This Familiar Haze

When I look out the window, I see a gloomy haze of smog.  The sun has barely attempted to rise; the nearby mountains may as well not exist.  For several weeks, the pollution level has stayed unreasonably high.  We stay inside with our air purifiers, spending as little time outside as possible.

In these cold, polluted days, the hazy darkness seems to have seeped inside me. When I look back, the hard times seem to rise up threateningly in memory.   When I look ahead, I feel weary at all the life still to come.  I am reluctant to call it by name, wishing to deny it a little longer.  But I already know: it is the heaviness of depression stealing in again.

It is not a surprise; I know this illness will likely follow me through life in ebbs and flows. Right now I can manage.  The dark lays heavy on me, but my mood lifts in the sunshine.  I may dread going out, but I can still enjoy being around people when I do.  My mind feels muddled by complex tasks like cooking, but cleaning still brings me peace and a sense of control.

With the darkness comes fear.  Winter is always hard, but what if it just gets worse?  What if I go down to the depths I have been in the past?  My memories are of darkness and heaviness, the demons that chase me, my “thorn in the flesh.”  The good times are hidden like our mountains; do they even exist? 

It is hard to keep perspective when you cannot even trust your mind.  I know the past included many good times, and the future will include many more.  I cannot see the sun and the mountains through my window, but they are still there.  The light and happiness are still there too, just temporarily hidden by the mental haze.  This illness of the mind says the light does not exist, but I remember this: depression lies.

Of course I am ready for both the smog and the depression to lift, and it will.  But while I am in this place, I realized that I don’t have to fear.  I can face the memories of darkness.  The burdens of the past did not crush me.  I may have felt hopeless, but I kept on until I could find the hope again.  In the moments (months, years) of my greatest weakness and weariness, God’s great strength carried me. Surely he bore my griefs and carried my sorrow. 

I remember a time, just a couple of years ago, when restoration seemed impossible.  What could ever pull me out of this hole?  How could I ever be okay again?  And yet, with time and intention, restoration happened.  I entered a period of greater health and stability than I had known in years.  I am still powerless to restore myself, but God is still powerful to work in me.

So I will not fear.  I have walked this path before and come out the other side.  I will keep walking through the haze until I reach the clear morning light.

One Word for 2018: Restore

I have never been into New Years Resolutions. In lieu of resolutions, a few years ago I jumped on the One Word bandwagon, where you choose one word you want to define the year. Some of my words have worked out great and ended up being a very meaningful theme of the year, like the Year of Grace. Other years did not turn out at all like I hoped.

I had a word in mind at the beginning of the year, but I didn’t ever fully commit. For one thing, we were in the middle of moving and transitioning back to the US for a year, and I had a few other things to think about. I also felt reluctant to commit myself to something that I wasn’t sure would happen. The word I flirted with was “restore,” but it was more of a hope than a resolution.

We spent this year in the US with the specific purpose of seeking healing and restoration, and we were committed to actively work toward this end. We attended a debriefing and renewal retreat that got us started in digging deeper into how we got to this place of depression, sickness, and burnout.

We saw dozens of doctors about various medical complaints, some we had put off for many years. I found a psychiatrist and began regular counseling, both a first in my years of depression and anxiety. Kevin had a break from the stresses of teaching and dealing with challenging school situations. In the fall I had a break from home schooling, and family provided a lot of help with the girls.

We were not passive in our quest for health. But at the beginning of the year, I had trouble believing that any of these things would actually make a difference. In the midst of depression, it is so hard to believe you CAN get better. When something is wrong inside of your mind, what can you do outside that would possibly heal you? We were so worn down after surviving for so long, we couldn’t see what doing well would look like.

It has been a slow process. I came back to the US this year thinking I was over depression, only to discover that wasn’t true at all. I reluctantly began to understand that depression will very likely always be a part of my life - hopefully something I will be able to manage well, but never something I can ignore.

I asked my psychiatrist if I would always need to be on antidepressants and she said, “Well, it depends. Do you want to go back to feeling like you did before?” Hmm. I really wanted to be a person who could stop taking medicine and be all better. It takes a mindset change to accept that for me, this is a chronic illness. But I also feel more hopeful. In understanding my depression I can give myself permission to get the help I need. I can open myself to the possibility – through medication and prioritizing mental health – that I really can do well.

This year we have enjoyed amazing physical health. Well, Kevin had a couple of hospitalizations. That was not amazing. He avoided the majority of the last couple of years of sickness, so this year was probably worse for him health-wise. And we had the usual sicknesses, but compared to the last few years it was pretty amazing. We had long stretches of time when everyone was healthy. Our bodies finally had the chance to recover enough to rebuild our immune systems. And nobody got pneumonia!!

We are not completely healthy and mentally stable and perfect, unfortunately. We have spent the last couple of weeks of the year with sickness and asthma flare-ups. Sickness is always discouraging, but it is part of life, not necessarily the start of another season of continual sickness. We are still striving to function better as a family.

However, looking back to where we were at the beginning of 2018, we have come a long way. Slowly, over time, we have built up the inner resources that were so depleted. We can look on the challenges and stresses that will face us in China and still want to return.

When I look toward 2019, I have no idea what it will be like. I’ve stopped trying to predict the future. We are setting plans in place for how to operate better in China. We are prepared to do what is in our power to stay healthy. We also know how much is outside of our control. It’s hard to live very long in China without adopting a somewhat fatalistic mindset.

