A blog about living with major depression disorder. Sharing what life is like when depression clouds your world. Providing coping skills and information about depression and treatment. Creating a community for people to share their lived experiences. A place for people to come together and learn and heal. All are welcome.

Thursday, October 31, 2024

Making the Most Out of the Therapy Experience

                  Fortunately, people are more willing to go to therapy today than in the past. Therapy is an important aspect of treatment for mental health disorders. I am not a therapist, but I have spent my adult life in therapy to help me cope with major depression and anxiety. While that doesn’t mean I know everything about therapy, I think it gives me some perspective on how therapy works, how it is beneficial, and how patients need to do their part. Today I would like to talk about making the most out of the therapy experience.

                  I first saw a therapist when I was in college many years ago. It was the start of a healing process for me. In my twenties I went a few years without therapy. Those were very hard years. I found my way back to therapy when I was 29 because of a significant worsening in my depression. It was the most important thing I could have done.  I am lucky, I have been with the same therapist, a psychologist who understands me and supports me, since then. 

                  It’s hard to think back that far and remember the details. I know that one of the first things he helped me was to quit drinking. As a teenager I learned to self-medicate my depression with alcohol. It was not helpful, but it is how I coped for about 15 years. Dr. K, my psychologist, guided me through the stages of becoming sober, while also addressing my depression, which had become intense. I am proud to say that with his help I am 22+ years sober. 

                  I learned early on that I had to do my share of the work. Healing takes place through the interaction between patient and therapist. We’ve talked a lot over the years as my depression has ebbed and flowed. I lean on him to make sense of a lot of what I am feeling. What helps is how he reflects my words back to me. This enables me to play an active role in my therapy experience. One way I have worked on this is through journaling. I write in my journal after appointments. It helps me remember his advice and allows me to delve further into our conversations. Writing helps me process my world. So, it makes sense that I would write after therapy appointments. Sometimes I share what I have written with him. Doing so provides affirmation of what I am thinking. 

                  It is important to do the work necessary to process what you talk about with your therapist. I do that by writing. There are other ways to engage in this process. Meditation might be a way some people process their sessions. Something as simple as going for a walk and thinking about your conversation can help. The important thing is to hold onto what you work on in therapy. It won’t be as beneficial if you just think about it while you are in session. Processing should take place in and out of the session. 

                  One think Dr. K has taught me is self-hypnosis. We end every session with a bit of hypnosis. It is only a few minutes, but he always gives me a hypnotic suggestion that I can take into my week. When I am struggling, I use self-hypnosis to recreate the relaxation created during the in-session hypnosis. This allows me to approach whatever is weighing on me with a clearer head.  Often, I use self-hypnosis when I can’t sleep because my mind is whirling with thoughts. I take what I have learned in the therapy session and use it to help me when I need to cope on my own. 

                  Another way to enhance therapy is to become involved in mental health activities. I choose to do this through NAMI (National Alliance on Mental Illness). Through this organization I have learned to speak about my mental health in a positive way. I have shared my story with others. In doing so, I support myself and let others know they are not alone. Dr. K has encouraged my involvement with NAMI. It has allowed me to grow in my understanding of my mental illness and in my ability to help others. 

                  Reading about mental illness or listening to mental health podcasts, like The Giving Voice To Depression Podcast can also help. I find this enables me to understand that I am not alone. So often depression isolates us. It tells us we are alone. When we are struggling it is difficult to see that it is an illness causing us to feel the way we do. I find that by listening to podcasts like this I feel more connected and less alone. The Giving Voice to Depression Podcast has a wealth of episodes that can help individuals who are living with depression. 

                  My point in this post is that therapy in isolation is not enough. A therapist can help us, but we must do our part. We need to be active participants in the therapeutic process. That is the only way to heal.  Unfortunately, there is no magic cure. Healing takes effort. I know it is difficult to make that effort when we are struggling. I have been there. I have struggled. The work we do when we are feeling a little better can help with this.  If you are not sure how to get the most out of your therapy sessions, ask your therapist for support with this work. It can make a difference.  

Monday, October 28, 2024

Giving Back

                  I have learned that giving back feels good. This past Saturday night I had a poetry reading as a fundraiser at Empty Shelf in San Gabriel, CA. The purpose was to raise money for the general breast cancer research fund at Keck Medicine of USC. I was hoping for a few hundred dollars. I raised $1,125. I am thrilled to be able to donate that money.

