I’ve been living under gray skies, though I cannot remember for how long. Weeks? Months? Longer? My sense of time is distorted as days and weeks bleed together, a bland landscape laid out before me. My life lacks rhythm and every day feels the same. My alarm is set for 4:45, but I am often awake long before that. I lay in the dark, wondering if sleep will find me again, but knowing that it probably won’t. I spend time at my desk reading, journaling, and sometimes praying–if I can find the words. I shower only because I must. I still go to work every day and I am still good at my job. It’s been about four years since I missed work, but then it was because of unrelenting anxiety. I come home, praying that we do not have anything scheduled because I have to psych myself up even for those things I “enjoy.” I would rather watch re-runs of Derry Girls.

I have had a number of acquaintances reach out lately, wanting to connect. Although I am grateful for them, I am often exhausted by the thought. Responding, even by text, takes considerable effort and I put it off as long as I can, but I am too much of a people pleaser to ignore messages indefinitely. I have a small group of friends with whom I intentionally spend time and who have been good for my soul; any more feels overwhelming.

I am rarely sad. People who have never lived through a depressive episode often assume that depression is a really deep sadness; however, although sadness may be a cardinal feature of depression, it is not a required symptom. For many people like me, anhedonia–a loss of the ability to enjoy what was previously enjoyed–is the principal symptom. Although I still enjoy certain things, my general emotional tone is bland. I have often said that one of the first cues for my depression is a loss of interest in reading.

Depression can also include a variety of other symptoms–guilt, shame, worthlessness, self-criticism, concentration difficulties, thoughts of self-harm, changes in sleep (mine is decreased) and appetite (mine is increased), and a loss of sex drive, to name a few. You see, depression is not a unidimensional construct. Although there are commonalities, how I experience depression differs from how my friends experience it.

I am in the process of switching medications. Last week, Heather asked me, “Do you think it’s time to adjust your meds?” Unhesitatingly, I said, “Yes.” My sertraline isn’t cutting it anymore. I have also been re-listening to the audiobook, An Undivided Life, by Parker Palmer for the umpteenth time. Palmer is one of my favorite authors and his ability to talk about depression from the inside is a welcome friend. On Sunday, after my friends Mike and Josh provided space to talk about my depression, I sent them a quote from Palmer who said “There is no fix here; there is maintaining presence and bearing witness.” My small group of friends hold this space for me.

Most of us don’t know how to deal with depressed people. Their misery makes us uncomfortable, so we are quick to offer suggestions. “Have you tried_______?” Many words have filled in this blank: exercise, prayer, meditation, going to church, going outside, drinking enough water, reading the Bible, eating better, sleeping more, sleeping less. Undoubtedly, these are good things to do, but too often, because suffering makes us uncomfortable, we bypass another’s pain to offer helpful solutions. (It has often been said that Job’s friends did their best work in the first week when they simply sat with Job rather than trying to find solutions). In fact, this tendency is so common in certain religious circles that there is a term for it–spiritual bypassing.

Why did I write this? Because for me, writing is one of the most therapeutic things I can do. To share my experience and have another say “me too” has been helpful to me. As a neuropsychologist, I know that I am not alone in my experience, but sometimes, I also need to bring my own darkness into the light.