Big Shiny New Year: how a party about new beginnings set the tone for a spectacular collapse into depression

The last few months of 2013 were a horrible, terrifying slide into Major Depression. I tried all the tricks, followed my treatment plan, and still nothing. I wasn't eating, I wasn't smiling, I wasn't even able to laugh. It was pretty darn bad. So imagine my surprise when my friend P from church invited me to a dinner party on New Year's Day. He said no one would pressure me and I could hide in a corner if I wanted to, but that we would play games, and I would have fun. So, for the first time in my life, I went to a New Year's party. I was really looking forward to it!

We played a super hilarious game called Braggart (I think that was it, anyway) with cards where we made up stories and then stole the good bits of other people's stories. Everyone was so entertaining, and I had fun. I felt like I hadn't had the chance to even pretend to be happy in so long.

It was a very cold day, thirty below freezing or so, but the condo was toasty from cooking and company. While I was doubtless the boringest, wort guest ever (hello crippling depression), I was happy to be there. It was especially nice to be out of the house and away from my parents on the first day of the new year. New starts and all that.

As a thirty-year-old paying rent, I knew I had every right to go and and do whatever I wanted to do, even if I was still living with my parents. But, in some sort of bizarre quest not to be a total bitch, I did try to be considerate of them. So I told my mother that if I didn't call by the 9:00 train I'd be taking the last one of the night. I'd also arranged with a friend that if something went horribly wrong I could stay at his place. I had this shit under control.

Because I think it's rude to have telephone conversations while you're at a dinner party, I turned my phone off and left it in my bag by the door. To be honest, I also didn't want to risk having everyone find out that my mother still checks up on me - that my own family doesn't think I'm capable of running my own life, that my mother still treats me like a child. Even though I was sick, it's not like I didn't have my shit together on this one.

But I hadn't counted on my mother waking up at 10:00 pm and deciding it was too cold for me to walk home, and single-handedly scrapping my entire plan. She texted me a couple of times, and of course when I didn't answer because my phone was off, she started calling and leaving messages. Not one to be put off by the fact that I was obviously still having fun with my friends, and was an adult fully capable of taking care of myself, my mother put her detective skills to good use and somehow located the phone number of the place I'd gone. She then proceeded to call them and ask for me. The second I heard their phone ringing, I had this cold feeling in the pit of my stomach, and started feeling lightheaded and disconnected, like a deer caught in the headlights. I knew - I just knew - what was happening. And I so wasn't prepared to deal with it.

Once our host figured out that the person on the phone wanted to talk to me, he handed over the phone. It was obvious that he was as taken aback and embarrassed as I was. Since there was nowhere for anyone to go, everyone got to listen to my half of the conversation.

Like talking to a two-year-old, I kept my voice calm and level, speaking clearly and simply. I told my mother that everything was fine, and reminded her that I'd already told her about my plans and there was no need to be calling. But it was no use. My mother was already in a full-throttle fit, yelling at me that I should have answered my phone, and insisting that I had to take the metro home immediately so my father could pick me up in Laval and drive me home - it was absolutely too cold out for me to walk home from the train the way I'd planned. Never mind that I've spent my whole life weathering cold winters, or that I was capable of making my own decisions, or even that being a renter in my parents' home didn't give them the right to control my life. She'd made a decision and wasn't about to be mollified or dissuaded or derailed.

So I gave in. I 'okayed' and 'fined' until I finally got her off the damn phone. Then, of course, I had to explain to my hosts that I was leaving because if I didn't give in to my mother's irrational demands she'd be having a fit for hours - maybe even days - before I'd finally be able to calm her down. That I'd spent my whole life hostage to her moods and didn't know how to stop giving her what she wanted, even though I knew that just made things worse in the long run.

Everyone was incredibly nice about the situation, telling me that it was alright, but for me it absolutely wasn't.

I felt completely humiliated. My mother had embarrassed my in front of everyone by treating me like a child in public.  I felt ashamed that people knew that this is my family, this is my life, that I wasn't allowed to be a grown-up. I felt deeply ashamed at having allowed this to happen, at not having kept my phone on because I know how my mother is. As I bundled myself up and left I felt so small, and so hurt, knowing that my mother would do that to me just to make herself feel better, that she'd cost me a chance at friendship and that I'd probably never be invited over again (and, of course, I haven't been).

