This is quite a personal post. It wouldn’t be up here if you weren’t welcome to read it, but equally you might prefer to maintain the breezy larger-than-life perception you have of me from Twitter, many of the other posts on this blog, and so forth – if so, you’ll want to skip this one. It’s an optimistic post, and I’m entirely happy and well, but I thought I’d warn you nonetheless.
On August 2nd, 1999, I finally came off a very unpleasant drug which I’d taken every day for the previous three years: the SSRI antidepressant venlafaxine hydrochloride (called Efexor in the UK, and Effexor in the US). I wrote about my experiences with the drug here on the blog six years ago. This of course means that it’s now been a decade since I quit. I’ve had an alarm for this date sitting in iCal since the app was first available. Today, it finally got to go off.
I’ve had no recurrence of clinical depression, and indeed as you may have noted, I generally feel pretty good about myself. But I want to put aside the public persona and attached ego for a moment and reflect a bit on that time in my life. This post isn’t tech/Cocoa/iPhone/Mac related, so as I said do please feel free to skip it as appropriate. I always told myself that I’d write about this once ten years had elapsed, and I intend to make good on that promise. It’s also a way of saying “well done” to myself.
My depression came about as the (natural, I suppose) outcome of several very difficult years in my early to mid teens; a period which began with my parents’ divorce. I want to be clear on one point: the divorce was neither the problem nor the cause. People get divorced all the time. It’s not great, but it’s a facility that does need to be available as a last resort. In my parents’ case, divorce was definitely the right course of action. So, no, this isn’t someone whining about divorce (or the sky being blue, or water being wet).
The problem was a combination of the extremely acrimonious nature of the separation and divorce, and a set of ancillary pressures related to those events. There were some terrible mistakes made on both sides, and of course the kids are always in the middle of it all. A few choice memories include:
- Seeing my father’s face when he found out our last names had been changed to my mother’s maiden name; something done entirely from spite.
- Me, at 11 years of age, convincing two police officers there was no need to detain/arrest my father, after they were spuriously called by my mother out of spite when he arrived for our weekly scheduled evening with him.
- My father being followed repeatedly by a car full of unsavoury characters, as arranged by my mother’s then-boyfriend; a man we later found out had been up on charges of sexual assault of young boys, had been Sectioned twice, and later killed himself.
- My mother’s own mental breakdown, following an eerie night in the house when she became completely uncommunicative and later physically threatening.
- My mother’s very near death after respiratory arrest.
- A constant enormous financial pressure held over the house by the bank, due to some poor decisions and a measure of deception on my father’s part.
- Unending viciousness on the part of my mother’s extended family towards my father, to the extent of any similarity to him being classed as a fundamental flaw (a difficult situation for a son who shares his name and understandably many facial, vocal and behavioural characteristics).
And many other things besides, which are likely best left unpublished. These things aren’t listed to invite pity or comment; I just want to establish that there was a notable level of trauma involved, such as to justify the reaction. Then, as now, I don’t consider myself to have been weak-minded, emotionally fragile, or generally incapable of dealing with life’s inevitable bumps and bruises.
This all continued for some years; from the age of 11 or so onwards, throughout my high school career. The vast majority of these events were kept entirely hidden from my younger brother (he’s three and a half years younger than me), especially by myself. I consider that protective act of sustained concealment to be one of the greatest things I’ve ever done – perhaps the one and only truly great thing.
For quite a long time, as my mother’s state of mind and emotional balance deteriorated, I shouldered many of the responsibilities and burdens of an adult, whilst also naturally pursuing my secondary education. I managed to progress through high school and completed my fifth (Higher, at the time) year, and achieved A grades in all six of my subjects – and I think that at that point the cracks inevitably began to appear.