                  My cancer journey has taught me a lot about valuing life. It has helped me overcome suicidal ideation. I have learned that I want to live. Cancer is a tough way to learn this lesson. So, I can’t say I am glad cancer hit me, but I am happy that I have learned the lessons I have learned. My depression isn’t gone, but I think I understand how to live with it better now. I have learned to tell depression to be quiet when it starts in with its suicidal thoughts. I have learned that I have a reason to live. Cancer still sucks, but I am learning to fight. 

                  I have an amazing team of medical professionals caring for me. My oncologist and primary care provider (PCP) take care of all things physical. They also encourage me and give me hope. My PCP was the first person who told me I could fight cancer. She told me this immediately after telling me I had cancer. So, right from the beginning, there has been a knowledge that I can fight. My oncologist provided me with hope in my very first appointment with her. It didn’t matter that my cancer was stage 4 and metastatic.  She was going to lead me in the battle, and I would live. She remains the hope that I hold onto.  The nurse navigator became my “Dancing Queen,” teaching me to dance on top of cancer. She reminds all the time that I need to keep dancing to beat cancer. Her motivation lifts me up and reminds me that I can live.  All the nurses, my PCP’s nurse and the infusion nurses, always take such great care of me. They encourage me while providing me with care and understanding. The infusion nurses make sure my treatment goes well.

                  My mental health team has been by my side throughout. My psychologist is always there to talk to me and to help ease my anxiety. My psychiatrist helps me understand what I am experiencing and ensures that I am taking care of my mental health. My psychiatric nurse practitioner, S, always listens to me and helps me make sense of things. Now, I see another psychiatric nurse practitioner, too. She, along with the techs, makes sure I get my treatment and that I get through it with ease. 

                  So, I have an army behind me. That gives me reason to give back. In the past I have raised money for mental health through NAMI Walks. Now, it is time for me to give back for all the help and healing I have received in my cancer battle. My writing is the one thing I have that I can share with others. So, I had a poetry reading with a raffle and silent auction to raise money for breast cancer research. There are many cancer organizations, but there is nowhere I would rather give back to than Keck Medicine of USC. Their team has saved my life. I want to give back to them.  I want to help them fight for others with cancer. I know first-hand that they make a difference. The poetry reading and the funds I raised are a small token of my appreciation and gratitude, 

                  The fact that I can give back shows that I am winning the battle against breast cancer. I have the ability to give back. I am healing. I want to do more and hopefully I will find ways to do more. As long as I can give back, I am going to. I don’t know what that will look like moving forward, but it is my goal. I am considering starting a second blog to write about breast cancer. Let me know what you think about that. It would be easy for me to start a second blog. I love to write. So, writing would likely come naturally. Maybe a breast cancer blog would help others fight this awful disease.

                  I want to share the poetry reading with all of you reading this. Listen to my message. Feel the poems. Cancer can strike when you least expect it. Value your health and get recommended screenings. It can save your life. 

                  Here is the link to my poetry reading:

 

https://youtu.be/LqRh3tPcT3c?si=nOYkoBvke-1aKg2i

 

                  

Monday, October 21, 2024

Carpe Diem

                  I just returned from an amazing couple of weeks in Italy. I had wanted to take this trip for a long time, and it turned out to be everything I dreamed. There was so much beauty to see. I explored cities including Venice, Florence, Pisa, and Rome. I visited the small towns of San Giorgio La Molara and Plantania, where my family came from. I stood inside the same church where over one hundred years ago my great grandparents, Pasquale Tropea and Josephina Cappello were married. This trip was my chance to live in the moment and as commenter on my last post suggested, be grateful in the moment. 

                  As I return there are a few days left in a month that now has a lot of meaning for me. October is Breast Cancer Awareness Month. I’m not sure I would have gone to Italy if breast cancer hadn’t attacked me. I’ve wanted to go for years, but always found a reason to put it off. It was too expensive. I had to work. I could go the following year. I had no one to go with. All of these were just excuses. Now, that I have been diagnosed and treated for stage 4 metastatic breast cancer, I realize that life can’t wait. I need to live in the moment. I need to seize opportunities. Excuses were my mental illness talking. My depression has never believed I could do anything. Cancer showed me I not only could do things, I need to do the things I want to do. None of us know what tomorrow holds, but having cancer makes that unknown more of a reality. I realize that tomorrow may not come. At any time, the tumors can grow, and I will need chemotherapy again. So, I need to talk back to my depression when it tells me that I can’t do something or that I shouldn’t do something. 

