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Mental Health FAQ

When you go to a psychiatrist appointment, a general practitioner appointment, or a therapist appointment to address your mental health issues it can be scary, especially if it’s your first time. I was terrified the first time I decided to see a therapist when I was 20 years old. I was alone, I had no support, I didn’t know anyone who had seen a therapist, and I had stress diarrhea for weeks. The first time I brought up my depression with my general practitioner was scary also because I was terrified that he wouldn’t take me seriously. The first psychiatrist appointment ever was daunting because I didn’t want to believe that I needed a psychiatrist.

I imagine I’m not alone in my fears because living with mental illness is scary. We are up against a stigma that spreads through almost all parts of our lives. Even when we ask for help, things can go wrong. But when things go like they’re supposed to, there is progress. I have been to many therapists, may psychiatrists, many GP’s for mental health, and I’ve seen good ones and bad ones, and ones that have just not worked for me. Here are a few things that I wish I could have known when I started treatment. If you are considering getting help for your mental health, I applaud you and hope this helps.

Q: What will a therapist do on my first visit?
A: They will introduce themselves, and they will ask you why you came in. This is not a judgement, they want you there, and they want to know how to help you. Even if you aren’t able to be articulate why you’re there, do the best you can. They will ask you questions and lead the conversation when you’re not able to.

Q: What if I’m embarrassed by something I need to talk about with my therapist.
A: Your therapist will never judge you. The truth is that they’ve probably seen it all. I tend to seek out older therapists who have been practicing for a long time because there is literally nothing you can say that will surprise them. Being honest is the only way to make true changes in your life. You’ll get out what you put into therapy.

Q: What if I don’t like my therapist?
A: The best thing you can do is be honest with your therapist and yourself. It’s okay to discuss this with the therapist. If you can’t work it out, find another therapist you can work with. It takes some trial and error sometimes, and there is absolutely nothing wrong with leaving a therapist you’re not comfortable with. This applies to all doctors and psychiatrists as well. Trust is a big part of mental health treatment.

Q: What could a general practitioner possibly know about mental health?
A: Enough to help point you in the right direction when you need help. Sometimes a GP is all we have available to us, and there’s nothing wrong with that either. They can prescribe medications and refer you to a psychiatrist or therapist if they think you need it. Go to who you trust as your first step.

Q: Is it as interesting to sit in a psychiatrist’s waiting room as you’d imagine?
A: Waiting rooms are always professionally discreet. No one is even paying attention to you much less trying to guess why you’re there. I’ve never felt unsafe in a psychiatrist waiting room.

Q: What is the difference between seeing a psychiatrist and a general practitioner?
A: A psychiatrist specializes in only mental illnesses and mental illness medications. They will be more up to date on specific medications and specific diagnoses and can provide a more in depth mental illness treatment. Generally, the philosophy is that if it works, keep doing it. I mean that if your GP prescribes you some medications that make you feel better, then keep taking them. If your GP has tried everything they know to try (like in my case) they may say go to a psychiatrist to try something different.

Q: What is the difference between a psychologist and a psychiatrist?
A: A psychologist will be your therapist and cannot prescribe medications. A psychiatrist will prescribe your medications. Most psychiatrists don’t do therapy, but there are some who do. I’ve never been to one who does, but it sounds like it could be a nice simple “one stop shop.”

Q: What’s the deal with medications? Are they pills that make you happy? Are they just a crutch?
A: Mental illness is much more complex than happy/sad. The hardest part of getting mental health treatment is that there is still so much that even the experts don’t know about it. They don’t know exactly why some medications work and some don’t, or why it’s different from person to person. While mental illness is a real, diagnosable medical condition, just like diabetes, or a broken arm, the treatment is different for each person. A doctor will pretty much treat a broken arm the same way for each person, because if they do, it will heal. Unfortunately depression and other mental illnesses are not so linear. We use medications as a way to stimulate our brain chemistry to do what it should be doing anyway. Just like a diabetic gives insulin because it’s what their pancreas is supposed to be doing anyway. Medications are not happy pills. They are not a crutch. They help clean up your thought processes and clear pathways so that you can function as yourself, just like when you clean out the hallways of a house so you can get around the house with less stress. I was prescribed medications for the first time at age 20, and I carried the bottle around, unopened, until I was 22. I was afraid of the stigma. I was afraid that they would give me a false perception of the world. I wish I had been more open minded sooner though, because it was the depression that was giving me the false perception. The meds helped me see more truth.

