Am I a fraud or just depressed?

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I just have to get this out...I have no one to talk to about it because I am embarrased and loathe myself right now. I have been on this board for 3 years and it has been an amazing place for me but lately I feel like a fraud for not being truthful.  I am a fairly private person so I haven't disclosed this before.  I have been a good cheerleader for my original March 2009 chemo group and I am afraid of letting them down if I am not my usual chipper self.

Well here it goes...I have been doing everything opposite of what I should be doing to keep myself healthy. Although I have always been a healthy eater, even that is getting worse. I don't have any energy to exercise, yet I know it would help me. I gave up smoking years ago and have become a closet smoker. I share a bottle of wine with my husband nightly..not good for anyone and I am ER+. I have thought about talikng to the stop smoking thread but I am too embarassed. I have been in condo sales for the same builder for 7 years and we have just finished our last project so I am not working. I know I could get a job with another builder but I have lost my confidence and feel that I would be just trying to put on a happy face all the time and it's becoming more challenging to dp that. I have older parents that rely on me for some care as I am the only girl and the youngest.

My kids are happily married and I we are expecting our first grandchild in 11 weeks. My husband is very supportive and I have good friends but none of them would ever understand. In essence I have a good life so I should be doing everything I can and I should be happy but most days I am struggling.

I have become a procrastinator on everything and I know I have to make some serious lifestyle changes but I feel so overwhelmed and don't know where to begin. I was on Tamox for 2 years and have been on Aromasin for 7 months. I don't know if the meds are making me depressed or if it's life in general. I feel bad being this way because I know I have it it much easier than a lot of people. I have been taking 75 mg of effexor xr and will talk to the doc to increase it a bit.

Has anyone else gone through this? Thanks for letting me vent and for letting me..be me. If anyone has any suggestions on where to begin my turnaround..I'd be grateful. 

Beth 

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Comments

  • BarbaraA
    BarbaraA Member Posts: 7,378
    edited March 2012

    Aww, Beth, sending gentle ((hugs)) to you, pal. You could try another AI. I read that some peole do get depressed on Aromasin (and the others also). Please give that a shot and do not be afraid to go to your doctor and ask for an anti-depressant. Thinking of you!

  • Bren-2007
    Bren-2007 Member Posts: 6,241
    edited March 2012

    Hi Pickle ... you don't sound like a fraud to me .. maybe just a little down in the dumps.  You may want to consider upping the Effexor as it is a very low dose, or switching to a different anti-depressant.  There are plenty out there that don't interfere with metabilizing the AI's.

    I suspect the Aromasin could be causing some sadness too.  I tried Arimidex and only lasted one week.  It was hell on earth, and I'm proud of you for sticking with the Aromasin.

    I've had many times where I put on a happy face to hide the sadness beneath, because I don't want anyone to know. 

    My heart goes out to you right now.  I wish you all the best.

    hugs,

    Bren

  • AmyIsStrong
    AmyIsStrong Member Posts: 1,755
    edited March 2012

    I think it was very brave of you to post this here. Let it be the first step in a new direction for you.

  • kira1234
    kira1234 Member Posts: 3,091
    edited March 2012

    Pickle,

    I don't think you're a fraud at all. You are just expression very well what many of us feel. The AL's can really mess with our emotions, not to mention all the feelings that go along with finding out you have BC. I would also suggest upping the Effexor as BinVA suggested.

  • 1Athena1
    1Athena1 Member Posts: 6,696
    edited March 2012

    Pickle - the words "just" and "depression" don't belong in the same sentence (depression can be a fatal disease in about 15 percent of cases). It would be very serious if you are depresed, and it wouldn't be your fault! The AI may play a role, to be sure. Don't be hard on yourself. Having a good life and good prospects are no guarantees against the brain's misbehavior. Be well, and I am sorry you are going through this.

  • Moderators
    Moderators Member Posts: 25,912
    edited March 2012

    Pickle, we saw the latest BCO blog post and thought of your struggle. You may find it helpful: BCO Blog: Are Dark Thoughts a Bad Thing?

    You ARE brave for being so honest about your feelings and reaching out. We hope this helps!

