Run toward the fire: My journey through mental illness Published May 25, 2021 By Lt. Col. Angelina Stephens 366th FW/MXS MOUNTAIN HOME AIR FORCE BASE, Idaho -- Suicide has been a part of my Air Force journey. It took a conversation with someone I trust and respect greatly, who also happens to be a mental health professional, to realize that suicide came nearer to defining my own story than I’d been willing to admit. “I’m going to give you one piece of advice,” he said. “Run toward the fire.” I had been using 500 words to avoid the one that I was afraid of…suicidal. I have been an ambassador for suicide prevention for over a decade. I have been on the other end of the phone line as a support system. I have been the shoulder to cry on at more funerals than I’d like to count. I have been the last known conversation. I have sprinted to my car to chase the ambulance to the room where it happened. I have been on the phone with the person who walked in as they discovered the aftermath. I’ve been asked to describe every interaction and memory leading up to the incident, for parents and friends looking for answers, who gave their loved one to the military and never got them back. I cared deeply, answered every call, listened, and became a fierce advocate for prevention. I could say the word, suicidal, and it held a profound meaning to me. I knew what it looked like on someone else. I knew what it sounded like, but I couldn’t understand “why.” I guessed, assumed, prayed, reflected and questioned. For the first 13 years of my career, although suicide was a part of my Air Force journey, I never understood what suicidal ideations felt like. After I had my son in 2016, I spent a year fighting severe postpartum depression, severe postpartum anxiety and suicidal ideations. Although I had seen it on others, I didn’t recognize it within my own mind. I spent a year battling suicidal thoughts, every minute of every day and I couldn’t identify them for what they were. Not thoughts…but beliefs. Facts. Ideations. The word ideation meant something different to me once. I thought an ideation was a pre-determined plan. A conscious, active thought process that led you to a decision. Now, I understand that suicidal ideations don’t always formulate as a clear, conscious desire to take your own life. Sometimes they are the wandering thoughts of a person who believes deep down that the world would be better off without them. Run toward the fire: My journey through mental illness U.S. Air Force Lt. Col. Angelina Stephens, 366th Maintenance Squadron commander, Mountain Home Air Force Base, Idaho, and her husband, Lt. Col. Travis Stephens, an F-15E pilot and weapons officer, and 391st Fighter Squadron commander, pose for a photo on the flight line. (Courtesy photo) Photo Details / Download Hi-Res What it Felt Like: A view from the inside out During that year, the involuntary images flashing across the backdrop of my mind didn’t match my original definition of ideations. The flash of an oncoming car crossing into my lane, head on. A phantom feeling of falling while I stood on a balcony, followed by an odd sense of calm when I imagined falling to the ground below. Idle thoughts crossed my mind without a specific trigger or reason, and they felt like a simpler, more comforting path than the one I was on. I didn’t believe I was useless, or that I didn’t have a purpose, but I did believe that the world would be better off without me. In hindsight, there wasn’t a rational structure to these thoughts, but in the moment, they felt rational. Meanwhile, I was suffering from severe postpartum depression and anxiety. Together they consumed most of my attention and focus, allowing the suicidal ideations to drift past quietly, like passing daydreams. At times, the depression covered everything in darkness and made it quiet, too quiet. When the depression was dominant, I couldn’t see clearly enough to allow the ideations to capture my attention. More often, the anxiety drowned everything else out with images and noise, forcing my focus to the irrational nightmares that played nonstop in my mind. The anxiety, in a twisted way, saved me from the darkness on many occasions. It shocked me out of the nothingness into something much harder to cope with, but also compelled me to put one foot in front of the other, keeping my ideations from becoming something more. The ideations were always there, capturing a small piece of my attention, threatening to pull me away with them if they caught me at the right moment. Suicidal Ideations: Falling down the rabbit hole I now understand why the term “committed” suicide carries such pain. Suicide takes someone, but it’s not always a plan laid out by a rational mind to commit an act. What I now recognize as suicidal ideations did not shock my system at the time. In fact, they didn’t solicit much of an emotional response at all. That’s what made them dangerous. I had no plan, no intent, just an idle reinforcement of the “fact” that the world would be better off without me. Passing thoughts that detached me from what my own life meant to me. When you can consider your own death with the same passing indifference as choosing what pair of shoes to wear, or watching a bird fly by, it becomes easier to turn toward unhealthy coping mechanisms. I was breastfeeding my son at the time, which meant that substances weren’t an option. I’m not a person who is prone to substance abuse, but if I had found that either