Q: Is it possible that medications won’t work?
A: Unfortunately there’s always that possibility. Sometimes it takes trying a few medications that don’t work before finding ones that do. It can be a frustrating system because often you have to take the medications for several weeks before you know if they’re helping. It can be so time consuming. It’s an imperfect system, but it’s the best one we have right now. There’s so much research being done about treating mental illness, learning why it happens, and learning what the symptoms mean that there are new options available all the time.

Q: Can insurance be a pain in the ass when it comes to mental health?
A: Sometimes. Mental healthcare is still a completely separate section of insurance from healthcare (guess what, it’s all healthcare!) and it can have its own rules. The issues I’ve run into over the years are that insurance can sometimes dictate how many therapy sessions you get per year, and they can limit the options for doctors you can see. The staff at therapist and doctors’ offices are pros at dealing with insurance, and will work the system if they need to to get you what you need.

Q: Is it okay to be scared?
A: Absolutely. Getting help is supposed to be the greatest thing you can ever do, and there are supposed to be circles of cheerleaders following you around wherever you go, and everything is supposed to be perfect and amazing and rainbows and smiles. Well, getting help is a great thing, but more than that it’s a brave thing. We’re still in a world where it’s often an uphill battle to get help for mental illness. I wish to god it wasn’t. I wish that mental health was treated like the rest of healthcare, and that people didn’t have to be afraid and anxious to seek help or even avoid seeking help because they’re afraid they won’t get it. I’m going to be real with you – getting help can be hard work. I will cheer for you and assure you that you’re not alone, I will share everything I’ve been through in hopes that it helps, but I can’t tell you that it will be smooth sailing. I do think you’re worth the fight. I also believe that you can be strong and brave and terrified all at the same time. And I think it’s worth asking for help, even if it looks like just showing up in a doctor’s office, not making eye contact, and saying the word “Help.”

These questions and answers are based on my own experiences, and my own fears before I got into treatment. I have not had a smooth ride with mental illness or its treatments, but I have met some really good people along the way who have helped me a lot. I’ve met some good people who haven’t helped me too. And I’ve met some idiots. But so far I haven’t given up on myself, and I don’t think you should either. I hope that at least some of this is helpful.

If you have any other questions, or if you have any other insights from your own experience that you think might be helpful to someone else, leave them in the comments or you can e-mail me. I don’t claim to be an expert, but between all of us I bet there’s a lot of really good information out there.

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TMS (Transcranial Magnetic Stimulation)

Transcranial magnetic stimulation, or TMS, is a new, non-medication non-invasive depression and anxiety treatment that uses MRI waves to target and stimulate areas of the brain responsible for regulating neurotransmitters. Dysfunctional neurotransmitter communication is the closest known cause of depression and other mental illnesses, so TMS is a way to potentially treat the source of the problem without using medicated stimulation of the same neurotransmitters. TMS is performed without anesthetic and is reportedly pain free. Insurance will cover it if at least 5 other medications have failed to treat depression successfully. It’s a less invasive procedure than ECT, which is more intense treatment and is done under general anesthesia.

It does not appear to be a magic cure that Pharma’s been keeping a secret from us because the success rate is about 30%, the same as for medications. Supposedly if you have tried several medications without success TMS is less likely to work for you. In the last two years alone I have failed on at least 5 medications. I’m currently on six different medications that are helping marginally but creating serious side effect problems.

The weight gain that is common with some antidepressants and bipolar medications is causing more serious problems than just making me uncomfortable. The medications make me crave sweets and my appetite is through the roof. It’s bigger than self discipline. I’ve gained 30 pounds since starting two different medications, and because I am so hungry all the time my blood sugars are out of control. 400 – 600 mg/dL high. Daily. I should be able to just not eat so much, and I should be able to control myself since it’s actually making me face my own mortality, but I can’t.