I can’t see what the future holds, but I can look back and see where we have come. I picture Samuel, setting up an Ebeneezer stone and declaring, “Thus far the Lord has helped us.” We did as much as we could, but in the end the restoration was not in our hands. We can look back and see God was faithful to bring it about. We can walk into the new year with confidence, whatever it holds, knowing the Lord goes ahead of us and will continue his work of restorations.

What does a depressed person look like?

“Everyone has a story or a struggle that will break your heart. And, if you’re really paying attention, most people have a story that will bring you to your knees.” - Brene Brown

You may look around and think, “I don’t know anyone who is depressed.” Probably most people you know look normal. Functional. Together.

We all want to look like we have it together. It might be okay to struggle because of some obvious and outward and universally understood circumstance, but not too deeply or too long. We should be able to get over it and move on. If everything is going okay in our lives, we should be okay.

Except that the outside doesn't always mirror the inside. Even when we are barely functioning, we seem to cling to this social code. We smile and keep it together because that is the appropriate way to behave around others.  And when we can't manage to keep it together, we hide away so nobody knows we are falling apart.

So what does a depressed person look like?

They may look successful.  Maybe they have awards and scholarships and smiles.  They may wonder what is wrong with them, what is this fatal flaw that makes them so desperately miserable.

They may be surrounded by friends, such good friends they even wear matching clothes!  They may socialize in the dorm and go out with friends on Friday nights.  In between they may lie on the floor crying alone, wanting to live but not sure if they can survive.

They may look adventurous and daring, striking out on their own in the world.  They may love their job, feeling a sense of calling and purpose.  They may wonder if they are worthy of taking up space in the world.

They may have the life and the family they wanted.  They may feed and clothe and bathe their children, and even smile at their antics.  They may be crushed by the weight of trying to get through another day.

Each one of these pictures represents a time when I was severely depressed. In only one of these times did someone else know that I was depressed.  How is that, when I had friends and family - close friends even, and family who cared about me?  It is because you can't always see depression from the outside.

When I look back on these pictures I feel the disconnect.  I do have good memories.  I did smile and laugh and do things with friends.  I got good grades, taught well, was a pretty decent mom.  And yet I also remember what I felt like inside. I remember the palatable darkness that threatened to swallow me, the gaping emptiness, the deep exhaustion from acting like I was okay.  I remember questioning the will - or desire, or ability - to live.

How can this paradox exist?  And how can we ever see what someone is feeling on the inside when we are so good at hiding it?

Maybe we can't see it.  Maybe we have to hear it.  We hear it because we are listening.  We enable them to be open and honest because we have been open and honest.  We fight down the urge to give advice or judge or swoop in and rescue; instead we just listen. We don't even encourage or offer solution or try to drag them out of the pit - not yet.  First we step into their pain and sit with them.  We say, "I'm here," and then we stay.


"In the deepest, night-blind fathoms you're certain that you're alone. You aren't. I'm there with you. And I'm not alone. Some of the best people are here too...feeling blindly. Waiting. Crying. Surviving. Painfully stretching their souls so that they can learn to breathe underwater...So that they can live."
- Jenny Lawson

This Weird Feeling of "Not Depressed"

The other day I read a verse in Psalm 30:

I will exalt you, Lord,

for you lifted me out of the depths

and did not let my enemies gloat over me

Lord my God, I called to you for help,

and you healed me.

It struck me that this verse was actually true. Of course it was true before, when I had read it with a kind of longing and reassurance that David understood being in the depths. I had read it with desperate hope that one day I would feel this way.  Now I realized I actually did feel this way.

I can remember clearly two years ago being lost in the middle of those depths. I could not see anything other than a fog of depression, and I could not believe it would actually get better. I was calling for help but the healing was not happening. Last year I told our member care specialist, “I have come out of the pit just enough to realize how deep it is, and how far I have to go to get to the top. I am still really far from okay, but I can almost see what 'okay' looks like.”

When we came back from China at the beginning of the year, I though I was mostly better. I just needed to deal with the after-effects of these years of depression and surviving and burnout. We attended a three week intensive debriefing retreat – three weeks because we were that bad off. It was so helpful, but at the end of three weeks I found out that I was still depressed. “High moderate depression," my counselor and her little inventory described it. That was pretty discouraging because I had just had three weeks of daily individual and group counseling and I was still depressed! When I thought I was doing better!

I came to realize that now and in the past what I thought of as depression was actually severe depression. If I could function and didn’t want to die, I figured I wasn't really depressed anymore. Apparently "better" looks like something higher than that.

This past month, after continued counseling and a new medication, I have remembered what not being depressed feels like. There are times when I feel what I presume is normal baseline – is this what people really feel like? - like I can handle life and I think that good things might actually happen in the future. I feel stable. It’s a weird feeling. I have been able to enjoy my kids, even to enjoy this stage and not wish they would please just grow up more and not need such constant help and attention.

Obviously there are still times when I don’t enjoy them – when Nadia is clinging and screaming, when Juliana is whining and stomping around, when Adalyn has to be prodded every single step of the way to do every single task. But this is the normal counting-down-to-bedtime stuff of parenting. These days, I rarely feel like my head will explode. When no one is screaming, I can actually enjoy this stage with these little people.

Of course there are still emotional times, frustrations and disappointments, the discouragement of sickness and poor sleep. But the amazing thing is, I can feel grieved or discouraged and then I can get over it. The next day I may feel pretty good again. I am not dragged down into an endless downward spiral.

When my psychiatrist first suggested a mood-stabilizing drug, I was a bit skeptical. “I’m not sure my moods are unstable. Everyone has ups and downs. By the way, what do stable moods look like?” Apparently they look like ups and downs but the ups are above the level of depression and the downs are something you can recover from. Apparently it is not feeling like you are crazy all the time. How interesting.

