Be free

About 10 days ago, my restraining order was dismissed.  I can finally start to heal.

On June 16th, the date the order was scheduled to be dismissed, nothing happened.  After 1 week passed, I visited the courthouse to speak with someone directly.  It was difficult to go back there, but several phone calls to the office were unpleasant and ineffective, so I thought this might be my best option.  In person it was easier to deal with the court representatives.  I got information to call back to speak with a specific clerk the following week, and two days after I left her a voicemail the online docket reflected the dismissal.

During my visit to the courthouse I viewed my case file.  I hadn’t before seen the paperwork that had been filed in order to obtain the restraining order or the notes written by the judges.  There were form letters that the plaintiff filled out last April, and it was confusing that I was able to see their confidential contact information that was supposed to be hidden from me to protect them.  One form letter had boxes to check, for example to indicate if the defendant had a prior criminal record or firearms…the plaintiff checked the box that indicated that I suffered from mental illness.

It was painful to see that box checked.  It’s not only the shame associated with mental illness, which I wish didn’t exist.  I’m angry because I feel like the plaintiffs are mainly to blame.  They took advantage of my inability to cope with a difficult situation in order to obtain the restraining order to protect themselves.  When I feel strong, I think shame on them.  Unfortunately, I don’t feel strong that often, so I struggle to not believe what they wrote in those forms and in the affidavit.  Even though I have concrete proof that many of the things in that affidavit are untrue, I still doubt myself enough to think I must be the one who is mistaken.

I’m still working to change my thought processes to be kinder and compassionate with myself.  I’m working hard to recognize when I get stuck in negative thought patterns and redirect my thinking.  I feel grateful to have the tools I’ve gained to do this.  I feel grateful to find gratitude more and more in the lessons I’ve learned from this experience.  This will help me heal.

It has been therapeutic to write out these events, but by now I have mostly summarized my experience.  Let’s see what direction this blog takes moving forward…

Big Sur

At the end of the day, I’m at peace because my intentions are good and my heart is pure. -Unknown

I just came across this quote, and this is how I want to feel.  According to this saying, I should be able to achieve peace.  I don’t feel like I’m certain about much, but I am sure that I always have good and pure intentions.  I will strive to accept these words in order to find peace.

The problem is that I hurt people, and then I ruminate on how I said the wrong thing to make this or that person feel badly.  I come down hard on myself.  For example, yesterday I was in charge of a big fundraiser where I gave a speech.  I was anxious and I am still thinking about what I should have done differently, who I didn’t thank enough, what I should have said instead…

I know I am too hard on myself, and that nobody is perfect.  I need to embrace myself like my friends and family embrace me.  I need to have the same amount of compassion for myself as I do for others, but I feel flawed and I know that getting a restraining order is not normal.

The new therapist I’m working with is so helpful when I come to her with these feelings.  She tells me to be kind to myself.  She explained that when people are under a great amount of anxiety they may behave impulsively and out of character.  She said that I don’t have a pattern of these behaviors.  She says this has been an aberrant event, and I can trust myself to see the red flags if I’m in future, similar situations.  I am working to believe her and to find gratitude for the lessons I’ve learned.

The new nurse practitioner echos the words of my therapist.  Although I have only seen her twice so far, these visits have been more effective and productive than all of the visits with my previous nurse combined.  When I told her the story of my running injury, she listened intently and predicted the outcome, which made me feel less flawed.  When I told her about the progression of depression and anxiety I experienced, she was understanding.  And, most importantly, when I said that I have not felt like myself, and that the lethargy I’ve experienced as a side effect of the medications was not worth the slim benefits, she proposed a novel idea…AND IT WORKED!  I am so happy to report that her suggestion for improving my sleep patterns, through use of gabapentin, has given me back my energy!  It feels like a miracle.

I am extremely grateful for these two women.  They gave me back hope.

