Showing posts with label physical therapy. Show all posts
Showing posts with label physical therapy. Show all posts

Thursday, February 05, 2009

Truth about depression

My Sunday school class is going through a book by Nancy Leigh DeMoss: Lies Women Believe and the Truth that Sets Them Free.

The author does disclaim that some of her opinions are controversial and not everyone will agree with her. That's cool. How boring this world would be if we all agreed!

Sometimes opinions can be dangerous and even deadly.

Miss DeMoss says this of depression: "The Lie: the answer to depression must first be sought in medication and/or psychotherapy."

In her opinion, depression is born of a sinful attitude or belief in untruth. She believes it first must be treated with Scripture and prayer and Godly counsel. My conclusion is that she's not too keen on medication.

I'm assuming the author has not battled with true depression.

At the risk of my reputation (again) and personal relationships, I'm gonna share my experience with depression and what God showed me.

During my first period at the age of twelve, something was terribly wrong. Exploding pain shooting up my side sent me to the emergency room. Doctors thought my appendix burst.

This scenario repeated itself over and over again until I was 18. Not only did I have horrific pain, I bled heavily and out of control for up to 12 days. That's not normal. For six years, I lost at least one to one and a half weeks of my life each month.

Relief came after I turned 18. Everything stopped. No period, no pain. Specialist after specialist could not figure out what happened. It wasn't until seven or eight years ago that finally doctors discovered I was in full-blown menopause. My hormones were whacked at best.

In addition, my thyroid went hypo (not enough hormone) and my other adrenal glands were depressed.

Balancing my female hormones became a priority because honestly, it's very hard to function without them. In the middle of that years long flurry of pharmaceutical roulette, the chemistry in my brain was affected. I was depressed, but no one including myself, diagnosed it. My symptoms were attributed to hormones and thyroid problems.

Add is life stresses and this biological cocktail grew deadly.

DeMoss argues that depression can be controlled, cured and prevented via prayer and bible study. She insinuates claiming depression is out of our control is a cop-out.

I love control. Who doesn't? While life spun out of control around me, I figured if anything, I could control my emotions and be that strong Darcie everyone expected.

The more I tried to pray it away and beg God to pull me out of the pit, the deeper I fell in. At the urging of one of my spiritual mothers who is a nurse, I went to my doctor.

Antidepressants are not magic pills. They are all different and work in different ways in different people. Psychiatrists look at a patient's medical charts and take a good guess at what kind of medicine may work best.

It may take several months of toying with drugs and doses to achieve some sort of balance.

Doctors warn that suicidal ideation and even attempts may occur during that investigational period.

My doctor prescribed one drug that wasn't working too well. So, we had to make a change. During that transition all hell broke loose. My brain didn't like letting go of drug #1 and fought back. I went bezerko. The teeny-tiniest things of life set me off into a spiral. Insensitivity toward my depression and a very condemning attitude from a few Christian peers was the match thrown in a kerosene soaked pile of kindling.

My brain was abducted. Honestly, that's what it felt like. There was a piece of me that watched in horror as the rest of me exploded into a suicidal fury. I could not stop it. Physically something was going on.

God stepped in through my husband. John had to physically wrestle me to the ground and peel pills from my hands as I raged and fought and screamed. Within 30 minutes he had me in the ER.

Psych consult attributed my suicide attempt as related to the medication transition. That mixed with the meds for my ADHD...

After I was released from the ER, I had to go every day to depression management classes and talk to a psychologist. Not to plant secular hooey in my head, but to help both John and I understand physiologically what was going on in my brain. My psychologist and psychiatrist gave us coping techniques to get us through that 6-8 week period of waiting for the meds to kick in.

Coming out of that episode, I was soaked in guilt. What had I done? What did I almost do to my family? I beat myself up mercilessly for my lack of control.

God whispered in my ear, "Darcie, you never have been in control. You never will be either. Only I am in control. Trust me."

What a hard way to learn such a seemingly simple lesson.

I don't advise it.

Here's the other assumption made by some Christian leaders who have never experienced depression for themselves. Antidepressants are just happy pills to avoid the real spiritual issues and sinful attitudes.

Oh how I wish my meds were happy pills! Medication only takes you to the point where you feel like your normal self again. They don't alter your temperament or attitude. They just create a balance in your brain so you can function.

In fact, anti-depressant meds won't work for long if you don't deal with some of the root causes or fuses to the depression. You must treat your whole person. Mind, spirit, body.

Christians have an advantage here, because we do have Christ dwelling in us. When we are weak, he is strong. His power is made perfect in our weakness. No one can have victory of this horrid illness without seeking and pulling out the toxic weeds.

When Christian leaders and authors advise heading to the church first when dealing with depression, they are putting lives at risk.

Depression MUST first be treated as what it is: an illness. Like any other illness. You don't tell a cancer patient to spend hours praying with the pastor or in counselling before trying chemo.

