Medical Update

I ran out of Lamictal because my appointment with the APN on Friday was cancelled for reasons outside my control. The receptionist said the “other doctor” would refill my prescription that day. Nada.

I called today around 11am and the same receptionist said the APN would take care of the prescription within the hour. “I’ll call you.” Four hours later, no call. I called back at 3pm and she said “by the end of the day.” I had important things to do today, so I couldn’t sit around waiting for it. But, according to the voicemail I just listened to, it’s waiting at my pharmacy.

I called my dental insurance to find out if there was any update regarding my periodontal referral for my Endangered Molar. I had received authorization for a consultation only; the periodontist (whom I saw on January 22nd) had to request authorization to actually treat me.

The dental insurance representative said they hadn’t received any such request from the periodontist! It’s been almost four weeks! And to make matters worse, she tried calling the office three times and kept getting a busy signal. She said she’d leave a note for someone to try again later.

When I’d met with the periodontist, she seemed to be on my side. They said “we’ll call you to make an appointment,” so I was a good patient and waited. They made it seem like any delay would be because of the insurance. I trusted them! I feel betrayed.

In related news, I went to get a root canal on Root Canal Molar last week. The endodontist-in-training attempted to perform the root canal, but had difficulty accessing it for several reasons – including but not limited to my inability to open wide enough for her to reach the back top of my mouth. Apparently the tooth is also rotated toward my cheek, making it even harder to access. We both put in our best effort, but all she really ended up doing was beating me up.

We’re officially at 6 months since I started having unbearable toothaches, and I still have yet to receive treatment! The bone damage near those teeth keeps getting worse; I can see it as a growing dark area in the x-rays.

I have an appointment to go back and try the root canal again… In two weeks… But I’d really rather not. We’ll need at least a couple of painfully long visits just to complete the root canal, then another 2 or more for the crown – if it’s approved – and there’s a chance I may have a problem with it later and have to come back again…

No, just no! That’s not happening! I’d rather just get the damn thing pulled and be done with it! I don’t even want to replace it with anything.

So now I have to convince the endodontist-in-training to refer me for an extraction and wait for that to be approved… I just hope I can communicate with her directly – and that she’ll follow through in a timely manner – without jumping through a million hoops. I can’t tell you how often I’m tempted to try and pull both teeth out myself!

But wait, it gets better! The sleep study that contributed to my crisis two weeks ago failed to reveal whether I have sleep apnea! The doctor had called me to discuss the study and, when I told him I’d slept much worse than usual, suggested we try an in-home study. I agreed and he said someone would contact me to set it up…

I was just thinking it was time to call them and find out what happened, when I received a letter from my insurance company saying they were terminating treatment by an out-of-network provider. The letter didn’t say what treatment; in fact, there is a sentence that doesn’t make any sense because the [insert colourful phrase in gorram Chinese here] who prepared the form letter didn’t bother adding what I consider the most important information! The only clue I had was at the very end: “cc Obnoxious Sleep Center.”

I was very worried that they would turn around and make me pay for the on-site sleep study (that had proven to be a waste of time and fucked up my head). I had trouble focusing on other things all weekend, I was so angry! I hated the insurance company for sending me an unedited form letter – instead of calling me to address the issue and offer help. I also suspected the sleep center of lying to me, billing my insurance for treatment I hadn’t received, etc. In short, it all made me feel very unsafe.

I called my insurance about the letter today. It had been intended to inform me that the in-home sleep study was denied because they don’t think I need out-of-state treatment. I explained that I wouldn’t be treated out-of-state, both the sleep center and my home are in the state that’s currently paying for my healthcare. But apparently the company (parent company?) that would ultimately receive the funds is based in another state. My results might have to be processed in another state, etc. To be honest, I understand why they wouldn’t want to pay for that. I just wish they’d told me in a more straightforward way!

The doctor who is ostensibly treating me was and may still be trying to get the decision reversed. As far as I’m concerned he’s welcome to continue (or not); I’ll follow through with whatever works best for me. I now have a list of names, addresses, and phone numbers that may or may not be accurate contact info for in-state sleep specialists.