I do feel more stable now. I can see yellow paint or 80’s décor and not feel like everything is really weird and the world is an unsafe place. I can be in a strange or unpleasant situation but when I am out of that situation, I can shake it off without it tainting my whole day or week. One night I was talking with my family about a possible suicide/murder in our town and about a childhood friend with a terrible disease. You know, pleasant bedtime conversation. I felt sad and disturbed but I didn’t even have any terrible dreams that night. And I have had a lot of terrible dreams in these past months.

In fact, dreams have come up several time in my counseling because I have had so many disturbing ones. One of my less disturbing but frequently reoccurring dreams, second to stressful travel dreams, are out of control elevators. I’ve had these dreams for years. I get on an elevator and it never goes where I want it to. It shoots up to dizzying heights or drops deep into the ground or veers sideways into different buildings. I can never get where I want to go.

A few weeks ago I had another elevator dream. I got in an elevator and realized there were no buttons. All it had was a big lever you had to pull at just the right time to stop on the right floors. In my dream I was able to pull the lever and stop at just the right floor - twice! I was excited by this dream because it was the first time I had ever been able to control the elevator. Even though it wasn’t easy and didn’t function like I expected, I was able to make it work! I think this must be what it is like to not feel like your life is out of control.

Even though so much of our lives are out of our control. We cannot control if we will be able to stay in the city to which we have grown attached or in the country where we have lived for 13 years. We don’t control what apartment we will live in or who we can have over to our home. We don’t control when our heat comes on and turns off and we have no thermostat to adjust. The other day Juliana, so cutely and innocently said, “Wouldn’t it be great if they invented something where you could make the temperature anything you wanted – hotter or colder if you needed?” My sister said, “Um...they actually already have that.”

We don’t know how long the local public schools will continue to accept foreign kids or how long our area will continue to accept foreigners. Who will be the next among our friends to have to leave? Sometimes we know months in advance with time to say goodbye. Sometimes it happens suddenly, even overnight, and our global circle means friends we may never see again.

We can influence but not control our health. We can prioritize but not control mental health. We know that all manner of situations might force us to change our country, our homes, our jobs, our friends, our schools, our way of life – all in one fell swoop.

But I digress. There are so many circumstances of life we cannot control, maybe more than ever before, but somehow life doesn’t feel like it is spiraling out of control. A sickness feels like a regular event that we will recover from. A change of plans is inconvenient, even stressful, but it is manageable. I can see that it will probably not throw our life into utter chaos and alter the entire course of our lives.

I have this weird thought that life may actually work out. I have moments when I am downright optimistic. (No fear though, I don’t really thing lasting optimism is in my nature, whereas my witty sarcasm clearly is.) I have these moments when I realize I feel happy, just effortlessly happy in the midst everyday life. Is this what normal feels like? Is this what it means to be truly okay?

I forgot what this feeling was like, and it might take a while to get used to, to believe it is not just a fleeting phase. It will definitely take a while to work through the habits and thought patterns carved out by years of depression and anxiety. I realize there were many times in life when I thought I was all better but depression and anxiety were still having a profound impact on my life. I am trying to look back and sort out what was depression and what was me. I am seeing the ways that God has brought healing through counseling and medication and a lot of time.

I am climbing out of that deep, dark pit, and the view is looking pretty good up here at ground level.

How Crazy is TOO Crazy?

I write a lot about mental illness because 1) I have many years of experience with it, 2) I am very interested in mental health and plan to get a counseling degree one day, and 3) I think stigma is stupid and I want to do my part to dispel it.

I know I appear to have very little filter, but I actually do reign myself in a bit. If I write something that makes me seem too unstable, then I back off a bit and write about something a little more normal next time. I want to remind people I am more than my depression and anxiety.

When I write about my experiences I do worry that readers will think, “Crap, she’s much crazier than I thought.” I want to reassure people that I am not actually any crazier than I have been for the past 20+ years. Actually I am in a better place now than I have been in quite a while, and definitely more stable than many points in the past. The difference is I didn’t talk about it before. So don’t worry - nothing new here.

But I do wonder, how much crazy is too crazy. Many people deal with depression and counseling is not too unusual. Everyone feels anxiety sometimes, even if they don’t have an anxiety disorder, so the rational aspect of that makes sense (maybe not being disturbed by yellow paint).

But what about schizophrenia? That’s pretty weird, right? What if someone has a panic attack in the airport? So awkward. What if someone needs shock therapy? Uncomfortable, 1900’s stuff. Can we talk about suicide, or will that freak you out? Nobody judges you for a stay in the hospital, but a mental hospital is a whole different matter. We are allowed to be physically sick (although chronic illness and invisible illnesses are probably made up, right?), but mental sickness needs to have some boundaries. We are allowed a certain amount of crazy before we turn to hushed tones and sideways glances.

So one of my fears in writing about my own mental illness is scaring people off. I don’t want people to talk in hushed tones or wonder if I’m about to go off the edge. Because if I am about to go off the edge, I want to be able to be honest and get help to pull me back. What I deal with is not actually that uncommon, most people are just pretty good at hiding it, like I did for many years.

