One Therapist’s Take on Lawyer Addiction & Mental Health

This is a guest blog by Nicole Roder, LCSW-C, a bilingual DBT therapist in Bethesda, MD, certified by the DBT-Linehan Board of Certification. She is intensively trained in DBT, DBT prolonged exposure for PTSD, DBT for parents, couples, and families, and DBT for substance use disorders. In her practice, she treats adults and adolescents with BPD, PTSD, DMDD, SUD, and related disorders.

As a therapist who treats addictions, I have seen many people who use alcohol to cope with high-stress jobs. I have also seen people suffer terrible losses when that coping mechanism becomes an addiction. Fortunately, there are well-researched treatments that can help attorneys overcome addiction. Let’s take a look at the data on addiction among lawyers, the consequences of addiction, and some resources that might help overcome the problem.

Leading a Mindful Life in the Law: An Interview with Lawyer and Meditation Teacher, Courtney Schulnick

This podcast features my interview with Courtney Schulnick, Esq., a lawyer and certified mindfulness educator. She is Special Counsel at the law firm of Marshall Dennehey in Philadelphia, defending individuals and businesses in casualty matters in the local, state, and federal courts.  She holds a law degree from the Rutgers School of Law and earned her undergraduate degree at the University of Pennsylvania.

The stress and anxiety she experienced led to her enrollment in the Mindfulness-Based Stress Reduction (MBSR) Program at the Myrna Brind Center for Mindfulness at Thomas Jefferson University in Philadephia. Now a certified trainer, Courtney gives presentations at law firms, law schools, and other organizations. You can learn more about her and her services on her website.

Courtney weaves together the practice of mindfulness into her daily life as a lawyer, wife, and mother of three young boys. All lawyers seek greater work/life balance, and mindfulness is a path toward that goal. Sincere, kind, and insightful, everyone who listens to Courtney will be encouraged to integrate mindfulness into their lives.

Can Creativity Help You Heal Depression? An Interview with Psychiatrist, Dr. Carrie Barron

Dr. Carrie Barron is a board-certified psychiatrist on the Columbia College of Physicians an Surgeons clinical faculty who also has a private practice in New York City.  She has published in peer-reviewed journals, won several academic awards, and presented original works related to creativity and self-expression at national meetings of the American Psychoanalytic Association. Along with her husband, Alton Barron, M.D., a hand and shoulder surgeon, she co-authored the book The Creativity Cure: How to Build Happiness with Your Own Two Hands.

Dan:

Why is depression such a problem in our culture?

Carrie:

I think the stress level has increased enormously because we have so much to do, and we’re on twenty-four hours a day. So I think because of technology, which offers us so many great things but gives us much to do. I think that’s part of it. I also believe, especially for children, we’re in a striving, ambitious,  productive time mentality – for children and adults. We need to play, we need to hang out, we need to have spontaneous time. I think spontaneous thought does a lot for alleviating depression and anxiety.

Dan:

We have so many different words in our culture for unpleasant experiences. We might say things like, “I’m sad,” “I’m burnt-out,” “I’m stressed out,” or “I’m depressed.”  But what is the difference in your mind, as a clinician, between sadness, say, and depression?

Depression as a Loss of Heart

This article was written by John Welwood, an American clinical psychologist, psychotherapist, teacher, and author, known for integrating psychological and spiritual concepts. He died in 2019. He wrote eight books, including Challenge of the Heart (1985), Journey of the Heart (1990), and Love and Awakening (1996). Trained in existential psychology, Welwood earned a Ph.D. in clinical psychology from the University of Chicago.

Depression is one of the most common problems in modern society. It appears in chronic low-grade forms that can drain a person’s energy and in more acute forms that can be completely debilitating. Our materialistic culture breeds depression by promoting distorted and unattainable goals for human life. And our commonly held psychological theories make it hard for people to make direct contact with depression as a living experience, by framing it as an objective “mental disorder” to be quickly eliminated. The current treatments of choice — drugs, cognitive restructuring, or behavioral retraining — are primarily technical, and often keep depression at arm’s length. However, in order to help people with depression, we must see how they create and maintain this state of mind in their moment-to-moment experience. This will help us understand depression not merely as an affliction, but as an opportunity to relate to one’s life situation more honestly and directly.

Treating Lawyers with Depression: One Psychologist’s Top 10 Tips

 

Here is an interview I did with Dr. Tyger Latham, a clinical psychologist and psychoanalyst in Washington, D.C. and the Commonwealth of Virginia. He received his Ph.D. George Washington University.

What is depression?

Depression is a mental health disorder that affects roughly 10 to 15 percent of the general population. According to the DSM, the manual used by psychiatrists and psychologists to diagnose depression, a person is diagnosed with depression if she/he experiences depressed mood, along with several other related symptoms, for a minimum of 2 weeks. Some of these other symptoms include: disrupted sleep; diminished energy; changes in appetite or weight; difficulties with concentration; restlessness or lethargy; feelings of guilt, worthless, and helplessness; and, in extreme cases, thoughts of death or suicide. This is the medical definition of depression. However, this definition fails to capture the experience of what it’s like to be depressed. I think Paul Simon has described depression best when he wrote: “Hiding in my room, safe within my womb, I touch no one and no one touches me. I am a rock, I am an island. And a rock feels no pain; and an island never cries.”

Have you treated many law students, lawyers and judges for it?

At any one time, I would say about a third of my practice is comprised of lawyers or law students, of which a large majority suffer from depression or some related mood disorder such as persistent depressive disorder or bipolar disorder.

