MemoFrom the Your Mileage May Vary Dept.Quote from: Cindy James on February 11, 2013, 02:03:05 AM
Dealing with depression. Can I ask you to see your family doctor or the student doctor? There are simple and safe medications that may help (they helped me when I hit the wall).
None medication, ways that sort of worked for me: exercise, really hard pumped up hurt myself gym work is my kick. I still do it even though I'm now fine, I just enjoy it. See below, but I have music blasting in my ears at the same time, I'm one of the few woman in the weight training area of my gym and I'm quite tiny but I push it. I don't build muscle, I work the body.
Both of these release serotonin that is what depression slows or blocks, so gives you positive feelings. BTW many anti depressants do the same in acting on the serotonin receptors.
Meditation - never worked for me.
I don't know if this is because of being bipolar, or is related to gender dysphoria, but drugs never really worked for me. They presumably kept me from going manic, when I was taking them, but so have no drugs. And since an SSRI was the one thing that ever pushed me into full-blown, hospitalizing mania... well I understand good intent and all, but it's not true for everyone that antidepressants are safe. And in my case, people assumed a bit too much, and even though I brought up the risks, my concern that I might be bipolar was dismissed until I wound up spinning into a hallucinatory episode of oddly euphoric mania that I can make sound very romantic, but that took several years to recover from. Please don't assume antidepressants are safe for
everyone. They are great for
most people.
CBT did help, at least a bit (enough though, most of the time) and a very long course of therapy helped me solidify a lot of fascinating insights about myself. It didn't do a lot about depression, but it keeps it self-manageable practically all the time, for me, at least as long as I don't short myself on sleep and stay reasonably active. Even when I was on a combo of Depakote (to prevent mania) and Wellbutrin, (to supposedly treat depression) I can't say that I feel the effects were doing anything to elevate my moods. I don't feel I was any better able to function when on Wellbutrin than I am today. There's no objective sign of any significant difference in practical terms, at least.
Exercise has never seemed to do me much good aside from weight control, and maybe higher energy levels, but at least in pre-transition limbo, being at an attractive weight has tended to add to stress and dysphoria and depression, as people tend to come onto me who I want nothing to do with, while those I long to be with tend to show little interest or show interest in a form I can't reciprocate and maintain any kind of self-respect. At least that's my take on why exercise has mixed results for me. It might also be my association of exercise with my time in the Army, and any connection there might be between those years, and a PTSD diagnosis. My therapist thought (at least that was my impression) that it would do wonders for me, but he was gay, and I really tend to think, regardless of his seeming sympathy, that he really just thought I needed a boyfriend. I was at close to my ideal weight, in fact, when the depression worsened, and Celexa was put on the table, about 2 years into therapy.
One size does not fit all, but I do trust that Cindy's advice about talking to faculty ASAP is great, and I also hope that if I can take care of the practical end of getting somewhere into transition sooner rather than any later, that perhaps I will start feeling differently, and less conflicted about both exercise and weight loss. Not gaining now, but not steadily losing either, and at least some of it is coming from this feeling of stasis, and lack of a viable plan. Some is also probably me beating myself up over my encounter with the guy I think I'll hereafter refer to as Dick B.
More resigned than depressed now, though perhaps I'm only fooling myself?
Meditation, by the way, is probably what has worked best for me over many years, as long as I can bring myself to do it.
Hopefully you can pin down a course that works for you. I'm only adding here to add a note of caution in particular, about antidepressants and especially SSRIs, if there is
any chance you
might be bipolar. No one should have to go through two years or more of falling from a state of near grace, to the pit and slowly, slowly digging out again. Even if it comes with religious visions.