As I rode the metro, the shame started to fade and be replaced by anger. Rage, even. How could she do this to me? It was completely inappropriate! I felt so, so angry! By the time I got to Laval, this too had faded, and I just felt weary. Weary of the life I was living, of the way people treated me, of being depressed. When I got to the car, my brother was there, too, and it turned out that everyone in my family thought I was wrong and should have had my phone on, and needed to do what my mother said. I felt so betrayed: I felt like no one in my family ever protected me from anyone else in my family, and I was all alone. I wanted to cry.

The next day, I went to work and realized that someone had to make the first step in repairing this mess, since my mother had decided she was still pissed off and not speaking to me. On my way out of the office, I texted her to say that, while I understood her perspective, what she did was unacceptable and I wouldn't tolerate it, and that she was never to do that to me again. She totally flipped out, telling me that I  was the wrong one, and everyone knew it, but that I'd find a way to save face with my friends, probably by lying to them and saying that she had a serious mental illness.

I couldn't take it. I just couldn't. It was such a hurtful and personal attack. I saw that she didn't understand how I was feeling at all, and didn't want to. She didn't see that there were boundaries, and I apparently wasn't able to enforce them. I was so unhappy, and so sad, and I didn't want to go on struggling so hard against my pain for nothing, just to be shot down. So I went straight to the store and bought my favorite cutting knife. I hadn't owned a serious knife like this in years, intended only for this, to hurt myself, to open my skin, to cut myself wide, to end my life with precise incisions. I felt like, even in this, I was giving my control over to someone else, and I didn't know how to get it back. I just knew that this was one straw too many - one weight too much - and I couldn't stand against the tide anymore.

When I told a shorter version of this story in my DBT therapy group as an example of an invalidating environment, there was an audible intake of breath and one 'eiiigh' when I got to the part about my mother phoning the party host to make me come home. In the back of my mind I'd always been thinking that I'd overreacted, that the situation wasn't that bad and that, really, I was the one in the wrong; since I'd made a mistake, I deserved to be punished by being humiliated. Sharing this story, I felt for the first time that maybe the way my family treats me, and has treated me, is not okay. It's really not okay. And maybe it's not my fault. And maybe that makes it okay to stand up for myself.

How to Get to Your Happy Place: Visualization in the Face of Difficult Emotions

Like many people who live with chronic and major depressive disorder, as well as trauma (lucky me!), I struggle with intense sadness, anxiety, hopelessness, terror, helplessness, and a host of other difficult thoughts and feelings about both myself and the world I find myself inhabiting.

I haven't always dealt with these feeling productively. That probably goes without saying! Before you can begin to process and resolve painful feelings and memories in a therapeutic setting, you should probably have better coping skills than cutting yourself with knives or trying to kill yourself. Probably. I mean, I'm taking a guess here, but I think that's the general idea. I seem to have somehow skipped this step in my previous decade-long attempt at therapy, which might partially explain why, in crisis, I return to harming myself, sometimes severely.

Anyway, this time we're approaching things a little differently. One of the tools I learned in therapy this week is called visualization. It involves thinking back about a time in the past when you felt completely calm, safe, and at peace. You then immerse yourself in the memory by recalling it through the five senses: sight, touch, taste, hearing, and smell. You try and find as many aspects as you can for each of these senses, which helps to really activate the memory and give it depth. Once you've put yourself in that space, you rest there until the sense of calm starts to suffuse you and you find the difficult emotions you were experiencing begining to subside. This will keep you from doing anything rash and stupid, like eating all the dish-washing soap thinking that will stop the memory from endlessly replaying itself in my head while I run the scanner at work: problem solved!

For me, my happy place is hiding in the snow.

From the time I was a young child to the time I stopped wearing snowsuits -- so around the start of Junior High -- I loved to go outside and play in the snow. Of course, I had snowball fights, and built snow people, and forts, and went sledding and cross-country skiing, all with other people, but I regularly played by hiding by myself.