I gave myself hope, too.  I ran Big Sur.  I did not know if I could finish this marathon.  It was extremely challenging, and I struggled throughout the race because of physical pain and thoughts about my experience over the past 2 years. I had to take it mile-by-mile, and the hills were worse than I could have imagined they’d be.  After a while, it felt like heavy metal armor was falling off of me…I left it all out there on the road.  I physically felt lighter as I went along the course, despite the increased difficulty and pain.  I finished the race with a smile on my face and, for once, I’m proud of myself simply for finishing.  That race isn’t a race for time, it’s a race to finish.  I did it, and I think I have gained part of that peace I’ve been looking for, and the rest may be near…

On June 16th I will know the outcome of my restraining order.  As the date grows closer, some of the benefits of the new medication and the thrill of the race have left, shadowed by growing anxiety.  I am afraid to go to court.  I continue to have thoughts about all that went wrong with everything surrounding this experience.  I look forward to this being over so I can fully heal, and I am ready to find peace.

Progress. Progress.

I have been at a loss for where to go next with this blog.  If I’d like it to gain traction for its intended purpose, I will need to publicize the blog to get others to contribute and form a support network.  The idea of making myself more vulnerable is daunting, especially now when I’m not quite on stable footing.

I guess I will give an update on my progress.

Regarding my medicine to deal with anxiety and depression, I’m working with a new nurse for my medicine, because the person I had been seeing retired (I don’t think she listened to me anyway, but I didn’t have the energy to find somebody new).  I have not seen anybody in person regarding my medicine since December, and I am disappointed with the system that I was unable to get an appointment until April, especially when my medicines were still in flux.  The office told me it took time for them to roll in all of her new patients.

Regarding my anxiety and depression, I am seeing a new therapist, because attending appointments with my previous therapist are in violation of my restraining order (all entrances and parking spaces are within less than 100 yards of the medical facility that filed the restraining order. In fact, their parking lots are separated by the width of a chain-linked fence).  I was hoping to wait until the restraining order was over to go back to the therapist I was seeing, because I LOVE her, but I still have a lot of anxiety over the legal process and what I experienced that were weighing me down and I wanted to start to work through. I have had 2 appointments with my new therapist so far, and I feel lucky that she’s great so I don’t have to keep searching!  We are going to work on Cognitive Behavioral Therapy and other methods to help me find ways to let go of this experience.  Our goal is for me to search for the good that has come out of all of this so I feel grateful.

And, regarding my running…it’s coming along.  I signed up for the Big Sur Marathon last summer.  I am struggling through training and finding the joy I used to in running.  I am using a novice training, instead of intermediate, to reduce the stress of longer miles more often.  I began training in January, and I almost immediately remembered why I swore off spring races.  Running in the snow and ice isn’t just difficult, but it’s dangerous.  I wear special running cleats for the ice, but I worry about how they change my gait.  And, up until the past couple weeks, it has been mighty dark during those pre-work morning runs.  Ick.  I deal with that every winter for 3-4 mile runs, but 10 miles in that is dismal.  In addition to the weather, I think I’m getting old* and the medicine I was on during most of my training hindered my recovery, so it’s been a tough road.  Anyway, for about 5 years I have had 2 running goals.  One was to run Big Sur, and the other was to run a sub-4:30 marathon.  I think I will reach the former, the later is way out of reach right now…

*I didn’t want to mention this, but let’s be realistic here.

My brave friend

Last week, my friend, Amelia, gave a brave TED Talk (starting at 38 min).  I learned so much.

I learned that my friend shares my feelings of deep sadness*, but it is easier for me to show her kindness and compassion than it is for me to show to myself.

I was reminded that small acts of kindness make a big difference.  Amelia mentions a text I sent to her last fall.  I was not aware that my words had such an impact. I made a difference to her.**

I realized that I am not who that affidavit says I am.  If I was, I would not have friends anywhere near as amazing as Amelia.

Amelia is brave and courageous to share her experiences so vulnerably.  I am so proud of her, and proud to be her friend.

*After I released this blog, I believe some friends and family took it personally that I hadn’t been candid about my feelings until now.  There are many reasons for this, such as protecting myself, having difficulty expressing my feelings, not wanting to be treated differently, not wanting to hurt people or cause them worry.  There really wasn’t anything that anybody could say or do to help me, anyway.  I needed to find the way for myself, and I needed professionals to guide me.  Until recently, I was not capable of sharing this information about myself. Reflecting on these points from my experience, I understand why Amelia hadn’t disclosed her difficult experience to me earlier.  We certainly have a lot to talk about on our next Saturday run!

