Celebrate with me!

I had a realization a couple of days ago: I’ve been an entire year without a depressive episode! That’s the first time in eleven years!

Yes, I had some bumps. And some down days. But that’s part of living; that’s not depression.

I attribute this milestone to several factors.

  1. I take my medications faithfully. And if I feel myself dipping towards depression, I tell my psychiatrist so he can modify my meds.
  2. I was actively involved in a support group: Fresh Hope. We met weekly – folks who struggle with mental health issues and loved ones – and we talked and encouraged one another. More importantly, we reminded each other of the hope we have in Jesus – hope that allows us to live well in spite of a mental health diagnosis.
  3. I wrote a WRAP – a plan that outlines my triggers, my indicators, my “plan of attack” if depression should resurface.
  4. I told my husband and friends if I was feeling low for more than a couple of days. Just saying it out loud helped.
  5. I prayed for strength. And my family and friends prayed for me too.
  6. I stayed in God’s Word each day. The Bible is full of the hope we have in Christ and how much God loves us.
  7. I talked to a therapist regularly. I know myself well enough to recognize that I really benefit from talk therapy. In fact, I’m without a therapist right now, due to just having moved here a couple of months ago, and I can tell by my mood that I really need to talk to a counselor.
  8. I got out my gratitude journal again, and resumed recording those things for which I’m thankful. Studies show that counting blessings is effective in fighting depression.

I’m celebrating this victory, and hope you’ll join me!

Wanted: Christian Counselor

I’m in need of a Christian therapist.

It’s been over two months since my final appointment with my therapist in Virginia. Since then, I’ve been busy making the move to Colorado and finding grocery stores, the Post Office and the library. I’ve met women at Moms In Prayer and a knitting club. I’ve gone out with new friends for drinks and visited with my son and his girlfriend. So I’ve kept busy.

I’m doing pretty well in making contacts. I’ve found the person to cut my hair. I have a doctor’s appointment at the end of this month, and I’ll get a referral for a psychiatrist to manage my meds with me. I have the names of audiologists for my hearing aids. I don’t need a dentist for five more months, and there’s no need for an optometrist. But I need a mental health therapist.

I’m worried that my depression will return within the next few months. I want to get to know him/her before such a thing happens. I felt a little funky yesterday, and it made me realize that I need someone to talk to, who will help me with these feelings and anticipations.

I know that I really benefit from having a mental health counselor to help me process my thoughts and emotions. It’s great to share with my husband and friends, but I really thrive if I have the professional on my team. And I want this person to see me mentally healthy, not just in crisis.

It’s important to me that s/he have a personal faith in Christ, as that is a huge part of who I am. I often need help differentiating between depression and spiritual battles, so someone who understands who Jesus is to me is critical.

I’ve got the name of one person, and she’s in my medical network. So perhaps I should just schedule with her, and see if we’re a good fit. I gotta start somewhere!

Anticipation

Expectancy. Looking forward. These words connote a positive contemplation. But what if the anticipation isn’t positive? Does that make it “dread?”

We’ve lived here in Colorado Springs now for just over a month. And as I’ve said before, we seem to have settled in quickly. I’m pretty sure we’ve found our church already, and I’ve signed up for Women’s Bible Study, which starts mid-January: a great way to meet women my age. I’m participating in a weekly prayer group of moms who gather to pray for their kids (Moms In Prayer), and that’s very rewarding – with the exception of a time while I was living in Virginia, I’ve been involved in this international ministry for 22 years! One of the women from that group has introduced me to some knitting clubs in the area – I’ll go next week. Finally, we met a couple through a mutual friend, and have gotten together with them several times: new friends!

So what am I dreading?

Well, I know my pattern. After 4-5 months of living in my new location, I descend into depression. At least, that’s the way it’s always been before. So as I look to the next several months, I’m concerned for my mental health.

I know this time could be an exception. I’m on a good combination of medicines. I’m reaching out to form new relationships. I’m hoping to get established with a therapist while I’m mentally healthy, so I’m prepared in case depression happens. I have access to past therapists if I need them. So I’m ready.

But it’s there. A little bit of dread. Of worry. Last time, those closest to me, and I myself, missed the early warning signs. So perhaps this anticipation is good – it has me alert and attentive.

“Don’t worry about anything; instead, pray about everything. Tell God what you need, and thank him for all he has done.” Philippians‬ ‭4:6‬ ‭NLT‬‬

So that’s what I’ll do. I’ll pray about my concerns, and trust God that He’ll be with me, as He has been every other time.

