The Worrier Warrior: Working with Depression through Brain Training

Frank walked into my office and said, “I was in therapy for 15 years, know my ‘issues’ inside and out, but I’m still taking an anti-depressant and an anti-anxiety med when I have to do any major presentation at the firm.  It’s like my baseline is off.  It’s great for being a lawyer.  I’m always hyper-vigilant—looking out for the next danger, working very hard to stay on top of everything.  But when I get into bed at night, my mind is racing and I feel this sinking feeling.  Still, after all this therapy.  What can you do for me?”

Frank doesn’t have a motivation problem, or a lack of insight problem.  Frank has a brain problem.

Frank had come into my office after having done research into the benefits of neurofeedback for depression and anxiety.  I see clients like Frank everyday and I call them my “Worrier Warriors”.  Their nervous systems are in a state of ‘activation’ where the flight/fight/freeze brain is always in go-mode.  And he’s right—it serves a law firm well.  These brains are habitually trained to be on the watch for danger.  Add a good analytic mind to that mix and you’ll have a highly successful lawyer who protects his or her clients well, but at a high cost of health and happiness.

We’ve come a long way in our understanding of the brain and brain functioning in producing the symptoms we call anxiety and depression.  In the mental health field we used to think of them as ‘mind’ problems, but now we’ve come to understand that they are also brain problems.

We all know we are ‘creatures of habit’ but what that really means is that the brain is prone to habituated rather than fresh responses. The brain functions to be most efficient and effective in use of its energy to protect and maintain the body.  The flaw in this system design is that the brain becomes efficient by using cues to approximate the present situation and then uses an old response pattern, which leads to misperceptions of the present moment and less than appropriate responses.  We’ve all seen someone “lose it” and respond with an angry outburst when the situation warranted concern or a firm voice.

A dramatic and sad illustration of this principle is the war vet who comes home with Post Traumatic Stress Disorder (PTSD) from his years of service.  As a soldier he has been trained to respond to danger with ‘fight’ response.  But now he is home from the war and is walking down his hometown street when a car backfires.  The brain is habituated to “loud sound equals danger” and the vet’s brain goes into fight mode—yelling, pushes someone or becomes highly irritable and later starts a fight with a loved one.

An important piece of information to know about the part of the brain that operates the fight/flight response: it does not take orders from anyone.  It is a part of the brain that needs to be able to respond in milliseconds, so it doesn’t take in information from other, more rational and analytic parts of the brain.  As a result you could say to yourself, “I really shouldn’t get angry and fly off the handle.”  But the part of the brain that decides that action, acts without input from our rational, willful self.  It takes in sensory input and then makes a snap decision.

Why are lawyers so prone to anxiety, depression and anger outbursts?  Their brains are habituated to the flight/flight/freeze response (anger/anxiety/depression) response.  For whatever reason, and their could be many, they experienced a threat or threats at some point in their lives that were significant enough to habituate the brain to being in this activation mode.  A quick way to find out if you are is to ask yourself this question, and answer quickly without thinking:  Is the world a safe place?  If the answer is ‘no’ then chances are your brain is habituated to thinking that you are in danger when you aren’t.  It makes you a perfect candidate to become a lawyer where you always have to be thinking about what the risks are in any situation.  Or to be an ENT or an emergency room doctor.  Your brain is habituated to perceive risk.

Now what to do about this habituated brain?  Here are some tips:

  1. Breath.  Seriously.  The breath, slow and deep breathing are ways we can “tell” the brain that we are safe and it can go into a state of relaxation and regulation.  Slow deep breathing for 5 minutes where you work your way up to counting to 5 on the inhalation and 5 on the exhalation will do wonders to communicate to the brain to come out of flight/flight and into calm awareness (the state of a regulated and balanced brain.)
  2. Understand: Help yourself by having a good and clear conceptual understanding that your anxiety and depression and anger outbursts are a brain over-reacting, not an accurate assessment of the present moment’s situation.  Your brain is reading a newspaper that’s 20 years old and acting as if it’s the here-and-now news.
  3. Get exercise: I recently had a neurologist tell me that if the positive effects of exercise (increased heart rate 30 mins 5 times a week) were a drug, it would be considered a “miracle drug” and would generate billions of dollars a year in revenue.
  4. Get enough sleep.  Studies are now coming out showing the detrimental effects of chronic sleep deprivation—5 hours a night or less—on the development of chronic conditions.
  5. Train the brain with neurofeedback.  Neurofeedback trains the brain to optimize its functioning through allowing the brain to ‘see’ its unhelpful response patterns.  And the brain learns to use the present moment to decide it’s next action rather than using those old habitual response patterns.  As a result the trained brain sleeps better, is calmer, is better able to focus, and is more cheerful.  And as one client said, “I have the same problems, they just don’t get to me anymore.”

 

Natalie Baker, MA LMHC, works as a psychotherapist and neurofeedback trainer in private practice in New York City. http://www.neurofeedbackny.com

 

 

 

 

9 Holiday Depression Busters

It’s supposed to be the most wonderful time of the year–but not if negative emotions take hold of your holidays. So let’s be honest. The holidays are packed with stress, and therefore provoke tons of depression and anxiety. But there is hope. Whether I’m fretting about something as trite as stocking stuffers or as complicated as managing difficult family relationships, I apply a few rules that I’ve learned over the years. These 9 rules help me put the joy back into the festivities–or at least keep me from hurling a mistletoe at Santa and landing myself on the “naughty” list.

1. Expect the Worst

Now that’s a cheery thought for this jolly season. What I’m trying to say is that you have to predict bad behavior before it happens so that you can catch it in your holiday mitt and toss it back, instead of having it knock you to the floor. It’s simple math, really. If every year for the last decade, Uncle Ted has given you a bottle of Merlot, knowing full well that you are a recovering alcoholic and have been sober for more years than his kids have been out of diapers, you can safely assume he will do this again. So what do you do? Catch it in your “slightly-annoyed” mitt. (And maybe reciprocate by giving him a cheese basket for his high cholesterol.)

2. Remember to “SEE”

No, I don’t mean for you to schedule an appointment with an ophthalmologist. SEE stands for Sleeping regularly, Eating well, and Exercising. Without these three basics, you can forget about an enjoyable (or even tolerable) holiday. Get your seven to nine hours of sleep and practice good sleep hygiene: go to bed at the same time every night, and wake up in the same nightgown with the same man at the same time in the same house every morning.

Eating well and exercise are codependent, at least in my body, because my biggest motivator for exercising is the reduction in guilt I feel about splurging on dessert. Large quantities of sugar or high fructose corn syrup can poison your brain. If you know your weak spot–the end of the table where Aunt Judy places her homemade hazelnut holiday balls–then swim, walk, or jog ten extra minutes to compensate for your well-deserved treat. Another acronym to remember during the holidays is HALT: don’t get too Hungry, Angry, Lonely, or Tired.

3. Beef Up Your Support

If you attend Al-Anon once a week, go twice a week during the holidays. If you attend a yoga class twice a week, try to fit in another. Schedule an extra therapy session as insurance against the potential meltdowns ahead of you. Pad yourself with extra layers of emotional resilience by discussing in advance specific concerns you have about X, Y, and Z with a counselor, minister, or friend (preferrably one who doesn’t gossip).

In my life with two young kids, this means getting extra babysitters so that if I have a meltdown in Starbucks like I did two years ago–before I knew the mall was menacing to my inner peace–I will have an extra ten minutes to record in my journal what I learned from that experience.

4. Avoid Toxic People

This one’s difficult if the toxic people happen to be hosting Christmas dinner! But in general, just try your best to avoid pernicious humans in December. And if you absolutely must see such folks, then allow only enough time for digestion and gift-giving. Drink no more than one glass of wine in order to preserve your ability to think rationally. You don’t want to get confused and decide you really do love these people, only to hear them say something horribly offensive two minutes later, causing you to storm off all aggravated and hurt. (This would also be a good time to remember Rule #1.)

5. Know Thyself

In other words, identify your triggers. As a highly sensitive person (as described in Elaine Aron’s book, “The Highly Sensitive Person”), I know that my triggers exist in a petri dish of bacteria known as the Westfield Annapolis Mall. Between Halloween and New Years, I won’t go near that place because Santa is there and he scares me with his long beard, which holds in its cute white curls every virus of every local preschool. Before you make too many plans this holiday season, list your triggers: people, places, and things that tend to trigger your fears and bring out your worst traits.

6. Travel With Polyester, Not Linen

By this, I DO NOT mean sporting the polyester skirt with the red sequinned reindeer. I’m saying that you should lower your standards and make traveling as easy as possible, both literally and figuratively. Do you really want to be looking for an iron for that beautiful linen or cotton dress when you arrive at your destination? I didn’t think so–life’s too short for travel irons.