University admission is based largely on these fifth-year results, or was at the time, and with my places and choices secured I think everything just began to crowd in, until eventually I found (to no particular surprise) that I could no longer function. Once we no longer have to soldier on, we have a tendency to finally let the dam burst. I had the presence of mind to seek medical advice, the good fortune to have one of the most compassionate and proactive doctors I’ve ever known or heard about, and thus a diagnosis was quickly made and treatment aggressively embarked upon.
The following three years remain a dark valley in my memory; there are only fragments of that period that remain accessible. I was almost hospitalised at one stage, and at another I came within an hour of beginning a course of treatment with lithium (I drew the line at that point, thankfully). I have one very vivid memory of kneeling in a bathtub, using a bottle of acetone to rinse glue from my hair; the glue used to hold the electrodes in place during an EEG scan to check for epilepsy or structural defects of the brain (neither were found, to my lasting relief). I was on antidepressant medication throughout, and for a period on very high doses indeed, sufficient to warrant weekly checks of blood pressure and chemistry.
True depression is a bizarre, wonderful, terrifying thing. It’s like the creatures in the Alien movies; pitch black, and the most perfectly evolved and effective enemy of humanity in the universe. How very irreverent and flippant of me, but then it’s my story.
Depression is like a persistent, omnipresent headache but without any physical pain – it’s a darkness which no-one else sees, because it’s actually inside you. If you’ve ever watched any of the multiple X-Files episodes dealing with the “black oil” alien virus, there are similarities to be found there. It’s a spreading, amorphous thing which pools and accumulates in the crevices of your mind, eventually making you into someone else. It blankets all positive feeling and leaves you emotionally deactivated.
The worst part of depression is that, paradoxically, it can be extremely seductive – and not just as a means of escape from your circumstances. It is both terrible and exquisitely wonderful. The very deadness of feeling which characterises it (depression is not despair, and the two are not to be confused) is the ultimate stable condition. It sustains and self-reinforces; zero effort is required for its maintenance. Therein lies the elegant trap.
The key to depression’s power and attraction is that it removes your capacity to desire to be free of it; it attacks the very property which would otherwise banish it. In a manner of speaking, it’s an immune-deficiency syndrome of the mind – and one crafted by true genius.
Nevertheless, I one day managed to regain enough of myself to decide it was time to re-emerge, and after I’d truly made that decision my recovery was relatively rapid. It’s a process of constantly thinking in a very unnatural way: second-guessing your every thought and conclusion and emotional response, in order to maximise your ability to recover. It takes a very long time, but it works. Cognitive/behavioural therapy is good science, and with sustained effort it does indeed perform its function.
After a time, I was once again myself, and I stepped back into my life feeling like a man who has been asleep for years and has returned to find everything basically familiar yet subtly different.
There were large costs, which continue to this day – and that’s without even counting those foggy, drowning years as a cost (which they undoubtedly were). The primary cost for me, as I became fully aware of only recently, was that my need to remove myself from the situation caused me to hardly see my brother for several years (I did not live with my family for quite some time). We’ve thankfully managed to fully rebuild our relationship, and he remains by far the closest member of my family to me – which is the natural order of things.
Relationships with other family members have changed utterly. I’m left with a profound sense of separation from my extended family, which has never gone away even with the passing of ten years. There are precisely three discrete units I care to be in touch with: my brother, my mother, and my father (and his wife). I have no emotional connection whatsoever with all the rest.
Something was damaged by the whole experience. I sometimes look at my parents and find it very difficult to accept they’re the only-vaguely-remembered people of the first ten years of my life. There’s no emotional bridge from there to here; only an enormous, quiet gulf in between. Much as I cast my mind back, I can’t make any meaningful connection between those almost fictional characters from the past, and the people I know today but still feel I’ve been only recently acquainted with.
I feel like I’ve known my father and my brother for about 12 years now, and my mother for perhaps 8 years. I turned 30 a couple of months ago, and whilst I’m intellectually aware that I’ve known my parents for all of those thirty years and my brother for twenty-six of them, they could honestly be entirely different people; there’s just no thread of real emotional connection beyond that point. Something has been cut off. My memories from before that time are nebulous things, and the images could just as well be from movies I used to watch often but have long since neglected. I find that fact every bit as shocking as you no doubt do, if not moreso.