Some statistics for you: The World Health Organization estimates that over 300 million people worldwide suffer from depression. The CDC states that tens of millions of people in the US suffer from mental illness and estimate that half receive no treatment. A 2016 study by NIMH found that 6.7% of all U.S. adults have had at least one major depressive episodes. An estimated 31.1% of US adults experience some type of anxiety disorder in their lifetime. We’ll talk more about suicide in the future, but the same study found that 4% of US adults had suicidal thoughts during the year 2016. If you enjoy statistics, here’s a bunch more: https://www.nimh.nih.gov/health/statistics/index.shtml

The main take away is that mental illness affects a lot of people. It undoubtedly effects people you know, probably many people. And a lot of people don’t get help, likely for various reasons. The cost of healthcare, for example. While our insurance covers counseling, the ever increasing deductible means I will be paying for it out of pocket, and counseling is not cheap. I feel like it is worth spending the money on, but for many people it is just not possible.

Some people don’t even realize they are dealing with mental illness. In high school and even college, I didn’t understand what the problem was, I just knew something had to be wrong with me since I couldn’t seem to handle life like everyone else. I didn’t tell anyone about my suicidal thoughts partly because I didn’t know how to. Even my most recent 4^th period of major depression took me a full year to recognize, and I “should” know by now what depression looks like.

When I was younger I also didn’t talk about my depression and anxiety because I was afraid of people thinking I was really weird or weak. The stigma may have lessened but it is still very real, and like in most things, adolescents are probably the most susceptible to being misunderstood. I am fortunate now to know a lot of people in the mental health field – and a lot of people with mental illness – who are willing to talk about it. This makes a huge difference in my willingness to be open, and many people don’t have that.

For the one struggling

If you struggle with mental illness, here are some things I want you to know. You are not alone. Once you open up about it in whatever way you feel comfortable with, you will undoubtedly find other people who are struggling too. Find someone you feel safe with, who will listen without judgment and try to understand you. If you are having a hard time, it is okay to protect yourself from the constant news cycle and overwhelming information. Expect less of yourself for a while, because dealing with the rough periods takes a lot of energy.

Get the help you need. This is not selfish – this is important to your health and wellbeing. This is not weak; it is brave. Maybe you would find counseling helpful. Find a counselor you connect with and that actually helps you. Sometimes medication is really useful, because sometimes your brain chemistry needs some help. There is nothing wrong with taking medication!

Recognize that you are a spiritual, physical, mental, and emotional being and that all these areas are affected. Addressing the spiritual component is helpful but “thinking the right thoughts or praying enough” does not address the other areas, and puts a lot of guilt on yourself that maybe if you had a strong enough faith you would be joyful or anxiety-free. This does not make any more sense than someone telling you that focusing on truth and praying enough will cure you of cancer or high blood pressure It is just not true.

Realize that a lot of people truly don’t understand what you are going through, and if you say, “I am dealing with anxiety,” that doesn’t necessarily mean a lot to them. Talk about the specifics of what you are struggling with: “I feel like my chest is tight all the time and I can’t breathe or think clearly.” Give them some grace as they try to understand. But again, talk to people who are trying to understand. For your own sake, avoid sharing too much with people who are just critical or give unwanted advice.

For the one supporting

For those of you who are close to someone with mental illness, try to listen and understand instead of giving advice. Recognize there is a difference between “feeling down” and clinical depression, between feeling worried about a problem and anxiety disorder. A counselor tried to explain the difference to us like this: If you are feeling down, maybe you should take some brownies to a neighbor because doing something for someone else is a pick-me-up. If you are clinically depressed, this won’t help. You don’t have energy to make brownies in the first place, and even if you did you don’t want to leave the house to see the neighbor.

You can encourage things like exercise (“Why don’t you meet me to walk once a week?”) and self care/getting out of the house (“Let’s have coffee this week.”) but also realize in themselves, these are not solutions to serious problems. In fact, carrying the weight of another person's problems or trying to be their sole support is draining on you and unhealthy for both of you.

Encourage your friend to seek help. Finding a counselor or support group can be overwhelming, so if they are open to the idea, help them find some resources and possibilities. When I was really struggling in China, our member care specialist helped me to find resources within China. She called them to find out details, costs, and how to get in contact with them. It was a huge help, because a task like that was completely overwhelming to me.

Learn what you can about what your friend or family member is dealing with. Knowledge often takes away some of the fear. Ask them what their experience has been like. Ask questions like, "What does depression feel like for you? What are some things that trigger your anxiety? What things have you found helpful or not helpful in the past? What are some areas of daily life you struggle with most?" Recognize that a person might not know what they need or may have trouble accepting help, so instead of "Let me know if you need anything," you could try, "I’m going to make food for you this week – what day is best? Let’s meet for coffee and a good talk - what about Wednesday?" Ask about specific ideas like watching the kids or helping to find possible counselors in the area.

In parting I will share a few words from Jenny Lawson, an author who writes hilarious books about mental illness.  If you are mentally ill, are not afraid to snort-cry-laugh, and are not terribly put off by a lot of swearing, check her out. She is amazing.

When we share our struggles we let others know it's okay to share theirs. And suddenly we realized that the things we were ashamed of are the same things everyone deals with at one time or another. We are so much less alone than we think. - Furiously Happy by Jenny Lawson

Hello, My name is Ruth and I have a fear of yellow paint.

Every morning when Juliana went to school or when Kevin took the girls somewhere, I would wave goodbyes and wonder if they would die before I saw them again. I didn’t obsess about it or feel paralyzed with fear; it was just a daily, automatic thought. “Goodbye, hope you don’t die before you come back!”

My sister and I recently had a conversation about worrying that people will die. That was when I realized I had stopped wondering if my family would die every time they left home. It had been a daily thought for such a long time, I had failed to recognize that perhaps it wasn’t entirely “normal.” When I told Kevin about it he looked at me very strangely and said, “Really? That’s terrible!”

