In the last few weeks I have lost too many fish. Just one would have been too many, but Dharma, Bodhi, Akasha, Jampa and now Aggy! Dharma was his swim bladder but I will never be sure of the other four. I imagine the heat has had a detrimental impact on them. I also worry that my recent poor mental health has been a factor.
I am all too aware of how difficult it is to ask for help. I’m terrible at it! But fish and other pets don’t even have the luxury of potentially being able to tell us they’re in distress. I call it a ‘luxury’ because there are so many times when it feels like that.
I wonder if I should have asked for help with my fish tank. When I finally did, all my friend had to do was turn a tap on and off and be present to provide moral support and a bit of jeering along. Sometimes, that’s all you need. Sometimes, you need more than that.
My recent suicide attempt was not a cry for help. In that moment, I genuinely wanted to die. Even now and with a little time, space and help to clear my head there is a lingering regret that it didn’t work. For a fishy metaphor of this, I know that the water has been changed but that doesn’t mean that some pathogens haven’t been left behind and that there is always an inevitability that things will get awful again.
Like fish, I can’t change my own water but need a little help and support from those around me. This is a fact I am coming to accept. When you’re in the grips of a serious bout of depression it seems like this is impossible. Who do I ask? What will their reaction be? What help can they possibly give me?
As a teenager, my parents were less than useless. I still can’t believe that they didn’t spot all the warning signs and do anything about it. All the medical help I have ever received is because I have done the reaching out. Finding the words is hard now, even with a diagnosis, so reaching out verbally to my parents was all but impossible. ‘I think I have depression’ isn’t something I recognised, let alone was likely to say whilst feeling so awful.
If I could go back and speak to the teenage version of myself, I would advise to use a numerical scale. I would tell myself to bunk off school and take myself to the doctors and try to get some help. If there were no words, I could describe it numerically. I would tell myself to tell the doctors to ask me questions about my mood because the prompts would help both them and me to get the truth out.
As a social scientist, I know some of the pitfalls of different types of questions one could ask. There are advantages and disadvantages to both. ‘Tell me about your mood’ is so open ended and, particularly on a topic like depression, you might not get a full answer. Sometimes so-called ‘closed questions’ can be more beneficial. I have done many questionnaires about my mental health, not least of all the PHQ-9 test. This is useful as a patient because it doesn’t require too much disclosure in a short period of time. Of course, the social scientist in me (and depression patient) knows that these short and closed questions only go so far, but they open the door to the open questions once a trust and rapport has developed. Perhaps they are necessary to open those flood gates.
Depression is a lonely place to be. It really does seem like no one understands, or could possibly understand your feelings. To an extent, this is very true. Perhaps you have had a trigger which wouldn’t floor another person but it has floored you. Perhaps there was no trigger which makes things seem even more bizarre if you can’t even explain them to yourself.
The truth is that depression is subjective. It will pick its moments to raise its ugly head. What is painful to you wont be to another person, but that doesn’t mean that you should compare yourself to others. One thing I have learned is that everybody, myself included, are very good at hiding the realities of their lives. On social media and in real life, people may put on a brave face and hide the realities of their lives. Do you really think everything is that perfect for everyone else? There are struggles going on behind the scenes and these same people who you are comparing yourself to may be struggling just as hard as you but for a slightly different reason. They may be as good an actor or actress as you.
I recently ‘came out’ about my depression and anxiety on Facebook. The response has been phenomenal. Some people commented publicly in their support or solidarity that they were also suffering. Others sent me private messages. I realised very quickly that I wasn’t alone and that we all have our personal demons to face. I gave up hiding a big part of myself and found support and a degree of freedom I thought was impossible.
There have also been some very negative reactions to my mental health. My ex-boyfriend was against medications to help and thought a ‘change of attitude’ would help. I know he’s had some rough periods in his life but that wont work for everybody. He may be my ex but I would never wish this feeling on him for him to find out just how little a ‘change of attitude’ or someone even suggesting it will help. My (now former) housemates have moved out. Apparently they don’t feel ‘safe’ or ‘comfortable’ around me. What I have come to realise is that I don’t need people like this in my life. If they are only fair-weather friends, that isn’t good in the long term. They’re not real friends. As for lovers, in the long term, would they stick with the ‘in sickness and in health’ vow were our relationship to progress? I don’t need that.
Professionally, it can be really difficult to ask for help. I didn’t want to be seen as weak or have anyone question my capabilities to do my job/PhD. This is the stigma with mental illnesses. When there was a real risk that I might have cervical cancer, there was no question about my capabilities and yet we question this (even in ourselves) with mental illness.
I didn’t want to let my personal life and problems affect my professional life. The truth is that they do, even without us meaning for it to happen. Whether it is the fatigue or the lack of confidence, it will have an impact. Again, I am amazed by the compassion I have received having finally opened up. It turns out, I’m not alone! Whether within a university setting or a professional (normal) working environment, there are mechanisms and support structures to help. Occupational Health, for example, can be great to help. At university, there are so many people now rallying around to help. I’ve had conversations with the Wellbeing (pastoral care) department, the masters of two colleges, various admin staff etc. I have been bowled over by the support and I feel rather silly for not asking for help before.
I thought I knew what help was available but I have been proved wrong over and over again. Even just the fact that people know about my health is massive form of support. I now know who I turn to for support. What help there is available will differ from situation to situation but I have been amazed by what help there is which may not be widely known about. Even from friends, if I need a little jeering along or support I know there are people I can count on. Perhaps I just need some conversation while I hang out the washing or run some errands. Such tasks can be daunting on bad days! Perhaps I just need a rant. Perhaps I just need a distraction or to hear some good news.
The truth is, help is there. It is so difficult to ask for it but it is there. Once you’re receiving it things will get even just a little easier and that is a fantastic start!