I’m aware of missing a normal drive to actively involve family in my life. I often turn to Lauren for advice on when it’s appropriate for family to be involved in events; I would default to simply keeping them periodically informed, based on what seems normal based on my observations of others (real and fictional). I find the academic detachment troubling too, of course.
I can at least say that I have what I imagine to be normal feelings for my younger brother; I’d give my life to save his without a second thought. That’s no bold statement; just a quiet, simple, unremarkable fact. It comforts me that it’s so trivially true; I feel that something must be functioning properly in that regard. I’m also deeply relieved he’s turned out so normal, and that I can pretty much not worry about him or his life – not for lack of care, but from confidence that he can handle it. Nevertheless, 26 or not, he’ll probably always be a kid – my little brother – to me. I can only assume that that’s normal too, and will eventually fade as he marries, has children and so forth.
The relationships I do have my parents have taken years to rebuild. It has been exceedingly difficult to forge a meaningful relationship with my mother, but we’re getting there. I’m aware that a day will arrive when she passes away, and that I’ll know we never regained the same closeness we had when I was a child. That fact does sadden me, and I’m trying hard to head off any regrets, build a new relationship, and keep her involved in my life. It’s a struggle, but one that I recognise is important. The person that she is today, I feel I’ve known only a handful of years longer than I’ve known Lauren.
I have an intense discomfort when returning ‘home’ (to what is now my mother’s house). I would never do so without having the car to hand, and even then there’s an actual dread which always remains. We stay over for a night or two at Christmas, and as the light fades in late afternoon and the cold evening draws in, I become uneasy. When we go to bed, and I switch out the light and look up at the tall ceilings, I can feel the weight of that huge, rambling pile of 120-year-old stone pushing down on my chest. Thankfully it’s been so extensively redecorated that there are large parts of the house that no longer bear any resemblance to how they looked in my childhood; I find those rooms much easier to bear. It’s a big, draughty, echoing place, and it sometimes feels like a thin fabric stretched over something much older and only half-remembered.
There are aspects of the changes which have taken place in me which amuse me, too. Lauren’s parents, Robert and Grace, have an incredibly solid 30-year marriage, and remain as in-tune and in-love with each other as I can vividly picture them being in previous decades. That’s wonderful, and it’s something I can deal with just fine – in the same way as I can readily accept and deal with secure marriages on television or in movies. In actual real life, however, I find the situation surreal.
Still being together, and it still being so effortless, after thirty whole years is difficult for me to process. That number – thirty years – is like an Astronomical Unit; you can deal with it just fine until you think about how big it actually is, and then it becomes crazily meaningless in its incomprehensible vastness. At the beginning of my relationship with Lauren, whenever we visited her parents I often felt intensely like an intruder. What subtle action or inaction could upset this delicate, invisible, unfamiliar balance? Which of course is a preposterous way to think, and does them and their marriage a grave disservice.
I understand the ridiculousness of my perception – academically. But when we’re sitting at the breakfast table and Lauren’s mother still casually puts her hand on her husband’s shoulder or makes some heartfelt affectionate remark to him, I feel like I’m on a hidden-camera TV show. It’s just so strange, like witnessing some wacky, bemusing and faintly ridiculous local custom in a foreign country. It has some vague property of marrying into an unfamiliar religion – albeit one you’re eager to join.
Yet life goes on. Things don’t ever really go back to ‘normal’, because ‘normal’ has been changed – almost certainly forever. That’s not necessarily a bad thing; it’s just the truth. It is possible to climb back out of the black hole, and to learn to safeguard your mind from future pitfalls. It takes vigilance and a preventative, defensive posture, but it quickly becomes second nature and it’s absolutely, eminently achievable.