                  I remember watching the movie “Dead Poet’s Society” back in the late 1980s. It introduced a Latin phrase, “carpe diem” – “seize the day”. The literal translation from the Latin would be “pluck the day”, but it is widely translated as “seize the day”. I think this is an important phrase to live by. It is not just because I have cancer. I think we all need to seize the day. We need to live and be grateful for the opportunities we have in life. We never know when we will run out of opportunities. We don’t know when illness will incapacitate us. Depression and cancer have both limited my ability to seize the day at times. I can’t allow illness to take life away from me. Depression has stolen so much from me as I have shared in past posts. Cancer jumped in and tried to steal more. It attempted to take my life. Fortunately, those around me, my health care team, both physical and mental, my family, and my friends, have taught me to seize the day. I have learned to live each day. Sure, there are going to be difficult days. Test results are going to scare me. Treatment is a recurring reality, but it is saving my life. Just like I made my trip to Italy happen, I need to make living a full life a priority. I need to make the most of the opportunity I was given when my oncologist attacked my cancer. I don’t know exactly what seizing the day means for me going forward, but I am ready to find out. I am going to do my best to make the most out of life. I will experience everything that I can. If I want to try something, I’m going to do it. I realize there will be setbacks. My depression and cancer are not going to magically disappear, but I can live with these illnesses. 

                  Going to Italy taught me that there is an amazing world out there waiting to be explored. Not all that world is thousands of miles of way. Sometimes it is just down the street. Exploring the world includes many things. For me it will include writing the book that is sitting in my brain right now. I entered a mini version of that book in a contest and actually made it to the final round of judging. Rather than see not being selected as losing, I choose to see it as proof that my story is worth telling. There are other things I want to do, including raising awareness and funds for both breast cancer and mental illness. I can do those things. I want to spend quality time with my family and friends. I want to love deeply and appreciate my loved ones. 

I see the value in my life. That is something I have always struggled with because of my depression. I know it is still going to be difficult at times, but I am ready to try to embrace all that life has to offer. I am ready to seize the day. 



Floating in the Mediterranean Sea – Carpe Diem




Thursday, October 3, 2024

Welcome October

September is over, but that doesn’t mean we stop being aware of the importance of suicide prevention. We must continue to check on each other and be there for friends and family. Being aware of suicide is a year-round necessity. As someone who has known the darkness of suicide ideation and attempts, I urge you to continue checking on each other.

October brings awareness to breast cancer. Knowing I was at risk from an early age, I have always taken breast cancer awareness seriously. Now, that I live with breast cancer, the month of October takes on new meaning for me. I have learned a special lesson as I have battled breast cancer. I think this lesson is important in the fight against breast cancer as well as the battle with depression. What is that lesson? LIVE IN THE MOMENT! Four simple words. We need to focus on living. We can’t wait for tomorrow. We need to live our lives in celebration of the wonder that is life. We need to live every moment. Say the things we want to say. Take the trips we want to take. Enjoy the little things. Hug our loved ones. Life needs to be lived because tomorrow isn’t promised. 

I spent my career working extra, always staying late or doing the extra task. Looking back, none of that meant anything. I missed out on living. If you have a choice between working overtime and attending your child’s game or concert, choose to be with your child. Work will still be there in the morning. 

I don’t have children, but I wish I had taken more time to do things for myself. Work didn’t care when I was diagnosed with breast cancer. The sick days ran out and I was kicked to the curb. Twenty-six years of doing all the extras and missing out on life went unnoticed and unrewarded. I was left with nothing. No health insurance. No income. Instead, I get a disability check that barely gets me by each month. I didn’t live when I had the opportunity. Instead, I was the “good” employee. If I could do it all over again, I would make so many changes. I would put me first and work second.

Live in the moment. That is my new mantra. With that in mind I am doing something this month that is just for me. Something I have put off for a long time. I am going to Italy. I will take in all the culture and beauty. I will explore the small towns where my family once lived before immigrating to the United States. I will live in the moment. I will try to push cancer and depression out of my mind so I can experience something new. I will follow where life takes me. I will enjoy food, art, history, and culture.

With that being said, I am taking a two week break from this blog. I’ll post again (October 21st) when I return. Hopefully, my posts will be guided by a refreshed mind after my trip. 

One Day at a Time

                  When you live with a mental illness such as depression, there can be days when you feel alright and days when you struggle...