Rolling Rolling Rolling

What a busy week I have had!  Group therapy Monday, blood work on Tuesday, psychiatrist on Thursday, doctor appointment Friday.  I made it through all of that, learned a few new things, and had some questions answered.

Rolling, Rolling, Rolling is an excellent way to describe this week and the changes it represents for me.  I had to keep rolling along all week, keeping up with all these appointments.  I had to roll with the punches when the treatment center called me Thursday and moved my appointment time up by hours.  I also have had to roll with the news that I will have to change depression medications.

I met the new the psychiatrist Thursday.  I thought that doing the appointment by webcam would not work out good.  I figured I would feel uncomfortable, and not be able to discuss things with the doctor like I needed to.  It was the total opposite of that.  The new psychiatrist is a woman, she was very personable and pleasant.  Very quickly I forgot that we were talking to each other through a monitor and it was like talking to someone who was right in front of me. I brought up the topic of my depression medication and that it might be having a negative affect on my body.  I had some blood work a couple of months ago, and one of the results suggested that something might be going wrong with my liver.  There is also the fact that the medication seems to be affecting my ability to keep my blood sugar under control, as well as my blood pressure.  The psychiatrist agreed that it was something that we needed to look into and told me to come back and see her next week, after I got some more blood work back.

Yesterday, I got the results of the blood work.  This time my liver looked great, my other numbers (A1C and blood glucose) were horrible.  Just horrible.  My blood pressure was insanely high, 183/128.  The doctor seeing me for my medical stuff was so appalled by what she saw, she was ready to write me a new prescription for a different anti-depressant right then and there.  I asked her not to, because I wanted my psychiatrist to do that, since she will understand more about what to give me.

I go back to the psychiatrist on Thursday and I suppose that we will start putting plans into place to change my anti-depressant.  There has to be a plan.  My anti-depressant is Effexor.  The withdrawal for Effexor has been known to frequently have terrible withdrawal symptoms.  I have read that the withdrawal can be so bad that many people fire their psychiatrist after they come off of it, because they are angry that they were prescribed it in the first place.

I am rolling with this as well.  What choice do I have?  I suppose I could choose to be angry and upset that I have to go through the process of finding the right medication…again.  I could be whiny about the withdrawal, that might be bad.  I have the option to obsessively worry that this might cause me to go into a depressive episode. However, to be quite frank about, what good would it do if I chose any other option but rolling with it? Not a darn thing.  In fact, I believe choosing any other option would be more detrimental to my mental health than the process of having to change depression medications will be.

These are the things that I have going for me.

  • My state of mind is soooooo much better than it was when I first started treatment for my depression.  I believe that will make it easier for me to deal with the changes in medication.
  • With my state of mind being better, I believe that even if I have a depressive episode as a result of the changes, it will not be anywhere close to how bad the depression was when I first began treatment.
  • I have created a super, terrific support system.  They are aware that I might be in a horrible mood during this process and more than willing to put up with me and support me.
  • There are so many options for medications that I know the right one will be found for me.
  • Physically, I should feel better once we find the right medication.  My husband pointed out that most likely the reason I frequently have days where I feel rotten is because of the high blood sugar and high blood pressure.
  • The psychiatrist very clearly said to me “This will be a difficult process, but I WILL get you through it!” I take comfort in knowing that she feels such concern about me.

There was a time, not too long ago, that I would have freaked out about anyone messing with my anti-depressant.  I still vividly remember how awful I felt before I started treatment.  I never want to go back to feeling that way.  It affected my brain, body and soul. In the last few months, I have realized something…

As long as I am doing what needs to be done to protect my mental health, including being willing to change medications, I will be okay.

Group Therapy

GROUP THERAPY SMALLOne of the reasons I had wanted to start going to group therapy was to relearn some social skills.  Too many years of isolating myself sort of left me without normal real life social skills.  I had not really had a chance to immerse myself in the whole group therapy process because, since the first time I attended it has been three weeks before the group met again.  On one day it had been scheduled  the counselor had to cancel it due to illness and the following Monday was a holiday.

One of the women in the group and I had exchanged Facebook information, so we were kind of learning about each other that way, but it was still in a virtual kind of way.  Apparently, she had sent me a private Facebook message that I totally did not see.  What I found out yesterday, is that she is the sister of someone my husband and I know and…….she practically lives across the road from me!