    --The Mods

  • jenlee
    jenlee Member Posts: 504
    edited March 2012

    pickle141, I'm so sorry that you're dealing with these feelings.  It is hard to talk about these thing, even with supportive family members and friends. I am in a completely different place in my journey, but know a lot about depression.  Increasing your effexor may be the answer, or maybe they'll change to something else or add something.  If you're not getting your anti-depressants prescribed by a psychiatrist, I would recommend that you do, as opposed to your regular doctor.  In addition, if you don't want to talk about your feelings with friends or family, I'd highly suggest that you look into finding a therapist, maybe getting a recommendation from your doctor or a friend.  Of course, finding one that you click with can be challenging.  I was surprised to find that I got two good ones from a website sponsored by Psychology Today.  Surprised because Psych. Today isn't a professional publication, more pop psychology for the masses.  You can read about each individidual's specialties & philosophies, which is certainly more helpful than looking at a directory provided by you insurance company.  You can also email them with any questions (insurance, philosophical, etc.) before taking the time to meet, rather than the frustration of phone tag. Anyway, here's a link to the site:  http://therapists.psychologytoday.com/rms/  

    So other than meds, therapy, what have I found to be helpful for depression?  Healthy food, exercise...  All the things you feel least like doing when you're depressed.  I've also found that reading inspirational material helps too.  Books about people who've overcome depression, overcome adversity, etc. Maybe try setting little goals for yourself for each week... I know in the past I've pushed myself to go to the gym, hating it, almost in tears from the depression, then after a few weeks I'd be in the routine and happy to be there.  Cutting back to wine maybe two nights a week.  Finding a therapist by a certain date.  etc.  

    Yes, since you've talked about disclosure, I'm now disclosing that I'm currently working on crawling out of a big depression myself.  I would love to indulge in food, skip the exercise, crawl up in bed & watch TV, and NOT talk to a therapist.  Depression is a vicious thing and for some reason, I don't want to do the things that will help me, but know I must.  And BTW, other than here on this board & to my therapist, everyone thinks I'm strong and coping so well :)

    I sure that others will have some good suggestions for you too.  Hope this has helped, if even a tiny bit!

    Edited to add:  I just saw this link & there are two other suggestions here for finding a therapist.

    http://community.breastcancer.org/blog/are-dark-thoughts-a-bad-thing/ 

  • crystalphm
    crystalphm Member Posts: 1,138
    edited March 2012

    Pickle, I am not sure if we met before, but I respect your heartfelt post. Before cancer, I do so many things right, eating, exercising, avoiding chemicals...and got breast cancer anyway. I am at this less time than you but I have humdinger days still. Bottom line is there is a sadness about not having breasts anymore.

    Anyway I started eating wrong, not taking care of myself, a glass of wine each night (I never did that before!!!)  and I still do this a few times a week, to be honest. In my opinion, it does cause depression, all of it! Just hearing your name in the same sentence as the words breast cancer cause depression.

    I take lexapro, I honestly don't think I would have made it without. So yes, upping your meds is  needed.

    This breast cancer is so much to cope with, is damages our bodies as well as our self esteem...

    Gentle hugs...

  • pickle
    pickle Member Posts: 1,409
    edited March 2012

    Thank you all so much. I am reading your posts of encouragement and support with tears in my eyes. I should have known that this would be the best place to come...it is so nice to not be judged. 

    Many thanks,

    Beth 

  • dlb823
    dlb823 Member Posts: 9,430
    edited March 2012

    ((((((Beth))))))... your post made me so sad.  You are being waaaay too hard on yourself, and I agree with the others, some of it could be coming from either or both of your meds.  I don't know anything about Effexor, but I can't help but wonder if you really need more, or if you maybe need something different due to the Aromasin?  And as far as the procrastination, I feel somewhat in the same boat, but I also know it's hard to tackle any challenge when you don't feel your best.

