The Black Dog and the Bubble

I mentioned in a previous post that I have a friend who was recently diagnosed with depression. I have other friends who have depression but I met them after they were diagnosed and already into treatment. For a variety of reasons, this friend can't take medication for her depression. She has to rely on psychotherapy and maintaining a healthy lifestyle to minimize her symptoms. She is discovering the before and after of her diagnosis. What used to be perceived as tiredness and lethargy she now recognizes as depression.

I have another friend with type I diabetes. This friend can prick her finger and get a quantitive read on her blood sugar levels. She then has to figure out what to do next to adjust so her blood levels return to normal. People with depression don't have something that concrete to tell them something is off or amiss. Plus, your mind thinks what it thinks, and it often thinks it is find, even when it is not.

I remember when I was consulting, there was an expression "You can't manage what you can't measure." There was a strong emphasis on trying to quantify things that might not necessarily be quantifiable. How can we quantify a mood like depression? I wish it were easy to measure so then it more easily be managed.

My son's elementary and middle school used to use the Mood Meter created at Yale to help kids label their emotions, but I am not sure how it can capture fuzzier emotions, like "I want to sit on the coach and watch YouTube videos for hours instead of going outside" or "I don't really have any feelings right now. Everything is gray."

I wish there was a depression simulator, where you could go into it for fifteen minutes or so and experience depression. Not that I really want to go there, but I want to know what it is like inside her head so I can be a better friend and support her. Depression are migraine headaches are the two illnesses I fear the most. I don't want to take a drug to give me the feeling of depression; I would fear the drug might be permanent, and that would suck. J. K. Rowling gives a great description of depression with the Dementors in the Harry Potter series.

And then I wonder how much of the Black Dog has visited me, and perhaps I have been unaware of it. I wonder if Jack has a mild case of it, too. Maybe both of us live on the bubble, and have managed to keep it at bay with exercise, socialization and getting good sleep. Maybe the Black Dog would have a more permanent part in our lives, but so far we have managed it.

When I was a kid, I used to ride my bike everyday after school except for days when I had extra-curricular activities, like Drill Team. I needed a full night's sleep to feel normal. Now I also need a fistful of vitamins to feel perky: cod liver oil, folic acid, and Vitamin D and B, plus magnesium to ward off Alzheimer's. Jack runs or rides his bike to work everyday. When he goes three or four days without exercise, he is grumpy and short-tempered.

"I need to go for a run," he said the other night after dinner. Yes you do, I thought. I no longer think of exercise as a luxury. My campaign manager for when I ran for School Board would occasionally ask for a few hours off to lift weighs.

"No problem," I told him. If he needed to exercise to feel normal, I needed him to exercise.

I was recently talking to a group of moms and it came up that almost all of them were on anti-depressants. I was one of the only ones in the group not to need them. (Yet.) After my ACL tear and surgery, I needed to exercise everyday for forty-five minutes to build strength in my legs. What should have been a perfect excuse to sit on my butt and feel sorry for myself ended up being not that bad. I was almost surprised that I wasn't more miserable that I was. Part of me I wanted to be miserable so I could figure out what to do next with my life. I couldn't possibly be happy or content when I was in such a sorry state.

But I kind of was content. I wasn't euphoric or ecstatic, but I wasn't as miserable or painfully bored as I thought I'd be. I somehow managed to keep off the bubble. I am a firm believer of listening to your body and mind "Pain is your body's way of staying 'Stop!'" is one of my favorite expressions as it applies to so much more that physical pain. Boredom serves a purpose: it forces me to find something new and meaningful to do. Misery tells me I need to change. I look at these feelings as a gift telling me to move, not something I need to dread.

I can say that but then I still have a healthy fear of the Black Dog approaching as I age. I don't want to live where I have to be so diligent to keep my sanity. My dad manages his type II diabetes with diet and exercise, and as long as that works for him, he isn't on medication. I plan to do the same to keep my mood in place.

What if I get injured again or become ill and can't exercise? My mom had a bad case of depression after my brother and I were both out of the house. This time also coincided with menopause. Is this something I have to look forward to? Will depression be an accessory that comes with the change of life? I pray not. I read somewhere the estrogen protects women's brains from mental illnesses like schizophrenia. Some women are sane until they hit menopause, and then they become certifiable. If this happens to me, I will hopefully gracefully submit to medication, therapy, and whatever else I might need to keep my mind.