I used to be adamantly opposed to using a portable DVD player in the car to entertain the kids because I thought it would create two spoiled monsters whose imaginations had rotted courtesy of Disney. One nine-hour car trip home to Ohio for Christmas, I cried uncle after six hours of constant squabbling and screaming coming from the back seat. Now David and Katherine only fight over which movie they get to watch first. If you have a no-food rule policy for the car, I’d amend that one during the holidays as well.

7. Make Your Own Traditions

Of course, you don’t need the “polyester” rule if you ban holiday travel altogether. That’s what I did this year. As the daughter/sister who abandoned her family in Ohio by moving out east, it has always been my responsibility to travel during the holidays. But my kids are now four and six. I can’t continue to haul the family to the Midwest every year. We are our own family. So I said this to my mom a few weeks ago: “It’s very important that I spend time with you, but I’d like to do it as a less stressful time, like the summer, when traveling is easier.” She wasn’t thrilled, but she understood.

Making your own tradition might mean Christmas Eve is reserved for your family and the extended family is invited over for brunch on Christmas Day. Or vice-versa. Basically, it’s laying down some rules so that you have better control over the situation. As a people-pleaser who hates to cook, I make a better guest than host, but sometimes serenity comes in taking the driver’s seat, and telling the passengers to fasten their seat-belts and be quiet.

8. Get Out of Yourself

According to Gandhi, the best way to find yourself is to lose yourself in service to others. But that doesn’t necessarily mean holding a soup ladle. Since my name and the word “kitchen” have filed a restraining order on each other, I like to think there are a variety of ways you can serve others.

Matthew 6:21 says “for where your treasure is, there your heart will be also.” In other words, start with the things you like to do. For me, that is saying a rosary for a depressed Beyond Blue reader, or visiting a priest-friend who needs encouragement and support in order to continue his ministry, or helping talented writer friends get published. I’d like to think this is service, too, because if those people are empowered by my actions, then I’ve contributed to a better world just as much as if I had dished out mashed potatoes to a homeless person at a shelter.

9. Exercise Your Funny Bone

“Time spent laughing is time spent with the gods,” says a Japanese proverb. So, if you’re with someone who thinks he’s God, the natural response would be to laugh! But seriously folks, research shows that laughing is good for your health. And, unlike exercise, it’s always enjoyable! The funniest people in my life are those who have been to hell and back, bought the t-shirt, and then accidentally shrunk it in the wash. Humor kept them alive–physically, emotionally, and spiritually. Remember, with a funny bone in place–even if it’s in a cast–everything is tolerable.

By Therese Borchard

Anxiety and Exaggerations: Get Relief From Amplifying Possibilities into Catastrophes

Worry, anxiety, stress and panic reflect emotional expressions of catastrophic thinking. Technically, catastrophizing is an exaggerating, irrational, style of dwelling on real or imagined disasters. This is popularly known as painfully blowing things out of proportion. Fortunately, catastrophic thinking is correctable. I’ll emphasize how to do this.

What are the signs of catastrophizing? You unintentionally make a bad situation worse, or create a crisis out of little to nothing. You may chain together worsening possibilities as you sink into a descending cycle of despair. When catastrophic thinking fuses with raw-nerve tension, you’ll have trouble concentrating. You’ll have trouble figuring out what to do. When ongoing, catastrophizing can be a prelude to depression. Combating this thinking helps prevent anxiety-linked depressions.

What does catastrophic thinking feel like? You receive a registered letter from the legal offices of Wiggins and Trust. Before you open it, you assume you are going to be the subject of a ruinous lawsuit and then you dwell on the horrors of the suit. You feel helpless, vulnerable, and overwhelmed. Feeling too tense to open and read the letter, you put it aside. After days of gut-wrenching dread, you can’t take the strain any longer. You open the envelope. You discover that a great aunt willed you her painting of the Grand Canyon.

Are you willing to make necessary changes to combat and neutralize catastrophizing in order to gain the advantage of greater command over yourself and over the controllable events that take place around you? If so, here are sample cognitive, emotive, and behavioral remedies.

First Things First

Let’s get rid of needless blame first. Let’s suppose you blame yourself or others for your emotional turmoil. Paradoxically, by accepting your catastrophizing as an automatic and unpleasant thinking habit, you can quickly shed blame about this whole sorry process. Compared to the blame alternative, tolerance for tension can feel comparatively good.

It’s not your fault that you catastrophize. Like everyone else, you’re wired to catastrophize; otherwise, you wouldn’t be able to learn to do this and then to involuntarily tyrannize yourself in this way. Nevertheless, if you want relief from this form of manufactured misery, it is your responsibility to change course.

Don’t Trip on the Molehills

When apprehension escalates to anxiety, go back to what you were telling yourself when you first started to catastrophize. Map the pattern. You may find a molehill that you made into a mountain. If so, use a flip technique where you turn panicked thinking into an active concern about doing and getting better. Here are four steps in this process:

1. As best you can, suspend judgment about both yourself and the real or presumed catastrophic event.

2. Accept that you, others, and the world are as they are, and no amount of complaining will change that. Nevertheless, you owe it to yourself to change your catastrophizing pattern.

3. Guide yourself, or seek expert help, about how to contain catastrophizing and advance your enlightened interests.

4. Engage in productive activities that can null your failure expectations.

Actively follow these four steps, and you are likely to experience the sort of resilience that springs from your concern to do better. Because you’ll have clearer options, you are less likely to view yourself as vulnerable and helpless. You’ll make better decisions.

Combat Catastrophizing

We mostly think of catastrophizing as magnifying and dwelling on present problems and anticipating future disasters. However, you can anchor this thinking to a past, present, and future timeline.

1. You anguish over mistakes you made as if these selective recollections stamp the word failure on your forehead. As you extend this dread, you may panic over the possibility of others discovering, criticizing, and condemning you for past faults. However, you are mainly your own worst pain in the rump on this one. You’re better off focusing your attention on what you can do than what you may have done.

2. You look down and see that you are wearing different colored socks. You think that others think that you belong to the poor taste club. You make this event into the worst thing that can happen to you. You think that this error will haunt you forever. You feel mortified, fearful, and vulnerable. (Intentionally wearing off-color socks can help desensitize you to this type error.)

3. You anguish over the possibility of suffering from brain cancer. You feel fatigued. You think this is proof you have cancer. You get up fast from your chair and feel dizzy. You think this is proof you have cancer. You break into tears at the thought that because of this illness you’ll no longer be around to celebrate holidays and special occasions with your family and friends.

Let’s grant that you have made mistakes in the past, that the mismatched socks are a present-moment mistake, and that you have a tendency to jump to conclusions about future possibilities. So what!

The so what intervention helps put catastrophizing into a different perspective. However, you still haven’t put the catastrophizing issue to rest. There is more work to do, including expanding on your so what acceptance thinking. (Instead of exaggerating, you expand you coping capabilities.)

Expand your coping capabilities with a stop and reflect difference technique. For example, distinguish between concerns, calamities, and catastrophizing. Your house catches fire. That’s a calamity. When your reaction is one of concern, you care about what happened—perhaps deeply so. You accept—not like—the situation as it is. On the other hand, catastrophize and you figuratively throw gasoline on the flames. Extinguish these fires by imagining yourself infusing your actions with reasoned choices that propel productive purposes. Take the actions that you imagined.

Here are four examples of actions of acceptance to help you break a catastrophic thinking habit:

1. Acknowledge your tendency to create catastrophic fictions, and refuse to blame yourself for that.

2. Listen to your narrative. What is the story that you are telling yourself that feels so catastrophic? What are the facts and fictions in the story? Are you making a magical and illogical leap from what is possible to what is probable? For example, if you believe that you have an undiagnosed cancer, is this a fiction or a fact? How do you know?

3. Because you believe something catastrophic can happen, doesn’t mean that it will happen. The Mayan Calendar has the world ending on December 21, 2012. Many panic over this possibility. Were the ancient Mayans infallible prophets?

4. The catastrophizing reward system is where you experience a subliminal relief from distress that reinforces the stress that it relieves. When an expected catastrophic event doesn’t happen, or is not as bad as you thought, the relief you feel can reward your negative premonitions, making them more likely to come back. (A reward, such as relief or money, is a reinforcer only if it increases the frequency of the actions that it follows.) Make sure you reinforce your productive and not your dysfunctional reactions. Your awareness of rewards for worry or catastrophizing, can help snuff out these specious rewards.