    You probably know this, but I think if you could start exercising -- even starting with walking -- it would go a long way to help you by both creating endorphines (the happy hormone) and giving you time to organize your thoughts and what you need to accomplish each day.  At least, it's helped me do that, as well as deal with a lot of emotions about this whole experience.  If you need motivation to get out there, you are so welcome to join us on the "Motivation" thread!  We have a wonderful, small, very supportive group, and one of our motto's is something we call the "10 Minute Rule," which has been a huge help to all of us on the days we don't feel like exercising. You can search for that phrase, or I can elaborate if you're interested.  No one can tackle everything at once, and besides getting your meds tweeked, exercise seems like a great place to start feeling better about everything.  

    The other thing I'm firmly in favor of post-bc-tx is taking advantage of every opportunity to do something for our appearance to boost our confidence.  There's no doubt bc tx takes a HUGE toll, and things like a good facial or new color can go a long way to bringing back the sparkle and self-confidence.

    I also want to recommend a book that helped me a lot when I was really in the post-tx rut.  It's called Back To Life, Getting Past Your Past with Resilience, Strength, and Optimism, by Alicia Salzer, M.D.   It was a huge boost to me in moving forward.      Deanna

    PS ~ Just wanted to add, congratulations on the upcoming grandbaby!    

  • susan_02143
    susan_02143 Member Posts: 7,209
    edited March 2012

    I don't think you are a fraud. I think you are being honest with yourself and perhaps for the first time in a while. I am going to guess that you are late 40's or early 50's. Your life was going along nicely according to the plan [or even without one] and you were struck by a life-altering event. With this bc diagnosis, you became aware of this huge hole in our ability to actually control our own destiny.

    You have lost your joy. This is akin to a mid-life crisis. I don't think viagra and a hot red convertible is going to be your answer, but the answer is out there somewhere. Maybe it is a special trip to Tuscany, or volunteering with kids, or maybe it is a new midnight red mini-cooper!

    This place in life isn't unique to breast cancer survivors, but I think we are forced to re-evaluate our lives and sometimes we aren't happy with where we are.

    Be kind to yourself...

    *susan* 

     p.s. I bought the mini. :-) 

  • ptdreamers
    ptdreamers Member Posts: 1,080
    edited March 2012

    Pickle141, You have taken the first step in turning things around. Coming to these forums and letting ohers here know how you feeling is good. No one is judgemental and all are supportive. Don't try to change everything at once. Ask your MO if it could be the Aromasin. Try drinking just one glass of wine and make it last. See if there is a support group in your area. Good luck.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited March 2012

    Beth, personally, I think you're expecting too much of yourself!! Good diet AND exercise AND were working AND tried to stop smoking?? Come on!!! Anyone would drop some of those balls that were in the air!! The only change I made was to stop drinking. I NEED to exercise but can't right now as they are trying to get a good rhythm going on my heart without a pacemaker. I didn't change my diet except to eat things that helped my bowels move! I don't eat cake or cookies, nothing like that, but I do enjoy raisin bread and some cereals....

    How did you ever expect to keep all those balls in the air!!?? Doesn't it seem silly to you know to look back? How long have you been on Effexor? It takes weeks for any anti-d to give you relief. Very stupid as the people needing them need quick relief!! I have been on an anti-d for over 30 years so you certainly aren't alone! The neatest thing one doc said to me after hearing my issues was "Holy cow! You have the right to be depressed!!" And so do you!!

    Now, no work, guilty about smoking (you can stop again! you've done it before!) and not exercising, and the worst time of year to force yourself to try to change...!!!!

    Here's what I suggest; focus on that new life about to appear. Wait until you hold that baby!! You'll be afraid your own heart will stop beating!! (hang on - that may have been my own cardio problem) and you will feel that life has made a full circle and is perfect!! I find that I NEED to hold one of my 3 new grands every couple of weeks. I give them lots of love and kisses and feel like I'm sucking the youth out of them but they love the attention! I have 2 18 month olds and one just turning one!! I feel so blessed and so will you.

    Forget the shoulda coulda woulda crap and just focus on the good stuff. The crap will take care of itself!!!

    Hugs and love, sweetie!!!!

