Imagine you have had a good day. It doesn’t need to have been sensational, just good. Maybe you had a nice meal out in good company, you made love, or your favourite football team won a big game. Just something that had a feel good factor attached and brought an awareness that things were going well.
Now imagine you wake up the next morning and something has happened. You open your eyes and things immediately look different. Imagine that inside your head somebody has tipped over a bottle of ink that makes everything now look dark. You can still see, but everything is dark. Grey. Clouded. There’s some new weight attached to you too. On your leg somewhere, a deathly cold heavy weight has been attached to you and it is now going to be your constant companion in everything you do. You can actually feel it. Slowing you down, pulling you down even, weighing you down. And all the time the darkness.
You still have to get up, to shower, to brush your teeth, to go to work and to get on with your life. Yesterday still happened and you know intellectually that it felt good but the good feeling is gone. So gone that you can’t feel it or connect with it anymore at all. In fact it’s more obliterated than merely gone.
Depression has arrived.
Experience tells you that this could last days now, maybe even weeks or months. If you are my age and you have been subject to these episodes for as long as I have you know the feeling. You have your tools, your resources, your books and your Councillor available if necessary. If you are lucky and handle it well it may be tolerable and a burden solely on yourself that lasts a few days. Throughout those few days negative thoughts, only ever negative thoughts, will seek to join forces with that darkness and with that heavy weight to pull you down even further. It’s like a battle against gravity just to stay upright. If those thoughts get any momentum at all they will multiply and try to destroy you and everything around you.
The impacts might go beyond your own head. It might affect your loved ones, even friends or acquaintances. You might need to go to see that Councillor and medication, even in the very worst case hospitalisation to avoid self-harm, may come on to the agenda.
Depression does not, in my case anyway, have an obvious cause. But once it develops and meets your ‘triggers’ you know well that it can get much worse. You need to learn what those triggers are and avoid them. And you need to try to muster the strength to fight it. Fighting it means trying amazingly hard just to do very simple things. Getting out of that bed, having that shower, going outside, talking civilly to others instead of shutting down and becoming introverted or pushing people away. Taking sunlight if it can be found. Eating.
In most cases life can go on and others will have no idea what you are going through. Others will be blissfully unaware that you are struggling. In this scenario coping mechanisms are working and ‘the act’ of pretending life is normal is successfully creating the necessary veneer of normality. Everything is dark and heavy and hopeless to you, but your coping mechanisms are working well. You’ll make it.
Sometimes the coping mechanisms don’t work. In my lifetime I have had a number of episodes of self-harm, some of them pretty dangerous episodes. I’ve also had periods where I have been on medication. I’ve been hospitalised on two very separate occasions and I have had a Councillor who knows my very thoughts and person, my past and my present, for 18 years now. Don’t lie or hide anything to or from your Councillor. Sometimes I am in regular contact with her and sessions are frequent, but more often now they are infrequent ‘checking in’ events with the odd session just regulating my thoughts, my triggers, my behaviours.
Depression should however never be confused with ordinary sadness, grief or the normal ups and downs of life. Every life trial isn’t ‘depression’. Everyone isn’t depressed. Interestingly I haven’t been on medication nor had any of the more serious depressive attacks since 2014. 2014 was the year my Father died. But that wasn’t it. In the last couple of years alone I’ve lost Mum, Briege and Kay and I’ve fought cancer.
Even writing that last sentence and reading it back is horrific. It’s hard to believe it’s all happened. I’ve been deeply sad, grief stricken and stressed at times almost beyond belief. In fact nobody will convince me that anything other than grief and work related stress linked to specific events gave me cancer. Yet I hadn’t been depressed. We should not confuse depression with sadness, grief or the cut and thrust of life, and even death. Depression is different.
During my cancer treatment I was encouraged to see the Councillor at St. Lukes and I did. A nice woman, she asked me if I had ever suffered from depression and my response, ‘I’ve had depression since before it was sexy’ made her smile.
Depression is not a fad. I can’t trace when it began for me and, just because the worst episodes hadn’t happened for some time, I never assumed I’d beaten it. I’d never not have my councillor on board. It’s a necessary resource.
I’m writing this from my Brothers apartment in Spain and on the table beside me is David D. Burns seminal work ‘The Feeling Good Handbook’. I haven’t opened it on this trip, or on several trips, but I brought it with me and I always do. It’s a resource. Breathing properly, long walks, meditation and controlling my thoughts are all resources, strategies to see off or fight depression. I have used these for so many years now some of the responses feel automatic. But still they don’t always work.
The dance with darkness can arrive at unexpected times yet can stay away at expected ones. It can be incredibly random. My first episode of self-harm occurred when I was 20 in Scotland and resulted in a short period in hospital. My worst and longest period was after my marriage broke up in 2005. That was definitely a triggering event but it was later acerbated by my own drinking and abuse of my body and my own wellbeing. I myself turned a sad event not of my choosing into a deep depressive period very much of my own making. I hadn’t learned enough then about self-care and I was desperate and reckless. The most dangerous period was in 2011 when I had a total breakdown, substance abuse and episodes of self-harm. This resulted in a lengthy period of medication and a short period of hospitalisation.
If there is a bottom to the realms of depression, and I’d never be so arrogant as to think that there is, that’s when I reached mine. So far. Fingers crossed. That episode was the time it spilled over and my parents had to be told by Briege. Dad in particular was very upset. It’s amazing to think now that professionally I not only continued to function in this period but I flourished. I was moving into the ESB job, a big personal success for me, and I was performing work related TV and Radio interviews regularly. Yet I was completely broken. You can never be sure by a person’s appearance, or even by their performance, what’s going on for them so always try to be kind.
As I write this in 2022 I am sad, riddled with grief and regret, worried about my health and stressed about my future work direction and my children. All life challenges of a serious and fundamental nature. But I have not been depressed. Depression can be life threatening and a dreadful burden but it can also be regulated, controlled and met head on.
Can it be beaten?
Who knows? One day at a time, one week, one year. Learn your triggers, develop your skills and resources, ask for help, and keep going. Go gently.
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Explanatory — The events of recent years, grief and illness, have put me in reflective mood and I’ve been putting my views, learnings and experiences into writing in recent months. It’s more therapeutic than anything else and most of it will probably not be published. I’m not sure I have the motivation left to seek out Publishers and ‘sell myself’ anyway. I’ve put my views of a life spent in the ‘Irish Left’ down in writing, as well as my grief and cancer journey. It would indeed be a veritable ‘hotch potch’ of a book. But maybe most it will stay private. Mental health however is something that touches us all in some way at some time and I’ve been battling with it for a very long time. 34 years. Once upon a time I was afraid to talk about it. Later I was ashamed of myself for carrying it. Then still later I was in denial about it. But now I want to set the record straight in my own way. If it’s helps a single person through a single minute of a difficult day it will be worth writing this. Go gently with each other, but mostly with yourself).’