**At my lowest points, I thought I was only a burden.  I felt that any contribution I made was overshadowed by the difficulties my great sadness caused my family.  I do matter, and I matter to very important and courageous individuals, like Amelia. I am grateful for this lesson.

Part 4 – Bonus Track

Badass or dumbass?

I have a restraining order against me.

A leading rehabilitation hospital, their lawyer, a physical therapist, a hospital department, the director of that department, a hospital compliance officer, and an insurance representative have a restraining order against me.  In addition, a fitness blogger and my lawyer asked me to cease communication with them.

It’s a long story, so I’ll tell it in parts, and** I am afraid of getting sued, so I will only state facts I can prove.

I had gone to a medical facility to deal with a running injury I could run through, and came out with a different injury than I had ever had.  The physical therapist advised me over email.  After 6 months of this, and them telling me they’d help, I told them I was going someplace else.  The director of that department sent a certified letter to me to state that they would no longer be in contact with me.  She listed 3 physical therapists near my home to call for treatment, and I was put in contact with their compliance officer.

The compliance officer ran an investigation, and I was reimbursed for part of the costs for non-medical expenses.  I asked to get money back for medical expenses related to my injury and, in my opinion, the depression that had developed as a result.  For this to be considered, I had to go through their insurance process.  A month later, I received a letter from their lawyer, who advised me that I should communicate through her and their insurance representative only.  I reluctantly released my medical information to their insurance company, they [lost it, sent new forms to me I did not receive, 2 weeks later sent 2 new sets of forms to me to replace them, I filled out the information again and sent the information to them and they] sent it to their chosen expert in the field, and [several months later] it was determined that the standard of care was met, so I was not reimbursed.

My interaction with the insurance process took over 9 months, during which I sent hundreds of emails to all parties involved trying to get information and answers.  The lawyer would only communicate with me through written letter, and the insurance representative was difficult and slow to deal with.  I told them I would not hire a lawyer, and, in an effort to buffer myself from the situation, I found out that no lawyer would take this case on a contingency basis.*

It was very stressful, running was my main coping mechanism and I had lost that 6 months prior to receiving the letter from the center director.  They provoked me, for example, by setting up a mock website that they took down after obtaining the temporary restraining order.  In her affidavit, the lawyer took email statements out of context, listed incomplete or false information, and suggested I was a stalker in order to obtain the preliminary restraining order at the court in my absence.

At the court date set by the judge to decide on a preliminary injunction, I [left for the courthouse directly from a women’s leadership event at work where I had been invited to speak and] defended myself.  It was very scary.  For example, I didn’t know where or when to stand during the proceedings.  I brought documentation with me, but I didn’t know I had to bring a copy for the plaintiff and the judge (the judge kindly let us take a break so I could make photocopies in the law library).  I admitted to the judge, who was extremely kind to me during this time, that I had sent many emails, but I am not a threat, and that I did have trouble avoiding the plaintiff’s social media accounts.  My therapist later determined that I had developed a compulsive disorder in response to the anxiety I had experienced while dealing with these processes for such a long time.  The judge chose to make a decision outside of court after reviewing all of the information (she was not the same judge who issued the temporary restraining order).  Her decision was to award the preliminary injunction, and I was to return to court 6 months later for a conference with the judge.

Two days after my court appearance, I went to see the nurse who was helping me with my medication.  It had been a couple of months since I had seen her.  I told her that it had been a bad week, because on Monday I got a restraining order.  She said she knew, because somebody had called my primary care physician to let her know, and my doctor contacted her to check in with me.  That hurt.

Interestingly, following that, I contacted one of the offices in charge of releasing my medical records to find out if all of my medical records had been released to the hospital’s insurance company.  They still had unfulfilled requests in process for my medical record, including with my primary care physician, even though my complete record, which would contain all information regarding my injury, had been sent to them prior.  I suspect they were trying to obtain a record listing information related to the restraining order and my mental health.  I immediately sent in a request to block further medical history releases.

