I’ve posted before about how poets are more likely than most to struggle with mental illness. Richard Berlin, a psychiatry professor and poet, edited Poets on Prozac, a book of essays by sixteen poets about creativity, illness, and treatment. They all agreed on one thing: when you’re really messed up, you can’t get anything done. Their experience bears out the quote from Sylvia Plath that Berlin supplies in his introduction: “When you are insane, you are busy being insane—all the time…when I was crazy, that was all I was.”
As far as Prozac, specifically, goes: I think only Chase Twichell (who, I was startled to learn, is not a guy—I always thought that was a dude’s name) felt like it inhibited her ability to create.
Bizarrely, two poets said that Prozac made them write more formal poetry (sonnets, villanelles, etc.) This is also the case with me! What the hell?! Why would that be? They both had theories, which I found unconvincing. I really have no idea.
I know that some meds can be a problem for some writers, though. As an adolescent, I would involuntarily shudder now and then—I still do it once in a while. Our family doctor diagnosed me (incorrectly, I think) as having some kind of epilepsy. He put me on Dilantin and phenobarbital. When this made me perpetually sleepy, he added Ritalin, which kept me awake. The meds were actually a disaster for my writing. I felt like the creative part of my brain had been packed away in cotton.
They also made me fixate on suicide, in a sort of dogged, dispassionate way. (A quick Google search suggests this was probably the Dilantin.) Anne Sexton wrote about this mindset in “Wanting to Die”: “But suicides have a special language./Like carpenters they want to know which tools./They never ask why build.” I kept trying to figure out how to do it without making too much of a mess (overdosing on the Phenobarbital, probably) and without upsetting people too much. Eventually I did make the connection between the meds and my fixation, and I stopped taking them. Obviously I should have discussed all this with someone, but I was a weird kid.
I started taking Prozac a couple of years after getting married, mostly in hopes it would make me a more pleasant, easy-going person for my husband to live with. It totally worked. A few years ago, I went off of it, and that’s when I really got back into poetry again.
Last year, though, I started having these episodes—once or twice a week, usually at night—in which I would cry nonstop for several hours and want to slash my wrists. At those times, I would feel positive that no one would mind me killing myself—that people would be relieved to be rid of me. I mention that because people always wonder how suicides could be so selfish, but the thing is, they’re not thinking clearly. After these episodes, I’d be just fine, even cheerful, if a little sleepy, and I’d think, “Huh. That was weird.” I went back on the meds, and talked to a therapist, and it went away quickly. I feel uncomfortable blogging about it, because mental illness carries a stigma, but of course that’s also one reason I’m blogging about it. And hey, hardly anyone reads this anyway.
My doctor recently increased the dosage, because my new job was making me unreasonably anxious. I can feel the open space in my head where the worry used to be. And I’m just about to start writing a poem a day again, like I sometimes do, because that kind of works for me and I want to finish a full-length manuscript with supernatural and mythological themes. It’ll be interesting to see if the higher dosage effects my writing at all, but except for making me want to write sonnets, I don’t think it will.
Ah..."the open space in my head where the worry used to be." That's a lovely description of what it feels like. I've been on anti-depressants for seasonal affective disorder for years—and open about it for exactly the same reason. It doesn't stop being a stigma until we stop treating it like one. You've just given me the description I'll use when people ask if the meds zonk me out. Nope. They fix it so I don't feel like I have to crawl out from under a boulder every morning.
ReplyDeleteAnd yeah. I feel more creative when I'm not distracted and anxious and twitchy. So that's nice.
this was a really interesting post. i know some of what you're going through as i'm on antidepressants and i'm worried how it's affecting my writing.
ReplyDeleteThanks for writing so openly and honestly about this. I haven't used meds (yet?) but so many people I love do. I think our culture glorifies the anguished artist -- it's misguided and plain cruel to like our artists in pain. Mental illness is just that: illness. Let's keep our artists healthy!
ReplyDeleteI only experienced depression once, and went for "the talking cure." It worked for me. I know a lot of people on antidepressants, and don't want to judge or generalize. But I do wonder if pharmacology, which even most shrinks readily admit is relied upon too heavily (especially for young people), is sometimes just an easier out than the hard work of psychoanalysis.
