Lost some momentum

After my last significant update from October, I lost some momentum. There are a lot of reasons why, but suffice it to say I went through the holiday season in a state of grasping for things to make me feel good.

Do you know that feeling where you start eating cookies and you can’t stop until they are gone, because with each one you think “I’ll stop after this one” and then “but it tastes so good” and “just one more” and before you know it you’ve had a thousands calories and untold grams of fat, and all just for 10 minutes of enjoying the deliciousness? And you feel as though you can’t stop yourself, that it’s a compulsion really, but there is some quiet voice in the back of your head saying “well you could fight it” and the rest of the voices just sort of tilt their heads to listen to that one and then just shrug and say “too tired to fight it…”

I felt that way all too much in the last few months. And I don’t really feel the energy and strength to pull out of it now. But I’m trying – at least. I’m trying to break the changes I’d like to see in myself into very small steps. I know with each small step I can feel a little more proud, a little stronger, and a little more in control. Whether it’s 5 minutes of meditating or getting up within the first two snoozes, I think the little changes are the first steps. Now, to take those steps…

Making changes

I’m writing now from a workout bike … i’ve been thinking a lot lately about my lifestyle now, how it has evolved since taking this job in January, and what I want it to look like. I’m thinking about health, both physical and mental (which has a physical basis of course), and how I can be more healthy.

You see, I fell into another clinical depression this summer, known as a double depression for a dysthymic, and after feeling it’s pull for sometime, I began looking around for new information, for new approaches that might allow me to at least avoid falling into depression annually.

I felt myself falling into negative thought patterns that I had not experienced since my bulimic days more than 7 years ago – getting trapped inside my head and doubting that even those closest to me, such as Husband, wanted to listen to my worries or help me find ways out of them. I felt so unsure of myself it became difficult to ask for help for basic things. I slept more and more, by the end often more than half of the day on the weekends. I let the mail, dishes, bills, clothes, and clutter pile up. And I struggled to get out of bed on weekdays and get to work on time. I would always stay late and work on weekends to make up for missed time, but my bosses started showing displeasure at my late arrivals.

So I cast about, wondering if there was some way to stop this cycle. I finally got sick of it enough that I found some energy within to try to make a change. I downloaded some books on modern approaches to depression and dysthymia, and I started to think that maybe if I learned more I could construct my lifestyle in such a way as to ward off full-blown depression.

Just beginning to believe this made a difference. I knew that one of the strongest things I could do was to exercise regularly, but trying to start a new exercise routine was intimidating. So I started with Kinect (Your Shape, Adventures, Sports, etc) and just did 15 minutes at home on Saturdays. Even that left me sore for a few days, but I kept it up and felt myself getting stronger.

This slow change has been enough to help me see the light at the end of the tunnel. I am gaining momentum – reading about yoga, meditation, and mindfulness-based stress reduction. And Husband is on board now too. So, where will this lead? I look forward to finding out.

Goodbye, summer!

What a summer it’s been. Every year I brace myself as June comes along and announces that hot, sticky weather won’t be far behind. For me, with it comes extra transit delays due to track work and more time waiting in stifling subway stations. I also inevitably find myself jealously listening to other people’s vacation plans and stories, and wondering when we’ll get our finances and lifestyle in place enough to take trips ourselves. And to make it worse, I miss the convenience of having multiple outdoor rinks around the city where I can fit skating in at least weekly. I struggle to exercise as much, and start feeling sluggish. So I tend to think of a summer as a long hot slog through three months and I just bear it enough to get through.

This year, I remember thinking that maybe it won’t be so bad, that I need to try to enjoy it.

But, unfortunately that would not be so for me. This summer, my Husband and I:

Returned home from a pleasant walk on a Saturday afternoon to find our apartment had been burgled and 3 laptops, 2 of them work computers, had been stolen

Commenced an apartment search planning to finally move from our starter apartment that we’ve been in for 6 years, only to determine that we could not yet afford to move somewhere better

Worked overtime every week, feeling stressed and overwhelmed that we could not get things done in the timeframes asked of us

Learned of a family member’s struggle with cocaine use

Supported our family as they faced another eviction proceeding, which ended in us coming to the rescue with 1-2k that we’d been planning to use to book an anniversary trip, our first non-family-visit vacation since our honeymoon 5 years ago

Fought a tiresome battle with our CEO to get Husband’s freelancer paycheck in time to help our family close that eviction case

Fought another tiresome battle to get a review that was promised to me for 3 months after job start, and has still not been completed as we reach month 9

Experienced 2 painful cyst ruptures despite being on birth control which is usually prescribed to prevent cysts from forming, and

Had one breakdown that ended in doubling my dose of Prozac after months of carefully reducing it as part of a plan to try to reduce my meds before trying for baby. Now I’ll wait 3 more months and then try to reduce the Wellbutrin instead.

