On mental health and the importance of talking

Today is World Mental Health Day. These events are designed to encourage people to talk about mental health and reduce the stigma around mental illness. But for all the publicity and the increase in celebrities talking openly about their issues, there is still a stigma around depression, anxiety and other disorders.

Last year that stigma prevented me from going to a doctor and talking about my own problems with anxiety and depression until it had reached a chronic state. This was despite dealing with close family members and colleagues who experienced similar issues in the recent past and understanding how important it is to talk about these problems.

The fact is that I was, and still am, embarrassed to  talk about it. I’m a very logical person and I find it hard to come to terms with the fact that I can be crippled with anxiety and depressed (one usually follows the other with me) for seemingly illogical and mundane reasons. So to turn around and talk about those problems is very difficult. It feels like a weakness, a failing, like I’m screwing up by not being able to cope with problems at work or the little stresses of daily family life.

Yet the logical part of my brain keeps reminding me that it’s normal, it’s an illness, lots of people go through this and it’s all just a physical chemical response to various external pressures over the last 3 years. It’s really infuriating. I understand what is happening to me and I believe I know what the causes are and how I need to improve things. But my body doesn’t seem to listen.

I’ve been taking Sertraline for about a year now. It’s a fairly common anti-depressant which, despite some wacky side effects like incredibly vivid dreams, appears to have levelled out my anxiety to a much more manageable level. So much so that I tried coming off it for a couple of months over the summer, but sadly the symptoms of uncontrolled fear returned after a few weeks and I made the decision to go back on the pills for a bit longer.

Despite the medication I still find that some days I will have a feeling of general anxiety rising in the pit of my stomach. Or I’ll feel a bit down for a day or two. Often this will be followed by a cold or some other physical illness. Almost like my body gets distracted dealing with the early symptoms of a virus and forgets to deal with the long term mental illness for a few days.

I’ve also noticed that despite the improvement in my general mood the illness has robbed me of a lot of my confidence. I’ve always been a bit of an introvert but could blag my way through social situations, presentations at work and even stand on stage with a guitar in front of not very many people (the bands I’ve played in were always under appreciated by local audiences). Now I find myself feeling scared to approach new situations or even attend events like large family gatherings, friend’s parties or music gigs. I manage to force myself to get along to most things and once there I think I bluff my way through well enough, but it’s tiring. Hopefully over time I can recover some of that self-confidence I’d grown over the years.

So things are OK in general, thanks to the medication, some changes in circumstance (moving job helped a lot), an increase in exercise and of course the initial decision to talk to my family and a GP about my problems rather than try to fix things myself and hope it would pass.

If you’re suffering from any kind of mental health issue, no matter how severe, it really does help to talk about it. Even just talking anonymously to other sufferers on the internet can be the first step you need to recovering from the illness. Sites like No More Panic and the depression and anxiety subs on Reddit offer lots of sympathetic ears if your own support network is lacking, or you just don’t want to talk face to face yet.

I guess I just want to say for World Mental Health Day and every day remember, it gets better, it can affect any of us and please try to talk about it.