Due to the fact that this happened in the past, we used to get a lot more snow in winter than we do now. (Also, everything was uphill both ways, but I digress) When we shoveled our front walkway, the snow would pile up to the living room window where we dumped it against the side of the house: it was so high! It was also perfect for building a tunnel. I'd dig with my hands in the center of the pile, beginning at the driveway and working my way into it parallel to the window, digging myself a Kat-sized hideaway. Once I could burrow all the way in, I would make my way head-first into my snow tunnel and hide there for as long as I could, usually until frostbite started to set in or my mother called me inside. I liked to take naps in there. It was warm enough from my body being in such a small space that the cold didn't seem to work its way inside me so much. I loved the solitude, that no one could see me, that I had created a world for myself that was only mine and where I could be safe. I used to think about what it would be like to go to sleep in my tunnel and never wake up. It was just so peaceful.

Inside my space, I could see the dark outline of the snow around me, its closeness to my body. I could see the darkness in the middle of the day where very little light penetrated. Sometimes I could vaguely see an icicle I'd brought in with me from off the eaves-troughs, and the outline of my woolen mittens. I could see the inside of my eyelids as I began to nap, and the patterns of light and color from squeezing my eyes shut.

I could feel the rough wool of my hand-knitted mittens, and the string pressing against my back beneath my coat so I wouldn't lose them. I could feel the cold of the snow on my mittened hand, and the icy smoothness of my snow hollow when I took my mitt off to lay my hand against it. I could feel the end of the tunnel pressing gently against the top of my head through my hat. I felt the warmth of being enveloped by warm clothing and snow, and the chill of crisp winter air on my uncovered skin. I could feel my scarf against my mouth, and my breath against my skin, the dampness of my scarf where I had breathed on it in the cold. I could feel the length of my body supported by the packed snow, and the closeness of my snow walls around me.

On my tongue, I could taste the coldness and sharpness of the air, and the lingering coolness of an icicle if I'd eaten one. I tasted the inside of my mouth, and my lips where I had bitten them. I could taste the dampness of my scarf pressed against my mouth, and the anticipation of hot chocolate with marshmallows.

Inside my tunnel, I could hear the silence of winter, and the distant sounds of children playing. I could hear the muffled footsteps of someone walking by my hiding place. I could hear the slow deepening of my breath as I grew sleepy, and my soft heartbeat. I could hear the snow gently settling, and the sound of the breeze. I could hear my own movements against the snow, the swish of snowpants and the scrape of boots. Sometimes, I could hear the soft wisp-like falling of gentle snow, or the scrape of a shovel against pavement, the short thump of snow being thrown on snow.

I could smell the winter in the air, that smell you grow up with in the cold and never forget, and the way that it freezes inside your nose and smells clean and new and pure. I could smell the woodsmoke from fireplaces in our neighborhood, and the distinctive smell of packed snow. I could smell the dampness of my scarf from my breath, and the snow-dampness of my woolen mittens.

Inside my snow tunnel, I felt safe, and peaceful, and alone. I felt enveloped, enfolded by a space I had created that seemed like it could last forever but was really quite fragile. Enough snow piled on top of it, especially heavy damp snow, and it would collapse. But I knew I could always build it again after the next good snowfall. I felt content. I felt the closest thing I can remember to an uncomplicated happiness. I believe I was happy.

When I bring this memory vividly back to mind, I feel all these things again, and as I stay in the space, recalling it, I start to feel calmer, and the chaos and pain inside me ebbs away to where it becomes bearable. It also gives me back a vibrant piece of my childhood that I had all but forgotten, because I almost never take the time to sit and think about it, though declaratively it is always there. That's the magic of visualization.

I hope that the next time you're anxious or depressed or scared or homicidal you take a moment to find your happy place, go back there, and spend some time visiting with your own precious memories.

I Can Has Internet!!!! (Or, rejoining the land of the living)

Well, I finally moved out of my parents’ house into my own place, which was a milestone for me not only because at the age of 31 I’ve never had the opportunity to live on my own and be truly independent, but because I’ve never moved in my life. Ever. Yes, that’s right, lived in the same room in the same house, always.