Life once again becomes routine, and enjoyable, and challenging, and disappointing, and rewarding and all those other things. It is a new life, and in my case it’s a new life with new players who for the most part only superficially resemble the original cast. I don’t see that as something to be upset about; it’s just the way things are.
All things considered, everything is fine. I’ve genuinely never been happier, both with my circumstances and also inwardly, in the more important way. It’s been more than ten years since I considered myself unhappy, and I see no signs of that streak being broken.
Thanks for sharing. I too have been depressed, and it’s been about 5 years since my last doses of Effexor and Wellbutrin (a.k.a Bupropion). To me, it’s always nice to hear how others experience depression, as it reinforces the notion that it is simply a disease, and a treatable one at that. Those who had never personally experienced it would tell me to “get over it”, or to just “cheer up” (the only time I’ve ever cursed at my father was on one such occasion).
It’s nice to be reminded that there are others out there who know that depression and sadness are two different things; the former being a general state of mind, while the latter is just a mood.
Again, thanks for sharing.
Thank you for sharing this wonderfully thoughtful and inspirational reflection. And congratulations on coming this far.
I can only imagine what your childhood must have been like.
Mine is hard enough, and my parents are still together…
So lucky I didn’t have to go on anti depressants, I just got 3 months of checkups with Dr. Unpronouncable Indian Guy asking me random questions, then saying I’m fine.
I’m glad you pulled through though Matt, I laughed when I saw you in The Herald earlier
-Cammy
Funny, i experienced a smilar situation at the same age, never got into depression though, but something similar happen with the relationship with my little sister (also 3.5 years younger ) and my parents, i think i started to know them when i was like 21 years old, i’ve never be able to reconstruct the relationship with my mother, I’m ok with my father and sister, but never been with them at Christmas or birthdays or something else since i run to my grandmother home when i was like 16 years old.
Sorry for my english, i only use it on the web ;)
Matt, you seem like an amazing fellow. Persona or not, you are awesome. Thank you for being a spark of awesome for others.
Just want to say congratulations on the 10 years. Reading your story brought tears to my eyes, particularly your love and caring for your brother. And also happyiness knowing you have managed to stay level headed about it all and gotten through it.
Well done and good luck for the rest of your life.
Ben
Thanks for this Matt – I’m happy to say it’s not something I’ve personally had to deal with, but someone very close to me has, so I guess, I have too….. at least the depression part.
Paxil was the SSRI of choice in this case, and luckily we were able to make a clean break from the cause (and go to Bali, which was a nice disconnect). We (both of us) are now very careful not to let things get anywhere near that stage again, but it took a good 12 months or more just to get “over” the side effects of the drugs, let alone the actual cause.
Not sure what else to say – except thanks. And I wish you (both) the VERY best.
Congratulations for successfully having battled it, and thank you for such an encouraging story.
Hey Matt, great article. Never thought you had such a hard time.
I really enjoy reading those articles about other people. It gives a very deep insight about them. Those texts have a lot to do with emotions and it’s not easy to share them, especially on the Internet (or when you live in germany *sigh*).
Thanks
Zettt
Thanks for sharing this. It helps remind people that they are not alone and that is important.
Congratulations on finding the strength to rebuild your life and relationships.
I went on an SSRI in about 2002 on the urging of coworkers. I realize now I’d been depressed since 1995 or so.
I’ve now been free of the SSRI since 2003, but sometimes I wonder if I should still be on it.
Thank you for sharing. There’s nothing more to say.
Thx for sharing Matt. I wish that you continue to embrace happiness that this world rests upon.
A fantastic article, Matt and really interesting. I’m always fascinated by the details of peoples history that are normally kept hidden. When someone shares like you have done, it feels like you have a more meaningful relationship with that person, even if you’ve never spoken to them. It’s the antithesis of everything I hate about modern interactions – so often it’s surface stuff we try to talk about – what films, music etc we like. It’s much more interesting to hear real details of peoples lives.
