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Existential Depression - Valid & Very Real, But Incurable?
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mcw81 posted:
Hello:

I've struggled with severe depression for about 13 years, and I still do, worse than ever.

Though I've suffered setbacks, I'm fortunate to have a warm home and loving family (parents), and I have no physical or "tangible" problems I can point to as a cause. I appreciate what I have. However, I can't shake the overbearing dread that the world seems so fundamentally primitive, unjust, absurd, and meaningless.

Simple features of daily life can trigger difficult crying spells for me: whether watching a blind person crossing the street, or passing a homeless person in the cold, or a sick animal, or an act of injustice. Or, I'm either angry and hopelessly-numb because I feel like little more than a monkey in some unknown accidental terrarium. I worry that if God exists, yet allows so much senselessness and ignorance without some better explanation, perhaps I can't rely on Him, either. Most of all, I feel like I'm stuck in a prison world with a lifetime of responsibilities to satisfy, and I become physically claustrophobic in the world, unable to crawl out of my monkey-skin or flip an "off" switch to a world that often seems like an absurd prank.

I am not a "hippy," nor am I a "whiner," nor do I think that despite the new-agey-ness of Existential Depression, the pain is any less. I've wanted to kill myself just as dead as anyone suffering other mental illnesses; I'm just as unhappy and prone to tears as someone far less fortunate in a third-world country. My experience feels absolutely valid.

To date, I've been on an encyclopedia's worth of meds, and I've tried everything from practical and strategic therapy to transcendental meditation. I've sought remedy in the full range from hard science to radically philosophical, but NOTHING HELPS. The worst part is that any improvements to my career, life, girlfriends, homes, or positive developments in my future—seemingly none can have effect on fundamental problems I have with the world itself.

Other traits make this depression unbearable. When great intelligence seems to be at the heart of your problems, you feel completely alone; it seems that despite kind efforts, no one can help me. And just like the man who spots the gremlin on the plane wing which no one else can see (in the classic "Twilight Zone" episode), I feel like I'm seeing a nightmarish reality no one else gets. This makes me feel crazy! And the weight of the seeming responsibility to heal yourself—when it seems no one else can—makes the struggle and the sadness far worse. Humanity has struggled with existential questions for centuries; you feel it's unlikely that you can expect to solve things yourself in any satisfactory way.

Perhaps this depression "qualifies me" to become a great artist or something, but personal happiness seems mutually exclusive.


Football, friends and beer, working my way up a career, fixing up the house, or taking the kids to Disneyland—none of what others enjoy seems AT ALL satisfactory and indeed ridiculous, and only reinforces my loneliness or envy for people who are content with seemingly primitive and simple pleasures.

What can I do to stop feeling so sad, stop crying all the time, and accept my life without forfeiting a rebellious passion that seems so incredibly authentic? Thank you for any thoughts or advice.
Reply
 
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susiemargaret responded:
hello, M --

i'm so sorry i didn't see your post until today, and i hope you are still following this thread.

first of all, let me say that no matter how you characterize your depression, it is real and valid if you feel it is real and valid. no one has a more "worthy" depression than anyone else; everyone's suffering deserves to be acknowledged and taken seriously. in other words, i believe you. and you are not alone in how you feel.

i'm afraid i don't have any advice that is likely to make you feel better -- and it is clear that you feel terrible -- or to ameliorate your despair with the world. i would suggest trying at least one more antidepressant; our expert in this community, dr. schwartz, says that there are at least 20 available, and if you haven't tried all of them, there is still hope. in addition, new ones come out all the time, and it is possible that one of them might do the trick.

life is harder than it needs to be, that's been clear to me for a long time. and i've never found it particularly comforting when someone says that i am better off than a lot of people. yes, i am, and so are you, but that doesn't reduce your frustration with your cosmic circumstances, so to speak. my only idea is that acknowledging that the world is in a sad state and then trying to set that aside might help.

i don't agree that feeling better necessarily means that you will have to forfeit any of your "rebellious passion." in fact, i think that feeling better would support -- rather than undermine -- your "rebellious passion." you don't have to feel numb to exist happily. the trick is figuring out how.

let me ask if you have considered ECT. it has been proven to help with depression, as has transcranial magnetic stimulation (TMS), altho that is generally recommended for only moderate depression and yours sounds more serious than that.

other than these suggestions, i don't know what to say except to express my complete sympathy for you. i do hope you can find some relief. i send you caring thoughts and hope you will keep us posted on how you are doing.

-- susie margaret
what good is gold, or silver too, if your heart's not good and true -- hank williams, sr.
 
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popcornwithoutbutter responded:
retilin in people over 50ish not only picks u up,
it has been found to change your mood for several hours for the better!!! if your doctor
hasn't written u a prescription, now's the time.
I take 2 20mg tablets at the same time in the middle of the day, and within the hour my thoughts become more positive and I feel
"happier"!
 
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susiemargaret replied to popcornwithoutbutter's response:
hello, all --

P mentioned ritalin/methylphenidate. webMD info on this med is at http://www.webmd.com/drugs/drug-9475-Ritalin Oral.aspx?drugid=9475&drugname=Ritalin Oral&source=2 .

-- susie margaret
what good is gold, or silver too, if your heart's not good and true -- hank williams, sr.
 