I’d almost rather not even bother! But if I do have a sleep disorder, treating it could go a long way toward helping me function better in my daily life. I need all the help I can get – especially with two emotionally-intense graduate-level classes. I just need to consider whether trying to access treatment is worth the disruption it’s causing to my everyday life…

I’m considering the possibility that I might be better off going untreated, at least until my classes are over. Then I don’t have to play phone tag, listen to musak while on hold, reschedule my life around appointments that only add to my difficulties, and constantly feel like I’m beating my head against a wall. I estimate that more than half of my current stress would be eliminated if I weren’t trying to access healthcare (particularly dental) at this point in time. I kind of need to stay on my psych meds (I think), but perhaps the rest of it should be put on hold.

On a much more positive note, I took some steps toward finding a potentially-therapeutic group experience today. I met with the leaders of the “coming out” counseling group and told them that I’m trans*. They admitted that they’ve been having trouble finding members and expressed concern because the couple of clients they do have are cis, coming out as lesbian or gay. They would want to have at least one other trans* person in the group so there would be someone I could relate to on that level.

I appreciate that, even though it is a bit disappointing. At least they’re willing to work with me to find a group that might work, whether it’s the “coming out” one or another focused on general interpersonal issues. I expressed my interest in the latter and they said “if you don’t hear from us in two weeks, give us a call.”

They also encouraged me to join the extracurricular LGBTQ+ group I’ve been considering; that helped me overcome my reservations and actually show up for it today.

The facilitator was sitting at a table, surrounded my empty chairs. I walked over, said “my, what a lively group we have today!” and sat across from him. We talked for a bit about random things (completely unrelated to sexual orientation and gender identity) and had several awkward pauses.

Then he asked what I was hoping to get from the group. I told him I want a safe place where people will see me as I am: queer. He said that’s exactly what he intends for it to be, and what it had been in previous weeks when people actually showed up. His words were welcoming, but he seemed skeptical regarding whether he would see me again.

I think I’m actually more encouraged to return than I might have been if there had been a group. I felt like I bonded with the facilitator, and that makes me want to come back. I felt safe there; knowing it’s a safe place will make it easier to be there as part of a group. I feel less like I’m inserting myself into someone else’s party and more like I’m helping to establish the group. Next week we’ll be starting on the same page.

Healthcare Headache

My health insurance finally paid their share of the bill for my first visit with Psychiatrist B, which occurred 7 months ago to the day.

When I learned of this, I decided to (finally) look into options so I’ll have health insurance after my current plan – which is dependent on my being a full-time student – expires. There is an option through my current company. When I called for a quote, the person I spoke to was very nice! She asked a few questions and suggested a plan that costs – wait for it … – $400 per month! This is marketed to students who are between leaving school and receiving health care coverage from their employer, mind.

I took a look at the information she sent me and became quite concerned. One of the criteria that prompted her to suggest this plan instead of a less-expensive option was my need for prescription coverage. When she told me the benefits, I thought they included prescription coverage. But when I looked at the explanation of what the plan covers, it explicitly excluded all prescription drugs – even generic! It also explicitly excludes mental/behavioral health care.

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I thought, there has got to be something better out there! I searched for “affordable health insurance” and found ehealthinsurance.com. Through that site I was able to find a plan with a different company that costs $320 per month. Their prescription coverage includes a $15 copay for generics and coverage of 50% of the cost of brand-name drugs up to a certain limit. They also cover 70% of mental/behavioral health care, up to a certain limit. Sounds pretty good.

Except that, according to their brochure, I might not be able to switch companies and I might have to wait to enroll within a specific range of dates and I might have to go several months without coverage. I have no idea whether I’ll be able to find a psychiatrist who is in-network for both companies. “Long-term care” is on the list of services they don’t cover – I have no idea whether that applies to me or not or even what it means in terms of practical considerations.

Worst, I read a customer review by someone who said coverage was denied for treatment of a “pre-existing condition,” and ze had to fight for what coverage ze did receive! WTF?! I wouldn’t care so much about health insurance if I didn’t have a “pre-existing condition” that (likely) requires inhumanely expensive medication to treat! And there’s the nagging voice in the back of my head asking, am I really saving any money if my health insurance costs over $300 per month? That’s before the copay for the doctor’s visit, the copay for (or half the cost of) the prescription medication, and 30% the cost of any additional (limited to a certain number of visits) mental/behavioral health care I receive.