By Dr Bill Knauss, author of The Cognitive Behavioral Workbook for Anxiety

 

Take Control: Ten Free Apps for Depressed Lawyers

Stress can make or break a person. It has been said that work-life balance is something that each individual should practice in their lives to avoid feeling depressed or thinking that they are burned out. If family and friends are not around to comfort you after a long day in the office, the least you can do is to manage your negative emotions through technology. As a lawyer, these gadgets and equipment are part of your daily life as a means to communicate to clients and in researching for cases and laws. Easily accessible and convenient, tablets and phones come with applications that you can use not only to while away the time but also to entertain yourself.

The Android operating system is arguably one of the most popular mobile operating systems in the market, and the best thing about it is that most of its apps are free. Here are ten free Android apps for depressed lawyers (and just about anyone who is stressed, for that matter):

1. TED

An Editor’s Choice on Google Play, TED allows easy access to creative talks by people from all over the world, coming from different disciplines-from artists to professionals in various fields. These talks may either be from the annual conferences or even the locally hosted TEDx events. You can surely take a breather with the creative and fresh insights from these well-rounded talks accessible directly through this free app.

2. Fruit Ninja

Undoubtedly one of the most popular free apps in the market, Fruit Ninja is a great way to relieve your stress. The game’s premise is that you are a mad ninja who wants to slice every fruit that appears on the screen. Channel all your negative feelings away, one fruit at a time, with this fascinating and addicting game. It also comes with three modes: Classic, in which you avoid hitting bombs and dropping fruit; Arcade, a two-minute fruit-slashing escapade; and Zen Mode, a 90-second fruit-slashing mode sans the bombs.

3. Aldiko

Aldiko is a popular ebook reading app for Android. Take a break from reading cases, regulations and other legal materials. Instead, fill your smartphone or your tablet with novels, romance stories and non-fiction, and read to your heart’s content. It also comes with settings for brightness, font size and margins for a comfortable reading experience. It supports PDF and.epub formats.

4. SuperGNES Lite

They say nostalgia can make people happy, especially when we’re talking about reminiscing childhood. Relive the happy days as a child with SuperGNES Lite, an emulator designed for Android OS. Through this app, you can play old games such as Super Mario World and PacMan without even having to dig up your decades-old console.

5. YouTube

The YouTube app for Android allows you to instantly access YouTube with just one press. Watch funny videos or even tech reviews through this app. You can even leave your comments on selected videos and organize your account through this app.

6. Bad Piggies

There’s nothing like a cute game to make you happy. From the makers of Angry Birds comes another game that is bound to be a hit. Named Bad Piggies, this game is from the point of view of the bad pigs who steal the eggs in the Angry Birds series. Unlike the Angry Birds, this game is somewhat more challenging, but is addicting and fun like the popular series. The objective of each level is to create a contraption with the given materials and parts to be able to get the map where the bird’s eggs can be found.

7. Shoot Bubble Deluxe

A good brain exercise can make you feel better. Challenge yourself with this free app called Shoot Bubble Deluxe. Just shoot the bubble next to two bubbles of the same color or more before the time is up. The best thing about this app is that it has so many levels despite it being free.

8. Pool Master Pro

If you don’t have time to go far away and you are stuck at home, you can still relax and play your heart out with Pool Master Pro. It offers a realistic game interface that real pool masters and even beginners will surely love. The touch control is easy to use and accurate, too.

9. Instagram

Be inspired by other users through this popular app. Now on Android, you can browse through many creative photos that can surely perk you up and inspire you to go places or perhaps eat at a new restaurant your friend has tried a week ago. You can even upload your own photos and apply film-inspired filters to enhance your image. Follow your friends and be in the know of what they have been up to. It’s a good alternative to other popular social media sites as it relies heavily on visuals.

10. Kingsoft Office

Increase your productivity with this app that allows you to create documents, presentations and spreadsheets even when you are on the go. With Kingsoft Office, you don’t have to worry about leaving your computer at home because in the event that a client sends you an important document, you can easily download the file and open or edit it through this app.

This guest post was contributed by Joseph A. Ginarte. He is a specialist New Jersey accident lawyer and leads a team of attorneys and managers at Ginarte. He enjoys writing and sharing his insights on various legal blogs.

 

 

 

 

Is Minor Depression Minor?

Someone is dogged by a bad mood that they just can’t shake for a month or two.

Is it a big deal?

Isn’t some suffering expected in this universe? If someone is distressed and impaired by low grade depressive symptoms, how seriously should we take their complaints? Scholars like Jerome Wakefield and Allan Horwitz are concerned that our diagnostic system has transformed normal sorrow into a psychiatric disorder. By taking minor depression seriously, are we paying homage to the worried well?

So far the fields of psychology and psychiatry have largely overlooked minor depression. The amount we know about it is dwarfed by what we know about major depression.

Here are four reasons why you should care about minor depression.

1. Minor depression is persistent. In 2001, Mark Hegel and his colleagues studied patients in New Hampshire who went to their primary care doctor. On the doctor’s visit, they filled out a depression screener – a standardized questionnaire about common symptoms of depression. Many patients reported on the screener that they just weren’t feeling up to snuff—complaints of a low mood, vague aches and pain, problems concentrating. Some of these patients had minor depression, which involves persistent problems with a sustained low mood without the full complement of major depression symptoms. In primary care settings, such patients are encountered more often than are patients with major depression. Historically, such less affected patients often receive a period of “watchful waiting.” Watchful waiting simply means that they would be watched carefully by their physician for a time, with the optimistic assumption that most would likely get better over a period of weeks, but if they got worse, a traditional treatment for depression, like antidepressants, could be initiated. Hegel wondered if this assumption was warranted. What would happen if a group of these patients were simply followed over one month of watchful waiting? Would most get better on their own?

Much to Hegel’s surprise, only about 1 in 10 of these patients with minor depression got better in a month’s time. Nearly everyone else remained stuck in their low mood.

Epidemiological studies take Hegel’s finding one step further. Judd and his colleagues in a representative sample of the US population found that when you reevaluate people who are bumping along with a minor depression a year later, nearly 3 in 4, or 72%, will be bothered by one or more symptoms of depression.

2. Minor depression is prevalent. The persistence of minor depression helps explain why low grade depression symptoms are so prevalent in the population. More than one fifth of the population, 22 percent, suffers from at least one bothersome symptom of depression. In fact, people who have shallow depression(forms of depression that fall short of the criteria for major depression) outnumber people with deep depression 7 to 1.

3. Minor depression causes major problems. There is growing evidence that the term minor depression is something of a misnomer; it is not minor in its consequences. Individuals with minor depression may use outpatient services and miss work almost as frequently as individuals with major depression. Overall, the economic impact of minor depression is comparable to that of major depression, in part because so many more people are affected by minor depression.

4. Minor depression often escalates to major depression. The final reason you should care about minor depression is that it oftentimes does not stay minor. Minor depression has been estimated to quintuple the future risk for developing a deep major depression. Indeed, if you wonder why we have a growing epidemic of major depression, look no further than the immense pool of people with shallow and persistent low-grade depression. Thus, figuring out how and when to intervene when a person can’t shake a low grade depression is not about cosseting the worried well, it’s about denying the next wave of recruits to the army of major depression.

By Jonathan Rottenberg, Ph.D.

Overwork/Underwork: Two Sides to Male Depression

Al commented: “I have never been a guy who can just take time off without feeling wrong and guilty. So I work 70 hours or more a week. It is killing me, I think, but what in the world would I do with the time if I was not working?” Al represents the kind of depression that hides in overwork and lack of social contact. He feels low self-worth and does not believe he is loveable. He is home so rarely that his family takes vacations without him and he has been known to work on holidays. He is a man who cannot fill his life with meaningful connections, so work becomes the point of his existence. He is one short-term illness away from despair: Unable to work, he would succumb to feeling useless or worthless and his depression would well up and swamp him.

Marlin on the other hand was out of work but he was also unwilling to discuss how deeply he feared not getting a job he interviewed for. He had struggled against networking, embarrassed and unwilling to test the strength of friendship among acquaintances he contacted for his job search. Instead, he railed against the rules of unemployment that demanded he had to demonstrate applying for 4 jobs per week. “No one can tell me how to live!” he declared. “I will live on my nest egg until I am out of money rather than knuckle under to the way some agency wants me to conduct my job search.” Being out of work was grinding his self-esteem to a fine powder, and depression’s hopeless and helpless attitude blocked his job hunting. He became increasingly isolated, avoiding people to avoid discussing his unemployment, and thus he limited his options for receiving help and support. Being angry at least gave him a sense of power.

Both of these men with low self-esteem also reflect the problematic low levels of serotonin common to depressed brains. That neurochemistry shows in the persistent negativity and the inflexibility in problem solving that will keep both these men stuck in their unfortunate patterns of behavior. Because most men strongly connect their value and identity with their work, work carries exceptional power to define their worth. Al’s overwork and Marlin’s embarrassment about unemployment reflected their sense of value. They found ineffective, albeit different, solutions: Al hiding in his work and Marlin using anger to cover his fear of unemployment and defend his inflexibility.

