sure - I’ve thought about how to respond to this. It is difficult to explain to people without chronic, lifelong, persistent depression (and anxiety is all wrapped up in it in ways I can’t even explain) and a history of severe abuse and PTSD what it is actually like.
Some days I’m technically “fine.” A normal person might call it a glum mood or irritability, or sadness (an emotion that actually rarely occurs for me anymore) but for me it’s barely perceptible. I only notice the really bad dips - to the point where I’m in bed for days at a time, stuff I know I enjoy brings barely any satisfaction, if any at all, people I love I can’t stand to be around, I don’t feel like doing anything except sleeping - it’s difficult to explain to friends, family, employers, etc. and maintain some semblance of a normal life while this is constantly going on. It’s also exhausting.
So yea, being a bit avoidant can be helpful sometimes. When stuff’s piling up on me and is too overwhelming in my current state to deal with - retreating to fantasy games, alcohol, poker, whatever, can be quite useful because by the time it has passed there is a bit of urgency in dealing with it all and I snap to action. The problem is, in the last year or so, I’m very much losing this war of attrition slowly. Each time I’m not quite snapping back how I used to. I’m very tired, emotionally and physically. There’s other stuff too that I’ve just dealt with as long as I can remember.
For instance, my therapist asked me about different kinds of movies I like or something and she mentioned some genres and all I could say was that horror/thrillers didn’t really do much for me and she asked why. I thought about it for a moment, and replied “I see way worse things than that every night so it just doesn’t really do much.” So of course she dug into that, and I kind of casually explained I’ve had severe nightmares and/or night terrors (the terrors are way worse because you don’t remember what happened and you have a feeling of terror that can last for hours after the event) since I was an extremely young child. It may or may not be wrapped up in the depression but it lends itself to all sorts of sleep issues, which makes the depression worse, etc. Alcohol was pretty adaptive here because you tend to dream less when you drink before bed. Now, I wouldn’t these days describe the dreams as bothersome - I barely notice them, and when I do, I’ve become extremely adept at lucid dreaming, and in fact the nightmares give me some really good novel ideas sometimes - but they are there and they are persistent and they are extremely vivid. That alone would be intolerable to a lot of people and it’s just something I deal with. There’s tons and tons and tons of really miserable shit I just tolerate.
My knee for instance. I can’t do anything about it right now, I just have to cope. Earlier this year, when I had a bit of a crisis, it was centered around something I had realized in therapy - the odds were becoming almost certain that there is no “happy ending” or miracle cure for me. I’m very likely to live and die alone with this just being a thing (depression). At that time, due to all the stuff happening around me, I had decided that I didn’t want to accept a life like this, and I’d rather just die than waste away for my remaining 5-30 years or whatever. I’ve since changed my mind for various reasons, and decided that since this probably is going to be something I just have to live with, I best get to start learning how to live with it.
It makes me really upset thinking about it. Depression is almost always treatable. but for whatever reason, whatever I have got going on doesn’t seem to be. I’m really working on it but there’s pretty much nothing left to try and alcohol cessation was something I had described as a bit of a last resort or hail mary before. I already know it isn’t going to work, but if the goal is prolonging my life as long as possible, that has to be a thing that goes away eventually, and it may as well be now.
I do very much see this as a terminal illness at this point. I don’t know how or why it will kill me - I doubt by my own hand, but it tends to destroy your body in other ways even without you consciously allowing it to.