September 7, 2008
In all the tumult and disruption of becoming a stepmother, my psyche needs a solid platform on which to rest! Maybe that’s why I’ve been so reminiscent these past couple of months.
Reminiscing must be my coping mechanism. Maybe I’m coping with the chaos on the outside but inwardly, my mind is reverting to a safe spot, another time and place. Is that what is called “dissociative disorder”?
The smallest incidences can recall events long buried in my memory. Like the other day, Joe was telling me that one of his co-workers had been on Lexapro but it quit working, and now he’s on another antidepressant. He couldn’t remember the name, so I googled antidepressant medications, and came across one called Trazodone, with the brand name Desyrel. And slowly came back memories of nearly 20 years ago.
The Georgia Highlands Center was my first stop when I first sought treatment for depression. The first of many, that is, although I didn’t know it at the time. My counselor, Mr. McClain, recommended Desyrel. The psychiatrist’s name was, oh what was it. I remember him looking like Jarod, from the TV show The Pretender; tall, slim, dark-haired, very scientific and serious and not much of a people-person.
Dr. Reginald, that was it.
I was 24 years old. I’d suffered from depression most of my life but this time it was accompanied by suicidal thoughts. Up until the early 1990s, depression was not widely discussed, let alone diagnosed or treated. Having grown up in a strict fundamentalist church, I was raised to believe that if you’re depressed, you’re not close enough to God. You’re not praying enough. You’re not reading the Bible enough.
Something’s wrong with you, if you are depressed. You’re doing something wrong.
Finally though, society began recognizing depression as a very real, medically treatable condition. The company nurse where I worked was very encouraging and referred me to Dr. Reginald.
I couldn’t have been on Desyrel for long. I went to Georgia Highlands for only a few weeks, maybe 2 months, as I recall. Mr. McClain soon recommended Prozac. Fluoxetine, the generic name for Prozac, was the popular new antidepressant drug on the market, having been approved for use by the FDA in 1987.
Prozac was too strong for me. After taking it for only 2 days I felt I was ready to jump off a 10-story building. I’d had an extremely stressful day at work. I remember crying incessantly, so hard and so long that my face became numb. I had nowhere to go except home, and my home-life could be less than supportive. Surprisingly though, it was my dad that sat down with me and talked to me to calm me down.
That’s all I needed – someone to talk to me. Not somebody to tell me that I’m doing something wrong. Just someone to talk to me.
I gave up on the idea of Prozac pretty quickly. In fact I gave up on the whole idea of getting treatment. For the time, anyway.
A year or so later, I tried going to this doctor who officed in Birmingham, AL, with my friend Lynna from church. She and her mother-in-law had discovered this doctor who believed that yeast in the body caused numerous health problems that could be cured by taking nystatin to kill off the yeast, and reducing your intake of carbs (because yeast thrives on carbs).
I believe he was actually an allergy doctor – I remember that we couldn’t use hair spray or wear perfume when we went there. Health problems such as depression (which was my primary ailment) were the body’s allergic reaction to yeast. It made sense, on some level. So on doctor’s orders I began taking nystatin, a yellow powder that looked like pollen but had a dry, bitter taste.
He also prescribed allergy shots – although my allergy skin tests showed hardly any allergies at all. I never felt a thing when I took those shots, except for the prick in my skin. I mentioned that to the doctor once, and asked if I shouldn’t be feeling something – ANYTHING. He said that I should at least be getting an initial rush; but no, I was getting nothing.
I didn’t see that doctor for long, either. I remember having to pay around $200 for the initial visit, but I was willing to pay it if it would heal me. It didn’t. I finally quit going; it wasn’t worth the hassle. I had to take an entire day off work to drive the 3 hours down, have lunch, and drive 3 hours back.
THEN, I started going to Westcott Center in Dalton. Westcott was the mental health division of Hamilton Memorial Hospital. Shirl, a friend from work who was also in treatment for depression, invited me to EA – Emotions Anonymous. EA was a 12-Step therapy group sponsored by Westcott Center. It was a good group; what a huge relief it was, finally knowing that I was not alone in suffering from depression!
As the 1990s rolled on, diagnosis and treatment for depression gained more and more acceptance. I would see TV ads for this hospital about 30 miles away, near Chattanooga, TN. The ads featured a well-dressed, intelligent-looking young man saying things like, “If you experience persistent sadness and don’t know where to turn, give us a call.” A facility in Chattanooga was a bit far away to visit for weekly appointments, so I decided to give Westcott Center a try.
I got an initial consultation with one of the counselors at Wescott. The counselor was this short, white-haired man wearing this tacky polyester cream-colored suit. I didn’t feel comfortable with him at all. I remember filling out a questionnaire about how I felt about myself, my life, my friends and family. Of course I answered all questions negatively (because I felt so negative about myself, my life, my friends and family), and desperately hoped these would be addressed in my subsequent therapy sessions. I needed solace, comfort. I needed someone to understand.
They weren’t. I was assigned to a psychologist. Dr. Tallady (who was much like Dr. Reginald in appearance: tall, slim, short dark hair, very mechanical in personality) would begin each $60/hour session with, “What do you want to talk about today?” or “How do you want to spend our time today?” Well, I didn’t know! I was messed up! I couldn’t put my feelings or thoughts into words. Wasn’t the doctor supposed to be asking me the questions, trying to get into my head and figuring out where I’m stuck? Wasn’t she supposed to lead the sessions and try to dig up whatever is buried?
This was about the time I started trying SSRIs – selective serotonin reuptake inhibitors. Westcott referred me to this doctor at a different location. He must have been a psychiatrist, because he could prescribe meds and Dr. Tallady couldn’t. I recall that his office was very oddly decorated. African statues and vases and artwork. No, not African; more like remote islander or Inca or South American. It just struck me as odd.
He prescribed Paxil. Then, Effexor. Later, Zoloft. I had told him about my Prozac experience, so he steered clear of Prozac. The meds made me feel worse than the depression did. I was supposed to give them six weeks to take full effect. But I could hardly function, and I had a job to go to. I couldn’t exactly sit around the house waiting for my system to acclimate to the medication.
It was here that I tried Zoloft; it lasted for 2 weeks, which was longer than I’d tried any other medication. Zoloft made me numb, as if I were sleepwalking. But it did seem to calm my “freak out” factor down. That was in 1994, when I went on my first business training session, a Vertex class in Philadelphia, PA. I remember that I would have expected myself to feel extremely intimidated and terrified of going so far from home without family or my husband (I’d been married for a year at the time), but I wasn’t. This was WELL before I was as independent and confident as I am now. I was still mousey and scared of stepping out on my own.
I didn’t sleep well on Zoloft, though, which is why I felt so sleepy during the day. The day I went off Zoloft, I slept the best I had in 2 weeks. It took a while for me to feel “normal” again, even though Dr. Tallady said that the medication was out of my body within 24 hours. I disagree. I felt as if my body was still ridding itself of the medicine for days.
My new husband and I moved from Georgia to Oklahoma shortly thereafter. It was years before I sought therapy again. I was very discouraged with the mental health profession. No one ever seemed to understand. Nobody ever “got it.”