Caring For Your Erika: Depressive Episodes

EDIT: I just wanted to preface this by saying it was meant to be part tongue-in-cheek and part serious, as is kind of my style. I don't expect ANYONE to 'take care of' me when I'm depressed, but should someone want to help out or better understand what I might be going through, here you go.

No two people are the same. I mean, you can be scarily similar to someone else, but there will always be differences. The same goes for mental illness: no two individuals' mental health struggles are the same. Symptoms, triggers, reactions, needs... they all differ based on the person.

Every so often, I find myself bawling and feeling worthless for no known reason. This is part of what I define as a depressive episode, and when it gets to that point, it's really hard to just suck it up and keep on keepin' on. About a month ago, I called into work because I couldn't stop crying and spent the day on the couch with my dogs. I was never in any danger, and I've certainly been through worse, but this one was like a sneak attack and I was completely unprepared for it. As I just went through something similar again, finishing this post seemed like a good idea.

I'm lucky to have a few really excellent friends who have seen me through some really rough times in my life (feel free to go back and read about some of the fun) and continue to be here for me. But even the closest of friends, those who have been through the worst of it with me, sometimes aren't sure what to do when an episode hits, or might not be aware that I'm in the midst of one. So, ladies and gents here is a quick guide!

Caring For Your Erika During a Depressive Episode

Part 1: Identifying A Depressive Episode

How exactly does one know if their Erika is experiencing depression? It's a good question and, unfortunately, there isn't an easy answer. Sometimes your Erika will tell you straight out that it's happening; that's usually a pretty clear indicator that an episode is occurring. But if your Erika is playing a bit coy, here are some things to look for:

• Your Erika may be quieter than usual. Her responses may be shorter and carry less emotion than normal, or she may take much longer to respond in the first place (both when speaking face-to-face and via text/message). This is often an early warning sign, though be sure to rule out sleepiness and 'hanger' as possible causes.
• Your Erika may not be eating. If stressed, Erika has a tendency to overeat, but in the throes of an episode, she is much more likely to skimp on food instead (and what little she eats is unlikely to fall into any major food group).
• Your Erika may be crying. This sign is much easier to read in person but can be a strong sign of a depressive event.
• Other indications may exist and should be reviewed on a case-by-case basis.

Part 2: What To Expect

Once you've determined that your Erika might be having a depressive episode, what can you expect to happen?

• Crying. You may think your Erika's tears have dried up. She may go minutes, even hours, without so much as a drop. Do not assume that this means your Erika is done crying. She's not.
• Neediness. Even more than usual, your Erika may seem to lean on you. She may even come to resemble ClingWrap in her efforts to ensure that you are not leaving her in her time of need. Whilst uncomfortable, rest assured that the effects are usually temporary.
• More crying. See above.
• Pushing. Contrary to the above, you may actually feel your Erika pushing you or your attempts to help away. This does NOT mean she does not want or need your help. In fact, she may need it even more than you know.
• Self-deprecation. Your Erika may begin to doubt her awesomeness during this time. She may feel unworthy, make negative statements, and feel all around bummed about herself. 
• Yet more crying. How many tears can she possibly have?? Only time will tell.

Part 3: How Can You Help?

So, how can you best help your Erika when in the midst of a depressive episode? There's no tried and true method that will work each and every time, but there ARE a few things that are likely to help.

• Let her cry. It might make you uncomfortable, but trying to stop the crying is not going to work. Let it happen. If you prefer not to be cried on, sit a safe distance from your Erika and have plenty of tissues handy. Asking or telling her to stop crying is not advised; you've been warned.
• Reassure her. Even if she doesn't ask for it, even if you feel like a broken record, even if you don't understand WHY you're reassurance matters... Give it a try. Remind your Erika that you are there for her - if and when she needs you - and that your friendship is not so fragile as to be broken by this episode. If she pushes too much, give her a break for a bit. She may just need some time to let your affirmation sink in.
• Assist as you are able.
• If you're nearby, you can offer in-person comfort. Does she need to talk? Lend her your ear. Does she need a hug (the answer is almost always yes)? Cuddle up or, if you're not the cuddling type, grab the tiny dog or a stuffed animal and let her hug her heart out. Has she forgone eating? Bring her a bite to eat (she responds especially well to ice cream and chocolate).   
• Not available or close enough to visit? That's fine! Texting helps. So do random memes and videos of adorable and/or funny things. Kindness has many forms and travels long distances with little effort. Just checking in with your Erika can be a major help.

Part 4: After The Episode

Unfortunately, these things do not always disappear as quickly as they have seemingly appeared. A depressive episode can wreak havoc emotionally, mentally, and physically. It may have passed and your Erika may be feeling a bit better, but odds are good she is a bit exhausted in some capacity. She may need a nap or some extra chill time before facing the world again. It's possible that some plans will have to be adjusted or canceled to allow her to fully recover. Sometimes recovery takes a few hours, other times it may take a day or two. Try to be patient with your Erika during this time; she knows it's a pain in the ass and feels bad about it. Trust me, she'd rather just be feeling better. Give it time.

Notes & Tips

These little tidbits didn't really fit in with the above-outlined parts of the episode but may be noteworthy nonetheless.

• Offering help is much appreciated, but your Erika is unlikely to speak up and say what she needs or wants because she feels so undeserving. She may view any offers of help as insincere or as being borne out of pity. Likewise, she will often feel unworthy of requesting anything on her own, assuming it would be a burden or seen as an act of selfishness. 
• Depressive episodes, even within the same person, can vary. Your Erika might get through one episode all on her own, but be nearly incapacitated by the next. Unfortunately, she won't know how it will play out until she's smack in the middle of it. Isn't the unpredictable nature of depression exciting?
• Depression is NOT a choice. And your Erika is doing things regularly to cope with it, such as daily medication and regular therapy sessions. Hell, even writing this all out is a great outlet and coping strategy! 
• Last, but not least, a reminder: No matter how hard it is in the moment, remember that this is temporary. Your Erika has been through a lot, and yet she's still here. She's stronger than she thinks and braver than she knows. She might not see that in the face of darkness, so remind her that she has the tools to get through this. And if all else fails, offer her a flashlight.