I was musing over the depression associated with Peri.......
My memories of Depression(as in clinical depression) where more defined than this bone-marrow melancholia. It felt like an illness that was all consuming. Could not eat, could not get out of bed, I felt like my insides where trying to leave me, I was suicidal all of the time and I lacked any cognitive strength in fighting it. The acute phases where completely debilitating and relentless......there were no good days. Meds made all the difference with this.
In peri, it comes with blunt force and leaves just the same within a day or two.......the general malaise stays all the time, but that is easier to process. And even on my worst days, I still can get out of bed and function, if not for long before I am back in the comfort of my bed. There is this nagging comprehension that this is not depression, but intense melancholy, spiritual fatigue and grief......and there isn't a pill for that.
I understand that some women have found therapy in meds like anti-dpressants and I am joyful, as this is not pleasant......but for the women that they do not work for or for the women who cannot stand the idea of taking them, do not despair. My psychiatrist tried to put me on anti-depressants about a year ago, before we knew of the peri and I was misdx with Bipolar. I was also on Lithium. For the first time ever, anti-depressants made me suicidal. Meds that I had been on before for depression and had worked a treat suddenly didn't work but also made me worse. What an odd turn of events. I tried 3 different ones that I had taken before, all with the same effect.
So I got to thinking.......I am not meant to take them.......that I have the ability to deal with this and I kept an eye on the cycle of melancholia. In saying this, I am in a privileged position. I am on a disability pension and do not work, my son is 14 and is able to take care of himself with guidance, I have a long history of mental illness so as unpleasant as this is, it is nothing new. I have been taught the skills through many years of therapy.
So, if the meds work for you and make your life easier, that is truly great as there is nothing like a bit of relief........but if they don't, talk therapy is a good way to go.......it has worked time and time again for me over the last couple of years.......my psychiatrist has brought up anti-depressants again as I do seem to have a tendency towards a persistent passive suicidality, but I instinctively know that it will make little difference.
So I talk and talk and talk about it with my psychologist........it helps.
Take good care everyone and be infinitely loving, forgiving and patient of yourself........I try everyday.
Big hugs.......
Michah