I think this is totally cool!  I actually know someone other than my family that I can talk to.  Get this….I explained to her my aversion to having people come into my house.  I get really freaked out by it.  I do not like people in my house, I am afraid they will touch something or judge me about my house keeping skills.  I also asked her if she would be willing to come over to my house for the sole purpose of stressing me out.  I know that sounds strange, but what I have discovered about myself is that if I gently push myself outside of my comfort zone I tend to be able to work myself past what makes me so anxious.  I figured since we live so close to each other and are in the same group therapy together, she would be a good person to help me with my issue because she would understand how it would make me feel without me having to explain it.  She agreed, and we exchanged numbers.  I cannot even remember the last time I exchanged phone numbers with someone.

As you can tell, I am very excited about actually getting to know someone who “gets me” in real life.  I am very happy that I made the decision to start group therapy,

Learning To Be Around People

I probably enjoy being alone more than the average person.  Some people crave social time, I crave alone time.  The problem is that in the past, there was absolutely no balance between my social time and alone time.  The scale was very much tipped toward being alone. One of the things I learned in this last year of treatment is that my alone time and time spent with other people needed to be more balanced.

I believe that I need to maintain balance between my desire to be alone and being with other people for several reasons.  For me, the most important reason was to make my relationship with my family healthier.  It was not right that I spent almost no time with them. Even when I did spend time with them I was “off in my own world” so I was not really with them then either.  This made them feel as if I were rejecting them, especially my daughter.

I have discovered that sometimes, mostly when my mood is down, when I spend so much time alone, it makes it easier for me to slip back into old patterns of behavior.  Not just any old patterns of behavior, but the ones that I used to display before my depression treatment.  Kind of downward turned, almost pessimistic type of thought pattern and actions.  The more my thoughts were sort of depressed, the more I would start feeling that way.  Turning into an unhealthy cycle of sorts.

After having spent so many years avoiding people and social situations, attempting to be more social was not exactly easy. In fact, for the most part I really disliked it.  As it turned out though, the people I ended socializing the most with was my family, including my parents.  That is probably the best possible outcome for me.  By now they understand that there are times that I need to be alone, and they allow me that time without bugging me.  However, they also are very good at checking on me when they sense that I am struggling a bit.  Nothing major, maybe a check in phone call from one of them, or asking me if I am okay.

Slowly, as I let go of my anger, and gained more self worth and self confidence, I began to feel more comfortable in social situations and even going to stores.  However, it is still not something I really enjoy.  Especially the stores.  All those people being crammed around me makes me extremely anxious.  It helps that when I need to put myself in a social situation I am always with a member of my family.  Mostly because they are at least the one, sometimes more than one, person who understands how I am feeling at the moment.  They do not have to do anything , except just be there, to make me more comfortable.  Experiencing social situations with my family allows me to gently keep pushing my comfort zones, which is helping me learn how to be around people.

There is more balance in my life now when it comes to being alone and being around people.  I will probably never be one of those people who enjoy big social situations, and most likely shopping is never going to be my favorite activity, but at least now I am willing to do things with my family. That makes all of us happier.  I am creating great memories with my family.  My daughter feels like she can talk to me more.  My husband feels like he has a partner again.  I laugh more.  Being around my family distracts me when I am having a bad day.  It fills a need we all  had.

Fancy Meal Recipes

Beetle Juice – our faux cocktail

Ingredients

  • 1 cup sugar
  • 1 cup water
  • 2-1/2 cups white grape juice
  • 1-1/2 cups orange juice
  • 1 cup lemon juice

Directions

  • In a large saucepan over medium heat, dissolve sugar in water. Remove
  • from the heat. Stir in the juices; strain to remove pulp. Add enough
  • water or ice to measure 1 gallon; stir well. Yield: 16 servings (4
  • quarts).

The original recipe can be found at Taste of Home – Beetle Juice

Apricot Kielbasa Slices – Appetizer

Ingredients

  • 1 pound fully cooked kielbasa or Polish sausage, cut into 1/4-inch slices
  • 1 jar (12 ounces) apricot preserves
  • 2 tablespoons lemon juice
  • 2 teaspoons Dijon mustard
  • 1/4 teaspoon ground ginger

Directions

  • In a large skillet, brown sausage; drain and set aside. Add the
  • remaining ingredients to the skillet; cook over low heat for 2-3
  • minutes or until heated through, stirring occasionally. Return
  • sausage to the pan; cook for 5-6 minutes or until heated through.
  • Serve warm. Yield: 4 dozen.

