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".....clinical depression is a real problem, that it ruins lives, that it ends lives, that it very nearly ended my life, that it afflicts many many people, many very bright and worthy and thoughtful and caring people, people who could probably save the world or at least do it some real good, people who are too mired in despair even to begin to unleash the lifespring of potential that they likely have down deep inside."

An extract from 'Prozac Nation' by Elizabeth Wurtzel

Depression is an illness and my personal account of it is no substitute for professional help. If you need help then please find somebody to talk to

"The Angel that presided o'er my birth

Said 'little creature, form'd of Joy and Mirth,

Go love without the help of any Thing on earth"

William Blake (1757 - 1827)

Depression forced me to live in the confines of my own little world, a dark sinister world that no child should be allowed to enter on their own. It is dangerous and unrelenting. Although it's intensity varied it has always been there - lodged firmly in the chaos. Depression has walked or stumbled with me every day of my life. Self harm distanced itself from me for brief moments of time but nothing has ever taken it away. I suppose if I was born with it then I will probably die with it - but I do not want to die from it.

It is said that depression is caused by an imbalance of chemicals in the brain - if this is the case then the quantities of chemicals in the cocktail of my brain are certainly wrong. It is a lethal cocktail that came close to destroying me. I'm sure the abuse fuelled my depression and kept the disease escalating but I do not think that I can even blame my Fathers abuse for this one. Depression imprisoned me in it's viscious circle, I became depressed because I was depressed and the more depressed I got the worse the depression. And that's how it went on, getting worse and worse.

"It's a long way from not having enough serotonin to thinking that the world is stale, flat and unprofitable"

An extract from 'Girl Interrupted' by Susanna Kaysen

As I child I saw happiness as a wondrous presence that I could never quite reach. I sensed it in the people around me, in the playground or the park, or just seeing it on the television. Laughter scared me as I could never quite work out what it was all about - how could people laugh when they felt so gloomy inside. It was not until I was older that it dawned on me that the very reason why they were able to laugh was because they didn't feel the despair I felt. I soon learnt to pretend to smile and laugh so that I could pass off as normal - well, normal enough to go largely unnoticed. I used to be told that my future was full of promise but all I ever felt full of was despair.

The Sky breaks

It sags and breathes upon my face,

in the presence of mine enemies, mine enemies.

The world is full of enemies

There is no safe place

Anne Sexton (1928-74)

I hated the blackness, the feeling of wanting to curl up and die, of wanting to sleep my life away in the fold of misery. My head seemed to be a whirlwind of noise that was constantly thinking, thinking too much. I rarely spoke through primary school and secondary school and college and university - only when I had to. I spoke more with friends but strange as it may sound talking out loud has never felt that natural to me. I talk a lot more in my head but of course no body can hear this although sometimes my head sounds so loud that I think maybe they can. Sometimes my head was so full of voices I didn't really know which one was mine. It is only in the last few years that I can distinguish my own voice from the noise and I now talk a lot more than I once did. I actually quite enjoy talking now!

The first time I attended counselling sessions was at the age of sixteen and it was probably about then that I realised the way I was feeling had a medical label. Since then I have sat in the offices of many counsellors and therapists. It's strange how similar each room has looked! I was given the space to talk confidentially but I never revealed everything that I was feeling as I never felt 100% comfortable talking to strangers who were paid to listen. Even though I didn't particularly like some of them they all helped me to add to my understanding of depression. It's through understanding the mental trauma that I have formed a way of coping with depression. I've researched it, read about it, written about it but the biggest insight I have into what it is like is that I have lived it. It nearly killed me a few times but I have survived it. Everyone has bad days but depression is not just one bad day, it is countless bad days. It's day after day after day.

Not only for the past I grieve,

The future fills me with dismay;

Unless Thou hasten to relieve,

I know my heart will fade away.

Anne Bronte

At one stage, a couple of years ago I was prescribed an anti depressant. There is medical evidence that they do help many people but I was not one of them. I actually believe anti depressants made me worse which I didn't think was possible at the time. I never saw Prozac or any other anti depressant as a solution or a cure and was not that willing to try it. However when you are sinking you will try anything not to drown. I don't know whether my Doctor understood that this was a life time illness and that a tablet was not going to take it away. Perhaps if it had just been depression brought on by work stress it may have worked. The anti depressant I took made me numb and so damned tired that my life became a blur - maybe that is what they were suppose to do. I stopped taking the medication because I had an allergic reaction to it - an allergic reaction I was thankful for as it stopped the doctor persuading me to continue taking it. I suppose I could have tried another type of anti depressant but after the withdrawal symtoms I had coming off the tablets it's left me fearful of taking any long term medication.

And somethings odd - within -

That person that I was-

And this One- do not feel the same -

Could it be madness - this?

Emily Dickinson (1830-86)

Currently I am not in therapy and not on any medication. I still suffer from depression but I have learnt to cope with it. I live with it or rather it lives with me. There are still days when it buries me in it's darkness but it is not as disabling to the mind as it once was. I have found that if I don't use up all my energy fighting it, I have the reserves to cope with it and not let it damage my life too much. Usually the darkness only lasts for a few days. Most days I feel okay. Okay is a comfortable state of mind to be in when you never thought that you'd ever mean it wnen you said,'I am O.K'. The days I feel happy are a bonus and they are fantastic days. I keep my life fairly uncomplicated to live with depression in this way but hopefully with time I will be able to cope with a slightly more hectic life. For now I am happy with living instead of just existing. It takes a hell of a lot of work and heartache but depression is a survivable disease.

I know the bottom, she says

I know it with my great tap root.

It is what you fear.

I do not fear it: I have been there.

'Elm' Sylvia Plath

Depression and it's treatment are talked about a lot now throughout the media. It has even been given comic value. Some of the jokes are funny but I do worry that people will forget what a serious and disabilitating illness depression can be. So many people visit their Doctor suffering from depression and many are prescribed an anti depressant. I'm not sure how many of them are helped by today's treatment - but taking the 'happy pill' is seen as an answer for many. This messed up world seems to be breeding a whole load of messed up people. Depression is a word that is often used quite flippantly in society and I think that sometimes it is forgotten that it can kill and does kill many people every year.

"In those pamphlets that they give at mental health centres where they list the ten or so symptoms that would indicate a clinical depression, "suicide threats" or even simple "talk of suicide" is considered cause for concern. I guess the point is that what's just talk one day may become a real activity the next."

Extract from 'Prozac Nation' by Elizabeth Wurtzel

Depression does not allow you the luxury of recognising or appreciating the better things in life. Depression shields hope from it's victims eyes. With the scale of world tradgedy depression seems a selfish illness and I do know that many many people are suffering more than I ever did or probably ever will.Yet however much I think about that, however guilty I feel( and I do feel guilty) my depression does not go away. Depression's grip on an individual is extremely strong and in the Western world it is an illness of epidemic proportions.

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