Now, there have been some good things happening – we are on track to finish paying down 2-4 of the debts we’ve been carrying for years, we’ve both gained tremendous experience in our jobs, and Husband is successfully charging over 20% more for his freelance work than he did just last year. Once he actually gets paid for that work, I’m sure that will feel good.

I turned 28 last weekend, and I’ve been thinking a lot. We need a change. I need a change. I feel as though inertia and lethargy have settled in, and I can barely stand it anymore. I want to start fresh, to move somewhere new, decorate our living space as the adults that we are instead of the college kid that I was when we moved here, start taking vacations, saving a nest egg, exercising and eating healthier, planning for a family, and enjoying life more. I’m trying to muster what energy I have to make that happen.

Perhaps this Fall we will get ourselves solidly on that path. I sure hope so.

Overcoming the Inertia of Depression

It was another hard week, one that brought a second set of impending eviction hearings against my extended family, news of a family member’s coke addiction, my second painful ruptured cyst in as many months, and an unexpected motherboard failure of my husband’s trusted computer, which he depends on for his freelance web development work. By week’s end I felt so gloomy it was hard to imagine a positive future, and I was caught in my head with worries of infertility, homeless relatives, and a continued struggle to meet basic needs like rent.

But these problems were not only mine but my husband’s too, and he was struggling more than I with fear and distress for his family. I knew that he needed me and even though he was there for me, I didn’t want to be another source of worry and energy drain for him. I resolved to do all that I could to get stronger.

On Friday, I went to the kindle store and searched for self-help books on dysthymia, depression, and addiction. I found some that seemed to be approaches I am comfortable with and downloaded samples to my phone. And I began reading.

I found that just having the books added to my sense of control. I am doing something. I am educating myself further about the current guidelines for what works and what doesn’t. And I will use this information to craft a lifestyle that keeps my dysthymia in check.

As I read through the introductory chapters, I found it comforting to be reminded that my lack of activity and energy is not because I am a failure, a slob, or a lazy bum. Rather, I had fallen into a vicious cycle that affects many. I am not alone in this, and there are ways to manage it.

One thing I read in many places is the beneficial effect of regular exercise on both neurochemistry and hormone levels. I’d not been exercising (beyond walks) since the end of the skating season, and I felt like a failure as I continued to neglect exercise. But reading these books motivated me to try and to start simple. So on Saturday after our walk I fired up the Kinect and played Kinect Adventures until my body was tired.

That little act was very powerful in it’s effect on me. I felt more in control because I’d successfully gotten myself to exercise, my body felt better because the muscles were active, and my brain felt better because the exercise released dopamine.

Half a year into the new job

And I can’t believe that much time has passed. I love the job and am still so grateful for the opportunity. I actually enjoy going to work most days and I am really excelling. The company is having a strong year and I believe I’ve been a big part of that. The environment is so much better for me – I feel accepted and comfortable and valued.

I’d even thought about ending this blog. After all, it was originally an exploration of school and depression, research and science, and life in academia as a woman scientist. I’m no longer in school, academia, research, or considered a woman scientist professionally.

But, that doesn’t mean the themes of my life aren’t similar. I still struggle with dysthymia, and I’m still in a male-dominated industry. I’m still a young woman figuring out herself and her future. And I still enjoy the outlet of blogging and the companionship of other bloggers (although I’ve mostly been a lurker lately).

So, I’m still here. And I still have things to talk about.

I’ve wanted to start a family for many years now. The time is nearly right, and I’m glad I’ve waited through our struggles with money and career. A few months ago, we started decreasing my antidepressants. Following my friend’s suicide last fall I had spiraled out of control, and it took many months to feel better again. During that time we changed my medication, such that I was on both Wellbutrin and Prozac. It helped me feel alert enough to go to work mostly on time and feel aware in the mornings. It felt like the cloud lifted and my head was clearer.

