30 March 2012

Music Scales... but not the kind you'd think

I've been listening to a lot of Duran Duran and Depeche Mode the past few days. I reflected last night about why I decided to listen to these two bands. Did I pick out the songs because of my already angsty mood, or would I have listened to them anyway? Would my mood have progressed the same way if I had chosen more uplifting music? 

I decided that, while I might have listened to the music casually, I  would not have listened so intensely. Most of the time I listen to music and it's completely normal. But when I get in a "mood" I start playing the same songs on repeat, over and over until it completely synches and saturates with the way I'm feeling. 

I realized that if a person knew me well enough that they would be able discern my state of mind solely by my playlist. So I have created a sort of empathy scale with the songs that affect my mood most deeply. These are many of the songs that I will play on repeat when I feel a certain way. 

Here's the Manic Scale. The songs start ballady and smooth, but as I get more hyper they become more upbeat and jumpy and nearly as crazy as I sometimes feel.

MANIC SCALE



You'll notice there are no techno songs. I couldn't decided if they were actually happy or if I should put them on the Depression Scale, so I left them off, along with songs that tend to make me angry.

The Depression Scale is a more frequently visited list. If I'm at 8 or 9 on the Manic Scale, but something or someone causes a blow to my self esteem, I drop to -4 or -5 pretty quickly. I've always tended toward mercurial emotions though, so it's probably not the same for everyone else.

DEPRESSION SCALE




So there you have it. And it's not just the music to pay attention to. The pictures are helpful too! If someone starts plummeting down the depression spiral and then suddenly gets this glazed, calm, completely withdrawn countenance they are probably on drugs, hurting themselves, or about to commit suicide. Psychotic trance is also a possibility. 

I'm all over the positive scale today, but I have dipped into the negatives for today's post. I've come to the conclusion that while the music may lend to my present mood it can't be held responsible for the mood itself. If so my head would have been screaming after listening to Eraser. It was more like a shadow in the recesses of my emotive memory. "Oh, I remember how it felt to listen to that song 20 times on repeat one... Thank goodness I don't feel that way now." And there it is. I'm going to listen to "Don't You Want Me" by The Human League (Yes, I am all 80's this week!) 

What songs would you put on your scale?

27 March 2012

Why I am terrified of 27 - My MDD Backstory

I was diagnosed with Clinical Depression, or Major Depressive Disorder (MDD), when I was seventeen. As I have tracked pivotal events in my life via journals and blogs I have discovered an alarming recurrence. Every five years I suffer a Major Depressive Episode. It attacks without motive, and it has lasted between three and six months each time. Toward the peak of the past two episodes I tried to end my life just to get rid of the pain. I love my life and want to live it without fear of hurting myself or others, so I have outlined these traumatic events hoping to find a way to avoid another episode:

The experiences of my young childhood are mostly positive. My parents described me as precocious, insightful, and perceptive. I loved to explore the outdoors and imagine secret, magical lands and play games with friends. When it came to sports, computer games, or other competitive activities I preferred to spectate. I loved reading the dictionary, encyclopedias, and almanacs that clustered throughout our bookshelves. I loved to dance and sing.

Seven
The only age I ever acted out on several occasions was as a seven year old. I can't remember most of the circumstances, but I recall the isolated emotions, sitting in a corner in the dark, feeling alone. No traumatic events accounted for the loneliness, yet it pervaded and flooded every thought. One time as a seven year old I remember feeling particular anguish. The actual memory is vague, but I recall my mother and I standing at the top of the stairs. She scolded me for doing something wrong, and I completely lost it. I took a large mirror and threw it at the ground, shattering it into pieces. I don't know what possessed me to act out so brashly. The uncontrollable crazed misery I felt that day was irrepressible.

Twelve
The 6th grade started out promising enough. All of my core classes were either GT or Honors level, and I felt proud to be in the ranks of the intellectual elite. My peers were witty, creative, and I loved my teachers. I joined the Community Problem Solvers club and had so many ideas to help. I don’t recall any kind of catalyst that would have turned it all upside down, but not too long after my twelfth birthday my ability to concentrate on my assignments became labored. I failed my favorite classes, because I couldn’t grasp the will to rise above the deadening fog that suffocated me.

I tried to turn a new leaf the next semester, but the drive to learn and explore that had always motivated me just wasn’t there. A hopelessness and despair I didn’t understand continued to overshadow every aspect of my life. Toward the end of the long enduring months of severe depression I had seemingly psychotic moments of clarity. I wrote a paper for my English class on how to commit suicide. Several days later I got suspended for bringing a pocket knife and fake drugs to school. I didn't know why I did it, except that I could hardly control my crazed thoughts. Within a few weeks I was back to my normal, quirky, motivated self again.

