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Showing posts with label symptom. Show all posts
Showing posts with label symptom. Show all posts

Tuesday, February 3, 2015

Menopause and Euphoria

No one ever told me it would be like this. 

I started experiencing peri-menopausal symptoms in November 2012. I missed a period and had a bunch of hot flashes. I asked my doctor and she said that I should take a pregnancy test and if I wasn't pregnant, I was probably going into menopause.

She was very nonchalant, which was fine by me. I don't want my doctor going all hysterical on me just because I'm entering an inevitable next stage of my life.

Anyway, I wasn't pregnant, so it seemed likely that I was entering into The Change. I was 41, which is a little early, but still considered "within the 'normal' age range".

The Mythology of the DREADED change

I had heard a lot of things about menopause before I arrived here. I think many women do. I have witnessed some other women's experiences with Hormone Replacement Therapy and menopause-related emotional meltdowns. I have seen menopause be a mostly empowering experience for some women and a mostly disempowering experience for others.

Certainly, there are generational factors at play. Many women have pioneered greater openness and empowerment for women coming after them. I remember having tea with my grandmother and a dear friend of hers about twenty years ago. My grandmother's friend fanned herself enthusiastically during a hot flash and said to me, "I'm doing this, Alex, so that when you get here, you can fan yourself without feeling embarrassed." I do, and I always think of her.

The Reality

There have been some harsh things about menopause for me. My periods, which were pretty easy when I was a young woman, have been getting progressively worse since I hit 35 or so. At this point, they are way too many days of agony and ibuprophen. And my PMS is bad. Some days I feel so cranky and crazy that I prefer not to be in contact with other human beings. When I am, I try to stay conscious and not get too mean. But it's not always easy.

The Secret Awesomeness

The first time it happened, I was taken by surprise.

I experienced a couple of days of absolute euphoria.

I mean, high-as-a-kite, grinning-like-a-hyena euphoria.

Everything felt awesome, delightful, blissful.

Being someone who hasn't experimented with drug use or long-distance running, I couldn't remember ever having felt like that before. But it's what I can imagine a really good high might feel like and it gives me some insight into why people might chase that experience.

When it first happened, I didn't know what was going on. I mean, I often feel happy, but not like that. I began to wonder if it might be a menopause thing.

I googled and found this blog post from Barbara Younger, along with some other accounts of menopausal euphoria. I also read the Wikipedia article about euphoria, and saw how heavily pathologized it is in Western medicine.

Personally, I look at it as a gift. It's been happening to me a couple of times a year for a couple of days at a time. While euphoric spells are not a good time to make major life decisions, they are an excellent time to let go and be. Enjoy the ride, some hormonal compensation for all of the crankiness and misery.

Euphoria and depression

I've been struggling with depression for quite a few months now and last week, just in the middle of wondering if I was ever going to stop feeling depressed, I hit a bout of euphoria. Suddenly, I felt wonderful. Nothing had changed in my external world, but my brain chemistry had suddenly shifted and everything felt different.

It had the effect of hitting the reset button, reminding me that so much of our experience is due to our brain state. I followed that euphoric spell with two days of listening to inspirational TED Talks, like this one. I could feel my neurons firing as I learned and digested new information about the world. I've begun to feel better. I'm smiling more often and feeling better about myself.

Knowing the relapsing-remitting nature of the depression I've experienced so far, I'm probably not out of the woods yet. However, I am feeling more connected to the present moment and more skeptical about my brain states. There is difficult and there is easy and there is everything in between. And really, nothing is very different from anything else, but for the meaning we grant it in the present moment.

Thanks, Menopause. I needed that.

Editor's note: technically, in many places where I wrote "menopause" above, I should have written "peri-menopause", but that just sounds too pedantic. I'm sure you knew what I meant.

Friday, January 23, 2015

Depression Part 4: Waking Up Tired

A couple of months ago, I thought I was through with being depressed. I was taking good care of myself and feeling brighter.

Sadly, it is not that easy. The holidays are usually an unpleasant time for me, so I was not too surprised that I got a little down in December. But things usually improve for me after Janaury 1st. Not this year though. This January has been atypically rough.

I'm still taking good care of myself. I've been doing a food experiment (which I'll probably write about when it's complete) which has meant no wheat, corn, soy, dairy or alcohol and limited sugar. This means that I have been eating lots of healthy, unprocessed food. And I've been doing yoga almost daily and loving it.

Weepy and Sleepy


And, I'm still depressed. Weepy and sleepy, I would describe myself. I long to go to bed each day. I've been packing in the day by 8pm, sleeping for 10 hours and not wanting to get out of bed when I do wake up. Even though I'm getting more sleep that I usually get, ever, I've been waking up tired.  Some mornings, I would even say exhausted. And my mood is low. Very low. Extremely low. A mix of hopelessness, disappointment and diffuse rage.

That is absolutely not like me. I'm a morning person. To the extreme. I usually travel from zero to sixty in zero seconds flat. I wake up in fifth gear, raring to go. Bright and cheerful, a regular Little Merry Sunshine.

Disconnection


The funny thing is that my rational mind is mostly okay. I know that things are just fine in my life. I have food, shelter, loving friends and family, enjoyable work, interesting artistic projects.

Before now, I've heard and read many accounts of the disconnect between one's rational thoughts and one's mood that can happen during a major depression, but this is really the first time I have experienced it.

I see the difficulty that I might be facing in getting out of this place. If my rational mind is disconnected from my emotional state, how do I reason and talk myself out of here?

What now?


I have some hope that my upcoming busy work season will help lift me out of this state. That the endorphins inspired by pleasurable work will jumpstart my system. And I have some other things I'm planning to try – focused around managing my peri-menopausal hormonal fluctuations, which I'm sure are contributing to my depressive symptoms.

The things I'm doing and planning to do might help and they might not. 

I've set a deadline for myself. If the things I'm trying haven't made a significant difference by April 30, I step the interventions up a notch.

Wish me luck, please.