it's been a long time since i've done any writing. the last blog i kept, i had to hastily delete after a spurned lover threatened to take it public. he hacked my account and i had literally minutes to erase everything. that's been 6 years and i think both my writing and thinking processes have gotten rusty from disuse. time to shake it off. and what better time is there than the present? in the last ten days, i've had migraines eight of those days- in varying degrees of incapacitation. unfortunately for me, i live in charleston sc, the worst city in the USA for weather triggered migraines. i can tell you two days before a storm falls and a day before any significant temperature or humidity shift. apparently, inside of my head is a tiny, perfect storm warning system. unluckily for me, there doesn't appear to be much use for it as a tool and since i don't drink, i can't even use it to wage bar bets. all i can do is tell people that the weather is going to shift, get "the look" and one or two days later, if i'm able to communicate, be able to say, "see. i told you so." big whoop.
migraines are debilitating. i'm sure you've heard this before and if you've never had one, you might secretly find yourself thinking- "it's a headache. get over it". i might have done the same thing if not having already been genetically "blessed" with the migraine gene. my memory is spotty at best. i have virtually no memories of my childhood, which may be a good thing. but what i do remember is my mom.
my mom had a hard life (that will be another post one day or probably many many posts). she also had migraines. i remember being horribly unsympathetic as a young teen. coming home from school and finding her lying down in a dark room with an icepack behind her neck and a cold rag on her face wasn't unusual but i would act that it was her fault or that she was weak and use it to manipulate her into giving me the car keys to go get the food she
wasn't up to cooking. of course, i never did actually use it for reasons given; i would take her car and go get friends to ride around and get high. it shames me to think of how callous i was to her then but history repeated itself 20 years later so you know- karma's a bitch. :-)
fast forward a few years... i don't remember how old i was when i had my first migraine but i do know that the pattern became obvious very quickly. two days or so before my period started, i would get one. it would be your standard, one-side of the head, behind the eye migraine. i'd have a two-fer whammy. mega-cramps and migraine. what a duo. and back then...mid 70s.. docs seemed to view migraines and cramps the same way- "all in the head". funny, but they were absolutely right, just not in the way they thought. hormones and seratonin levels are both regulated in the brain. migraines are a true neurological disorder, which means.. yep- all in the head.
anyway... what i wanted to talk about is how people
still don't understand migraines or the people who suffer from them. we might as well still be hanging out in the mid 70s when it comes to most non migraneurs and sadly, many doctors. another ugly truth about this condition is the high correlation between migraine and depression. they are so intertwined that i'm not sure if you can tell which came first. one thing we do know is that migraines affect seratonin levels and the "best" migraine meds, the triptans, also affect seratonin levels. what this means in my case (and i am only speaking for myself here) is that when i get a migraine, i have to ask myself before i take the medication- "am i willing to risk falling into a depression?" when i take a triptan, the migraine is usually aborted. that is
fantastic! however, that also greatly increases my risks of becoming "flat" which precedes depression for me. i loathe taking these pills for this reason yet in the past week, i have taken them 4 times. FOUR times! and how do i feel now? horrible. flat. tearful. worthless... it's such a vicious cycle and these are the only meds that work for me. so choose- extreme pain (icepick to the eyeball, anyone?) or potential flattening and/or depressing of mood. or, quite often- both.
hmm. i was hoping that writing would be cathartic and make me feel better but putting it down just reminds me of the sheer hopelessness of not having a decent solution to migraines.i have tried every med, vitamin, treatment known (even botox and nerve blocks) in my search to end the torment. i've had MRIs and CT scans and what is really really sad is that for many people who suffer from migraines is that it makes us feel so crazy, we end up half wishing it
would be a brain tumor because at least then we'd have something to point at and - hey, you can operate on a tumor and have a decent chance of getting it all out and being done with it. who cares if you have to have your head shaved? i'd gladly let them shave off my hair if i knew there was a permanent end to migraines attached. but alas, no tumor. and yes, i know that's not funny. i have family members who've had brain tumors so i'm not making light of it. just trying to show the real level of desperation that i feel sometimes in the midst of an attack.
also, i am one of the lucky ones. i'm not even working right now. if i were, i would be working straight through in agony or feeling guilty about taking sick days. calling in with a migraine still gets about as much sympathy as calling in with a bad hair day, unless you're lucky enought to have a boss who has migraines, too.
time for another reveal. might as well get it all out in the open from the get-go. add in the fact that i am a therapist, a licensed professional counselor, and it just gets better. as a therapist who suffers from depression and migraines, it gives me an edge up on understanding and appreciating my clients' pain when they have the same issues. the down side is the mental number that the headaches and meds do on me is also the same. i get depressed. i feel worthless. i feel hopeless. i feel like nothing will get better. then i beat myself up because
i am a therapist and if anyone should be able to pick herself up and move on, it's the therapist.
right?
wrong. i wish. it's really amazing if you think about it: how something like a change in a chemical level in one's brain can completely alter the way that person thinks and feels,
in spite of said person's past history, prior understanding, enhanced education and knowledge base, and incredible need and desire to maintain control-
because
even though i
know it's biochemical in nature, my thinking brain still goes nuts over the loss of control of emotional regulation.
so, here i am. a depressed therapist. presenting with feelings of worthlessness, helplessness and hopelessness, brought on by medication taken for migraines, which if untreated lead to feelings of ......and repeat.
it's a vicious wheel and i can't hop off.
Labels: barometric pressure, counselor, depression, genetics, headache, migraine, sad, therapist