But then, I’m reminded of the first time I used my school’s insurance to help pay for a prescription. Long story short, I literally saved $100 on that month’s supply of the generic drug. Add the doctor’s visit that finally got paid for ($250, minus the $25 copay) and I’ve already saved $5. Never mind if I do need to go to the hospital, etc. And preventative health care … I have yet to compare insurance coverage vs. going to a low-cost clinic (e.g. Planned Parenthood), but there’s a decent chance I’d be saving money there, too – especially since companies are increasingly required to cover preventative care at no cost to the patient.

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Oh, I just took a look on Planned Parenthood’s website, which has a link to HealthCare.gov. Starting October 1st, I’ll be able to search for low-cost insurance options there, with coverage to begin in January. Yay, Affordable Care Act!!! Why, oh why couldn’t you be fully implemented immediately?! (I’ll refrain from soapboxing about what healthcare should look like in the US – and still won’t, come 2014 – … at least for now.)

Anyways, I still haven’t decided what I’m going to do about health insurance from mid-August (when my current plan expires) to January (when coverage begins for any low-cost plan I manage to find on Healthcare.gov). But at least I have hope that paying through the nose for whatever plan I do find (or going without insurance, as millions of Americans do) will be a short-term solution.

What’s your experience with health insurance, particularly trying to find an affordable plan? Any suggestions? International readers, how does access to affordable health insurance in your country compare to what I’ve described here?

Second 3-Month Review

Wow, it’s hard to believe this blog is already 6 months old! It’s grown a lot since I created it in mid-December. I’d like to say I’ve grown a lot, too – at least, I’ve gained a better understanding and acceptance of what’s going on in my brain, and turned my focus toward tending to my mental health needs. I don’t always do my best with that, but at least I’m trying; at least it’s my priority.

So far I’ve published 105 posts (this will be #106) and Fox has published 2: “Masculinity, Tools of Violence, and Embracing Femininity” and “From a Supporter’s Point of View”. A Day with Depression has gained over 100 followers and receives over 400 views per month from visitors all around the world! I cannot express how inspired I am by the readers of this blog. Thank you all so much for your support!

A Day with Depression 6-month Stats

The dark blue columns indicate number of viewers per month, while the light blue columns indicate number of views. Click the image to view a larger version.

The dark blue columns indicate number of visitors per month, while the light blue columns indicate number of views. Click the image to view a larger version.

I would like to extend a special thank-you to international readers, who make up about 1/3 of the visitors to this blog. Click the image to view a larger version.

I would like to extend a special thank-you to international readers, who make up at least 1/3 of the visitors to this blog. Click the image to view a larger version.

I posted my First 3-Month Review on March 12th; check that out to read a synthesis of posts from mid-December through mid-March, organized by theme. My current review begins just after that post.

As tempting as it is to focus primarily on my depression, anxiety is a significant factor in my life that affects everything from my ability to get ready and go places in a timely manner, to my ability to sleep, to food choices, to my very career. On March 15th I changed my tagline to reflect this. I also reflected on the primary sources of anxiety at the time: my rats’ health, my own academic performance, and becoming a caretaker for Mom (who was, at the time, preparing to receive double knee replacement surgery). In all these situations I felt like I lacked control, questioned my ability to “perform” well, and expected to have unpleasant experiences. It didn’t help that I felt “violently torn and ripped to shreds” by Mom’s expectation that I would meet her needs arising from a decision she had made, in combination with (what I perceived as) her simultaneous lack of respect for a decision I had made.

I found that taking action seemed to help reduce the anxiety – at least temporarily. “Taking action” included doing my homework and beginning to take anxiety medication (Buspar) in addition to the SSRI (Zoloft); I’m thinking perhaps it should also include regular exercise. The thing about taking action that relieves anxiety is that it gives at least a small amount (or semblance) of control over a stressful situation. For example, I take control over my academic performance by doing my schoolwork, which generally turns out to be high quality. But in life there are a lot of extra factors involved, such as noises waking me up in the middle of the night and the job market and my difficulty finding clothes I like that fit and how expensive everything is and the cruel malicious things people with power and wealth do to make a profit and misogyny and all the messages in mainstream American/Western culture that make me want to turn into the Hulk and destroy everything associated with it.

Click the image to read the blog post: "Being Carrie Marin."

Click the image to read the blog post: “Being Carrie Marin.”

