Grief and Loss

Grief and Loss, Pandemic Prose, Physical Fitness, Mental Health and Growing Older

Prozac in the Time Of Pandemic

Dear Reader:

I woke today to find, with a quick look at my social media feed, that it’s Mental Health Awareness Week . How appropriate, I thought as I swallowed one 20mg Prozac with my morning coffee. That’s not the first time I started my day with a little help, but it’s the first time in nearly a year.

I’ve had an on again/off again relationship with Prozac for twenty years. I filled my first prescription a month after learning of my younger brother‘s terminal cancer diagnosis. At the time, I didn’t have the luxury of pondering the merits of antidepressants. It was necessary.

I was a stay at home mom with a four year old daughter. I had to function reasonably well so that I could take care of my girl. Children can really help to clarify things in life. Decisions become easy.

I did express concern and ask my doctor about how I’d get off the medication when the time came. But, it’s the type of question that you ask even though you know there isn’t a good answer. My brother was given three months to live. He lived for a year. I needed both counseling and pharmaceutical help during that year and in the year that followed.

I don’t remember when I made the initial decision to stop taking the meds, but l remember other moments through the years when I either resumed use or discontinued use. Life goes on and there are challenges along the way. I have consistently believed that I should take the meds only if I need them. I experiment.  If life seems stable, I try to live without Prozac. Sometimes it works.

I have learned that, for me, a regular schedule of very intense activity can affect me positively both physically and mentally. During the time that I lived in Carmel and worked with Jonathan at Zone Fitness, I was able to remain drug-free.

Upon my arrival in Sacramento, I slipped into depression and had to resume my meds. In November, we celebrated one year in our new home. I was beginning to make friends with my new city and I felt better. I had established a new fitness program. My daughter was set to graduate in December with a job in…wait…can you believe it…Sacramento. Life was good.

That brings me to three days ago when I started to cry a lot. The week had brought a few minor interpersonal irritations, news of the death of one of my daughter’s favorite teachers and an injury to my right leg. Plus, there’s this pandemic! Maybe, I was feeling exactly as I should?

I paused and pulled out the old familiar tool box.

  1. Am I reluctant to leave the house?
  2. Has my personal grooming ritual fallen off?
  3. Am I schlepping around in sweats and napping often?
  4. Am I retreating from social life?

Yes! Yes! Yes!

The threat of COVID-19 has changed so many things including the criteria for determining if I need medication. But, I didn’t need to take a deep dive to find my answer. I knew the answer at a gut level. And, I am blessed to live with a man who has known me since I was 16 years old. I had only to ask the question: do I seem off?

I am a woman who has everything: a loving spouse, a wonderful daughter, and a beautiful home. I also have a mental illness. I am depressed.

In the past when I’ve written about this topic, people have commented: “Oh, how brave of you!” I’m still not sure how to respond when I hear that. I can, of course, see that the comment is meant to be a compliment. But, it makes me sad, nonetheless. Why I wonder is mental health still a taboo subject? If I said I was suffering from high blood pressure (I’m not), you might say, “Oh, I’m sorry.” But, I don’t think you’d call me brave for revealing it.

I don’t think I’m “brave.” But, the fact that there are people who do, keeps me coming back to the subject. I feel compelled to share my story if it helps anyone. Today, I decided that I need to take care of myself. Adding Prozac back into my daily routine is one way to do that.

Best,

Michele

Grief and Loss, Pandemic Prose

The Stories We Tell

Birthdays, siblings, brother, death, death of brother

Dear Reader:

Well, there’s the Cuomos, I know, but Anderson’s my man. Always has been. Now more than ever, I’m glad he has a platform and an audience. He understands loss and that’s enough for me as we’ve passed over 50,000 deaths in this country in the past couple of months.

I just sobbed through his interview with a woman who lost her 32-year-old husband to Coronavirus. The widow is the mother of two just beginning to ponder the life her children will lead without the presence of their father. Anderson was unable to keep his composure. He cried along with the woman, but offered her valuable insight. He knows what it means to lose a father when one is young.

He offered hope to the grieving widow that her children could come to know their father, in a way, through her stories. “They will know him through you,” he assured her.

This is what Anderson Cooper does whenever lives are lost. He tells the stories of those who are gone or gives an opportunity for loved ones to tell those stories. And, I believe, that is the single most important gift you can give to anyone who has loved and lost.

I have loved and I have lost. I’m 60-years-old and the three most significant events in my life happened decades ago. I met and married my husband and gave birth to an amazing daughter. Then, I lost my 36-year-old baby brother and first best friend to cancer. That was 20 years ago and yet I still feel the need, the desire, to tell the story of his life. I’ve written about him here on this platform. My husband knew him in life. My daughter knows him through me. He will live in some way through me always.

