you’re not depressed?
i used to get depressed. once in a while.
when i say depressed, i don’t mean the severe kind in which one is too overtaken by the loss of reason to live and too unenthusiastic to go on that they do not look after themselves and their family, or they don’t meet their responsibilities, and eventually attempt to take their lives to end the meaninglessness of it all. i don’t mean that, i only mean the kind of sadness that goes deeper than the usual loneliness. sometimes, way deeper.
i would have this heavy feeling of blah that made me feel like a real loser. i would look at other people who were happy and i would curse my bad luck for being so unlike them. i would then hide in my imaginary hole, sulk, read a book, and when all else fail, write about how crappy my universe was.
i have learned that the reasons why i got depressed were always because i found it absolutely pathetic that i had nobody to share my life with when i was so ready to have that kind of relationship. or, that my family was this dysfunctional family, who unconsciously did and said things that tore my heart to pieces on some occasions.
the whole process usually took a few hours of my day, not very often. after identifying the emotional trigger events that caused me to feel alone, and basking in the feeling for some time, in no time, before i even knew it, i was ready to be my bubbly self again. like nothing happened.
six years ago, when i got pregnant for the first time, the ambivalent feelings of joy and fear crept up on me and caused a different kind of depression. the kind of depression that usually did not have any logical basis.
i coped by reasoning that other than the hormones skyrocketing, it was also because of the big life changes that happened to me all at once. i moved here, got married, got pregnant, was not working, had to take the nclex, was not driving, had very little social contacts, was literally alone while waiting for my husband from work. it all happened in five months. we’re talking major life stress units here, so i didn’t even worry about it.
after i passed the nclex, got a job, had my two kids, learned to drive, i expected things to get back to how they were. i do not think occasional loneliness is such a bad thing, so i welcomed the idea of being depressed once in a while, like i used to. i thought i can use it as a time to ponder on things that i should be grateful for and somehow, just like the good old days, in some bizarre ways, it will eventually make me realize i am blessed.
but that’s not what happened. month after month after month, i would cave into this undescribable sense of emotional hopelessness that got deeper and deeper. the feelings of blah turned into a more serious feeling of nothingness that made me feel way beyond a loser.
i would have thoughts of my life being pointless and i would mull over the idea of all people being better off dead than suffering in the hospital or in a war or something. i would wake up unenergized and without purpose. i would drag myself to whatever it was i was expected to do, and would not find any satisfaction or accomplishment despite the hard work i’ve put out. i would look at my husband and my kids and miss the joy that normally overwhelms me just by having them in my life. i would hang out with family and friends and amidst laughters, i would miss out on the fun, feeling alone, like standing outside, uninvited, desperately looking in.
i would walk, breathe, live aimlessly and worthlessly behind a fog that lasted two or three days every month. unused to this helpless state, it boggled and scared me that i was such a mess. my attempts to seriously talk about it usually turned into self retraction, because most people thought i was either exagerrating or joking.
when i finally had the sense to analyze the pattern and regularity of my misery, it dawned on me that i didn’t have to be a rocket scientist to figure out that this has something to do with my hormones. i self diagnosed it to be related to hormonal changes when i am ovulating or when i am about to have my period.
although it is true that knowledge is power, it is not enough to win the battle. i still found the whole ordeal tiring and draining, that i just wished i knew what to do and how to do it just to fix myself. i have nothing about seeing a doctor for depression but unfortunately, i am one of those stubborn human beings who would like to try to fix it first before asking a professional for help.
i read on the topic, then i developed a plan. i wanted to talk about it to people, especially women. i wanted people, especially women, to talk to me about it. i thought we can learn from each other, then we can encourage each other. i used to think i am all alone in this and that i should be ashamed to talk about it because nobody else feels this way, but the the books and articles on this topic proved me wrong. i wanted to break the ice and heal, then share the process with others.
the only set back is, inside my immediate personal community circle, depression, christianity, and being a filipino (and i am saying this based on my personal experience, not in any way generalizing all christians and filipinos) do not really mix that well.