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kelkaym responded:
All I can tell you right now is that I am in the same boat.
"Help" for existential depression pretty much doesn't seem to exist, according to the internet, not that i've seen so far anyway.

Also your description of it is very, very good. The gremlin on the wing and nightmarish reality that no one sees and all that.

I've been getting worse and worse since I really realized what it is that is wrong with me. I was always haunted by some horrible feeling as my depression got worse, the feeling that this was "different" somehow than normal depression and I felt diseased, cursed, doomed, it was all very hopeless. But it was only a vague feeling.

Now that I understand more concretely what this is, the feelings I had make sense to me. But i'm still not satisfied say that this is it. I *DO* wonder if there is help, if there is *something*, some WAY to make this... better.

Anyway I struggle a lot with seeing the world around me. Even just standing in line somewhere and seeing people mindlessly go about their day, I feel dizzy and sick and lost and panicked.

But I guess one tiny hope/comfort that i've held onto is that at times I appear to be one of "those" people too.
You'll see me in line at the grocery store.
Or walking through the park.

On occasion at least, when i'm not basically disabled and hiding from the world in my bed. I sometimes switch off my brain or go in denial or something and spend days at a time with friends, at movies, doing whatever, laughing.

Then I will wake up and be crippled for days and the thought of getting up and making a cup of tea makes me want to find the "off" button. Friends don't seem to understand. I tell them these things, I really do sometimes, but even still they don't seem to get it.

"Want to go for ice cream?"
No.
I just told you I'm basically suicidal, icecream is meaningless to me. What are you doing.

I'm still trying to figure it out.
But some moments in life are beautiful. Or have been beautiful. Or I THOUGHT they were beautiful or something. I have a fondness for my "former life" that i'm not ready to let go of yet. I have to figure out a way to survive this.

I hope I made you feel a little less alone,
also sorry if my post was horribly depressing.

I've only recently really "pegged" what is wrong with me.
So I haven't had that much time researching and getting into it. If I ever discover anything super useful i'll try to return to this page and let you know.

There are a few things i'm intrigued by and interested in looking into. I do have some vague hopes on things that I have to look into, so... I guess for now i'm going to have to check that out and get back to you!

Sorry for long post okay bye!
 
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CElizabethT responded:
Hello,

All I can tell you is that you are not alone in feeling this way. I am now 37 and have lived with these same thoughts since I was 17. I can remember thinking, how can others cope with life while I am having such a hard time. It was strange how others could simply just go along with life, football, shopping, holidays, while all along I am thinking, can you guys not see what is going to happen? I figured no pill or no psychiatrist could talk me out of such truth of reality. It was actually those who didn't see the sadness of the world were the ones who were delusional. Now I am faced with my 14 yr. old daughter with these same thoughts. It will be a struggle, a journey that she will have to find in her self to feel comfort and peace. I do have to say I am a Christian, I say that in a real sense, not in a religious sense. I do believe, and that honestly is what has kept me going. I totally understand the Twilight Zone feeling. I feel your pain and your agony. YOU are not alone. Keep fighting and I will pray for you. May God be with you and bless you.
 
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Diello responded:
I got catapulted into existential depression after a breakup with a guy who, on looking back, was more or less dying of it (yikes. Or yay, as the case may be, as detailed below). It's possible that I have a good "immune system" because I'd always been a very happy and optimistic person and pretty much had never experienced depression before that (onset age 31), so the things that have helped me may not do much for you, but nonetheless, I thought I'd share.

First and foremost, one of the things that has helped me is to acknowledge/believe/not try to un-convince myself, that life on earth is probably some sort of purgatory, if not hell itself. I'm Jewish, not Catholic, so I'm just using those words for the general concept, not some specific religion's interpretation of them. It makes me relieved and glad to know that someday I get to die, although I also don't want to purposely kill myself, it would ruin my family's lives, plus *maybe* I have some role or purpose to play out. But accepting this (maybe it's just lowering my expectations, hah) has helped reduce the constantly gnawing feeling of "everything is so wrong and difficult". Yeah, because we're in hell, duh.

A second thing is, I realized that if I'm living on/in a plane of existence of mundane material whatever, I may as well enjoy material pleasures as I can - do things that feel good. Not in a hedonistic or out-of-control kind of way. But if we're stuck in a material prison-world, so enjoy what you can of the material and purposely engage/interact with it in ways that suit you. I like to spend time outdoors, going swimming in lakes, hiking, etc. When I'm old I'll probably do a lot of gardening and have a bunch of pets. Basically, we're stuck here so meh, transcendence, shmanscendence.

Finally, and not to get too astro-physical here, but on occasion I've mused that intelligence seems to be a "force" in the universe that impacts/builds/shapes reality, much like the other forces - gravity, electromagnetism, whatever the other ones are from physics 101. So if there is some kind of tension or equilibrium between "good and bad" that must be maintained, maybe us smarties do have some extra ethical "burden" that we're supposed to carry out, since we somehow got imbued with intelligence (for better or worse). The trade-off is that we're not likely to be stuck in material poverty and ignorance - which does, by all counts, suck (and in my opinion are intertwined) - since we're smart enough to figure our way out of it.

So that's my thoughts. Hope they give you some fodder


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