  • pickle
    pickle Member Posts: 1,409
    edited March 2012

    Barbe, thank you and perhaps I am expecting too much. I just can't figure out why some people get this dx and can completely turn their lives around in one fell swoop...and yet others like me.. that know what we have to do ...just can't muster the gumption to do it. Then I feel when I don't do it... I am weak...and so the vicious cycle goes around and around. I can't wait to hold that new baby and be the best I can be...but in a real way. Not in the...I am trying to be all things to all people way. I have always been a people pleaser and perhaps that is my downfall. Please give me another kick and remind me that the coulda, woulda, shoulda,is just crap. Thanks for being so forthright and honest. Every little piece I grasp can help.

    Hugs

    Beth.

  • Iz_and_Lys_Mum
    Iz_and_Lys_Mum Member Posts: 126
    edited March 2012

    Pickle, not much to add to all the great advice above, just be kind to yourself. Its hard to give up all the little coping mechanisms (chocolate and diet coke for me. I know i have to, but one thing at a time!). I gave up smoking 12 years ago. Really hard when you arent dealing with BC, but when you are?...



    Perhaps pick one thing to tackle when you feel ready and dont beat yourself up.



    If anyone wants me, Ill be staring at the box of chocolates in the cupboard trying hard not to eat them all in one go... :-)



    Hugs xxx

  • FireKracker
    FireKracker Member Posts: 8,046
    edited March 2012

    Hey Pickle----Barb is right...you are doin too much...stop and smell the roses and please stop beating yourself up.....ya cant do it all in 1 day!!!!!!!!

    whe i first refused to take any of the ALs.i went crazy tryin to find things to replace it.well i cannot take any of those things either.cant eat veggies or salad due to many stomach issues...ya know what....I DO WHAT I CAN AND I DONT DO WHAT I CANNT DO.It took me a long time with lots of help from the sistas but im workin on it.probably forever.

    Hi Barb!!!!!!!

  • Makratz
    Makratz Member Posts: 12,678
    edited March 2012

    So much great advice here.  ONE DAY AT A TIME!!!  We are with you!

  • dogeyed
    dogeyed Member Posts: 884
    edited March 2012

    Oh, yeah, PICKLE, you are exactly like a human being is supposed to be, and I KNOWS I try so hard to be nice on these boards, and yet I also have times where I just plain become unglued.  And I smoke, I had to pick it back up about five years ago when I was disabled and couldn't work anymore, and we had to sell our home of 20 years and downsize, and it all just broke my heart.  If I hadn't had the smoke, I would have gone around the bend.  Luckily I didn't go back to the drink, but I really had a problem with that and cannot go back to it.  But you, hey, a bottle between you and hubby, SO WHAT?!?, it's your business, kiddo, and don't nobody think less of anyone who is swigging it down!!!  Don't you know something like 90 percent of all Americans drink!  Ha!  Nobody is kidding anybody when they act all pious and perfect, when they get sloshed on a regular basis.  And I wouldn't call a bottle split between husband and wife as ANYTHING like sloshed. 

    Look, it's all TOO much to just stand up righteously to it, and be some sort of nun or whatever.  And I can tell you this, and God forgive me, but taking those dang hormone-blocking pills WILL contribute a lot to your so-called percentages, but hon, I DIDN'T EVEN LAST ONE MONTH.  I near 'bout got booted out of one of the hormone forums for whining so much about it.  So, I talked to the doc and left that drug flat, and I'm ashamed, but I had NO CHOICE.  I was a mental case.  He wants me to try another, and I'll try, but the second it plays this mind game on me is the second I'll quit it again.  DRIVES ME NUTS that they tell you it's a good thing, and yet I was going around the house saying, "WHAT IS THE POINT???" of living, you know.  So, I think you SHOULD talk to your doc about laying down that medicine for a few weeks, just see how you're doing with it and without it, as a comparison, and he can advise you what would be the best course, and you would personally know what's up with those drugs and if you need them or not.  Plus you HAVE been taking them a long time anyhow, so it's not like you haven't put your work in.

