My family history is riddled with depression and melancholy and the “nature” impacts the “nurture,” so there is also a long history of dysfunction, abuse and neglect. I was sexually, physically and emotionally abused as a child, and filled with self-loathing. I was pessimistic, cynical and jaded long before I reached adulthood. Over the years, I have tried various therapies and antidepressant treatments. Therapy was helpful, but none of the medications were particularly beneficial for me. Still, I chose to put my son on antidepressants when he was in middle school and threatening to harm himself. He was on them for almost 2 years and they were discontinued about 4 years ago. He is almost 17 and is more mature than most of his peers, but he has a bunch of friends and he’s been with his girlfriend for over a year. He is leading a fairly typical adolescence, and he and I have grown quite close.
I had eventually decided to stop fighting the nature of who I was and to accept the melancholy as status quo. It seemed that when I tried to change that about myself, I would slip into a more acute depression. Letting go of the expectations of others (family, friends, society, religion, culture) was a major step in self-acceptance. Another thing I had to let go of was the illusion of control. The only thing we can control are our thoughts and actions in this exact moment in time. We can not change the past, nor can we predict what will happen in the coming moments (working in healthcare has taught me this). We can not change what others think or feel or how they act. This is somewhat frightening, because of the unpredictability of life; yet at the same time, it was a huge weight off my shoulders and it relieved struggles with control issues I had in relationships.
I will soon turn 42, and I recently realized that I no longer feel lonely or melancholic, despite being single. One big help for me was to observe people whom I respected and try to incorporate the characteristics I admired in them into my own behaviors. One of those was gratitude… I take a moment to appreciate all that is good in my world. It can be something small, like a green light when I’m in a hurry; or bigger things, like being healthy and intelligent with a roof over our heads and the benefits of amazing technology at our fingertips. I also am very glad that I took the time to find a vocation that truly suits me. I had dropped out of college for a couple years, and easily could have stayed in a clerical job. But I made myself go back to school because I knew I was capable of more, even though I had no clue what to major in. So I took courses that interested me, which led me to other courses, and eventually to my profession. Also, working in healthcare allows me to help other people, which is very rewarding and built my self-esteem.
Keep exercising consistently, and also make sure you hydrate and nourish your body well. This gives your body the strongest foundation to work from, regardless of your choice to medicate or not. I agree with the recommendations that you want to attend therapy sessions. With therapy, as with most things in life, you get out of it what you put into it; so to make more progress, you really have to commit to the process and don’t hold anything back. Journals help or some other outlet… I see that you are a musician, so use that as a means to express the feelings you experience. Doing for others – whether as you job or voluntarily – really does help you feel better about yourself. For one thing, you see that there really are others worse off than you, but also that you have something to contribute.
If you do choose to try medication, don’t view it as a sign of weakness… it truly is only a tool to help your body balance itself while you do the work to overcome your personal issues. When they discuss how many people on medications become worse, I often wonder if it is because of a sense of shame that they have to resort to that – whether self-imposed or from family or other sources. If a person were to become pre-diabetic and had to take medication to regulate their glucose until dietary and lifestyle changes become effective, no one would judge them harshly for it… so why should it be any different for antidepressants? Just be very consistent in taking the recommended dosages, and with and following up with the physician that monitors you while taking antidepressants. Finding the right medication and dosage can take some time. Again, it is a commitment you are making to yourself to get well, and you deserve it!
Feel free to contact me if you want to talk further… and never give up!