Paul – Interview 02
Paul first experienced depression triggered by memories of childhood sexual abuse. He has attempted suicide several times, but has had excellent support from both mental health professionals and family, and now feels he very much wants to live. Paul is currently seeing a psychiatrist and psychologist, in addition to maintaining his medication regimen (venlafaxine).
A former police officer, Paul first recognised that something was not quite right following an experience at a work-related training course in 1998 that triggered memories of childhood sexual abuse. After a year of living with high levels of anxiety which manifested in increasing levels of anger and frustration at home, underperformance at work (despite a lot of effort), and excessive drinking, Paul began to think about and plan committing suicide. Things came to a head one day in 1999 when he realised he needed urgent help – until then, he hadn’t spoken to anyone about his feelings or thoughts. Despite the high levels of stigma associated with mental health issues within the police force at the time, Paul went out during his lunch break and, in tears, called a police welfare officer.
This was a life-saving act. The welfare officer immediately referred him to a counsellor who Paul began seeing regularly. However about six months into counselling, he again became suicidal, which led to the beginning of years of more intensive therapy. Paul was referred to a psychiatrist who diagnosed him with severe depression, anxiety and an obsessive compulsive disorder, and then admitted him to a psychiatric ward, and prescribed medication. The benefit of his first hospital admission was that it motivated Paul to take his condition seriously and do whatever he could to get better.
Over the next five years he continued to see his psychiatrist as well as a psychologist, but his mental health remained fragile, particularly following his marriage breakdown in 2003 due to the stress of his illness. He also found taking medication (for both depression and anxiety) a challenge, as it clashed with his self-perception as a capable, strong man, and had to try a number of different antidepressants before he found one which suited him (venlafaxine). Over this period, Paul went back into hospital several times, though for briefer periods, and made further attempts on his life. After a particularly serious suicide attempt in 2004, Paul was again hospitalised for several months, and afterwards at his psychiatrist’s urging went to live with his parents for a while, which he found helpful.
Paul’s stop-start pattern of recovery continued for the next few years. He moved into his own house and set up shared custody arrangements with his ex-wife (with whom he had an amicable relationship), and although work was a struggle, he was still doing well, even being promoted during this period. However in 2006 – 2007, things deteriorated again with drinking re-emerging as a problem, and Paul had a minor car accident while intoxicated. This led to a period of extended sick leave, and ultimately the difficult decision to resign and apply for a disability pension. Paul had loved his 17-year career in the police force and been recognised for his abilities and dedication, but was frustrated by how difficult it was to maintain his level of performance while battling depression and anxiety. Since leaving, he has tried different part-time jobs but is yet to find something for the longer term.
Instead, Paul occupies himself by spending time with his two sons, being involved in their baseball and other school commitments, volunteering with a mental health NGO, walking his dog, and maintaining weekly appointments with his psychiatrist and psychologist. He describes himself as now religious; about taking his medication and is pleased that his antidepressant dosage has been lowered and he no longer needs sleep medication. He says his family, trusted friends, and his psychiatrist and psychologist as having been instrumental to supporting him through the last ten years. For Paul, recovery means fewer cloudy; days and no longer thinking about suicide. He expects he will need to take care of his mental health for the rest of his life, but is confident now that he will be able to do this.