Sometimes I need “taking action” to mean blocking it all out; my default form of doing so is to play a game where my character doesn’t have to deal with all that shit. She can take more direct action to accomplish things I feel I (currently) cannot: earning money, creating things with value to herself and others, dressing sensibly but fashionably, traveling, making friends, and ridding the world of evildoers (and people who piss me off). Best of all, anxiety is never an obstacle for my character; she never has to worry about the sacrifices involved in “desirable” life transitions (as I described in Giving In). If the shit hits the fan, I can reload a recent save and try again!

In early April, “taking action” meant making the very difficult decision to drop the two graduate-level courses I need to complete my degree and enter my chosen career. I had already waited 2 years to take them and will have to wait 2 more years. But my anxiety and self-criticism attached to those courses were posing a significant threat to my health, possibly even my life. It was the first time I made such a huge sacrifice in my academic life to tend to my mental health.
What I Need + Withdrawn + Taking Off the Mask + Grace

Around the same time I started using poetry as a means of expressing what I found difficult to say in prose. Themes included: my need for space to rest and work through the depression (Wish & Taking Off the Mask), my guilt about spending so much time playing The Sims 3 instead of with Dog (Groundhog Day), what I was trying to block out (Re: Groundhog Day), anxiety (Nightmare), and why I was avoiding my mother (Silence).

ambivalenceThen, the shit hit the fan. Fox learned he had to move out of his apartment after the end of the semester and requested to move in with me. I addressed my thoughts and feelings regarding the matter in Living Together, but the issue went on the back burner until fairly recently. We’ve both been stressed out of our minds about the whole moving process: his need for me to drive him there and back, sorting through and packing his possessions, and finding space for everything in my home. I’ve been procrastinating going through and reorganizing my own stuff because I’d find that stressful in the best of times, and right now I’m terrified of merging with him. A huge part of why I tend to get up in the middle of the night is because it’s the only time I can truly be alone, focused 100% on whatever I choose.

warning-signs-of-caregiver-stressWhile Fox moving in was on the back burner, Mom had her double knee replacement surgery. I was overwhelmed by anxiety for her, frustration about not really being able to do anything for her, my own fear and hatred of hospitals & medical professionals (stemming in part from bad past experiences when loved ones – e.g. my father – were terminally ill), my inability to manage other responsibilities such as schoolwork and chores, and my resentment toward her for being able to receive the treatment and support she needed – including from me – while I felt left largely on my own to try and survive with severe depression and anxiety. I was eventually able to talk to her about some of this stuff and found her to be more compassionate, concerned, and supportive than I’d expected. She’s actually been quite independent (and willing to call on other people for help), doing all she can to lessen the pressure on me – especially as she gains mobility. She also shows a lot of appreciation for my efforts to help her.
PANIC!!! + Don’t Hurt My Mommy! + How to Visit Mom in the Hospital + (Barely) Holding It Together + Sculpture + Communication + Awesome

An unexpected self-portrait.

An unexpected self-portrait.

As if all this weren’t enough, I’ve been struggling with my own symptoms and lack of much-needed treatment. I was off my meds for five days (ending a week before Mom’s surgery) because I couldn’t juggle refilling the prescription in a timely manner with everything else that was going on. I kept seeing disturbing images of knives cutting various parts of my body. I was hurt and angered by Psychiatrist B when he interrupted me in the middle of talking about suicidal and self-harm ideation to take a phone call. A later conversation with Wakana (who had hoped to coordinate treatment with him) confirmed that I need to find a new psychiatrist. I haven’t gotten around to doing that yet because I’m frustrated with the whole process and have been distracted by everyday shit such as the end of the semester, followed immediately by Fox’s move. I’ve been hypersensitive to loud clangy sounds, to the point where I had a severe anxiety response to an action movie. Wakana had to cancel a few of our sessions due to health and family issues, and I had to request phone sessions because I lacked the energy, motivation and/or time management skills to get to her office. I’ve been so physically and mentally exhausted and obsessed with Elder Scrolls IV: Oblivion that I haven’t been able to focus enough to express my thoughts and emotions through writing or other creative means (on most days).

That said, I have made some efforts to express and care for myself. The Bloody Arms Project was an attempt to channel the self-harm ideation (which mostly involved an urge to cut my arms) and the painful emotions behind it into artwork. Not long afterward I discovered the joy and catharsis of Sculpture, which enabled me to channel my anguish into art I took pride in and perceived as beautiful.