Then I started the new job in January, and I felt energized and motivated. Also, my students did well and finished the skating season fabulously, earning an invitation to skate at the end of year gala with Olympians, where I shook Evan Lysacek’s hand and watched him give a $100,000 donation to my organization.

So earlier this year I began talking to my doctor about planning for a baby, and we started tapering off my meds. We started with Prozac because Wellbutrin had been the more recent addition and had helped a lot. We dropped the Prozac from 40 mg to 30, then to 20, and things seemed ok. So we dropped it to 10, and then planned to start reducing the Wellbutrin.

But somewhere around then things degraded. The increased stress and long hours of the new job had started taking their toll on me. I began crying too often and worrying and sleeping too much. The doctor said we had probably dropped it too fast, and we upped it half a pill, to 15. That was about a month ago.

Work continued to be stressful even as I enjoyed it and felt proud of it. Night and weekend work that had seemed like a temporary measure dragged on. I got a summer intern which relieved some of the pressure, but the work kept increasing and that wasn’t enough. We won more and more work from new clients, and the projects I led went extremely well, but I was getting worn-down.

The last few weeks I noticed increasing negative and repetitive thought patterns, and I found myself crying alone quite a few times. Finally, on Thursday about a week ago, I got so upset during the work day that I dashed to the bathroom so no one would see as the tears started. I finally had broken down, and I called my husband and told him how much I’d been struggling.

It was disheartening to reach that point, but it forced me to see that I must change something now to prevent a full relapse of depression. I saw my dr that eve and told him how I’d been feeling, and he said I sounded depressed and increased the Prozac back to 30. I talked to my boss and told him that I could not keep working nights and weekends, that there had to be an end in sight for that. Then I worked from home the next day and rested over the weekend. The next week, I forced myself to take full lunch breaks and go home at a decent time. And I took all my meds.

It’s been about 9 days and I’m starting to feel better. I want to keep writing, and focusing on my health and sanity. Maybe I’ll even stop lurking and let some of you know that I’ve been reading.

Happy New Year (Really)

For the first time in years, I am ending the year with a strong sense that next year will be great. Here’s why:

- I just left my office for the last time. I resigned. I’m done there, forever!

- Next week I start at a new job that I am very excited about!

- The new job is in mobile marketing – technology and services – a rapidly growing, changing industry with a strong NYC base.

- The new job is at a 5 year old tech startup, with an atmosphere that is on the other end of the spectrum from the office environment I just left and in which I had such a hard time.

- After just 3 meetings I feel more comfortable with my new coworkers than some my current ones.

- I will work with technology that I am new to and learn more about using regular expressions.

- The company is small and thirsty for innovative, driven people.

- I get to dress casually most days – even jeans. I will feel like me again!

- My husband just increased his freelance rate by 20% and the main client said sure.

- My skating students are doing well and I’m loving coaching them.

- My own health has improved. I’ve lost around 25 pounds in the last year, and dropped my low density (“bad”) cholesterol by 50 points down to a healthy range.

- After over 3 years of hard work, perseverance, and sacrifice, we launched the beta of our website!!!

(due to pseudonymity I won’t link to our website here, but email me if you want to know what it is)

Our work is paying off. We’re going to have a great year!

On top of the long view, I’m psyched for the weekend because my brother is visiting, he gave us a Kinect for Christmas which is very fun (and generally amazing), and I’m on holiday until I start the new job next Wednesday. Time to celebrate!

As December marches on

I am taking each day at a time. Some days I have energy and optimism and the day passes fairly quickly. These are few but increasing in frequency.

Other days, even on a good night’s rest, I can’t stop yawning well into the afternoon and my head feels funny, fuzzy like I have a hangover but I don’t.

Still, things are looking up. I got the job offer yesterday, and am planning to accept it tomorrow when he gets back to me about details. The timing is great because yesterday they fired my best friend at the office – who had just been saying that if I left, she’d need to get out more urgently. Well now she’s gone already, and the desk next to mine sits empty. I want out. Hopefully I can accept the new offer tomorrow and get my resignation in before the day is out.

