Yes, I too am glad you're on a more even keel.
I do feel like I’ve turned a corner in a way. The down and out feeling I was having was far worse than I have had before. Was a bit scary there for a bit. What really impressed me was how tired you feel when you’re low.
It's great that you can pinpoint the start. This can help you maybe avoid it the next time.Yes I have had it before, way back in 2015. A lot of it is triggered with negative thoughts and I know exactly when it started.
Maybe add that last point to the list ("When my brain says this stuff, it's not being helpful") Kinda like wearing the "This too Shall Pass" ring.….but also felt odd writing it as I had options over this past weeks to partake in the list to try pick me up but my brain told me they were all worthless and no point trying. Madness
https://en.wikipedia.org/wiki/This_too_shall_pass
Recently, I've been trying to catch my ruminations with thoughts like "Going down this road isn't helpful", or "Do I really want to spend time thinking about this", etc. Only so many spoons, as they say... If I don't, it can lead to a drained and depressed state of mind...
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re: Varicose veins, etc - I've had them for years in my legs and wear elastic stockings every day. Those damn lazy valves! I guess you can have them anywhere... Probably staying active is the best thing, right?
And since you're reading the New Yorker link that Oak sent, here's another that might be of interest (I'm a subscriber, and these essays pop into my in box...)
The Unexpected Grief of a Hysterectomy | The New Yorker
https://www.newyorker.com/culture/essay/the-unexpected-grief-of-a-hysterectomy
Wishing you well.
SD