I need something to clear itself up – the bipolar, the depression, the insatiable hunger, the grief, the foggy brain, the sleep problems, the kidney damage caused by not only the lithium I’m taking but now my extremely high blood sugars. Something! Help! I’m tired of watching myself die.

So I’m trying TMS. The success rate isn’t as close to 100% as I would like, but it’s not going to hurt me. It might be a little expensive, but insurance covers part of it. Incidentally I learned that TMS can treat anxiety too, but it’s not approved by the FDA. This means that insurance won’t cover it and it’s around $11k.

The treatments take 30 minutes a day, and you go every Monday through Friday for seven weeks. I’ll be awake, there will be scalp discomfort for the first few days and I might get a headache afterward for the first few days. That’s the worst of it. If this can help me get off even one of these meds I’m on I will be grateful. I’d like to get off most or all of them, but I’m cautiously optimistic. It’s something I’ve never tried, and I’m pretty damn close to having tried everything and still feeling very depressed. It’s my normal. What if it could be different?

I’m willing to venture an answer to that question by trying TMS. The answer might be “It can’t be different,” and I’m prepared for that. If it’s anything other than that I’ll be thrilled. I am so tired of trying the same things over and over and getting the same results. I do not want to accept that this will be the rest of my life.

I am going for a final consult with my doctor today. Assuming I go forward with the procedure I will report the progress and the things I learn along the way. Here’s to voluntary brain zaps!

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A Note on Being Socially Awkward

“Oh, excuse me,” I say to the person I’ve accidentally cut off in the hall leading to the ladies’ room.

“Haha, no problem. The squash at the mall is rough!” I think I hear.

Not wanting to make this crazy talker feel bad, I say, “Well, they can’t all be gems, can they? Haha!” and push past her and her disappeared smile and confused, slightly concerned eyes, and let myself into the bathroom ahead of her.

While I’m in the stall, I realize that she must have said, “Well, this hall is small enough!” and not whatever I thought she said about squash. My response made less sense to her than the squash mall made to me. Another missed connection.

I don’t hear very well, so add that to my momentary panic whenever someone tries to make small talk with me, my mind reeling, trying to force words out so I don’t completely mangle the transaction, and it’s a disaster. I’m starting to accept that I’m going to mangle it anyway, so I try to keep my tone light and hope for the best. I used OKCupid to date people after my divorce, and under What I’m Best At in my profile I said “Making it weird.” And I meant it with all my heart.

I have a lot of wonderful friends who love me very much, but even with them I’m socially awkward enough to make it weird on a daily basis. And it’s not just my hearing loss or loathing of small talk either. At first I didn’t think mental illness played into it at all, but now I’m not so sure. When I’m doing everything I can just to stay alive with the minimum amount of functioning, not to mention summon the courage to be around other humans when I feel like that, polite conversation is the last of my energy priorities.

I might be at a store in the checkout line and the friendly cashier will say something like, “Any big plans for the weekend?”

Dear god, that question. I hate that question.

My first instinct is to lie, desiring to be someone who does things on a weekend like normal people. It sounds something like this: “Oh yeah! We’re going paddle boarding at the lake. Standing paddle boarding. With Martha Stewart. She’s buying us beer. Then we’re all going off roading in her Jeep. In the mud. I’m very excited.”

My next instinct is the honest one. Let’s not waste time being polite, let’s just tell it like it is. It sounds like this: “Yeah. Big plans to not put pants on or shower or brush my teeth for two days. Just kidding it’s already been a month. I’ll probably lie in my bed sideways and watch The Office reruns for thirty hours while eating these four bags of dill pickle chips and wiping my hands on the dog. What will you be up to?”

There’s the third response and it’s one I call The Best I Can Do. It goes like this: “Is it the weekend? What day is it? Can you just… I’ve got to get home. Because…I have to.” and then I start to cry as I avoid eye contact while o wait for the cashier to finish scanning my items, imagining them judging me for buying dill pickle chips in bulk along with tampons and one single celery stalk.

