On depression, the ten essentials and self-compassion.

Trigger warning: Themes of depression, and hopelessness. Discretion is advised.

“ Once it snowed, and it wasn’t that I felt great,
because I felt awful, but awful is better than nothing.
Depression wasn’t an endless grey sky,
it was no sky at all. ”

Neil Hilborn, “Our Numbered Days”.

I took a break this week.

It was Monday morning and I had just had blood work done and I had had the flu shot on Friday but was still feeling like garbage. I could tell internally that something was not right with myself and my soul. I felt off and sad and angry. So I did something I am not used to doing. I checked in with my supervisors, called my clients to cancel and went home and slept. I slept for three hours. I got up, took a shower and slept some more.

It helped. Positive re-enforcement for the fact that listening to your body is, in fact, a good thing.

I was feeling sad and down and depressed. But on the way home I realized something. I felt guilty for leaving unless I had a physical reason to do so. Me, a mental health provider, felt guilty for leaving work because of mental health. I could only warrant it because I had physical problems going on too. Perhaps a harsh realization of the fact that I have been living within a version of stigma and not aware. But why?

I have a clinical diagnosis of major depressive disorder, anxiety, OCD (in remission), trichotillomania (also, mostly in remission), and PTSD (growing all the time). I struggle with my anger. I struggle with boundaries and people pleasing (getting better every day). I’m a chronic worrier. When there is nothing to be worried about, I worry about the fact that I have nothing to worry about. If my environment isn’t perfect, I will freak out in less than .25 seconds. Too hot? Open all the windows right now and give me a bag of ice. The bed comforter is a little askew? I’m not sleeping until it is perfect. The lighting too bright? I will literally hide and/or cringe until it is better. These diagnoses are all like waves. They come and go and through the years I have gotten better at not waiting around for the next wave of whatever DSM-5 delight is headed my way.

I have carried each of these diagnoses for some time. But, the oldest book in my bag is depression. I don’t remember exactly when it “struck”. I just remember that my lows got to be really, really low at some point. It became harder to come out of it through the years. For the longest time, I fought medications. I didn’t let myself go to therapy–I had been in and out of therapy throughout my life and never felt like I had accomplished anything. I was skeptical about the efficacy of anything but my own brain. But I had a chemical imbalance. I still do. It is a psychological illness. And I refused to do anything about it for a long friggin’ time. If this were a broken leg, I’d have gone and seen a doctor. Gotten an x-ray. Plopped a cast on it. Went to physical therapy. So why is a chemical imbalance any different? Because we can’t see it? Because we aren’t trained to identify when something feels wrong? Because we should be able to just “suck it up”? Because having depression is “just self pity”? Because? Because what?

Depression. It’s the unwelcome guest that crashes the dinner party late, comes a little drunk, and brings up your most embarrassing stories for all to hear. You want to take it and shove it out the window and tell it you’re breaking up with it forever. But maybe at some point you realize you can’t ever fully kick this person out of your life, so you stop reacting and just wait for it’s spiel to be over. Your dinner party guests get used to it, and offer to help clean up the mess. You offer a half smile and say thanks, and begin cleaning up in a pregnant silence, wondering when your drunk friend will ever get their shit together.

Depression. I think of the word and I instantly feel my shoulders slump over. I immediately slow down. My breathing becomes less involuntary and uneven. I want to crawl under the sheets and turn the lights off. I just want to hide. I know we all experience sadness. And maybe most have been depressed for a time a two. But there is a major difference between feeling depressed and having depression. Depression is rarely something that just goes away. Mine took four years of weekly therapy and a nice dose of 75 mg of Venlafaxine ER nightly to stabilize. I’m still not 100%. I still see my therapist every month, and the meds are the same.

I often envision my depression as a ditch, or a sink hole and I am a circus bear dressed like a cute little clown on a unicycle just wheeling around in circles around this ditch. I could lose my balance and drift right in at any time. Sometimes I am able to keep upright. It used to be that even the slightest thing could send me right into that ditch. And there are days where this is still the case. I wake up and I know instantly where I am at for the day. But that’s just it. I know where I stand for the day. THIS is progress. I gave up a long time ago on the expectation that my depression would ever truly go away. But I have learned to approach every day with the mindset of meeting myself right where I am.