    But hon, if you want to try to do better, don't jump all over yourself and call yourself names.  You could just pick ONE THING you will try, just try is all, to do.  Like when you and husband drink a couple glasses, then walk right on outside, hand in hand, and breathe in the fresh air and talk about the sunset or stars or whatever time it is.  And THERE'S your walk.  Just a suggestion.  I've been TRYING to walk, but so far only do it twice a week, but at least I can do that.  I pat myself on the back every chance I get.  And I DO see some folks I know on this thread, and I KNOWS they don't care if I'm all goofed up or not, becuz like them, I'm just doing the best I can, which may not be much, but it's me.  We're all human, kiddo, and this sort of thing is normal.  So, NO, YOU ARE NOT A FRAUD, you're a human being, and I care, and as for the stuff you're doing in the closet, PLEEEEZ, just do it in the sunshine of the front porch of your life, and screw it.  After all, you have cancer, and hit do makes us crazy, girl, don't you know!!!!  SMILES!!!!  GG

  • debbie6122
    debbie6122 Member Posts: 5,161
    edited March 2012

    Pickle- First I want to give you great big (((((hugs)))))) You are not a fraud if you are then we all are ( dont mean to speak for anyone) but honestly we all do things that maybe we should or shouldnt do because of our health! I quit smoking going on 4 years now, and i still will sneak one every once in a big while depends on where im at and who im with, i love chocolate and im 87% ER+ so should not be eating any choc or sugar what so ever but i do, i drink wine and beer. It's hard to be good all the time hehe! I Hope they can adjust your meds that could be the culprit or the hormone pills i had to quit taking them not only from bone pain but depression too. I wish you all the best and just know we would never ever judge you. You are very brave!

    Gentle hugs

    Debbie

  • Racy
    Racy Member Posts: 2,651
    edited March 2012

    Pickle, I know something of your dilemma because I also struggle with procrastination, and I like wine.



    I must say the ladies on this thread have been kind to you, maybe too kind. Don't let yourself completely off the hook. You can make some changes because, as you said, you know how. But you may need support to be motivated. It seems that motivation is what you most lack.



    I agree strongly with the suggestion to get a therapist whom you can share your troubles with, hopefully get help to see things differently and support in setting goals and monitoring progress. I also agree with the advice to have your meds reviewed.



    I agree with the suggestion to start with just one aspect to improve and get help to achieve in that area. For example, if you choose to stop smoking, get patches.



    Also, I have found that having a routine, such as when working, does help me get up and moving. When I wasn't working, I was more inclined to let things go undone, such as housework and paperwork.



    You say your husband is supportive so I ask how he can be of more practical help in supporting you achieve your goals? Will he shop for, cook, and/or eat healthy food? Will he exercise with you and motivate you in this? Will he work with you to reduce your nightly wine consumption, say to a glass of red each? Will he help with whatever might be a factor in your closet smoking?



    It may be hard for you to make changes on your own but with the help of a therapist and a buddy (husband) it should be easier.



    Also, do you have a friend who would exercise with you?



    I hope you feel better soon and good luck in gradually making some positive changes.

  • pickle
    pickle Member Posts: 1,409
    edited March 2012

    I've been awake since 4 and have re read all the posts and felt every hug. Once again..thank you to all of you.



    Deanna, I downloaded the Back to Life book by Dr. Alicia Salzer and I can't put it down. I typically find these types of books to be all the same but this is different.... in a good way.



    Beth

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited March 2012

    Beth, glad to hear you are moving forward!!! That's all it takes...one thing.

    With love,

  • Shrek4
    Shrek4 Member Posts: 1,822
    edited April 2013
  • hrf
    hrf Member Posts: 3,225
    edited March 2012

    Pickle, you sound like a very genuine, authentic person. You are definitely being too hard on yourself. Many of us feel the same way. I think Barbe said it very well. (((Pickle))). And babies are very therapeutic too.

  • pickle
    pickle Member Posts: 1,409
    edited March 2012

    Well today is a bit better day thanks to all of you. One step at a time. I need to get some organization back in my life. My DH is helping me get caught up on reorganizing my home office. He's pretty good at filing! My procrastination has overwhelmed me and I am so far behind with so many things. I think that has been really dragging me down. We are making a list of all the things that I feel bogged down with and we'll chip away at them ..one at a time. Perhaps when I dig my way out of my office I'll start thinking about a job, athough he thinks I should take the summer off. Seems like a great idea but it worries me to have too much time on my hands to "think". On the other hand it would free me up to spend time rocking my little grand baby.

