The 5 stages of “What the hell just happened to me?”

by Carolyn Thomas   ♥  @HeartSisters

Kathy Kastan’s bookFrom the Heart” was hot off the press when I survived a misdiagnosed heart attack in 2008. Hers was the first book I found that focused specifically on women and heart disease. Here’s how her own story was described on the book’s cover:

“After undergoing emergency coronary bypass surgery at age 42, Kathy Kastan found her world shifting in unexpected ways. Everything – her sense of well-being, relationships, daily routine, even her body image – seemed to change. Doctors helped her recover physically, but she had to find new methods to recover emotionally and create a happy, healthy life.”  

While I read this back then, my own world was crazily shifting, too. Continue reading “The 5 stages of “What the hell just happened to me?””

Oscillating narrative: the learned art of re-creating ourselves

by Carolyn Thomas    @HeartSisters

“We all re-create ourselves; it’s just that some of us use more imagination than others.”  ~ Madonna

Whether we want to or not, we often end up re-creating ourselves after a significant medical diagnosis. Researcher Dr. Kathy Charmaz calls this phenomenon the loss of self after such a diagnosis, a loss experienced while we’re learning to adapt and adjust to this strange new life as a patient. When we try to talk about this painful loss to others who haven’t ever experienced it, most have trouble taking us seriously, or they may want to jolly us out of our current reality.

Yet how we talk about this matters to how we get through it. Continue reading “Oscillating narrative: the learned art of re-creating ourselves”

When are cardiologists going to start talking about depression?

by Carolyn Thomas    ♥   @HeartSisters

I can vividly remember those early days and weeks at home after surviving a heart attack, especially that cold creeping anxiety around how I “should” be feeling. I had just survived what many do not: what doctors still call the widow maker heart attack. (By the way, note the gender semantics there, please: doctors are not, after all, calling this the widower maker”).

I was now resting comfortably, both of my darling kidlets had flown back home to be with their Mum, our home was filled with flowers, get-well cards and casseroles delivered by the daily line-up of concerned friends, family, neighbours and co-workers.

So why was I feeling so bleak inside, and even worse, now feeling guilty for all that bleakness?  Continue reading “When are cardiologists going to start talking about depression?”

More drugs, less talk for post-heart attack depression?

Pill Box

by Carolyn Thomas     @HeartSisters

We know that many heart patients (like me, for example), experience some degree of situational depression immediately following a cardiac event. When we seek help, that help is far more likely to come as a prescription for an antidepressant drug rather than a referral to a professional for talk therapy. In fact, talk therapy – either by itself or in combination with medication – is actually on the decline(1) while the rate of antidepressant use has increased by almost 400% in the past two decades.(2)

This is important, because we also know from 2015 research on depression published in the British Medical Journal (BMJ) that, for most people, there is no statistically significant difference in effectiveness between talk therapy and taking drugs.(3) When researchers tracked treatment outcomes for those suffering from depression, they found patients responded equally to either treatment. So why hasn’t the rate of talk therapy gone up by 400%, too? Continue reading “More drugs, less talk for post-heart attack depression?”