How do you deal with deep depression with no support from anyone?

Originally published on 16 Nov 2017 9:23 PM

I don’t know how bad your situation is, but as any other general advice in battling things like depression, you just have to be active, and keep doing things to keep your mind off the thoughts that would lead you to the downward spiral.

The other advice I’d give you, is to be familiar with the early signs of a depressive episode. Now, it happens that I’m in a similar position like you, with practically no one helping me around. So instead of giving you the common “seek for help” advice (since you probably can’t do that), I’ll give you my personal tip on tackling deep depressive episodes.

Speaking from experience myself, if you are someone who have tendency to overthink, there ought to be some days that you have weird and nasty periods of depressive episode. These episodes would usually come in pretty randomly—sometimes it’s in the middle of the week, sometimes it’s at the start of a week, or at the end. But one thing for sure, if you’ve been getting several of them for quite sometime, by paying some attention to changes in your mood, you’ll eventually start to notice that there are patterns in your mood swings. By recognizing this pattern, you will hopefully be able to prepare yourself for what’s coming, thus anticipating the next depressive episode much better than the previous ones.

Think of this method as a kind of weather forecast—you see the signs of the rainstorm coming, and prepare yourself accordingly. Now, as any sort of weather forecasting, it will not be always accurate—sometimes the storm would come much quicker, much bigger than expected or even totally uncalled for. Other times, the storm might not be as significant, much smaller than you’d expect or no storm at all. This is all totally okay. The point of the exercise is to foresee the storms, not to eradicate them or preventing them altogether from happening. If that’s what you’re aiming for, I’m afraid I can’t give you a good advice on that.

To sum up, dealing with deep depression all by yourself will require you to utilize pretty much everything you got to cope with them. Put it in another way, you will need to try to recognize changes in your mood, how bad it swings from time to time and how low the depression could really be, all by yourself, since seeking for help to anyone might not be an option for you.

And lastly, do not fret, friend. Dealing with things like depression with practically no one to help you around is one hell of a task to do, but it is not impossible. You only need to stop framing things in a way of “no one is helping me” to another frame of “I have to do this all by myself”, and to always remember, by telling yourself that, it doesn’t mean you’re “lonely”—it only means that you have to work on yourself to be stronger.

Let’s just think of this exercise as going to the gym to do bodybuilding. Sure, it is more fun to do lifting with a gym mate, but it is not all too bad if you have to lift on your own—you just have to lift more carefully, so you don’t hurt yourself in the process.

Good luck friend. Remember, you are stronger than you think you are.

What does life look like after recovering from depression?

Originally published on 30 Sep 2017 12:22 AM

Crystal Clear.

As clear as a very sunny day in the middle of an ocean.

A photo I took during my holiday in East Nusa Tenggara Islands, 2017.

Now before I began I’d like to iterate my experience with depression and my medication process briefly, so you have a better idea about what kind of journey I had to go through.

Background Story
I was diagnosed with agitated depression and OCD back in 2012 by a psychiatrist. My OCD symptoms weren’t all that bad, but it was severe enough that I would keep washing my hands non-stop every now and then until the skins on my hands started peeling off and bleeding happens.

Now, the big thing was my agitated depression—it’s the kind of depression that usually came with restlessness, mania and anger. Sometimes, it might even manifest as an infrequent emotional spike when I was dealing with mentally difficult situations. I remember quite few times I actually snapped and screamed at some people upfront and/or in public during those days. It was really bad—I resented those days.

Fast forward, I had to go on a whole-year medication for at least 4 years. Now, this is the questionable part—the psychiatrist who made my prescriptions originally said to me that the medication would go for about 1 year. I agreed on that, and started committing right away because I just hated myself so much back then that I’d do anything to get myself back in reasonable mental shape.

But then the medication carried on, and on, and on. I wasn’t exactly having anything against long medication, since I acknowledged that this kind of medication would usually take at least 1 year. But on the 3rd year taking a bunch of pills 3 times a day, I began to question things. The doctor is a sweet old lady, and I enjoyed paying her a visit. But niceness wasn’t what I was there for—reality had to be checked. I consistently asked the doctor, when would the medication end, since I’m feeling so much better already at a certain point. She would then refuse to make the timeline clear by saying:

“There will be time for that, and I’ll let you know.”
(Nanti kalau kamu sudah siap, sudah lebih baik.)

I’d say, alright, let’s see how it goes then.

Now, for some information, I had to buy the pills from one specific pharmacist near her house. The keeper is a nice lady and started recognizing me not long after I started the medication. But one time, that pharmacist was closed for renovation, and I was forced to move out to a further-but-bigger drug store on the neighborhood. Apparently this drug store is actually the main store, and the one I visited periodically was a kind of branch store. The keeper is a cute middle-aged lady (yet another lady) and after few times paying her a visit to buy the drugs (the renovation took awhile), with a worrisome face, she asked:

“How long had you been on this medication?”
(Kamu sudah berapa lama pakai resep ini?)

Something struck me. It’s not so much what she said, but the way she said it. I just answered:

“Well it has been quite a while.”
(Yah udah lumayan lama sih.)

I said that just so she won’t have even more funny ideas as she appeared to be having already. For whatever reason I was starting to be suspicious about that doctor.

