The friends whom the depressed person reached out to for support and tried to open up to and share at least the contextual shape of her unceasing psychic agony and feelings of isolation with numbered around half a dozen and underwent a certain amount of rotation. The depressed person’s therapist — who had earned both a terminal graduate degree and a medical degree, and who was the self-professed exponent of a school of therapy which stressed the cultivation and regular use of a supportive peer-community in any endogenously depressed adult’s journey toward healing — referred to these female friends as the depressed person’s Support System. The approximately half-dozen rotating members of this Support System tended to be either former acquaintances from the depressed person’s childhood or else girls she had roomed with at various stages of her school career, nurturing and comparatively undamaged women who now lived in all manner of different cities and whom the depressed person often had not seen in person for years and years, and whom she often called late in the evening, long-distance, for sharing and support and just a few well-chosen words to help her get some realistic perspective on the day’s despair and get centered and gather together the strength to fight through the emotional agony of the next day, and to whom, when she telephoned, the depressed person always began by saying that she apologized if she was dragging them down or coming off as boring or self-pitying or repellent or taking them away from their active, vibrant, largely pain-free long-distance lives.
The depressed person also made it a point, when reaching out to members of her Support System, never to cite circumstances like her parents’ endless battle over her orthodonture as the cause of her unceasing adult depression. The “Blame Game” was too easy, she said; it was pathetic and contemptible; and besides, she’d had quite enough of the “Blame Game” just listening to her fucking parents all those years, the endless blame and recrimination the two had exchanged over her, through her, using the depressed person’s (i.e., the depressed person as a child’s) own feelings and needs as ammunition, as if her valid feelings and needs were nothing more than a battlefield or theater of conflict, weapons which the parents felt they could deploy against each other. They had displayed far more interest and passion and emotional availability in their hatred of each other than either had shown toward the depressed person herself, as a child, the depressed person confessed to feeling, sometimes, still.
The depressed person’s therapist, whose school of therapy rejected the transference relation as a therapeutic resource and thus deliberately eschewed confrontation and “should”-statements and all normative, judging, “authority”-based theory in favor of a more value-neutral bioexperiential model and the creative use of analogy and narrative (including, but not necessarily mandating, the use of hand puppets, polystyrene props and toys, role-playing, human sculpture, mirroring, drama therapy, and, in appropriate cases, whole meticulously scripted and storyboarded Childhood Reconstructions), had deployed the following medications in an attempt to help the depressed person find some relief from her acute affective discomfort and progress in her (i.e., the depressed person’s) journey toward enjoying some semblance of a normal adult life: Paxil, Zoloft, Prozac, Tofranil, Welbutrin, Elavil, Metrazol in combination with unilateral ECT (during a two-week voluntary in-patient course of treatment at a regional Mood Disorders clinic), Parnate both with and without lithium salts, Nardil both with and without Xanax. None had delivered any significant relief from the pain and feelings of emotional isolation that rendered the depressed person’s every waking hour an indescribable hell on earth, and many of the medications themselves had had side effects which the depressed person had found intolerable. The depressed person was currently taking only very tiny daily doses of Prozac, for her A.D.D. symptoms, and of Ativan, a mild nonaddictive tranquilizer, for the panic attacks which made the hours at her toxically dysfunctional and unsupportive workplace such a living hell. Her therapist gently but repeatedly shared with the depressed person her (i.e., the therapist’s) belief that the very best medicine for her (i.e., the depressed person’s) endogenous depression was the cultivation and regular use of a Support System the depressed person felt she could reach out to share with and lean on for unconditional caring and support. The exact composition of this Support System and its one or two most special, most trusted “core” members underwent a certain amount of change and rotation as time passed, which the therapist had encouraged the depressed person to see as perfectly normal and OK, since it was only by taking the risks and exposing the vulnerabilities required to deepen supportive relationships that an individual could discover which friendships could meet her needs and to what degree.
The depressed person felt that she trusted the therapist and made a concerted effort to be as completely open and honest with her as she possibly could. She admitted to the therapist that she was always extremely careful to share with whomever she called long-distance at night her (i.e., the depressed person’s) belief that it would be whiny and pathetic to blame her constant, indescribable adult pain on her parents’ traumatic divorce or their cynical use of her while they hypocritically pretended that each cared for her more than the other did. Her parents had, after all — as her therapist had helped the depressed person to see — done the very best they could with the emotional resources they’d had at the time. And she had, after all, the depressed person always inserted, laughing weakly, eventually gotten the orthodonture she’d needed. The former acquaintances and roommates who composed her Support System often told the depressed person that they wished she could be a little less hard on herself, to which the depressed person often responded by bursting involuntarily into tears and telling them that she knew all too well that she was one of those dreaded types of people of everyone’s grim acquaintance who call at inconvenient times and just go on and on about themselves and whom it often takes several increasingly awkward attempts to get off the telephone with. The depressed person said that she was all too horribly aware of what a joyless burden she was to her friends, and during the long-distance calls she always made it a point to express the enormous gratitude she felt at having a friend she could call and share with and get nurturing and support from, however briefly, before the demands of that friend’s full, joyful, active life took understandable precedence and required her (i.e., the friend) to get off the telephone.
The excruciating feelings of shame and inadequacy which the depressed person experienced about calling supportive members of her Support System long-distance late at night and burdening them with her clumsy attempts to articulate at least the overall context of her emotional agony were an issue on which the depressed person and her therapist were currently doing a great deal of work in their time together. The depressed person confessed that when whatever empathetic friend she was sharing with finally confessed that she (i.e., the friend) was dreadfully sorry but there was no helping it she absolutely had to get off the telephone, and had finally detached the depressed person’s needy fingers from her pantcuff and gotten off the telephone and back to her full, vibrant long-distance life, the depressed person almost always sat there listening to the empty apian drone of the dial tone and feeling even more isolated and inadequate and contemptible than she had before she’d called. These feelings of toxic shame at reaching out to others for community and support were issues which the therapist encouraged the depressed person to try to get in touch with and explore so that they could be processed in detail. The depressed person admitted to the therapist that whenever she (i.e., the depressed person) reached out long-distance to a member of her Support System she almost always visualized the friend’s face, on the telephone, assuming a combined expression of boredom and pity and repulsion and abstract guilt, and almost always imagined she (i.e., the depressed person) could detect, in the friend’s increasingly long silences and/or tedious repetitions of encouraging clichés, the boredom and frustration people always feel when someone is clinging to them and being a burden. She confessed that she could all too well imagine each friend now wincing when the telephone rang late at night, or during the conversation looking impatiently at the clock or directing silent gestures and facial expressions of helpless entrapment to all the other people in the room with her (i.e., the other people in the room with the “friend”), these inaudible gestures and expressions becoming more and more extreme and desperate as the depressed person just went on and on and on. The depressed person’s therapist’s most noticeable unconscious personal habit or tic consisted of placing the tips of all her fingers together in her lap as she listened attentively to the depressed person and manipulating the fingers idly so that her mated hands formed various enclosing shapes — e.g., cube, sphere, pyramid, right cylinder — and then appearing to study or contemplate them. The depressed person disliked this habit, though she would be the first to admit that this was chiefly because it drew her attention to the therapist’s fingers and fingernails and caused her to compare them with her own.