CaptureMay“Sculpture” also became a metaphor for taking control over my own life and depression treatment, including asserting my needs in conversations with Mom. I learned about the potential benefits of aromatherapy and had the opportunity to try it out, with good results. Although I have yet to really act on taking a full day once per week to focus exclusively on my own health (Ziya’s Day), it was after I asserted this need that Mom really started being more independent and turning to other people (instead of just me) for help.

Finally, Writer’s Block, In Search of Truth, and this untitled post were my recent attempts to express myself visually when I didn’t have the words to write. For now I feel it’s best to let them speak for themselves.

Awesome

Awesome things have been happening the past few days!

I was pleasantly surprised to receive an unexpected package on Wednesday. It turned out to be 4 pounds of modeling clay from Banji!

Mom encouraged me to take a holistic approach to treating my depression, including aromatherapy, a better-balanced diet, and seeing a chiropractor. To be honest I’m inclined to take some of her advice with a grain of salt, but it means a lot to me that she’s been looking into things that might help. I figure it can’t hurt to look into holistic approaches and adopt the ones that help me feel better; things like diet are basic to everyday self-care. (And, frankly, I’ve come to see psychiatry as a bit of a Hojo science: “Try taking this random substance that will affect your brain and we’ll see what happens …” If we’re going to be doing that, I might as well get to relax while inhaling a smell I like, thanks.)

More importantly, she’s willing to be involved in my exploration/implementation of these things: cooking for me, covering costs, even going to the chiropractor with me. I just hope this is a step toward her helping me with the things I think/know I need – and not an attempt to distract me from effective treatments that she’s uncomfortable with (because they might change our relationship?). :-/  I’m inclined to be a bit wary, but for now at least I’m focusing on the positive/potential for good: she wants to help me.

Fox has been positively wonderful. Among other things, he lets me read my blog posts to him – even if he’s tired or trying to focus on something else (or both).

He and his Dad both agreed to (collaboratively) make important mental health care decisions for me, in the event that I am unable to do so myself. This means a lot to me because while Fox knows me incredibly well, Dad is in a profession where he gets to see both sides of the coin; he knows what’s available, red flags to watch out for, how to translate from Human to Doctor and back again, etc.

I pushed myself to meet with Wakana today, despite desperately wanting to go back to sleep. It was very good that I did so. We spent most of the session talking about things related to asserting myself, primarily in the realm of receiving the mental health care I need. Then, seemingly out of the blue, I started playing one of the instruments that had been calling to me the whole time; as I played I started to hum; as I hummed, I started to sing:

This is what I need
Listen to me
Fuck your red tape
Listen to me

Forget your procedure
Listen to me
I’ll tell you what I need
Listen to me

Can you do what I need?
Listen to me
Answer truthfully!
Listen to me

If the answer is “No,”
Then I’ll say, “Goodbye,
Have a nice day.”
Listen to me!

At the end of the session I was even able to express, in the moment, how I felt about leaving (sad, and a little anxious). We were able to talk a bit about our (therapeutic) relationship, though a bit awkwardly (from my perspective). I expressed my anger about only having an hour with Wakana – while acknowledging that we need such boundaries and listening to her explain that she needs to make a living and this is how she’s chosen to do it; that doesn’t make our relationship any less genuine. It wasn’t the most comfortable or satisfying thing in the world, but it was a huge milestone in my emotional development.

Best of all, the melody filled me with a strong sense of Self that I’ve been desperately missing. It filled my whole body and spread beyond me to the people, buildings, trees, grass, sky, etc. all around me. The whole world, maybe even the whole universe, reverberated with it. I don’t need labels/categories, hobbies, a profession, relationships, even a name to define me. I just am. And I’m already whole. No matter how chaotic things may be, around me and inside me, I am. (We are.) It can be embodied in that melody. Or whatever melody best fits in the moment. It can be silent, or played by orchestras around the world, or anywhere in between.

Peace.