What both these men were missing may have been healthy levels of serotonin, but they were also missing social involvement that might have reversed the pattern. Depression can lead a man to feel worthless and block his understanding of why family and friends want to be with him. However, being with others in pleasant social contexts, whether family or friends, is an automatic lift to the mood and raises energy. Forcing oneself to participate, even though the desire to participate is minimal, can begin to shift intractable behavior. If Al or Marlin had spent time with people who cared about them, they might have been able to get perspective on their value as well as on their options.

It is true that being depressed makes it very hard to reach out to others. Any person who lives with the over-worker or stalled job hunter can see that their perspective is narrowed and their self-worth is damaged. Broadening perspective can be accomplished in making small connections, putting a wedge into the wall of their disbelief that others see them as more valuable than their work. What gets through? Working from ‘the outside in” can help. Urging, encouraging, even insisting on behavior change can change feelings and that can change the brain to a more balanced brain. If a man can insist with himself, fine, and if not, therapist or family member can push in these directions:

Insist the man with no worth make a list of people in his life and identify whether they love him (according to what they say, not according to whether the depressed man feels loved.) Then review the list daily.

Insist he participate in a social activity however much the depressed man resists. Follow up with identifying whether it was pleasurable or unpleasurable. (No middle ground).

Insist that he identifies 3 blessings a day, every day, in writing. And yes, eating popcorn can be a blessing if you like it. No activity is too small to be a blessing. He should read it to himself every day and read the list to someone else once a week.

Insist that he spends time with family, participating in an activity together. (And everyone sitting in a restaurant looking at their individual handheld devices does not count as together time.)

Insist that he reconnects with others. For example, making a list of people he could socialize with, even if it has been a while, and then call or email or text one person per week to set up a contact, such as golf game, drinks after work, bike ride, meet at the gym, have a lunch, etc.

Always follow up with evaluating how the connection felt. When men are depressed, they are slow to acknowledge that something made them feel good. They do not easily credit the pleasurable aspects of the connection. And reviewing that it felt good makes it harder for him to ignore the good feeling and re-stimulates the pleasure of the experience strengthening its value as an antidepressant. Connection is the way out of depression, in part because it contradicts worthlessness. Once an Al or Marlin believes he is not worthless in the eyes of others, he might be more balanced about work and separate his identity from his job status. As his sense of value increases, the hold of depression decreases.

By Margaret Wehrenberg, Psy.D.

How Can I Find Time to Meditate at the Office?

Meditation, once considered an alternative activity for the nonconformists of this world, is slowly becoming more mainstream. Why are large companies, executives, attorneys, and people from all different walks of life taking-up the practice of meditation?

Simply put: because it works! It’s more than just a fad; it is a scientifically proven stress reliever that really works – otherwise, why would so many people from so many different backgrounds be adopting the practice?

Meditation, Defined?           

According to MedicineNet.com, meditation is a self-directed practice that relieves stress, calms the mind and relaxes the body. These practices originated as Eastern religious practices in China, Japan and India, but are now practiced throughout the world. 

Up until recently, these practices have almost always been related to religious beliefs, however, there are also many health benefits that have long been associated with meditation techniques of all types; primarily, these techniques are an effective way of reducing stress.

Meditation clears the mind, relieves stress and allows the body to relax, if even for a few minutes. This small time frame set aside to relax, allows a person to relieve stress and offers more mind flexibility throughout the day.

Practice Makes Perfect

As in all natural and healthy habits, meditation takes daily practice to be effective. However, professionals, attorneys and people from all walks of life, often find putting aside the time to meditate somewhat difficult.

Time is limited, and finding the right meditating location becomes a real issue.
Finding the time and the place to get away from it all and practice meditative techniques can be quite challenging. Some of the larger, more alternative, corporations now offer special meditation rooms for this purpose, but the movement seems to be growing too fast for the average corporate management team to make proper arrangements for the practice.

Compensate

Working meditation into a daily routine doesn’t require special equipment or a specific room. It doesn’t require a person to go home in the middle of the day to find that quiet meditative place. Meditation can be performed during the last 5 to 15 minutes of a lunch break, on a 15-minute break or even a special 5 minutes of quiet time behind a desk.

Where to Look

Find a noiseless location somewhere in the office. If there is no peaceful place at the office go to the car, visit a nearby park, green area, sit upon a bench outside the building, under a tree, or even the building rooftop will do.

If you can’t get out of the office, investing in some noise-canceling headphones or ear plugs is another option.

The Process

Deeper Meditation suggests that office meditation techniques can be implemented inconspicuously into the workday. It only takes a few minutes a few times a day to build up a profound inner peace in a professional’s daily work routine.

Even if you’re busy, decide to use the same time every day to meditate. For professionals working at home, set an alarm clock so it goes off at the same time. Leave the computer, phone and any other technical paraphernalia behind.

Turn devices off to be on the safe side to ensure there are no interruptions during the meditation.

Start each meditative session with deep breathing. “Meditation is the art of concentrating on all things as well as being present with emotions and experiences as they happen,” say the experts at Deeper Meditation; focus on breathing in and out.

Clear the mind of all thought; this may be difficult at first but most people understand it better after a few meditative sessions. Listen to a guided MP3 meditation to help clear the mind at first, if necessary.

Follow this process daily at the same time to get into the habit of meditating for a few minutes a day. Remember it only takes 20 days to make an activity a habit, so keep at it.

Guest Blog by Bradley Barks, a legal researcher and published blog author – he’s currently researching the most effective way to find an arbitrator for insurance processes and filing purposes.

 

Through A Glass Darkly: An Interview with Miriam Greenspan About Depression

Question: Why do you think it is important for us to pay attention to the dark emotions, in particular?

Greenspan: Actually I think it’s important for us to pay attention to our emotions, in general. Too many people have never learned to do this, because they’ve never been encouraged to do it. We have the notion that our emotions are not worthy of serious attention.

Naturally we have less difficulty with the so-called positive emotions. People don’t mind feeling joy and happiness. The dark emotions are much harder. Fear, grief, and despair are uncomfortable and are seen as signs of personal failure. In our culture, we call them “negative” and think of them as “bad.” I prefer to call these emotions “dark,” because I like the image of a rich, fertile, dark soil from which something unexpected can bloom. Also we keep them “in the dark” and tend not to speak about them. We privatize them and don’t see the ways in which they are connected to the world. But the dark emotions are inevitable. They are part of the universal human experience and are certainly worthy of our attention. They bring us important information about ourselves and the world and can be vehicles of profound transformation.

Question: And if we don’t pay attention to them?

Greenspan: Well, the Buddha taught that we increase our suffering through our attempts to avoid it. If we try to escape from a hard grief, for instance, we may develop a serious anxiety disorder or depression, or we may experience a general numbness. It is difficult to live a full life if we haven’t grieved our losses. I also think that a lot of our addictions have to do with our inability to tolerate grief and despair. Unrecognized despair can turn into acts of aggression, such as homicide or suicide. The same is true of fear. When we don’t have ways to befriend and work with it.

Question: You refer to our culture as “emotion phobic” but suggest that we are also drawn to “emotional pornography.” What do you mean?

Greenspan: By “emotion phobic” I mean that we fear our emotions and devalue them. This fear has its roots in the ancient duality of reason versus emotion. Reason and the mind are associated with masculinity and are considered trustworthy, whereas emotion and the body are associated with the feminine and are seen as untrustworthy, dangerous, and destructive. Nowhere in school, for example, does anyone tell us that paying attention to our emotions might be valuable or necessary. Our emotions are not seen as sources of information. We look at them instead as indicators of inadequacy or failure. We don’t recognize that they have anything to teach us. They are just something to get through or to control.

But despite our fear, there is something in us that wants to feel all these emotional energies, because they are the juice of life. When we suppress and diminish our emotions, we feel deprived. So we watch horror movies or so-called reality shows like Fear Factor. We seek out emotional intensity vicariously, because when we are emotionally numb, we need a great deal of stimulation to feel something, anything. So emotional pornography provides the stimulation, but it’s only ersatz emotion — it doesn’t teach us anything about ourselves or the world.

Question: Other societies seem to have ways of acknowledging the dark emotions. Hindu images come to mind, in which Kali, the goddess of death and rebirth, is sometimes depicted with her mouth dripping blood. Why do you think we are so unwilling to face the dark side of life here in the U.S.?