I’m ecstatic, and yet reserved. I’ve wanted out for so long, it feels surreal to finally be ready to leave. It hasn’t fully sunk in yet. I’ll feel better tomorrow after I finalize and accept the new offer. And start telling my coworkers that I’m saying goodbye…

On Thursday I am meeting my deceased friend’s Aunt (her NY family) to talk about planning a memorial here in NYC. Meeting a family member who was at the funeral with the family will probably be more final – somehow without being at the funeral or wake, or in a community that all misses her, sometimes it feels like maybe it’s not so final and she’s just moved away…

I want to help plan a beautiful memorial for her here in NYC.

When you’re going through hell, keep going

It has not been an easy month, but I am doing better. Finally.  I still don’t want to be at work, I still can’t stand some of my coworkers, and I’m still sad about my friend’s death.  But I have regained hope, and a semblance of normally, and perhaps most importantly of all, I have begun to build a plan.

A plan to get out.

I was so broken up after my last talk with Second Boss in Command.  I went home and sobbed and sobbed, and Husband saw me, and offered comfort, and we talked about plans to get me out.  So now I am going to work, but keeping in mind that I won’t have to work with these people much longer, or spend every day in this cold, uncaring, clique-y place.  And that is enough to help me feel better.

On top of that, a job interview fell into my lap through a connection, and it is promising.  The place is very much what I’m looking for, and I have a second interview this week.  Perhaps I’ll be out of here soon…

Dealing at the office with a friend and ex-coworker’s death

“It’s just so hard being here while I’m struggling with Friend’s death.  I was so close to her when she made the decision to leave,” I confided to Second Boss in Command after he asked if everything was ok.

“You have to move on,” he said, not two whole weeks after the fateful monday morning that we all learned of her suicide.

Then he leaned back in his chair, his body language showing comfort, confidence, and indifference.  ”I think that was a horrible decision she made.  But it was her decision,” he said.

How dare you judge her? I thought.  How dare you sit there, passing judgment on her decisions without knowing anything about her life, what she struggled with, or how much you yourself and your coworkers had to do with her making that decision? Thoughts raced through my mind as I sat there, crying, and thinking about how I cannot say this to him, for he doesn’t really care and doesn’t understand what it really means to be sick.

“Well I think we can all tell that she eventually realized that too,” I said, sobbing, frustrated, angry at his carelessness and insensitivity in judging her decision, one which was a poor choice but was recently surpassed by the worst decision she would ever make, could ever make – the one to take her own life.

No you fool, I thought, It wasn’t her decision. She wasn’t in her right mind when she made it.  She wasn’t an idiot or careless.  She wasn’t healthy!  She was sick, and it was with her manic mind that she decided to leave this job, trusting that the beautiful universe which she loved so much would take care of her, if only she sent positive energy to it.

A decision made from the depths of mental illness isn’t really one’s own.

She had been spouting far-fetched ideas for weeks.  How she was going to be general manager for a new dance group that her friend was going to start, and how he was going to pay her with investment he would get from his home country of Turkey.

How she was going to one day own an entire condo building in Manhattan, with which she would create a supportive, creative, cultural community – creating not only housing but homes, with space to meet and play, dance, read, talk, you name it.How she was going to make an entrepreneurial living with working with the organic chocolate startup and the mommy and me bike company.

You might say she was dreaming, but she really believed it.  I tried to tell her to hope and strive for the best but to plan for the worst, but she wouldn’t listen.  She couldn’t.  She’d become unreachable, even by me, even as she and I had grown so close and told each other about deep-seated fears and emotions, our childhoods, our hopes for the future, all the things, big and little, that were happening in our young adult lives.

And as she became unreachable, not returning phone calls or following through on simple tasks like picking her things up from the office she had left, I withdrew as well.  We had shared frustration with the office, with the people there, with their petty lives and their snap judgments.  We had dreamed together of a workplace where there was a true team, where people worked together to achieve the collective good, drawing out and supporting each others’ strengths.  We had supported each other when one of us could no longer take the cruelty of a coworker or the futility of our efforts.  And now she was leaving, confident that she had the support she would need to survive without this salary, and I felt left behind.  I felt alone, and I was still in so much turmoil about showing up to this job every day.

