A little over three years ago, I was diagnosed with severe depression with an accute adjustment disorder. My sadness had moved beyond circumstance and actually manifested in a chemical imbalance in my brain that was not curable with a new pair of shoes or a sunny day. I had known something was wrong for a while, but admitting there's a problem seems to be universal hurtle over which everyone with a disease must soar immeasurable heights to clear.
When I look back, I'm amazed I paused at all to take stock in what I was feeling. I was recently married, mourning the loss of my husband's grandfather, finishing my master's degree and starting a new career, and settling into a new apartment. Busy.
Without knowing it, all of the things that were keeping me from taking care of myself were also major life changes - technically, there are five: death/birth, marriage/divorce, new job/degree, moving, and disease/disability. After my diagnosis, I learned that experienceing any two or three of those life changes within a year's time can cause any number of anxiety or depression related conditions. I had experienced 4 of the 5 in fewer than six months.
As with many things, there were clues. Most I chose to ignore or assumed were byproducts of whatever I was dealing with at the time: procrastinating when a paper was due, stressing over finding a job/what would happen once I found one, fixating on the arrangement of the furniture in my new place. Truthfully, though, the biggest clue was one I
had stopped to look into. Even saught help. For over a year, I had little to no interest in anything romantic (ehem - sex). My husband and I had been together for 4 years before we got married, living together for almsot two years of it. It was no secret that we were "living in sin," but in reality there was no sin. We both chalked it up to stress. And the professional answer I got: stress.
About 2 months prior to our wedding, I went back to the doctor for another opinion. I was sure I had some sort of blood disease or hormone imbalance and was not leaving until they had an answer for me other than stress. My wedding night was 8 weeks away, and gosh darn it, there would be passion! They reluctantly did the bloodwork, but when the results came back, they showed an decreased level in testosterone. See!
But they said it was nothing to worry about. Again, it could just be due to stress. Back to square one.
Our wedding came and went. My labido, however, was gone.
A few months later, I started my new job. It was amazing! It was what I was meant to do! And yet, I couldn't get out of bed in the morning. How could something so important to me strike up so little motivation? This was not
just stress.
The official diagnosis came a few weeks later. My husband encouraged me to see a psychologist. The last time I had spoken to a "shrink" was when my best friend died. Surely, this wasn't the same. But I went. I sat in the chair and very calmly and professionally explained why I was there. She gave me a survey. A simple questionnaire about how I felt, what I ate or didn't eat, how I slept or didn't sleep, my love life or lack thereof, etc. It took what felt like an eternity to fill-out. My throat was dry, my eyes wet, my fingers numb. How could she ask such personal questions? She had just met me! They couldn't have been more generic.
And then she "graded" it.
I don't remember her exact phrasing, but what she said hit me like a ton of bricks.
Severe Depression.
And then the verbal questions: Do you have suicidal thoughts?
No. Is anyone hurting you physically or emotionally?
No. Do you have a regular psychiatric healthcare provider?
No. Wait. What? I, um, just started a new job. I have new insurance. I don't even know if this is covered. I have no idea what her name was. I wish I did so I could thank her. She not only gave me an answer other than "stress," but she gave me hope. The rest of the appointment was spent walking me through the process of finding a psychiatrist and a psychologist. She didn't let me leave until I stopped crying. She made sure I had a way home. I'm sure she does it every day, but she helped me start unpacking - settling into my new life and sorting through the baggage I had brought with me thus far.