First 3-Month Review

I wanted to take another look at the more important posts I’ve made in my now-3-month-old blog – not just rehashing them, but finding the connections among them that can lead to new insights. Toward that end, I have organized the posts primarily by theme, but also (somewhat) chronologically. The themes include:

  1. Medication
  2. Web Mandala
  3. Stigma
  4. Limits and Boundaries
  5. Gender
  6. My Inner Menagerie
  7. My Healthy Side

Medication

I started out a day with depression with my search for the right medication (much as I do each morning). As I see it, the role of medication in treating (my) mental illness is to “take the edge off” the symptoms so I can live each day and do the important psycho-therapeutic work I need to heal. Both aspects of my treatment are an ongoing process; I’ve reflected on my experiences with medication (and mental health care providers) in the following posts:

Web Mandala

Web Mandala 2012-12-13My earliest non-medication-related post was the Web Mandala I colored. In short, the star-burst in the center represents everything good about me: my strength, creativity, spirituality, intellect, life energy, determination, etc. – while the grey pillars on the corners represent my mental illness. It’s hard to say whether the pillars are invading, or the star-burst is driving them away. Which interpretation is more accurate really tends to change from day to day. The point is that they are both present in the same moment and in the same person: both the illness, and everything I need to overcome it.

Stigma

I wrote Mental Illness and Mass Shootings after the tragic events of December 14, 2012. Writing that post helped me to develop a stronger awareness of the stigma associated with mental illness. That stigma poses a real danger to people with mental illnesses and to society as a whole.

blogformentalhealth20131As part of my commitment to helping end this stigma, I have pledged to Blog for Mental Health in 2013 and joined the Mental Health Writers’ Guild.

Limits and Boundaries

Christmas Eve was An Emotional (and functional) Roller Coaster for me. I was happy while enjoying music and holiday traditions with people I love. But I had a lot of difficulty coping with lack of sleep, feeling overwhelmed by all the tasks I needed to complete and stressed about my pending move, loud noise coming from my roommate’s TV, guilt and frustration over my mistakes, and insecurity about playing viola. I might have also felt some ambivalence about spending the day with Banji, due to the emotional effects I experienced while she was living 14 hours away.

In my post: “We all know it’ll never happen, so why do we waste our breath?” I described the other stress and difficulties I experienced during the winter holidays, including cancelling plans at the last minute. At the end of the post I made 2 New Year’s Resolutions:

  • to figure out my limits
  • to set and enforce clear boundaries

I’m not particularly confident that I’ve been doing either of those, but I have been making at least a small amount of intermittent effort. Continuing work on My Efforts to be Codependent No More and Detachment should help. I just need to stay focused – which is not always easy!

Gender

genbenjanI wanted to focus on gender-related issues during January, so I called it Gender Bender January and planned to write gender-related posts multiple times per week. I learned that keeping up with a theme-based posting schedule is hard! – and not always in line with what I need this blog to be. Gender-related issues do play an important role in mental health, though – particularly for me – so I think it is an important topic to come back to.

One gender-related issue I’ve written about since January is the ideal of the slender body, to which I say: “FUDGE THAT!” I felt liberated while reading a chapter of Unbearable Weight: Feminism, Western Culture, and the Body by Susan Bordo (1993, University of California Press). The messages about the body that the article exposed have been hurting me my whole life, but I was finally able to get angry at them instead of at myself. On February 13th I recast them as the enemy and allied with my own body – cellulite and all! “FUDGE THAT!” was my first post to be reblogged by someone; I consider that a great honor. 😀

My Inner Menagerie

2013-01-11-02On January 10th I began a multi-post process of connecting with different aspects of myself that I generally would prefer to remain hidden.

The Dark Horse represents my difficult emotions – especially anger – which tend to cause me a lot of pain, but can be valuable allies if only I can harness them.

The Critic voices my self-criticisms, doubts, and insecurities – often very harshly. Although it tends to hurt me, the true problem with the Critic is that I have not accepted it as part of myself. If I can own those thoughts, I can word them in a nicer way and use them as constructive feedback.

Mushussu-Sirrush, dragon of chaos. Drawn in mechanical pencil. Colored with oil pastels.

Mushussu-Sirrush, dragon of chaos. Drawn in mechanical pencil. Colored with oil pastels.

Mushussu-Sirrush is the chaos in my life, some of which stems from early childhood experiences and much of which is self-inflicted (for example, by allowing my home to become cluttered). In that (February 5th) post, I expressed my feelings about the 15th anniversary of my father’s death and explored the theme of chaos.

wyvernOriginally, I did not want to draw the Wyvern because it is a dragon that spreads disease and death; I prefer Anne McCaffrey’s portrayal of dragons as allies. However, I cannot deny that disease and death have both had a profound impact on my life. If I have to deal with something and often experience painful emotions related to it, I might as well take some time to make it something I can see – and make it as ugly and mean-looking as possible. At the time I did not want to color it in, but every time I look at the image online I want to add color to it.