And so, even as I saw that she was manic, even as I knew that while she was high as a kite now, she would inevitably crash, and crash hard, I let her go.  It was too painful to watch her go on from the office, when I wanted to so badly for the day when I could walk in and give Big Boss #1 the same speech, the one that says I’m leaving.  When she didn’t call me for weeks, I didn’t call her either.  But I missed her terribly, and I knew when I did finally speak with her, that she missed and loved me as much as I her.

One week later…

So I’ve been processing the death of my grown-distant friend for a week now. It has shaken both Husband and I, not only because of the loss of a friend but also because of the realization that mental illness takes lives, and how close we or many of our loved ones have come to succumbing to it.

I didn’t realize, or had forgotten, just how many lives mental illness takes. I love information, am comforted by information, so one of the first things I did last week was go to the store to look for a book. The section on grieving was pitifully small, and of course they had none of the books that Amazon carried regarding grieving a loss due to suicide. So I took home a memoir – Madness – about living with bipolar, by an author whom I had read and enjoyed before – Marya Hornbacher – and I finished it today. It was a great read, and now I’m wondering what I can soak up next.

One of the things the book showed me was the bare statistics. They are surprising, given the level of attention that mental illness and bipolar get in mainstream society. According to the author’s research, a person with a serious mental illness has a life expectancy that is 25 years shorter than that of a person without mental illness. A little under 3% of the US population has bipolar disorder, and about 15-20% of bipolar sufferers have completed fatal suicide attempts. These numbers may not sound like a lot when compared to the general population, but if you move in circles where mental illness is more prevalent (as I do), they are very scary.

From the USA today piece linked below, there is this:

MEDICAL UPDATE FROM NIMH DIRECTOR THOMAS INSEL

Q: Medically, what’s new with mental illness?

A: (Until recently) there was such a focus on what I call the “blame and shame” approach to mental illness, where either your parents were bad or you were bad. We don’t blame people for having cancer or diabetes.

(Mental illnesses) strike early, cause enormous disability and lead to high rates of mortality. Of 34,000 suicides a year, 90% are in people who have mental illness of some sort. Now we know there are genetic factors that in some cases influence mental illness risk. One area is epigenetics, how environmental factors affect the genome. We didn’t have this picture five or six years ago.

So, the week was rough. Husband and I wanted to avoid thinking about it. We wanted to avoid everything. So to some degree, we did. I went to work, but pretty much all the rest feel by the wayside. This weekend was kind of tough, but I know we’ll be ok.

I overslept this morning. There was a staff meeting but I missed it. Last night I dreamt of the lost friend. Or maybe that was this morning while I was oversleeping. It was disturbing, but I guess it was expected.

Today Husband is going to get back to work, as am I. Last night I had to go to bed alone because he wasn’t ready yet, and this morning he said he didn’t sleep well. But he seemed determined to work and for me to go too. We both had some sense of just wanting to avoid everything (ignoring the outside world, I think he called it), but also a sense that we knew we had to get back to work so things wouldn’t fall any further apart, and that we had to just force ourselves to get back to it.

So, here I am. I spoke to a coworker when I got in this morning (er…noon), she talked of processing over the weekend, and we talked a little about our weekends and being close to people who have considered or followed through with suicide. She had a friend in high school who did, it turns out, and then in college she became an advocate for knowledge and prevention of teenage suicide.

I think I especially wanted to avoid this morning because I remembered how it was last Monday morning that I learned, and also today is the funeral (in a far away part of the US so I will not be there), and I just didn’t want to face the office. I’m sure it wasn’t good but I am kind of glad that I missed the staff meeting and can just sit and work alone at my desk today.

MEDICAL UPDATE FROM NIMH DIRECTOR THOMAS INSEL
Q: Medically, what’s new with mental illness?

A: (Until recently) there was such a focus on what I call the “blame and shame” approach to mental illness, where either your parents were bad or you were bad. We don’t blame people for having cancer or diabetes.

(Mental illnesses) strike early, cause enormous disability and lead to high rates of mortality. Of 34,000 suicides a year, 90% are in people who have mental illness of some sort. Now we know there are genetic factors that in some cases influence mental illness risk. One area is epigenetics, how environmental factors affect the genome. We didn’t have this picture five or six years ago.

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