Depression is my primary nemesis, but depression and anxiety often like to tag-team. I don’t talk about anxiety as much because I find it harder to figure out. I recently read Wil Wheaton describing his chronic anxiety and depression. Even though I have years of experience with these illnesses, it was reassuring to realize someone else understands what is going on inside your head. I have also realized that I can say, “I struggle with depression and anxiety,” but those words might not mean a lot to people who haven’t experienced it before.

So I will attempt to give a picture of what anxiety has meant for me, knowing that each person’s experience is different. Anxiety is a normal part of life, but generalized anxiety disorder (GAD) makes you feel anxious about things that don’t even make sense. As I thought back on some of the things that have caused me anxiety over the years, here are some examples:

- Pale yellow paint: The doors in my first apartment in Yangzhou were covered with peeling yellow paint that reminded me of a 1960’s mental institution. It was very disturbing.

- Marshes: All that innocent looking grass covering up sinister water.

- Certain patterns: It’s hard to explain, but some repeating patterns look like disease or tiny eyes or are just trying to make your eyes go crazy.

Why would they do this??

- 80’s décor: I’m serious. That gold rim around the shower door. I can’t begin to explain this, but it’s something about the feeling of stepping back in time.

Creepy, right?

- Furniture pretending to be decapitated humans: My sister says this would be anxiety producing for most people, so maybe I’m totally normal for feeling like legs should stay attached to humans.

This lovely piece of work was in the neurologist waiting room.  Do you think they are trying to mess with people's minds?

You can see why it is hard to explain anxiety. When you say, “Yellow paint is upsetting to me,” people who struggle with anxiety understand. But other people look at you like they wonder if you were ever abducted by aliens.

The problem with anxiety and other mental illness is that the illness itself skews your perception of life. I have a hard time wrapping my mind around anxiety because it is just not rational. Depression feels almost logical. Your mind says life hopeless and everything is only getting worse, so naturally you feel depressed. But anxiety makes you feel crazy, like you are literally losing your mind. Because honestly, who is afraid of 80’s décor??

Of course there is something behind the crazy, even when you can’t explain it. These irrelevant things bother you because something about them is not right. You get that creepy feeling like when you are in a dark parking garage (I also hate parking garages) all alone and someone is following you. For some reason 80’s décor looks like the scene from a horror movie. A part of your mind cannot get over the fact that human legs should be attached to bodies not furniture. So your mind screams, “Danger! Something is off here! Pay attention to this sinister feeling!” Because your brain refuses to believe that tissue boxes are not threatening.

During my first year in China at 22, I went through periods of unintentionally waking up at 4am. I would head out on solitary bike rides at 5am, when only the street cleaners were out. I did not have a cell phone and nobody knew where I was, but I wasn’t worried about that; I was more afraid of being in my apartment alone. I was confident enough to travel all the way to China, but I suffered an unshakable dread of making copies in the little copy shop. I was living on my own in a foreign country, but I was terrified of the dark. I knew there were no monsters under the bed; what I feared was much more sinister and oppressive.

Sometimes the subject of anxiety is logical, it is just obsessive. Every day I carried Nadia down the stairs from our 5^th floor apartment, I pictured myself tripping and dropping her on those hard, concrete steps. I continually calculated how likely my children were to die in a particular situation. When Juliana sat on her bunkbed, I pictured her falling off head first. When I took Adalyn outside, I pictured her running out in the road and getting hit by a car. I lay awake at night thinking how I would save my children in a fire. These were somewhat reasonable worries, but I could not get them out of my head.

My worst period of anxiety was the year Kevin and I returned to the US for a year to get married. I decided that the middle of a bunch of life-altering transitions would be a good time to stop taking my antidepressants. In hindsight, it was clearly a bad decision. My depression had improved, but I didn’t realize that the medicine was also helping my anxiety. I didn’t even realize I had anxiety.

I nearly had a nervous breakdown the summer before the wedding, but I thought it was just all the adjustment. After we were married, I was upset whenever Kevin had to leave me. Sweet newlywed stuff, right? Except I also dreaded going to work each day. I dreaded hanging out with friends. I was exhausted all the time. I hated driving on the freeway at night because all the lights and movement made me feel out of control. I wanted to stay safely inside our little apartment, until the walls started closing in and I couldn’t breathe.

I curled up in bed, a crushing weight on my chest keeping me from getting enough air. My heart pounded and the world spun out of control. I was completely alone. Even when Kevin was with me, we may as well have been in two parallel universes: Kevin sitting on the bed in our apartment, me being sucked into a formless black hole, all noise and darkness and chaos. It was my first experience with panic attacks.

The panic attacks became more regular and I realized this anxiety was becoming crippling. I finally saw a doctor and started back on medication. The anxiety and panic attacks decreased, and eventually a solitary session of EMDR therapy stopped them completely.

My anxiety has ebbed and flowed over the years. Lately it has been a lot better, but the triggers are unpredictable. Anyone who struggles with anxiety can tell you it is tough. It is exhausting. It is confusing. But it can get better. One day, hopefully, you will be surprised to find you no longer wonder every day if your children are going to die. You are not losing your mind. Or maybe you are, but at least you are not alone.

And in case you are wondering, it’s not your mental illness: decapitated human legs pretending to be furniture is not normal.

Group Therapy

Our family is currently attending an intensive counseling and renewal program for overseas workers called Alongside. So far we are learning a lot about how we are even more messed up than we thought, which is always fun - but I think it will be pretty transformational.

I sat down at orientation feeling, well, disoriented. We arrived late from our road trip and our bags were still in the car. As the director introduced the program, he said, “You may be looking around thinking, ‘I know why I am here, but why are they here?’” I had to laugh because that was exactly what I had been thinking. I knew nobody was here because their life was smooth sailing, but everyone looked so normal, so together.