I have not lost anyone to the pandemic, but it is a sad reminder of the weight of grief. I watch and read the news with a heavy heart each day. If you are mourning a new loss or an old one, you are not alone.

Michele

Creativity, Grief and Loss, Inspirational Women

Thank You Mary Oliver

My Library

Dear Reader:

Mary Oliver, the Pulitzer Prize winning poet, is dead. I feel heavy writing those words as if I lost a friend. I am simply another reader…one of millions. But with her books in my hands, I’ve felt the companionship of a friend. I’ve nodded my head or spoken aloud as if in conversation with her. And, so it would be true to say that we had a relationship. That was the power of Mary’s art. That’s what made her so well-loved.

She was the rare poet who sold well. My social media feeds are filled with her brilliantly strung together words and moving tributes from regular people like me and her famous admirers like Hillary Clinton, Madonna and Oprah.

When I heard the news of her death, I retreated to my shed to pull her book Dog Songs from my shelf. The book popped open to page 31:

BENJAMIN, WHO CAME FROM

WHO KNOWS WHERE

What shall I do?

When I pick up the broom

he leaves the room.

When I fuss with kindling he

runs for the yard.

Then he’s back, and we

hug for a long time.

In his low-to-the ground chest

I can hear his heart slowing down.

Then I rub his shoulders and

kiss his feet

and fondle his long hound ears.

Benny, I say,

don’t worry. I also know the way

the old life haunts the new.

I read that poem as a dog lover, a hound lover, to be precise. But, I also read it as a person whose old life can be haunting. In one of the rare interviews Mary gave, she spoke of her unhappy childhood that included sexual abuse and parental neglect.

“I had a very dysfunctional family, and a very hard childhood,” Mary told Maria Shriver. “So I made a world out of words. And it was my salvation.”

Thank you Mary for sharing your world with me. The joy, solace and inspiration your words have given me are alive. Still. On my bookcase.

Michele

Grief and Loss

In Memorium

Dear Reader:

On the morning of September 11, 2001, I took a call from my husband as I was driving to my weekly counseling appointment.

“Something horrible has happened,” he said with uncharacteristic alarm.

You mean another horrible thing…I thought. It had been six weeks since my well-loved 36-year-old brother had died and only two weeks since we’d buried him. I was heartbroken; life was off-kilter, out of focus. Every time the phone rang, I anticipated more horrible news. I was living with the burden of a heightened sense of vulnerability.

That day the collective sorrow of the nation merged with my personal grief. I pondered what we term “senseless death” as I did when Matt passed. People taken too early, before hopes and dreams can be realized. Families left wondering why. Faith and equilibrium threatened.

The lives lost on 9/11 became part of our country’s history. Matt’s life was part of my history. The parallel drew me closer to all those who suffered that day. Loss and sadness are part of what it means to be human. It is there for all of us to experience together, but ultimately to resolve on our own.

Today, I remember my brother, Matt, who was taken too soon. I miss spending time with him; it was so easy. I remember the nearly 3,000 people who lost their lives on that awful day when as a nation we felt our collective vulnerability. I remember, most of all, that loss is part of life, and as such, kindness should be our imperative.

With heartfelt condolences to all who have loved and lost,

Michele

9-17 post

 

Grief and Loss

The Shape of Grief

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the shape of grief

when you lose someone who means the world to you
your world changes
never returning to its former shape

it appears to others unchanged
so you keep the secret

until you can’t
an anniversary
a place, a flower or a song
suddenly it spills out

you must tell the world
you are not the same
you have not been the same
you will never be the same

the illusion is just that
the pretense grows heavy
it requires too much energy to maintain
so you shed it

and discover others who know your secret
keep it themselves
believing they will not be understood
believing they too are alone
knowing time does not heal
time changes
what was already changed

all will be touched
eventually
shaped by love
altered by grief

Dear Reader:

The poem was inspired by thoughts of my brother and by my friends, in and out of the blogging world, who have shared their secrets with me: Franziska, Tamara, Sleepless Dave, Jon, Esmeralda, Jen, Gallivanta and Pam. 

Michele

Family, Friends and Neighbors, Grief and Loss

Forever Young

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Matt Lehman, February 1964 – July 2001

Dear Reader:

I’m a writer; I love language.  But sometimes a picture says it all. Just a glance and you can surely see the joy and the pain I feel when I think of my brother. He was handsome, charismatic, kind and very easy to be with. It seems impossible that he’s been gone for 17 years. He will remain forever young as he is in this picture joking about his girlfriend’s early morning romp through the water.

