need help for severe depression

Nurses General Nursing

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I am an RN that lives for my career. I am now faced with the probability of losing the career I wanted for so long & worked so hard for.Severe depression has officially taken over. This past year has been really awful. it started with a severe fatal stoke in the family,then I had 3 herniated disks in my cervical spine and ended up with fusion, then an emergency quadruple bypass on my father in law (where I ended up the main caregiver), My son (19) had recurring bouts of undiagnosed pancreatitis followed by gallbladder surgery, I had a car wreck that left me with a herniatd disk in my lumbar spine and will probable not be able to return to my job. top that off with a disabled spouse for the last 6years. so my income was the only one. now that doesn't exist.I don't know what to do anymore. i can't seem to get anything done, nor do i want to.antidepressants don't seem to be helping now.anyone have any ideas???

Rhonda, hi, I've been out of work since 10/20/03 due to depression and anxiety, it's not fun but I'm getting better every day. Meanwhile I was able to get disability and had a lawyer do everything but the initial paperwork. It's worth looking into Rhonda and won't cost a thing if you don't win.

Bless you - as to "shorter updates" - don't even think about it. Say what you need to say and know that it probably helps at least one of us!

Take care!

Thank you for taking time to care. Any Ideas who to see about the disability? Is this state of federal? thanks again. Rhonda

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Thank you for taking time to care. Any Ideas who to see about the disability? Is this state of federal? thanks again. Rhonda

Hi Rhonda

Soc. Security disability is a federal program. You should be able to find it under "united States Government" listings, or maybe you even know where your local office is.

I filled out the form by myself the first time. It is customary to get turned down the first time. Then you go to a lawyer (sometimes you may know a friend who can recommend one?) and then they send in some secondary forms, which may or may not be more complete as to all the names of doctors and providers they should contact.

One of the most important things is to have REGULAR doctor visits so that your illness and disability are continuously monitored and documented.

Good luck Rhonda!

hi rhonda ,

depression is a world wide disease, it is estimated by 2020 it will be the 3rd biggest disease in the world! let no-one tell you that it is something you can just get over. i have just emerged out of an 8 year tunnel of depression and for me it is like walking into the light again. i am on 300mg of efexor and i won't be reducing it until i have had a year of feeling "normal" again.

for those who have never been "clinically depressed" let me tell you what i was like at the worst.

- i had no motivation to do anything. it's like i was paralysed, i literally couldn't get the e to do anything positive.

- i didn't wash myself or care for myself

- i wore the same clothes for weeks sometimes.

- i nevr cleaned my house even when there was dog faeces around

- i mainly lived on coke (drink) and cigarettes.

- i played computer games all the time.

- i threw all my bills in the corner and didn't look at them.

- i just stayed in my home

the results of this were almost losing my job and having my car repossessed for unpaid bills. make no mistake i knew what was happening but i just didn't care at all about it. didn't really care about me really. i merely existed. did i have 'suicidal ideation" no - that would take too much effort.

what caused this? well i wasn't having a "annus horribilis" like rhonda has had, but i was working in a very toxic environment and was imho the victim of extensive & continuous workplace bullying. and like rhonda, i ruptured a disk in my back (rolling over in bed - alone) which certainly exacerbated it. plus i was and am peri-menopausal. there is also a history of depression in my family - my grandfather & great grandfather both committed suicide.

the one thing i cared about and in fact were my saviours were my 2 dogs - keeshah & ubu - bedlington terriers. they loved me no matter what i was like. i always had food for them. and they, my psychiatrist and my anti-depressants pulled me through this. plus i had support of my union who helped me confront the toxic environment where i worked and others who were also the victims of workplace bullying took our thought to the powers that be. it took some time for things to change, but change they did.

i am now as i was 8 years ago, engaging in my profession again, really enjoying teaching & researching again & have even joined an on-line dating service!

rhonda, honey, it takes time & it takes patience & endurance. your depression has been truly exacerbated by all of the truly dreadful things that have happened to you and it seems continue to happen to you. i can't hug you from here in australia but i can tell you that i have been there, and like so many others have offered so can you pm me.

may the goddess bless you in all of her aspects,

blessed be,

aellyssa

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
hi rhonda ,

depression is a world wide disease, it is estimated by 2020 it will be the 3rd biggest disease in the world! let no-one tell you that it is something you can just get over. ...

may the goddess bless you in all of her aspects,

blessed be,

aellyssa

{{{{{{{{{{{[aellyssa}}}}}}}}}]

doesn't matter how many times i hear all the people's different stories, it still makes me go "ah! i'm not the only one!"

bless you too and so happy to see you here, another one survives, yayyy!