Do you know what hurting people look like? A lot of times they look just like everyone else. They smile and make jokes, at times. Maybe they wear makeup or fashionable boots. They may look like they could easily step up into a pulpit or battle the wilds of Africa. Hurting people just look like people.

But we have started to share our stories. Loss, trauma, transition, incredible stress, and so much pain. In a safe place the pain, so carefully controlled, comes flooding out. We are normal people, and we hold so much pain.

Group therapy. Just the thought makes some people shudder – or laugh. It sounds cheesy, all that feely stuff. We start each day with, “today I feel...” so at at least one point during the day, we recognize and verbalize what we are feeling. This is harder than it seems, when you aren’t used to identifying feelings.

We share our stories. And let me tell you, there is nothing cheesy about it. This is the story we usually share only in pieces, only behind a shield of humor or stoicism. I shared my story – the themes of depression and anxiety that have ebbed and flowed throughout my adult life, years of sickness and survival and burnout leading us to this place.

We entrust each other with our deepest pain, believing that we will not be ridiculed or belittled, and we aren’t. Nobody says, “Think positive. It wasn’t that bad – it could always be worse. Here is how you could be healthier/less depressed/live a better life.” Instead they just listen and say, “I hear your pain. I feel sad for you. That shouldn’t have happened. Thank you for telling us.” Their tears have allowed me to cry – and I hardly ever cry – instead of withdraw to my analytical “safe” zone.

I am surprised that the small group has been so healing. As an introspective introvert, and one who tends to turn inward in pain, my go-to is writing or maybe talking with a close friend. I would never have thought that sitting down in a group of six strangers would have opened me up and allowed space for processing.

Of course, the group is a bit special. Nobody came in with pretense – we are here because we need help. We have parameters for not giving advice or platitudes but just showing understanding. Even though each situation is different, we recognize each other’s pain. It is a safe space, where we experience the power of community and shared pain.

You may not have a group, and you may not need therapy. Apparently some people are emotionally healthy and not even mentally ill, crazy right? But on the off chance you have or will ever experience pain in your life – find your people. Find your safe people who can share that pain with you, who can resist trying to fix you, who can enter in and sit with you.  Because really, everybody needs group therapy.

One Word for 2017...with 5 days to spare

I am in the anti-resolution camp. I was trying to figure out why. Maybe it’s because I am too pessimistic and cynical. Maybe it’s because life has seemed so out of my control in the past few years. Maybe it’s because my failure meter is too high – I already know I won’t meet up to my standards this year, why set up something to specifically remind myself of how I don’t measure up? I understand the purpose of resolutions is to actually meet them, but how often does that truly happen?

Although I don’t make resolutions, the past few years I have started doing one word for the year. This has its own hashtag #OneWord365 so you know it is a real thing. The idea is to choose a word that you want the year to encapsulate or that you want to focus on.

I thought about my word last January. I thought of choosing Light. I was thinking a lot about light, being so surrounded by darkness, but it seemed too abstract. I thought about Restore. I knew we needed restoration and I thought that we had passed the worst part of depression and sickness and surely things would start looking up after the new year.

Then I spent most of January and February completing our “world hospital tour.” The flu in Cambodia, a terrible stomach bug in Thailand, another stomach bug in Myanmar. When we finally had a month of health, I realized that despite the relief antidepressants had brought, I was still having trouble completing simple daily tasks. We took a trip to Beijing so I could get a few days of counseling, because that kind of help is 500 miles away. Then we came back and I got pneumonia and the semester ended in a fog of sickness that reached ridiculous proportions.

So I forgot about choosing a word for the year. I’m glad I didn’t choose a word last January because once again the year has not turned out at all like I would have planned or hoped. This was not a year of restoration, more of demolition. Although I have realized that the mess of tearing down is often the first step of building up something new.

But now, five days before the end of the year, I would like to choose my word for 2017. The timing seems entirely appropriate for the year it has been. Despite the ridiculousness and difficulty of the past year, as I look back I realize it hasn’t been terrible.

It’s funny that I would think this because I also feel that most things have not gone well this year. Way too much pneumonia and asthma and flu. Crappy discipline, too much anger, and out of control children. Little contact with students and sometimes with the outside world in general. Not enough exercise and too much stress eating. Pretty much nothing that would be described as success.

The other day I got an email from a wise friend who understands. She said, “There is a lot that I don't know about my identity right now, but I do know that I have been faithful... And that is what the Lord asks of us…"

And despite all the failings, all that was out of our control and didn’t go how we wanted, this is what I see looking back on this year. We have been faithful.

We stayed when things were hard and we were just trying to keep everyone alive another day, trusting that God would care for us and provide what we needed. And he did – not at all in the way I would have asked for it. We sought help when we needed it. We have made the difficult decision to uproot our family for a year for the sake of our health and well-being, trusting that God will work out all the overwhelming details - details like where we will live and work in America and where we will live and work when we come back.

More than that, God has been faithful. He has sustained us when I wasn’t sure I could carry on. In faithfulness he afflicted us, even when it didn’t make a lot of sense at the time. In faithfulness he has torn down the old and dying things inside us to prepare a way for something new. In faithfulness, he has given us more of himself – his strength, his consolation, his grace – when we had nothing left in ourselves.

Sometimes I think we have been faithful because we had to rely on God. I feel like Peter when he said, “Lord, to whom would we go? You have the words of eternal life.” It’s not that I have great faith. I don’t even feel like a very good Christian sometimes. But I don't know how to live without God.  His story is so wrapped up in me and in this past year, I couldn’t begin to unravel it. I couldn’t tell you where the ordinary ended and the sacred began. It seems that more often than not, the terrible and the beautiful danced hand in hand.