I’ve undergone some traumatic times myself, and although I don’t think things ever got bad enough for me to be on anti-depressants, looking back I think I got pretty close to that line.
Maybe I’ll share my own story some time on my blog. Thanks for sharing.
Nicely written, bracingly honest. Thanks for sharing.
Thanks for sharing, it takes balls.
Thank you so much.
Thanks very much for this brilliant post, these have been the most honest words I have read in my whole life and show that I was once much like you. Congrats to you on rebuilding your life and relationships!
Thanks for sharing an honest and excellent description of what you went through.
Glad to see you’re thriving and surviving (and brave enough to speak about it). Well worth bookmarking.
Peace and love and all that stuff.
(Usually cynical) Mr P
Congratulations. You always come across as quietly self-assured, which is all the more impressive upon learning your back story.
Thank you, Matt. You have articulated the nature of depression in a way that I have been unable to do for many years. People especially look with wide eyes when I say that it was both horrible and wonderful. “How could it be wonderful?” they’d ask.
After a month-long major depressive episode in 2006, I finally tried an SSRI (Fluoxetine, aka Prozac) because nothing in therapy was working for me. In my case, there did seem to be a chemical imbalance, because with the first dose, I felt better, more focused, and the nagging negative voices were quieter. I’ve not yet had any side effects except when testing out the optimal dosage, when I got to the top end of the drug’s usefulness and experienced similar symptoms to yours (anxiousness when trying to sleep, the zoom-out effect, and complete distraction/haziness).
Anyway, thank you for sharing, and know that you’re not alone. ;-)
–Bill
I happened across your story by fate while researching iPhone developments. I got so much more than what I was seeking. Yours is a truly inspirational story for us all, I did not have the chance to read or to know anything about you until 10 minutes ago. You have overcome some great odds in your years, and have done great things from what I have seen. Your greatest gift is your ability to overcome and to share your story.
Keep up the good work Matt!
Ron
A totally awe-inspiring story Matt. This is something most people don’t admit, let alone put in print. You have a great accomplishment in being able to discontinue meds and seem to have adjusted well. I have been on antidepressants for about 18 yrs. Prozac was the first and worked well until I had to increase 60 mg/day, which caused side effects. I tried Effexor and several others briefly, but Prozac was the drug of choice for years, until it eventually stopped working. I have a chemical imbalance which, as you know, is a bit different than an acute situational depressive episode. I am now on high dose Pristiq (similar to Effexor and made by the same company) and have had only had 3 debilitating depressive episodes in the past 15 years. My mainstay of therapy was/is my psychologist along with the meds. If it weren’t for him I would not be writing this today. I literally owe him my life. I know I will need to take meds most likely for the rest of my life, but the alternative would not be acceptable. Your story is encouraging and amazing and definitely touched my heart. I wish you the best of everything. This is something I read once: “When loving, caring and hugging become as essential as eating, perhaps many of the illnesses known to humankind will disappear.”
My best to you always –
Marsha
You have come a long way, which I can relate to. You should be proud of yourself and continue to look at the positive things in this evil world. My faith in God sustains me and I still seek advice from my counselor when needed.
Matt!
Actually found your site while looking
for information about Cocoa programming.
Coping depressions myself for at least two decades now, I am really impressed with your writing.
Thanks for sharing.
And thanks for the source code provided on your site.
Andreas
Matt!
Actually found your site while looking
for information about Cocoa programming.
Coping depressions myself for at least two decades now, I am really impressed with your writing.
Thanks for sharing.
And thanks for the source code provided on your site.
A finallay ‘And’: Sorry for my bumpy german/english..
Andreas
Thanks for sharing this, Matt. My story bears little resemblance, but the conclusion is at least similar: being out of the dark, and really _living_, is wonderful and doable. I look forward to the next ten for all of us!