Lexapro: A Mother-Daughter Love Story

Image courtesy of Steve Rosenfield's What I Be Project — Image courtesy of Steve Rosenfield’s What I Be Project

By Judy Bolton-Fasman

The panic attacks almost always happened deep in the night, their after-effects rippling through my life like the aftershocks of an earthquake. The first happened the summer before my junior year of college. I was sure that my heart would explode. But my heart didn’t blow up. Instead, its rapid, loud, insistent beat filled my head, and I rocked back and forth in bed until the sun came up.

Panicking, I quickly learned, was exhausting. Anticipating the next attack was grueling.

Panic afflicted my gaunt sepia ancestors; it has walked with us hand-in-hand for generations. We are a people who open doors to empty rooms, expecting to see our worst fears incarnated. It’s difficult to articulate what exactly those fears are. Some of them can be as nebulous as the panic and depression that have smothered the Latina and Jewish women in my family.

No one in my family talked about the forced cold showers, the electroshock therapy involved in keeping my paternal grandmother’s anxiety in check. No one said a word about my other grandmother’s body odor, greasy hair, and catatonic states. When I was a child, no one acknowledged that my mother masked her phobias, her phases of panic with bullying, narcissism, and half-hearted suicide attempts.

I suspect that the ghosts of panic that frightened my grandmothers and drove my mother to the brink of insanity have haunted me since the moment I was conceived. And when panic first happened to me, the machinations it planted in my mind threw me into a future I imagined so catastrophic that I saw myself completely incapacitated. What if, What if, What if, went around and around in my brain like ticker tape.

•••

Dread and wonder coursed through my body the day I found out I was pregnant with my daughter. How could I be a mother, let alone a decent one? When the panic strangled me in my sleep, I was terrified it would cut off oxygen to my baby. My heart revved up until its beating migrated to my head. I had never taken medication for panic. And now that I was pregnant, I wouldn’t even take a Tylenol.

Throughout my pregnancy I struggled to decipher arguments about nature versus nurture, biology versus psychology. I intuited that between these polarities lay a multitude of explanations for how behaviors developed and persisted not only within a single individual, but also across generations. Would my baby imbibe anxiety and depression through my milk? Would I model it to her? Would she inevitably flinch at my shaky touch?

The baby was beautiful and terrifying. What if, what if, what if? I filled in the hot white blanks with pure disaster. What if I stopped functioning and couldn’t care for the baby? What if I panicked with her in the supermarket? And most chilling of all—what if I had passed down my chipped, inferior genes to her?

“Stop torturing yourself,” said my gentle husband who, at the time, was working on the Human Genome Project. How I prayed that the genes that triggered my anxiety and depression would combine with my husband’s pristine genes, losing their power to hurt my daughter. I fantasized about him hard at work hunting down the gene for what ailed my ancestors, what ailed me. My husband was clearly on the side of nurture and promised me that our daughter would grow up secure and loved.

Nevertheless, I found articles that claimed phobias and panic disorder could very well be inherited. “Genetic switches,” I, practically panting, recited to my husband, “can get tripped and set off chemical changes that occur in a fetus’s DNA, thereby imprinting familial trauma on them.”

My husband shook his head. “It won’t happen to our baby,” he said.

“And why not?” I asked.

“Because we’ll know how to treat her right,” said my husband the geneticist.

“But what about bad luck—that’s always a factor that could wire our baby for anxiety and depression.” As I spoke, I thought about an observation my therapist made that there are some people who never panic under any condition. The first time I heard him say that, I pictured a flurry of Magritte’s topcoat-wearing men raining down on me. Cradling my newborn daughter, I knew that I could never share the Magritte image with her.

•••

My mother, her long black hair falling out of its bun, frequently pleaded with my father to send her away. “Please,” she begged, gulping for air, “I need to go. Now.”

Over the years, I periodically asked my therapist to commit me too. “You’re just tired,” he said.

What I most remember about therapy with him was that I refused to acknowledge panic in my world. I was twenty-seven, eight years out from my first panic attack. I lived in terror that my world would shrink to the point that I couldn’t leave my apartment. The word “phobia” scared me so much that I asked my therapist to remove a book he had on his shelf with the word on the spine. “I am not that person,” I told him all the while living in fear that I would panic in public without a way to get home.

