The 'black dog' ruined the speaker's appetite, chewed up their memory and ability to concentrate, and made doing anything or going anywhere require superhuman strength. It also made the speaker look and feel older, and made them irritable and difficult to be around.
The speaker tried to chase the 'black dog' off with various methods and became good at self-medication. They also invested vast amounts of energy into covering up its presence due to shame and stigma.
The turning point was when the speaker sought professional help, which was their first step towards recovery. They learned that the 'black dog' affects millions of people and that being emotionally genuine with close ones can be a game-changer.
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