I meant to blog about this whole process, but in the upheaval and overwhelmingness of all that was going on, I totally forgot that the internet can’t be magically and instantly delivered to your dwelling. A shame, really.

It was a long, drawn-out process because I hired movers for the first day I could take off work – July 11^th – but really wanted to move in before. So I had all my Ikea furniture, including a bed that was a nightmare to put together (apparently), delivered the Saturday before, and my family helped me build it. Well, my family built it while I washed dishes and then lay helplessly on the floor, curled into a fetal position when faced with the enormity of what I’d done. I mean, I made my family build a crap-ton of Ikea furniture together: it was a nightmare.

I’m the kind of person who hates change. My life is carefully structured into tiny and large routines that govern my days, everything from what coffee cup I use any given morning of the week to how I do my makeup, what I eat, what time I get up in the morning, to how and when I pay my bills, the kinds of jobs I apply for, and the rhythm of my days. I like routine, and structure. Sure, I make allowances for when things inevitably don’t go as planned, but when I’m facing huge adjustments I’m an absolute nightmare to be around. I run the gamut from sobbing hysterically, to withdrawing and shutting down, to hiding under the kitchen table only to be bribed out with jars of peanut butter.

When I was about to start kindergarten, my stress drove my brother so batty he moved out of our shared room and into his own space in the basement.

Anyways, this whole moving-into-my-own-apartment thing was a really, really big change. I spent every night the first week crying. The first day was particularly distressing because, even though I had a bed, I didn’t have a table or chairs, so I ate dinner sitting on the hardwood floor balancing my plate on a stepping-stool. I admit, the thought ‘what in God’s name have I done?’ crossed my mind a few times.

I had a difficult moment in my first week, when the Douglas hospital called me to say I was eligible for maintenance treatment one week a month, every day, for six months, the thought being that I would benefit by seeing an increased duration to the effect of treatment and a possible delay of recurrence. Unfortunately, none of this was included in any of my return-to-work medical papers, so I had to turn it down because I can’t afford the two-week exclusion period that comes with a new claim.

To be honest, I’m lucky my health insurance is so good that I don’t have to choose between food and medication. Please remind me not to lose my job!

I struggled in the middle of the first week when I unpacked a bottle of Remeron that I’m not taking anymore (but, of course, I hoard medication I’ve stopped taking). When I cried at my desk at work Wednesday morning, I reflexively dumped them all on the desk and counted whether or not I had enough to kill myself with if I needed to.

I know that having my own space, my own independence, control over my own life, is a stepping-stone in the direction of changes in myself that I need desperately. But, for today, I’m still battling to live with my dragons.

Sometimes Your Brain Thinks Thoughts

The brain is a truly complex and amazing organ. It does some pretty unbelievable things that we never have to think about, like regulating the pace of our breathing, our heartbeat, some reflexes, vasomotor activity, plus the obvious stuff like generating our emotions and thoughts. The brain, in conjunction with the nervous systems, reaches out to tell our organs what to do, and to make our bodies move around. Our brain allows us to see, to hear, and to feel. Our brain is so sophisticated that it does what no other parallel processing computing device has ever been able to replicate: it allows us to have consciousness.

Kinda makes it sad that the machines are wasting our potential by using us as batteries, right?

I joke, of course. This isn't the Matrix. Whatever you do, don't take the red pill.

Sometimes, our brains think thoughts. If you think about it, we're thinking thoughts all the time, possibly as an outcome of linguistic capability (it might also be the other way around but, really, who cares). It seems obvious that we think thoughts when we're trying to solve a problem, or planning, or listening, or having a conversation, or learning. We think little thoughts all the time as we ask ourselves questions like, I wonder if I'm hungry? What should I have for dinner? We think little thoughts as we keep up a running commentary on things going on around us. Our brain thinks little thoughts to remind us of things, sometimes by interrupting something else that we're doing to tell us something completely different, like if we're doing the dishes and our brain tells us that we have to go to the drugstore tomorrow and buy more cottonballs.