Some days are so productive and so alive and so fruitful for so many reasons. And other days, I am lucky if my greatest achievement for the day is getting out of bed. There is only one major thing that has changed throughout all of this that has made either outcome something I am okay with. I stopped getting mad at myself for not being able to (insert daily tasks here) because of my depression. I stopped getting angry with myself for having a chemical imbalance. I stopped becoming frustrated when I couldn’t focus because I was too sad. I started to listen to what my heart and brain and soul required of me every. damn. day. Sometimes it is ritual. A cup of tea made slowly for the sole purpose of showing my body nourishment. Sometimes it is a pint of ice cream. Sometimes it is just letting myself feel how I feel. Sometimes it is total isolation and other times it is surrounding myself with love, soft blankets and wearing cozy clothing. But in order to have this knowledge, I had to stop and really really listen.

Depression. Ugh. There are hardly words to explain what it feels like. It’s heavy and dark. It doesn’t let light in, and when it does, the light is usually too bright anyway. It’s controlling and doesn’t let you see your friends. It takes all of your energy. It requires every ounce of strength from you and the some. It makes itself known in every way it can. It has a grasp that is cold and menacing. There is a gravitational pull that happens with depression that is a force to be reckoned with. It is messy. It is not showering for days. It mood swings, and weird cravings, and also you’re not hungry at all. It’s staring at walls wondering if the paint can hear your thoughts or if you are going crazy. It’s staring out windows and finding yourself leaving your body. It’s watching life as if it were a movie. It’s “never being good enough” to be a part of someone’s plans. It’s fear that you will “just bring everyone else down”. It’s not being able to speak because it might take up too much energy. It’s feeling hollow and empty. Like really, really feeling like there is nothing inside of you. It’s not being able to speak because words aren’t there any more. It’s focusing on absolutely nothing and not being able to focus on anything. It’s dark humor. It’s not being able to sleep or sleeping so often you lose track of time. It’s crying. So much crying. It’s crying so much you can’t cry anymore. It’s being numb. It’s not feeling. a. damn. thing. It’s wondering what the hell is wrong? It’s changes in grades or work performance. It’s self-depreciating statements. It’s constant second guessing. It’s wanting to change but feeling like you don’t know where to start. It’s wondering if days ever get better and also not caring. It’s wonder what your worth is. It’s feeling pain all over your body for “no reason”. It’s having skin that feels like it is full of needles and not knowing where or how to fix it. It’s not being able to find the light in a room made of light bulbs. It is exhausting. It is invisible. And if you think you have it, I believe you. Because it is real. And it is painful.

Depression. It is heavy. It’s clunky and doesn’t fit well in any space. It seems to be attached to you wherever you go though, so “it has to fit somewhere“. Right? Maybe. Maybe it is something you can allow space for. Maybe it isn’t something you need to eradicate from your life. Maybe it is something you simply need to understand rather than try to “fix”–you’re not broken. Sometimes, we need to be curious about why things happen or are coming up for us. Depression does not have to rule your life. I’m not saying it ever becomes easier. I think we, as humans, just get better at learning the nature of depression in the way that we experience it as individuals. We come up with tools along the way.

I often equate this to camping. It is suggested and good practice to pack a bag at the beginning of a hike with the “ten essentials”. These are ten items you would utilize to prevent an emergency or to handle an emergency should one arise. Things like extra water, hats, a knife, food, a first aid kit, fire starting materials etc. But take a minute to remove yourself from the hiking mindset of it all to a mindset of mental well-being. If your wellness journey is similar to that of a hike, which ten items (concepts, coping skills, resources etc.) do you require to ensure a safe travel? Keep in mind that these ten essentials may change as we are fluid beings, our needs change with the tides. Whenever I bring this up with clients, I ask them to really be specific, because ten items is both not enough and too many at once. Some find things like “hope”, “support”, “family”, “friends”, all fit into their wellness journey bag. But something I NEVER hear is self-compassion. People just don’t go there. I often wonder if this has anything to do with why people are depressed in the first place. It might be. But I haven’t conducted that study yet.

