11.12.2009

Gutter balls

The problem with a blog about depression is, well...sometimes you're just too damn depressed to keep up with it.
I was reading the other day about how there's actual medical evidence to support the idea that "you can't teach an old dog new tricks". As we're growing and well into adulthood, every time we do something the same way or react the same way to some random external stimulus, we create a neural pathway in our brain. Think of this pathway as a rut, like the gutter on the sides of a bowling lane. Everytime you have this same reaction, that rut gets a little deeper, ensuring that the next time you're faced with same stimulus, you'll react the same way again - deepening the rut again. I know, I know...just bear with me a moment on this.
So, this is a lot of what depression is - that sort of grey, murky middle-ground between the physical aspect (fatigue!), the mental aspect (seratonin!) and the emotional aspect (guilt!). You get into these mental & emotional habits that contribute to your depression. The more engrained they become, the more difficult they are to correct. Once that bowling ball is halfway down the lane, it takes ALOT of outside intervention to get it out of the gutter. You gotta stop the game. You gotta get down the lane faster than the ball is travelling, stop it, pick it up, bring it back to the beginning...dear god its exhausting just thinking about it.
That outside intervention takes many forms. Some we do for ourselves - exercise, meditation (I'm told pets are supposed to help but my dog just pisses me off). Some our doctors help with - cognitive behavioral therapy, medication (which is kinda like bowling with the kiddy bumpers up). But it's all about stopping the ball. Getting it out of the gutter. Even though it wants to go to the gutter, because you've been bowling gutter balls for the last 20 years and frankly its the only way you know how to bowl.
I figured out I was depressed - I mean, really probably had a problem, the family history and all, the whole nine yards - maybe 7 or 8 years ago. And when I started taking Welbutrin, it was well controlled. I exercised. Meditated. Felt...joy, sometimes. But, you know, you get pregnant, gotta go off your meds, have a couple kids...you get busy. You put yourself on the back burner. We all do it.
So back to the ruts. All that while, it was sneaking up on me. My mind was reverting to those same old neural pathways, those smooth, easy-to-follow grooves it was already so comfortable with. And here's my fear: what if they're just too damn deep now to fix? What if the ball has travelled too far and its too late to stop it and get it out of the gutter?
Seven years ago I had all the time in the world. Depression was just this transient thing - a tough time I was going through. What if that's not the case? What if it isn't transient?
Before, I would be in a situation and think "This is really nice. This is the sort of experience I should feel joyful about." But I could remember feeling real joy, and had every reason to believe I would feel it again. Now, honestly, I have every reason to believe that for the rest of my life when I find myself in a situation where one should feel joyful, instead I will feel "This is really nice. This is the sort of experience I should feel joyful about." Its, well...its not the same.