Depression in children … whose parents have depression ….

Once we have got past the party in a cellophane wrapper that Depression and Anxiety Disorder is, it really is something I would be reluctant to wish on nearly just about everyone.

It’s not like a broken leg where you have a cast and the cool kids sign, and in 6 – 8 weeks you can take it off and that is you good to go.

Unfortunately it is bit like diarrhea.

It strikes you usually in the middle of the night.  You spend quite a bit of time in the bathroom wondering if you will survive this.

When the sun rises you still have shit coming out of every orifice, and it is such an unattractive process you really do not want to post it on your status update.  You do not want everyone to know that you are making skid marks in your panties, and more importantly you have no idea where you got this bug from, and how long it is going to hang around for.  So instead you make jokes about “feeling a bit off colour” …..

So enough about me and the simile that is depression and diarrhea.

I really “fear” for my children.  I worry that they will not inherent my good hair and nail genes, but instead will be the proud new owners of full scale depression and anxiety disorder.

Can I prevent it in some way?  Sadly no.  Can I worry and stress about it?  Worry is my middle name.  Actually it is Lucille, but you know what I mean.

I worry about all of them.  I worry about Connor the most, he is so sensitive and has always been an “old soul” – he got really upset when he found out about what happened to Jesus around Easter time.

Connor was at a Roman Catholic school when he was young.  Great school, they were quite into Hail Marys and Our Fathers though.  I was willing to over look my discrepancies with the trinity because I liked the school.

The first year Connor was there they taught the usual run up to Easter.  I fetch Connor from school and he is sobbing.  Like crocodile tears with snot.

He gets in the car and goes: “Why, why, why did they kill Jesus?!” and bursts in to tears.

That really was one of the first, of several signs that Connor just took too much from a situation.

Connor gets very upset if we are upset.  Not because he is in trouble, but he gets upset if we are upset.

If we are sad, Connor is desperately sad.

It is like his boundaries of what are his feelings versus the feelings that belong to another person are a bit hazy.  Sound familiar?

The reason I am raising this issue today is that Connor has been struggling with stomach cramps for a few days.

Stomach cramps and me, have a very close relationship.  I have so much buscopan, levispas, bevispan, and anything else you can get on a script or if you cry loud enough at an all-night pharmacy – doubling over and crying like a 3 year old, can sometimes prove quite effective.

I started my IBS relationship in about 1994.

It was there before, but 1994 was my first big person job, and with my first big person job came IBS for 3 – 7 days per month.  For years I thought it was menstruation cycle link — fraid not.

Connor’s complaining about cramping makes me worry he has the first signs of IBS.  I worry he has the first signs of IBS.  I worry that IBS is a pre-cursor for signs of depression.

My (other/too many to number) concern is that taking Connor to a psyciatrist/psychologist to have been assessed for depression/anxiety disorder, will add as a catalyst to depression … I know that sounds unreasonable, but there it is.

Chemist homework – done …..

{I just gave myself a gold star, because actually I deserve it}

I really do not want to confess that I have spent at least 3 therapy sessions discussing why I cannot go to the pharmacist to explain that he made an error filling my script and I had experienced a bit of a downhill slide.

{understatement on the bit}

My CBT doctor gave me a home work assignment last time and encouraged me to go to the pharmacist and explain he made an error.

We spoke for ages about why it was so difficult for me {I feel at fault, even though it was not my fault, I still do.}

We spoke about what was the worst that could happen if I spoke to the pharmacist. {I would feel embarrassed that I had done something wrong.  I would feel bad that I was making him feel bad.  I was scared he would make it appear that it was my fault … you know because everything always is}

We spoke about the ability to see a situation for what it is.  Facing your fears and appreciating that your perception of something is not always what actually happens/happened/is going to happen – your video feed of a situation is really laced with your own {warped} self-doubt.

Yesterday I went to the pharmacist because I had Dr CBT today.

The idea was to talk to him, and then say “It’s done, I confronted him, look how I roll – word to my hommies!”  {or something of that ilk}

I bought wet wipes and vitamins the size of suppositories I will never use.  I don’t buy vitamins. I do not buy wet wipes that cost R45.00

I did not speak the pharmacist, because I felt too embarrassed to.  I bought my bizarre assortement of items, and left the store.