Why is it so scary to be self-compassionate? Why is it so difficult? Hell, what does it even mean? Self-compassion. It does not mean being easy on yourself or taking the easy way out. Self-compassion is approaching your own being with that similar to how you would a friend or a loved one (that you have a good, healthy relationship with). It’s opening your eyes each day and choosing to show up for yourself however you might need to on this day. It’s asking yourself about your needs and giving you those things. It’s advocating for yourself when no one else will. It’s acknowledging that maybe you are doing too much right now and it might be time to take a step back. It’s making a love offering every day for the person that you are. It is choosing, each day, to strive to understand you a little bit more. It’s asking the right questions. It’s thinking and exploring the person that exists within the vessel of flesh and bones and water that makes you you. It’s doing something that is meaningful to you. It’s creating ritual to allow for positive nourishment of the self. It’s regressing and not becoming angry about it. It’s acknowledging any progress you have made. It’s changing the language you use with yourself conscientiously so that you are not being mean to you anymore. It’s not speaking to yourself in your abuser’s tone of voice anymore. It’s choosing to identify one thing abut yourself every day that makes you worthy of what you seek. It’s creating healthy boundaries in your life so that harm cannot befall your soul. It’s not standing in lies, and living your truth to reclaim your power. It’s not forcing anything. It’s allowing emotions to come and go. It’s greeting challenges like old friends, and lending them an ear so that they can feel heard. It’s being honest about who is in your life, and why. It’s making a plan to try your best which is much different than making a plan for “success”. It’s understanding that the original plan for success will change thirty five times before you realize you are standing in it one day. It’s being gentle with yourself. It’s loving caresses on your own skin until you believe it exists for more than the criticism and pleasure of others. It’s acknowledgement of any effort, and identifying areas of growth. It’s finding your passions through trial and error. It’s having courage to try things you won’t be good at. It’s being fine with not being good at some of those things. It’s dropping expectation, altering standards, and seeing what happens when you provide a safe space void of judgement for yourself to grow. These things are meeting yourself where you are. And it is the only way, I have found, to really make a dent in managing my depression.

I used to find self-compassion difficult and sometimes it still is. It is work. It is not an easy practice. I had to change the language I was using with myself. I had to stop becoming so reactive to my own actions. It took me a long time to become okay with saying something kind to myself. And if this is a struggle you have, I would encourage you to consider this: If hearing positive feedback in your own language and voice towards yourself is too difficult right now–whose voice must you hear it in to believe it to be true?

Circling back just a bit to the idea of the ten essentials, I want to take a quick second to speak on what to do with the things you have to take out of the bag. We often, as a society, talk about what else we can take on to make our lives easier. But what about what we need to take off? What is in your bag that has been in there for way too long? Is it still serving you? Did it ever serve you? How did you wind up with it? What are you going to do to take out? Who was the original owner? Maybe it is time to give it back. It is not your responsibility to take things on that do not belong to you. Part of self-compassion is recognizing what is rightfully yours to take on what is not. You are not required to share anyone’s load. If you so choose to, keep it on a timeline be firm about it. I believe you have superpowers, but this is not one of them. So get rid of it. Give it back. Do whatever the hell you have to do to give it back.

Depression does not change all that much. But you do. You gain insight. Your days become less agonizing. You find your worth again. You actually start to believe it is possible. The next time you feel like you might need a day off, or some time–take it. Spend some time being compassionate with yourself. A chemical imbalance is JUST as serious as an injured leg with worse long term impacts if left untreated. If you disagree, I am open to a debate at any time. If your boss disagrees, send them my way. The things that need to get done will get done. But do not put yourself at risk of mental decline to do it. Nothing is more important than your mental freedom. Depression is not about picking yourself up and dusting yourself off. It’s about sitting in the dirt for a second to assess if you are alright, assessing why you fell in the first place, and following your gut in what to do about it. Sometimes you will need help. Most times, actually. And that is actually fine and great. It’s okay to rely on a therapist for a bit. It’s okay to need medications to get you to a point where you can even pick up the phone to call a therapist. It’s okay that you don’t want any of it. No one does. But they will be there when you are ready.

When was the last time you allowed yourself to be gentle with you? Last week? A month ago? A year ago? Ever? How do you choose to show up for yourself every day? What do you need to let go of? What do you need to give back? How are you going to empty your backpack? What will you replace those items with ? Will you replace them at all? What are your ten essentials? What language do you use to speak to yourself? Does it need to change? How? When are you going to allow yourself to be more self-compassionate and gentle with you? What does that mean to you? What steps can you take TODAY to start?

Love, warmth and cozy feelings on this Sunday morning,

Gigi.

If you or someone you know struggles with depression or thoughts of suicide please contact:

Lifeline: 2-1-1

National Suicide Prevtion Hotline:
1-800-273-8255

pyschologytoday.com (has amazing resources that can allow you to search for a therapist by zip code, insurance, and specialties)

On stillness, intention, healing, and self-nurturing.

!!! TRIGGER WARNING. This post contains themes of rape, body image issues and shame. Discretion is advised.

Breaking taught me to see and appreciate
the beauty in re-building.

Alex Elle

October is a tough month for me. For me, it serves as a reminder of who is no longer here. It is the start of a cold embrace that will remain for several months. I love cold weather. I bask in the colors all around me. But there is a melancholia that comes each October 1st. A certain sense of bitterness, a reminder that another year has passed and I am in this body and vessel that I am still learning to love.