Can you tell us what kind of issues concerning depression lawyers come to you for? (E.g. problems on job, marital)

As with all of my clients, I find that lawyers come to therapy for a myriad of reasons, including depression. In the case of lawyers, however, the practice of law often serves as a backdrop for their presenting concerns. I have yet to work with an attorney whose work was not adversely affected by their depression. In fact, many lawyers who are diagnosed with depression only become aware of it after it begins to affect their productivity. These lawyers might complain of being unable to concentrate; feeling indifferent or apathetic about their work; withdrawing from colleagues; or, in some cases, they talk with me about feeling burned-out or they might share fantasies of leaving the practice of law altogether. All of these symptoms can be associated with depression and when taken together they build a strong case for clinical depression.

Attorneys will often employ a number of coping strategies – some adaptive, others not-so-adaptive – to deal with their depression. Most attorneys are accustom to working long hours, so I often see many attorneys with depression pour themselves into their work as a way to escape. I’ve also worked with a number of attorneys who have resorted to alcohol and drugs as a way of managing their symptoms. While I wouldn’t say all attorneys who are depressed abuse alcohol and drugs, the majority of attorneys who abuse alcohol and drugs almost always suffer from some form of a mood disorder like depression, bipolar, or anxiety.

Unpacking Depression: An Interview with Psychologist Dr. Margaret Wehrenberg

Today’s guest is Dr. Margaret Wehrenberg. Dr. Wehrenberg is a clinical psychologist in Naperville, Illinois. She is the author of six books on the treatment of anxiety and depression published by W.W. Norton, including, “The Ten Best-Ever Depression Management Techniques: Understanding How Your Brain Makes You Depressed and What You Can Do to Change It” and “Anxiety + Depression: Effective Treatment of the Big Two Co-Occurring Disorders.” An international trainer of mental health professionals, Dr. Wehrenberg coaches people with anxiety via the internet and phone. She’s a frequent contributor to the award-winning magazine, Psychotherapy Networker and she blogs on depression for the magazine Psychology Today.

Dan:

What is the difference between sadness and depression and why do people confuse the two so often?

Dr. Wehrenberg:

Because depression comprises sadness. Sadness is a response to a specific situation in which we usually have some kind of loss. The loss of a self-esteem, a loss of a loved one, the loss of a desired goal. Depression is really more about the energy – whether it’s mental energy or physical energy – to make an effective response. So, sadness is an appropriate and transient emotion, but depression sticks around and affects all of our daily behaviors and interactions.

10 Quick Self-Care Tips for New Lawyers

This guest blog is written by attorney Joe Milowic, Director of Well-Being and Of Counsel at Quinn Emanuel Urquhart & Sullivan, LLP in New York City. Most of Joe’s advice applies not only to young associates but any lawyer who cares about living a mentally and physically well- balanced life. Joe is also a Founder of the Lawyers Depression Project (LDP), a grassroots project aimed at addressing depression and other mental health issues in the legal profession. Joe is a graduate of the Rutgers College of Engineering, with high honors, and its law school where he was Co-Valedictorian of his 2001 class. In 2018, Joe wrote an article for the New York Law Journal, “Quinn Emanuel Partner Suffers from Depression and He Wants Everyone to Know.”  which encouraged a national discussion on depression in the legal profession (Read “Joe Milowic’s Story of Depression Should Spur Renewed Focus on Lawyer Well-Being” from the NYLJ). In this article, Joe shares his tips for self-care to manage your mental health and well-being.

The Dark Side of Success: A Psychiatrist’s Exploration of Depression in the Legal Profession

By Joann Mundin, M.D.

There are significant effects of depression in the legal profession that are pervasive. Lawyer depression can have terrible personal and professional ripple effects for attorneys but also impacts clients, business partners, employees, and staff.

The general population is significantly affected by depression, with 17.3 million persons, or 7.1% of all adults in the US, reporting having experienced a major depressive episode in 2017. But, the proportion of depression among attorneys is considerably higher: according to ALM’s Mental Health and Substance Abuse Survey from 2020, 31.2% of the more than 3,800 respondents report having a depressive disorder. This indicates that compared to the ordinary US adult, lawyers have an approximately three-fold higher risk of developing depression.

Nevertheless, the stigma associated with mental illness keeps lawyers from getting help immediately. This can cause excessive and prolonged distress, making the problem worse over time.

True Stories: Depression Sucks & It’s Lonely, Too

“True Stories” is a series of guest blogs I am running. Below, Michael Herman, a lawyer and partner at the Toronto offices of the global law firm of Gowling WLG, shares his experiences with the loneliness that comes with his depression.

“There’s a reason we feel lonely even though we’re not alone. It’s because loneliness is not about how many friends we have or how many people there are in the room with us … it’s a disconnection from other human beings.” – Ranata Suzucki

It’s about 9:30 at night, and I am sitting in the living room watching TV and trying to unwind from a long and stressful day at work, filled with meetings, responding to emails, and dealing with various problems. Just another day at the office. Out of nowhere, I start to feel it – an overwhelming sense of loneliness, as if there is no one in my life to whom I can turn for sustenance.

It’s a Saturday night, and I’m at a party surrounded by friends and family. People gather in small groups, talking, laughing, and enjoying each other’s company. I scan the room and think that I don’t belong. The only thing I want to do is leave and escape from the pain of the loneliness I’m experiencing in the midst of this group of happy people.

I am very familiar with these feelings; they’ve been my companions on and off since I was a young child. It’s as if no one can see me or hear me, as if I don’t really exist and, worse, have no reason to exist.

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.

Built by Staple Creative