Kay Redfield Jamison Archives - Lawyers With Depression

Putting Pen to Paper: Writers on Depression

That terrible mood of depression, whether it’s any good or not, is what is known as The Artist’s Reward. Ernest Hemmingway

Others imply that they know what it is like to be depressed because they have gone through a divorce, lost a job, or broken up with someone. But these experiences carry with them feelings. Depression, instead, is flat, hollow, and unendurable. It is also tiresome. People cannot abide being around you when you are depressed. They might think that they ought to, and they might even try, but you know, and they know that you are tedious beyond belief: you are irritable and paranoid and humorless and lifeless and critical and demanding, and no reassurance is ever enough. You’re frightened, and you’re frightening, and you’re “not at all like yourself but will be soon,” but you know you won’t. Kay Redfield Jamison, Night Falls Fast

That’s the thing about depression: A human being can survive almost anything, as long as she sees the end in sight. But depression is so insidious, and it compounds daily, that it’s impossible to ever see the end. Elizabeth Wurtzel, Prozac Nation: Young and Depressed in America

In depression . . . faith in deliverance, in ultimate restoration, is absent. The pain is unrelenting, and what makes the condition intolerable is the foreknowledge that no remedy will come – – not in a day, an hour, a month, or a minute . . . It is hopelessness even more than pain that crushes the soul. William Styron, Darkness Visible: A Memoir of Madness

They flank me-Depression on my left, loneliness on my right. They don’t need to show their badges. I know these guys very well. …then they frisk me. They empty my pockets of any joy I had been carrying there. Depression even confiscates my identity; but he always does that. Elizabeth Gilbert, Eat, Pray, Love

Depression is nourished by a lifetime of ungrieved and unforgiven hurts. Penelope Sweet

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The Suicide of a Law Student Hits Home

When people are suicidal, their thinking is paralyzed, their options appear spare or nonexistent, their mood is despairing, and hopelessness permeates their entire mental domain. The future cannot be separated from the present, and the present is painful beyond solace. ‘This is my last experiment,’ wrote a young chemist in his suicide note. ‘If there is any eternal torment worse than mine I’ll have to be shown.’ – Kay Redfield Jamison, M.D., “Night Falls Fast: Understanding Suicide”

A second-year law student at the University at Buffalo School of Law, Matthew Benedict, died by suicide earlier this week by leaping from the Liberty Building he had been clerking at according to the Buffalo News. Another account of Matt’s life and suicide was reported in The New York Law Journal.

Matt’s funeral is tomorrow. By all account’s he was a tremendous, loving, talented, bright young man.Matt was kind-hearted, passionate and driven.

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Dan’s Top Video Picks on Depression

Films can teach us a lot about depression. Not only can they provide information. They can also move us emotionally by drawing us into the subject with interviews, animations, and other techniques that aren’t amenable to books. Here are my favorite videos that address the topic of depression.

Living with Depression

I came across this short video recently. And was very moved. It captures, with sublime music and moving images of a young woman, her struggles with clinical depression and the loneliness she endures. Powerful. Over four million people have viewed it. Running time is 3 minutes and 22 seconds

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The Deadzone of Depression

There is a zone in a depressed person’s life where nothing seems to happen — except the pain of the absence of everything.

Kay Redfield Jamison, M.D., in her book, Night Falls Fast, writes:

I wish I could explain it so someone could understand it. I’m afraid it’s something I can’t put into words. There’s just this heavy, overwhelming despair – dreading everything. Dreading life. Empty inside, to the point of numbness. It’s like there’s something already dead inside.

Such anguish is so overwhelming that every other concern is squashed in its wake. Our capacity for willful actions seems to be gone; we can’t “figure it out.” We are stuck.

I have learned a lot about the zone over the years and how to handle it. It’s really like surfing a giant wave. To handle these waves, you study them and prepare yourself for when the next big one rolls in.