alcohol, or painkillers, quieted the noise, or brightened the darkness, I’m not sure if I would have been able to turn away from that relief. Reflecting on my own experience, I now understand that suicide isn’t always a predetermined decision or plan. Sometimes, it’s a rabbit hole you find yourself falling down, and you can’t find your way back out. Behind the Smile: Fighting to see past the noise I could still put a smile on my face, I still had a sense of humor and I could still fight through the thoughts that consumed me to find small slivers of purpose in my job. The fleeting moments of humor and sense of purpose gave me a healthy, and much needed, relief. They provided me a tether to normalcy, and a distraction at times. These moments were authentic, even if they were never able to capture my full attention, as I constantly fought to see past the noise and the darkness, through whatever pinhole of consciousness was left. Every ounce of strength I had was reserved to lift the heaviest burden I’ve ever carried while trying to see the path in front of me clearly enough not to stumble and fall. There’s a point where depression becomes more than a feeling and a threshold where anxiety becomes an unhealthy obsession. People don’t generally talk about the severe ends of the spectrum when it comes to postpartum mental illness, and it’s hard to find the words to express something you’ve never heard described by another person. I can count on one hand the number of times in a year that my mind was quiet enough to wander with clear reflection. One of those moments was with my son, 12 weeks old at the time, on my last day of maternity leave. I was sitting in front of the Washington Monument. He was in a front carrier, staring up at me as I described to him what I saw, my words flowing aimlessly as I just sat there talking to him for about 30 minutes. I took a picture of him that I didn’t even look at it until a week later, I saw him sitting there…just watching me. He managed to clear my focus a few times in that first year, as if he understood I needed a moment of reflection. Run toward the fire: My journey through mental illness Following the birth of her son, U.S. Air Force Lt. Col. Angelina Stephens, 366th Maintenance Squadron commander, Mountain Home Air Force Base, Idaho, suffered from postpartum depression. Stephens poses for a photo with her family. (Courtesy photo) Photo Details / Download Hi-Res The Aftermath: Reluctance to embrace helping agencies When Logan was just over a year old, something in me started to stabilize and the burden of depression and anxiety lessened, bit by bit. Eventually, I saw clearly enough to seek help, and made an appointment to speak with a mental health counselor. I was terrified of the appointment, and almost cancelled it several times. By the time I checked in for my first-ever mental health appointment, I was “better,” past the point where I needed medication or treatment for severe mental illness. The provider recognized what I had been through, and noted that I was lucky to have gotten through it alone. I only shared a sliver of what I had been through. When they asked if I needed medication or other resources, I paused. I didn’t know what waited for me on the path ahead, but I felt like I could see more clearly, and I knew that I would speak up if the worst of it returned. The person before me presented an easier path, an “out,” and I took it. I told them I would come back if things got worse again, thanked them for their time, and walked away. The stigma associated with seeking medical treatment for mental illness is strong in the military, and I was afraid for a million reasons. Looking back now, none of them should have stopped me. I found out later, the hard way, that I didn’t have the tools to put my life back together. I thought I could walk away from it all and rejoin my life like nothing had happened. Bracing for Impact: Fearing the birth of my second child Less than a year later I found myself finally taking a breath, but I was terrified that I wouldn’t be able to rebuild the foundation of my life as strong as it was before. I was pregnant with my daughter, and my son was now approaching the “terrible” twos. We had a miscarriage a month earlier, and didn’t expect to find ourselves pregnant again so soon. I was trying hard to look forward and create distance from what I’d been through. I refused to slow down and reflect on that year, hoping it would just continue to fade away into the past. Deep down I was terrified I was going to descend into darkness again once my daughter was born. My husband and I talked honestly about my struggles; that I wasn’t ok for a time. We both had scars from that year, but neither of us acknowledged how deep they went. One thing my journey to mental health gave us were words to describe the first layer of what I’d dealt with: Postpartum Depression and Anxiety. Acknowledging it on the surface helped a bit, and helped us to talk about what we would do differently if it happened again. Neither of us talked about the full impact it had on us. We didn’t dive into the harder conversations about what it felt like from the inside out, and even harder to acknowledge, what it looked and felt like from the outside in. We were too busy bracing and trying to prevent the same thing from happening again. A New Frame of Reference: Experiencing a “normal” postpartum journey Several months later, the military moved us across