Long story short, I kept on visiting her for updates, until one point I asked again about the timeline of the medication when she finally said, with a smile:

“I’d say that Teguh shouldn’t worry if you are to keep with the medication”.
(Teguh gak usah kuatir kok kalau harus datang ke sini seterusnya.)

Gobsmacked, I asked again:
“Excuse me, doctor, what do you mean by keep with the medication?”
(Maksudnya bagaimana ya dok datang ke sini seterusnya?)

When she replied:
“You don’t have to worry about taking pills like this.”
(Kamu gak usah kuatir dengan berobat seperti ini.)

Not to bore you with more details, at that time I knew something not right was definitely up with her. I managed to get myself another psychiatrist and in about a month I was officially released from all of the medications. Here I am now.

After Depression
The first thing I immediately notice, was elevated senses—lights are brighter, sounds are louder, movements are more noticeable and emotions are stronger. That was when I realized one possible risk of taking anti-depressant—it made me so mentally numb that I don’t feel stimuli as much. I was thinking maybe that’s the whole point—to lessen stimuli so as to prevent me from being too stimulated and stressed. But then, the less the drugs have influence over me (took few weeks until all the noticeable effects faded off) the more I realized how screwed up everything was.

Apart from senses, my head actually started thinking “correctly” again. I started to re-experience all of the things happened on those 4 years, and gradually figuring out so many things that felt wrong, but weren’t so obvious because I was on the medication. And really, I can’t tell you how much I resented many of the situations people put me through on those 4 years. I’ve let go most of the things by now, but still, it was regrettable that I wasted a lot of effort, time and money all those 4 years whereas I always thought I could go ahead off-medication so much sooner than that.

To tell you the truth, I’d say that while the medication is useful, I figured that its effectiveness started to plummet up to a certain point. The doctor should’ve suggested to patients (such as me) that when they could tell that their patients are ready to get off medication—like, really ready—pills should be stopped gradually. I don’t know what’s up with that doctor but certainly “keeping up with the medication”, presumably my whole life, by the way she said it, just wouldn’t cut it.

In the end, the first few months off-medication weren’t exactly pleasant. I had to adjust with increased stimuli and so much more thoughts running on my mind, but then, after that, it was worth it. Up to a point, I felt so liberated that I finally got myself back. Of course, being someone who had depressive episodes, I’ve had my relapses even until this date. But there is no way in hell I’d go into another year-long medication. I’d rather die than to do that all over again.

The most difficult part of post-depression, I think, is dealing with frequent relapses that might just happen without knocking. I’m practically on my 1st full year off medication now, and eventhough life isn’t perfect (in fact things are getting rather worse now), for one reason or another, I’ve never felt more alive than this.

One message for anyone dealing with depression—you can make it. Nah. You can. Trust me, you can. Believe in yourself. Don’t listen to those noises in your head that sounds like but but butthey’re simply, noises. Noises are not supposed to be taken seriously, nor given much attention to. You can do it, I know you could. I could do it myself, why couldn’t you?

Thank you if you read this far.

How can I deal with depression?

Originally published on 06 May 2017 2:09 PM

Question details: I am in grad school, diagnosed with depression, started taking medications, got low gpa due to this, but, I did got better mentally to the point where I stopped taking meds. I am off meds for 4 months, I started feeling depressed again I think about my gpa a lot, I don’t want to take meds again.

There are actually a lot of things you can do to deal with depression—some are easy, some not so much. While being depressed usually discourage you to do anything difficult, you can start by doing the easy stuff. I’m going to list some suggestions about dealing with depression.

Bear in mind that these are not strictly THE ways to do it, but it should work one way or another. You can tackle these suggestions one-by-one and step-by-step. No need to rush, but you just have to keep moving, and keep this in mind: this too shall pass.

Easy

  • Go watch some funny YouTube videos. Effortless, readily available, and while you’re not really doing anything, at least you can have fun with yourself for a while.
  • If you’re done laughing, go check more “educational” videos about topic you might be interested in. Learning something new is one of the key to self-healing.
  • Get up and walk around the house, neighborhood or park—you’d probably have some more energy.

Medium

  • You’re doing it now. Getting up and getting out of your house.
  • Go find some nice scenery around your neighborhood or any interesting objects. Go take some pictures. Who cares if they suck, just take them.
  • Preferably you can try to stay around to look for the sunset. Else you can just stare at the trees. Approach them and touch their trunks or something like that. Do something modern people don’t do often. Oh yeah, by the way, if you are afraid people might be watching, you can always try to look for places with less people.
  • Go home when you’re done.

Hard

  • Try to think about the reason about why you’re depressed, or what causing it. If you have to list down possible causes and things, do it. If not then that’s totally okay too. Your mileage should vary.
  • Try to recognize the main feeling that led you to depression—is it abandonment? Loneliness? Under-appreciation? Betrayal? Exhaustion? Exasperation? Something would surely come up.
  • When you’re done thinking about it, try to sleep. Just try. It shouldn’t be easy, but try to sleep.

Rinse and repeat.

My suggestions here are not exactly profound or anything like that, but I do find it worked very well for me personally. Be really mindful though, when you’re beginning to realize the reason or thing that caused you to your depression, you might discover that they could be things you overlooked, like your home environment, school environment, relationship tensions, lack of appreciation from people you care the most, or any combination of those things.

It won’t be easy, but I believe that, knowing and identifying your problem would teach you how to deal with it in a more comprehensive manner, and in turn, would kill the problem eventually.

Good luck friend.