Seventeen
My junior year in high school started well. I was seventeen and felt empowered to make a difference.  It was around the end of November that bizarre, impulsive thoughts started to creep up on me out of nowhere. Minor depression worsened beyond my comprehension to the point where all I could do was lay sprawled on the floor while the screaming in my head paralyzed my body. Everything positive I had committed to accomplish dwindled as my mind fell into tunneled, imprisoning lifelessness.

I stood in the bathroom one day while I looked in the mirror with my whole body screaming to fix the pain. I spotted a pair of scissors and began cutting my hair. I cut and hacked until my beautiful locks scattered the bathroom floor, and the lengths that still cropped my head ranged from half an inch to one inch. I could breathe again just long enough to realize that I had ruined my lovely, light brown tresses, and I cried for my loss.

It didn’t take long before I slipped into my hopeless stupor once again. There were days when I would feel like I was drowning in the air around me, and the screaming would get so loud in my head that I could only focus in spurts. My body craved and outlet for the insanity. I found it first by listening to loud, pulsating music. I could feel it all the way to my soul. But it wasn’t enough. I began to cut my wrists to relieve emotional tension, I would bang my head against a wall to clear my head, and I contemplated suicide in the occasional eerie, serene quiet. I had misplaced my wristband one day, but I felt so sure that no one would notice a skin colored band-aid. My older brother came to visit and did notice, in front of everyone while we all played a board game. Although my mother took immediate action and began taking me to a psychologist and psychiatrist, it took several weeks to emerge from the haze of depression and really “wake up.” I was put on Lexapro to treat general depression, and it kind of helped. Because I was now diagnosed with depression and on medication I thought that I wouldn’t have to worry any more. All this happened in the course of a few months.

Twenty-Two
At age twenty-two I felt happy and complete. I had a loving husband of two years and a beautiful nine month old girl. I was attending college full time and feeling great. I felt the depression coming on for a month before the suffocating walls closed in over me. I should have paid better attention. I should have known that it wasn’t over. The same crazed feeling and inability to focus in class or on homework lasted a few weeks. In a fit of hysteria one day I returned from school shaking and crying for no reason. I promptly withdrew from all my classes and applied for a leave of absence for “health reasons”.

I don't know what came over me the next few months, but there were times when my husband would get home from school, and I would be hiding under a desk in the dark. I was freaking out crying on the floor of the bathroom one night when I just lost my mind. I needed to get rid of the crazed pain that was smothering me. This psychotic calm came over me, and I resolved to get a knife to just get rid of the pain somehow. Meanwhile, my husband felt the prompting in his mind to go sit in the kitchen for some reason. I thought he was in bed, and I crept out of the bathroom toward the kitchen in the dark. I knew exactly how far I needed to step to reach the kitchen knives. Suddenly I tripped over my husband who had fallen asleep on the kitchen floor. I started bawling and asked him how he knew, and he just said he felt like he should be there. This actually happened two times within a couple of months. I wholly believe that Divine intervention took place during those occasions.


Reflecting on the Past
I know of a surety that the last three of these occurrences were due to what is called a major depressive episode. They can last from a few weeks to several months and usually occur in people who already suffer from depression. When I took adolescent psychology I studied that major depressive episodes can be recurring, often in similar intervals. After I emerged from those terrifying few months as a twenty-two year old I made the connection that this was happening to me every five years, and each time it happened it was worse than the time before. 

I honestly think the timing of the events as a seven year old are a coincidence, but sometimes in my deepest moments of worthlessness I actually felt like my seven-year old self, and I believe those events as a seven-year old are significant somehow to what happened later. I suspect I have had Major Depressive Disorder since I hit puberty as a twelve-year old. 

I would like to note that there have been minor depressive episodes in between these five-year periods, but they have never been as severe or long lasting as the times I have elaborated on here.

What now? 
So what do I do now? I am twenty-five. I’ve been happily married for over five years and have two beautiful children. My depression seems to have faded completely for the past year and a half, and I now battle problems with adrenal fatigue and anxiety. Do I just cross my fingers and hope that history doesn't repeat itself? The past occurrences came with little warning and no catalyst or traumatic experience.

I also don't want this to be a case of self-fulfilling prophecy. Maybe it could be over, since my symptoms of depression have nearly all disappeared. On the other hand I want to be prepared. I feel as though my general depression may just be a symptom of another problem. I've been trying to find out things about my body and family's history. My family has a history of hypothyroidism, social anxiety, depression, low progesterone levels, ADD, and I had Sleep Apnea as a child (maybe I still do). I think that's it, but I'm not sure what to do about it. I'm planning on taking progesterone, but I have to be careful about it. Isocort and Corvalen are also supplements I've recently used with pretty good results in terms of energy levels and/or handling stress.

This blog is hopefully going to be an outlet for me to track any changes to my life and receive advice about what I can do if another Major Depressive Episode strikes.