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Depression - by Rob Delaney (comic)


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On Depression & Getting Help

This was originally posted February 26, 2010.

 

 

I deal with suicidal, unipolar depression and I take medication daily to treat it. Over the past seven years, I’ve had two episodes that were severe and during which I thought almost exclusively of suicide. I did not eat much and lost weight during these episodes. I couldn’t sleep at all, didn’t even think about sex, and had constant diarrhea. The first thing I did each morning was vomit. My mind played one thought over and over, which was “Kill yourself.” It was also accompanied by a constant, thrumming pain that I felt through my whole body. I describe the physical symptoms because it helps to understand that real depression isn’t just a “mood.” These two episodes were the most difficult experiences of my life, by a wide margin, and I did not know if I would make it through them. To illustrate how horrible it was, being in jail in a wheelchair with four broken limbs after the car accident that prompted me to get sober eight years ago was much, much easier and less painful. That isn’t an exxageration and I hope it helps people understand clinical depression better; I’m saying that I would rather be in jail in a wheelchair with a body that doesn’t work than experience a severe episode of depression.

 

To clarify the timeline, I got sober eight years ago and my first episode of depression was seven years ago. I had been in talk-therapy with a psychologist for months and was getting used to life without booze. It’s my understanding that it’s not terribly rare for someone in early sobriety to get depressed. I started to exhibit the symptoms I described above and had no idea what was happening. My psychologist urged me to see a psychiatrist, as did my family, among whom alcoholism and depression are old pals, so to speak. Everyone wanted me to go on medication, except me. I felt that it would be “weak” to do so and that I could soldier through and get a handle on it. But everything got worse and it was terrifying. Most of my thoughts were telling me to kill myself and I began fantasizing constantly about suicide. The images of my head being blown apart by a shotgun blast or me swimming out into the ocean until I got tired and drowned played over and over in my head. My whole body hurt, all the time. 

 

Fortunately, a tiny part of me recognized my thought process as “crazy.” I knew that if anyone other than me was describing these symptoms I would lovingly handcuff them and take them to the hospital and help the shit out of them, whether they liked it or not. So I tried very hard to step out of myself and look at the situation with a modicum of objectivity and “imagine” that I was someone who deserved help. 

 

Quite literally I thought, “I don’t think anyone else would shoot me with a shotgun, so maybe, temporarily, I’ll postpone that and try this Lexapro that everyone who knows me is recommending.”
It worked. It wasn’t magical, but it addressed some chemical issues in my brain that allowed me, gradually, to feel better and actually experience my life. I ate again, slept again, got boners when I encountered attractive women, and made normal number twos when I went to the bathroom. I didn’t and don’t feel euphoric all the time or anything. I still get angry, sad, and afraid sometimes. But I also get happy, excited, and horny too. I experience the full range of human emotions, rather than just one horrible one. 

 

Just under eighteen months ago, after a couple of years of both my marriage and my decision to pursue comedy full-time, I experimented with a lower dose of medication and had another episode. It was as bad or worse than the first one, but thankfully I had some idea of how to deal with it. This episode drove home the knowledge that, like alchoholism, depression demands respect and attention. Whether it’s a “good” thing or a “bad” thing, I cannot pretend to know, but it exists and it can kill you dead.

 

My psychiatrist adjusted my dose and I got feeling better over time. If you know me personally, all this information may surprise you, as I think I generally have a pretty sunny demeanor. For most of my life, I’ve been a happy, optimistic guy. But for whatever reason, I’ve had depression of a serious, life-threatening nature rear its head a couple of times. 

 

The sole reason I’ve written this is so that someone who is depressed or knows someone who is depressed might see it. While great strides have been made in mental health over the years, certain stigmas still exist. I strongly resisted medication at first. But after having been through depression and having had the wonderful good fortune to help a couple of people who’ve been through it, I will say that as hard as it is, IT CAN BE SURVIVED. And after the stabilization process, which can be and often is fucking terrifying, a HAPPY PRODUCTIVE LIFE is possible and statistically likely. Get help. Don’t think. Get help.

 

Source - [Rob Delaney (comic)]

 

I fucking love Rob. I love his tweets, I love his parody anti cannabis tweets, especially, but, I super love him for writing this up. Please read this.

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This is a very powerful thing to read, and for me personally it strikes home due to my own circumstances.  Thanks a lot for posting this PK.  Much love to everyone around here who helped me see I had a problem as well.  The above author is spot on about how alcoholism and depression go hand in hand and getting help for yourself is the most important thing.

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Great article PK. I've always strongly opposed medication because for me, personally, I've always thought it did nothing. It wasn't until I became a father and my son had issues with seizures that I saw the beauty of being on medication. I know its a little off the topic of depression but it relates on the subject of knowing the right type/dosage of medication. The toughest part of the whole ordeal is the trial & error of medications because it's difficult to pinpoint exactly what your body needs. Luckily Rob in this article found the right medication and it helped balance him out. 

 

Rogan and Cara Santa Maria had a discussion about depression. It's a good listen to go more in depth on the subject.

 

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I always told myself "You can just work your way through depression, I'll never take medication for it" - and then I suffered from major depression for years. His description of it is so on point, but at the same time it also drastically varies from person to person. Getting help and taking medication was the best choice I've ever made in my life, and I'm not shy about being vocal about it. You can't help if your wires are fused the wrong way, just like if you were born without a limb or some sort of terrible intestinal disease. You get help for these things without issue, but mental health still has so much stigma. Props to these people.

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I always told myself "You can just work your way through depression, I'll never take medication for it" - and then I suffered from major depression for years. His description of it is so on point, but at the same time it also drastically varies from person to person. Getting help and taking medication was the best choice I've ever made in my life, and I'm not shy about being vocal about it. You can't help if your wires are fused the wrong way, just like if you were born without a limb or some sort of terrible intestinal disease. You get help for these things without issue, but mental health still has so much stigma. Props to these people.

Boom. Nailed it, BE.

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