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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