The Edge of the Abyss

The Edge of the Abyss
Depression is not a sign of weakness

Monday, December 19, 2016

Coming Back from the Edge of the Abyss



Twenty years ago, I was certain I was going to die, or go insane. Or both. And it had nothing to do with my arthritis. Actually, it had everything to do with it.
I was in the throes of a “major depressive episode,” which doesn’t sound nearly as Sylvia Plath-esque as “a nervous breakdown.” (Though I assure you, there was nothing poetic about it.)
For the first eight months of 1996, I had an uneasy feeling. Something was not right, but I couldn’t put my finger on it. After that, my emotional decline came on rapidly.
By autumn, I was circling the drain. I began each day with the unholy trinity: terror, despair and bone-crushing fatigue.
My fear was free-floating, attached to nothing and everything. All day long, I had severe panic attacks. I would just come out of one, only to go into another. Fear revved in me like a grand prix engine. I sweated and shook. Tight bands of muscles in my head and chest constricted to the breaking point. I ached like I’d been in a bar fight.
The despair surrounded me like an all-powerful demon. When I looked back on my life, I saw nothing but misery and sadness. I vividly remembered the nasty details of every orthopedic surgery I’d ever had. Nights when I lay in my hospital bed and heard “Code Blue” called, knowing it meant somewhere a child lay dying. Was anyone there holding her hand, assuring her she was loved, as her life slipped away?
The fatigue of my depression was monstrous. Sleep had always been my reliable companion, a seven-hour respite from my daytime pain. But by December 1996, I was sleeping perhaps two to three hours per night. The rumble of panic and terror inside me chased sleep away, until exhaustion would finally pull me under around 3:30am each night. Then the alarm would ring at 6am.
Through all of this, I continued to go into work each day, though admittedly the depression wreaked havoc with my ability to concentrate for more than a minute or two. Except for my husband, I never told a soul. I didn’t know what else to do.
I had struggled nearly my whole life with depression, yet I didn’t recognize it. It typically came on as anxiety with heightened emotions and insomnia. I had always thought depression caused people to feel nothing and sleep 20 hours a day. Then I learned anxiety and depression were two sides of the same coin.
Just before Christmas 1996, I found a reputable psychiatrist and compassionate therapist. I began a treatment plan, consisting of meds, talk therapy and daily cognitive behavioral exercises. Dr. David Burns’ “Feeling Good: The New Mood Therapy” became my Bible. I still consult it now and then.
I want to be clear that -- through it all -- I never, ever thought about harming myself. In fact, my panic stemmed from the irrational fear that I was going to die, and I desperately did not want to.
It was a long, 18-month slog back to “normal.” There were good days when I actually laughed and went out to lunch with friends. And there were days when I only had to remember the Kris Kristofferson song, "Sunday Mornin' Comin' Down," and I would have to shut my office door and sob.
Medical professionals say people living with chronic pain are three times more likely to develop depression than those without pain. They have known this for decades. Yet from the time I was diagnosed with rheumatoid arthritis at age 8 until my breakdown at 32, not one medical professional ever broached the subject. It boggles the mind that no doctor, nurse, physical therapist, etc. ever discussed this with me, a child – then later an adult – struggling with a disease causing severe chronic pain.
Over the past 20 years, I’ve hit a few emotional bumps in the road. A blip now and then when I’ve been easy to tears or when panic’s icy hands have gripped my throat. I combat them with journaling and meditation. Thankfully, the blips are nothing like the terror of 1996.
I have been to edge of the abyss and peered down into its blue-black, bottomless depths. But I stepped away, and by sheer force of human will, I pledge never return.