Three years ago this month my nephew was born.
Earlier that month our world shut
down due to the COVID pandemic.
Even earlier that month I spent four
days in a rehab hospital.
You are not alone. I have been
there. I am still here.
Three years ago this month I very nearly quit.
The decision wasn’t made easier
by the long wait at Reception. Being a walk-in with no referrals or call-ahead,
the office had to process my ID and insurance. It was just as well they had
hold of my license, for every long minute of waiting so close to the front
doors I longed to bolt right out again and drive home as if nothing had
happened.
After all, I’d cut before.
I’d been this low before.
I could just call my therapist,
tell her things were bad, and we could start meeting twice a week again.
Maybe my primary care doctor
could increase the dosage of my daily anti-depressants.
I didn’t have to be here, didn’t
have to lock myself in, proclaim my problems and failures so publicly.
The resolve that had gotten me
showered and dressed, packed a bag and backpack with comfortable clothes,
toiletries but no razor or contact lenses, my Bible and journal, and
prescriptions in a Ziploc bag; had walked me to the car and made the ten-minute
drive here—that resolve held me to my seat in the waiting room until Reception
told me I was approved. And someone was there to walk me to the ward.
The nurse wondered why I’d not
taken Ativan to quell my blood lust. “You did all that cutting,” she said with
disapproval. Her unspoken beratement stung, battling with my reason, what I
knew of Ativan according to my doctor.
When the doctor had prescribed
Ativan a few years before, white pills so tiny they seemed like a joke, she’d
described it as an “anti-anxiety” medication. Ativan an emergency medicine,
only to take “as needed,” such as a panic attack. Apparently it was such an
attack that had prompted the prescription, chest pains then hyperventilation
that landed me in the ER. Since then, I’d only taken an Ativan with the onset
of such symptoms.
But that agony was back in full
force that afternoon as I sat waiting on the ward. The nurse dismissed me but
until the staff finished searching my bags I was instructed to stay put in a
chair. A chair front and center so when the other residents returned from lunch
I was obvious at once. Spotlighted in my tragic humiliation.
They were gracious, my fellow
inmates. Only two of them approached me whilst confined, and it was only to say
a gentle hello, give welcome, reveal themselves as flawed and needy
individuals, let me know I was not alone.
“Why are you here?” the first man
asked.
“Depression,” I answered.
“Lots of people are here for
that,” he said.
He and the other went away again,
reabsorbed into the group activity. They left me with the reassurance that,
yes, it hurt. However, here I needn’t try to hide the hurt.
I wept for my loss and my
failure. I had lost what I’d loved most. I was lost now, without purpose or
interest in anything, no plan or desire for anything to come. I had failed at
my job and my mission, failed my coworkers, my faithful supporters. Most of all
I’d failed my children.
I’d been living my dream, the
dream for which I’d waited so long, and now it was over. The best part of my
life was over. If I kept living it would only be downhill from here.
I was just too weak. I chose to
leave the Best Job in the World.
The guilt, shame, and sorrow for
the hurt I’d caused compounded with my own hurt for I missed them all terribly.
I missed my children, coworkers, the school, the work, the climate, the
missionary status.
This grief for what I’d lost and
missed so dreadfully piled atop the depression and anxiety already present, the
very depression and anxiety which had driven me to departure. Driven me from my
beloved children and position right to the edge of suicide.
Under all that weight, almost a
year since leaving Haiti, since resigning as a teacher at Christian Academy of
Petit Goave, I checked myself into Hampstead Hospital.
They weren’t enough, all these
strategies. All the tools in the toolbox my therapist had been teaching me just
weren’t enough.
And even though some months
before I’d posted a blog boasting of how far I’d come on this depression
journey, of how far God had brought me, of how much better I was than the wreck
I’d been before—I was a wreck. Again. And ashamed of it. I was supposed to be
better by now. Why was it still so hard? That was discouraging and embarrassing,
rendering me more guilty and more depressed.
So I sought greater help.
Declared myself unfit and turned myself in. From Thursday to Monday I was a
patient among other patients.
But those who said so were not
fighting with Jesus. Although in the hospital under good counsel from licensed
psychiatrists, compassionate doctors, experienced and open-hearted former
residents (recovering addicts who now worked at the hospital helping others),
these patients were convinced they would never make it, that they would return
to their lives and manage for a little while before falling back into the same
destructive habits, and be obliged, or mandated, to come back to the hospital.