Greenspan: We have lost our connection to the dark side of the sacred. We prize status, power, consumerism, and distraction, and there is no room for darkness in any of that. Americans tend to have a naiveté about life, always expecting it to be rosy. When something painful happens, we feel that we are no good, that we have failed at achieving a good life. We have no myths to guide us through the painful and perilous journeys of the dark emotions, and yet we all suffer these journeys at some point. We have high rates of depression, anxiety, and addiction in this country, but we have no sense of the sacred possibilities of our so-called illnesses. We have no god or goddess like Kali to guide us. Instead we have a medical culture. Suffering is considered pathology, and the answer to suffering is pharmacology.

Question: So instead of Kali we have Prozac?

Greenspan: Exactly. Our answer to serious pain is a pill that will take it away as quickly as possible. We have no sense that death and rebirth are parts of life. Rather than let suffering expand our consciousness, we succumb to feelings of victimization or treat ourselves as sick. For example, psychiatry has no concept of “normal” despair. We speak only of “clinical depression,” an illness that can be reduced to a neurotransmitter deficiency. Even grief after a major loss is diagnosed as a mental disorder if it lasts more than two months. Our culture tells us to get over our pain; to control, manage, and medicate it. Contrast this with the Jewish practice of “sitting shiva” after a death. For seven days following the burial (shiva means “seven” in Hebrew), the mourners stay at home and sit on low chairs and receive visitors. People come to comfort and console them, to bring food and drink, and to give the mourners a chance to remember their dead and express their grief. Mourning is then gradually stepped down. The seven days are followed by a thirty-day period of mourning, followed by an eleven-month period in which the mourner’s prayer is said twice a day. After that, the dead are remembered once a year.

Instead of making us feel we must “get over it,” these types of rituals allow us to stay open to our grief. Rather than being directed to jump back into our routines, we are given permission to move more organically through the grieving process. After my father died, for example, I sat shiva with my mother, brother, and aunt. When the shiva was over, the rabbi told us to go outside and walk around the block. This was to remind us that the world still turns and life goes on. After the intensity of sitting with our grief for days, there was a sense of renewal, of gratitude for the continuity of life. I was struck by the emotional intelligence of this process. It’s very different from the notion that grief is something we suffer in private, by ourselves, and that it becomes an illness when it goes on for too long.

Question: A recent Forbes article named cognitive-behavioral therapy as the most effective treatment to date for depression and anxiety. By changing our thought patterns, the article suggests, we can eliminate our negative feelings and free ourselves from “long-winded wallowing in past pain.” How would you respond to this?

Greenspan: I think there is great value in becoming more aware of our thoughts and the ways in which they trigger our emotional states. If I am always thinking that I am a horrible person, chances are I will feel depressed. If I think instead, I am a human being, and I am not perfect, and that’s fine, it will inspire more compassion for the self. On the other hand, there are certain experiences that slam us with emotion. People we love die or suffer illness or trauma. We need to learn how to tolerate the emotions that accompany such experiences. We can’t — nor should we try to — simply eliminate these feelings, because this will just entrench them further. Cognitive therapy is great for becoming more aware of our self-destructive thought patterns and how they affect our emotions and behavior, but it doesn’t really address how to befriend intense emotions in the body. If I am awash in grief after my child has died, I need to go through that grief journey; I can’t simply think my way out of it.

Question: Is there an appropriate amount of time for a person to grieve? When do we cross the line into “wallowing”?

Greenspan: It’s always a mistake to designate an “appropriate” time allotment for grief. Everyone has his or her own way of grieving, and the important thing is not to be afraid of grief and to let it unfold, to open up and allow it to bring you on its journey. “Wallowing” is not healthy grief but something else altogether. It’s when we get grandiose about our suffering, get caught up in a victim story, or indulge our emotions without awareness.

Question: What suggestions do you have for people struggling with depression or anxiety?

Greenspan: Well, first of all, they need to accept the fact that they are feeling depressed or anxious. That may sound simple, but it is actually quite hard. It goes against the grain. We are taught that we should not accept these states but rather do whatever we can to put an end to them. But we need to become friendly with the beast, so to speak. We need to be curious: What are these states we call “depression” and “anxiety”? What do they feel like? How do we experience them in the body? This allows us to be moved and transformed by them. It is not the same as “long-winded wallowing in past pain.” I think that depression often eventually lifts of its own accord when we let it be. Most people don’t know this about depression. When we fight depression, it becomes entrenched. There are forms of entrenched depression that are life threatening and do require medication. I am not against medication when necessary; I just believe we too often overuse or abuse psychopharmacological substances for so-called mental disorders, and we don’t search for other ways to deal skillfully with these afflictions.

As for anxiety, we are probably all suffering from heightened anxiety right now if we’re the least bit aware of the problems in the world. I’m not saying that we should allow ourselves to be constantly anxious. We need to know how to soothe ourselves and our loved ones without avoiding the darkness. A simple daily practice of conscious, relaxed breathing is often an antidote for anxiety. Some kind of gratitude practice is also helpful: that is, bringing to mind all that we have to be grateful for every day, and feeling thankful. Even if we don’t feel thankful at the time, it helps to be aware of our blessings.

Question: How would you teach someone to “befriend” his or her suffering?

Greenspan: Emotions live in the body. It is not enough simply to talk about them, to be a talking head. We need to focus our attention on emotions where they live. This willingness to be present allows the emotion to begin to shift of its own accord. An alchemy starts to happen — a process of transmutation from something hard and leaden to something precious and powerful, like gold.

This is a chaotic, nonlinear process, but I think it requires three basic skills: attending to, befriending, and surrendering to emotions in the body. Paying attention to or attending to our emotions is not the same as endless navel gazing and second-guessing ourselves. It is mindfulness of the body, an ability to listen to the body’s emotional language without judgment or suppression.

Befriending follows from focusing our attention and takes it a step further: it involves building our tolerance for distressing emotions. When I was giving birth to my first child, my midwife said something that has stood me in good stead ever since: “When you feel the contraction coming and you want to back away from it, move toward it instead.” The feeling in the body that we want to run away from — that’s precisely what we need to stay with. A simple way to do this is to locate the emotion in the body and breathe through it, without trying to change or end it.

The third skill, surrendering, is the spiritual part of this process. Surrendering to suffering is usually the last thing we want to do, but surrender is what brings the unexpected gifts of wisdom, compassion, and courage. Surrendering is about saying yes when we want to say no — the yes of acceptance. This is what really allows the alchemy to happen. We don’t “let go” of emotions; we let go of ego, and the emotions then let go themselves. This is “emotional flow.” When we let the dark emotions flow, something unexpected and unpredictable often occurs. Consciously experienced, the energy of these emotions flows toward healing and harmony. I’ve found that unimpeded grief transforms itself into heightened gratitude; that consciously experiencing fear expands our ability to feel joy; and that being mindful of despair — really entering into the dark night of the soul with the light of awareness — renews and deepens our faith.

Question: If someone is feeling deep depression or despair, it might feel dangerous to them to “surrender” to what they’re feeling. Is there ever a danger?

Greenspan: “Surrender,” as I’m using it, means a radical acceptance of our emotional experience. We can simply say, “I’m feeling despair right now.” How can that be dangerous? If anything, this acceptance makes it less likely that we will act out of the emotional intensity. The danger comes when we can’t tolerate the discomfort of an emotion and so lose our awareness of it. That’s how emotions overwhelm the mind or impel some kind of impulsive, destructive behavior. It’s not the emotion per se that’s destructive; it’s the behavior that comes from not being able to bear it mindfully.

It sounds odd to us, but what we call “depression” can be a creative process and not just a destructive one. My sense of this probably started to develop when I was a child. My parents are Holocaust survivors, and they were grieving the genocide of their people when I was growing up. Psychiatry would, no doubt, have diagnosed my mother as “depressed.” But, as I see it, she was doing the active grieving she needed to do in order to find a way to live after the enormous trauma of being the sole survivor of her family. She is now ninety-five years old and the most resilient person I know. She’s legally blind and mostly deaf but goes about living her life with an almost Buddha-like acceptance. My father, who died five years ago, came through the Holocaust and still had this amazing and innocent zest for life. I’ve learned a lot from both of them.

Question: You speak of an “alchemy” by which grief can ultimately be transformed into gratitude, fear into joy, and despair into faith. How does that work?

Greenspan: Let’s begin with grief. There is a kind of shattering that happens with, say, the death of a child, or any death, but perhaps most of all violent death. Not only is your heart shattered; you lose your sense of who you are and what your life is about. So reconstruction is needed. But first we need to accept that we are broken. This initiates the “emotional alchemy.” If we can hang in there with grief, it changes from a feeling of being “hemmed in” by life to a feeling of expansion and opening. We will never get back to the way we were, but eventually we reach a new state of “normal.” I’m not talking about the mundane kind of “getting back to normal,” in which we find ourselves doing the laundry again (although that is important too), but the deeper kind, which is a process of remaking ourselves and how we live.

