Psychozorg

Why does psychiatric care in Dutch have to have PSYCHO in it?  It makes me feel so… Brad Pitt in 12 Monkeys :/

As any long time reader of my blog knows, over the years I’ve had some pretty nasty bouts of depression.  This was mostly brought on by homesickness, my lack of ability to cope and adapt to life here, issues with my weight and infertility, and just a general feeling of failure in all of those areas.  

A few years ago I visited my doctor and broke down, telling her all the things that were bothering me.  She put me on anti-depressions (Paroxetine, or Paxil as it’s known in North America) and said she would organize a therapist for me to help me sort it out.    She explained that first I would have an interview with someone who does the intake and then they take my case to a board of psychologists who decide what kind of care is best for me.  

When I met with the man he was Indian, he didn’t speak English and his Dutch was very difficult to understand, even for Xander.   I tried my best to explain how I was feeling, with Xander helping with translations along the way.   When the appointment ended he told me he would contact me in 2-3 days and let me know where we were going to go from there.

So I waited…

Three weeks later I got a phone call from him.  The conversation went a little something like this:

Me: Hello

Him: Yes this is blahblahblah from blahblahblah, I’m calling about your psychiatric evaluation.

Me: Oh! I thought you forgot about me!

Him: Right, well I spoke with the people who deal with asylum seekers, and they gave me a few options for you.

Me: (Thinking… Asylum Seekers? What the fuck am I seeking asylum from in Canada, a rogue moose?!)  Ummm, ok… go on.

Him: Lose weight or go back to Canada.

Me: Ooooh…errrr

Him: Ok?

Me: Uhhhh

Him: Ok, thankyouverymuch *click*

Me: *Hangs up*  XANDEROHMYGODWHATTHEFUCKISITWITHTHISGODDAMNCOUNTRY!  LOSE WEIGHT OR GO BACK TO CANADA? WHAT THE FUCK?  I DON’T BELIEVE THIS!!  *Stomp Scream Cry*

That was my first experience with trying to find help here in the Netherlands and it was to be my last for another four years.   In my eyes it had proven what I believed all along, that this country is completely fucked up and I was never going to find what I need here in any way, shape or form.   When I told my doctor about it she acted shocked but made no effort to try to fix it or help me sort anything out otherwise, and I didn’t push to get her to because I was feeling bad enough without the kind of help they found me the first time.

For the next four years I went through periods that ranged from getting along really well here and busting my butt to try to integrate (Dutch classes, making friends, etc) to feeling downright shitty about myself and the choices I’d made in life (me coming here instead of Xander coming to Canada, issues with his family, inability to find work and keep it when I did, finding out I wasn’t going to have children).   I was ultimately left deal with it on my own.   Xander was as supportive and loving as he could be but he was as lost as I was about how to make it better.

Last year I made leaps and bounds here.  I tried to put the language skills I’d learned to use, I met some wonderful women, made good friends and got rid of one of my worst habits – online gaming.   I immersed myself into my life here in NL and was hellbent on making it work.  It was going really well, I’d even lost 30 pounds!  

Then winter came…

Dark, rainy, depressing winter.   I tried my best to stay upbeat, get out and do things and find a way to get through it.  Heck, I even went back to my old job thinking that it might be better this time around.   I was so wrong, it was even more shitty there than the first time and I ended up leaving again 2 months later.   That’s when it all came back around again, the feelings of failure, depression and general lack of contentment…. oh, and 25 of the 30 pounds I’d lost over the summer.

After almost 8 years here things still weren’t getting better.   They had seemed to temporarily a few times but I always slipped back into that funk again.   I’d finally had enough and went back to my doctor and asked for help – AGAIN.   I also told her how disappointed I was in how things had gone the first time and that if it happened again I was quite likely to lose my mind completely.  She told me that the man I had seen the first time was FIRED after a number of complaints.   Gee, what a shock.

She forwarded me to another woman who, strangely enough, had her office right across the street.  Imagine, all the years I’ve been living here,  help was just a few steps away and I didn’t even know it.   She did the same sort of intake interview with me and then forwarded me to a therapist here in the city.  She was shocked that it had been so long and that I was basically left to deal with all these emotions on my own.  Not because I didn’t have anyone who cared about me, but that I hadn’t been able to speak to anyone who had the knowledge and experience with these sorts of things to help me figure it out.