the country, just weeks after my daughter was born. When we arrived, my husband had to leave for several months of training, right around the same time postpartum I started losing myself the first time around. We were scared, but we thought we were prepared. We knew we would immediately seek help if we saw any signs of what we experienced before. We poured our energy and fear into preparing for the worst, and hoping for the best, but the worst never came. My second postpartum experience was entirely different than my first. I remember so many instances in the year after having my daughter where I would find myself in a quiet moment, wondering if the darkness would come for me again. Wondering if the noise in my mind would turn up. I embraced each quiet moment, tried to breathe it in and reflect on my own existence. I was constantly searching for the signs within myself, feeling the boundaries of my own perspective, and relieved to a point of emotion every time I realized nothing was closing in on me threatening to pull me away. I had days where I felt depressed, I had days where I felt anxious. I experienced feelings in ways that were completely absent from the year after I had my son. With this new experience as a point of reference, I started to realize how extreme my first postpartum journey was. I realized that what I went through with my son was Severe Postpartum Depression and Anxiety. The year after my daughter’s birth was still difficult, but this time, when people made comments about “baby blues,” the turmoil, emotional rollercoaster and postpartum emotions of raising a baby, their description came much closer to what I was experiencing. I felt anxious, depressed, overwhelmed, scared, happy, excited, amazed, and I was mentally present to experience every high and low of the journey. Run toward the fire: My journey through mental illness U.S. Air Force Lt. Col. Angelina Stephens, 366th Maintenance Squadron commander, Mountain Home Air Force Base, Idaho, and her husband, Lt. Col. Travis Stephens, an F-15E pilot and weapons officer, and 391st Fighter Squadron commander, share the joys of life with their son, Logan. (Courtesy photo) Photo Details / Download Hi-Res What it Looked Like: A view from the outside in The hardest thing to acknowledge in the aftermath is that the people closest to me were probably the LEAST likely to break through and see what was going on under the surface. The louder the noise got, the more I fought to keep it at bay, creating an armor around myself to keep anything from getting out. This had the secondary effect of preventing anyone else from getting in. The moments I did put in the effort to reach through and engage were so hard fought, I felt like I was trying harder than I ever had to make a connection. But to anyone on the other side, it felt like I wasn’t trying at all, because so little was getting through. I wore a mask, and it was glued on tight. Most people around me didn’t see what my husband saw in the rare moments when I did take the mask off. Those moments didn’t appear how either of us would have expected mental illness to look. I was still fighting to keep everything inside, I just wasn’t using what energy was left to try to engage with the outside world. It was easier to pull back than to stay engaged outside of myself. In those same moments, I felt comforted by his presence, because those were the only moments I didn’t feel like I had to fight with every ounce of energy to put on a show. But from his perspective, I appeared more disconnected than I ever had before. When I asked my husband years later what it looked like from the outside in, he said it felt like sometimes he was a ghost, like I didn’t see him or anything going on around me. When the depression took over, and covered me in darkness, he said I simply “wasn’t.” When I was fighting the “noise” of severe anxiety, I appeared hyper focused. At times, something caught my focus and allowed me to see past the noise. There wasn’t rhyme or reason to the things that were able to capture my attention, but if something pulled me away from the noise, I fought to keep it in my gaze no matter what else was going on, in some cases to a point of obsession that didn’t makes sense from an outside perspective. The effort it took to get any fraction of my attention through the noise took everything he had and more. He was so close, and cared so much, it was affecting him as much as it was me. I can’t imagine what that was like, feeling alone with the person you were once closest to in the world. I was trying so hard to protect the people closest to me from the worst of it, I wouldn’t let any of them see enough of the puzzle to put the pieces together. They were trying so hard to help me shoulder the burden they did see, there was zero chance I was going to make it heavier for them to carry by letting them all the way in. Follow the Path Through Fire: Gaining strength by confronting the past I didn’t seek the help I really needed until two years after my first visit to mental health. It took being a commander, where I supported my own Airmen suffering mental illness. They went through the Air Force experience, trying to get help, afraid of being judged or seen differently upon return to the unit. I had very strong people, Airmen and NCOs, who shared their experiences with me. They reflected on the stigmas they experienced, preventing them from getting help sooner. I realized how severely those