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depression

Cotswolds

The Bishop, the Mistress, the Scribe, and the General

Church yesterday was full of surprises. The Bishop of Gloucester made a guest appearance in the tiny, ancient church hosting the service for our benefice. This is my second bishop sighting in as many months, a good track record considering my spotty history of church attendance in the last twenty years.

Stevie Winwood, the worst kept celebrity secret in this corner of the Cotswolds, was also there. He was sitting right next to the dreary postmistress who had been at our very table the night before at the wine tasting fundraiser. Last night her complaints were drowned in a tide of Beaujolais. Church also seemed a safe place to sit beside her, hymns and the etiquette of silence a safe harbour from her litany of woe.

The bishop preached a sermon on the economic crisis, surprising me with his liberal touches. He warned against jumping to the conclusion that the meltdown was a punishment from God for capitalist greed, citing parallels with the rush to condemn homosexuality at the onset of the AIDS crisis in the eighties. He went on to talk about using this as an opportunity to revert to a simpler, greener way of life — a splendid eco-warrior in his kelly green robe and golden pope hat.

Most Sundays a good sing song in church is enough to power husband through the day. But even today’s star-studded version wasn’t enough to hold back a plunge into depression. I’d almost forgotten about it over the past few months, buried as it was underneath the manic efforts in his new job. Of course I knew the early mornings and late nights and the fact that the only conversations that seemed to hold his attention were work related was less than healthy. This was just the latest version of a lid on the boiling pot even if, as far as coping mechanisms go, it was much preferable to watching husband spend four hour stretches on the couch watching repeats of property shows.

This is how the dynamic of depression works in our relationship. There’s a good patch of days or weeks or even months, fuelled by meds or work success or some other stroke of luck. Things are so “normal” that when a depression does set in – and it always does – I feel shocked. It’s as if an old lover of husband’s has showed up at the door and asked me, straight-faced, to come in for a shag with him. How dare she come back after all this time? And yet I know I have to let her in, and she’ll stay as long as she likes. My efforts to expel her with logic and reason and breaking down problems into manageable chunks just leave me feeling exasperated. All the while the mistress waits patiently on the couch for me to exhaust myself and stomp out of the room.

Yesterday’s mistress brought along the same old baggage, conflating every issue related to my new job offer with husband’s entire human history of regret and resentment. Gone was his encouragement and infectious enthusiasm that prompted me to look for a job in the country to start. In its place was a whole raft of unattractive insecurities that, in their essence, amounted to a concern over who was going to take care of him if I was spending all my time in the country. Next time perhaps the mistress could be polite enough not to show up in the middle of a life changing decision, although she’s never been known for tact.

By the time I walked into the Everyman Theatre to hear Julian Fellowes speak in the evening, I was primed for some words of wisdom, some advice, a sign from God – anything really that would help me decide whether or not to take this job. It was the final day of The Cheltenham Literature Festival, and Mr. Fellowes, director (of Gosford Park), writer (of the fine Snobs) and actor, did oblige.

“When life opens a door you have to go through it, don’t you,” he responded at one point to a question from the interviewer.

That was it. A perfect if cliched summary of what I had to do. This job was on the table and I had to take it.

But wait, what is Mr. Fellowes talking about now? Something about that sick feeling when as an actor you find yourself cast in a role to which you can offer nothing, cast through some happenstance of the right actor just not being available. Has Mr. Fellowes also been wondering why I’ve been made a generous offer to do a job I’ve never really done before after only one in-person meeting?

Useless old thesp. Useless husband. I am on my own with this decision.

Finally and thankfully, General Powell is not suffering from my crisis in decision making. As speculated in the weekend papers, news came at the end of the day that he’s endorsed Obama. On the matter of Palin he maintained his characteristic reserve, stating simply that she is not ready to be president. Ms. Palin pushes so many people’s buttons, including my own, that such understatement has been rare in the public discourse about her. And for that General Powell was all the more effective.

Random

Ritalin Vacation

Husband started taking Ritalin in December. This isn’t the first medication related to depression that he’s been on. That honour goes to a medication used to treat incontinence in old ladies that happens to have some kind of anti-depressant side effect. At least that’s what the shrink told husband, which made both husband and me wonder about the wisdom of venturing onto the anti-depressant meds frontier in the, shall we say, less progressive world of British mental health care. (Never mind the bedside manner issues associated with telling a depressed, middle-aged, adult male that he’s going onto pills that help grannies with wee problems.)

Husband and I are both veterans of therapy from our years in L.A. In the great nature vs. nurture debate, his southern California mental health professional favoured nurture, which in turn led her to an anti-medication bias. Her logic was that you need to deal with the underlying issues, not just rely on medication. And so husband dutifully dealt with those issues, putting in hard time on the couch and in group therapy with me. This gave us both awareness and fluency and comprehension of root causes, all of which were helpful and necessary, but only go so far towards managing the damn thing if you’re the person in the thick of it. The problem seems to be that if you are in a very dark place, you can’t muster the will to use skills you may have acquired when you weren’t in the dark place. You may not even be able to get up off the couch.

The depression kept coming back, as is its habit, until finally it got so bad that husband broke with principles and got a prescription. This was not without angst. The abstinence from meds to date had been something of a badge of honour. Husband was dealing with his demons the hard way, rather like I imagine John Wayne would have done it. There were a few things that helped to rationalize the decision, two of which came from our time in LA as zen practitioners. One was the lesson that as soon as you recognize you are standing on a position, it’s probably worth considering get off of it. The second was the memory of a woman priest who practiced with us and was dying of cancer. The pain had become unbearable, but she was wary of going onto pain killers knowing they might make her out of it. The sensai would hear nothing of it, insisting she take the morphine — he called it “dharma-cology” to make her feel better about it. And finally, I realized in a very real, living up close with the demons kind of way that whatever caused what was happening, be it nature or nurture, it was a physiological thing and it made sense that something that has a physiological effect might help.

The incontinence medicine didn’t work out so well. You might not wet your pants anymore but you’ll feel pretty speedy. That’s when Ritalin came on the scene, which is better known for treating hyperactive nine-year old boys than depression. Husband’s inability to focus wasn’t in the pre-adolescent, pogo-sticking around in circles sense. It was more a ‘what’s the point of anything when humans are all shit yet I still need to get this PowerPoint done by noon’ kind of thing. Since it is one of husband’s most life affecting symptoms of the depression, it’s what got treated. And it seems to work.

Which is why it was a surprise when husband informed me he’s decided to take a Ritalin vacation. Specifically he’s decided to forego the meds for the three days per week we’re in the Cotswolds. He says he feels better when we’re out here. There’s something about the fresh air, the peace and quiet, the wide open spaces. I buy this, but I also suspect this experiment is borne out of a lingering feeling that the meds are somehow wrong, and now that he’s found an escape valve from the stress of London he doesn’t or shouldn’t really need them. As Jessica Apple wrote in the FT on the occasion of the 20th anniversary of Prozac: “We may indeed be a Prozac Nation, but one thing remains clear: we’ve yet to come to terms with our diagnosis.”

Earlier in my married life this news would have caused me great distress. I would have been on WebMD scouring the implications and freaking out that husband was making changes to his meds without consulting a physician. But not now. I’m married enough to know any protest would be a waste of energy. He is going to do this experiment whether I like it or not. On the one hand, it’s his body, and he has the right to determine what he puts into it. On the other hand, it is asking rather a lot of me. This means only his colleagues, many of whom he loathes, will be the beneficiaries of the drugs. Surely as the wife I should get something out of this too. He might be the lab rat, but I’m the hamster’s wheel, having to spin like crazy or not depending on the day’s experiment.