We think thoughts so often that most of the time we don't even notice them; they're part of the background noise of being human. We take them for granted. In retrospect, part of what I find most terrifying about severe acute depression is the moments where the pain gives way to a nothingness where there are no thoughts. People tell me later that it's like I've frozen staring off into space. Subjectively it feels like time has stopped and then picked back up again, except that it turns out there was a gap with nothing in it. I'm lucky that this tends to last only moments at a time. But the idea that it might be possible for my brain to stop thinking thoughts, even temporarily, is chilling.

But I digress.

Sometimes I have thoughts that I don't feel like I'm in control of. Sometimes these thoughts follow moods, but sometimes they just float into my mind like a passing breeze with no obvious genesis.

I wish I was dead.

I should jump in front of that metro.

I want to stick a carving knife into my wrist and pull it up to my elbow.

Do the thoughts bother me? Yes. Partly because anything I don't control bothers me, and I hate not being in control of my own mind. Partly because the thoughts are scary and bad, and I'm afraid that if they start to hound me I'll end up being powerless against them. Partly because it divides my attention away from other things, like data entry, or looking at pictures of cats, or obsessively replaying my rapes in my mind.

I talked a little bit about the hurting-myself thoughts with my first psychologist, whom I will henceforth refer to as Dr. Radio, because he had the best voice I've ever heard in my life. I could listen to him for hours, even if he were just reading copyright information, because the sound of his voice was so relaxing. Anyways.

When I started to get more depressed in the Fall, one of the things that happened is these thoughts about suicide and self-harm reappeared. I was terrified: I hadn't had these thoughts for years. I wasn't suicidal at all since 2006. I hadn't harmed myself at all since 2009, and not seriously since 2006. When these thoughts came back, I felt scared. I also felt like I'd failed. I felt like I was failing God, Who had given me the miracle of healing me from these ideas. I felt like I was failing myself. I fought against the thoughts for months, by the winter for most of the day, constantly. Both the feelings and the thoughts were painful and overwhelming. I was scared I'd have the thoughts forever, and I was scared because I both did and didn't want to do what they were telling me. I knew that at one point I wouldn't be able to stand the thoughts any more and would give in just to get a moment's peace.

When I was released from the hospital in March, I'd had weeks to think about it, and I knew something would have to change in the way I was dealing with the thoughts, especially since my mood was still pretty low. In a way I was also better off than before I went in, thought-wise, because trying to kill myself did work in the sense that it released a lot of the pressure. It was like taking a cork off a bottle of champagne: Ahhhhhh. Suddenly not so crammed-in and tight-feeling, crushed, unable to breathe. I think that's what they call catharsis.

Over the years, I'd taken steps to try and mitigate the potential impact of the thoughts. I don't keep Tylenol in the house because acetaminophen is shockingly hepatotoxic (that shit will destroy your liver). I don't have a gun, and wouldn't have a gun, because shooting yourself in the head is very bad. I keep stainless-steel blades specifically for self-harm because I can sterilize them with alcohol and, at the very least, avoid cutting myself with anything stupid like a rusty nail or a broken bottle I found in the street. At times, I've had my prescription medication locked up so it was inaccessible and gotten it dispensed weekly.

Obviously, these are attempts to control my environment rather than attempts to regulate the thoughts. Leaving St. Mary's, I knew it wouldn't be good enough because it manifestly hadn't been good enough.

The main thing I decided I would do is that I wouldn't chase the thoughts. It's natural, when you have a thought, to have the corresponding emotions. When a thought is powerful, either in the force of its suggestion or the tenor of its emotional implication, it's easy to get trapped in a cycle of thoughts. One thought follows another in an endless train, pulling along emotions that fuel the thoughts running on and on, a conflagration running like wildfire through the kindling of your mind.

You chase the thoughts, following them, fueling them and, ultimately, allowing them to burn uncontrolled. If you ever do stumble across a wildfire - which I sincerely hope you don't - the way to put it out is really to have it run into barren ground where there's nothing to burn. Chasing a difficult thought around is like throwing barns at a fire while you run away, hoping that it will eat the barns instead of you, all the while making it bigger and angrier and more uncontrollable.

Stop. Take a breath. Acknowledge that you're having a thought. I am having a thought. Okay.