Depression is a cancer to the soul. You have to get the body in order and balanced so then you can get the mind and heart in order.

Severely depressed people, if pushed to repent, recite Bible verses or pray without medical help, may engage in self-destructive behavior. The energy and cognitive power to deal with issues beyond breathing and eating is not there.

Nancy Rue along with Stephen Arterburn are writing a series of novels that delve into this very issue. Healing Stones and Healing Waters (review) are of the transformative fiction genre. Through the lives of psychologist Sullivan Crisp and others, the authors go so deep into the heart of depression no one can emerge from the stories without empathy and hope.

These books both, have had an impact on my life. For the first time ever, I was reading my life on a page written by some very high-profile authors.

In the series character's backstory (Sullivan Crisp), Rue and Arterburn carve out how Crisp's wife ended up committing suicide and murder because well-meaning, yet ignorant believers told her depression was spiritual. The Biblical counselor she saw looked down on medication and psychotherapy. Prayer and scripture. Prayer and scripture.

The danger of discounting depression as an actual illness can't be played out in a more dramatic way.

In both books, depression is treated with such care and understanding infused with unflappable hope. A balance of medical help and spiritual growth is illustrated in a way readers can replicate.

I've blathered on for a looooong time.

If you know someone struggling with depression, encourage them to see a doctor first. Don't push the churchy stuff until they are stabilized on meds. In the mean time, buy and read these books mentioned above. Give them to the person to read once they can handle it.

God calls us to be Christ-like. Jesus Christ is grace and mercy. Draw upon him to flood you with the grace and mercy you need to show to a friend or even yourself when dealing with depression.

Thursday, August 14, 2008

Much to lose

I almost made a decision that would've permanently altered my life in a bad way.

Thinking back to what I almost did, causes heaves in my stomach and prickles under the surface of my skin. I had no idea I had so much to lose.

I kneed to tell you this story because it's a cattle-prodding reminder of our need for God's wisdom and an openness to hear wisdom from an unexpected source.

Sunday, I attended a new Sunday school class. It's a class made up of a kalidiscope of women yearning for a deeper relationship with Jesus Christ. At the end, the leader of the class asked if anyone had prayer requests. Before I arrived at church, I planned to keep my mouth shut and ease myself back into the church community as a fly on the wall. Anonymity was my goal.

Several requests were shared. The leader looked around the room asking if anyone else needed prayer. My mouth opened and I asked for much kneeded prayer.

"Um, I had surgery two months ago on my knee and I'm not able to get the swelling and pain under control. Physical therapy is too expensive and probably won't do me any good. Swimming seemed to help when I was in PA, so I guess I'm asking for you to pray I can get access to a pool. I also need wisdom on how to figure out my knee issues on my own."

After prayer, class broke up so the next group could use the room. A woman approaches me.

"Wow. It's funny you asked about access to a pool. My daughter broke her leg two months ago and is learning to walk, so we have access to a community pool along with some free passes. Call me tomorrow and we'll start you swimming. I'd love to play with Kyle while you swim and my daughter water-walks."

Deb proceeds to tell me that her husband is my husbands primary care doc at Kaiser. She asked me who my PT was and why I wanted to be my own therapist. Did I have a degree in physical therapy?

Before going our separate ways to join our families for the 10:40 service, she made me promise to call my PT. (Her daughter has the same PT who happens to be the department head and one of the best in Kaiser.) One visit was all Deb made me promise. And she was going to hold me to it.

It's important to know that on average, it takes two weeks to get an appointment in the PT department. I called Monday morning, and was sitting on the PT table at 8AM Tuesday morning.

The PT listened to my frustrations with pain, swelling and a lack of progress. She took measurements of my knee's ability to flex and extend. My extension was 8 degrees short of my good knee.

"It's good you came in because you are nine weeks out of surgery, and if you don't regain full range of motion by twelve weeks, your knee will be permanently bent which will cause you a lot of pain, and will injure the muscles connected to the knee. You have three weeks to gain 8 degrees and it won't be easy. Also, your kneecap doesn't move. We need to get it in motion ASAP before any more scar tissue builds up."

She told me the consequences of failing to follow through with therapy will make hiking, biking and the other physical activities I love, almost impossible to do. I'd also live with increasing pain and injury to the joint. I had a lot to loose.

I had no clue.

I assumed I could do the knee thing on my own to save a few bucks (and avoid doing painful things I knew the PT would prescribe).

God immediately provided both the wisdom I kneeded, and the resource (pool) to follow through. My PT gave me a huge list of exercises which does take up most of my day. Rehabbing my knee is my full-time job right now. I see her again in a few weeks.

Thinking about how close I came to incapacitating myself over $30 is humbling.

I'm so glad I have a Father in Heaven who not only saves me from my sin, but saves me from my self!