Michele

Grief and Loss, Physical Fitness, Mental Health and Growing Older

I Am a Prozac Queen

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Plutchik’s Wheel of Emotions

Dear Reader:

I feel anger and contentment, sorrow and joy, anxiety and enthusiasm, along with fear and courage… sometimes all in the same day! And, yet, I am a “Fluoxetine Queen” as defined by the Urban Dictionary.

Fluoxetine Queen

An enthusiastic and outgoing advocate of the drug Fluoxetine, more commonly known as Prozac, especially one who has used the drug and experienced its benefits or one who is dependant on it to function normally.

There are some who will be surprised to hear that, despite pharmacological intervention, I feel every spoke in the Wheel of Emotions. Indeed I once consulted an orthopedic surgeon regarding my ankle.

He perused my paperwork and inquired, “I see you’re on Prozac…so you’re happy all the time, huh?”

He was an older doctor and I believe he needed to retire or take a continuing education course. I never saw him again and I never had the surgery he recommended. Maybe you can tell by my tone that his question miraculously caused me to feel something other than happiness. I was irritated, annoyed and downright angry.

Early in my blogging career, I wrote a post entitled In Praise of Prozac. I’m not ashamed to say that I’ve been depressed and that I was brave enough to get treatment. I want to be part of the movement that seeks to destigmatize issues relating to mental health. And, I’d like to reach out and offer compassion and hope to anyone who is suffering.

I decided to re-visit the topic after reading the New York Times front page story  Many People Taking Antidepressants Discover They Cannot Quit. I had an immediate reaction to the story. (I’m not the only one; less than two weeks after its publication there are over 2,000 reader responses.) You see, I am one of the “many…who cannot quit.”

When I filled my first prescription for 20mg of Prozac, I was a stay-at-home mom with a four-year-old daughter. My 35-year-old brother had been diagnosed with terminal cancer the month before. My husband’s job was demanding and my support system consisted of only a few close friends.

Matt and I had been very close and it wasn’t surprising that I felt overwhelmed and heartbroken. But, it was clear that I was not simply sad. I struggled to get out of bed and into the shower every morning. I was irritable. Each day seemed to bring physical aches and pains, despite the fact that I was not sick or injured. I remember most clearly a feeling of heaviness, exhaustion and emptiness.

I might have continued to suffer had it not been for my beautiful daughter. After I had a panic attack while at the bookstore with her, I knew I needed to do something. I had to take care of myself so I could take care of my child. I set up an appointment with a counselor and saw my general practitioner.

The only question I remember asking my doctor, “How does one stop taking antidepressants?!”

I do not remember his answer.

But, I didn’t re-visit that question for nearly a year because Prozac improved the quality of my life and relationships. It did not deaden my emotions; it made them manageable again. I continued to feel sad, but that emotion did not paralyze me. I often felt tired, but I did not feel utterly depleted. I no longer felt like a detached viewer of my own life. I felt  present again. The random, unexplainable aches and pains disappeared and with them several other prescriptions. And the fear was gone; I could leave the house without worrying that I’d experience another panic attack. I felt equipped to handle the responsibilities of motherhood.

I was not successful the first time I tried to taper down my antidepressant, nor the second time…nor the third. Seventeen years after my first dosage, Prozac still makes it possible for me to live my best life. Why does a strong, content, fulfilled woman need an antidepressant? I don’t know and neither does my doctor.

If you’ve done your research, as I have, you’ve probably seen depression defined as a “chemical imbalance” or a “serotonin deficiency.” But, that’s an oversimplification. Experts really don’t know what causes depression or how it affects the brain, nor do they understand exactly how antidepressants improve the symptoms.

But, this is what I know:

  1. Prozac and counseling helped me face a huge loss.
  2. Prozac continues to help me.
  3. I have no regrets.

Antidepressants will continue to grab headlines and much of the press will continue to be alarming. That’s just the way it works. You are not likely to see Antidepressants Save Millions of Lives Every Year printed across the front page of any newspaper. And yet, I personally believe that is the bigger story.

Prozac hit the market a mere 12 years before I needed it. So, in a very real way, I am a guinea pig. I can live with that. After all, I am a Fluoxetine Queen!

Michele 

Grief and Loss, Physical Fitness, Mental Health and Growing Older

Beauty in the Ordinary

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Dear Reader:

There are so many ways to feel happy. Sometimes, a moment can bring on a smile that lasts for days.

I showed up at the gym for cardio today, as usual. I was feeling exhilarated and energized at the 35 minute mark on the arc when a young man climbed on the machine next to me. I had met him the week before. It was impossible for me to forget his name.

I removed my ear buds and said hello. I was feeling so good that I couldn’t resist teasing him.

“Oh, Matthew, that was just a talk test,” I said.