Grief is a teacher. It tells us that we are not alone; that we are interconnected; that what connects us also breaks our hearts — which is as it should be. Most people who allow themselves to grieve fully develop an increased sense of gratitude for their own lives. That’s the alchemy: from grief to gratitude. None of us wants to go through these experiences, but they do bring us these gifts.

The same is true for fear. We think of fear as an emotion that constricts us and keeps us from living fully. But I think it’s really the fear of fear that does this. When we are able to tolerate fear, and to experience it consciously, we learn not to be so afraid of it — and this gives us the freedom to live with courage and enjoy life more fully. This is the alchemy of fear to joy.

We are all living in a heightened fear state now, and being able to tolerate fear is a true gift. Those of us who can live mindfully amid the chaos are doing something for the world as well as for ourselves. It’s essential to be able to bear fear and not go off the edge with it — not allow it to impel us to engage in one form of aggression or another.

Question: It sounds as if you’re saying we need to metabolize the fear somehow.

Greenspan: Yes, that’s a great way to put it. Fear that is not metabolized threatens to destroy us — and perhaps the planet. I’m not saying we need to be in a constant state of anxiety, but we need to know what it is that we are afraid of and not turn our fear into destructive power. My third child, Esther, was born with numerous physical and mental disabilities of unknown origin. She is at risk for all sorts of physical injuries and is in pain a good deal of the time. One day she severely dislocated her knee at summer camp due to her counselors’ neglect, and she came home in a wheelchair. She said, “Summer camp was great — up until the knee-dislocation part!” When I marveled at her cheerfulness and asked what her secret was, Esther said, without missing a beat, “The secret of life is ‘Love people.’ ” She is an amazing soul who lives with fear every day. And every day she has the courage to laugh and love. She teaches me that it’s possible to live fully with pain and fear — which is what courage is all about.


Question: You tell a story in your book about a man whose fear actually informed him of an otherwise invisible and silent danger.

Greenspan: You’re thinking of Adam Trombly, director of the environmental organization Project Earth. Trombly was out walking through a cow pasture on a beautiful day in Rocky Flats, Colorado, when he was suddenly seized by a sense of dread. He regarded his fear as evidence that something was wrong, so he took some soil samples from the area and had them tested. It turned out that the level of plutonium oxide in that spot was thousands of times higher than the acceptable standard. A fire at a nearby nuclear installation had released plutonium oxide into the atmosphere. The accident had not been reported, but Trombly’s fear alerted him to the problem and the coverup. It carried information from the earth. Of course, most scientists would consider this ridiculous or, worse, certifiably psychotic. We don’t honor information brought to us by our feelings, and therefore we don’t learn how to develop our intuitive ways of knowing.

Question: The alchemists had a saying about “finding gold in the dung heap” — literally in the shit. In many ways you are mining the dung heaps of our lives for spiritual and psychological gold.

Greenspan: Yes. “Shit happens,” as they say, and it will continue to happen! I think the hardest thing is to feel that the shit is purposeless. This is at the heart of the emotion we call “despair.” Despair is an existential emotion. It occurs when our meaning system gets shattered and we have to construct a new one. But our culture does not value this process. We don’t see any value in the shit. We want to flush it away. It takes courage to allow our faith and meaning to be dismantled. Despair can be a powerful path to the sacred and to a kind of illumination that doesn’t come when we bypass the darkness. As the poet Theodore Roethke put it, “The darkness has its own light.”

Question: You went through a very difficult time with the death of your firstborn son. Did that experience bring about a process of emotional alchemy in your life?

Greenspan: Aaron was not just an ordeal; he was a blessing. His birth and death were my initiation into the ways of the dark goddess and the occasion of a radical spiritual awakening for me. He was born with a serious brain injury and was destined to live only sixty-six days. There was no apparent reason for this. I was healthy, and I’d had a healthy pregnancy. When he was born, I was an agnostic, a social activist, and a humanist, not a “spiritual” person. My life was centered on the women’s movement. I had no ideas about reincarnation or life after death. I could never have predicted what happened with Aaron.

I remember looking in the mirror on the morning of Aaron’s burial and thinking, I am going to bury my son today. There was an absolute clarity to this. So much of the time our consciousness is not grounded in reality, but at that moment I was able to accept reality. Then, at the cemetery, when we buried Aaron, I heard this clear voice that said, You are looking in the wrong place. I had been looking down at the casket, and when I heard the voice, I raised my eyes. And, looking up, I saw Aaron’s spirit, which I can only describe as a magnificent radiance — like the energy I’d seen in his eyes, only magnified. And the message was that he was ok. I was flooded with a sense of peace. It’s hard to describe because we have no language for these kinds of experiences of spirit. I wouldn’t wish this kind of grief on anyone, yet at the same time, experiencing a baby’s death in your arms and then seeing his spirit leaves you profoundly changed: I became a more grateful person. What I know about emotional alchemy grew from this ground.

Question: I have a friend who recently underwent intensive treatment for cancer that involved a period of isolation — to protect his immune system — and massive chemotherapy. During that time he prayed, meditated, read spiritual writings, and generally stayed “positive.” He felt a great deal of gratitude for his life and for his family and friends, and he kept his mind focused on uplifting things. His approach was an inspiration to me. It was also in keeping with the latest research that suggests negative emotions can make us sick. How does this fit with your idea of healing?

Greenspan: The sacred path of the dark emotions is certainly not the only path there is. It is the path we are on when we are on it, which is usually when we can’t avoid it. But journeys through dark emotions aren’t incompatible with the ability to focus on the light. My daughter Esther went through two spinal-fusion surgeries within one month. If she hadn’t had the surgeries, she would not have lived, but there was no guarantee that she would survive the procedures either. While she was in the hospital, my husband and I tried to be a source of positive energy for her, because it was not the time or place for us to be communicating fear and sorrow. It wasn’t that we didn’t feel scared, but we needed to keep her spirits up. There are times when connecting with “positive” forces, whether through friendships, or reading, or prayer, or simply keeping your sense of humor, is essential. There really is no duality here.

The ability to journey through the dark emotions brings with it the benefit of being more open to the emotions we call “positive,” including joy, pleasure, wonder, awe, and love. When I teach workshops, participants cry, but they also laugh. There is a surprising amount of laughter and humor and just plain fun that comes out of this work.

Question: Do you think negative emotions can make us sick?

Greenspan: Yes, I do, when they are unattended to. When we don’t know how to handle their intense energies, they can become stuck. Research shows that depression and anxiety have a connection to heart disease, immune disorders, cancer, and other ailments. This doesn’t mean that emotions cause cancer. Thinking so makes it easier to ignore research on how environmental contaminants, for instance, are linked to cancer. But stuck emotions do put stress on the body. That’s one reason why mindfulness and the metabolism of emotions are so important. If we don’t digest the emotion, it just sits in our bodies and contributes to ill health.

Question: Is all depression a result of avoiding the dark emotions?

Greenspan: A lot of it is, I think, but certainly not all. Depression is a complex biochemical, psychological, social, and spiritual condition. We call it an “illness” because our culture favors the medical model of explanation. Though it’s perfectly true that depression is correlated with a drop in serotonin levels, this doesn’t mean that serotonin deficiency causes depression. This kind of scientistic reductionism is one of the main drawbacks of our culture’s way of thinking about human problems. Depression is correlated to a lot of things — including gender and a poor economy. It’s also important to make a distinction between despair and depression. Despair is a discrete emotion that, like all emotions, comes and goes; depression is an overall mental and physical state that we might say is chronic, stuck despair.

Question: I think we all want to believe that if we do things “right” — eat the right diet, follow the right spiritual practice, choose the right mode of living — we will be protected somehow from the calamities of life. I have a number of clients in my own therapy practice, for example, who were shocked and hurt to find themselves in the midst of a breakdown even after having done everything right. It was as if life had betrayed them somehow.

Greenspan: I think this is a particularly American mindset, this notion that if we get it all right, we won’t suffer at all. We have even assimilated some Eastern practices through this lens, using them as a strategy for avoiding suffering. We have a hard time tolerating uncertainty. And there is so much uncertainty in this age of terror and environmental crisis. We want to believe there is something we can do that will guarantee a positive outcome and keep us safe. This is an illusion, of course, but sometimes we need our illusions to get us through the day. The illusion I’d had before my son was born was that if I had a healthy pregnancy, exercised, did yoga, and ate well, then everything would turn out fine. I’d even lived with the illusion that because my family history of genocide had involved so much suffering, somehow I would be spared any extreme suffering myself. But my child died, and nobody knew why. I wondered why for a long time. But at some point I realized that “Why?” was the wrong question. There was never going to be an answer. Instead the question was “How?” — how was I going to live now? Illusions are a false way to feel safe. But there is no guaranteed safety. Life is inherently risky, and all we can really do is live well.