She also changed the medication I was on, changing me to Zoloft rather than Paxil.  She wondered why on earth my doctor would put me on Paxil when I was having weight issues since Paxil is known to cause serious weight gain when taking it.  News to me!  THANKS DOC!!  I go to my doctor because I’m depressed and tell her the depression had caused me to gain weight and she puts me on the one anti-depression that has a serious side effect of .. you guessed it, weight gain!  Fucking hell…

Anyhow, I’ve only seen the new therapist a few times but it’s been great to get things off my chest.   It’s been hard for me because I haven’t wanted to always bog Xander down with the things that I miss or the things that bother me here, because he feels guilty and worries.  I didn’t want to always call my parents and talk to them about it because they would feel helpless being so far away and would worry themselves sick about me.  The friends I’d made here were mostly all expat women too and were dealing with the same hardships as I was.  They didn’t need my shit on top of it…. I desperately needed someone to talk to that wasn’t already an emotionally invested part of my life.

It’s also been great to talk about things that have happened since I’ve been here and have an impartial 3rd party tell me that it’s not all me, that I’m not the cause of everything that has gone wrong since I’ve been here.  That there are other factors and that other people could have handled things differently too along the way.

When I think of how things were here 6 years ago, I cringe, because I was so so desperately unhappy.  There was nothing I could find that I loved about this country other than my husband, and that made me miserable.   Things are much much better now, I don’t hate this country and I have found a lot of things I really love about being here.   I’ve learned to appreciate how lucky I am to be living in Europe and see the things I’ve seen and be the places I’ve been.   I understand the language quite well now, and even though I’m not as comfortable or able to speak it as well as I understand it, it still helps a lot.  

My life here isn’t miserable anymore, but there is still the lingering damage left from spending almost 8 years in a ‘shut up and deal’ situation.  That is a long time to carry around that much emotional baggage, especially when you feel like you are doing it all alone.

I had stopped talking about it on my blog as well because after a while this stopped feeling like my place, and rather something for everyone else… and I hated that.   I started this blog precisely for the reasons I just talked about, because I felt alone and needed to get things out and this was where I did it.   It was therapeutic for me to talk about the things that made me angry here, my struggles, and my life here in general… but after a while I didn’t even have that.  I knew friends and family were reading and while some were supportive and were there for me, others were very judgemental and hurtful.   So it made me almost scared in a way, to discuss what was on my mind.

I’m tired of that now.  This is my space and this is me.  I won’t apologize for how I feel anymore and hide or be ashamed of who I am.  

So yeah, you can expect this blog to be personal again, about me and what I really think and my life – for real.  Not just the version of it that I think will make people like me or stop people from getting angry with me.  

If you are a friend, support me, love me and help me know that it’s ok to fall down sometimes and that you’re there if I need help getting up.

If you are family, let me know that I’m not a disappointment or embarrassment because I’m struggling.  I need to know you will love me unconditionally.

If you are a stranger, please be kind and don’t use my blog as a place to be cool and feel better about yourself by making me feel worse.

If you are any of the above and you are not able to do those things, then there is only one thing I have to say…


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13 comments

  1. I feel like standing up and cheering. Wait. There I just did. Hope I didn’t wake everyone up. lol. Yea you, Tammy. I’m so sorry to hear of the bad times for I wish nothing but happiness for you, but I’m so proud of your taking your life by the hand and finding the help you need to get you to where you want to be. Just know that you have my love and support. Karen

  2. I can’t believe the Indian psychologist interview guy!!! Sheesh!!!

    And as far as your blog is concerned. It’s YOURS!!! Y.O.U.R.S. and you should be able to vent on it about anything and everything Y.O.U. feel like. Anyone who doesn’t like that: though shit, deal with it and get out. Nobody asked them to be here! Good riddens…

    That’s my humble opinion! You Go Girl! And you are so welcome in Dutchyland! Have the Indian guy fuck off ;-)

  3. There there. The family members who would consider you an embarassment etc should shut-up b/c they are living in pretty big glass houses – remember that. No one has a perfect life and the ones who try to convey that are 100% full of bullshit. You know that I know this to be true b/c we are family and there is more than one nut on this family tree that has some dirty lil secrets or things they’d rather not talk about.
    We personally have had our ups and downs, but through it all in my mind you were my little (pain-in-the-ass) sister and I always loved you no matter what. During one of our down moments Jackie asked me about us and I said “sometimes I hate that lil $#^%@%&#*, but I’d still give her a kidney if she needed one” LOL. See, now that’s real love :)

    Cya soon kiddo!

  4. We all fall at some point and most of us do try to cover it up. I am totally guilty of that. I admire your courage and honesty. I think you are an inspiration to all us expat girls in the Netherlands. You will always have my support.

  5. Tammy,
    Your blog has always been a pleasure to read and keeping it personal is in my mind what makes a good blog even better. Keep up the good work!
    Matt

  6. Hey Girl,
    It takes a lot of courage to come out and be as real as you have been. Girl, you only have reasons to be proud of who you are and everything you have become. There are so many of us who have been on and off meds, dealt with quack doctors and, all the while, tried our best to pretend to everyone around us that things are ok. Sometimes, I get really tired of pretending in my own life. Thank you for being brave enough to say “screw it”… one of these days I’d like to do the same. I know I’m far away but please know that I’m here for you when you need someone.BFF and all that, you know! :) You are in my thoughts and prayers. *huge hugs* Take care of yourself.

  7. Hi Tammy…Lola Granola sent me the link to your blog…I’m Canadian too, been here three years, and you’re definitely not alone.

    I’ve been a total roller coaster since moving here away from my family (including my 20-year-old son) and trying to learn Dutch while holding down a shite job that includes a three-hour-per-day commute. I’m 46 and fatter, older, more stressed and damned tired. My husband’s an angel though…it makes up for a lot…

    I have a blog too…but don’t tend to publicize it much because it IS the one place I can write without some nimrod chiming in and saying, “I didn’t have that problem!” “I can learn Dutch, why can’t you? Just do it!” and other really helpful comments. Not even my family knows about it. Even so, I still censor myself at times…Like one day I expect my words to come back and haunt me or something!

    Lola has the link though…It’s expats like her that help a LOT…

    Take care…

  8. Tammy, my hubby is having the same sort of trouble that you have had. He’s just been referred to a counsellor to try and deal with his issues, and has been prescribed meds.

    Me, I don’t know. I’m less depressed since I’ve been here! I’m still dreading that ‘winter dipje’ though.

  9. You are totally awesome! It takes great strength to go forward. Sometimes life is not fair and really sucks, and chronic depression sure doesn’t help. (I have it too!)
    Next time you look in the mirror, smile and give yourself a pat on the back!

  10. Tammy, not sure if you already know about ACCESS, but they offer counseling services in English for the expat and international community across the Netherlands.

    If things don’t work out with the woman you’re seeing, I advise you to contact them and see if they can set you up with a counselor from the ACCESS network.
    http://www.access-nl.org/our_services/counselling.htm

    If you’re interested in learning more about their services, you can contact Diana Glandt at 015 212 7693.

    HTH.

  11. I’ve always liked your blog… I think I’ll like it even more, now.

  12. Hi there,

    I’ve been reading your blog via rss for a while now… mostly out of homesickness for Amsterdam :) I’m a Canadian gal too (grew up in NB and went to uni in Halifax where I met my hubby and got married). We moved to Belgium for hubby’s job after living for a while in Amsterdam. I LOVED life in A’dam but I was in for a rude shock when we got here to Belgium. I relate to so many things in your post. Most of all I wanted to tell you that you had a lot of courage to seek help not only once but twice. I think after such a terrible first attempt, many people never would have been brave enough to go back. I, like you, blog and have found over time that the persona I portray on my blog is not always accurate to what I’m really feeling. I don’t want to worry people back home or feel like I am constantly moaning about a life that, let’s face it, most people back home think is one big giant vacation. I guess what I’m trying to say is you aren’t alone, and thank you for sharing yourself with the rest of us out here in blog-land who are in a similar boat.
    Cheers from a fellow Maritimer,
    Alison

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