I Want To Tell You About My Suicidal Thoughts

National Suicide Prevention Week: Sunday, September 8 – Saturday, September 14, 2019

By: Amanda Rances Wang, Good Advice – 9/8/2019

Suicide is the 10th leading cause of death in the United States, yet it is still treated with shame and silence. In honor of National Suicide Prevention Week, we’re sharing stories about suicide in order to encourage awareness and combat stigma. If you or someone you know is struggling with thoughts of suicide, please call the National Suicide Prevention Lifeline at 1-800-273-8255.

I’ve struggled with depression and suicidal thoughts since I was a teenager. But by the time I was 29, I thought I had things under control. I took antidepressants and talked to a therapist every week. I had a full life with my husband of three years. Trips were ventured, friends gathered together, and there were plenty of nights on the town. Everything appeared fine from the outside.

It’s just that there’s this one single thing that I slowly began to notice until I could no longer deny its presence in my life. I was gay.

In my mind, being gay meant the destruction of the one thing that I thought kept the demons at bay: my marriage. I was in love and he had this uncanny ability to draw me out from the dark side. Being married to this wonderful person, I thought, would solve all my problems. So now to be gay, and lose him and all that he represented? I wouldn’t dare make that leap. To even think about it was too painful, too terrifying.

I got far enough with my suicidal ideation that I finally shared all my passwords and bank account information with my friend Karen. I also gave her access to my online journal, and she noticed a very disturbing passage about how I had been hurting myself. The next thing I know, my brother knocks on my apartment door. “Is everything okay?” he asks. “Karen told me about what you wrote, are you sure you’re okay?”

I told him I was fine, but he knew me better. That Friday after dinner, my family—my parents, my brother, my husband, and my godmother—were gathered at my parents’ house. In front of everyone, my brother shared that he was concerned about my well-being, and that he noticed I’ve been having a hard time. Then he outed me, right then and there, announcing that I’m gay—revealing the truth that I had only ever written in my journal. Tears started to fall down my husband’s cheeks. He said, “Whatever makes you happy, Amanda. I’ll support it.” You’d think that would make my decision easier and lighten my load, but instead, I thought to myself, “I am one fucking terrible person.”

The self-harm got worse and more frequent after that. I was doing anything to take the edge off and dull the pain. Two weeks later, Karen finally told me, “Amanda, we’ve done all we could. You’ve done all that you could. You’ve seen your therapist, you’re taking meds, you’ve told your husband and your parents, and still it’s not working. It’s time, Amanda. I think it’s time you entered yourself into the hospital.”

It took a long time, but once I was able to manage my symptoms, I was able to come to terms with the reality of who I was.

It was there on the 11th floor of a New York City hospital that my social worker finally puts a name to what I’ve been suffering from most of my life. She begins to read each of the nine symptoms out loud, and with every symptom, I’m convinced she’s reading my biography. “Amanda, have you ever heard of borderline personality disorder?” she asks.

That moment changed my life. Receiving a diagnosis put me on the track to proper treatment (dialectical behavior therapy, which is designed specifically to help people with BPD) and with it, I begin to understand my emotions, my vulnerabilities, and most important of all, what to do when I am feeling suicidal—tools that I never really had before.

It’s been 13 years since I received my diagnosis. I continue to work with a DBT therapist and go to a group class to learn the skills I need to thrive. My therapist has been invaluable to me. She challenges me, keeps me accountable, and helps me build a life I’m happy to live as a proud gay woman. It took a long time, but once I was able to manage my symptoms, I was able to come to terms with the reality of who I was. It was so hard for me to let go of my husband, who gave me hope, stability, and structure—things so important to my mental health—but I had to first believe that I could be those things for myself.

Still, it hasn’t been easy. I continue to work through suicidal thoughts and urges. I have been hospitalized three additional times since my first hospitalization all those years ago. Although I sometimes see those as failures, I ultimately recognize that indeed, they were strides in the right direction. I’m still here, and that has to count for something.