The Ostrich in my poem, Trapped, represents the part of me that fears change and believes that I cannot recover / free myself because of some aspect of who I am. The Ostrich thinks I would have to change my very nature to be free.

Li-Ying comforts her husband; though sad herself, she thinks she can only imagine what he must be feeling.

Li-Ying comforts her husband; though sad herself, she thinks she can only imagine what he must be feeling.

I featured several secret aspects of myself in my post, Ending a Life. I’ve summarized the ones I consider most important here:

The Comforter  is the part of me who places others’ emotions and needs before my own, believing that their needs are more important.

Surrounded by the guests at the funeral, Elaine is completely unable to connect with them. All she can feel or think about is her sorrow.

Surrounded by the guests at the funeral, Elaine is completely unable to connect with them. All she can feel or think about is her sorrow.

The Ghost represents my reaction when I feel too overwhelmed by my own painful emotions to connect with others; when I feel alienated from them and from the life energy around me.

Ruth pours drinks for the guests to enjoy, feeling detached from "their" sorrow.

Ruth pours drinks for the guests to enjoy, feeling detached from “their” sorrow.

The Servant is the part of me who sees the good in death: it ends the suffering of the person who dies and allows them to move on, and it allows loved ones to mourn, move on with their own lives, and sometimes have aspects of their lives that are better. This part of me feels detached from others’ sorrow but at the same time obligated to participate in the rituals that have meaning for them, but not always for me.

Yuan cannot even bear to be present at her grandfather's funeral. She escapes to the kitchen and plays with her imaginary friend instead.

Yuan cannot even bear to be present at her grandfather’s funeral. She escapes to the kitchen and plays with her imaginary friend instead.

The Deserter is the part of me that wants to leave this world – and all its pain – behind. It is the part I struggle with regularly to remain engaged in my own life.

So far, I’ve been doing fairly well: I’m still here. But I’d like to be doing better; I’d like the struggle to be easier.

I revisited the Deserter on March 5th, literally taking a walk with it in darkness (i.e. at night). In the process, I came to understand that the Deserter is extremely frustrated with the lack of stability in my relationships.

My Healthy Side

On January 30th I was challenged to look at myself in a more positive light, and responded by considering two “What If …” questions:

  1. What if  instead of seeing myself as a person who struggles with depression, I see myself as a person who successfully lives with depression – one day at a time?
  2. What if  I have recovered from depression?

These questions give me a break from focusing on pathology and turn my focus instead to my strengths, the characteristics I already have and need to overcome depressive symptoms, possibly even the disorder in its entirety. Focusing on the ways in which I live successfully with depression, the ways in which I am already living the recovery I seek, also requires me to take personal responsibility. I can’t cower like the Ostrich: hoping someone will save me from the predators, and wishing I could be someone/something else. I need use my existing strengths to protect and free myself.

overnight.org

theovernight.org

I have been interested in the Out of the Darkness Overnight for a couple of years now, and on February 7th I finally committed to walking this year. The final push I needed came during one of many instances when suicidal thoughts invaded my mind, but this time they asked a very useful question: What do I have to live for, besides other people? I replied with little things that I enjoy, many of which are sensual. That post serves as a very useful reminder of what is truly important to me; it can help me stay grounded.

When I realized what it would take to be able to complete the Overnight, I didn’t shy away. Instead, I recognized the changes I need to make to my lifestyle to be healthier and decided now’s as good a time as any to start acting on them.

Week 1 of training for the Out of the Darkness Overnight

Week 1 of training for the Out of the Darkness Overnight

Although it took me almost a month to really start training, I remain determined to take action to improve my own quality of life – and achieve a goal I can be very, very proud of!

Last, but certainly not least, there are strategies I can use to rewire my brain to focus more on the positive: my positive attributes, positive things that happen in my life, positive aspects of interactions with others, etc. It can be hard to do this, especially if I’m having a bad day. Even on the days I find difficult, I can find 3 things that are positive – or at least one:

I’m still here!