I was sad to read your post (and everyone else's) who has/is suffering depression. I've been there a couple of times and in fact am only just emerging from the worst spell ever.

Yes, it can seem crazy to those who haven't been there. My mum had a nervous breakdown when I was 14 - it was scary to see how she lost interested in us, so unlike her. I won't go into all the pressures she was under at the time, but a lot of us would also have buckled a bit under the strain.

Now I am 36 and have been there myself. It's not always the "worst" stuff that seems to bring it on. Or maybe it is, but is doesn't manifest until later. Sometimes the straw that breaks the camel's back can seem like nothing to others but it's the fact that it IS the last straw that makes it so powerful.

I used to be good at bottling stuff up and carrying on appearing cheerful and happy. A lot of my friends used to think, "lucky ......... she never has ANY problems!". Trouble is, years later, that tactic didn't work any more.

Seems to me, NeedsHelp that you are seriously depleted from being the caregiver to more than one person. That's TOUGH. Far from being selfish, my guess is you probably haven't been selfish ENOUGH!

You WILL get through this - the support here is incredible and you need to explore every avenue to find your answer - acupuncture, therapy, your doctor - everything. Please invest this time and effort in yourself for a change. I noticed you said you'd been an anorexic? I don't know the circumstances but I believe that starving your body of nutrients can be a cause of depression so bear that in mind and work out a healthy eating programme - less junk and lots of nice wholefoods.

Listen to me preaching - I have put on nearly 70 pounds during my bout of depression which I am now ready to tackle. I've been awful to my husband and my social life has all but trickled out. But I am on an upswing and am fighting back.

I got an e-book which was helpful. If you think this would help you in any way, please email me and I'll send it to you.

You are very important and special, NeedsHelp - give yourself the same consideration and help that you have so freely given to others.

(((NeedsHelp)))

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
You are very important and special, NeedsHelp - give yourself the same consideration and help that you have so freely given to others. (((NeedsHelp)))

We all should read that (above) over and over and over - thanks for your post!

I'm so sorry to read of your troubles...you have had more than your share lately. I am also a nurse who has had spine and neck injuries and had to readjust following surgeries. My career had been #1 self esteem for me and this gave me problems. I had to 'adjust' my attitude/thinking a bit.

I hope you find a good counselor to help you to reframe your thinking...this is what I have had to do. My injuries have healed and I have been successful in several nursing positions since my accident, it just takes a little time to find the right position. I was able to get a charge position (desk jockey) where I was very appreciated by managers and staff...do you know a place that could use a good charge nurse?? (YOU)

Your experience IS a valuable asset!

Check it out..when you feel better. Sounds like you need to bolster your own support system and ask for some caring to be directed back to YOU. Now you are overwhelmed and need to feel better/have some good things happen to you. Take care please. PM me if you want to talk.

I really hope you get better soon. All the above are good suggestions with the exception of just get over it and be grateful, blah.blah.blah. Severe depression can't be willed or thought away.

I would suggest you seek out as good psychiatric APRN. He/ She will asess you holostically including:

1. Labs-a low TSH or B-12 can cause a depression or exacerbate one i.e. hypothroidism or anemia.

2. Changing or augmenting an antidepressant after the dose has been optimized and you are on it for at least a month.

3. Exercise and proper nutrition

4. Psychotherapy to help you identify cognitive distortions, coping mechanisms and self nurturing.

5. Possibly a pain management or chronic pain group for support and/or treatment.

Good luck-I'll keep you in my thoughts! PSYCHaprn

Specializes in Nursing assistant.

so glad you have continued to keep us posted. You have been through so much, and it is admirable that you keep plugging away despite all you face. The depression has nothing to do with your character. What I see in your postings is someone who has continued to hope despite incredible burdens.

You have great value, not based on what you are able to do or not do at this point in your life. You are of great value because of WHO you are. You are a person who has given yourself to others , you are a child of God.

I just found out last week, after 30 years of wanting to go to nursing school, that I could not afford it at this point. With my age and circumstances, it was a now or never situation. I had to consider: I thought this was the one thing I was made to do, but now it appears not. One week before the caregiver of one of my home health pt died, he told me this: It does not matter what your title or job is, how weak or how strong you are, how smart or how confused you might feel. What matters is what you bring with you, where ever you go, what ever you do. He said it was not about me, it was about God. I thought alot about what he said during his funeral and the days that followed. I though about the COPD pt, who though she cant "do" anything anymore, has brought great joy into my life by being my friend. I remembered my alzheimers pt who, though she can't remember the day of the week or how to get down the hall to her bedroom, still ministers to me with her undying faith.

You are complete in Him, right now, even in this seemingly defeated situation. You, in your openess to share, have encouraged me. Your honesty is refreshing!

(((((needs help))))) from another who has touched bottom and survived. now i also have a hearing loss with which i'm coping well, and i'm fighting with all my strength to finish my second semester in adn.

the others have offered some excellent thoughts. let me add this: cognitive behavioral therapy can be priceless because you can change the script and learn to stop telling yourself bad things. sounds dumb but it is true and the results can nudge you into life again. very best of wishes.

edited to remove bold lettering

Rhonda - is there somewhere around that you could spend time doing what you enjoy - that painting of ceramics or making gemstone jewellery - these activities that you mentioned you enjoy? I really liked your idea of a bottle of ambition.

Specializes in Nursing assistant.
(((((needs help))))) from another who has touched bottom and survived. Now I also have a hearing loss with which I'm coping well, and I'm fighting with all my strength to finish my second semester in ADN.

The others have offered some excellent thoughts. Let me add this: cognitive behavioral therapy can be priceless because you can change the script and learn to stop telling yourself bad things. Sounds dumb but it is true and the results can nudge you into life again.

Very best of wishes.

are there any good self-help books out there on cognitive behavioral therapy that you could suggest?

Specializes in Community Health Nurse.
We all have crisis in our lives. You just have to learn to rise above and get on with life. You are only 38 years old according to your profile. You have many, many good years left. I have never suffered from clinical depression, so I do not have a personal understanding of how debilitating it can be. But I have suffered adversity, as most of us have. If you think you are the only one, the you just aren't paying attention. Have you seen the guy who had to cut off his own arm because it was caught under a boulder while hiking? I can't remember his name, but I saw him on a talk show and he has written a book. He was thanking God for his affliction because it made him more aware of the fragility of life, and helped him lead a fuller, more "aware" life.

You mentioned a family member having a fatal stroke. As we get older, more and more precious members of our families are going to die. My sister was killed by a cougar last year and we found her body, that was not exactly a part of my life I would like to relive, but life goes on. That is a fact of life, as a nurse you should understand that clearly. As far as your FIL having bypass surgery, did he die? Most folks who have bypass surgery return to normal, active lives, my husband did. How is your son doing now after surgery? If he is 19, he was probably healthy enough to get thru things well. As far as your back surgery goes...there are many nursing jobs that are not quite as demanding physically as others. Search them out.

Maybe your primary problem stems from your opening sentence, saying you are an RN who lives for her career. Nursing is a job. We are numbers on a schedule to management. If you happen to be able to find some enjoyment and fullfillment in your job, then that is a bonus. That is what keeps us going. But as far as living for it.....there are too many other things to live for. Live for your family, your grandchildren, yourself, the ability to travel and enjoy nature. Live for God, make yourself available to others who may need encouragement. Live for the sake of being able to see the sunrise every morning. Live to hear a baby coo. Live for puppy kisses. Live because that is why we are on the earth, but for Heaven's sake....don't live for nursing!

Well....don't hold back Dixielee. :o Show a little less heart why don't you. :rolleyes:

I'm sure you meant well. Some people think the old "pull yourself up by the bootstraps" and "suck it up...move on...get over it" mentality is the medicine to dish out to people who seek out others advice for help. I'm sure this is what you meant to do. Perhaps that's what has always worked in your life, or with your family or circle of friends, but not everyone can handle this "confront the bear and get over it mentality". :)

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