SAMSHA in Washington, D.C. asked me, and others, to be in this PSA about living successfully with mental illness and how important support is in recovery. I am proud of what they produced, but it’s often not easy for me to talk about living with depression. I don’t want to be defined by it. More importantly, I don’t want others to define someone else who is, likewise, struggling with a mental health problem. I hope this commercial helps.
I was 40 years old when depression first struck.
I was a trial lawyer and managing partner at my firm. From the outside, I was successful: a high-paying career, interesting work, a great family, and lots of friends.
From the inside, however, something was terribly wrong.
There was a deep sadness that wouldn’t go away. Before this time, I had gone to therapists for stress-related issues. Therapy always worked. After a few months talking things through, I always felt better and stopped going.
But this time, it was different. Things didn’t get better.
Technology can be our best friend, and technology can also be the biggest party popper of our lives. It interrupts our story, interrupts our ability to have a thought or daydream, to imagine something wonderful, because we’re too busy bridging the walk from the cafeteria back to our office on the cellphone. – Steven Spielberg
My daughter in college, like most of her generation, seems addicted to her smartphone. She pulls it out of her back pocket like a gunslinger from the wild west.
Not necessarily talking on it, but texting. All the time. Every day. Like all her friends. When not pecking away, they’re on their laptops watching YouTube videos (no T.V., please!) or surfing the web on their mental boogie boards.
I like to think that I am not addicted to my phone. And I guess, by comparison, to my 19-year old daughter, I’m am not. I am on it about 2-hours per day. The average teenager spends about 9 hours a day consuming social media and music on their phones – often while doing other activities like studying for school. And anxiety and depression rates are skyrocketing since the introduction of smartphones.
Here is my fascinating interview with Dr. James Hollis, psychoanalyst and author of several best-selling books including “Swampland of the Soul” and “What Matters Most: Living a More Considered Life.”
Dan: What is depression?
Jim: I think first of all we have to differentiate between depressions because it‘s a blanket term which is used to describe many different experiences, different contexts and different internalized experiences of people. First of all, there is the kind of depression that is driven by biological sources and it is still a mystery as to how that works. We know it affects a certain number of people in profound ways. Second, there is reactive depression which is the experience of a person who has suffered loss and as we invest energy in a relationship or a situation and for whatever reason, that other is taken away from us, that energy that was attached to him will invert as depression. Reactive depression is actually normal.
I am 57 years old. I am a lawyer. And I struggle with depression.
I was diagnosed when I turned forty. I didn’t know what was happening to me. But I knew something was wrong. I was crying quite a bit. My sleep became disrupted. It became difficult to concentrate. I felt no joy in my life.
Since being diagnosed all those years ago, I have learned to live with depression as have many of the 20 million people who are living with this illness right now in this country.
Most lawyers who are depressed have a hard time being productive. Work—and here I mean everything from preparing for depositions to arguing a motion in court to the kinds of “work” we assign ourselves, like reading a good book or planting a garden—is a chore to the depressed. It drains us, leaves us feeling as bad as before, physically worn out and emotionally depleted, instead of proud of ourselves and invigorated. Other people with depression seem to work very hard all the time, but there is little payoff for their efforts. As with so much of depression, there is a real chicken-or-egg question—is work so difficult because we’re depressed, or are we depressed in part because we can’t accomplish anything? And as with so many chicken-or-egg situations, we face a false dichotomy: the truth is, poor work habits and depression reinforce each other.
The following blog was submitted by an anonymous lawyer.
Once upon a time, I was a trial attorney at a personal injury defense firm. I was good at it. I always pushed hard; always did the best job possible. I won a good share of cases, and, of course, lost a few as well. I was valued highly enough to be made a partner shortly after joining the firm.
But I had a dirty little secret. I had bipolar disorder, which was well-controlled through a close partnership with a good psychiatrist. Still, in my mind, if word ever got out, my employers would see me as weak, a liability. To a degree, I understood. If the insurance companies that paid the bills learned that one of the firm’s trial attorneys had such a condition, their mandate would be clear: if you want our business, get rid of him. That is what I assumed.
Throughout my career, colleagues would make offhanded remarks about someone “not taking his medication.” I would grit my teeth and ignore it.
Although my mood seems to be better with more sun, I understand why a substantial number of folks get more depressed in the summer. Extreme heat is hard to tolerate. In fact, in a study published in Science in 2013, researchers reported that as temperatures rose, the frequency of interpersonal violence increased by 4 percent, and intergroup conflicts by 14 percent.
There are four distinct types of people when it comes to weather and mood, according to a study published in Emotion in 2011.
- Summer Lovers (better mood with warmer and sunnier weather)
- Unaffected (weak associations between weather and mood)
- Summer Haters (worse mood with warmer and sunnier weather)
- Rain Haters (particularly bad mood on rainy days)
Ten percent of those diagnosed with seasonal affective disorder suffer symptoms at the brightest time of the year. The summer’s brutal heat, bright light, and long days can affect a person’s circadian rhythm and contribute to depression for the opposite reasons that winter conditions do.
If you’re a Summer Hater, or just notice that your mood is affected negatively by the heat, here are some summer depression busters that may help you better tolerate these months — maybe even enjoy them.
Depression makes everything harder: motivation is low, we get little pleasure from things we normally enjoy, we have no energy, and relationships tend to be strained. Small wonder it’s the leading cause of disability in the world, according to the World Health Organization.
Several treatment options are effective in reducing depression. The majority of psychological treatments with strong research support are cognitive-behavioral (CBT) and focus on changing thoughts and behaviors to improve mood. Some forms of medication, such as the selective serotonin reuptake inhibitors (SSRIs), can be as effective as CBT, at least for as long as a person takes them.
So, which treatment option should a person choose? Obviously, it’s an individual choice and one that should be made in consultation with one’s doctor. For those who prefer to start with a psychological treatment—either because they’ve not found medications to be helpful and/or the side effects weren’t tolerable—CBT is a good candidate given the strong research support.
A recent study, the largest of its kind—showed that a simple treatment requiring less