You know what? Maybe that something is courage. People who have been through hell and live in a body and mind that conspire to kill itself are incredibly courageous for not only sticking it out, but for seeking the right professional help to keep them alive. Seemingly insignificant things like talking to the barista, going for a jog, holding ice in your hands, and yes, accepting help when you need it most, are courageous acts in the face of suicide. We must choose courage, no matter how difficult and painful the road ahead of us lies.

Amanda Rances Wang is a digital designer by trade, an advocate for those living with mental illness, and founder of a startup. She lives with her son in Long Island, NY.

Here’s the best way to take care of a friend struggling with suicidal thoughts. And here’s the best way to talk about suicide, according to a psychiatrist.

Source: www.wellandgood.com/good-advice/suicidal-thoughts-depression-help/

How Someone Else’s Depression Can Affect You

As is often said, depression is depressing to be around.

The word depression can mean very different things to different people. When someone says “I feel depressed” to describe everyday blues that come and go, these transient blues are not what mental health professionals mean by the depression.

Generally, clinical depression refers to symptoms that significantly affect a person’s functioning and last for a substantial amount of time.  Most of us go through periods of dysphoric moods with temporary symptoms of depression, but we continue to function normally and recover without professional treatment. 

What causes depression?

Most mental health professionals agree that usually a number of factors, both biochemical and psychological, work together to trigger a depression. Some people, because of their biochemical and genetic makeup, are inherently more vulnerable to depression when they experience life stress than other people who face the same stressors. For example; siblings can grow up in the same household but respond to family dysfunction in completely different ways.

Depression is often missed by either patient or family members because it’s hard to identify. Diagnosing depression often goes hand-in-hand with other mental and physical illnesses. If someone has a physical problem, it could be easy for the depression to be overlooked.

How does your loved one’s depression affect you?

You may be so intent on helping the other person, that you become blind to ways in which you’re being affected.

As time goes by, your own mind and body can also become filled with negative feelings. As is often said, depression is depressing to be around.

Effect on Spouse

As the person closest to the depressed individual, the spouse is often affected first and most. He/she may notice the signs before anyone else; indeed, some people are so good at hiding the signs of their depression that their spouses are the only ones to ever know anything is wrong.

The spouse is also most invested in the depressed person’s happiness. This is a source of strength, insomuch as it gives the spouse reason to help the depressed individual. Unfortunately, it can also be hard on a spouse if treatment is refused or unsuccessful. Prior to a diagnosis, the spouse might feel that they’re a failure for not making their spouse feel happier.

Effect on Children

Children are very malleable. This can be a good thing because it allows them to more easily recover from traumatic experiences, but it also means they are more susceptible to negative emotional environments in the first place. Because they need more positive encouragement and attention as they grow, children are less likely to thrive when one or both parents are depressed.

Like the spouse, children may feel compelled to help take up the family activities that their depressed parent is neglecting, forcing them to “grow up early”. Also like the spouse, children of depressed parents are more likely to develop depression or other mental illnesses in childhood or later In life.

Effect on Extended Family

Away from the nuclear family, depression can still have effects. Family that lives far away may experience anxiety about not knowing how the depressed person is doing or fear of not being kept in the loop. Meanwhile, family that lives nearby may stop visiting due to the negative atmosphere. Concern over the children growing up in such an environment, while justified, can lead to confrontations and acrimony between family members.

Conclusion

Ultimately, if you are depressed, the best thing you can do for yourself and your family is to seek or accept treatment. Don’t be afraid that you will not be able to take care of them while you take care of yourself. By focusing on your own healing, you are helping them.

It helps to think of the family as one entity. If one part (you) is sick, the whole suffers, and the emphasis should be on healing the sick part.

Source: http://www.medicaidmentalhealth.org/_assets/file/Guidelines 2017-2018%20Treatment%20of%20Adult%20Major%20Depressive%20Disorder.pdf