So my word for the year is Faithful. When I look back, I see a LOT of sickness, a lot of trials, a lot of surviving. But over it all I see that we stayed faithful to the One who was faithful to us. Oh, we have not been successful, but we have been faithful. And I think, actually, that has been enough.

Joy Belongs to Us

We were healthy the entire first week of December. Adalyn and I had just recovered from the stomach bug that wiped us out after Thanksgiving, and we made it all the way until the evening of December 7th before Adalyn came down with a fever.

That first week of December, we put up our Christmas decorations. We had a magically calm cookie decorating experience. We lit our first advent candle, the candle of Hope, and I felt hope that our life could actually be manageable. I sorted through the girls clothes, and our jumbled medicine stash, and eliminated unneeded kitchen items. We couldn’t really pack anything yet, but I did what I could to get rid of anything we didn’t really need. Purging brings me inner peace.

A surprisingly peaceful cookie decorating experience

But the feeling of peace did not last for long. The day we lit the second advent candle, the Peace candle, Nadia was already down with a fever. “It shouldn’t be too bad,” I thought. Adalyn only had a few days of cough and congestion, so I expected something similarly mild.

Instead Nadia’s fever continued, and she lay listlessly in our arms, half asleep. On Wednesday, I was worried enough to call the pediatrician. After Nadia submitted to her examination without any resistance, the doctor said she had pneumonia and a double ear infection. Her fever, heart rate, and breathing rate were all high, and her oxygen levels were low. The doctor had us start her on a high dose of antibiotics and keep a close eye on her. “If she gets any worse, she needs to go to the hospital for oxygen.”

Sad, listless baby

It was appropriate that this was the week of Peace, because I felt anything but peace. I was so anxious I couldn’t think straight. I tried to count simple numbers to figure out her breathing rate, but I could not make sense of them. I kept reminding myself to breathe. My head was pounding from headache and fear. Over the course of one hour, I sent 20 emails back and forth with my mom and doctor-sister trying to figure out what to do. I have never been so worried about one of my children before, as I listened to her struggle to breathe, as I watched her oxygenation numbers, as she lay listlessly across my chest.

At the hospital the next morning, the children’s waiting area was overflowing with sick children: babies crying, children coughing, some sounding even worse than Nadia. Dozens of parents and grandparents watched us curiously, ever the spectacle, but we were all in this together, worried and waiting.

The children's injection room at the hospital

We were happy to return home after a few hours, but we almost headed straight back when her oxygen levels dropped dangerously low that afternoon. What relief to see the difference albuterol made! After an exhausting morning, carrying Nadia all around the hospital, the rest of the day and night were still stressful, monitoring her breathing, trying to decide if she needed to go back to the hospital. Late that night her oxygen level dropped disturbingly low, and we were already out the door to the hospital when her breathing improved dramatically.

She finally got an inhaler like her sisters

We lost sleep over worry about her breathing, over waking up frequently to give her medicine during the night, and over the effects of the medicine – Nadia was so hyped up she was running around crazy at midnight. Instead of napping, she has been climbing out of her crib. But finally she was breathing. Her fever dropped, she started eating some, she played and danced and climbed on the washing machine to explore the medicine cabinet and grabbed a cleaver in the kitchen. Back to the normal worries about keeping her alive.

Yesterday we started the week of Joy. I struggle with joy more than the others. I am grateful for the promise of hope, I easily recognize the need for peace in the midst of my panic, but joy feels like a pressure. I should feel joy.

Joy belongs to those other people – the ones with the matching Christmas trees and prettily wrapped presents and smiling children. The ones who like the happy carols instead of the wistful ones, who run around doing fun Christmas activities, who are full of optimism.

Not the ones ready to sweep all the clutter straight into the trash, or the ones who whisper-yell at their children, “Go. To. SLEEP. Don’t you dare wake up your little sister!!” with angry eyes in the dark. Not the ones still scrambling to get presents ordered, or the ones with lights burned out two-thirds of the Christmas tree. Joy doesn’t belong to us.

Last week I thought, “You know, this December has still been better than last year.” Which just goes to shows how terrible the last one was. This time last year, as I sat covered by the blackness of winter and sickness and depression, I wrote about waiting for the light. I certainly wasn't feeling the joy; I was just hoping to survive a few more weeks.

Adalyn Lucia leading our St. Lucia Day procession last week. Lucia means "bringer of light."

And I remembered again: we aren’t the ones who have to make the joy happen. Anymore than we are ones creating peace or hope. A star bore witness to generations of hope finally fulfilled. Peace was not a silent night and an anglo-saxon baby who didn’t cry; He himself is our peace. The angel didn’t say, “Hey shepherds, get your joy on!” No, he came to tell them that joy had already arrived - joy in the most ordinary form of a newborn baby.

Next week is the week of Love. And for you and for me it may be a week of whining and snapping and arguments and comparison and imperfection. We can be pretty bad at loving one another. What relief to realize Christmas is not about our love, it is how great the love the Father has lavished upon us.

Sometimes we feel the joy and warmth and love. Sometimes we wait for it. At Christmastime, as nights reach their longest, the darkness seems to be winning, and some years the darkness steals straight into our hearts. But there is a Light that shines in the darkness and the darkness has not overcome it.

We are the ones who wait. Expectantly, imperfectly, empty.

Joy belongs to us.


He did not wait till the world was ready,
til men and nation were at peace.
He came when the Heavens were unsteady
and prisoners cried out for release...