The original recipe can be found at Taste of Home – Apricot Kielbasa Slices

Almond Chicken Stir-Fry

(I used white rice instead of the pasta that the recipe called for)

Ingredients

  • 1 cup whole unblanched almonds
  • 1/4 cup canola oil
  • 1 pound boneless skinless chicken breasts, cut into cubes
  • 1 tablespoon cornstarch
  • 1/2 cup chicken broth
  • 3 tablespoons soy sauce
  • 2 teaspoons honey
  • 1 teaspoon ground ginger
  • 1 package (14 ounces) frozen sugar snap peas
  • Hot cooked pasta or rice

Directions

  • In a large skillet over medium heat, cook almonds in oil for 3  minutes. Add chicken; cook until meat is no longer pink.
  • In a small bowl, combine the cornstarch, broth, soy sauce, honey and ginger until smooth; add to the chicken mixture.
  • Bring to a boil; cook and stir for 2 minutes or until thickened.
  • Reduce heat. Stir in the peas; heat through. Serve with pasta. Yield: 4 servings.

The original recipe can be found at Taste of Home – Almond Chicken Stir-Fry

Apple Lettuce Salad

(instead of buying the different types of lettuce, I bought a bag of lettuce that had a variety in it)

Ingredients

  • 1/2 cup unsweetened apple juice
  • 2 tablespoons lemon juice
  • 2 tablespoons cider vinegar
  • 2 tablespoons canola oil
  • 4-1/2 teaspoons brown sugar
  • 1 teaspoon Dijon mustard
  • 1/4 teaspoon pepper
  • 1/8 teaspoon salt
  • 1/8 teaspoon ground cinnamon
  • Dash ground nutmeg
  • 1 medium red apple, chopped
  • 1 medium green apple, chopped
  • 6 cups torn green leaf lettuce
  • 6 cups torn red leaf lettuce

Directions

  • In a large salad bowl, whisk the first 10 ingredients until blended. Add apples; toss to coat. Place lettuce over apple mixture (do not toss). Refrigerate; toss just before serving. Yield: 12 servings.

The original recipe can be found at Taste Of Home – Apple Lettuce Salad Recipe

Lemon Ice Box Pie

(Frozen, Cracker Barrel copy-cat recipe)

Ingredients

    • 1 graham cracker crust
    • 1 (14 ounce) cans sweetened condensed milk
    • 1/2 cup lemon juice
    • yellow food coloring
    • 8 ounces whipped topping
    • vanilla wafer cookies

Directions

  1. Mix sweetened condensed milk and lemon juice and beat on medium high speed until well blended.
  2. Fold in 1/3 of the whipped topping and 2 drops yellow food coloring.
  3. Pour filling into crust; carefully smooth remainder of whipped topping on top of lemon filling.
  4. Place vanilla wafer cookies around the edge of the pie (can do this right before serving if you prefer a crisper cookie).
  5. Cover pie and place in freezer.
  6. Pie may be kept in freezer for several days until ready to serve.
  7. Take from freezer 10- 15 minutes before serving.

The original recipe can be found at Lemon Ice Box Pie – Cracker Barrel copy-cat

Depression And Cooking

Even I have to admit that the title of this post looks odd.  What in the world does cooking have to do with depression?  In my experience a lot.

Before my last depressive episode got so bad that it impaired my ability to function, I loved to cook for my family.  Planning and preparing very nice meals for my family gave me a great deal of pleasure.  I was good at it too.  Not executive chef good, but it was good enough that my family enjoyed what I made.  The whole process, from looking up recipes to even going to the store to pick up the ingredients, was something that made me very happy.

However, it was also stressful to cook such nice meals for my family so frequently.  Trying to make sure that each part of the meal was finished on time, and worrying if my family would like what I made them were my biggest sources of stress.  Oh, and the dishes to be cleaned.  I usually had to use so many different gadgets, bowls, pots, and pans that the clean up was awful.