I had an appointment with Dr CBT today and we discussed the pharmacist, and several other issues.  I did feel a bit embarrassed/annoyed that we were rehashing the pharmacist thing.

The vision I conjure up, the perception that it is all going to go so very badly.  My coping mechanisms that I employ to deal with situations where I think I am going to be uncomfortable, then the anxiety and stress those coping mechanisms create. {repeat cycle ad nauseam}

The issue is not whether I actually confront the pharmacist, the issue is why I won’t and how it is an illustration of what I do in my day-to-day life.  Over and over again.

I avoid situations – at all costs – as I am scared of feeling bad. I am terrified of embarrassing myself, drawing attention to myself.

I am scared of how the other person will react.  I am anxious to avoid the uncomfortable feelings that I imagine will occur.

The result is often that by the time I arrive at a place/space/situation – I am so stressed and anxious about feeling stressed and anxious and worrying I am going to say or do something that will embarrass or draw attention to me.  It is often a bit crippling.

My “coping mechanism” is to do something, or say something, that I know is inappropriate or not “socially acceptable.”  Then I can say to myself “there, done it, now you are embarrassed, people think you are an arse, now get on with your day already!!”

Works.  Not well.  But works. {basically the theory of “Out yourself before someone else does.”}

I did not say it was a healthy coping mechanism, I just indicated it was one I employed.

Anyone after Dr CBT appointment I was feeling quite wired, and wanted to just get this pharmacist confrontation over and done with.

I went in and waited at the counter.  When the pharmacist approached me, I explained I would like to talk to him for a few minutes.

{sweating bullets, thinking everyone is looking at me, feeling embarrassed and highly anxious – and overcoming an overriding need/urge to run screaming out of the pharmacy}

He said, of course.  Finished what he was doing and he led me into a separate little office.

I explained that I had been given the incorrect script in November and it had been repeated over three months, with the result that November, December and January were a bit more shaky than they needed to be.  He has swapped out the medication I was prescribed for a generic and then got the grammage wrong, so I was on the wrong stuff, and too low a level.

He apologised profusely, and then I had a bit of a cry.  And then he gave me a bit of a hug.  Strange pharmacist giving me a bit of a cuddle in the private pharmacy room – nope nothing strange going on here, move along, move along!

I explained to Pharmacist that I was getting better as the medication had been adjusted.  Mr Therapist writes out script, Pharmacist fills it, I put it in my mouth with a sip of water.  That is pretty much how it goes, I do not check and am {wasn’t – am now} not aware of what I am on or the grammage.

When the script had been filled, I had queried it twice, but I was made to feel {or I made myself feel} that I was being silly and should just take the pills, so I did.

He was so great about it – and said that if I wanted to scream at him, it was fine, I should.

He was really kind, really sorry, really apologetic, and really understood how I felt – probably helped he was holding my latest script, and based on the cocktail of drugs on the list he was quickly able to assess that “stability” was not my middle name. It is Lucille actually.

Nothing in this situation was horrible or bad.  Not ONE of the bad/world is ending outcomes that I had imagined and been ruminating over for the last few weeks had occurred.

I don’t feel all sorts of wonderful, but I feel good {well a bit good} and have a real sense of achievement — I realise it is a bit silly and is difficult to explain to someone else.  Who is sane.

I decided to buy myself a cow-patch straw basket that was for sale at the Chemist, it was my reward for being brave!

The Mindful Way through Depression …..

I am not big on reading self-help books on depression or anxiety.  Partly because I think most of them are shite, and secondly because my filter system between other people’s issues and mine gets a bit hazy, and too much seeps over to my corner of the garden.

If I had to immerse myself in a book about someone and their issues, it would only be a matter of time before I started exhibiting the same issues.

I am funny like that.

That being said, on Saturday I stopped at The Book Lounge in Roeland Street, primarily to get a gift for the lovely Julie Hall, but whilst there I decided to spend my children’s inheritance on books.  For me.

This book titled: “The Mindful Way through Depression – Freeing yourself from Chronic Unhappiness” by Mark Williams, John Teasdale, Zindel, and Jon Kabat-Zimm jumped off the shelf at me.