At the height of my panics, Prozac had just come on the market, and it was touted as the miracle drug for the anxious and depressed. I read testimonials in which people swore the drug gave them their life back. They were newly confident, newly capable, and most importantly, newly happy. The words “brain chemistry” bubbled to the surface in these articles. But I was sure my brain was beyond fixing. And more to the point, taking medication was one of my phobias. Would my memory slip away? Would I feel numb? Would my future children have birth defects? And worse yet, would the pills not work and leave me forever hopeless?

That last question scared me enough to keep me just on the other side of trying Prozac. I could tough it out. My people were scared to death of taking medication. “Do you want to be in La La Land?” my mother taunted me that first summer of panic. “I have two other children to take care of,” she screamed. “”I’ll send you to the Institute for Living,” she said threatening to institutionalize me. Her face was so close to mine I could see her large pores. At the time, I didn’t have the vocabulary to express that I could feel the weight of her mental illness imprinted on my cells.

•••

I had been flirting with the idea of taking medication after I finished having children. A girl and a boy, perfect bookends, a friend said to me. Perfect bookends with an imperfect mother. But I hesitated to take medication. I wanted to be strong. I wanted to beat this thing on my own. But with whom was I waging war? Panic? Myself?

The night I wanted to commit suicide, I had been caught up in a loop of panic for weeks. My two small children slept peacefully as my husband rubbed my back. “It’s time,” he said. By that I knew he meant that I needed to call the psychiatrist I had consulted with for a prescription of Klonopin that I had not filled.

In the coming weeks I took the Klonopin with Lexapro, an anti-depressant. I didn’t feel relief exactly. Instead, I detected emotions coursing through my body, a circulatory buzzing of activity that the medication tamped down. The first side effect I experienced was how hard it was to cry. But the panic drained out of me until it was a bearable, hum of anxiety. And then one day I suddenly realized I was happy. The revelation happened in the car on one of my daily drives to and from my daughter’s school. I had settled into a routine. “You’re a caballo de circo,” my mother chided me when I was a child comforting myself with repetition. Maybe I was a circus horse driving the same route over and over. But on that day I picked up as many of my daughter’s friends as could fit in my SUV. Their chatter delighted me. Their energy soothed me.

I’d proved that anxiety was not an accurate predictor of a situation. This was what I told my daughter when she called me from camp. Just sixteen, she said the world had gone very sad on her. “It’s like there’s a curtain of gauze suffocating me,” she cried. My God, had my genes taken the best of her? As I listened to my girl on the phone, I knew that she was trapped in her thoughts. “What if I freak out in front of people? What if I die?” she said breathlessly. There it was again: What if? What if? Another generation struggling to fill in that sharp, menacing blank. But I also remembered my husband’s wise words—we’ll know how to help her.

My daughter is now twenty-one and also stable on Lexapro. She studies psychology. Her choice of major makes me believe that she wants to cure herself, even cure me. My daughter also knows that hiding is dangerous—even futile—and so she decides to tell the world about her condition with a one-word story literally written across her face. In the photograph, the word “Lexapro” starts across her forehead, goes down to the bridge of her nose, and finishes at her left cheek. “I am not my anxiety,” my girl declares. Her face, her struggle, is her contribution to the “What I Be Project” founded by a photographer who describes it as social experiment. In word and picture, a subject boldly declares that he or she is not solely defined by societal reactions to her life story.

With my daughter’s picture out in the world, I pray that the Lexapro will continue to quell her panic. I pray that the doubts, the worries, the blame will continue to diminish for both of us. I pray that the night will never again be a long tunnel of fear and hopelessness. And I pray that Magritte’s men will simply float away.

•••

JUDY BOLTON-FASMAN is an award-winning writer whose work has appeared on the New York Times opinion page, the Boston Globe, Cognoscenti, The Rumpus, Lunch Ticket, Brevity, Salon, and other venues. Judy has completed a memoir called The Ninety Day Wonder, in which she tries to get closer to her remote father through saying the Kaddish—the Mourner’s Prayer—only to uncover her father’s secret past.

Goodbye, 1735 Asylum Avenue

curtains — By Gina Kelly www.ginakelly.com

By Judy Bolton-Fasman

I was deep into middle age and so was my childhood home: 1735 Asylum Avenue in West Hartford, Connecticut. It had been forty-nine years since my parents had bought this house, and it had not held up well.