Two weeks later, my Yelp review was hidden from their site.  There is harassment legalese on Yelp that makes me think they had a motive to obtain a restraining order, but I’m not sure.

*A dear friend, who is a lawyer and has family in medicine, told me that the system is a machine, and I am lucky that a lawyer wouldn’t take my case.  This is an understatement.

**Although it was therapeutic for me to write this post, I will leave my remaining issues related to this story unwritten as to maintain the focus of this blog as an injured runner support group.  I remain ashamed, hurt, frustrated…  This story and post are other informative discriptions of abuses of power by institutions.

Part 3 – climbing [but I wish I was running, and I wish it was faster] out of depression

Over the past 2 years, since the onset of my injury and depression, I have slowly worked toward healing myself physically and mentally.  I had to be very patient with the physical healing process, but every step running was the greatest medicine to, literally and figuratively, put me closer to healing and peace.

It took about 13 months to get back to the mileage I was at prior to my injury, but by that time I was deeply entrenched in depression, running was different and not alone enough to overcome the mental difficulties I was experiencing.  Below is a list of what, combined with running, has helped me most.

Talk therapy – I am 41 years old and hadn’t experienced depression prior to this, so I had to identify somebody to work with.  It is difficult to ask for recommendations, because of the stigma attached to mental illness.  When I got the courage to call for help, it disappointing to realize that I could not get in to see the therapist for 1 month.  It was worth it, though.  I was lucky to find somebody great on my first try.  I appreciated that she was kind, but firm, truthful and realistic.  She gave me practical advice and concrete solutions to address issues.  Not everything she suggested worked for me, but those that helped me are listed below.

Meditation – This is the only activity I have found that most closely mimics the effects of running for me.  I was lucky to fall into Self-Compassion meditation.  Beginning to treat myself as well as I treat others was an awakening for me, and very much needed.  I have since started using the Insight Timer application on my phone to explore other types of meditation.

Medication – Although I did not feel like myself while on medication, it buffered me from crying and helped me sleep.

Acupuncture – I had a bad experience with my first acupuncturist, but the second acupuncturist, recommended to me by a trusted adviser, proved helpful to provide peace of mind, compassion and kindness that were helpful for healing.

Gratefulness – A gratefulness journal forced me to focus on the good things in my life, and provides a resource for comfort when I feel low.

Music – I created a playlist of songs that were uplifting and calming to listen to on my commute to work.  A lot of the songs were selected to remind me of happy times in my life.

Uplifting media – Several series, like the Great British Baking Show and comedians on Netflix (Jen Kirkman is my favorite!), were uplifting and distracted me from feeling sad.

I am still working on getting my footing, but I am much improved.  If you are experiencing symptoms of depression, please be brave and reach out for help.  You are not alone.

Part 2 – meandering through depression

I gradually sauntered into depression over the first 6 months I was unable to run, and I have been stuck meandering through it since then.  It was set in place by the end of summer 2015.  At that time, I began working with a therapist to talk through my feelings and develop strategies for dealing with depression. I realized that my depression was becoming dire when my children began to wonder out loud, “Is mommy crying again?”.  Once I hit my lowest points, those that I will not list here because it would be painful for family members and friends to read, it was time to try something else.

In October 2015, I called to get an appointment with a therapist who was licensed to prescribe medication.  The earliest available appointment was in January. I felt so helpless, frustrated and sad.  The therapist I had been speaking with prior is not licensed to prescribe medication, and was unable to help aside from suggesting that I contact my primary care physician.  My doctor got me in that week.  I spoke to her through tears and sobs.  She sent me off with a prescription for Zoloft, asking me to contact her if I started making plans to take my life.

Zoloft buffered me from crying after about 2 weeks, but I started feeling so tired that I could not function.  I would use all of my energy to complete work at my job, and then fall asleep on the couch once I got home, leaving my husband to care for my sons and me.  Since I was unable to function on Zoloft, I tried Prozac once I got in to see the prescribing nurse practitioner 3 months later. Prozac at a low dose also buffered me from crying, but I still felt low.  Once the dose was raised to combat my increasing anxiety over an issue I’ll write about at a later time, I was again too tired to function.  My practitioner then suggested Wellbutrin, an antidepressant which sometimes improves energy levels.  It may have helped a little at the doses I tried, but it was not dramatic and the other side effects did not outweigh the negative side effects.  I remained lethargic, but also had body aches and other issues.