    When I was working and busy it was easy to keep some momentum going and get lots done. Now that I'm not working, it feels like I can't accomplish anything. But again...one step/one task at a time should help me feel like I have accomplished something.

    Sometimes you just have to really lay it all out there and ask for some guidance and you gals really know how to deliver.

    I am honestly so grateful. This weekend would have completely sucked without all of you.

    Hugs

    Beth

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2012

    Hi, Beth,

    What Ahtena said, I hope no one uses the word "just" and "depression" in the same sentence.  Don't know if we've met on the boards before, I hang out a lot on the AI SE thread - and as I was reading your opening post - I was thinking of what is the FIRST LISTED Side Effect ( SE) of Arimidex.  OR Femara, OR Aromasin - same result - we have NO ESTROGEN in or bodies.  Or, so little, it just doesn't even count as a hormone!

    ASTHENIA - and no, they're not listed in alphabetical order.  I looked it up on Wikipedia, and posted the definition - can't remember the wise woman who posted next, but she added: "Greek for feels like crap."

    I SWEAR a lot,  a WHOLE, WHOLE lot of what you're describing is membership on what I call The A Team ( Ariidex, ut applies to ALL THE AI's)  Really. Some days it feels as if I'm dragging an extra weight on my shoulders, beside the LARGE excess weight around what used to be my waistline.  Depending on age, some friends add muscle weakness to the list.  Even with free wieghts, I don't know any woman who has the strength she had b4 the AI.

    There are exceptions, I'm inspired by Claire in Seattle ( on the AI SE thread, check out her posts, she is amazing) and ruthbru keeps moving ( MOVING) - but honest, what you're describing is NOT being a "fraud" - it's being a bc survivor on an AI.  And, I give thanks daily, for having this medication available, and I hope I'm here for many, many more years - BUT, sometimes it's just hard.

    Try to be gentle with yourself.  Massage.  Acupuncture.  Exercise, when you can.  Good food. Check your Vitamin D level ( about 40), and maybe your thyroid ( TSH: thyroid stimulating hormone not more than 2.5)

    good wishes....

  • 208sandy
    208sandy Member Posts: 2,610
    edited March 2012

    Beth - just saw your post - you are NOT a fraud.  And ohmygod the damned AIs nearly killed me - I was on Femara and then Arimidex and told the onc almost two years ago that I was not taking anything anymore - I WAS so depressed I was bedridden - couldn't get a thing done - nothing!

    Try to change the meds and then see how things are going - nothing wrong with an anti-depressant and/or a therapist - then you can change a few things - like the smoking (I quit 20 years ago and a few times before that too) and as for the wine you may not want it so much after you are feeling better but honestly depression is what's wrong and it can be fixed.

    Having a grandchild is so exciting and I agree with your husband a summer off sounds like a great idea - when fall rolls around you'll probably be chomping at the bit to get a new job (or maybe not).

    Sending huge hugs,

    Sandy

  • Racy
    Racy Member Posts: 2,651
    edited March 2012

    Pickle, it's great to hear you are moving forward. Truly, I have felt the same as you in regard to the mountains of papers (still have them) and getting more done when working.



    I am thrilled that your husband is helping. That should make a big difference. Ask him to keep you accountable and on track.

  • pickle
    pickle Member Posts: 1,409
    edited March 2012

    I listened to all the good advice that everyone gave me and I feel like I am moving in the right direction.

    I promised myself that I would get organized, start walking and quit smoking by Thursday which is today.

    I completed most of my office tasks last week then went away with DH for the weekend. He helped me do a weekly schedule to help me stay on task.

    I went to my doctor this week and he agreed that I should increase my Effexor so I did. I hope that will help and if not then we will consider changing Aromasin for something else.

    I had a cigarette at 7:00 last night. Went for a 45 min walk this morning at 6:30 am.



    I just wanted to update you and also let you know that it is wonderful that you are all so supportive to so many people on this board. It really does help!

    Cheers

    Beth

  • Makratz
    Makratz Member Posts: 12,678
    edited March 2012

    Good for you!!!

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