The look of terror in his eyes was amusing, but he was too sweet to torture. I’m into humor, not cruelty, so I quickly assured him that I was fine. I imagined him imagining me collapsing near his feet and requiring immediate emergency care!

Five minutes later my workout was done and he peaked at the numbers displayed on the screen of my machine.

“Wow, you just did 40 minutes on that thing,” he exclaimed.

Not long ago, I felt self-conscious when I found myself sweating next to a young, fit person. But, today I was impressed …with myself. I knew his praise was genuine. That was a gift, but it wasn’t the only one he presented to me, without knowing it.

If you know me or have read my posts, you are aware that I lost someone very special to me in 2001. He was 36 at the time; I was 40. I will live the rest of my life looking for him… and finding him.  My brother, Matthew, seems to appear in the face of any young man who is kind to me…and also happens to call himself Matthew.

Look for the beautiful, in the ordinary, and you’ll find it!

Michele

Family, Friends and Neighbors, Grief and Loss

Happy Birthday, Brother

Birthdays, siblings, brother, death, death of brother

Dear Reader:

He would be 54 years old  today, but instead he rests under a marker that reads: “Do not stand at my grave and weep. I am not here—I do not sleep.”

Today,  I remember my brother. Perhaps, you, too, have a special birthday you remember but no longer celebrate in the conventional fashion. Or, maybe your mind turns to a loved one on the anniversary of his death. Loss will touch us all and I have found that it can be such a comfort to share the experience with others. I hope you will not mind if I share my story with you on this day that can not help but move me.

During his 36 years of life,  my brother, Matt Lehman, occupied a large place in my heart and in the imaginations of family and friends. He was handsome, stylish and charming. (Think Matt Dillon, seriously!) He was a salesman and a collector. He’d been born with long eyelashes and affecting eyes. And bat his eyelashes, he did! The gesture was even more disarming when it was combined with his ready smile. He radiated enthusiasm, as if for him the entire world and everything in it was exciting. He was a joy to be around, and so everyone wanted to be his friend.

Matt was the youngest of three siblings. He was like the exclamation point after his two sisters. And, he certainly was not meant to be the first to die. But, as he told me one day after a visit to the cancer treatment center “how can I ask ‘why me’ when there’s a 12 year old child sitting next to me waiting for his chemo treatment?”

There was never any hope given other than the  possibility that treatment could extend his life a bit. It was in July 2000 that I received his phone call telling me it was cancer, “not a good kind,” and the doctors had estimated he had four months left. In the end, he lived a full year after his diagnosis. He made the most of that year, generously sharing the time he had left with those who loved him.

I vividly remember an exchange with Matt during one of our last visits. His faith was unshakable; he was going “home.” I did not share his strong beliefs, but I found myself explaining that I couldn’t go with him just then. I needed to stay and raise my 4-year-old daughter. My baby brother was going somewhere and some part of me felt that I should go with him or instead of him. Or maybe, some part of me wondered how I could bear my grief.

For a long time after Matt’s death, I felt sure that every ring of the phone would bring news of illness or death. And, of course, just below the surface was the fear that came with being brutally reminded of my own mortality. But, I have celebrated the milestones of 40 and 50 remembering that my brother never did. I am grateful for the years I’ve been given to test my commitment to my husband (shaken but never destroyed!) and to watch my daughter grow into an adult I admire, respect and love.

And, so  with tears in my eyes and a big smile on my face, I remember my dear brother today but not beside the headstone that bears his name.  For he is not there. He lives with me in my heart and I know in the hearts of many others.

I welcome you to share your remembrances of those you have loved and lost.

Love,

*Shell

* When he was young, Matt could not manage to say Michele and so I was Shell to him for as long as he lived.

 

Eat, Drink and Be Merry, Grief and Loss

Pie and Memories

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Dear Reader:

My husband drove me to town today to pick up the pies. He let me off at the curb and circled back for me as there was no parking. I hobbled into a small local restaurant known for their amazing baked goods, among them: roasted pumpkin pie with mascarpone whipped cream.

I happen to be known at this restaurant (not surprising)! The owner noticed my bright pink ankle support and unusually slow, wobbly gait.

“Falling is so scary,” she said. “Glad we could do the pies for you. Now I’ll get someone to help you carry them.”

A young man appeared at my side with the pies in his hands. He waited until my husband arrived on the street in front of us and wished me a Happy Thanksgiving. I wanted to thank him by name, but I did not know it. He introduced himself as “Matthew.”  I assured him that I  would not forget that name.

I happen to know the derivation of his name. “Matthew” is from the Hebrew and it means:  Gift of the Lord. It was my beloved brother’s name and he was most certainly a gift.

I felt my eyes fill with grateful tears. It’s been sixteen years since Matt died but he is always with me. I will forever be thankful for him.

Michele