So an update. When I last posted here, things were really bad. I had to make an emergency appointment with my therapist and just broke down crying my eyes out from the pain. I was in a deep depression with a solid black cloud hanging over me that I just couldn't shake. The feeling that it wouldn't ever end was crushing me. I felt defeated and was ready to give up. Death seemed like a reasonable way out. My persistent thoughts of death scared me and motivated me to action.
After 25 years of suffering, I'm now able to finally admit that therapy alone just wasn't enough and that medical help might be needed. Given my past circumstances, you'd understand my resistance to any drug that I perceived could alter my mental state (mostly a control issue due to PTSD from being surrounded by alcoholism and rage; details aren't interesting.) Anyway, I saw my physician and we've decided to try me on an antidepressant. It's been about 10 days and the side effects have not been fun (zero appetite and other things), but they are starting to subside. I've just started my double doses, so side effects may come back.
Since starting medication (and admitting that I need AND can accept help), I've felt better. Part of it is just the natural ebb-and-flow of my depression, part of it is surely a placebo effect. I'm admitting that I've been a bit of a hypocrite, as I always encourage others to seek help in any way that works, including medication. But, I've been so resistant for so long for getting that help for myself. I only started therapy about 16 months ago after decades of pain.
I don't know where this journey is going to take me, but I know (and admitted to my doctor) that I just can't continue the way it's been. I know for a fact my depression has severely impacted my career and financial success and my ability to create lasting connections with people. This is a shame because loneliness is one of the worst "symptoms" that I deal with.
I'm going to choose -- as best I can -- to not feel shame for waiting this long to get help. I'm going to accept therapy as an on-going part of my life and also that medication for the long-term might be required. I have an intake appointment tomorrow to start the process for a psychiatric evaluation to see if there's anything else going on. This is primarily due to a suspicion that I have ADD or a similar condition, which really helps explain some of my behaviour and thought patterns.
Part of resistance in reaching out is the persistent thought that "I'm not depressed enough" or "there's people that need treatment more than me". Therapy has helped me realize that my pain matters and is real. That I, and all of you, deserve to be as happy as we can be. We should feel free to use the resources that are available. Sometimes it's awkward, sometimes it takes a long time.
While I'm writing this primarily for me, I hope someone can get some inspiration to reach out and get help too. You don't have to wait for severe depression or pain. I know things will go up and down, but I'm actually hopeful for the first time that I'll have the tools to cope and live.