They were caught in a cycle of defeat, and they didn’t seem to want to fight.
That was the greatest tragedy.
I did not want to return to life
outside only to fall back into destruction and necessarily drag myself or be
dragged back here. The hospital was cold. It was confining. It was boring. The
windows did not open and we were only permitted brief walks outside once a day,
twice if we were lucky.
There was no music but the TV was
always on too loud. There was an unimpressive book selection on one bookshelf.
There was no privacy. Showering was awkward. There was only one bathroom for
each gender. Obviously there were no devices with which to communicate with
people outside (only the phone at the staff desk which we could use at certain
times for short calls.) I had my sketchbook and a few pens but not many colors
and no paint.
I already had all the right answers.
I knew all the strategies. I’d been working for nearly a year with a competent
therapist, and for two years before that had been talking with another
counselor over Skype; these self-help and mental wellness tools were not new to
me.
The greatest help the hospital
offered me was the chance to weep uninhibited and to meet people as broken as I
was. Sure, we meet broken people all the time, but rarely do we begin with
confession. Our fall to, “I’m fine, how are you?” protects us from hard truth,
ours and theirs.
Among my fellow residents, the
question “How are you?” demanded a real answer. We wanted to know what the
others’ were feeling, what struggles we shared, what victories we won. Essentially
we already knew the worst of each other. Being here, we had all of us hit rock
bottom. There was no further to fall. No fear, shame, or judgement remained. What
was left was to build each other up. Only together did we stand the least
chance of climbing out of that pit.
Being around these people was the
greatest help to me, the greatest encouragement. And I listed their names as
motivations to keep trying, keep fighting the good fight.
In the television series “House,
M.D.,” Dr. House is at one point obligated to stay at a rehab hospital. There,
when staff deem residents ready to leave, they hold a celebration including a “re-birthday”
cake, signifying that this is the first day of the person’s new life.
“We’re proud of her, we wish her
well, and we hope to never see her again!” one of the doctor’s shouts at
patient Annie’s re-birthday party. Everyone joyously joins in on the last phrase
and applauds. The wish is that Annie will go on to thrive on the outside and never
have to return to the hospital (House, M.D. Season 6, Episode 2 “Broken: Part 2”).
In the three years since, I have slipped
into low places. I have gone through periods of intense depression and there
have been hours of despair when I’ve thought of removing myself from the world.
However, since the hospital, I have not cut. The periods of deep depression
have not lasted; suicidal thoughts have not consumed me nor have I made any
lethal plans. I am better. I am not cured.
I still grieve what I lost.
I still feel conflicted.
I still get lonely and
discouraged.
Sometimes I cry, or weep.
I still take two anti-depressants
every morning. I still have an emergency prescription for Ativan. The last time
I took it was over a year ago.
I refuse to give up the fight.
In fact, the one special “mental
illness” workshop offered while I was at Hampstead provided me with a souvenir
that still sits beside my bed, right behind my alarm clock. While most of the
ward residents were at an Alcoholics Anonymous meeting down the hall, a few of
us sat around the common room table with a facilitator and made origami boxes,
writing different words or phrases on each side. On the bottom of the box was
our personal goal, on the inside sides were attributes, on the outside sides
were strategies, and on the front was a motto or mantra. Mine was “Keep
fighting the good fight,” from the Unbroken song “Good Fight” https://www.youtube.com/watch?v=K0M3X3_pFD4.
The ink is faded and the box a bit battered, but it’s there, visible to me
every day, several times a day, reminding me to keep fighting this war of life.
The best we can do for one
another is to be supportive. Sit and listen. Don’t accept the words “I’m fine.”
Give someone your whole attention, without distractions of phones or
television. Tell someone it is okay to cry and really mean it. Write a letter
to a long-distance friend. Send a card through snail mail just because. Trust
someone enough to share your own fears and failures. Pray for one another. Be
joyful with another’s successes and good news. Cry with your friend for her
loss or bad news.
Never dismiss someone’s illness
as imagined.
Mental illness may show no
outward signs. Neither do diabetes or heart disease.
So, my friend, keep fighting the
good fight.
We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States. https://988lifeline.org/
(Text or call # 988)
- Hampstead Hospital and Residential Treatment Facility
Information: https://www.dhhs.nh.gov/about-dhhs/locations-facilities/hampstead-hospital-residential-treatment-facility
- Information: National Institute of Mental Health
https://www.nimh.nih.gov/health/topics