Then let it go. You don't have to hold onto it. You don't have to dwell on it, or try to puzzle out what it means, or let it fill you up. It's just a thing that's happening, and it passes.

Talking about the thoughts with Dr. Radio, we discussed the ways that I felt badly about myself for having the thoughts. I felt like I was a sick person, a weak person, like I wasn't ever going to get better. I felt abnormal. These thoughts, these are illness. But he pointed out that, in reality, people with psychopathology and people without psychopathology both have random thoughts like, I wonder what would happen if I stabbed that person, or, I wonder what would happen if I jumped in front of that train. The research supports the fact that everyone is having these stray thoughts. The difference is what people with mental illness say to themselves about themselves because of the thoughts.

I have a thought about killing myself, and I tell myself that I am sick, that I am a bad person, that I am not capable of getting better, and that I am afraid I won't be able to resist the thoughts. So what I have to learn is not to judge or label myself because of the thoughts. Essentially, this involves noticing that a single thought is actually triggering an entire thought-sequence about yourself that really has nothing to do with the original thought and everything to do with your self-conception. So when my thought-train starts up, I take notice, stop, take a step back, and remind myself that the thought doesn't mean any of the things I'm saying to myself about myself, because the thought is just a thought. It takes a lot of time, and a lot of work, to interrupt thought patterns, but I'm sticking it out.

Recently, after rTMS, I've been feeling a lot better and doing the thought-work is easier, but I'm still having the thoughts sometimes, out of nowhere. It doesn't bother me as much as it used to. I do feel disappointed sometimes that they're not completely and miraculously gone, but then I remind myself that it takes a long time to undo thought patterns. Thoughts, like flowing water, carve grooves in the mind so that future thoughts more easily follow the same path. It's not easy to change the course of a river, and it's not easy to change thoughts, either. You definitely end up with two competing thoughts at once where you're telling yourself, gently, that you're wrong. So, at least while you're relearning, what you're having is not so much different thoughts as more thoughts, as you pile new thoughts on top of the old ones to divert them. I had to decide to be patient with myself.

Talking about my thoughts with my new psychologist, she mentioned that I didn't seem very distressed by the fact that I was having them, so I told her what Dr. Radio had told me and how I was trying to learn not to judge myself. She suggested that I take it one step further and, instead of saying to myself, 'I am having thoughts,' to say, 'My brain is having a thought.' This makes sense on multiple levels: it creates more distance between you and the thought by decoupling it from a sense of personal agency; it creates a gap between the thought and the emotional reaction by framing the experience in the most objective way possible; and it interrupts the thought-pattern by adding a new thought about the thought, namely that you are not the same as your thoughts. This last idea is actually pretty radical - the suggestion that you and your thoughts are not identical, or that you, as a person with personal worth and value, are not made out of your thoughts.

So, if you're looking to change the way your thoughts are running around in your head, I hope you find my tips helpful:

Don't chase the thoughts.

Don't judge yourself for the thoughts.

Be patient with yourself as you learn a new way.

Remember that the thoughts are not you, and don't define you, and will never define you. The thoughts are something that is happening, and that you are living with, and that are giving you an opportunity to change. 

If all else fails, just turn yourself over and look for the little button that you can poke with a pen to force a system reset.

Short-Term Disability (Or, the Insurance Policy I Didn't Even Know I Had)

I went into the hospital at the beginning of January to get some stitches, because I knew that I literally couldn't do my job with a gaping hole in my forearm. Oh sure, there were some other reasons. For starters, I'd actually been making incisions in my arm in an attempt to locate my artery, because I was convinced it would look really beautiful when I sliced it open...luckily, my lack of stamina as well as my apparent lack of basic anatomical knowledge meant that I eventually gave up and decided to go to church instead, where a friend helped me get to the emergency room.

For another, I knew I needed some sort of help that I just wasn't getting. I was both relieved and devastated when I was finally admitted to the psychiatric ward at St. Mary's. I was relieved because I knew that I was incapable of doing my job, and this would save me from destroying my fledgling career. I was relieved because I'd been having an incredibly public breakdown all over social media and being unplugged from the internet would keep me from posting any more cartoons about how I wished I was dead, and generally humiliating myself any further (P.S. it's really hard to look people in the face after you've had a complete meltdown in public view for a few weeks). I was relieved because I didn't have to spend any more energy trying - and failing - to pretend that I am perfectly fine, goddamit!