Email to an old therapist

I’m not sure if I’m going to send this email. I don’t want to bug you. But I started to write it last night as I was going to bed, and it stuck with me until morning. So here it is. 
We move across the country in five days. I’m still excited, and have peace of mind about the decision to move. That’s what we always pray – for God’s sense of peace in our decisions. And we have that. 
I didn’t think I’d feel anything about leaving VA. But I’ve had an impact here – in bringing and starting and leading the Fresh Hope group (support group for those with mental health challenges and those who love someone like that – freshhope.us), and in my volunteering at the Daily Living Center (adult daycare). Both groups gave me farewells this week – they said very affirming and humbling things. I’m really going to miss the friendships and the leadership opportunities that they afforded, as well as the relationship aspects. I’ve said goodbyes to friends at church – did I even know I had friends at church?!
We’re going to a farewell dinner tonight – with people my husband used to work with, and my two other friends here. They’re not long relationships like I had in WI, but friends nonetheless. Which is more than I’ll have when I get to CO. I know some people there, so it won’t be a completely blank slate. But the pressure is on me and me alone to make friends – there’s no job or kids to provide an introduction into a new situation. 
You know me and change – I always find it hard. And I’ve had to move so many times in my adult life. Each move has begun with a mild depression, except the one that started my entire journey with depression – that one was deep and dark and long. That move, which should have been simple since I was moving back to a place I had lived before, was the impetus for years of the battle with depression. Of course, if it hadn’t been for that, I never would have met you. And you counseled me through all those years to a healthier me, for which I am forever thankful.
Seems my thoughts always turn toward you, and the safe place of your office, sitting slouched on your couch, when my mood is down. And despite my excitement for the move, my mood was down last night and this morning. 
I’ve really liked my most recent therapist – she understood me quickly, though we didn’t go through depression together. I’ve said goodbye to her, but she’s offered to counsel me if I need her before I find someone out there. Until her, I feel like I’ve never really had anyone besides you, so this is new. Maybe it means I won’t call you in distress, if I have distress. Will I have distress? I’m trying not to assume so. 
Anyway, I wanted to touch base, as I always do when I’m facing change. So maybe I’ll hit send after all. 

Wellness Plan – Wrapping It Up

I’ve now written several blogs about my Wellness Recovery Action Plan, or WRAP. And it’s time to finish off this series.

The next two sections of the WRAP plan are entitled “When Things are Breaking Down or Getting Much Worse,” and “Crisis Plan.” I’m lumping these together because both point to severe symptoms, and the potential imminence for a relapse of my depression.

According to Wellness Recovery Action Plan (Advocates for Human Potential, Inc., copyright 2018), “sometimes, even when you’ve been making your best efforts to stay well, things can get a lot worse. Some people call this a breakdown, a setback, or a relapse….often your behavior changes so much that other people can tell something is wrong…Taking immediate action can make a difference in the outcome.” In fact, I might be able to avoid the Crisis part of my plan if I can successfully turn this situation around.

Some of my key indicators that things are getting much worse include that I am staying in bed, isolating. I feel anxiety and a heaviness in my chest, an urge to drive fast and recklessly, a desire to smoke e-cigarettes (I’m a non-smoker). I may have increased trouble concentrating, which was also a red flag in my Early Warning Signs.  But in this case, it would be worse. I’d be feeling like a burden to everyone around me. I may have the desire to self-injure or have suicidal thoughts (called suicide ideation – thoughts, but not a plan), and I’d find myself unable to pray. I’d dread the future and ruminate on the past. I’d have flat affect – expressing very little emotion.

So what do I do if things get much worse? First thing – tell someone! My husband, sister, or close friend. Call my therapist and psych doc right away. Reduce caffeine – drink herbal tea instead of coffee – and sit in my glider, which I find very calming. I would try to Face Time my old therapist – he can often “talk me down.” I think I’d call in my second round of support – three other close friends who I know love me and would offer me encouragement and prayer. Perhaps, if these steps work, a relapse would not occur.

The Crisis Plan portion of the WRAP is designed to make it as easy as possible for people to help me, because if I am in a depression crisis, I might not be able to make my own decisions. It outlines who I want to help me – by name – and exactly what I want them to do for me. Things like get me to the hospital emergency room, sit with me, hold my hand. And what I don’t want done, like what medicines I can’t take. It even outlines my daytime and household responsibilities and who will do them, like care for the pets and pay my bills and contact and keep my prayer team updated.

After the crisis has passed, the Post-Crisis Plan is implemented. It’s a brief section of the WRAP where I identify things that worked in my WRAP Plan, and things that need to change. Perhaps there are people I need to thank for their help in my crisis; perhaps there are apologies or amends I need to make as a result of things I said or did during my crisis.  This final portion of the WRAP allows me to step back into the responsibilities of my daily life, slowly, as I begin to return to my normal level of wellness. This may take time – crisis recovery is not immediate, and I will need to be patient with myself. But this is a good time to evaluate and make changes to my WRAP, as I can see what worked and what didn’t. Because post-crisis can be very introspective, it’s a good time to modify my WRAP to include stressors or early warning signs that I may have missed before. I can add to the Crisis portion of my plan while it’s still fresh in my memory – what additions do I need to make so that, heaven forbid, things go more smoothly the next time?

Ultimately, the goal of the WRAP is to help me avoid a depression crisis – to identify those markers ahead of time to avert another hospitalization or emotional break down. Because this plan is so thorough, I may be able to stay in remission for the rest of my life.