So i'm almost 3 weeks into my second SNRI--Cymbalta. as much as i loathe the big pharmaceuticals, duloxetine was developed by Eli Lilly. They are the Rx giant that discovered the first of the SSRI generation of anti-depressants, fluoxetine--you'd know it as Prozac. Cymbalta was not the first SNRI, Effexor (venlafexine) was, its made by Wyeth. Still, Prozac helped for a while, several years before they declared me treatment resistant.
Then after trying all the other SSRIs, I suffered through a year of cocktails made of trycyclics, antipsychotics, anti-seizure drugs, mood-stabilizers, thyroid drugs, some other anti-depressants like Wellbutrin that are new but aren't considered SSRI. They tryciclics were horrible, and paired with the new antipysicotics that had helped some depressives gave me horrid side effects. I ended up putting on so much weight. I used to ski double black diamonds. The depression alone had cut my energy to 1/3, but you put on weight, you have no appetite, and no energy to exercise. I didn't put up a fight when they put me on Effexor. It was new, less chance for weight gain and other side effects. It worked for a year and half. I even managed to lose the 100 pounds I'd gained from those meds. I lost it in 6 months. (Not ONE doctor that had been whining at me to lose weight said anything positive to me about that...no "care" in health "care".)
A TRD patient knows that hope is short lived. Effexor quit working by the time my worst severest episode of depression ever hit, right before 9/11. Cymbalta was still in trials and I couldn't get into those trials. MAOIs were too dangerous because of the migrained meds I needed. Gaining more weight was too dangerous, it depressed me more.
9/11 dropped us all into despair, how could it not...24/7 coverage of that horror. It seemed like everyone knew someone directly affected through one degree. My company, that day...I got the call from a friend. I remember it word for word. "The United States is under terrorist attack."
... "Get to work NOW, N____ it safest here, they want us ALL here, 20 minutes ago for some all-hands announcement."
We lost 3 people on one plane alone. I did not know them except by name. But their families became our family. I'm from Denver, it was similar to Columbine. We had all those employees that had kids in that school for hours. We just band together and pray, think, hold someone's hand--whatever way you show your support.
Humanity.
9/11 made my depression harder because I let it. Because I'm an empotional sponge. I say that meaning, I like humans, the more human they are, the easier it is to like them, to feel their pain.
In seventh grade I watched the shuttle with the first teacher in space blow up live. I was in my class with my teacher who had made the top 10 final list. It took the teachers about 2 minutes to realize what happened and to turn off the tv. Just in time before the media started explaining what happened that had gone wrong. Kids are smart. You don't turn off a tv that suddenly tell us to get back to work. We knew something was terribly wrong, we'd watched launches before, it never got that quiet. Teachers didn't get that pale. Within 15 minutes they held an assembly because rumors were flying that the russions had nuked the shuttle. (kids) We all ran and grabbed that teacher, even the kids she was flunking. We cried with her, we cried for the students of the other teacher.
Until 9/11, when they showed the people jumping out the windows of the towers. That shuttle disaster had been the worst "national" memory of my life. Because that was so close to being my teacher. I knew those kids in her class didn't have her to comfort them. Likewise 15+ years later when those people jumped out those windows on 9/11, I knew they had to have been so completely alone to go to that extreme. Outside during prayer, I fell to my knees and cried out loud sobbing until some friends helped me calm down. I didn't know those people in NYC. It still messed me up because they were human, they had moms just like me. Moms that would never see them again. I was so ashamed for being depressed, when those people were in that much pain.
I saw my shink that night because he's that good a guy he fit me in. I told him about how i couldn't close my eyes and not see those people. I told him I was losing my mind, because I didn't know them, I wasn't there, they weren't my relatives, so why was I in so much pain that I'd fall over sobbing. He simply answered: "because N___ what happened to them is very representative of what your biggest fear of whats going to happen to you is. That something beyone your control is going to push you to a place beyond where logic matters to your brain and your reaction is not what you want." (for those of you who are reading this as my first post. i'm severely depressed, treatment resistant, have never been suicidal, promised to no one, but promised nonetheless never to kill myself, and my biggest fear is that my brain will break and i'll do it).
I swear, i prayed so hard for those people. I can't imagine the despair they felt. I stared at the picture in the newsweek 9/11 special that showed such detail you could almost see their expressions. i became obsessed to the point my shrink ordered me to cancel my cable and remove all pictures of it. he told me to stop punishing myself until I came up with some way to resolve it peacefully, he told me it was making me too sick.
And I found that resolution. Now when I close my eyes and see the people falling, I see only an earthly shell tumble below. Almost as immediately as the bodies begin to fall, their heavenly souls and spirits are grasped in the loving arms of angels, family members, or whatever would give them comfort based on their own personal faiths, believes. The moment I replaced this in my mind, the healing began. Its slow, but it is steady. If ever I have the financial opportunity to meet an artistic type, I would like to take that picture with the bodies falling, and commission a reinterpretted version painted the way I describe it. Giving comfort in not just judeo-christian manners, but as many faiths/beliefs as possible.
Back to Cymbalta, I did a good job avoiding this. Three weeks in, I shouldn't be feeling any therapuetic results yet. Therapeutic means consistent and some other things though. I am feeling side effects, which they say is a good sign, albeit annoying. And tonight, about 3 hours ago, watching some cop drama where a FBI agent loses his dad, I felt sad.
You're wondering, so what. Well, sad is different from depressed. This sad in particular. The sad that I felt tonight, it was an emotion so strange, it had to knock on the door and be introduced back into my mind. Note that I sad "back into". It wasn't forgotten, just an emotion thats been missing for years. A genunine sad moment. A pinch in the heart. A sting that almost wet my eyes...
I dislike hope. It can break hearts. It can sink ships. It can make dreams come true. It can make 16 year olds blow their brains out. I don't know what its going to do to me. Prozac did this too once. I had these moments of feeling like N____ again, beyond the disease. But I went through all this withdrawal, I tried again, I put my trust in something new. Call me crazy for getting hope from sadness. Better than the other way around.
God Bless You tonight if you want Him to.
~pf