I have no idea why, the cover looks like something from a really bad Jodi Picoult novel, and it is titled SELF HELP/PSYCHOLOGY – which would normally have me running for the hills – or at the very least rolling my eyes in sarcasm and prejudgement.

I picked the book up, parked my rather large rump on the leather couch and read a few pages.  I did it with a slightly raised eyebrow as I was expecting the usual “decide to be happy and you will be” bullshit.

I am pessimistic that way, go figure.

The part where I knew I was hooked was the example mentioned on page 20

You are walking down a familiar street … You see someone you know on the other side of the street … You smile and wave.  The person makes no response … just doesn’t seem to notice you … walks right past without any sign of recognizing your existence.

Question:

How does this make you feel?

What thoughts or images go through your head?

The example illustrates the ABC model of emotions.  The A is the facts of the situation.  B is the interpretation we give to the situation, while C is our reaction.

Logically one can work through this exercise and come up with the possibility that the person on the other side of the road was listening to his iphone and you could not see the earphones, and he did not see you.  Or maybe he was really distracted as he was thinking about a fight with his wife earlier in that day, and did not hear me, or notice me.

That is logic.  All of those are possibilities.

Me = immediate hot flush to my face, shoulders and chest and I start to feel this gnawing feeling that the person did not “not see me” he did.  But he ignored me because I had slighted him or I had upset him, or I done something to offend him.  But I had done something to upset/annoy/alienate him, and now he was angry at me.  Why do I do this to people?  What the hell is wrong with me?

{you can see I get totally lost in the interpretation of a situation, and tend to see the bubonic plague and the big bad wolf in everything}

Today is Monday night, and I still feel bad that the guy on the other side of the street did not acknowledge me.

Please let me bring you back to the fact that this did not happen to me, it was merely an example in an introduction of a book.  But since Saturday I have been running through the ways I could have offended this person.  This imaginary person.  On a street I have never walked on.  A greeting I never made, because it is fiction.

Crikey moses!!  Does this give you some idea of how warped General Anxiety Disorder is and how really ‘out to lunch’ my thought process is?

I am going to sit here and sip my wine, and wonder whether my script can be filled yet, and whilst I wait think a bit more about the “guy on the other side of the street and what I have done to hurt his feelings…”

Have brain … cannot speak …..

I subscribe to an email which I receive  from the Daily Love each day.  The emails are exceedingly annoying and I often roll my eyes.

But for some reason I do not unsubscribe, though I am itching to.

I probably endure it as there are some of them that really resonate with me.  I scoff and tut-tut them, but the truth is that there is some “truth” in the rather sickly sweet emails and “universal love” messages that appear on my screen each day.

I tend to “delete” most of them, but my eye can’t help doing a quick scan and read.

Today’s email resonated with me a bit.

It dovetails well in to some of the stuff I am working through Dr CBT.  Most of it comes down to what you think the other person knows, but the reality is that they do not know what you want, so are not aware they are not giving you what you want.

In short.  Communication.

The other person doesn’t know, so they do not react accordingly or give you what you need, so you get angry and frustrated with them because they are not doing what you want them to do.

But they do not know.

And so it goes on.

I struggle with the line between not-assertive/assertive and demanding.

Assertive communicating allows for you to express what you need, in a manner that the other person is clear on what you would like them to do.

You make your point, without being judgemental and attacking.  You make it clear what you need in a situation.

You then give the other person the opportunity to respond.  The key difference between assertive and aggressive is the “demand.”

Aggression is you telling someone your preference, and then demanding they act accordingly.  You may demand internally – so you imply it – but it is the expectation that the other person HAS TO DO WHAT YOU WANT OR NEED THEM TO DO.

Assertiveness is you telling someone your preference and allowing them the opportunity choose to either go along with it or not.  It’s a preference and not a demand.  You realise that it is what you want, but you accept that the other person does not have to do anything.  You accept.  What you want is a preference and there is no universal rule that makes it everyone’s MUST DO.

Yes, you would prefer them to go with your preference, but you remain in the space where it is a “preference” and not a “demand.”

It does not mean you are not disappointed when they do not do it the way your preferred, but the key is to keep the thought that it is your preference that they do something, and not your demand.

You cannot force anyone to do something that you want, that they do not want to do – and expect a good result.  Simple concept, difficult to apply.

