Listening to Depression: What It Might Be Trying to Tell Lawyers Who Suffer From It

This guest blog is from Dr. Lara Honos-Webb, a clinical psychologist and author of the book, “Listening to Depression: How Understanding Your Pain Can Heal Your Life.” I also write below about what listening to depression has meant in my own own life as a lawyer.

Why are lawyers so depressed these days?

The rates of depression and substance abuse problems are skyrocketing according to recent media reports and research. Can depression be seen as a break-down in the service of offering you an opportunity for a break-through? If depression offers corrective feedback to lawyers, what might it be telling you?

We only reflect on those things that break down in our life. For example, if life is going along smoothly you won’t spend time thinking about the meaning of life. You tend to think deeply about life when something is not working. When we identify a problem, we begin to reflect on what caused the problem and how to fix the problem. If you are disconnected from your deepest feelings and impulses you may still manage to get through life without realizing that your life is off track.

Best Books On Lawyer Wellness & Well-Being

There is something about winter that has me stocking up on books I want to read.  I hibernate and loaf around the house when not at work, but always find time to read.  I have been a lover of books my entire life.  I have several lists of ones to read: great literature (Tolstoy has been on it for years – never read one), health-related fare (always trying to drop weight), and spiritual tomes (Thomas Merton is one of my fav’s).

Culling through my lists on this snowy day, I came across books about lawyer wellness and well-being that I thought you’d enjoy if you’re in the law biz.  So, here you go. They’re in no particular order, so you may have to hunt for one (or more) that speaks to you. If you see one not listed that you would recommend, click on the comment button below and share it with everyone.  Enjoy!

‘Better Call Saul’ Highlights Stress and Mental Illness in the Legal Profession

The ABA Journal reports: “Chuck McGill’s suicide in Better Call Saul reflects what is happening within the legal profession throughout the United States. But anxiety and depression are not confined to practicing lawyers. A study of law school students at Yale University found that 70 percent admitted to suffering from some form of mental health issues. Eighty percent of those respondents considered help, but only half of them actually sought it out. Read the article.

 

Big Law Tackles Mental Health Crisis Issues With On-Site Programs; Is Its Business Model at Fault?

The ABA Journal report that Big firms have long been reticent to openly address addiction and other mental-health problems, despite research showing lawyers face higher rates of substance abuse, depression, and suicide than the wider population,” the article says. “Law firm leaders say the need to keep up appearances in a competitive industry has contributed to the resistance. That attitude, however, is slowly changing. Read the article.

Is it Lawyer Depression or Burnout? Telling the Difference

Burnout is nature’s way of telling you, you’ve been going through the motions, your soul has departed; you’re a zombie, a member of the walking dead, a sleepwalker. False optimism is like administrating stimulants to an exhausted nervous system.  – Sam Keen

Sitting across from Tom, a lawyer for the past 15 years, I was struck by his ashen face.  Before he said a word, before I asked him how his practice had been going, his slumped shoulders spoke volumes about a good man weighed down. As we spoke over coffee, he asked if I thought he was suffering from the “Big D” – depression.

As we spoke, he asked if I thought he was suffering from the “Big D” – Depression.

“No, I don’t think so, Tom. You seem pretty burn-out, though,” I said.

burnout 2

According to an ABA Journal article, lawyers facing increasing pressure to “value engineer” their services have adopted a “better-cheaper-faster” approach to practicing law because that’s what their clients are demanding.

This is one of the conclusions contained in a recent report on the future of the legal profession prepared by The New York Bar Association.

“Consumers have become more suspicious of institutions,” the report says, and clients are less willing to take their lawyer’s advice at face value and more willing to sue when they are unhappy. Technology is also changing client demands.

“Electronic communication has fueled a culture in which clients want more legal information, answers on the spot, and lawyers who can interpret, rather than simply provide, information,” the report says.The result is more specialization and an emphasis on ability to deliver higher quality services at a lower cost and in less time.”

This was certainly true in Tom’s case.  There were no limits to the demands put on him – by both others and himself – to be better, cheaper, and run faster.  As if he were a machine.  He hunkered down into a survival mode, had little positive energy to invest in himself or his family and ultimately burned out like a meteorite entering the earth’s atmosphere.

Just Perfect

Burnout isn’t just a consequence of trying to keep up with an insane schedule.  It’s also fueled by a common personality trait found in many lawyers: perfectionism.

Author of the book Stress Management for Lawyers: How to Increase Personal & Professional Satisfaction in the Law, Amiram Elwork, Ph.D. writes:

“Because law requires objective logical analysis and close attention to details, the legal profession attracts perfectionists. These are people who live by the rule: ‘If I don’t do a perfect job in every detail, I will fail.’ Perfectionists tend to be workaholics who are often viewed as inflexible, uncomfortable with change, and obsessed with control but unconvinced that they have it. Since perfection can’t be achieved, striving for it can cause constant dissatisfaction.”

“My clients are perfectionists,” says Alden Cass, a therapist to both corporate attorneys and men on Wall Street. “They have very rigid ideals in terms of win-lose,” he continues. “Their expectations of success are through the roof, and when their reality doesn’t match up with their expectations, it leads to burnout—they leave no room for error or failure at all in their formula.”

Out of Sync With Core Values

burnout (1)

Elwork opines that “another reason that some lawyers experience burnout is that their core values are not aligned with their own behaviors. Sometimes this problem reflects an internal psychological conflict, whereas at other times it is a conflict between the lawyer’s values and those of the organization at which he or she works.”