But neither have I. I take several pills a day for maladies like high blood pressure, cholesterol, anxiety, and depression. No pill helped me to sleep in the days before we cleaned out 1735. Dad had been dead for a decade, and it was time to move my mother out.

My sister Carol, my brother John, and I each took a couple of rooms to empty. I volunteered to go through the master bedroom. I wanted to be alone with the detritus of my parents’ lives. Alongside the cancelled checks and the thumb-smeared Polaroids from the seventies was my master’s degree thesis that I wrote in the late 1980s—a collection of short stories called The Ninety Day Wonder in honor of my father’s service during the Second World War. John said he saw Dad read my thesis cover to cover in one sitting, crying as he turned the pages. The book was dedicated to him.

By the time 1735 sold, my mother had erased any traces of my father. The house was teeming from years of hoarding. She hung on to tests that she administered when she was a Spanish teacher in the seventies and eighties. She saved every single greeting card anyone sent to her. She saved her children’s baby clothes— clothes disintegrating from age. Then there was my prom gown, the dress I graduated high school in.

Maybe that is a sign of age—an unkempt house filled with stuff. Or maybe it was a bulwark against leaving. When my father died, the house was still habitable. Then the heater broke down and had to be replaced. The sump pump wasn’t up to the task of keeping the basement dry. Weeds shot through cracks in the driveway. The shrubs were overgrown. The window air conditioners—streaked with bird droppings—wheezed asthmatically. The wall opposite the banister was forever scarred after my father’s chair lift was removed.

•••

That final time we cleaned out 1735, my mother was in a rehab facility, and we made the most of her absence. Two months earlier, she’d spent her last night in the house. She had called me in a panic that she was feeling very unwell. Although I live in Boston, I made the call for an ambulance to take her to a hospital in Hartford. My mother will tell anyone who will listen that that hospital stay was the beginning of the end for her. I will tell anyone who will listen that summoning an ambulance saved her life.

Here is what my siblings and I had to do to save my mother further: During her extended stay in the hospital, we used the power of attorney that we had wrested from her the year before. We sold the house with her grudging acceptance. We promised to salvage pictures and other mementos. She decided to go to an assisted living facility in Connecticut rather than one in Massachusetts near Carol and me because leaving the area would cause unbearable changes like watching a different local news anchor.

•••

“I brought these,” Carol said waving boxes of masks and latex gloves. These were the same gloves that had to be worn to take blood or give a shot. These were the same gloves my father’s aides snapped on to toilet him, to wipe his drool. These were the same gloves we had to wear at 1735 where a family of raccoons recently lived in the chimney. These were the same gloves we were glad to have on when we found mouse droppings or the mice themselves.

These were the masks that made us look like mad surgeons or hygienic bank robbers. These were the masks I saw people wearing in the freezing, flu-ridden streets of Boston. These were the masks we wore our last days at 1735 to inhale less mold and dust.

I used to dream of the day I would watch a wrecking ball smash into 1735 Asylum Avenue. I thought that watching the house collapse would be satisfying, cathartic. I would take pictures upon the first impact. I would cheer. I would cry. I would dance on the edge of the house’s open grave. But that’s not what happened. We sold 1735 in less than a week to a builder who intended to take the place down to its studs and renovate the unhappiness imbedded in its walls. “An open plan,” he said. No more dark corners of sadness and dust mites. The house would be turned to face the sunlight and the side street. 1735 Asylum Avenue would vanish as a house and then as an address.

It turns out that selling 1735 unmoored me. It set me adrift without an ancestral home to go back to. We had cut a deal with the builder that we would take out personal items and leave the rest for him to deal with. Leave the green-swirled sofa stuffed with old circulars under the cushions. Leave the hi-fi missing the first A of “Magnavox.” Leave the dining room table with the warped leaves, the table I sat under when I was a little girl as my parents fought their way through another year of marriage. We left the chipped, cow-jumping-over-the moon-lamp that dimly lit the bedroom that I shared with Carol.