Question: For those of us who pursue a spiritual practice, there can be a sense of shame or failure when we feel sad or afraid; if we were enlightened enough, we think, we’d always approach life with a calm, loving heart.

Greenspan: Yes, we carry this mistaken belief that enlightenment means we do not suffer anymore. But it is possible to suffer with a calm, loving heart. These two are not mutually exclusive. Enlightenment for me is about growing in compassion, and compassion means “suffering with.” Enlightenment has something to do with not running from our own pain or the pain of others. When we don’t turn away from pain, we open our hearts and are more able to connect to the best part of ourselves and others — because every human being knows pain. I’m not sure what enlightenment is, but I’m sure it has something to do with turning pain into love.

People with a spiritual practice sometimes try to “transcend” suffering. I call this a “spiritual bypass.” It’s different from what your friend did: focusing on the positive while going through chemotherapy. That was essential to his survival. A spiritual bypass is not a conscious choice; it’s avoiding difficult feelings by “rising above” them, when we are really not above them at all: To truly rise above, most of the time, we must go through. I think there is such a thing as genuine transcendence, but in my experience it is most often a form of grace; we can’t make it happen. A spiritual bypass is a kind of false transcendence. Some New Age ideas carry this flavor: they deny the evils of the world and claim that only love and light are real. This amounts to a dismissal of the pain of millions of people.

Question: Psychologist James Hillman has said, “We cannot be cured apart from the planet.” You point out that our psychological theories — and perhaps some of our spiritual ones as well — emphasize individualism to the point that we have become myopic. Our world is suffering while we struggle to fix ourselves.

Greenspan: One of the main aspects of this myopia is that we don’t see the connection between our “personal” sorrow, fear, and despair and the pain of the world. We think that we are totally alone in it. And the isolation makes our emotions useless to us. There’s a connection between not being able to tolerate our own pain and wanting to look away from other people’s pain and the pain of the world. But the world is always with us. Emotional energy is collective and transpersonal; our seemingly private pain is connected to the larger context that I call “emotional ecology.” I think many of us have a profound emotional sense of global crisis, of the brokenheartedness of the world, and it affects us in ways that we don’t discern.

Of course, we are only human, and sometimes we need to look away, because the pain and chaos are just too much. We numb ourselves — all of us do — to get through the day, to protect ourselves. But psychic numbing is not pleasant — we don’t really feel alive — and it deprives us of our ability to act. Each of us has some gift to give the world. When we become numb, we lose that potential, and the world loses out, too. Staying open-hearted in this era of global threat is really a challenge. Again, my parents have been my models. During the Holocaust, they saw firsthand the worst that humans can do. My father lost eight of his eleven siblings and the rest of his family. But the Holocaust did not destroy his extraordinary openheartedness. He told me once that, after the war, he considered killing some Germans and then killing himself. This was shocking to me; he was such a gentle, loving, and generous man. He had his demons to deal with, but, in the end, he chose to live and raise a family, to put his faith in life. He knew how to maintain a strong connection to the life force even in the midst of a maelstrom of hard emotions.

Question: Even if we’re convinced of the connections between our emotional states and the state of the world, many of us would feel embarrassed to say, “I feel sad today because of the bombings in Iraq,” or, “I’m depressed because of the shrinking ice in Antarctica.”

Greenspan: True, there is no public forum in which we can make statements like this. For that matter, there is very little private space, either. This really is a hindrance — that we do not have an acceptable way to express our sorrow on behalf of the world. We can speak about specific events, like 9/11, but only for a short time, and then the topic is exhausted. There is a taboo about revealing one’s personal emotions about the world — even in a presumably receptive setting. I once took a yoga class in which we were encouraged to state our prayers at the beginning of class. Many people prayed for inner peace. One morning, after having read about the hole in the ozone layer, I prayed for the world. After class, someone angrily said to me, “Why are you bringing the world into the room?” I was baffled and told her that, as I saw it, the world was already in the room, and the room was in the world.

Question: Does the world need us to have feelings about it?

Greenspan: I think so. When I was in retreat at Kripalu Center for Yoga and Health years ago, I had this mystical experience with a beautiful tree. I call myself a “reluctant mystic,” by the way, because I’ve had so many mystical experiences, clairvoyant dreams, and visions that have come to me unbidden. Some of them haven’t been welcome, and none of them can be understood with the analytic mind.

Anyway, at Kripalu, I was walking through this lovely meadow, and I felt a gentle tapping on my shoulder. When I turned around, there was no one there, but I found myself gazing at this spectacular Camperdown-elm tree. I felt as though the tree was calling me, so off I went to it. I touched the tree and had a kind of erotic experience of interspecies communication — of exchanging life forces with it. I felt nourished by the tree and felt that I was giving nourishment in return. After a while I noticed that many of the tree’s leaves had holes in them. I was concerned that the tree might be sick in some way, so I went in search of the groundskeeper, who told me that the elm trees on the property had gotten sick and died. The community had prayed for this tree, because they loved it so much, and it was the sole survivor of the elm disease.

I grew up in the South Bronx and haven’t had extensive experience in nature, but I can tell you that communion with nature is more than just a poetic phrase. One of the most tragic things about our age is that we have lost this communion, and its wonder. With each generation, we lose more of it, and that loss is making us more and more anxious and depressed.

Question: In your book you use the word intervulnerability.

Greenspan: When I say we are “intervulnerable,” I mean we suffer together, whether consciously or unconsciously. Albert Einstein called the idea of a separate self an “optical delusion of consciousness.” Martin Luther King Jr. said that we are all connected in an “inescapable web of mutuality.” There’s no way out, though we try to escape by armoring ourselves against pain and in the process diminishing our lives and our consciousness. But in our intervulnerability is our salvation, because awareness of the mutuality of suffering impels us to search for ways to heal the whole, rather than encase ourselves in a bubble of denial and impossible individualism. At this point in history, it seems that we will either destroy ourselves or find a way to build a sustainable life together.

Question: Just after 9/11, the New Yorker devoted its back page to a poem by Adam Zagajewski titled “Try to Praise the Mutilated World.” I’m sure I am not the only one who had that poem taped to the refrigerator for months after the attacks. In many ways, the path you propose mirrors the poem’s sentiment: we must try to love the mutilated parts of ourselves, just as we must try to love the mutilated parts of our world.

Greenspan: Our mutilated parts and those of the world are interwoven. If we have a child who is crying and needs our attention, we don’t just tell her to “stay positive.” We turn our loving attention to what’s hurting her. We may also try to distract her with an ice-cream cone or a toy, and that’s ok, too. But it’s important that we tend to the parts that are crying. There are so many wounded parts of the world right now, and they keep telling us that they need our loving attention.

Miriam Greenspan holds degrees from Northeastern University, Columbia University, and Brandeis University, and she served on the editorial board of the journal Women and Therapy for a decade. Her first book, A New Approach to Women and Therapy (McGraw-Hill), helped define the field of women’s psychology and feminist therapy in the early eighties. In her most recent book, Healing through the Dark Emotions: The Wisdom of Grief, Fear, and Despair, she argues passionately that the avoidance of the dark emotions is behind the escalating levels of depression, addiction, anxiety, and irrational violence in the U.S. and throughout the world.

Her therapeutic approach encourages what she calls “emotional alchemy,” a process by which fear can be transformed into joy, grief into gratitude, and despair into a resilient faith in life. She questions the prevailing psychiatric attitude toward grief and despair, which relies heavily upon psychopharmacology to return us as quickly as possible to a “normal” state. Her focus is on transformation rather than normalcy.

This interview first appeared in the January 2008 edition of The Sun Magazine. All rights are reserved by The Sun.

 

 

Is Your Law Partner Depressed?

Depression is one of the leading causes of lost work productivity.  A depressed worker is prone to absenteeism and may suffer deteriorating relationships with his or colleagues. This combination of symptoms is problematic in any workplace, but can be devastating in a legal environment because of the critical nature of the work. Yet legal practitioners are especially vulnerable to depression, in part because of the competitive nature of the field.

Mental illness still carries a stigma and your partner may believe an admission of struggling with depression may put his or her jobs on the line. Don’t wait for him or her to come forward, because it is unlikely to happen. Instead, if you see evidence that your law partner is depressed it’s critical to act quickly and decisively.

Signs of Depression

Is your partner taking longer lunches than usual? Is he or she arriving later and leaving earlier than before?  Is there a dramatic uptick in absenteeism?  Is he or she making careless errors?  These are all potential signs of depression, but don’t jump to conclusions.