No matter which choice I go with, I make it weird. The cashier, or whomever I’m talking to will give me a blank, confused, or pitying look. And that’s just the way it is. At one point in my life while working customer service, I learned to have a separate customer service personality. I was charming, helpful, funny, cheerful, and I could do it as long as I was getting paid for it. Afterward I didn’t want to talk at all. To anyone. About anything.

This feeling is the inspiration for my “today is a no talking day” sticker. I feel like that so many times when I am too busy fighting my own brain to have energy for conversation or even responses to simple questions. It costs me a lot of myself to survive depression, anxiety, bipolar, and type 1 diabetes. It would be nice to be able to enjoy being social instead of feeling like it’s an obstacle or a puzzle that’s too difficult for me to figure out most of the time. At least I also don’t have enough energy to care what these strangers think of me and my awkwardness. That’s an asset, especially when I know I’m doing the best I can. It’s an asset too when I’m writing a blog that talks about things that no one wants to talk about. I don’t care what you think of me because I know that there’s someone out there who will read this and not feel so alone anymore.

Weirdos, unite.

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A Note on Self Harm

Trigger warning: this post talks about cutting and self harm

This is probably the most difficult subject to talk about, but that might be why it’s the most important to talk about in order to fight the stigma of living with mental illness. That’s the theory I’m working from, anyway, because that way the pain of talking about it publicly has a purpose.

I have used cutting and other forms of self harm such as bruising myself and using diabetes as a weapon – binge eating without giving insulin, or even eating normally and purposefully not giving extra insulin – since I was a teenager. As a teen I was not allowed to ask for help when I needed it, so I would cut myself – usually on my face – to show people I needed help. I stopped doing this until I was in my early thirties.

I was in a toxic marriage and needed help but wasn’t getting it, so I started cutting again. The urges surprised me since they were so strong and I haven’t felt them since I was a kid. All of my pain in my marriage was invisible, so the cuts, the blood, the scars were all proof that I was in pain. It was outside of my head, which was a relief.

My marriage ended and I started cutting again. My life was suddenly in chaos. I lost everything: my house, my family (in laws), my job, my car (totaled it), my jobs (lost two in a row), my dog (liver failure), I almost lost my dad to complications of surgery, and I was trying to survive on my own in an upside down world. My depression was spiraling downward at an alarming rate, and I started cutting again. I dug into my legs with a sterile needle (always sterile, I don’t want to do damage, I just want the pain) as a way to gain a sense of control.

If I cut I bleed. If I bleed there’s pain. Cause, effect. Very straightforward. Absolutely nothing in my life was straightforward, I was in control of nothing, none of the causes had effects that made any sense. Surgery is supposed to heal, not try to kill. Working hard is supposed to give you job security, not take it away. Dogs are supposed to live forever. But I know exactly what happens when I put a needle on my skin. This year when my marriage ended and I lost everything was what led me to my second ever psych-hospital experience, but I will go into that story more another time.

I had a counselor recently whose response to me talking about my cutting was, “Most people grow out of these urges eventually. Almost no one continues to cut after age 30.” Yeah, well first of all, you’re talking to one of us over 30, so check your facts. Second of all, that’s not true at all, there are many adults who self harm. But people over 30, this arbitrary age when life is supposed to magically get better, don’t feel like they’re allowed to talk about it. I told this counselor, “I don’t know what you’re trying to tell me. Do you think I’m doing something wrong?” She said no, I was doing nothing wrong, I was just using an old coping mechanism. She said the urges should be getting fewer and further between. I said they’re not, they’re more frequent and getting stronger. And I know I’m not the only one. I’m not an anomaly of her inaccurate statistic.

There are many many many adults who hurt themselves in secret, suffering in a very painful silence. There’s an Instagram account I follow that is called Faces of Fortitude: “This project lays a foundation of healing thru portraits of those affected by Suicide & Mental illness.” A photographer takes pictures of people who have survived depression, suicide attempts, trauma, and self harm, and tells their story in the caption. There are amazing stories and powerful photos, and it is inspiring to read. In one of the stories the person advised against tattooing over or hiding your self harm scars, but advised wearing them proudly because they are reminders of what you survived and of how far you’ve come.

