Tag Archives: anti-depressants

National Survivors of Suicide Day

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National Survivor’s of Suicide Day November 17 2012

Today I spent time thinking about those I’ve lost to suicide and their families.

I got news this past week that another friend from my early recovery overdosed and died. This makes six friends since March. Five had been in recovery at one point for anywhere from one to twenty years before they decided that they could drink or smoke weed without getting caught up in old ways.  The news is never easy. Over the years I ‘ve been clean, there’s been a lot of death. Overdoses and suicide top the list followed closely by AIDS and Hepatitis C. I’ve spent a lot of time searching for meaning, contemplating life and death, and coming to terms with it in a way that makes sense to me personally. At one point I started to numb out. I would hear of a new death and mentally delete their number from my cell phone – gone! They were gone. Over! The end! I noticed my lack of emotional response and figured, really, how much death can one take? Nowadays, I’m back to feeling that funk land hard in my stomach and the sad sound as my head whispers “Fuck!”

My best friend committed suicide in the mid-80s. I wrote about her in an earlier blog on my other site http://www.pattypowersnyc.blogspot.com/2011/09/finding-one-day-at-time.html. That death hit me at a time when my own life was spiraling out of control. I felt I understood what she was feeling at the time -that feeling of not wanting to play anymore, of being tired, of not believing things would ever change. Little did I know that within three years I’d find recovery and my life would change radically.

I’ll confess that, for years, I held a little idea at the back of my most private thoughts: I would do this life-on-life’s-terms recovery thing as long as I could but if I ever got tired and want off the ride instead of getting high, suicide would be my way off.

At seven years clean I was hit by a depression I’d never experienced before – coming out of the blue and unattached to any plausible explanation. There was nothing going on in my life I could pin it to. I felt like I was inside a bubble preventing me from feeling a connection to anything or anyone.  I spent days laying on the sofa telling myself “This too shall pass.” The next day I’d awaken to realize nothing had changed. I had no desire to get high and wondered how long I could live this way.  When would enough be enough and I’d check out? I was also writing a novel where the main character would attempt suicide so a variety of methods were at my fingertips. Needless to say, it wasn’t a good time to spend days alone with my mind. Was this feeling ever going to pass?  The day I woke up feeling alive again was one of joy and relief. Shortly after this, a friend’s son hung himself.

While laying in my self-absorbed darkness fantasizing about suicide, it never occurred to me to consider how my death would affect others. Witnessing first hand how his suicide impacted the lives of his family and friends eradicated suicide as my exit strategy.

There was a hint that the latest death may have been intentional because of his history with depression.  Addiction and depression are closely linked. Perhaps this has played a role in all the earlier suicides. Much has been discovered and documented linking addiction and depression since my early years in recovery. Back then many recovering addicts shunned the idea of taking any sort of pill. Instead they believed in toughing it out, working a stronger program, finding a god. Many struggled with undiagnosed mental health issues for years, living in pain, until they finally sought help. It wasn’t that recovering addicts wanted to martyr themselves. Antidepressants were a new concept and many of us twelve-steppers were naïve and ill-informed.

I think a lot about my friends who’ve died, wondering how many of those overdoses were suicide.  How many kept their depression a guarded secret in recovery? How could we have helped?

That is the biggest question survivors of suicide torment themselves with – “What could I have done?” It’s heartbreaking to see and hear the grief lingering years later, wrapped around them like a blanket for the remainder of their lives. If a loved one has committed suicide please find support groups and professional counseling. The impact of suicide can be trauma.

For anyone who is considering suicide I will pass on something someone said to me during a particularly difficult time:

Patty, life is like a long phonograph and right now the needle is skipping but there is still a long beautiful song left to play. I know the pain is so big you can’t breath and it feels like it will never go away but this is really just one moment in time of a very long story and when you get past it, you will always look back and remember this period as a hard one but you won’t even be able to connect with the pain that right now feels like its going to kill you.  It will just be a memory that things were rough. While you’re in it, it feels so much more meaningful – but it’s really a just rough patch in a skipping record. Not worth killing yourself over. Because then it’s over forever.

Hang on and ask for help!

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Therapy & Psych Meds in Recovery

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In the early years of my recovery, a lot of my friends tested positive for HIV and the AIDS virus. I went along with all the lifestyle changes to support them. Overnight we became non-smoking, macrobiotic, vegan, aerobic-class enthusiasts reading A Course in Miracles and quoting Marianne Williamson. Considering we’d all been art-damaged, punk rock-nurtured criminals and sex-working gay & straight IV drug users, throwing ourselves enthusiastically into every possible holistic and spiritual way to heal ourselves expressed our collective desire to live. And we never missed an opportunity to laugh at ourselves. Some of our adventures in spirituality-seeking bordered on the ridiculous but we needed more miracles – the first miracle being that the desire to use drugs had left us.

