Hi Melissa,
First let me talk about the disease. Crohn's disease is not a simple disease with simple, across-the-board remedies for symptoms. This disease has no cure, so it's one of those things you or me can't change.
There is only a single thing in life you or me can change...that is attitude. My attitude is this with Crohn's disease: I don't have an incurable life-long illness. I only have Crohn's disease for the next 24 hours. I only have Crohn's disease today, while I'm awake. I know I can make it through the next 24 hours because I've been doing that with a Crohn's flare for a year so far.
There is a place where many of us reach called acceptance. I know what I can't change, so it won't do me a single ounce of good, I won't find a lick of healing at all, if I think I can change Crohn's disease or my diagnosis - even my symptoms. But there is something more important to me involving this disease and my attitude.
I have to live within my physical limitations. Some of my mental limitations are also unchangeable, but there are so many mental limitations that I can change. The biggest one involves asking myself a question: Am I a slave? Or am I a master? I made a decision that I would rather be a master than a slave.
What I'm saying is this: You have a choice. You can either let Crohn's Disease define you, then you become the slave. Or you choose to let your soul and the stronger good within you define Melissa, and you take charge of your disease and become the master. You don't have to become "Crohn's Disease". You can become Melissa instead, and use the strength within you to tame the "monster under your bed". Most of the time, the scary monster under the bed is not so big and scary when you turn the lights on and drag him into the light.
Crohn's Disease will give you clinical depression as a symptom, even if you've never had it before. If you've had depression and been treated for it before, you are more inclined to become depressed again - that's a clinical fact. I say "you", but I'm talking about myself. too. I was treated for clinical depression for 4 years with Celexa. When that cloud of depression lifted, by God, I was never going to let depression back into my life if I could help it.
I have probably a day or two of clinical depression a month. I know it is part of my Crohn's Disease flare, so I live through it. For me it doesn't last more than a day. Don't get me wrong, there are many days I wake up and feel bad or sad or lonely, and I don't want to face anyone or anything, but I've learned to put one foot in front of the other and walk forward into the day in spite of what I'm feeling. I make the choice to let my actions direct my thinking for the day, instead of letting my feelings direct my actions for the day.
That 4-pound jiggly mass of brains really does have a lot of power, and a lot of "tricks" that I have to learn how to use to live life, instead of only surviving.
You said you tried prednisone and the aminosalicylates (5-ASA compounds). Many people have allergic reactions to things such as Asacol. These are anti-inflammatory drugs that work on the same principle as asprin. Many people can't tolerate asprin, so these drugs probably won't work for them. Prednisone is a steroid, and steroids have very nasty side effects. They are prescribed short-term, and designed to reduce the inflammation. Controlling inflammation is only half the story.
The problem is that Crohn's Disease is autoimmune...it's something your body does to itself. Inflammation is the first part. The other part is the immune response to the inflammation. If the medicine you've tried targets inflammation, and the inflammation doesn't go away, the immune response will continue. That means your immune system will continue to attack your inflamed gut because it thinks there's something like a germ in there.
So the other half of trying to induce remission is to "turn down the volume" of the immune response instead of calming the inflammation. If the body stops attacking itself, the inflammation will eventually heal on it's own. There are new drugs coming out each year that target the immune response in Crohn's Diesease. There are drugs called "Immunomodulators", "immunosupressants", "biologics", and "anti-TNF" drug therapies for Crohn's Disease. These drugs include 6-MP, Imuran, Humira, Remicade...there are many others, and people here who haven't done well with certain drugs, have found that other treatments do work.
Surgery is also another way of living with Crohn's. 60-80% of us will need surgery at least once, sometimes more. There are men and women in this forum who have learned to live with surgical procedures. That is, they do more than survive, they live, love, and laugh. They are wives, husbands, mothers, and fathers responsible for the well-being of other people in their lives.
I understand many of the things you're going through including Crohn's Disease, depression, mental illness, physical abuse as a child, sexual abuse...I've been through these things, too. It takes time and a lot of hard work, along with determination to live a fulfilling life instead of just surviving - to keep these things from becoming my master. They were my masters at one time, and it seemed hopeless, like I didn't have any way out.
I'm not being insensitive by telling you that you can and need to make some choices - that you need to do some hard work on the inside and out. That changing your attitude first will help you start moving forward. Healing - whether it's Crohn's Disease or emotional recovery from incest - healing is a "forward-moving" process. The only place where I can begin to find healing is in front of me and ahead of me, not behind me. So I serve myself better by moving forward one footstep at a time, instead of looking back and getting stuck. When the train I'm riding wrecks, isn't it the best idea to get up and walk away from the wreckage as quickly as I can?
I also can reach out for help from others. Sometimes this disease is too big for me alone. It's terrible that you can't find family support. I know how it feels to be abandoned by a parent and your family. I couldn't change any of that. So I have to look beyond my family for support.
I'm going out on a limb here Melissa, but I'm going to say that you probably haven't tried all the drugs available to treat Crohn's disease. Also, with depression a part of your past and you're feeling it now, to ignore that symptom is dangerous. There are drugs available today that weren't available when I was taking Celexa just 6 or 7 years ago. From what my Neurologist told me, and he is a genius when it comes to understanding prescription drugs and side effects, clinical depression is treatable and curable. If you have unhealed emotional pain, Melissa, why live with it if treatment is available?
We are here for you. Learn all you can about Crohn's disease, and find a GI specialist who understands it, and that you feel comfortable with. Then dig in your heels because sometimes finding remission can take a long time. And be prepared to take on yor difficult feelings - just do it one day at a time.
All the best to you.