stigmas had suffocated me when I suffered my own illness. I went back to mental health; this time I didn’t let anyone give me an “out.” I talked to professionals who knew how to help me unpack what I’d been through. I spoke with friends and colleagues who were able to help me understand my experience from another perspective. I wrote pages upon pages, trying to get my thoughts out in a way that made sense. I talked to my husband and asked him all of the questions I’d been afraid to ask for fear of hurting him, and he did the same. We became stronger together with every conversation. We were so focused on moving forward, we hadn’t allowed ourselves to look back and work through what we experienced. For four years we ran away from the fire, when what we needed was to face it. We had to confront our fears head on, to find our way out the other side, stronger. We both had to face the thing that scared us the most. We had to run toward the fire. Run toward the fire: My journey through mental illness U.S. Air Force Lt. Col. Angelina Stephens, 366th Maintenance Squadron commander, Mountain Home Air Force Base, Idaho, breaks down her struggles with postpartum depression and suicide ideation, the stigma around seeking mental health and her recovery. (Courtesy photo) Photo Details / Download Hi-Res Looking Back: Gaining perspective through reflection I don’t remember crying once. When I asked my husband if he remembered seeing me cry during that year, he couldn’t think of a single example. I cried in my garage the other day thinking about writing this article, but over the year I was living it firsthand, nothing. It’s strange to think that the hardest year of my life was so void of emotions on either end of the spectrum. I wasn’t sad, I was consumed by darkness. I wasn’t anxious, I was fighting off waking nightmares. There were times I was screaming on the inside, fighting to say something but I didn’t know what to say, or I was in a rare moment of relief and I didn’t want to disrupt it by blurting out, “My thoughts are scrambled and dark, and I don’t understand what’s going on in my head.” I didn’t consider myself to be suicidal, and the HARDEST part of my experience wasn’t the suicidal thoughts. Reflecting on my experience, I don’t know if someone could have done or said something to break through to the darkest parts of what I was internalizing. How do you ask a question that would have prompted me to share that I just pictured myself falling out of a window to my death, or imagined oncoming traffic veering into my lane, ending my life? Those thoughts would run through my mind every day. It became normal, in any circumstance that could have taken my life through a freak accident or incident, I would automatically picture it happening. I wasn’t imagining taking my own life, but thoughts of my life ending floated by regularly, and they didn’t scare me. They were easier to think about than the chaos of my extreme anxiety. They made more sense in my mind than the darkness that would wash over me, when the depression was dominant. I still struggle to describe the “noise” in my head. It was unlike anything else I’ve ever experienced in my life. The darkness was completely different than any sadness or depression I’ve felt. I wasn’t struggling to cope with something, I was suffering a mental illness that was beyond my control, and beyond my understanding. Survivors’ Perspectives: Guiding others to find their path I’ve been asked what someone, anyone, could have done to change my experience. I honestly don’t know. It’s most likely to be someone outside of your inner circle who has the ability to get past the armor; someone who is less likely to get the full force of your efforts to protect them from collateral damage. Based on my own experience, and the perspective of those who have been open with me about their own journeys, there are a few things I’d recommend to connect with someone who is suffering mental illness or suicidal ideations. Don’t approach someone’s mental illness as a problem to solve, or something to fix. Give them space, and the trust to be comfortable in that space. Ask questions that can give you meaningful relative comparison; describe a good day, describe a bad day. Try talking about a scale of 1 to 10, and try to understand what a 4 and a 9 feel like to them. Don’t be afraid to say “you don’t seem like yourself.” When you move past the initial reaction, find ways to be curious, not judgmental. Ask open ended questions to acknowledge and reassure them that you’re still listening. Don’t be afraid of silence as they find the words to describe their thoughts. Don’t try to fix it, try to understand it. When you’re seeking to understand, don’t try and give someone an answer to your own question. Give them the space to find the words. And more importantly, follow up after they’ve had time to reflect on the thoughts that may have been provoked by your questions. Don’t be afraid to voice your observations out loud and allow them to do the same. You’re not sending them down the rabbit hole, you’re showing them they matter. You’re helping them work through whatever they’re fighting and prompting reflection that might save their life. Most importantly just because they seem disengaged, don’t assume they would not want you to ask them about it or that they want space. In my experience, most people jump quickly to that assumption, which is why most people never get past the first layer of