Each year, I find my mind racing and making preparations internally to be able to deal with how difficult this month is. And every year, as I make these preparations I find myself struggling, feeling as though I’m out at sea in a little ship and I have only just spotted a tidal wave coming for me after I’m already enveloped by it. Like clockwork, at October’s end I wind up in bed, lacking motivation, feeling as though my back is made of cinder blocks, and that sunshine is too bright for my saddened skin. I wind up exhausted, spent and slightly angry that “I let this happen again”.

October 6th, 2017. It is a heavy day for me. A day that holds hollow space for what happens when control is taken away. On October 6, 2017 I was sexually assaulted. I wasn’t ever going to talk about this on here and I feel knots in my stomach as I type this. But I am trying to take back my power which means that I don’t have to hide parts of my story anymore. I get to tell it. I get to handle it however I handle it.

As September was ending this year, I found myself making the usual preparations. Closing up the cabins of my brain for the winter, and laying some higher brick on the walls around my heart. Little seeds of stress and cortisol planting themselves in my mind, slowly and routinely. I found myself growing fatigued at the thought of how fatigued I knew I was going to be come October’s end. So I stopped. I changed my plans.

This year, I tried something different. Anything I would usually have done to try to escape the tidal wave of emotion I would usually experience, I promised to do the opposite. I opted out of honoring “anniversary dates” like October 6th with silence or sadness and I put focus on giving myself permission to be still and do the things I wanted to do. Taking a class. Creating something for myself. Building on my dreams. And I wasn’t scared. The day passed. It was over and he didn’t get to hold any more unnecessary power over me on that day.

I have been circling. I have been saying this for months to my loved ones– ” I feel stronger right now, but I feel like I am constantly circling a pit of despair and that the smallest thing could set me off into a spiral”. So in short, my strength has been building. I have been healing. But I often find myself wondering when the next ball is going to drop and I am going to relapse into an even worse depression. I find myself worrying about this and wanting to protect how far I have come. But rather than panic like i might have done previously, I have been reflecting and present and practicing self-care. If you have come here for answers today, I am not sure that I have any.

Today I am focused on self-care. This term has become a popular term in the wellness community. It has taken on the face of skin masks, manicures, and bubble baths. As a mental health clinician, I can’t even tell you how frustrating this is for me. Self-care. Say it enough times and it leaves a bitter taste in your mouth. To be honest, I hate taking baths and haven’t had a manicure in years. These things are so lovely. But they aren’t self-care.

On October 6th, 2017 I felt so much guilt about needing to take a minute to myself and missing class that I still got up and went anyway instead of giving myself time. I had just been raped and got so nervous about doing poorly in class that I got out of my bed and went to class and sat there learning about art therapy theories and then went home and couldn’t figure out why I felt so confused. I know that I am not the only one who has just “pushed through it” so I could be a “strong and productive member of society” because anything else is “just letting him win”. Right?

Self-care. I want you to take the “care” right out of it. Self. Let’s put the emphasis on “self”. I have been thinking so much about what it means to actually care for the self and maybe baths and face masks can fall into that but I think they are the absolute smallest fraction of it all. People fall back on these things when they have no idea about what they might actually be needing. It is by no means, any fault of their own. We have not been taught in society to care for ourselves beyond basic hygiene and nutrition (which feels like a luxury most days, anyway).

I want you to think about the last time you asked yourself “What do I need right now?”. What was your answer? You might even find that you couldn’t come up with one. Maybe your answer felt selfish so you didn’t follow through. All fine. But why? When did caring for ourselves become seen as being indulgent? Who decided this? When did getting the proper amount of sleep, rest and nutrition become something that we feel guilty about? Who let this happen? Why is it that unless we are contributing to some bigger thing, that we are seen as lazy?

What do you need? The question is loaded and difficult and makes me squirm. What do you need? It doesn’t have to be anything tangible. Maybe sometimes it is courage. Maybe it is love. Maybe it silence or nature or a pint of ice cream. What the hell do you need right now, here in this very moment? Maybe it is soft clothes and clean sheets. Maybe it deep reflection. Maybe it is pausing to take in the view from where you stand in life right now. What do you need? Sometimes in response to this question from my clients, I get a big puff of breath and a chuckle. Other times, it seems that pulling teeth might be easier.

Whenever I see my therapist, she tries to instill in my brain the notion that I cannot pour from an empty cup. It’s a simple visual. We cannot serve or help others if we have nothing left within ourselves. If we are totally spent, and exhausted and fatigued we cannot expect ourselves to successfully do our jobs, or be present.

