Add depressive episode readme
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|  | --- | ||||||
|  | 
 | ||||||
|  | layout:     post | ||||||
|  | title:      "README: depressive episode" | ||||||
|  | slug:       "readme-depressive-episode" | ||||||
|  | date:       2023-01-06 10:15:09 | ||||||
|  | categories: [personal] | ||||||
|  | 
 | ||||||
|  | 
 | ||||||
|  | --- | ||||||
|  | 
 | ||||||
|  | Hello, and welcome. If you've been handed this README, then you're likely | ||||||
|  | interacting with me while I'm experiencing a depressive episode. I've written | ||||||
|  | this README on some ways you can help (if you're so inclined) and some best | ||||||
|  | practices for interacting with me. | ||||||
|  | 
 | ||||||
|  | ## About (my) depression | ||||||
|  | 
 | ||||||
|  | I have been diagnosed with major depressive disorder (MAD) with a generalized | ||||||
|  | anxiety disorder (GAD) component. I'm under the care of doctors and counsellors | ||||||
|  | who are aware of the diagnosis and prescript appropriate medicines and | ||||||
|  | therapies. Despite this, I still have regular depressive episodes. These | ||||||
|  | episodes can have obvious triggers, but often they don't. They generally occur | ||||||
|  | about once every three months and last one to four weeks. | ||||||
|  | 
 | ||||||
|  | During an episode, I experience: | ||||||
|  | 
 | ||||||
|  | - lack of energy | ||||||
|  | - difficulty concentrating | ||||||
|  | - difficulty talking and articulating points | ||||||
|  | - cognitive blunting (also called brain fog) | ||||||
|  | - anxiety symptoms | ||||||
|  | - an impending sense of doom | ||||||
|  | 
 | ||||||
|  | When I was younger and untreated these symptoms were worse and were sometimes | ||||||
|  | coupled with suicidal ideation. Thanks to treatment, this is extremely rare | ||||||
|  | today, and when I'm feeling this way, I will tell someone. | ||||||
|  | 
 | ||||||
|  | ## How you can help | ||||||
|  | 
 | ||||||
|  | Of course, my mental health is not your responsibility. This guide assumes | ||||||
|  | you're a friend, co-worker, manager, or family member who is likely to interact | ||||||
|  | with me during this episode. These are suggestions and requests, not | ||||||
|  | requirements. The most important thing I can ask, is **be kind, gentle, and | ||||||
|  | understanding**. | ||||||
|  | 
 | ||||||
|  | ### if you're a coworker or manager | ||||||
|  | 
 | ||||||
|  | I'm generally going to be less productive when I'm depressed. I may call of | ||||||
|  | work (sometimes explicitly for mental health, other times as a general "not | ||||||
|  | feeling well.") I'll likely be less engaged in meetings and may have my camera | ||||||
|  | off in video meetings. I may request to reschedule 1:1s. I'll be less likely to | ||||||
|  | volunteer to facilitate a meeting. I may appear less engaged or more | ||||||
|  | distracted. I'll likely be slower to respond in chat or email. | ||||||
|  | 
 | ||||||
|  | The best things you can do are: | ||||||
|  | 
 | ||||||
|  | - check in and ask me how I'm doing | ||||||
|  | - ask about how my current project is going (often this helps dispel some of | ||||||
|  |   the fear and doubts that build up during an episode) | ||||||
|  | - provide encouragement or positive feedback where appropriate | ||||||
|  | - postpone non-urgent constructive feedback until the episode has passed | ||||||
|  | - share this manual with other people who have noticed something is "off" about | ||||||
|  |   me | ||||||
|  | 
 | ||||||
|  | #### on absenteeism | ||||||
|  | 
 | ||||||
|  | In _very rare_ circumstances, I will be AWOL (away without leave) from work. If | ||||||
|  | that's the case, especially if you're my manager: first, I sincerely apologize, | ||||||
|  | second, you're welcome to call me and confirm what's going on. Calling is | ||||||
|  | better than e-mail in this case, as I'm likely not checking my e-mail. When I | ||||||
|  | return to work, I will talk to my manager and confirm what happened, back date | ||||||
|  | any requests for sick/personal days, and accept any disciplinary action. | ||||||
|  | 
 | ||||||
|  | ### if you're a friend or family member | ||||||
|  | 
 | ||||||
|  | When I'm depressed, I'm more likely to temporarily "ghost" people (i.e. not | ||||||
|  | respond to their texts/e-mails). Please try not to take this personally, this | ||||||
|  | is a fear response. I often _will_ respond eventually, and regardless _do_ want | ||||||
|  | to hear from you. You're welcome to resend your message. I won't take this as | ||||||
|  | being pushy or clingy, but rather as an act of compassion to try to reach out | ||||||
|  | while I'm not feeling well. | ||||||
|  | 
 | ||||||
|  | I may missed scheduled appointments/dates/etc. I'll do my best to cancel as far | ||||||
|  | in advance as possible, and I likely _do_ want to reschedule when I'm feeling | ||||||
|  | better. | ||||||
|  | 
 | ||||||
|  | Some things I find helpful from friends during an episode: | ||||||
|  | 
 | ||||||
|  | - casual phone calls. I'm less likely to check my texts/e-mail during an | ||||||
|  |   episode; you're welcome to call spontaneously | ||||||
|  | - invitations to low-stakes outings (e.g. walks, casual lunch, mani-pedi) | ||||||
|  | - words of affirmation | ||||||
|  | 
 | ||||||
|  | ## Conclusion | ||||||
|  | 
 | ||||||
|  | Thank you for taking the time to read this README. If you have any questions, | ||||||
|  | you're welcome to ask. Mental health disorders, their causes and symptoms, are | ||||||
|  | an ongoing field of study. Items I've listed in this manual as helpful to me, | ||||||
|  | may be harmful to other people with depression. If you have friends or family | ||||||
|  | members who are struggling with depression, talk to them about how you can be | ||||||
|  | most helpful. | ||||||
|  | 
 | ||||||
|  | **If you are struggling with thoughts of suicide, there is hope, and you do not | ||||||
|  | have to go through this alone. You can find a hotline to call in your country | ||||||
|  | at https://blog.opencounseling.com/suicide-hotlines/.** | ||||||
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