Once depression was ruling my life, I lost any desire I had to plan or fix meals.  Unfortunately, this meant that after working all day, my husband had to come home and cook our supper.  This state of affairs lasted for at least two years. It was hard on my husband, especially since he did understand that I was depressed. Once I got my depression diagnosis he was more understanding, but it did not change the fact that he was having to do so much extra stuff, including meal planning and preparation, when he got home fromy work.

Once I began to start feeling better, I was able to take that duty over again.  However, something had changed .  Even though I wanted to fix nice meals for my family, I had no desire to daily spend the hours on it that I used to.  One of the goals I had near the beginning of my depression treatment, was to find ways to simplify my life, and that included the time and effort I spent on meals.

I began to look for simple but tasty recipes, and much to my surprise I found tons of them. I also approached how I cooked differently.  No more stressing about when the food would be done cooking.  When it was done, it was done.  When possible, especially if I was fixing a big meal, I would just take my time.  The simple recipes meant less ingredients were needed and also less work involved in getting the food ready to cook.  The less work involved in food preparation led to less bowls, pots and pans getting dirty, so I had less clean up.

A couple of weeks ago, I got it into my head to make a really nice meal for the family, at the same time, I wanted it to be something fun and a bit different than what I usually did.  It just so happened that I had a nasty panic attack on the day that I had planned this.  In the past the panic attack would have meant that I was done for the day, and would have spent the rest of the day sleeping.  This time, even though that is what I wanted to do, I kept myself moving and went ahead with what I had planned on cooking.  What I discovered when I was preparing our meal is that, even though this was going to be a fancy meal, by using simple recipes I was able to successfully complete the meal without feeling overwhelmed, like I might have in the past.  This was especially significant considering the panic attack earlier in the day. Anna and I had fun with what I fixed, and we even had faux cocktails for a cocktail hour. I took my time and focused on the meal being fun rather than worrying about any deadline.

In the past I have not shared any recipes on my blog, but I thought since I had so much fun with this meal that I would share what I made.  I have placed the recipes in another post, you can find it here

Fancy Meal Recipes

Why I Talk About Suicide

In the last few months, one of the things I have become passionate about is suicide prevention.  As a result, I have become more vocal about my own suicide attempts and what brought me to the point where I felt that suicide was my only option.  I have come to believe that the more light that is shed on this difficult to discuss subject, the more aware people will be about the growing epidemic of suicide.

I remember how much pain I was in before I tried to take my own life.  It was a physical and mental pain that was more than I could bear.  The thought of how many people are out there who are in that kind of pain hurts my heart.  I want to let them know that they can move past that pain, and make it to a place where they are happier and healthier.  I want them to know that having hope is possible.

Silence keeps the subject of suicide clouded in mystery.  However, many suicide attempt survivors find it difficult to impossible to talk about it.  There is a great deal of shame associated with having attempted to take your own life.  People make judgments about the type of person your are.  There is an awful lot of pressure to ” perform better” in the future. Not everyone who has survived a suicide attempt is emotionally strong enough to break their silence.  They may never be strong enough. However, since I am strong enough, I feel it is my duty and privilege to attempt to educate people about suicide, and suicide prevention.

Each year the amount of people who die by suicide goes up.  My hope is that if enough people take on the challenge of educating others about suicide and suicide prevention we will one day see the suicide rate go down.  It may be an unrealistic hope, but unrealistic does not mean impossible.

If you are interested in joining an online community for people who have survived their suicide attempt, please take some time to look at Suicide Attempt Survivors

The Blame Game

Only one person is responsible for the quality of the life you live… YOU!

What is the Blame Game?  What are the benefits of engaging in it?

The Blame Game is something that we all engage in at one time or another.  We usually play it when something undesirable happens and we feel guilty or uncomfortable about the part we played in the event.  We benefit from playing this game because we find a way to blame someone else for the outcome and that action removes our responsibility.

At some point, many of us realize that the Blame Game is really not helping anyone, not even ourselves.  However, for others, seeing the immediate benefit far outweighs any long term difficulties that might arise.  As a result, they end up “playing” this game for most if not all of their lives.  In the end, blaming others becomes so ingrained into who they are, that they come to believe that they are not responsible for any of the negative things in their life. They develop a sense of entitlement.  They believe they are supposed to have an amazing life, things, and etc. and when that does not happen, it is the fault of others.

