Tag: SSRI

When you are sad, cry.

On the drive home this morning, I decided not to turn on the radio. I wanted to cry, instead, and I didn’t want to be distracted.

We’re fine. Thank God, we’re not dealing with floods and sinkholes and wild boars and floating fire ants, and we’re not refugees or victims of famine. I’m just sad because, among other reasons, I left my five-year-old off at kindergarten for the first time. In her excitement, she ran too fast, tripped, and scraped her knee. With a bloody cut and a hole in her tights, she suddenly lost courage, and so did I; so we clung to each other a little longer than I planned. It’s a tiny, manageable loss, this child heading off to school. But I did want to cry on the way home.

We sometimes want to erase grief immediately, to send an emergency brigade out with a firehose to wash things clean. When a mother miscarries, for instance, she may report to her doctor that she cries, feels sad, and is having a hard time sleeping. I’m not talking about months down the road; I’m talking about grieving immediately after the death of a child. Of course she feels sad. But a doctor’s response is often, “You are depressed. Let me write you a prescription so you feel better.”

Let me be clear. When grief and sorrow are debilitating, antidepressants are a godsend. If sorrow lasts too long and has too much power, it can become paralyzing depression, which roots itself deep in your psyche and separates you from living a full life. I have been on antidepressants myself, and so have some of my family members. Some people castigate mental health drugs as artificial or as a mere band-aid, but in many cases, they can truly heal and restore us to health, to our true selves.

But grief and sorrow are not in themselves pathological. They are, in fact, the only appropriate responses to death, to grief, to separation. I forget the context, but Florence King once skewered oafish do-gooders who couldn’t even wait for the blood to stop flowing before they lept in howling, “Let the healing begin!” There’s nothing healthy about trying to erase grief before it can even declare itself.

That’s why I didn’t want to be distracted by the radio this morning, even though I knew it would stave off tears. Distractions don’t heal grief; they merely chase it into hiding, where it eventually morphs into something uglier, and harder to live with than tears.

We are afraid of grief, and rightly so; but we should also be afraid of losing the ability to feel, and the ability to understand ourselves. When we chase grief away the moment it appears, we are deliberately blinding ourselves to some true part of our own lives. No good can come of that. When we don’t know ourselves, we aren’t free.

Maybe it’s easy for me to say so, while my sorrows are small. But I take my cue from the Psalms, where people with big sorrows also felt free to pour them out without reserve. They wanted the healing to begin, yes, but not before they had their say:

“Is it nothing to you, all you who pass by?
    Look around and see.
Is any suffering like my suffering
    that was inflicted on me,
that the Lord brought on me
    in the day of his fierce anger?

13 “From on high he sent fire,
    sent it down into my bones.
He spread a net for my feet
    and turned me back.
He made me desolate,
    faint all the day long.

[…]

16 “This is why I weep
    and my eyes overflow with tears.
No one is near to comfort me,
    no one to restore my spirit.
My children are destitute
    because the enemy has prevailed.”

It is good to sit with sorrow for a while. I know it’s not a new idea, and not a ground-shaking one, but maybe you need to hear it today. If you are sad, let yourself cry. If someone you love is sad, don’t try to steamroll them into healing right away. Sorrow has its place, and sorrow will have its due.

Mindfulness, meet my bumper

road-meditation

This morning, I dropped off the high school kids and was slowly working my way around the building to get back on the road. I was headed to my therapy appointment next, so I mused as I coasted, plotting out what to say about the past week.

To my delight, I realized that I had mostly good things to report. Maybe it doesn’t look like it from the outside, but on the inside, I’m doing really well.  A year ago, I reminded myself, I would have done unhealthy and useless such-and-such, but now I’m more likely to do sensible and productive thus-and-so. A year ago, I would have been all bogged down in nonsense X, but now I’m working my way steadily through manageable plan Z. Why! I marvelled in my head, I’m even getting better at that mindfulness stuff!

“BRAAAAAAAAAAAAAPPPPP-GGGNNNNNAAAAAAAAA-guhguhguhguhguhguhguhguhguhguh-guhguhguhguhguhguhguhguhguhguh,” said the van.

A horrible, scraping, flapping, grinding sound from the front end, the kind of sound that makes your heart drop right out of your chest.

My initial diagnosis was that the engine had broken into two halves which were angrily trying to crush each other into rubble. Or possibly the transmission had fused and was fixing to explode. Not a healthy sound. I pulled over as quickly as I could, parked, and dragged myself out of my seat, cold with dread, preparing my eyeballs to find that the front end had spontaneously crumpled itself into a smoking, oily ruin.

I . . . had hit a pylon.

A big old fluorescent orange traffic pylon, about three feet high, and it was wedged under the front bumper, and was dragging on the pavement. That’s it. I have no idea where it came from because, duh, I didn’t see it. I was too busy thinking about how good I was at mindfulness.

I tried to pull the pylon it out, but it was pretty stuck. So I got back in the van, backed up a bit, got out, and yanked it out. I sheepishly threw it into the passenger seat, drove around front of the building, punched on the hazards, tossed the pylon out onto the grass, and got the hell out of there before anyone recognized me.

(Because no one recognizes the dented white 15-passenger van with the peeling blue racing stripes and the raggedy pro-life bumper stickers on it, no sir. Completely anonymous. No one will harass my kids about it, definitely not.)

Yeah. So. Mindfulness! I’m ever so good at it, on the inside.

I wasn’t really wrong. It has been a very productive year. I have lots of hope and even some confidence about the future, I feel at peace most of the time, and I have much more interior freedom than I’ve ever had.

Therapy has been literally a game-changer for me. So much of my life has been taken up with all-consuming mental and emotional games that I didn’t really want to play, but which I didn’t know how to quit. I knew I wasn’t happy, and I knew I was making other people unhappy, but I was afraid that getting healthier would mean losing my identity. I wasn’t crazy about my personality, but, well, it was me. It was what I had, all I knew. Even if the ground I was travelling was unpleasant and rocky, I didn’t really fancy jumping off a cliff into the blind mist.

Well, it hasn’t been like that. I’m still myself. I’m more myself than I used to be. The mental illness of lifelong anxiety and depression were not, are not the real me. I’m closer now to being the real me than I used to be. I still have ups and downs, and I still have plenty of work to do. I don’t always act the way I want to; but at least I feel like I have a choice in how I respond to the world.I’m not on any drugs, because I don’t need them right now. It’s been a very good year.

Does it seem this way from the outside, to people who know me and live with me? I have no idea. For all I know, the rest of the world still sees me driving around like an idiot with an orange pylon wedged under my bumper, and it’s only by good luck that it is just a pylon, and not a puppy dog or a crossing guard. I hope that my work with therapy has made life easier or better for people who have to live and work with me, but I am not sure.

Either way, it’s been worth it.

I’m telling you in case you need the encouragement to make that phone call (or several phone calls). Get a good therapist, be honest, do the work, be persistent, and your ride through life will get a lot smoother in the best possible way. You’ll still be in the driver’s seat, and even if you do have to drive off a cliff at some point, you won’t be in free fall forever, I promise. If you stick with it, you will still be yourself. More yourself.

On the inside, anyway. On the outside? Just keep an eye open for crossing guards, I guess. But you can do it! And it will be worth it.

Here’s more of what I’ve written about going to therapy and about taking an SSRI.

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Image: “Road Meditation” by Nickolai Kashirin via Flickr (Creative Commons)

A note about the photo: I am not saying that I would have hit this chick with my van on purpose, but I am saying that if I did hit her, it definitely would have been on purpose. That’s the magic of mindfulness!