Thursday, September 15, 2011

Through the Darkness and Into the Light

My name is Aaron.  I have bipolar depression.  I have taken more psych meds that I can count, and I'm here today to share my story, and most importantly, to say that there's always hope.  The reason I feel confident in saying something I always thought was so trite is that I know now that we never run out of things to try.  Like many stories worth telling, mine is one of going through the darkness and into the light.

There is about a five year period of time that I don't really remember.  While my friends went to college and did all the fun things that you can only really get away with when you're that age, I went to psychiatrists.  I firmly believed that I had a terminal disease and that I was fighting a losing battle.  It certainly seemed that way, too.  I just got worse and worse, and I was a topic of discussion for my whole family.  To be the problem everyone is talking about is a most unsettling feeling.

Over time, most of my family became convinced that I was lazy and that I wasn't trying.  I didn't really disagree.  But my mom tackled my depression head on, and over time I think she became nearly as depressed as I was.  I remember her lying on the couch, staring at the wall, with a look of utter hopelessness and defeat on her face.  I knew it was because of me and I remember feeling so sad and powerless that I couldn't seem to keep from destroying her life.  That was the worst part, feeling like I was to blame for her despair.

I tried to kill myself twice.  After the second time I was hospitalized.  I felt hopeless, largely because I felt I had already tried everything and that nothing was working.  I had learned a fair amount about psych meds over the course of taking so many of them, because I wanted to be knowledgeable about what I was taking.  I learned about SSRIs, tricyclics, antipsychotics, mood stabilizers, and so forth.  I knew I had tried many of the drugs in each of these categories, and others, and that I was running out of drugs to try.  But what I didn't know was that there is a whole world of options out there, and that psych meds make up only a small number of the options available.

When I was in the hospital I agreed to try Electro Convulsive Therapy (ECT), because I felt like I'd already tried everything else.  The point of ECT, as you may already know, is to induce a short seizure, which supposedly realigns something in your brain.  Well I didn't get my brain realigned, and instead of one short seizure, I had a series of long seizures the doctors had trouble stopping.  I spent that weekend in the ICU and don't remember any of it.  My psychiatrist was never able to figure out why that happened, but he did suggest that I try again.  Fortunately, I declined.

I'd been taken off my meds for the ECT and after that failed, I was put back on them.  I was still in the hospital and was having uncontrollable crying spells.  I wasn't allowed to go outside and all there was to do was to sit for hours in front of the TV (which I despise) or to read, in between the various sessions they held.  Much of the material they presented in these sessions was good, but was a repeat of another outpatient program I'd been to previously.  I wasn't allowed to leave until my psychiatrist decided I was ready.

I was still depressed, and the hospital was only making things worse.  I hid my crying spells and feelings, and manufactured what I hoped would be a believable story of feeling a little better each day.  Talking to my doctor, I felt like a prisoner talking to his parole board.  I guess I'm a good liar because they eventually let me out.  I remember the day I got out, driving to buy new strings for my guitar, with the windows down and the wind in my hair.  It was one of the best days of my life.

The hospital was my rock bottom - I was determined to never go back to a psych hospital, and resolved to either get better or find a better way to kill myself.  I spent a lot of time working on both.  I got out of the hospital in February of 2005, and over the course of that year I quit taking my psych meds and starting getting acupuncture.  I started paying more attention to what I ate and I started exercising.  I had some mind expanding experiences, and I really grew up a lot. 

I gave up on psychiatry as a solution for my problems.  And I'll admit, I had gone into it with an immature attitude, expecting the doctor to fix me instead of working to fix myself.  I know psych meds help some people and I am not suggesting that anyone quit taking their meds if they work.  There is no uniform treatment that works for everyone, and that is one point I wish to make:  Everyone is different and gets better in their own way.

Treatment has such a narrow scope in many people's minds - it means doctors and pills.  But treatment and recovery encompass everything from what drugs you take to whether you like your job, to what you do with your free time, to where you live and the people you surround yourself with, and much, much more.  It's about being happy, and everyone has factors that affect their happiness, whether or not they have ever felt depressed or been to a psychiatrist.

By far, the biggest and most important thing I've learned is that you're never out of options.  You never run out of things to try, and any time you feel like you've tried it all it just means you're not looking hard enough.  It means it's time to branch out and investigate a totally new aspect or approach.  I let doctors give me a seizure before I had tried things as simple as exercise, nutrition, or acupuncture.  It's really crazy, looking back. 

The few years following my release from the hospital were far from perfect and I experienced plenty of dark times and what I guess you could call relapses.  But the overall trend was a positive one, and I have made a long uphill battle to where I am today.

Nowadays I work in IT, working on computers, and I live in an apartment I like on the east side.  I have a wonderful girlfriend, and I spend a lot of time on creative endeavors.  These creative outlets have been very important to my recovery.  I play guitar and sing, and I draw.  I write on a blog.  I still get acupuncture, and I trade guitar lessons for my treatments.  I take Lithium, which I've been back on for a few years, and it helps keep me on an even keel.  I'm working on saving money to move out of Texas, which has been a dream of mine for years.  I love Austin, but I really want to live someplace with cooler weather.

I still have times when I feel depressed and I'm by no means magically cured and happy all the time, but who is?  That's unrealistic.  I am happy overall and I would consider myself to have recovered.  I have a good support system in place of people I can talk to when I need to.  I look forward to the future and am glad I have persevered and made it this far. 

I value openness and welcome any questions anyone has.  I am here because I want to share, and would rather someone ask me something they feel awkward about than hesitate out of fear of either asking something too personal or me judging them.  I also have business cards for the acupuncturist I see at South Austin Community Acupuncture.  His name is Mike Sobin and he works on a sliding scale, with prices as low as $15 per treatment.  It's been an effective, affordable treatment that has made a big difference in my life.

Finally, it doesn't matter who you are, where you've been, or what you've done.  The past is the past, and all you can change about it is how you view it.  It can either be a situation that's depressingly similar to the present, or it can be that period in your life when you were just crazy screwed up.  It's up to you.  All that matters is that you continue to try, because giving up is the only way anyone really loses.