If someone has a sense of entitlement, they believe that everyone and even everything is responsible for their success.  If they are not having success, then it means that someone else or something else is responsible for their lack of happiness.  That lack of happiness can be at work, home, family, play, and etc.  They feel that loss of respect, job, dignity, relationship, loss of happiness is not their responsibility or within their control.  They fail to see the real reason why their life is not working.  Themselves.

Being responsible for yourself in any and all situations is not easy.  However, the only way to truly have a successful life is to be responsible for everything that that goes on in it.  You are the only one responsible for the successes and failures in your life, not your parents, not your spouse, not your boss, not your dog, not the weather, only you are.

There is power in taking responsibility for your own life.  By believing that you are responsible for the results, you can believe that you can be responsible for changing your life.  To be responsible for your life you must stop playing The Blame Game.  You must quit making yourself out to be the victim in every situation, and stop whining.  You need to no longer make excuses for why your life is not turning out the way you want it.  You need to give up your need to be right all the time, and also your sense of entitlement.  It is vital you give up being a victim of your past, what someone said or did to you that caused you grief.

Taking control of your life, and stopping The Blame Game means that you believe that you are the only one who can dictate the direction that your life will take.  Change your response to events and circumstances that are caused by other people (a car accident for example). By learning how to respond differently to things that are out of our control, we can change the ultimate outcome.  You can learn to not live in fear when you remember a past trauma or event.  You can learn to no longer allow someone else’s opinion or action to dictate how you view yourself or your life.

Being responsible for yourself is a freeing experience.  It means you and only you are in charge of your life.

Changes, Changes, Changes

I know that everything must change.  I also know for the most part that change is a good thing.  However, knowing those things does not negate the fear I have when it is time for things to change.  My treatment at the treatment center I go to, is in a state of change right now.  It is creating some stress for me. Actually, I have decided that the stress is good for me.  It is not an overwhelming stress, it is more like the stress is there because I am being pushed a little bit out of my comfort zone.  Just enough that it should effect more growth in that area of my life.

The psychiatrist that I had been seeing since I began going to that treatment center recently left.  The new doctor arrives, September 16th and I have an appointment with him on that day.  I have shared that I am a little nervous about getting to know a new psychiatrist. I think I will be okay with that change once it happens.  It is not like I am going to a totally new place, it is just a new doctor coming in.

I sense a change coming with regards to my counseling.  I know that one of the big goals in therapy is to get to a point where the patient no longer relies on the therapist as much or not at all.  I know this but yet, it does not make me feel any more confident at the thought of not having my counseling sessions as often or at all.  I think it is getting close to that point.  After my awesome counseling session the other day, the counselor asked me if I thought I needed to see her individually anymore this month or only at the group sessions.  I set an appointment to take place in two weeks.  I am glad that my counselor lets me set the pace for my therapy.  I do know that it is time for me to start pushing my comfort zones again. It always happens that way, just when I get comfortable, it is time to take on some new challenges.

Suicide In My Face

On Sunday morning my mother called me.  She wanted to tell me about a relative of ours who had died by suicide on Friday.  She asked me if I would go to the viewing with her later on in the day.  She thought it would be beneficial for me to go and speak to the family, if the time and situation was right, and assure them that there was nothing they could have done to stop their son from taking his own life.  As she and I both said on the phone, it is one thing to be a mental health activist sitting behind a computer, where I can stay some what disengaged.  It is something completely different to do that work in person.

Even though this person was a relative of mine, I really did not know him.  My extended family is rather large and most of the time we only see each other once a year at the family reunions.  Because of that, not many of my extended family know about my suicide attempt. The opportunity has not presented itself to share something like that.  Which meant telling anyone at the funeral home about my suicide attempt was completely new territory for me.  It made me a little anxious.

As we entered the funeral home, I was introduced to one of my mother’s cousins, who also was the aunt of the person who died.  She was holding it together pretty good under the circumstances.  The mother was not.  She was crying uncontrollably for most of the time that we were there.  The wife was sitting in a chair beside the coffin, and there were pictures of the deceased’s children all over the room.  It was difficult for me to be there.  Seeing how devastated everyone was made me think about my own attempt and how close I had been to causing this much pain to my own family.

