April 01, 2008

Snow, Spring And Depression

It's snowed three of the last four days in Seattle, a city in which it generally snows once or twice a year. We've had snow maybe seven times this year, it's been a very cloudy winter when it hasn't been raining otherwise, and people are literally crawling out of their skin. I ran into someone the other night who insisted half of her friends were on anti-depressants. The other half were drunk. A few days ago, I ran into a relation of a woman I know and she dragged me aside to tell me that the woman had been drinking so much and had been so depressed that she finally dragged herself to a doctor, who promptly gave her an anti-depressant that had her bouncing off the walls.

"So we called the nurse and they think she's bipolar. What do you think?"

I told her that the woman needed to be off that anti-depressant right away (she'd only been on it four days), that she needed to not drink, and that they somehow needed to get her evaluated by a competent doctor. She wasn't suicidal, so I was comfortable leaving it at that.

All of which is to say that it's been a very rough winter in the Northwest and I am hearing the stories of suicides, suicide attempts and people having trouble with anti-depressants. (I assume that there are good stories and I just don't get told about them.) The end of winter is really tough here because we simply don't transition to spring the way much of America does. Here we count ourselves lucky if we even use the term before mid-May.

I usually hear about all of these troubles from a friend of whomever is going throw rough seas, and I want to offer some advice to all of those friends who get caught up in being the helper and, in particular, are trying to sort out whether their friend might be having problems with an anti-depressant. You've got to know what medication your friend is on, at what dose, when they began taking it and what sort of behavioral baseline they had before they began the drug. You need to know all of those things--and probably a few others as well--in order to sort out whether an anti-depressant is at the root of a problem. And your friend does need to be seen by a competent doctor or therapist in short order.

The civic mood in Seattle has been really nasty lately what with the continued cold and gray skies. There are people who literally hibernate all winter in this city, but somehow drag themselves to work each day. I've been watching this weird winter trudge for nine years in the Northwest and I am always amazed that, once the weather warms up to the 60s, you'll see all these people walking around the neighborhood whom you've only rarely seen before. They've literally been in hiding since the prior October.

The only bright spots in all of this are that it looks like we're headed for a small break in the weather, baseball began yesterday with a 5-3 Mariners victory at home (they play under a retractable roof), and sooner or later someone is going to figure out the riddle of depression and seasonal affective disorder (a term I hate, but it sure is accurate).

That won't come a moment too soon.

Posted by Philip Dawdy at April 1, 2008 12:05 AM
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Comments

Alcohol is a pretty safe drug, I endorse this drug for those who can stay in control of themselves while on it.

Posted by: mark p.s. at April 1, 2008 02:32 AM

Here's my advice for your friend, take the same money she would spend on psych drugs and spend it on a week at some warm sunny place. Alcohol is to some extent like other antidepressants, taken in excess at first you feel great and by the time it stops working you are addicting and can't stop using it. Alcohol is only problematic in excessive doses, I wonder if there's a non lethal pleasant dose of other anti'd's. Doesn't look like it.

Posted by: Sally at April 1, 2008 06:01 AM

I've found out the hard way it's not easy to advise friends and acquaintances about antidepressants especially once they're on them, but even beforehand, they've usually made up their minds. All you can do is urge them to understand that dosage is something to think about and to read up on adverse effects, short and long term, and to be aware there is a withdrawal issue. I don't ever push the placebo effect because nearly everyone attests to that little high the pills give you at least initially -- I call it the "bipolar" effect. I also urge finding a really good counselor, preferably one that doesn't like meds (hard to do). But a lot of people really don't want to do talk therapy -- it's sad, but I guess it's kind of understandable. Some therapists stink and it's bloody expensive.

Posted by: Sara at April 1, 2008 08:31 AM

this is a great post, being in the area i was out and about yesterday and all in one day, sun, rain, hail, thunder and snow. i was standing soaked from a downpour of rain last october at the grocery store, and a man and i were discussing the annual hibernation about to take place: seattle's hibernation and as he said, "dvd time". i think this is a time of year when ppl. DO need to drop alcohol and hell, try and get thru it w/out starting anti depressants, I say that because i think this stuff is seasonal mood changes for some ppl. I started the winter with booze and dvd's and when i stopped the booze and switched to herb tea and dvd's i have been less affected by seattle's notorious moody weather.

