Saturday, July 12, 2025

On Depression (Again)

 I'm back on SilverCloud

After a few weeks (months?) of debating with myself whether I should reach out to GP again, I instead self-referred for talking therapies and after yet another telephone appointment where I went through my history, current state and reasons for the referral, I panicked at the thought of more targeted help and asked for the one that I've done before and can at least try and approach in my own time. 

I've had limited success (but not no success) with CBT before, so I'm trying my best to approach this as an opportunity to improve on previous effort, become more aware of my cycles of thought-feelings-behaviour, and just find somewhere, anywhere, to interrupt the spirals before I hit the bottom. 

It is, still, frustrating to read the exact same things again, to skim through the theory because I know how this is supposed to work, I know the model that is the basis for the therapy and I know the techniques that I'm going to be asked to use. As I said in my assessment appointment, I know what I need to be doing, I just can't seem to keep it up. And that becomes another stick to beat myself with, another "see? I'm useless". 

I am just about managing to stick with my morning exercises ("but I'm doing the easiest possible level"). The heat waves are interrupting my running schedule ("but I don't always do the full run anyway") and all my attempts at improving my diet keep failing ("I just don't have any willpower"). Finding the time/motivation to meditate or practice mindfulness is always a struggle ("it's like I don't want to get better"). 

I still go into work regularly ("but I don't do anything there") and I still see friends. I've got my regular social engagements, and say yes to as many others as people suggest. I'm planning on going away twice in August - including hopefully to see a football match even though I find both traveling and the idea of being in a crowd of strangers terrifying. I read every day, I do puzzles, I walk the dog, I listen to podcasts and music and watch YouTube videos, sometimes even ones that aren't by the Green brothers ("but none of that is helping"). I joined more Discord servers ("but I'm too shy to join in"). I do at least some housework ("but not enough"). I buy myself things I want and give money to charity ("isn't that supposed to make me happy?"). 

I keep making plans for the future ("but I might not be here") and keep getting out of bed every day ("but what's the point?") and keep trying all the things that are supposed to help because the alternative, not doing all that, feels too much like giving up. And while I am not sure I will ever be "better", I don't want to get "worse". 

I find it so hard to find hope, despite studying the masters, that hope feels forever out of reach for me. But in the absence of hope, there is at least sheer stubbornness, and I think that's what's driving me at the moment. 

No comments: