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  <antidek>FIRST PERSON //</antidek>
  <author>By Susan Woolf // Fall 2008</author>
  <body>&lt;p&gt;&lt;span class="cap"&gt;T&lt;/span&gt;hese days, you can scarcely watch TV without seeing an ad for an antidepressant. They all seem to be shot from the same script: dimly lit room, unkempt actor. Cue the dolorous music. If there&amp;rsquo;s a family member in the frame, he or she is a helpless spectator looking on.&lt;/p&gt;

&lt;p&gt;The scene is all too accurate. My husband is clinically depressed, and for more than a decade, I&amp;rsquo;ve been the onlooker. If he&amp;rsquo;d had any other disease, I would have sat in the doctor&amp;rsquo;s office beside him when the diagnosis was made and treatment plans were discussed. But depression is different. It&amp;rsquo;s a lonely, anonymous battle&amp;mdash;so much so that I can&amp;rsquo;t use my real name here for fear of violating my husband&amp;rsquo;s privacy.&lt;/p&gt; 

&lt;p&gt;My husband&amp;rsquo;s depression was first diagnosed 13 years ago. A salesperson for a tobacco company, he was the proverbial glad-hander: ready with a joke, asking after his customers&amp;rsquo; families. But at home he was a different man. He spoke to me in grunts, if at all. His penchant for a beer after work escalated into a full-blown drinking problem. Soon I started to ask myself why I was in the marriage at all. We went to a counselor, who suspected, quite rightly, that something else was wrong and referred my husband to a psychiatrist.&lt;/p&gt;

&lt;p&gt;I felt, as Walt Whitman wrote, &amp;ldquo;both in and out of the game and watching and wondering at it.&amp;rdquo; My husband came home with a prescription for Paxil, which he said would take about two weeks to &amp;ldquo;activate.&amp;rdquo; I wish his psychiatrist had bothered to prepare me for what that meant.One sunny Saturday morning, I returned from the grocery store to find my husband pacing the living room, wild-eyed, fists clenched and teeth gnashing. &amp;ldquo;Oh my God, I can&amp;rsquo;t settle down,&amp;rdquo; he said. I was terrified. The dosage was tapered back, and after a day or so, my husband returned to normal&amp;mdash;whatever that was.&lt;/p&gt;

&lt;PAGEBREAK&gt;

&lt;p&gt;He stayed on the medication for 18 months. But he was never comfortable with the idea of a booster pill for his personality. So, with the help of his psychiatrist, he cut the dose and eventually stopped taking the drug. The depression abated, as can often happen, and I hoped that would be the end of it.&lt;/p&gt;

&lt;p&gt;But it wasn&amp;rsquo;t. Ten years later, it returned full force. This time around, experience had taught me that I couldn&amp;rsquo;t control what was happening to him, but I could try to help myself.&lt;/p&gt; 

&lt;p&gt;Browsing the Internet, I found a support group that included sufferers of depression and their family members. At the first meeting, a beautiful woman spoke in a monotone while looking at the floor. Another talked about how everyone at her job seemed out to get her. When my turn came to introduce myself, I burst into tears. Were these people what my husband would become? I fled and never returned.&lt;/p&gt; 

&lt;p&gt;It&amp;rsquo;s ironic I found so little relief, because I live 30 miles from New York, a city that should be crawling with resources. I ended up having to consult a psychiatrist of my own, at $150 an hour, to stop blaming myself for what was going on. The sessions taught me that depression is the same as any other biological disease: It isn&amp;rsquo;t my fault, or my husband&amp;rsquo;s.&lt;/p&gt;

&lt;p&gt;If I&amp;rsquo;ve learned anything else from the experience, it&amp;rsquo;s that he will not some day be miraculously cured. In a better world, we could both talk openly about his condition, the same way our close friend with cancer did to rally loved ones around her. I watch for signs that the dark cloud might be descending. On days that it isn&amp;rsquo;t, that seems victory enough.&lt;/p&gt;  
&lt;br/&gt;
&lt;p&gt;&lt;em&gt;&lt;b&gt;First Person&lt;/b&gt; originates at the other end of the stethoscope, presenting essays and commentary from patients, consumers and other medical outsiders. &lt;/em&gt;Proto&lt;em&gt; invites your contributions; please send ideas to &lt;a href="mailto:protoeditor@mgh.harvard.edu"&gt; the editor&lt;/a&gt;. &lt;/em&gt;&lt;/p&gt;

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