Years passed, we accumulated clean time, and life-saving HIV cocktails became available. The miracle had happened. Without the threat of impending death motivating lifestyle change, some people started picking up and putting down cigarettes again, ordering steak, going from sex-abstinent to sex-abundant, opting out of cardio for yoga. Over time, we exited the self-help route and found therapy.

In recovery we continue striving to enrich our lives, our relationships with others and most importantly, our relationship with ourselves. I encourage people to seek professional help whenever needed. However, Rome wasn’t built in a day. For many addicts, learning how to live with our feelings must come before we are ready to dig deeper. We do this by staying clean, building a foundation, and gaining courage by living life on life’s terms. For others, staying clean would not be possible without healing the wounds of trauma with a professional early on. Wherever you fit in this spectrum, the combination of listening to your heart and the suggestions of those with more experience will be your guide.

Therapy is a commitment to show up and be honest so it is important that you find a therapist who is a good fit. This can be done with a little research and interviewing. You can often get names of therapists from various centers connected to organizations dealing with GLBT, Women’s Services, victims of violence or sexual abuse, sex workers, runaways etc. You can Google “therapist, your location and whatever specific issues that may concern you” and see what comes up. You can ask your doctor, ask friends about their therapists. Once you begin seeking, names will come. You can find sliding scale often connected with larger university mental health facilities, some therapists take insurance and others are cash only. Prepare questions for the first meeting – it’s okay to ask them about themselves and their practice. You will intuitively know who you feel safe with. Remember, you are building a new relationship so don’t expect an instant fix. It takes time for many of us to build trust before we are able to be thoroughly honest. This is not surgery. Healing happens over time. Therapy is really a case of “more will be revealed”. The willingness to begin is all you need to start the ball rolling toward change.

People often ask “Was it worth it?” and want to know what I got out of the experience. Often during therapy I’d be asking myself the same question. I tackled many different issues according to what was happening in my life, how I was handling situations, and feelings. For example, nothing ever seemed to get me angry yet I would cross a line (usually because I felt I wasn’t being heard) and literally see red and start swinging. I knew this was strange and wanted to know how to have a different experience. That was one reason I sought help. In retrospect, what I have gained from therapy is that I now experience my feelings as they come up. I don’t intellectualize them and I don’t check out. This has enabled me to live fully in my body and be present in the moment in my life.This had not been the case for most of my life. I numbed out feelings that either were painful or scary first with drugs and then clean with escapist behaviors. These days I wouldn’t even know where the switch was to flip it to the “off” position if I wanted to. I believe this change is definitely the key to the contentment I feel most days.

I’m going to talk for a moment about medication. Personally, I’m not against meds in recovery. I do not believe we have to suffer to prove our willingness to be clean. I also know addicts have a history of preferring a pill to hard work, that we are self-deceptive and very skilled at deceiving others. So this is my own personal philosophy on the matter. I was offered anti-depressants a number of times by my therapist. It  is her job to offer solutions – and medication is a solution. I decided to exercise, meditate and get fresh air to see if it helped first. I also pinpointed things in my life I could change (people, places, jobs) that were bringing me pain. I did the work and felt better. The depression lifted without medication. If you do not try alternative methods first, my guess is you want a pill to fix it. Now there are people who will not find relief from depression or anxiety no matter what holistic avenues they take or what lifestyle changes they make. And there are people with other mental health issues. It is important to be completely honest with your psychiatrist and to choose one who has a lot of experience working with addicts. I know a psychiatrist in NYC who believes no one needs more than 3 medications to deal with disorders common to addicts. I’ve had clients come to me who have a regiment of 8 pills a day. Since I’m not a doctor all I can do is insist they get a second opinion. Also, if you came into recovery on anxiety meds, Adderall, antidepressants and sleep medication, my question is always “Did your doctor know you were abusing drugs? The symptoms that he treated, could they have been partial withdrawal symptoms from your drug of choice?” I don’t care if you’re 30 and you have been on these meds since you were 16. It is possible you were misdiagnosed because you were using at the time. Be willing to get honest with a psychiatrist who specializes in working with addicts in recovery and trust him to evaluate you.

At the end of the day, we have to learn to be honest with ourselves and honest with mental health professionals. We have to be willing to make lifestyle changes and to heal old wounds in order to find peace and comfort in our skin if we are to stay clean and sober for the long haul.

 

 

 

 

 

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