what i mean when i say that is, coming from the philippines, which is a third world country, people automatically think you really have to be messed up to be depressed. with a lot of people struggling where to get their next meal, what is there to be sad about when you can have way beyond your basic needs?
and when you are a supposed devout christian, there is no way you can get depressed if you just lift your heart in prayer, and believe, in faith, that Jesus will grant you real joy and peace.
again, i am not saying all christians and all filipinos feel this way about people who get depressed, but i have met a lot of us who brush depression aside like some pesky, unreal, narcissistic dilemma that doesn’t need to be addressed, or even discussed.
if you ask me, this is a very sad thing. it is a very sad thing when those who you think are closest to you are the ones who do not want to take you seriously.
i do see the logic in looking at depression this way, because i know how irrelevant my woes are compared to the ones who really have reasons to mourn, but that doesn’t mean that what i am feeling is unreal. i also believe and have experienced being spiritually lifted with a “peace that passeth understanding” by prayer and meditation, but that doesn’t mean that if i do not experience that healing right away or all the time, my feelings need to be dismissed.
i have strong feelings against people bashing depressed people because i know exactly what depressed people are going through. i only experience it two or three days each month, but those days are the most miserable days of my life, that every happy moments i’ve experienced usually gets blurred in the background. can you imagine going through it everyday? every. single. day. aimlessly walking through a fog. everyday.
i guess the whole point of this very long post is to beg those who treat depressed people in a very condescending “just get over it and move on already” kind of way to please just be tolerant enough if you can’t be kind to be supportive. i understand it is difficult to empathize when you have not experienced the same thing, but it doesn’t take much effort to at least be open to what depressed people are saying. depression already hurts as it is, and dismissing its reality magnifies the pain to the point of shame.
dealing with depression of any kind or magnitude is a process. a lifetime process. even if that doesn’t sink in, that doesn’t change the truth that it is the fact.
as it is, there are wars, disasters, crime, poverty and hunger going on in so many parts of the world that there is really no reason for us to significantly add more to the suffering of individuals who deal with depression on a day to day basis.
there is no reason why there should be an unspoken environment of animosity and hostility towards those who suffer in silence. or those who dare to speak out only to be silenced.


Hello, May.
First of all, I’d like to let you know of my appreciation of your blog which I stumbled upon recently. It is truly enjoyable reading of your nursing anecdotes infused with deep thoughts and creativity.
In regards to depression, it is ultimately a lone battle, since the pain is a spawn of our own minds, appearing out of nowhere instead of some external stimuli that can be pinpointed and addressed. It is absolutely true that emotional pain you feel in the throes of depression is no less than that of concrete tragic events, and by no means should it be cast aside, ignored.
However, when it comes to reaction from non-sufferers, maybe it can’t be helped that there might be some hostility. After all, from the rational mind’s point of view, a depressed person’s suffering does seem insignificant when there are so many obvious causes of pain in the world, as you already pointed out. There is some truth to it when you say “pesky unreal narcissistic dilemma,” which is how I sometimes view depression to be honest.
Don’t misunderstand. It’s not that I don’t know the pain. It just reminded me of an experience I had, (if you don’t mind my long comment.) Years ago I ended up in ER as a crying mess of self-mutilated body (but no life-threatening wounds to my great disappointment at the time.) There was a nurse who coldly stated that she was too busy and proceeded with straight cath instead of letting me drink and wait to go to bathroom. Then there was another nurse who kindly asked me if I was cold and replaced the blanket with another one fresh out of blanket warmer.
Remembering the first nurse brings back the feeling of hurt, humiliation and… sting, which, even to this day, makes me cringe whenever I have to put in a foley on a conscious patient. However, while I would’ve appreciated gentler approach, I understand how she might have viewed me among more urgent patients she must have had. Then there were mental-health professionals with condescending gestures with forced empathy, which are just as non-therapeutic as outright hostility. All those people who I’ve crossed path with, those who I’ve “inconvenienced” during those years I grappled with depression, some of their reaction frustrated me, shrank me further inward. Looking back with certain detachment, though, I realize they all had reasons, and I’d never dare ask them “why couldn’t you be nicer?”