Next I weaned off of Prozac, while maintaining the Wellbutrin dosage.  The nurse practitioner I was working with retired, and my new practitioner suggested I also stop taking Wellbutrin.  Over the past 3 days I am anti-depressant free for the first time since October 2015.  I am running more regularly now, so, hopefully, I can stop the medication for good because I miss feeling like my old self.  I was told to give it a week before I assess how I’m feeling and, if I don’t feel well, I will begin an anti-depressant I haven’t yet tried.

All this time, while meandering through depression, I have cut back on plans with friends, I paused working toward a part-time MBA, I focused less on volunteer work I normally do to run a scholarship program…  I have made these changes because it has been difficult to focus and my energy has been so limited.  I chose to prioritize parenting and my work.  Even so, I am fearful that my parenting has suffered and my job may be at risk due to poor performance over the past 2 years due to depression, anxiety and medication side effects.

I am most sad that my relationships have suffered over this time.  I don’t have the energy for them like I used to.  I don’t keep in contact as often.  My husband, family and friends have sometimes taken my behavior personally, and I don’t blame them.  In college I had a roommate who was dealing with depression, and it was very difficult for her depression to not affect all of us who lived with her.  This was also apparent in my situation.

Aside from medication, I did find some resources and tools that helped lessen my depression which I will focus on in the next segment…

Part 1 – my saunter into depression

Looking back, I could sense that I was slipping into an abyss as soon as I was abruptly unable to run as I had been, from more than 20 miles per week to none.  By the fifth month, it was really bad.  I first realized something was really wrong when I started crying at odd times during the day.  I found myself retreating to hide in a bathroom stall at work to cry.  At first it happened once a day, then at least twice a day…and it felt like, if I wanted to, I could go on crying forever.  It didn’t feel like it used to when I’d cry– like I could release all of the sorrow inside of me and then stop.  Instead, during this period the sorrow never left me.  I felt different degrees of sad all of the time.  It was like a veil of sadness I couldn’t get out from under.

When I started crying frequently, it didn’t take me long to realize it was not me.  Prior to this time, any crying episodes I had were succinct and infrequent.  Sometimes in my life I remember feeling like I didn’t cry enough, or I couldn’t cry.  The only exceptions had been the death of a close family member, as well as that first postpartum-hell-ride-of-a-week following the birth of my sons, which was explained by exhaustion and hormones, and was offset by times of joy and wonder. I have been fortunate to not have experienced tragedy in my life.

Because I am fortunate, and I am aware of the misfortunes of others, my depression related to running loss was equally paired with guilt and fear.  I feel guilt because this was not a tragic, permanent loss. I knew there was a high probability that I would eventually run again, and I realized that nobody really has to run.  I felt fear because I figured that if I can’t handle the inability to run, I must not be able to handle anything.  For example, during the months my depression was beginning, it happens that a dear friend in her second trimester of pregnancy underwent 3 brain surgeries to remove a tumor!  Following the surgeries, it took her many months to relearn how to write and talk.  Especially during that time, I felt that if I was unable to cope with the inability to run, I would never hold up under the legitimately tough circumstances that my friend was facing.  Through therapy and some research I’ve done, I am now aware that there are changes in brain chemistry due to running loss that can cause depression.  Even knowing that, running loss seems frivolous compared to something like a brain tumor.

My crying episodes were becoming more frequent, so I called to set up an appointment with a therapist.  It was very difficult to make that call.  It was hard to tell the attendant that I was calling because I felt depressed.  I didn’t like having to answer questions over the phone to rank my level of depression, but what felt worse was to hear that I wouldn’t be able to get in to see a therapist for 1 month.  That was horrible to hear because I knew I was stuck feeling deeply depressed with very little hope that there was a possibility of feeling better before receiving the help I was asking for.  It is ironic that a call to get help for depression can make you feel depressed.