We cannot wait till the world is sane
to raise our songs with joyful voice,
for to share our grief, to touch our pain,
He came with Love: Rejoice! Rejoice!

~ Madeleine L'Engle, Miracle on 10th Street

Sick

Once upon a time I thought that sickness meant being sick. You feel gross, you take medicine, you press through when you have to and get extra sleep when you can, you get better. Then I had children. And my children got sick all the time. And I got sick all the time too. And I realized that sickness effects everything.

Sickness is exhaustion. It is baby waking up every 10 minutes because she is too miserable to sleep. It is baby “sleeping” on top of you, elbow in your face, knees in your side, moving restlessly. It is middle of the night throw-ups: wiping faces, changing pajamas, stripping sheets, settling a pale child back into bed. It is daddy putting on new sheets while mama deals with crying child. It is the washing machine going in the middle of the night. It is lying in bed with children climbing all over you because you are too tired to get up in the morning.

Sickness is nursing and nursing and nursing. It is wishing you had stopped nursing by now. It is being so glad you are still nursing, when your baby or toddler won’t drink anything else and is looking increasingly less pudgy than a few days ago. It is nursing your almost 2 year old in the middle of the night, even though you finally got her night-weaned months ago, because she is so miserable and just needs comfort.

Sickness is an everlasting fever chart. It is peering confusedly at the medicine record, bleary eyed in the middle of the night. It is feeling that telltale hot forehead and knowing it is starting all over again. It is finally throwing out the fever chart and then reluctantly starting a new one the next day. It is owning 6 thermometers because somehow they never seem to work.

Sickness is trying to keep track of who is supposed to have medicine. It is managing to get your children properly medicated but realizing you forgot to take your own medicines, again, even though you really aren’t supposed to miss it.

Sickness is vitamin C and elderberry, probiotics and apple cider vinegar and essential oils and hand cleaner...and wondering if they will do any good against germs coughed directly into your mouth. Sickness is toddler who won’t leave your lap coughing into your food at every meal, and wiping her nose on your shirt, and drinking from everyone else’s water bottles. It is children who remember to cover their mouths...sometimes...and who use tissue to wipe their noses...when you remind them.

Sickness is coming down with your own sickness when already worn down from nights of comforting and days of carrying around a fussy, clingy baby. It is planning your day around possible naptimes. It is not having enough voice to read home school. It is dragging yourself out of bed to make chicken soup. It is children watching too much TV. It is everything you own exploded all over the floor.

Sickness is slowly getting better – itching to clean that mess which is driving you crazy, catching up on home school reading with a scratchy throat, dealing with the dire laundry situation. It is arms so tired, hanging up the clothes. It is dizziness. It is the decision whether to press on or to lie down and rest.

Sickness is trying to listen to your body, when it says you need to rest or you might fall over and die. But sometimes your body says, “What you really need is coffee. Lots of coffee and sugar and carbs.” And sometimes it says, “I hate you. Why are you so mean to me? How would you like some double pneumonia,” and you don’t need that kind of crap right now.

Sickness is wondering why there isn’t more public recognition of the monumental milestone of “learning to throw up in a bowl,” because it may be second only to “sleeping through the night.” It is when everyone has been throwing up enough you start to hear phantom throw-up sounds.

Sickness is toast and crackers and electrolyte popcicles. It is rejecting any food or drink. It is ravenous hunger before you are allowed to eat. It is excitement over the first real food – an egg or that blessed first peanut butter sandwich.

Sickness is asthma flare-ups and extra inhalers and that barky, croupy cough going on and on.

Sickness is lying in bed looking out the window at the waning sun, darkness falling over your room like a weight, like depression. It is the knowledge that you have spent almost all day in bed, and bed feels like a prison. It is summoning energy to get children to bed amidst the evening fever rise, feeling stale and dirty but too weak to shower, looking ahead to another sleepless night.

Sickness is the disappointment of canceled plans. Missing a rare party or your child’s performance or a date with a friend. It is staying home with sick children during the holidays. It is having to tell your child that she won’t be able to go to the party she has been talking about all week. It is your toddler insistently bringing you her shoes wondering why she never gets to go outside anymore.

Sickness is confinement. It is days without stepping outside the confines of the apartment. It is well-children going stir crazy, because you can’t even send them outside to play. It is well-children missing school because you don’t want to take the sick children out in the cold and pollution.

Sickness is anxiety. It is looking helplessly at your listless child who has hardly sat up in two days. It is listening to your baby’s rapid heart rate and labored breathing. It is the dread of having to go back to the local hospital. It is self-prescribing. It is finally going to the hospital...waiting in lines and lines with sick people who touch your child’s face. It is the 30 second check up and antibiotics you hope are actually warranted. It is the fear that it could be something serious. It is searching Google, even though it will try to convince you it is cancer or TB or the plague.

Sickness is kids who act like jerks, even when they aren’t the sick ones. It is being an even bigger jerk than your children, when you are supposed to be thirty years more mature. It is taking a while to even feel bad about being a jerk because the whole world is stupid and deserves your full wrath. It is parents snapping at each other, even though we know we are both just tired, so tired and not feeling well.

It is hoping your kids forget the jerk-mom and remember the one who put a cool washcloth on a hot forehead. It is cups of juice with bendy straws and crackers to nibble. It is making meals you are too sick to eat. It is realizing your baby would sleep if only you stood rocking her for the next 10 hours. It is little heads drooped on big shoulders, little hands wound through hair. It is finally seeing the shine return to their eyes.

If, of course, you aren’t too sick to notice.