I respect this sentiment, and if it were anything but self-inflicted scars I would agree. But I still have times when my own scars can be triggers for me to want to hurt myself. I have gotten several tattoos that cover my scars, and I did it because I wanted to turn something painful into something beautiful. That is what I would rather look at than scars, reminders, of painful moments. When I have the urges to hurt myself, they are difficult to shake. The pain is actually what brings me relief. Totally intuitive, right?? So when I see the scars, the memory of the pain makes me want to cut again. It’s all complicated.

Cutting and self harm are complicated. We don’t do it for attention. We do it because the pain, the blood, the bruises, the scars give us something that we need so desperately that we have to hurt ourselves in order to get it. Maybe it’s validation we need, or a way to ease our depressive thoughts without trying to kill ourselves, or maybe we need to get the pain out of our heads and into the outside world. Whatever our reasons are, we don’t have to be teens. We are mature, fully functioning adults with hidden pain that we don’t know how to express otherwise.

When you see us in the wild, don’t judge us. Just know we are in pain, or at one time we were in pain. You can understand and relate to that. That’s all it is, so I wish it didn’t have to be a secret. Thank you for letting me share a little bit about my experience.

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In the Moment

I wake up early. I never used to, but, and I guess I’ll blame age, now I wake up at around 5:00am every day, no matter what time I go to bed. This morning I was an overachiever and woke up at 4:30 feeling fully rested and ready to start the day. We are vacationing at the beach right now, and when I got up early I realized that the ocean also gets up early while the seagulls sleep in.

Time to go to the beach.

Despite the inclement weather and the fog and the inability to see the sunrise, the ocean was beautiful. The waves rumbled and crashed against the shore, the fog blurred the horizon, the low tide painted the sand with rivulets still streaming with salt water, and there were seashells everywhere. No one had come to pick them over yet and I decided to collect them.

I hesitated, though, before walking out to the surf, and tried to pinpoint why. The ocean is larger and more powerful than anything else my brain can imagine. When I’m not face to face with it, I can’t even imagine the depth of its power – one wrong move, all alone on the beach, and I could be erased. I took that in before deciding to carefully begin my shell hunt and getting lost in the moment.

Except I hesitated again because the first shell I found still had a creature in it, and that was more terrifying than somehow getting sucked into the ocean. To my credit, I did not scream, and I fully own that I am a wuss. But I began finding shell after shell.

Former homes of unknown animals peeked out from under the sand, and I rushed over to dig them up. The more I walked the more numerous they became and I got better at spotting them. The only thing I could hear was the waves, the only thing I thought about was spotting shells, the only thing I felt was happiness. I was so wrapped up in my activity that I even got physically lost, which is hard to do when you’re walking in a straight line. I was one hundred percent in that moment.

With anxiety and other mental illnesses, it’s hard to lose yourself in a moment. There’s always that part of us that is screaming, demanding our energy and attention or even altering our perception of the world so that we can never be fully present in any given moment. Even in the important ones, and it’s a big burden to carry.

This beach moment wasn’t a ceremonial rite, or a significant event in my life, but it was important to me because for that small piece of time, the negative messages paused, the gnawing worry dissipated, the weight of depression lifted. I didn’t want to hurt myself, and I didn’t want to go back to bed. I got a break from all of that. It’s even held off a little since then.

If you can’t find an ocean today, I hope you can find a moment where you get a break. I hope you can lose yourself, even if only for a few seconds, in something that brings you joy. If you can’t, just remember that you’re not alone. I’m over here in your corner, cheering for you.

Remember – you woke up today! You are a badass!

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To Shamelessly Adult

I’ve known how shameless of a person I am for a long time. I spent formative years, from age four on, fighting type 1 diabetes and realizing that if you make a mistake (and kids never make mistakes, right?) with my medical care I could die. Not only that, but it will never go away and will probably get worse. Kids shouldn’t ever have to learn to face their own mortality, and yet… Then add to that bipolar with severe depression in my early adult years, also something that doesn’t go away, and a messy divorce, and a parent illness, and losing my job and then my career…dealing with all that on a daily basis, when the hell am I supposed to have the energy to give a shit about being polite? About feeling shame for the ways I have learned to cope with my life and be productive and successful despite its best efforts to keep me down?