What. Do. You. Need? We often don’t allow ourselves to be still enough to feel it. I have mentioned in previous posts the beauty of being able to find gold in our own pockets if we are only brave enough to stop and look. But what about when we are not currently searching for gold? What happens when we allow ourselves minutes to simply be. To simply be still. What happens for you? What happens when you are so present that feeling the brisk October air on your cheeks feels like a gentle reminder that you have made it to exactly where you are of your own volition. That brisk air on your cheek is a greeting for your own resilience. But you can only notice it when you allow yourself to be still. That brisk air is a gentle kiss from your future best self and it is full of gratitude.

Stillness allows us to walk with intention. Intention allows us our power back. It makes movement something more of an act of deliberation. It takes away the autopilot and puts us in intentional motion. It makes morning coffee taste like you harvested that coffee bean yourself. When we are still, our sense come out of hibernation. Our sight is expanded and our feet become planted in the ground wherever they are. Stillness is the act of permission. It is allowing yourself some extra time whenever the hell you need it. It is an act of love when the chaos of the day becomes too much. It allows us to face fear in the eyeballs rather than running for something better. Instead of finding something better, stillness allows us to make what we already have better. It builds upon our own castle. It fixes the roof after a long winter. Stillness is the contractor you never knew you needed for the vessel you inhabit right now. You’re not going to get a new one for a long time. And when you can be still and enjoy the one you are in, why would you want to?

For a long time after the assault, I wanted to be someone else and live in someone else’s body. I felt dirty and broken and out of date. But then I started to be gentle with my soft skin. I started to sing praise upon my hands. I started to recognize my body did not betray me. Stillness helped me find gentleness and healing. Stillness asked me to sit down with my body and love it again. Stillness helped me find what I needed. Stillness helped me develop a self-nurturing attitude. Stillness continues to let me clear my head and fosters a relationship with resilience.

Stillness is never forceful. It’s a friendly face wanting to catch up. It’s a slow walk on a chilly day. It’s consistent. It will wait for you, however long you need. Stillness is freedom from pain and suffering. Stillness is taking time to acquaint yourself with the version of you that exists beyond your traumas, your pain, your diagnoses, and everything else. It will always be willing to meet you on the other side. Stillness is not stagnation but a safe and warm hearth to rest at before you embark on your next journey. Stillness always has room at its table and a bowl waiting in the oven for you. Stillness welcomes you with open arms even after years of movement. Stillness allows us to create our own freedoms.

Stillness fosters intention. We cannot make rash or hasty moves if we are willing to be still enough to explore what is inside our brains rather than what externals factors are trying to influence them. Stillness breeds honesty. It never lies. It is quiet and deliberate. Stillness asks us to be present enough to think for ourselves. It asks us to consider the importance of what is happening under our noses. Stillness helps us understand and provide answers for the question: What do you need? Stillness is self-care. I am able to greet each day because stillness helped me come out of a dark place when I needed to care for myself. It wasn’t face masks and spa days.

Still. It makes me think of water undisturbed. It is clean and refreshing. It feels smooth. It feels like a warm blanket I can wrap myself in whenever I need it. It has many meanings. It is not simply a verb. It implies that the story doesn’t end. And still….

Here is what I know to be true:
It is possible to have survived your worst days and still show up for the best ones. It is possible to feel as though the pressure of society has finally won total control over you and still find yourself fighting back. It is possible to lose all you ever found to be meaningful and still create new meaning in the little experiences you have every day. It is possible to be scarred by interactions more powerful than you immediate comprehension and still try again tomorrow. It is possible to be hurt by something or someone and still chose love. It is possible to be angry and still feel empathy. It is possible to feel like you have endured more than your fair share and still work on making things better. It is possible to watch your whole world crash down and still re-build.

You are not bound by what has happened to you. You only are responsible for what you choose to do about it. Sometimes that comes in the form of self-nurturing. Sometimes it comes in the form of stillness. It is okay to wait in stillness until the world makes sense again. It is okay to move when you are ready. You do not have to pretend that you are always 100%. It is okay to be 32% sometimes. Be honest about it. Let stillness greet you. Have a bowl of something warm with it. When you are ready to move again, be sure that it is with intention and self-nurturing. Check in from time to time–what do you need? Deep, spiritual, healing can only come from within. Others can witness it and help along the way, but it has to come from you. And it is also fine to not know where to start with it. Take the time you need. Be gentle. Do not rush your process or you may miss something that stillness has planted there just for you.

What do you need in order to heal? What do you need to foster a nurturing relationship with yourself? What do you need from stillness today? How will you ensure that you follow through? How will you move with intention? What does stillness tell you when you are uncertain?

Warm regards,

Gina

If you or someone you know has been impacted by sexual assault and/or rape, there is help:

RAINN – 800.656.HOPE

Rape Crisis —  210-349-7273