Dorothy Wetzler Bracken designed and painted this dress as a student at Maryland Institute College of Art in the 1930s. Although she graduated in 1935 with a degree in costume design, she was never able to pursue her artistic talents. Mom kept her dreams to herself until the late 90s when I discovered a portfolio of her designs and she confessed, “I always wanted to be a fashion designer.”
Dorothy’s story could have been a happy one—she married, had many friends, and eventually had five children. “I was thrilled every time I found out I was pregnant,” she often told me. Yet, postpartum depression plagued Mom following nearly every birth. After her fifth child arrived, Mom was hospitalized, received electroconvulsive therapy treatments, took copious amounts of psychiatric drugs, but sadly, she never recovered.
Because I always managed to recover from my own depressions, I puzzled over Mom remaining trapped in chronic depression for over 40 years. Until I found Dad’s collection of old insurance and medication records, newspaper and magazine articles, and letters to doctors stashed in my sister’s attic.
Those records told the story of my father’s futile attempts to get help from Mom’s doctors, most of whom only saw her twice a year despite a suicide attempt, hospitalizations, accidents (probably due to overmedication), and many electroconvulsive therapy treatments. Most troubling of all were the lists of Mom’s prescriptions that Dad had saved: Thorazine, barbiturates, antidepressants, amphetamines, and benzodiazepines.
Mom’s doctors were practicing polypharmacy: giving a patient more than one drug to treat a condition. The same thing that happened to me with opioids in the late 90s; the same thing—with different drugs—that’s happening now. And oftentimes the chemical load becomes so great that it’s impossible to tell what’s actually going on for a patient vs. the interactions of the medications. Now I know at least one reason Mom never got well.