods. Eighty percent of women will experience uncomfortable symptoms, and the majority struggle with midlife weight gain.

Many women feel unattractive going through so many uninvited changes. Some suffer from exhaustion, depression and moodiness leaving them feeling isolated and confused.

During menopause a woman’s brain also goes through changes. Dr. Louann Brizendine (author of The Female Brain) says, “The mommy brain unplugs. Menopause means the end of the hormones that have boosted communication circuits, emotion circuits, the drive to tend and care, and the urge to avoid conflict at all costs.”
There are additional factors on top of fluctuating hormones that may contribute to a lack of communication and interest in sex.

Dr. Wendy Klein, co-author of The Menopause Makeover and leading menopause expert, informed me, “If a woman is taking medications, such as antidepressants, mood stabilizers, contraceptive drugs, antihistamines, sedatives, antihypertensives and/or medications for blood pressure, this can also decrease sexual desire.”

Midlife stresses brought on by career change, the loss of a loved one, empty nest syndrome or caring for elderly parents can contribute to a declining libido.

Throw in aging issues and the last thing on a menopausal woman’s mind is communicating. This woman is in self-survival mode, and may be in no mood to connect or make whoopi.

If she is in an unsupported relationship while managing this collection of changes, leaving the marriage may appear like her only salvation.

Gentlemen — your turn.

How many factors listed above is your partner experiencing? It is no surprise why men are afraid of menopause. His woman is changing in front of his eyes.

Women are not alone suffering from changes. Men also have midlife challenges, both physically and emotionally. Declining testosterone can affect libido, moods and sexual performance. Generally a man’s hormones change gradually compared to the woman’s experience during menopause, so it may not be obvious to the man that he too is changing. Some of these unwelcomed changes may include midlife stress, as well as health and aging issues. If both partners are experiencing change, the relationship may be on an emotional roller coaster.

Approximately 47 percent of women experience sexual difficulties with a decrease of sexual desire being the most common, according to the National Health and Social Survey and the Global Study of Sexual Attitudes and Behaviors.

It is no surprise that most men associate menopause with having less sex. But, it does not have to be this way. The man can actually help save a shaky midlife marriage with some handy tools to power charge the relationship. Women who have a supportive partner often have a smoother transition through menopause. When she is happy, he is happy.

Acquiring midlife marriage insurance takes action to make a difference.

Midlife Marriage Insurance For Him
1. Listen to her; don’t criticize or try to fix her.
2. Go with the flow; be prepared for mood swings.
3. Be compassionate, and validate her experience (that means agree with her, don’t try to fix her).
4. Be romantic. Bring her flowers for no reason. Make her dinner. Give her a massage. Make it about HER.
5. Cuddle more. Tell her you love her and that she is beautiful. You may just get lucky. If not, do not take it personally.
6. If YOU are not in the mood, keep her company shopping, she will love the company ;)
7. Support healthy eating and exercise choices. Join her for a walk or go on a hunting expedition at the grocery store to find new healthy foods.
8. Don’t ignore her menopause symptoms. Talk about it. Ask her what she needs to feel better.
9. Offer support if she needs to visit her healthcare provider to discuss menopause symptoms, a low libido or depression.
10. If numbers one through nine fail – disappear for a while. She may be seriously cranky and need space to focus on herself.

Success depends on going through this transition as a team! Both partners must contribute to have a successful marriage.

Midlife Marriage Insurance For Her
1. Track menopause symptoms and discuss treatment options with your healthcare provider.
2. Make a commitment to a healthy lifestyle. Exercise most days of the week. Eat nutritious meals. Watch portions.
3. Update your beauty regimen.
4. Build a support group.
5. Communicate with your partner. Don’t shut him out – let him know what you need. Understand he may be confused by your changes.
6. If you are not happy in your current relationship, discuss counseling.
7. Be receptive to creative adjustments in lovemaking activities.
8. If your libido is low and/or you are suffering from vaginal dryness, discuss your treatment options with your healthcare practitioner. There are hormone and non-hormone options available.
9. Pamper yourself.
10. Try to stay positive.

Communicate, support each other’s needs, get counseling if needed, add romance, adjust lovemaking activities, and your odds increase that your marriage will survive menopause. Being on the same team will nourish a healthy, loving relationship that can last a lifetime.

Life is constantly changing, and marriage is no different. Have real expectations, and acknowledge that your relationship goes through transitions. This will help you weather difficult times.

Midlife is an opportunity for both men and women. If you are prepared, informed and willing, your marriage can survive menopause. A loving relationship supported with good communication can strengthen your love life at any age.

This menopausal bride made it down the aisle of love. Both my partner and I said “I do” to communication and romance during menopause. We are still happily married five years later and ready to leap over the seven-year itch together.

 

 

 

www.healthywomen.org/content/blog-entry/will-your-marriage-survive-menopause

Denial, Floods, and Small Talk

Denial – the action of declaring something to be untrue

I deny so well that if the behavior were an Olympic sport, I’d have the Gold. Actually, no, we’d all be in the running for the Gold medal.

In this post, I’m wondering why most of us  walk around acting like we are perfectly fine, our world is 100% on track, and nothing is bothering us. We smile and exchange pleasantries but are inside often lonely, hurting, frustrated, confused, or angry. Why can’t we open up more with one another?

 

flood_cafe_venice

 

“You doing okay these days?”

“Oh, yeah. Great. You?”

“Sure thing. How are the kids?”

 

 

 

 

The older I’ve gotten, the more open and honest I’ve become. It’s liberating yet embarrassing at times – because others don’t share their weaknesses or what’s wrong in their own lives. Leaves me feeling alienated, y’know, or different from the norm? What really “is” the norm?  I admitted to starting on antidepressants again the other day to a friend. She blurted out that she’s on about three! I felt closer to her immediately. The honesty was air-clearing.

Ever feel completely overwhelmed? I did about a month ago (when I got back on antidepressants). I felt like I was drowning in a flood of cold, dirty water but nobody paid attention. I realized I was denying my feelings to those closest to me, trying to make the bad feelings go away. But they didn’t. I reached out for help . . . before my chimney went under. 😉

flood_rooftop

 

So, can we try to reach out to one another more? Share our truths more? I won’t judge you; I promise! I may suggest a counselor but I’d never judge you. 🙂  Let’s stop “pretending” everything is okay and going about our days in denial about how much something may be bothering us or altering our lives. Stop biking in the flood, my friend, and admit there are about two feet of water at your feet! The rest of us will help you dry off and find a canoe.

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Mid-life Suicide

suicide

Suicide is not the taboo subject it once was, and rightly so – as the he act has risen 30% in just the last THREE years! It’s a scary statistic. Please click on the link below and read this well-written New York Times article concerning mid-life suicide. Educate yourself.

http://www.nytimes.com/2013/05/03/health/suicide-rate-rises-sharply-in-us.html?smid=fb-share&_r=0