The older I get, the less I care about being shy, and being afraid to speak up for myself, and the less I care about changing my personality to match whatever group I’m in. In addition to the human experience of aging and developing a sense of self, my multiple and repeated brushes with death have accelerated this shamelessness I have. Yes, I have a much stronger sense of myself at 37 than I did at, say 20, but even at 20 I had faced death multiple times with diabetes complication hospitalizations and one suicide attempt that no one but my best friend knew about (more on all of this later).

When I realized that everything I know could end in the matter of a second, it gave me a new perspective. I’m alive. I’m alive because I work my ass off to stay alive, and things could be very very different. So changing who I am to fit in? Not saying something I want to say because it’s different from what other people are saying? Needing validation from people around me to feel better about myself? Ok, I still need that one, but the others are things I just don’t have energy for. They are not important in the big picture of life, and I’ve been forced to understand the big picture, over and over again).

This most recent time I was in the psychiatric hospital I saw this shamelessness with new eyes. In an environment like a hospital you have a lot of down time. Even with all the structured activities, group therapy, psychiatrist meetings, yoga and stress relief classes, art classes, exercise classes, you have a lot of time to interact with your fellow inpatients. You get to know each other very well, you get to make friends.

It’s a unique relationship because you’re all hospitalized for serious reasons and you find you learn people’s deepest secrets. You can help them through their darkest moments while they help you through yours. You find people you have things in common with and you make friends. There’s also a tendency of people in groups like this to form cliques and create their own drama. I’ve never been a fan of interpersonal drama, and I’m even less a fan of self-created drama. But I understand its function, especially in groups. It can be intimidating to join a group of people you don’t know and just be left to you own devices to find your way. Cliques can provide comfort.

Continue reading To Shamelessly Adult

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Journals From Past Allison

Journaling has been an important survival tool for me ever since the year 2000 when my therapist at the time turned me onto it. I have saved all my journals since that year, and sometimes I like to go through them all and find the same date in different years and read them. I do this more out of curiosity than anything else, but it can also help me track my progress, or lack thereof, through the years. The evolution of mental illness is fascinating, as is my level of denial in the early years. But simply because I kept writing, I kept following hope.

All of my journals either have titles or quotes at the beginning of them, like they were books. And they kind of were because I would fill every page of every journal I ever wrote in. I’m not sure where those bragging rights would be relevant, but that’s kind of impressive, right?

Here are some of the quotes in the beginning of my journals over the years:

For a second, two seconds, they had exchanged an equivocal glance, and that was the end of the story. But even that was a memorable event in the locked loneliness in which one had to live.
-George Orwell, 1984

Forget about what you are escaping from…Reserve your anxiety for what you are escaping to.
-Bernard Kornblum,The Adventures of Cavalier and Clay

Pretty Pink Suicide Notes
– journal title, Allison B. Hollingsworth

I feel a little down today
I ain’t got much to say
You’re gonna miss me when I’m not there
And you know I don’t care

Life is hit or miss, and this
I Hope, I Think, I Know
And if I ever hear the names you call
If I stumble, catch me when I fall
‘Cause baby after all,
You’ll never forget my name
You’ll never forget my name.
-Oasis

There are two ways to look at life…The first view is that nothing is stays the same and that nothing is inherently connected, and that the only driving force in anyone’s life is entropy. The second is that everything pretty much stays the same (more or less) and that everything is completely connected, even if we don’t realize it.
-Chuck Klosterman, Sex, Drugs, and Cocoa Puffs

For Posterity
– journal title, Allison B. Hollingsworth

I’ve compiled a list of excerpts below that Past Allison wrote in a gesture of recognizing her journey. I hate the word journey, but I love Past Allison. At least I’m learning to.

Continue reading Journals From Past Allison

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TW – Depression Can’t Be Fixed

*TW means Trigger Warning, meaning what I’m about to say has the potential to trigger someone’s past trauma, past painful experience, or something they are struggling with. If someone is “triggered,” they can feel that pain all over again and put them in a challenging emotional or mental position. I will not censor my experiences because I can’t account for all possible triggers. However, I respect the things that people have had to go through, and I can indicate that I am about to talk about suicide; you can choose whether to keep reading or not. Please take care of yourself first.

