Written by Shannon,
9 Minute Read
Jen’s earliest memories of depression date back to her junior year of high school, when the winter months would make her feel down and tired and her thoughts became negative. In college, these feelings persisted and grew stronger. Usually an extrovert, she began to withdraw from her social activities and preferred to be alone, so she knew something was off.
Aware that anxiety ran in her family, the pattern of her feelings made her suspect anxiety or seasonal affective disorder. When she went home on break she saw a doctor who agreed with her hunch and prescribed her the antidepressant medication, Zoloft (brand name for sertraline).
Jen had heard so many positive antidepressant stories, so she was optimistic. She had a friend that took Zoloft for OCD and thought it really helped. Jen really hoped that she’d be one of the many who feel like Zoloft changed her life.
Feeling jittery and uncomfortable, she stopped the medication shortly after. Coming off Zoloft seemed to work. She felt better being away from the stress of school and the sun was shining again, so she guessed the depression was seasonal and manageable.
Over time, Jen’s depression worsened and she began having anxiety and signs of ADHD. To Jen, her depression felt like complete hopelessness. She wouldn’t move from bed, binging on Netflix and comfort food. Then her anxiety would manifest, often as panic attacks with physical pain in her chest and gut, causing her to lose her appetite for long stretches.
Deciding it was time to try getting help again, she continued her process to find a treatment that would work for her. Her doctor prescribed Paxil (brand name for paroxetine), a different antidepressant, for her anxiety because it had been effective for her mother. It seemed to take the edge off of her depression and anxiety, and with that came some relief.
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A body and mind divided
When Jen began to fall in love with a man in the military, heightened feelings of happiness overshadowed her low moods; she only noticed her continued depression because her body would respond with familiar seasonal symptoms of lethargy and lack of appetite and sleep.
Jen always wanted to be a mother so when they got pregnant, she was overjoyed. For the safety of the baby, she needed to go off of the Paxil during her pregnancy. She remembers having a difficult time with the hormones, constant nausea, and swirl of emotions surrounding pregnancy and approaching motherhood. Her son was born via C-section.
“I remember one day sitting on the couch with my newborn and he was a week old and thinking, what now? What do I do? I guess there’s more to life than just this. Yes, I love him, and he’s great, but he’s just kind of laying there and I’m exhausted.”
This exhaustion and emotions led Jen to return to medication—this time Prozac (brand name for fluoxetine). She remembers feeling even-keeled on a regular basis on the meds, which was certainly better than her depression or panic attacks. She liked the Prozac for anxiety but overall she still felt “blah.” She always appreciated her ability to feel the ups and downs of life and go deeper into her emotional world, but now her emotions were flat and colorless.
She had heard about Wellbutrin (brand name for bupropion hydrochloride) as an addition to Prozac, and with help from her doctor, tried the combination. Her doctor evaluated potential drug interactions, discussed potential side effects, and explained how Wellbutrin and Prozac work together.
Jen says, “Honestly, that changed my life. Once I got the medication that worked for me and for my body, it was the best that I had felt in a very long time. And not just mentally but physically, my body seems to be more normal.”
This combination got Jen feeling not only like she was effectively managing her anxiety and depression, but like she was really herself again. It also gave her a deep appreciation for being able to feel the sensations in her body, including recognizing the things that were helpful to her health and those that were harmful.
Same, but different
The scary feelings of anxiety and depression flooded back immediately after her second child, a daughter, was born. Jen was in the hospital for 3 days and was so anxious that she didn’t sleep at all. By the time she got home, she had a familiar sense of numbness.
“I have this memory of my mom holding my daughter on the couch, and looking at my daughter and feeling nothing. Just nothing. No attachment, no love, no, ‘Oh, I want to hold her.’ It just… wasn’t there. Of course, then I had a panic attack because you’re not supposed to feel that way about your baby.”
Jen’s self-awareness and compassion helped her realize she needed a bit of space, so she went to her shower—her happy place—to try and understand what was happening. As she grappled with her feelings, she started falling asleep in the shower with her eyes open. The physical and emotional exhaustion was taking a toll and she decided to take it one day at a time.
She relied on her husband, medication, therapy sessions, and her own intuition.
“One day out of the blue, I remembered that senses are related to memories and feelings, and I decided to go and buy the shampoo that I’d used on my son. I started using that on my daughter, so I would smell that on her. It made a world of difference because then my brain started connecting everything that was happening. It was my baby aromatherapy.”
Over time, her attachment to her daughter grew and bloomed until she was back to being herself—a doting and loving mother.
Medication alone isn’t enough
Jen believes that depression is not just extreme sadness and that anxiety is not just overwhelming stress—they can have many overlapping symptoms. With this in mind, they have to be addressed in the right way, which includes multiple approaches to treat and manage the different aspects of each condition.
To supplement her medication, Jen learned self-care approaches that work for her. Mindful breathing helps her feel like she has more power over what’s happening in her body. She also sees a therapist regularly to talk about her experiences and get compassionate support and guidance.
While medication is effective during the period you’re actively consuming it, engaging in therapy gives you space to talk with a mental health professional who understands and can teach you skills that can help you cope over the long term. In fact, medication and therapy together can give you up to a 60% better chance of recovery than one treatment alone.
A big ol’ megaphone
Jen has learned a lot on her depression journey. For one thing, she recognizes that feelings of shame and insufficiency are universal and that no one is immune to depression:
My mantra is that we all have issues. It’s the way it is, and that’s okay.
Depression doesn’t look a certain way. I’m very good at putting a mask on and presenting myself one way regardless of what’s going on inside of me. There are people who are smiley and upbeat and their Facebook looks perfect and all of that, and they’re struggling horribly.
It makes sense that people have anxiety and depression, especially in the world we live in today. It’s not a weakness, it’s not something that anyone should feel like they need to hide. It’s truly a manifestation of what is going on in your mind and in your body.
Jen believes an important antidote to this is compassion, for yourself and others.
“Just stop judging yourself—I should be doing this. I should be thinking this. I shouldn’t be thinking this way. I shouldn’t – because all that does is make it worse. It makes your depression worse, and it makes your anxiety worse.”
Jen is now focused on spreading that message of self-acceptance and self-compassion, acting as an example that if you disregard the stigma, and accept or even embrace your depression, you can gain power over it. With the help of a mental health professional, you can feel better.
“I feel this is what I’m called to do. To get on a big ol’ megaphone and yell out to the world, ‘I’ve got depression and anxiety and ADHD and this is what my experience has been. Hey, look at me!’ And just to kind of let people know it’s okay. You can get through it.”
Treatment at Brightside Health is different
At Brightside Health, we’re elevating the mental health care experience so you don’t have to go through trial-and-error treatment. You can meet with your dedicated provider 1:1 from the comfort of home. Jen’s story shows how important it is to access help when you realize you’re not feeling like you.
We offer evidence-based therapy and precision psychiatry so you can get started with the right treatment the first time. Your psychiatric provider uses our PrecisionRx tool to analyze your particular constellation of symptoms to recommend the treatment plan most likely to work for you. You can view Brightside’s list of medications here. For therapy, our licensed therapists use the science-backed Unified Protocol, an evolution of cognitive behavioral therapy, to help you get back to feeling like you again.
Within 12 weeks, 86% of Brightside members feel better and experience improvement, and 71% achieve remission levels.