Wednesday, January 10, 2007

Downcycling

I'm not even sure that's an appropriate word for me to use, since I've only been diagnosed with depression (minor episode, recurring, with aspects of Seasonal Affective Disorder), but I notice when things are worse. The depression diagnosis doesn't explain the occasional 2-3 week periods of being upbeat (I wouldn't call them manic, I don't lose control, I just feel...normal), periods I don't even notice until I start slipping back into the depressive state.

I put off rescheduling my therapy appointment for 2 weeks because I felt good. Then a friend remarked that I must be "so excited" since I'm heading to California in a few weeks for a conference, and I realized that no, I'm not really excited at all. I'm ambivialent. I'm going, I have to go, but I'm not looking forward to it nor am I dreading it.

That made me realized that I had started to feel bad again, so I called today to make an appointment. Obviously that is not the proper way to go about things. I don't even know how to approach this with my therapist. I don't want to look like that nutjob who diagnoses herself on the internet. There's got to be a better explanation than "minor depression, recurring" for the 2-3 weeks of upbeat moods and the 8-10 weeks of being so far down that I wish I would just not wake up in the morning, that life is not worth living, that i'm a terrible wife, a terrible mother, and that the husband and the spawn deserve so much better than me. I should probably find a way to admit to my therapist that yes, I do have thoughts of death and dying, but as scary as those thoughts are, they are not as scary as the prospect of being admitted to an inpatient treatment program. I am afraid that even if I refuse being admitted should it be suggested, they will petition and force me in. I spent two days in one before, and I have never felt more hopeless and frightened in my life.

I think I may need pharmacological therapy in addition to talk therapy. The SJW is just not cutting it any longer.

2 comments:

thordora said...

Cyclothymia-http://en.wikipedia.org/wiki/Cyclothymia

I think that this state IS normal myself, but it would explain things for you.

Heather said...

In my self-diagnosis, I did run across cyclothymia as a possibility - and thank you for the link!

My therapist is having me take an assessment test - the MCMI-III - in hopes it will show something conclusive IRT DSM-VI diagnoses so if I go on some drug, we know it's the right class.