But I was also kind of a little crushed inside, in the part of me that cares, the soft squishy vulnerable part of me that I have to shield at all time because weakness is a liability that just isn't acceptable. Weakness means rape, and pain, and all sorts of failure. I just can't stand it. Every time a doctor talks to me about allowing myself to be vulnerable I want to punch them in the face and throw myself off the nearest building.

But I digress.

It was crushing to call my boss every day during the first week and tell her that I was still in the hospital and wouldn't be coming into the office. It was humiliating to be so...I don't know...a terrible employee. I knew that I was protected from being fired because it's against the law to fire someone for being in the hospital, but I still felt pretty shitty. You've got to be thinking you've made the wrong hiring decision when your employee goes AWOL less than a year into the job; it wasn't fair to either my manager or my team for me to so completely drop the ball. I felt like someone had thrown me the ball, it was busy season and they needed everyone to be on their A-game, and I was like 'Oh, this ball? I think I'll just throw it back in your face.'

I hadn't been hospitalized at all since 2006, and my last significant stay was in 2002-2003. I felt like I'd wasted all this time and all these years only to find myself back in the same shit-hole. I was so disappointed in myself, in my failures, in all the things I should have done to get better but somehow didn't manage to get around to doing.

Me and the hospital. I was like 'Please, please, help me. Please save me from myself,' and also, 'I don't deserve to be here, and I don't have what it takes to get better, so you might at well give me the boot and make room for someone who will.'

Anyway, in one of my many conversations with my manager, she mentioned that we'd been using up the two weeks of sick days I had in my bank, and then we'd be contacting HR to get started on a short-term disabilities claim. I was like, 'short-term what in the what now?'

I'd been thinking that I was really fortunate not to get fired, and that I'd saved up money for years so that if I was ever too sick to work I wouldn't end up homeless and completely bankrupt. But, instead, it turned out I had an entire short-term disabilities insurance policy that would pay 75% of my salary. It had come with my job, and I didn't even know it. I work in the insurance industry, and I knew the insurance they were giving me as part of my compensation package was outstanding, but I didn't even know short-term disability was a thing.

I felt so, so lucky. But, when week three of my hospitalization rolled around and it was time to fill out the complex paperwork, I also felt deeply conflicted. I was basically saying, to my employer and to myself, that I was a failure. I was incapable of working. I was worthless, a financial liability. I couldn't even do my job. I have always tried so hard, worked so hard, kept going no matter the personal cost, and here I was giving up. I mean, why couldn't I just make myself go in to the office? I'd been doing it before, hadn't I? I felt so overwhelmed and incapable. I'm not sure I've managed to work out all the things I was feeling.

When I finally did go back to work on a progressive return, and started to struggle with working four days a week, I wondered if I would ever be able to work a full week again, if I would be able to manage it. I was doing the best I could, but I was failing. And then, I went back on full disability benefits to receive rTMS treatment at the Douglas. I realized, 'I am disabled.' It wasn't something I thought I'd ever have to say about myself. I am disabled.

I still struggle with what saying that means. I was disabled. The part of me that's trying to learn self-compassion tells me that it's okay, that it's not my fault I was sick, that this is something that just happens. I was lucky to get through it. I was lucky that rTMS treatment worked well and I could get back to my old activity level without distress. I was lucky. I know that having been disabled doesn't say anything about my character, or my strength, or my worth as a human being. But I still feel somehow less than I did before. I still wonder what value my life has when I can't be a functioning, productive member of society. Sure, everyone needs a little help sometimes, but not everybody ends up disabled because they just can't handle their workload.

I am so, so lucky to be employed at a place that gave me such great insurance, because not everyone has that benefit. I am so, so lucky that my team and managers believed in me, and welcomed me back so seamlessly. I am so, so lucky that HR and my short-term disabilities case-worker were so compassionate and willing to work out a solution that would get me back in the workforce without making me sick again. But I also feel broken. And I'm not really sure when I'll feel whole again.