Make an honest assessment of the situation and take appropriate action based on your observations. If your partner seems sad or worried, but is able to perform most or all of his or her job satisfactorily, that’s a different matter than a depressed partner whose work is suffering.

If your Law Partner Is Depressed

If your law partner is depressed, but his or her work has not declined in quality, your main concern should be encouraging him or her to get help. Approach your law partner with genuine concern. Perhaps he or she simply needs time off, either to recharge or to deal with a specific situation

However, there is a good chance that your law partner will need professional therapy or counseling. If your firm offers such services, mention that to your law partner. Most of all, reassure your law partner that his or her job is not on the line. However, you or your HR department should monitor your partner for signs that matters are getting worse or that he or she is losing control of the situation.

If your Law Partner’s Work Is Suffering

If your law partner’s work has declined in quality, your law firm faces possible legal liability if a client’s case is mishandled as a result.  In such circumstances, your approach to your partner should still be one of concern.  However, along with concern, you should firmly remind your law partner of his or her responsibility to the firm and urge him or her to seek help.

If your law partner agrees, recognize that treatment often takes time. Be prepared to be flexible with scheduling to allow him or her time for counseling appointments. If necessary, arrange for a temporary leave while he or she seeks treatment.

On the other hand, if your law partner refuses to seek help, you may need to take action to protect the firm. In extreme cases, this might mean removing your law partner’s partnership status. However, taking a proactive approach makes this unfortunate outcome less likely. And if treatment is successful, both your firm and your law partner benefit.

For Further Reading

Anderson Kill Partner Talks Depression among Law Students (and Lawyers)

Dealing With Depression at Work: What You Need to Know

Depression at Work from Purdue University

Depression in the Workplace: Don’t Ask, Don’t Tell?

How to Talk to a Depressed Employee

This guest post was contributed by Paul Kasparov on behalf MayoWynneBaxter.co.uk – a Commercial Solicitors firm. Paul is a freelance writer and retired clinical psychologist. He enjoys his writing and his articles appear on various health blogs.

 

 

From Breaststroke to Backstroke: Lawyers and Depression

One description of depression is that it is like the shapeless sagging of a rubber band that has been kept tight and taunt for too long. When feelings have been strong, stressed, unprocessed, or held captive over a period of time, we just stop feeling altogether. Persons and events no longer have the power to enliven us; we operate on a low level cruise control. Usually we keep functioning, but there is no positive or creative affect toward persons and things, and even less toward ourselves. We basically stop living our only life.

Many lawyers operate at this level, without even knowing that it is a kind of death. They have learned to take it as normative and unchangeable. Life is no longer enjoyable, and almost everything becomes another excuse to be upset, angry, aggressive, afraid or defensive. We all know many people who live at this level.

But I would also like to describe another common source of depression that is less often addressed: basic meaninglessness. Religion, philosophy, and culture are supposed to address that foundational need. But when religion or spirituality is largely in the head, mostly fear based, or merely moralistic, there is a huge vacuum in most people. The soul and the spirit are not fed at this level. I am afraid that it is the most common form of religion we now have in the West. Such people, often very smart, have no beginning, middle or end to their life story, unless they totally create it for themselves like some kind of Nietzschean “ubermensch”. This is inherently too big a task for one autonomous individual.

The “Is that all there is?” feeling overcomes most people in our culture somewhere in their mid to late forties, if they are at all typical. If you are riding a fast track of upward mobility, external success, and lots of control, you might be able to put it off for another decade. But it is hardly worth it, because then the patterns of avoidance, depression, splitting off, a basic non-intimacy with one’s deepest life, are so entrenched, that it is very hard to emotionally and intellectually change without a lot of grace – – and a lot of “grit your teeth” and try to bear it. We are largely unteachable at that point.

The grace, of course, will always be available, but often we have lost the recognition of it, the desire for it, the trust in it, and the ability to cooperate with it. We do not even know there is such a thing as grace (Acts 19:3), and it is indeed an “it” instead of a Presence, a power and a possibility. In fact, for an ego that has been in overdrive for forty years, the reception of grace will actually feel like a defeat, a humiliation, and a failure. If “I” have been doing it all along, any “we” experience of union and cooperation with Another will actually feel like a loss of control and a loss of self-importance. It will be like switching from an eager breast stroke to a back float, and still having to assume that I can still get there. That would be hard for any successful lawyer, and actually for any of us.

At this point, one’s overdeveloped faculties (rational mind, willpower and Yankee can do!) will have to give way to those that were left underdeveloped for the sake of what we call in men’s work “building our tower”. What do I mean by those “underdeveloped faculties”? Well, first of all, I should state that they are not just underdeveloped; they are actively rejected and denied as values at all. I think that is why religion tended to speak at this process as “conversion”. Because if it is authentic, it is a rather complete reversal (“convertere” in Latin) of previously held virtues and values. Probably also why authentic religious conversion is rather rare.

Okay, here goes. This is what changes. Things like admitted powerlessness begin to be admired over claims to power, unknowing over knowing, living without resolution over demanding closure, giving instead of taking, waiting instead of performing, listening instead of talking, letting go instead of collecting and hoarding, empathy with instead of domination over. The more traditional words that were used for these values were three: “Faith”, “hope”, and “charity”. What St. Paul says, “are the only things that last” (1 Corinthians 13:13). I am sure he is right. But, mind you, these are virtues that are only learned by many trials and many errors by the second half of life, at best. In the first half, they actually do not make sense. The trouble is that many lawyers in our secular world are not moving to the second half of life. They are becoming elderly but they are not elders.

We all know that one part of each of these equations had to be developed to be lawyers at all. You would not have built any kind of tower unless you were powerful in some sense, had your facts, moved towards closure, and were normally much better at talking than listening. You lived in one way, but you died in another. Eventually that unintended death catches up with you. There is a huge hole in the soul of manglers and it gnaws and longs to be filled. It is another form of depression, but potentially a life changing one. Please trust me when I say that this hole has immense energy and possibility hidden within it. Maybe it is even the necessary vacuum to hold a new Infilling.

At first you will not know where to turn, especially if you have a good mind, and you are used to explaining everything and determining your own direction. You have no practice at this different set of virtues. To be honest, only God can lead at this point. You had best give up, because all of your previous tools are useless and even counter- productive. This is exactly why Bill Wilson made the first necessary step of Alcoholics Anonymous the absolute admission of “powerlessness”. This is about as counter intuitive as you can get, or even seemingly non-rational (not irrational!).

So what am I proposing that you do? Really, not that much. I am first of all trusting in your ability to hear some of what I just tried to say. If you have persisted in reading this far, you are hearing me at some non-resistant level. We call this the “contemplative mind”, where you turn off the need to be right or wrong, agree or disagree, and just let something work on you at whatever level of truth there is. (Everything Belongs, Crossroad Press, 1999). The Eastern religions would call it non-dual thinking.

Secondly, I would encourage you not to try too hard, no self-assertion because that will only deepen your addiction to your own way of doing life. You will try to “convert” yourself by yourself, which is actually a oxymoron. If you try to be heroic and superior, you will only get more of the same, but now disguised with a religious or moral sugarcoating. Please trust me on this one, all great spirituality is about letting go. YOU cannot do it. IT is done unto you.” (Luke 1:38 and 28:43). You are always the allowing. Someone else is winning at this point, and you are getting your first lesson in creative losing.

Thirdly, I would like you to forgive yourself for your life’s mistakes. God never leads by guilt or by shaming people. Take that as an absolute. God always leads the soul by loving it at ever deeper levels, and if you want to be led, you absolutely must allow such unearned love. Like all grace, it will feel like losing, not gaining, surrendering not taking, trusting not achieving, allowing instead of “making the case.” Like all authentic conversion it will feel like dying (See John 12:24 or Old Adams’ Return, Crossroad, 2005), but it will really be living. Fully, for the first time. God does not love you if you change; God loves you so that you can change. God is not the rewarder and the punisher. God is the energy itself; more of a verb than a noun, according to the great mystics.

This is one case you are not going to be able to win. In fact, I am convinced that the Gospel of Jesus really is the hope of the world precisely because it totally levels the human playing field. Now we win by losing, and if we are honest, we all have lost, failed, and been untrue at some levels (Romans 5:12). That humiliating recognition is the hole in the soul that allows God to get in – – and ourselves to get out – – of ourselves. Don’t miss such an entrance or exit. It is the Big One.

Fr. Richard Rohr is a Franciscan priest in New Mexico Province and author of several books including Falling Upwards: A Spirituality for Two Halves of Life and Breathing Underwater: Spirituality and the Twelve Steps. He is the founder of the Center for Action and Spirituality in Albuquerque, New Mexico.

 

 

 

 

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