I left love letters written by bad boys and pleading letters that I wrote and never sent to those bad boys. Bad karma to move that stuff. I looked for a packet of poems that a nice boy wrote for me the summer after I graduated college. He was the sophomore who loved me—the senior girl who had a boyfriend I was afraid to leave. I gave him a chapbook of poems by a poet I thought was profound at the time. I can’t remember the name of the poet nor could I find the nice boy’s poems to me. I just know those poems were once mine, and now they would become part of the ash and rubble as 1735 Asylum was reincarnated.

I left the rotary phone in the den where it had been for almost half a century. The phone wheezed when the wheel spun and 523-0765 was rubbed off of the circle in the center. After all these years, it turns out, my mother was still renting from the phone company.

We were disappointed that Mom couldn’t take the phone number to the assisted living in the town over.

“What about just keeping 0765? I can deal with a different prefix,” I said.

“Taken,” said John who was in charge of getting the new phone number.

My siblings and I salvaged what we could and went back to the hotel to toast to our exhaustion. We barely lifted our glasses of the default Pinot Grigio we ordered in mediocre restaurants.

“Are you going to miss the place?” I asked Carol.

“Too much happened there,” she said.

She meant that my parents had papered the place with emotions that ranged from my mother’s mania to my father’s depression. But for the longest time, 1735 also represented permanence to me. It was the address on my driver’s license for the nine years that I lived in New York City.

Like houses that have been in one family for decades, my parents’ place burst at the seams with memories that were good and bad and ugly and beautiful. There were fights and reconciliations and moments of pure love. There were the deaths of parents and grandparents. There were great parties, the hi-fi blasting, where my parents danced rumbas and drank Cuba libres. There was my wedding gown that I hung on the living room lintel the night before my nuptials. There were grandchildren who toddled around the house.

My mother romanticized the home she made with her husband, and for better or for worse, she wanted to stay until death did part her from 1735. We must have appeared to be the most negligent children in the world as the neighbors watched her haul the pails out every Sunday night or noticed that her sidewalk was not shoveled after a big snowstorm. She lied to us and said her lawn man did snow removal. She lied to us that she had a lawn man. She lied to prevent her own removal from the house.

Visiting 1735 over the years, we often choked on agitation and the dust that accumulated as thickly as the plush carpeting that once covered the floors. For the last ten years we begged, we fought, we threatened Mom, and still she sat immobile in the chair my father had spent his last days and nights in the den—the chair that ejected him so he could go from recliner to wheelchair in one jerky motion.

Then I had an epiphany. Of course the idea of giving up the ancestral home in Connecticut was anathema to my mother, who had already left her first home in Cuba forever. My siblings and I were forcing my mother into another exile. We had already scattered from 1735 and left most of its dower contents in place. Like my grandparents who walked away from twenty-five years of silver and jewelry and dishes in Old Havana—“with only the clothes on their backs and their toothbrushes,” was my mother’s description—we shut the door on a house in West Hartford that was full of furniture and clothes and things we could not bear to dig deeper into.

We, too, had exiled ourselves from Asylum Avenue forever.

In the hospital, my mother screamed that she wanted to be buried seis pulgadas in the backyard. But we had bought a double plot when my father died. My mother would be six feet under the ground next to my father. And after 1735 had passed on, the furniture and the clothes went to the backyard to die. The builder promised that everything would be disposed of efficiently and quickly. I assumed that meant there would be some dignity in the process.

Instead, 1735 was stripped bare and its furnishings laid in the front and back yards for random people to pick over. They came with pickup trucks, U-Hauls, and minivans and took away my parents’ bedroom set. The living and dining room furniture were parceled to strangers. I hoped my bedroom set went to a little girl who would feel like a princess with a white and gold etched headboard. I didn’t see any of this myself, but I heard about the scene from one of my mother’s former aides, who got giddier as she told the story.

“It was like looting,” said the aide. “And they even took the clothes no matter how scrappy they were.”

Other families seem to have physical objects, talismans of sorts, to evoke their history. I pointedly remember that we had nothing from Cuba except some creased black and white photographs. If I, the child of exiles who went from country to country with little more than the clothes on their backs had known, I would have taken those things before they were outside for the world to grab.

•••

JUDY BOLTON-FASMAN’s work has appeared in the New York Times, the Boston Globe, and O Magazine. She is at work on a memoir titled 1735 Asylum Avenue: A Family Memoir.