ReplyDeleteI'm not saying psychoanalysis (or any other possible alternative) is for everybody. It didn't work so hot for Anne Sexton! But some people who have consigned themselves to a lifetime of meds might be able to live without them, even more healthily, if they sought other kinds of treatment.
As with any illness, you ultimately want to treat the cause, not the symptoms; as with many illnesses, finding the cause can be tricky. And some symptoms are so debilitating that you have to treat them first, before doing anything else. But it seems like meds often mean that people never get to the "anything else." And altering brain chemistry doesn't necessarily get to the cause. That is, it's one thing to boost or level out seratonin, and another thing to find out why there's a seratonin problem to begin with.
I remember my older kids freaking out to find out how many of their high-school friends were on Prozac and Zoloft. At the time, my son said, "When you look at what's happening in the world, depression seems like a sane response. Why do we treat it like it's insanity?"
It seems important to ask questions like that. How can artists, who often have a pretty thin membrane between their psyches and the world, stay sane? Why are we so unhealthy, in general? What solutions, besides pharmacological ones, can help?
kcimprovgeek: ugh, SAD, that sucks. (Best acronym ever, though, right?) When I lived in Minneapolis and in the dead of winter, the sun would set around 4:30 p.m., it seemed like *so many* people around me were really depressed and weighed down. It's great that meds help.
ReplyDeleteAyla: heyyy, nice to see you :) Wishing you good moods and good writing!
Sarah M: yeah, exactly. I was so glad this book didn't confirm that "you have to suffer to be an artist" bullshit.
Jasp: I suspect I was born with low serotonin levels, just like some people were born with sickle cell anemia. But it doesn't matter too much to me either way. Just taking a pill makes me feel better, so why would I look for a more difficult cure? Sure, there might be good reasons to be depressed. If I break my leg, I have a good reason to be in pain, too, but I still want a painkiller.--I know a lot of people are wary of antidepressants, though.
I have yet to find anyone who's experienced clinically diagnosed depression and its relentless barrage of suicidal thoughts to speak against medication. I have often found those who criticize its use to be strident in their judgment. No doubt, in some cases, psychiatrists prescribe too readily and people rush to a quick fix, rather than soul-searching and transformation. I don't think that's the rule, however. I think desperate times, tight-rope walking times, call for desperate measures. Thanks for your post.
ReplyDeleteHey, Stace--to your "why not take a pill" question: I go back to a conversation we had a couple of years ago, when you'd gone off meds and found that you were writing more and that you were suddenly listening to music a lot more.
ReplyDeleteThat may no longer apply, and maybe you're writing just as much and as well and enjoying music the same now that you're back on antidepressants. But like any drug, antidepressants can have side effects. And that seems worth considering as part of the equation.
To "almost 50": Just to be clear, I was in fact diagnosed with depression once. The treatment I sought changed my life, and I've never been clinically depressed since. But I'm not speaking against medication, per se. I'm just speaking against an increasing reliance on it over all other forms of treatment--especially among young people, who are then set on a course of drug dependence. A lot of therapists and doctors are prescribing less and talking more now, having realized the dangers and diminishing returns of the quick fix--especially when drugs actually cause an increase in suicidal thoughts, as antidepressants sometimes paradoxically do.
I hope that doesn't sound strident. I think I'm somewhere in the middle on the issue. Whatever measures may be necessary in desperate times, sooner or later, there are questions that deserve to be considered: Do I stay on this drug forever? Is it having any adverse effects, or is it all good? Is there anything else that might work even better? Am I just treating a symptom, or dealing with causes? How can I be the healthiest version of me? Those kinds of questions.
Good post, good discussion. Thanks....
Jasp - just saw this. You don't sound strident at all. Yeah, at the time I was thinking I was feeling more creative because of being off the meds, but now since I'm on a heavier dose than before and I still feel creative, it's hard for me to say whether there was a correlation there or if it was the effect of the writing-a-poem-a-day experiment. I think I'll have a better idea once I start doing the poem-a-day thing again on Sept. 1. We'll see.
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