After we had said hello to a few people, I went and sat next to one of my mother’s aunts.  She really is a nice person, she has always treated me well, however, she is also like most people, uneducated about how mental health issues can affect people.  She sat there giving me the gossip about the whole situation, part of it involved the marital problems between the deceased and his wife.  Basically, the long and short of it is that the wife is being held responsible for her husband’s death by suicide by some of the members of the family.

That made me angry.  It made me angry because it was NO ONE’S FAULT! Not even the young man who took his own life was at fault.  He was sick.  If his head was full of similar thoughts to my own when I attempted suicide, then he was very sick.  For the first time since my diagnosis, the misunderstanding that people have about mental illness was right in my face, and I did not like it.

My mother and I did have an opportunity to speak to both to both parents.  The father seems to be doing really well under the circumstances.  He really loves God and has placed himself and the situation into the Lord’s hands.  He is not angry, and is not blaming anyone.  When we spoke to him he held my hand and had his other hand on his back the whole time.  It was as if he was giving me comfort in his own time of grief.

The mother was not doing as well.  I shared with her that some parts of my story, tried to help her understand  that her son had been sick, and that there was nothing anyone could have done to prevent what had happened. I think she was too immersed in her grief to really understand what I was trying to say.  The few things she did say, indicated that she was also very angry and blaming the wife.  I wish what I had said could have made more of an impact with her than it did.

As difficult as it was for me to be there,  I think it was good that I went.  It was my first real life exposure to suicide, outside of my attempt, and it gave me an idea of the types of judgments that people form about someone who has taken their own life. I also learned that being an activist in the “real world” is something I can do, I just need some more practice at it.

The Anxiety/Worry Wheel

When I look back on my anxiety filled days, what I remember most is feeling like I was on something like a hamster wheel. Instead of a hamster wheel, I guess it was really an anxiety wheel. One physical symptom would lead to another, one thought that caused me anxiety would lead to another.  Just over and over again.  Running in circles, never getting anywhere, never finding a solution to my anxiety.

Those of us who experience chronic anxiety and worry have this type of thinking that causes us to spend a great deal of time on that anxiety wheel.  The technical term for that type of thinking is Cognitive Distortions. I prefer simple words that are easy for me to remember, so I call this type of think warped thinking, or my not well thinking.

For me, in order to do away with my not well thinking, I had to recognize what was going on in my head when I was experiencing it.

  • I had an all or nothing mentality – I saw everything as black and white and if something I did was not perfect than I considered it and myself a failure.  I have been known to throw out something I cooked if it did not look as good as the picture in the cookbook.
  • Overgeneralization – I would create an expectation from one single negative experience.  I believed that if it happened one time, it would always happen.
  • The Mental Filter – Focusing on the negatives while filtering out the positives.  I would notice the one or two things that went wrong rather than focus on the all the things that had gone right.
  • Diminishing the positive – I would come up with reasons why the positives did not count.  If I crocheted something and it turned out beautiful, it was not because I was skilled at it, it was just because I lucked out when I read the pattern.
  • Jumping to conclusions – I would know that something terrible would happen, even if I had no evidence.  One of my biggest anxieties was being afraid that something horrible would happen if I left the house.  It usually centered around the house burning down.  I knew that if I left my safety zone, my house would be gone by the time I got home.
  • Catastrophizing – I always expected the worst case scenario.
  • Emotional Reasoning – I had the ability to convince myself that what I was feeling was reality.  I would create something to worry, it usually involved something bad happening to my family, and I could actually convince myself that it was real.  I would cry and everything.
  • Shoulds’ and Should nots’ – There was a whole long list of things I would allow myself to do and things I was not allowed to do.  If I broke any of my own rules, I would beat myself up about it.
  • Labeling – I applied very negative labels to myself.  I was a failure, a loser, a bad parent, a horrible wife, a terrible daughter and so on.
  • Personalization – I assumed responsibility for things that were outside of my control.

Identifying these types of thinking was an important key for me to learn how to not be filled with constant anxiety.  If  caught myself engaging in any of these not well thoughts,  I would instantly try and replace it with something more positive.  Eventually, I was able to move completely away from this not well thinking.  Once I did this, my life on the never ending anxiety wheel came to an end.