There is one thing they say about Seattle; we have 2 seasons, winter and summer.

I also had no idea it was baseball season until driving in my car and heard the announcement on the radio. doesn't feel like baseball season.

Posted by: Stephany at April 1, 2008 09:44 AM

Hey, I have to join in this little whine fest. We all deserve it.

We have had more godd*mned snow here in NH this year than you can shake a stick at. We've broken the 100-year record quite handily and are going for all time. Mr. Duck and I try to do fun things like ski and snowshoe to keep ahead of the curve. It never works, but it does help some. At some point I simply become frozen inside, a mirror of the land around me. To paraphrase Jefferson Airplane (yep, I'm *that* old) "Winter had inhaled and held its breath too long".

This year we've been so friggin' overwhelmed by the shovelling of paths, driveways and roofs required just to survive we're too exhausted to even think about fun. At one point we were having a building a day collapsing in our area--one day three fell down from the weight of snow on the roof.

Our four-foot fence disappeared entirely. Thank god our current dogs don't want to break out, although one of them walked over the fence without knowing it and was confused to find himself in the road. We can see about a foot of it now--on the sunny *south* side of the yard. It's April 1.

Believe it or not, the city in the US that has the greatest number of cloudy days is... Burlington, VT! Burlington is one of the nicest cities I know (right up there with Seattle, except Seattle beats Burlington because it has Pike St. Market and all those flying fish), but it's right on the edge of Lake Champlain and they don't get to see much sun even in summer. I had a friend who used to live (or try to) in Burlington and he moved out because he had SAD all year round.

Do you Seattleites (is that correct?) use light boxes? I have one and it does help. The problem I have is that it's close enough to some of my abuse to trigger my PTSD symptoms. How very jolly. Not. So I muddle along, try to get outside as much as my agoraphobia allows (yes, I know I sound like an SNL skit or an advertisement for my local mental "health" center).

Let's stick together, gang. Raise our fists in the air and yell "Feck YOU, WINTER!!!" Nice and loud, now, it'll get our endorphins moving. I hope.
Sherry
PS: Stephany, I didn't know you live in Seattle! Congratulations. I think.

Posted by: Sherry at April 1, 2008 05:31 PM

As soon as it became obvious that the melting of the icecaps means SNOW in the Midwest in the winter, I knew I had to commit to a winter sport. I think people have to get outside, even though it's cold, rather than drug up and stay in.

Bundle up, we say. Walking is a sport.

I bought cross-country skis, and even though I'll regret it for the next few months (don't say I didn't warn you, you'll fall) think it was worth it.

Posted by: therapydoc at April 2, 2008 02:03 AM

hah! Sherry, you made me laugh! I needed that! PS- one of my kids caught one of those flying fish! not me, yuck.

Posted by: Stephany at April 2, 2008 04:14 AM

"So we called the nurse and they think she's bipolar. What do you think?"

Oh how I love comptent healthcare (insert sarcasm!) 4 days on an anti-depressant and talking to a nurse = a BP dx? I think you need to tell your friend to make sure that doesn't end up in her medical records. Shameful......

As for the weather, I am tired of the weather too. Having lived in Seattle my whole life and now living in Jersey, though it is sunny, it is just too damn cold to go outside, so I am stuck either way. I feel you Philip!!!!

Posted by: Angie at April 3, 2008 04:15 AM

Scientific source: mesothelioma cases
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[URL=http://moodle.dccc.edu/user/view.php?id=2067&course=1]mesothelioma cases[/URL]

Posted by: Marina Schultz at April 16, 2008 01:05 PM

hey philip! i totally agree with this post one year later look! it's freaking snowing!!!

GRRR damn weather!

Posted by: Stephany at April 1, 2009 10:30 AM
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