If you need help now, call or online chat with the National Suicide Prevention Lifeline now.

We need to talk about suicide because it has taken too many people from us. I have lost friends to it, and it’s hard to miss the celebrities who died from suicide: Robin Williams, Chester Bennington, Amy Buell, Kate Spade, Anthony Bourdain. Ugh, just making this list gives me a heavy heart. But as difficult as it is to think about, I think the prevalence of mental illness in our lives is all the reason I need to talk about it. It seems like we don’t talk about suicide until it happens to someone we know. This is more than enough for us to take it seriously!

It is important to remember that depression can’t be fixed. Mental illness can’t be fixed. I love my friends deeply, and when one of them is hurting it makes me sad. It makes me want to do something, anything, to fix it. To take my friend’s pain away. Unfortunately depression doesn’t work like that. We have to consciously love the person over the disease.

My friend called me last night and said they wanted to end it all. I’ve been in that place before myself, but it didn’t make it any easier to know how much pain my friend was feeling. They told me how much I had meant to them over the years, and that they love me. This is a friend I “met” in an online support group more than 15 years ago, so we’ve never met in person. My friend told me, “I always wish we had met in person,” and the wording stabbed at my heart. Through many many tears I said,”We still can. I love you. Please don’t kill yourself tonight.”

…And that’s all I could do.

I wanted to drive to their house, knock the bottle of booze from their hand, and just hug them until they felt better, and I might have if they didn’t live a two day drive from me. (I love dramatically knocking things out of people’s hands, too.) Personally, I have attempted suicide three times in my life, which I will get into more later, but having been there myself does not make it easier to see others go through it. However, it does give me some perspective on what can help in these moments, and what my role is as a friend. The biggest two things that help me are honesty and humor. Don’t try to protect my feelings, and don’t let me take myself too seriously.

I resisted the urge to list all the things my friend had to live for because that would be assuming I know what they find meaningful. It’s easy to project our own experiences onto people in these situations, and I wanted very much not to do that. Instead, I was honest about my feelings and my selfishness.

I said, “I know this is selfish, but I don’t want to lose you. Not today. I mean one day, yeah when you’re being a real pain in the ass we’ll talk again, but not today.” They laughed, which made me feel relieved at that moment of time I bought for them. Humor can save a life. That’s what I tell myself when I’m unable to stop making “that’s what she said” jokes, when that fad ended like four years ago, but it’s true. Depression lies to us and tricks us into taking ourselves too seriously. It robs us of perspective and keeps us locked in a dark metaphorical room, isolated from people who love us. Eventually it can make us believe that we don’t matter.

I got to talk to my friend from their dark room last night. I am scared. I’m scared that they won’t answer my text this morning. I’m disappointed that I didn’t fix them – even when I know that’s not how it works. I’m heartbroken that I even have to entertain the thought that I might lose my friend. But I told them and showed them that I love them, and that is what I could do. I hope it helped, but I don’t know if it did. I may never know, but I did try.

I perhaps have a unique perspective, and am not suggesting this as a template for anyone else’s situation. If someone is talking about wanting to kill themselves and you are uncomfortable, which, let’s be honest, you should be, you do not have to deal with it alone. Call the National Suicide Prevention Lifeline (I put this number in my phone and have used it) and they will help you help the person you love. Then make sure to take care of yourself, getting help dealing with the feelings that come with being in this difficult situation. Depression lies and we tend to believe the lies before we can fight it. We can’t fix it, but we can fight it.

I don’t know if my friend will answer my call today or not. I sure hope they do. My stomach is knotted with the thought that they might not. But I’m glad they reached out to me last night, I’m glad I got to say I love you, and I had the personal boundaries and wisdom to know that I didn’t have to fix them. We can’t fix something that isn’t fixable, all we can do is love it, call it a pain in the ass, and laugh at it, making the time we have on this earth a little more bearable.

Continue reading TW – Depression Can’t Be Fixed