Hi @Anastasia
I had a 3-year nervous breakdown which I spent in bed, apart from going to the doctor and out for food. I felt unable to face anything and was severely depressed and intensely suicidal. I couldn't cope with cooking and so ate toast with Vegemite all that time and the occasional pizza (and yes, I developed diabetes type 2 from that, but at at least I'm still alive). I couldn't sleep and didn't sleep properly for about 18 months, just napped during the day. The nights were horrendous, full of dark thoughts and incredible feelings of vast aloneness. (After that 18 months I was put on sleeping tablets.) I relied like anything on text messages from the few friends who didn't dump me, but was unable to reply to them - I didn't have the emotional energy.
One strange thing /symptom was that I wrote, off and on - prose, poetry, anything. It was all intensely dark, and I've since thrown it away as I don't want to remember how I felt. It was the worst time of my life, and has left a lasting impression and fear on me of going back there. Nothing worked to shift the severe depression. What shifted it in the end was going to the ED (my GP made me) where there wasn't a bed for me in the psych ward, but where I got referred to a psychiatrist who immediately changed my medication to something much stronger. Mind you, I had to wait 3 months to get in to see her, at the worst time of my life. I honestly don't know how I survived that 3 years.
So - signs and symptoms to look out for (in my experience) are: no sleep, severe depression and intense SI, unable to face friends or reply to text messages, out of character things like intense bursts of dark writing, unable to make a decision, unable to speak properly as your mouth just won't work (which is a symptom of severe depression for me), unable to get out of bed, unable to face anything. (A lot of those symptoms are those of regular depression, but just intensified.)
What helped: a few things did help actually. I was still suicidal, but these things helped me to not actually try anything:
- Text messages from friends who essentially said "I'm thinking of you - no reply needed". (I can't stress enough how important this was)
- Food - I'm a foodie, and would tell myself things like "If you can try not to suicide today, you can have a pizza tonight."
- Escapism in the form of books (my chosen escapism). Even though when severely depressed I couldn't concentrate on the books, I still tried to read them and they helped.
- Right at the end of the nervous breakdown, I was given some multivitamins, which helped.