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Catherine Moirai's avatar

I used to put myself under obligations so that I wouldn't die until (the next meeting I was responsible for, the dinner I agreed to host, the promise I made about something or other....). It worked for a while. I was lucky enough that the first antidepressant I tried actually worked, a little, and an increase in dosage was/is miraculous. I still "go there" on occasion, when another bout of shame and worthlessness strikes, but overall I can go whole days sometimes without the thought that I shouldn't be alive. Now I understand that my brain chemistry is faulty. I think of it as a little like having diabetes: it's a chemical thing, and I need a medication to help me do the rest of the work like eating and sleeping responsibly.

My therapist at the time pointed out that I had gotten "drop dead" messages from my mother, father, and grandmother. Early training in self-hatred is hard to totally erase. But it helped to understand where I learned to think I was unlovable. It also helped when someone said that often depression is anger turned inward. Now I can talk back to my grandmother's voice -- most of the time.

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