At 11am today, like a lot of people I will be observing the two-minute silence. And later this afternoon I will be silent again, at the funeral of my schoolfriend S, who killed herself because of depression.
She didn't fight in wars, but she made the world - my world at least, and many more - a brighter place. When I knew her at school, she made life better: she was popular, clever, talented and kind. She had awesome handwriting and incredible style. And like many of those whose lives we remember today, she died at a ridiculously young age. All because of a mental illness that gets swept under the carpet and misunderstood.
I hate the word depression. One of the major obstacles to it being regarded as a terrifying, disabling illness, is because its name sounds ridiculously light. A depression is a sofa dimple, a financial recession, feeling a bit low because that person you fancy went off with a fool. It is not an appropriate name for a killer illness.
Part of the reason I feel so strongly is that a large chunk of my life was owned by that illness. Ten years ago, when I was 18, my mother finally relented and took me to my GP. I remember her saying in the car, "If they don't find anything wrong with you, you'll just have to get on with it." I was terrified. I didn't have any 'it' to be getting on with.
I told the GP that if I flunked out of university, which seemed fairly likely at the time, then I would kill myself because there was simply nothing else for me to cling on to. I told her how I had planned to do it. And she, funnily enough, realised that feeling suicidal and living in a brain- black hole were not normal, and put me on anti-depressants. This was three years after I started showing symptoms of the illness. Back then the internet was just AOL dial-up and dodgy chatrooms; there were no helpful blogs or support sites. You couldn't even Google your symptoms.
I didn't know I was ill because, as far as I knew, what I was feeling was completely normal. Maybe you were supposed to feel like your brain was slowly eating its way through your will to live. Maybe that explained The Jerry Springer Show.
I waded my way through my languages degree in a fog of inertia coupled with insomnia and mania. At one point, while I was on probation for missing all my morning classes - the only time I could sleep was 4am - I held 12 positions in my college. I was even playing in sports teams, badly. I was high on sociability. I did everything I possibly could to fill my time because it distracted me from the vertiginous horror that my own mind inflicted when I was alone.
People who don't have depression, who've never had it - and this isn't a dig, you're bloody lucky - seem to think it's an indulgence. All that sitting around, moping. Ooh, and sometimes cutting yourself for attention!
Well, no. When I cut myself, and I didn't do it a lot because it was too noticeable, it was as a last resort. I was so full to bursting with loathing, misery and, that key word again, terror, that cutting was the only way to get a release. I remember excusing myself from watching It's A Wonderful Life with friends in order to hyperventilate in the bathroom before cutting and wrapping my arm in a sleeve. I never wanted anyone to see my scars, and when my mother finally did, she told me off for attention-seeking. Perhaps some do want others to notice their scars, but I firmly believe most just want to forget they exist entirely.
I apologise if all this wallowing in things past sounds slightly orgiastic. By some magical quirk, I got better in 2005, and bar one set-back in 2007, have been depression-free ever since. And you forget - you do, you forget what it feels like to have that awful thing in your brain every minute of every day.
Once better, I was so relieved to be so that I found it difficult to identify with people who were ill. I would find myself getting irritated with my brilliant, talented housemate for never leaving his room, for being the shell of the man I loved. So I can only imagine what it's like for people who have not had depression, who have to watch their friends and family alternately fade away and explode into mania. This is why we need to talk about it more, at all, and often.
People still don't understand enough about depression, even now with all the blogs, the websites and the famous faces associated with it. Some of the most brilliant, funny, wonderful people I know are crippled by depression and it's a hideous waste.
Good on public figures like Stephen Fry and Alastair Campbell for speaking out about their own experiences and, most recently, to Allie Brosh.
The author of the brilliant web comic Hyperbole and a Half posted a searingly truthful cartoon about her so-titled Adventures in Depression, and some of the comments from sufferers nearly made me weep. Then this comment from a reader: "Wow. I never really understood what proper, actual depression felt like until this post. I think I've been a bit of a shit friend to my friends who have it. Soz dudes."
So let's not be shit friends. Let's understand what depression is and give it the fear and respect it has wrenched from us over the centuries.
Have we really got to 2011, 10 years after it was finally diagnosed in me, with people still unable to find the help they need? If what it takes is a rebrand, to re-term depression "Mind Scorpions" or "Relentless Fucking Misery Disease", then so be it. Any illness that drives people to take their own lives is one that needs a sight more attention paid to it.
For further information, try Rethink Mental Illness, Mind - an excellent mental health charity, and Turn2Me - online mental health support
Follow Kat Brown on Twitter: www.twitter.com/katbrown82
Robert David Jaffee: Improve Mental-Health Care for Our Troops
Jason Reed: The Need to Rethink All Attitudes Regarding Drugs
OF COURSE many antidepressants are effective only for a small number of people. We don't know enough about the many forms and effects of depression to find one drug that works for everyone. The same is true, although perhaps to a lesser degree, of talk therapy. Different styles and approaches work for some, not others.
