Poster Girl

 Herself speaks.

It's the most ordinary of things that make us overthink sometimes.

I went in for a routine dental cleaning earlier this week. We always begin with the briefest of health updates: the hygienist takes my blood pressure (which was good -- pop quiz passed!), and asks, "any surgeries since the last visit? Any new medications?"

No surgeries, thank goodness. New medications: eight hundred thousand thoughts, in a millisecond, before responding. 

Yes, antidepressant is a new medication since my last visit. BUT, the hygienist is related to someone I work with, who does not know that I take antidepressants. I would tell my coworker about the antidepressants if it came up in conversation, but I do not want them to find out through the grapevine. The hygienist is bound by HIPAA, so technically she should not discuss it outside of the dental office, but you never know. Also, the dental office is open enough that the people in the cubicles next door will be able to listen, so other patients may hear what I say and I don't particularly want strangers to know. Because Stigma. How relevant is antidepressant use to dental health? I know some people in the depths of depression have trouble maintaining oral health, but that particular issue doesn't apply to me. So, is it irrelevant in this situation? Do I want to be the Poster Girl for being upfront about mental health issues and just mention it casually, as if it were no different from thyroid meds or other routine meds? No. No, I do not. Not today. 

"No new meds," I said.

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I feel a little bit as if I am doing a disservice to the mental health community by not being forward about my own personal struggle.  At the same time, it is my own personal struggle.  I don't want to talk about it a lot of the time. Nor should I feel obligated to do so, if it does not affect my health care. I have good days. I have bad days. A lot of times, I have days where there are good moments and bad moments. I am doing better. But not so much better that I can be an open representative of Better Mental Health Through Pharmaceuticals. 

I do want to help other people who might be struggling similarly. But right now, I'm putting my own oxygen mask on first. And that means that I might not say anything publicly.

That's OK.