My mood is terribly inconsistent, I tend to go from feeling ok to despair within a couple of hours. It feels like I'm struggling to keep it all surpressed.
I'm going to say a couple of things that are controversial here and I certainly don't want anyone to think it's sound advice. But I'm done with talking (other than the odd anonymous comments like here). Other than some initial CBT, which was useful in helping me understand myself and this disease, I really don't find it helpful. The main problem being that at some point, people expect progress and you to be better. People think it's "brave" to speak up and ask for help at first. But when you're still struggling years later, they are fed up of hearing it.
I also find that work is both my biggest problem and my best medicine. Being a manager and having people depend on me means that I find a way to hide the way I am and just get on with things. I know this is seen as the wrong way, but I function. When I don't have work and people depending on me, the way I feel tends to overwhelm me into inaction. Today is a perfect example. I lay in bed unable to move for a few hours this morning, just feeling unable to do anything. Then there was a work emergency and I had to log on for half an hour. So I got out of bed and from there I've showered, done some washing and eaten. My mood has lifted a little and so has my energy. The flipside is that I'm so overworked that I'm not actually taking any time to look after myself and I know it's unhealthy, plus my physical health is in a pretty perilous position. On top of this, I find some of my work relationships a bit awkward sometimes too because I don't want to tell people that I spend entire weekends doing nothing because I couldn't function (as I don't feel that's what they need from a manager).
I'm struggling to know what to do. I realise that right now I'm just "existing". My life is basically a series of performances for other people until I can be alone behind a locked door again.
I've had bad experiences with anti-depressants in the past and I don't feel like it's a path I want to go down. Talking, at least in therapy, isn't something I want to do again.
A break from work is probably what I need, but there are so many negatives to this that it worries me. First of all, I'm a people pleaser and I'll let others down. I know me being off will put a lot of pressure onto other people. By those higher up, I'll be that person who has had time off for mental health twice. It happened about 4 years ago and my career has stalled since (though I could never prove this is why). Then the dynamics of my work relationships will change with people "concerned" about me to the point that I'll feel like I have to re-assure everyone and pretend I'm ok again. I also worry that without the routine and need to perform, I'll sink even further into a hole. But the worst part is that I'm not sure any of this will change and I'll go back to doing too much again anyway because it's a flaw in my personality.