The reaction to someone not going along with your preference is annoyance.  The reaction to someone not going along with your demand is anger. ** key point.

I make an assumption, and then my assumption turns into my fact, and I start to plan/create feelings based on that – instead of communicating effectively and allowing the other person to state the way they feel, and then I check in with them to see whether my reality is their reality.

I walk in to a conversation with a pre-determined set of demands, because I have internally already had this conversation, so the conversation is not the exchange of preferences, but merely me stating my demands, having decided the outcome, and getting very angry when it does not go to plan.

<<Side bar – it never goes to plan ….. but this does not stop me from repeating the exact same “conversation” over and over again…>>

I saw this on the Daily Love and I read it and thought “Yep that is exactly what I do…”

I had an “ah ha” moment (love those!) over the Holidays. You know there’s a saying that goes something like this… If you think you’re enlightened, spend a week with your family. You know what I’m talking about.

All those times you thought you had grown and become “so spiritual” go right out the door and BOOM – old habits come back like an itch you just can’t scratch.

When they first got here, I was so happy – and then the first hour passed and I noticed some of my old stuff coming up.

And I was shocked, I was SURE I had outgrown it. I went from an almost 30-year-old man into like a 5-year-old boy around them. It was SO funny.

A couple days later I was talking with my dad and I found myself really irritated at him.

And I didn’t know why. So I started asking myself while I was having a conversation with him “why do you feel this way?”

After a few minutes of inquiry I found out that all I wanted was for my dad to say I love you and ask how I was feeling.

And the irritation was coming because that unexpressed expectation wasn’t being met. And my dad had no idea all this was going on inside me.

I was the one who was aware of the Love that I wasn’t “getting” and I was mad about it.

My dad wasn’t aware of this. He has and does Love me the best way he knows how to, and he is a pretty kick ass Dad!

And this isn’t to say I didn’t get Love from them. No, I got a lot of Love – but there was a certain kind of Love that I felt was missing – and I got angry with them because I thought they were withholding it from me.

But my AH HA moment was the moment I realized that I was mad at THEM for something I was supposed to do.

So the breakdown is this… People give us Love the best way that they know how to. They can’t give it any other way than they do. And if we are trying to get orange juice from apples over and over again, not only are we going to keep getting let down, we are actually insane! Haha.

After I started treating my father this way, it was like an instantaneous shift in our relationship. And I didn’t go to him and tell him all this; I just started giving more Love.

My issue that I am having at the moment is that I cannot speak when something needs to be said.   I cannot tell someone what I need from them.  When I do not get what I need, I am hurt, and I then turn that into anger.

But I am not telling the other person what I need  – so they do not have the opportunity to give it to me.  Do you see how fked up this way of thinking is? I am not sure if you are familiar with it.

I wear it like a familiar shirt, over and over again, even though it clashes with everything, and I do not have a pair of shoes to go with it, I still drag this behaviour out and keep wearing it.

I stand there, and it feels like I am standing with my hands crossed over my mouth and unable to speak.  No one is stopping me from speaking.  I am stopping ME FROM SPEAKING.

The result is I get frustrated and then angry, but this only contributes to the situation that I cannot speak when I need to about something I want to change or that I want to happen.

I know how I feel, I know what I should say, but I just can’t come out and say it.

Then the issue gains momentum, and instead of being about one thing, by the time I say something it turns into a violent emotional puke and it is about 12 things, and comes out garbled.

It does not come out in a constructive manner about discussing the issue – it becomes about the fact that I am having a freak out.  And instead of reasonable conversation, it is me screaming.

I am frustrated.  But I can’t seem to speak out about what I need.

I am not sure if this condition is only limited to me, or you may also be a frustrated-communicator ….

The ability to speak in an assertive – non aggressive - manner and say what I think or feel on a subject, without feeling bad is one of the main things me and Dr CBT are tackling to start this year off.  Part of the trick is to practice it, so it means trying to communicate, knowing you are not so great at it, and maybe it not going as you planned it in your heard.

But then you get better for next time.  I am in Grade R for Communicating Effectively at present.

Maybe I am not quite ready to remove myself from the “Daily Love” mailing list – there is a bit too much there that resonates with me.

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