In the end, it’s up to the person him/herself to get better from depression regardless of others. When I find myself in presence of a distraught person, I don’t presume to be able to help significantly or to be empathetic, since the pain that person feels cannot possibly be the same as the pain I know. I just remember the nurse who wrapped me in a warm blanket when I was cold, and I try to do the same: do the simple things within my reach to comfort.
Comment by Yesol — May 20, 2008 @ 8:22 pm
Hi,
Not two days ago, I had a patient in the ED. While assessing her, I noticed distinct, tell tale slash marks on her wrist.
I felt a cold, icy ball materialize in my stomach. A wave of nausea briefly passed over me while my mind recoiled in anguish and relieved memories I’d long thought suppressed and forgotten. There was no mention of SI in her history and I had stumbled upon it purely by chance of doing a good workup.
But the effect was just as powerful.
The image of her scarred wrists draw my thoughts to my own… it will probably be a long time before I can put these thoughts away again.
I still pause and collect myself before I walk in to a patient’s room with a known history of suicide attempts/SI/depression. I try to be as therapeutic as I can. I strive to put my professional self before my personal self….
… but deep down inside, I can’t help but “feel” for another human being who is experiencing the wretchedness of human suffering. Suffering of the kind I was once very intimate with as a person.
Depression is very real.
I was deeply touched by yout very frank and candid post.
Thank you.
- S. (a nurse on your Nurse Bloggers list).
Comment by Anon. — May 20, 2008 @ 9:11 pm
Thanks so much May for speaking out so eloquently and candidly. I have fought my battle against depression for a long time. Depression is just as real a disease as diabetes or COPD and can be just as life threatening. These sufferers should not be looked down upon anymore than the sufferers of diabetes and such. I think why health care workers end up having an attitutde is because they’re mostly(in an ER setting anyway) task oriented and they might feel helpless to help and affect the real pain if indeed they have this insight. It doesn’t make it alright though. It is an attitude borne of ignorance of the real pain of depression. I have suffered pain both physical and psychological and I’d rather go through the incredible,intense but self limiting pain of a broken back again rather than fall into the depths of dispair of a dark depression. At least the physical pain ends.
Thanks so much for speaking out on this subject and I hope you don’t mind the long post.
Comment by ButtercupRN — May 21, 2008 @ 6:12 am
Sadly, our world still treats mental health issues as if those who suffer with them are invisible. The advertising scene bombards everyone with images of everyone smiling, happy, got it all together without a care in the world. Unfortunately, these 15 second messages about life seen time and again add to the disappointment each of us feels when our lives fail to unfold like a choreographed commercial.
Onehealthpro
Comment by Onehealthpro — May 21, 2008 @ 4:55 pm
Depression is a real illness that often needs treatment. Some people don’t like acknowledging this fact, but it is true.
I became a “bad family member” when I helped my sibling get treatment. Since then, the quality of life has been better.
If you need help, seek it out. It is there. Don’t think you have to ride the merry-go-round forever.
Comment by RehabRN — May 22, 2008 @ 10:13 am
may - i completely understand the whole cultural thing even though i’m first generation filipino-american. i could never tell my parents, aunts, or uncles about my feelings when i would get depressed. they would basically tell me to either get over it or pray more. luckily, i had my fil-am cousins who “got it.”
hang in there, may…
>>hugs
Comment by unsinkablemb — May 31, 2008 @ 7:29 am
depression~~
Comment by Theodora Voon — June 2, 2008 @ 2:46 am
dear may,
i understand how your are feeling. I feel the same as you feel. I realized that I am not alone. I know you and I will be o.k.
Comment by mimi — August 3, 2008 @ 7:03 pm