The Wait

I have an appointment tomorrow with a psychiatrist. It has been several years since I last accepted that medication is necessary for me to function, but I am again in a place where I face this choice. It doesn’t feel like a choice.

Sometimes I try to remember what it was like, what I was like, before depression. I try to recall how I coped with emotions, related to those I love, faced stress, felt love. Part of what I know is that depression would like to believe there never was a time before now. Sometimes, I succumb to this possibility. What is the point really of looking back? Depression denies me access to many of the tools that I know can help me, even when I know exactly where and what they are.

Yesterday, I was with my family, whom I love and trust. I sat among them and felt millions of layers removed, like transparent walls erected to keep me unable to touch them, to receive the love they offer, to ask for anything at all. It is infuriating and demoralizing to be unable to feel balanced, to always feel incomplete, defeated, incapable of normal emotional responses. I don’t want to be like this. I really don’t.

So tomorrow, I’ll try again to find a way to help my brain. I’ll hope for some relief. I’ll hope my appointment isn’t cancelled (again – the major downside of being on Medicaid is there are very few psychiatrists and many people seeking assistance). And perhaps, sometime soon, I won’t feel the distance, but will be able to traverse what is now hard and far.

Recognition

I’d asked her to hang out for a few minutes to talk. She had bolted the first time, but seemed willing to wait for me to talk with some other students, for which I was thankful.

Normally a thoughtful student, she’d stopped participating in discussions and had neglected homework as well as a paper, which was now a couple weeks overdue. I’m not strict about deadlines (obviously), but I try to make sure my students are aware that I do expect updates on their progress, if not actual assignments turned in, or some idea of when I might expect to see writing.

She was clearly nervous, which I anticipated. After apologizing, she hinted that things are home were standing in the way of her completing the work for her classes. She left this statement hanging in the air between us, so I pressed a little.

“Are you alright? Can I help to clarify what is expected for the essay you are still missing? Can I help at all?”

The deep breath and barely suppressed tears were too familiar.

“I’m having a hard time. I have bi-polar depression…” A searching glance assessing me for judgment. I held her eyes. I nodded.

“I understand how hard it is to be unwell. Overwhelming.”

Surprise and then release. “Yes. Being a full-time student is a lot. I thought I could handle it…I wasn’t sure how to tell you.”

“I know how difficult finding a balance can be, but you are an insightful person and I know you are trying. If you need more time, I can work with you.” It isn’t more than I would say to any other student, but, at the same time, this was much more.

We talked for several minutes. She thanked me for understanding, for not misunderstanding her struggle, for offering to help and accommodating her needs. Without giving more information than the situation allowed, I was able to let her see that what she described was not strange to me; her struggle was familiar, and more than that, not in any way a reason for her to feel she should give up being the smart, thoughtful person she clearly is, regardless of what she feels presently. She was relieved and I, I was elated.

The mirror we can provide for those around us, learning to articulate what it is like to live with mental illness, is powerful. At twenty-three, I do not know that I could have been as honest as my student, but at thirty-eight, I no longer have any confusion about the necessity of clarity. We cannot live in the shadows, though illness makes us feel we should. Life wants us to be brave and ask for acknowledgement, even when what we request is compassion. Perhaps, especially then. The way out of feeling buried by the loneliness and invisibility that mental illness creates in our lives is through moments of recognition. “I see you. You are not alone.”

If there is one gift I am granted by disease, which otherwise causes me exhaustion and confusion, it is this ability to see this shared need, and speak in order to break through. If I can do this once, and experience the power contained within this recognition, I can nurture a light which offers comfort. And I can do this again. That’s hope.

This is me just after talking to my student yesterday:

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