Imagine you are running a track.
You know it well because you jog it daily. You see where the cracks and potholes have grown. There’s grass creeping into its edges here and there. It’s weathered, but you still like it. For years it was smooth, but as the imperfections appeared, you learned to navigate them after turning your ankle once or twice. You’ve even gotten good at jumping the large ditch that’s appeared lately, in one particular spot, though you fell in a few times before you got the hang of leaping over it.
You’re running one day, congratulating yourself on avoiding all the small cracks and holes. You leap over the big pit, sail through the air, land on the other side, take a few steps and WHAM!
You’re in a hole.
There’s a brand new one just a few strides from the old one. How did this get here, you wonder? You haven’t actually fallen to the bottom of it but are clinging to a ledge on the far side. You begin to try to climb out, grasping at roots and rocks embedded in the earthen wall, but they all dislodge in your hands and tumble to the bottom, which you’re beginning to realize is very far down indeed.
Fuck. You sit on the ledge, knees to your chest and think. It disturbs you these holes keep appearing. You’re afraid your beloved track is going to completely fall out from under you one day, and there will be nothing left but dark holes. A few joggers run by, but they don’t notice you down there, and you are too busy worrying to think to call out to them. You stand on your ledge. You look up. You know the sun’s still there, you can see the light, but you can’t feel it’s warmth. It’s cold down here.
This is what PMDD is like.
Premenstrual Dysphoric Disorder is menstrual-cycle-related depression. It also comes with fun physical symptoms like sore joints, bloating and fatigue, just to name a few amongst many. PMDD is relatively predictable, usually beginning a week to ten days before a period starts, but like all things hormonal, it’s hard to pin down, especially if your cycle’s not regular because you’re young and not ovulating yet, older and not ovulating regularly, or just because it’s not.
Looking back, I’ve likely had PMDD for most of my adult life. It only got to a point where it couldn’t be ignored seven or eight years ago when being depressed while caring for a toddler and a four-year-old became untenable. I took antidepressants, I learned things about cognitive behavioral therapy, I did a lot of reading and introspection and visiting with other sufferers online. Over the years, I have become intimately knowledgeable about the nuances of my hormonal and emotional cycles, just like you know every bump and cranny of that track you run every day.
A brand new pit of despair
This month, as a gift from perimenopause, the new hole appeared after my period started. I sat crying in my office yesterday, sad and pissed. Sad because no reason, sad because depression. Pissed because it tricked me. Jason said, kindly, “I thought you usually got better now,” mirroring my more caustic mental response, What the fuck? I just shrugged, threw my hands in the air, and continued leaking out of my eyes and nose.
The new hole shows up unannounced. There is no earthquake rumble to warn you it’s developing. You didn’t trip, you didn’t lose your job or your family or your house. It’s a hole with no rhyme, no reason. You know the great job/family/house/life is still there, but it is unreachable from the hole.
Throw me a rope.
Jason doesn’t have a ladder, but luckily he’s got a rope — one woven with hugs, errands, gentle offerings and patience. He secures it, throws it down, and encourages me as I struggle to pull myself up — using arms, legs, the scratchy rope, the crumbling dirt walls — everything at my disposal to get out. And I will get out. I always do. New hole or old one.
If you suffer from depression of any sort, I hope you have someone. Know that sometimes you have to find that person and tell them what you need. And if you have someone in your life who sometimes falls in that hole, know this: you can’t make them feel better any more than you can climb out of the hole for them. But you can throw them a rope.