armor. Run toward the fire: My journey through mental illness U.S. Air Force Lt. Col. Angelina Stephens, 366th Maintenance Squadron commander, Mountain Home Air Force Base, Idaho, eventually sought help from a mental health counselor, and prevailed over the stigma associated with seeking medical treatment for mental illness. Stephens poses for a photo with her family. (Courtesy photo) Photo Details / Download Hi-Res The Stigma: Fear of medical intervention I was in an extremely distracting headspace. It was all consuming, but when I see pictures or memories, I can vividly recall almost every moment of that year unlike any other moments of my life. I was focusing intensely on every little thing, having to work so hard to see clearly, I noticed everything. As a person who is extremely self-aware, I struggle with the fact that I couldn’t see how far I’d strayed from the person I once was. If I had sought help earlier, I would have less rubble and fewer broken pieces to reassemble on the back end. The associated stigmas and fear keep many of us from seeking the treatment we need, but my family and career would have survived and I would still be where I am today. My husband and I both realize that the stigmas of seeking mental health as military members, especially as officers, had a huge impact on our journey. Understanding that there’s a point where mental illness needs medical treatment, no matter the support system or resiliency of the individual, was a lesson we learned the hard way. I was incredibly lucky that the worst of my mental illness resolved itself before my ideations came to fruition. But if we had it to do over again, we wouldn’t try to face it alone. It takes professional intervention to beat the most severe illnesses we face as humans. Mental illness is no different. Fear of medical intervention takes lives at an alarming rate. Not because people are beyond saving, but many people lost to suicide are fighting something they don’t understand, and never even attempt to get the life-saving care they need. Breaking Through the Stigma: Creating a new narrative I would have NEVER considered myself suicidal. I never actively thought about committing suicide. My existence was a fight for survival every day and I’m lucky I’m still here to talk about it. My story could have ended differently, my survival relied on luck and circumstances. Now my journey is focused on creating a world where mental illness is just as easy to talk about as any other medical condition, without fear of judgment, with a focus on healing, recovery and support along the way. To the person reading this who is fighting their own battle; it doesn’t have to be this hard, you don’t have to do it alone. You aren’t weak for needing help. The world would NOT be better off without you. Your leaders, peers and subordinates won’t look down on you for getting help. Many of us can relate more than you’ll ever know. It has been about four years since the fog lifted and the noise grew quiet enough for me to begin my path to recovery. At first, I struggled to realize that I couldn’t fully rejoin my life until I went back and acknowledged what I went through. I was fighting to put everything behind me, instead of allowing myself to learn from my own mistakes. Run toward the fire: My journey through mental illness U.S. Air Force Lt. Col. Angelina Stephens, 366th Maintenance Squadron commander, Mountain Home Air Force Base, Idaho, and her husband, Lt. Col. Travis Stephens, an F-15E pilot and weapons officer, and 391st Fighter Squadron commander, pose with their son, Logan, and daughter, Inara. (Courtesy photo) Photo Details / Download Hi-Res Looking Forward: Learning to embrace life I look back on 2 years of Command, the most incredible experience of my Air Force career, which has only been strengthened by my ability to face and share my own experience. I wonder how much stronger we would be as Airmen if we fought together to defeat the stigmas that keep us from being the best versions of ourselves. The last year hasn’t been easy, but with every hard conversation I feel stronger. Every time I find a new way to express the hardest parts of what I went through, the words help me put the pieces back together. Just like any obstacle in life, I look back and see things I should have done differently but I continue to move forward and choose to focus on the future I see in front of me. I choose to focus on leaving clear footprints that show a better path for those who come behind me, helping others find the words to describe something they don’t yet understand, and to overcome the fear that keeps them from getting the support they need and deserve. Most importantly, I see a life I could have missed altogether. I see my son, now almost 5 years old, sneaking out of bed early to claim a lap seat for his favorite superhero cartoon, staring up at me with the same big blue eyes that showed me the way through the darkness. I see my daughter, now 3 years old, full of joy and determination, making the world brighter for every path she crosses, who wouldn’t be here if I had chosen a different path for myself. I see my husband by my side, my rock and soulmate, looking forward to a life of adventure with our family, stronger together because he was willing to guide me through the fire and discover what waited for us on the other side. I see a life of infinite possibilities, and I’m grateful every second of every day that I’m here to live it.