Depression filters every experience through muddy glasses, so it's sometimes difficult to properly evaluate whether treatment A or B is better for you. But here's the key. If after six weeks you aren't MUCH better, then you're not yet getting the right treatment. So try something else, and keep pushing your doctors to try something else, until you are better.
Depression is an illness, not a state of mind, and much as in the same way God has sadly not been able to cure the cancer of some of my loved ones, he hasn't been able to sort out other friends' illnesses. Making people feel guilty for being ill because they don't have faith, or enough faith, is not helpful or conducive to recovery, however good the intentions may be, although I'm very glad that you have found such help and healing through your own.
I wish I'd seen this post by the comedian Rob Delaney sooner, it's a blog written to help people with depression seek help. In his case, he manages it with pills. I hope it's useful to anyone who's worried about a friend, or about themselves. http://robdelaney.tumblr.com/post/414007899/on-depression-getting-help
Thanks for reading
PS Thanks for the note about Allie Brosh. I was missing her. Her site is brilliant.
Finally I said to her, she had been so very much in her life and she had somehow learned to survive. There were hundreds of kids out there who were going through the dame horrors. What she had learned from her experience could help so many of them. I said she could take these negative experiences and turn them into a positive for others. She said she hadn't ever thought of it that way. I left her peaceful and thoughtful that night.
Several months later she called me to say she was volunteering in the inner city with kids who were dealing with much of the things she had experienced. She said she never been happier than she was at that point, she had found her calling. (Continued)
My message was always the same. Suicide is the ultimate selfish act. That so long as one person loves you you have to fight the battle and win the war against this evil force called depression. Each year the anonymous feed back from the classes was that there were 4 or 5 that said that it had opened their eyes and they were were going to fight the fight for their loved ones.
A couple of weeks after one of my talks, I got a call from a dorm monitor saying one of the students on her floor was suicidal and she couldn't get the school Psychiatrist and would I come and talk to the girl. (continued)
Having lost a grandmother to depression and suicide and having suffered it my whole life I had a feeling for it. What had kept me from suicide is what it would About every 6 months Rachel would threaten or attempt it and then she would swear she wouldn't every try it again. We tried everything, from Psychiatrists to hospitalization to medication but nothing seemed to do the trick for long.
I literally shut down my business, knowing that someday she would call when she was at the end of her rope and I believed I was the only one who could pull her back from the edge. Unhappily that day came, and I wasn't there to take the call. her death was the greatest failure of my life, for a parent's responsibility is first and formost to protect their children. (continued)
I've wrestled with clinical depression, off and on, for decades. It's a terrible, terrible disease.
People look at me and think, "Why'd she let herself go like that?" They don't understand that self-medicating with carbohydrates is the only thing standing between me and death. I've tried a dozen anti-depressents over the past 25 years and none of them helped, really. They left me groggy, numb, (some of then) incontinent and (some of them) more intent on suicide than I was without them.
I dare anyone to go to work every day alternately stony with repressed misery or crying, wearing a diaper and longing for death. Co-workers are not exactly supportive after a few hours of this demeanor, much less weeks of it.
I have cycled out of it spontaneously (thank God) many times but I now know that cycling back into it is always there, just around some unseen corner up ahead.
I take vitamin D, a host of anti-oxidant herbs and vitamins, and try to eat as much healthy (organic, plant-based) food as I can. I try to walk every day, rain or shine, at least a bit. I consciously cultivate a mental "diet" of high-quality humor (to stimulate the "happy pathways" in my brain.) I also avoid mean-spirited, cruel and vicious people as much as humanly possible (why are there so many of them?)
It sounds like your friend isn't treating you with the compassion you deserve.
Perhaps it's time to set some boundaries with that person and say, "Don't say anything to me about my medication and my illness that you wouldn't feel comfortable saying to a diabetic or a cancer patient." Sometimes people are prejudiced without realizing it -- they're just...thoughtless.
In a simplistic way , some people people have perfect vision, some need very heavy prescription glasses and some people are blind. We are all alive, except depression will reduce your life expectancy or lead to suicide.
Hope this helps
just being with other depressives on the course was valuable. it showed me i wasn't alone in this which was some comfort. as for symptoms in others, if i have the slightest suspicion that an acquaintance is suffering depression i will ask them and try and encourage them to talk. one of the problems imo is the shame that comes with it at not having a 'proper' illness and just knowing that others burst into tears for no apparent reason can be comforting.