My friend Tom is in this boat.  He works for an insurance defense firm.  He’s a compassionate man who tries his best to be a good person.  The culture of his firm, however, tells him to “hammer” personal injury victims at their depositions and trials.  He hates to do this but doesn’t know what else to do.  He has a family to support after all.  He feels stuck at his job.

He suspects other lawyers at his firm are burned out, but doesn’t really know what a burned out lawyer looks like.

There are, however, telltale signs.

Burnout’s 10 Milestones

  • Over-commitment (always in motion)
  • Inadequate breaks and rest (continuous client involvement)
  • Idealistic standards
  • Constant low-grade stress (occasionally interrupted by crisis!)
  • Lack of help and assistance
  • Chronic fatigue from pushing oneself (“hitting the wall”)
  • Strong sense of responsibility, even when others “dropped the ball”
  • Guilty feelings about missing church events/activities
  • Heavy job and family responsibilities/expectations
  • Inability (or strong reluctance) to say no

Similarities Between Depression and Burnout

While they share some similarities, there are some important differences between the two conditions.

Both depressed and burnout sufferers show symptoms of withdrawal and fatigue.

  • Depressed individuals also show signs of hopelessness and disinterest. Severe depression can already alter the sleep-wake pattern of an individual thus triggering insomnia.
  • The most serious cases are those involving persons who possess some recurring thoughts about death. Those who experience a burnout are often accompanied by feelings of helplessness, self-doubt, and failure on top of the other feelings similarly experienced by depressed individuals.

Differences Between Depression and Burnout

Burnout is a state that is just induced by severe stress. Depression, on the other hand, is a clinical behavioral disorder affecting one’s mood. As such, it is, therefore, more appropriate to say that when you are having a burnout you are also at risk of experiencing or developing depression rather than the other way around.

  • Researchers have successfully found important physiological differences between people who suffer from burnout and those who suffer from depression: individuals suffering from burnout do not produce enough cortisol as if the body decided to go on strike. As a reversal, those who suffer from depression produce too much of it.
  • When one is suffering from depression, he or she is unable to attain or experience a state of pleasure. As a result, you often see depressed individuals shrouded in extreme sadness. Burnout sufferers look different because they feel overly exhausted to the point of doubting their own ability to carry out their regular activities of daily living. Severe burnouts may also lead one doubt his self-worth.
  • Depression is usually rooted upon a number of factors like when one is suffering from an incurable chronic disease or an extreme severance of relationship (death, breaking from a serious romantic relationship) with a very significant other. Depression has also been discovered to have some genetic predisposition and environmental roots. With regard to burnout, this condition is usually tied in with strains in work and high demand stresses of life in general.

A Strategy for Avoiding Burnout                                                            

It’s easier to avoid burnout in the first place than it is to overcome it. Here a handful of do-able strategies for escaping its clutches:

  • Rest, relax, recreate, renew. It’s the only avenue for sustaining us for the long haul.
  • Give something up before taking on a new commitment or responsibility. Don’t keep “adding floors” onto your already towering skyscraper of activities.
  • Learn to say no and to set up reasonable boundaries around your involvement. Specify the help you’ll need and the constraints on your time.
  • Set priorities and consult with your family. Service work occupies an essential role in our lives but must never take priority over family. Be willing to occasionally say no to low priority activities when they conflict with quality family time.
  • Get away from it all on a regular basis through hobbies, recreation, short “sabbaticals,” and sometimes just being a couch potato.
  • Listen to your body’s stress warning signals, such as headaches, backaches, dizziness, insomnia, and unexplainable fatigue.
  • Cut out the hurry and worry. Stress is the natural byproduct of trying to stuff 10 pounds of potatoes into a 5-pound bag. Do only what you reasonably can in the time available and with the resources available.
  • Consider changing jobs.  Sometimes the only thing you can do is leave your job and seek employment at another firm.
  • Consider changing careers.  Some lawyers tell me that they are “sick and tired of being sick and tired.”  Being burned out has forced them to confront this decision.  It can be done and there are many happy ex-lawyers out there.

Further reading —

The Happy Lawyer: Making a Good Life in the Law by Nancy Levit and Douglas Linder

The Reflective Counselor: Daily Meditations for Lawyers by F. Gregory Coffey and Maureen C. Kessler

Can’t Get No Satisfaction: Burnout – New York Magazine 

Lawyer Burnout: Avoidable, Not Inevitable – ABA Journal

Knockout Burnout! – Attorney at Work

Copyright, Daniel T. Lukasik, 2016

 

 

 

Life Experience and Cognitive Science Deepen the Case for Mindfulness in Law

University of San Francisco Law Professor Rhonda Magee writes in the ABA Journal, “Few would disagree that if the purported benefits of mindfulness prove to be true, no profession is in greater need of them than ours. And indeed, the legal profession is responding. Law schools, lawyers and judges are reviewing the research detailing benefits: reduced stress, lower blood pressure, increased empathy, improved performance on exams and during arguments, more ethical decision-making, and more satisfying and effective client counseling conversations. And they are practicing mindfulness to assist in handling the stress of legal practice and to improve performance.”  Read her Blog

Introverts in an Extroverts’ World: Most Lawyers Are Introvert, and That’s Not a Bad Thing

The current issue of the ABA Journal reports, “It’s not something you’d intuitively think, particularly when you think of litigators,” Wisnik says. “But it makes sense. Many lawyers spend a lot of time by themselves—reading, writing, thinking—compared to other jobs where the majority of the work is interacting. Introverts make good lawyers, especially for clients who want a thoughtful answer.”  Read the Story

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