When I feel I’m entering a Dead Zone, I start a deliberate and kind conversation with myself that is practiced and rehearsed. I don’t let the toxic voice of depression drown me out. It’s important to empower ourselves in whatever ways we can during these times because depression will lead you to falsely conclude that you’re helpless to lift your dark mood. This conclusion is one of the central tenets of depression; one of its main “themes”. We need to create – and we can – different and healthier themes for our lives.

Start with a three-by-five index card. Use it to create your own deliberate and kind script of themes for yourself that day. Here’s is an example of what I had written on one of my cards:

— This depression isn’t forever. It will pass.

— I have handled it in the past. I will handle it now.

— Get out of my head – don’t sit around and ruminate.

I usually write a new card out every morning. When depression is absent (and there are long periods of time when it is), the theme of the card might be more celebratory or grateful:

— I appreciate all of the goodness in my life.

— Thank you God for all of the wonderful people you’ve put in my life.

— I am happy that I am not experiencing depression today.

According to psychologist, Deb Serani, Psy.D, there are both emotional and psychological reasons why this is so:

So, why do these gratitude experiences boost happiness and alleviate depression? Scientists say that these techniques shift our thinking from negative outcomes to positive ones, elicit a surge of feel good hormones like dopamine, serotonin and oxytocin, and build enduring personal connections.

The insight and reflection of counting these moments is what makes the practice of gratitude so powerful. But the key to combating depression is making these positive experiences part of the fabric of your life.

Try this for a while and see if it helps you. Don’t wait until you are in the zone of depression to construct the cards because your thinking during such times will be distorted.

Doing this is a healthy and self-empowering step that you can take today.

By Daniel T. Lukasik, Esq.

To Know Suicide: Depression Can Be Treated, But It Takes Competence

From The New York Times, best-selling author and psychiatrist, Kay Redfield Jamison writes, “Certainly, stress is important and often interacts dangerously with depression. But the most important risk factor for suicide is mental illness, especially depression or bipolar disorder.” Read the News

The Death of Robin Williams, Depression and Suicide

Our hearts are broken. This funny, kind and gentle man is gone. He, like the 30,000 other souls that commit suicide each year in this country, was struck down by depression.

Many people find it incomprehensible that someone so talented, beloved, good and wealthy could take his own life. One commenter from Fox, Sheppard Smith, (not surprising, I guess) called him a “coward.” What a cowardly thing to say from a man who has, most likely, never suffered from the grind of depression as Robin did. However, this commenter isn’t alone in his ignorance. One poll found that over forty percent of all Americans viewed depression as “a lack of willpower.”

Rather than cowardly, I believe Robin’s well-documented life-long battle with major depression and addiction was heroic. As someone who had lived in the trenches of major depression over the years and known hundreds of fellow soldiers like Robin, I feel that people who struggle with depression are my heroes.

Ironically, Christopher Reeve, Robin’s long-time friend who studied acting and roomed with him at Julliard, defined what a hero is:

“I think a hero is an ordinary individual who finds strength to persevere and endure in spite of overwhelming obstacles.”

Given his brilliance, fame and wealth, one could say that Robin was anything but “ordinary.” Yet, he was a flesh-and-blood human being, just like you and I, who suffered tremendously. And he, tragically, decided he just couldn’t take it anymore.

Until he committed suicide, he had somehow found the strength to persevere over the course of his life despite his poor mental health. I’m sure that there was many times that such perseverance involved pushing through the pain of depression on a daily if not moment-to-moment basis. The pain, known all too well by sufferers, must have been so dreadful that he was holding on by his fingertips.

A loss of hope was at the bottom of Robin’s decision to end his life, a loss that no amount of love, support and guidance could assuage.

As Elizabeth Wurtzel wrote in Prozac Nation:

Psychiatrist Kay Redfield Jamison, a professor at Georgetown University, herself a sufferer from depression, had this to say about suicide in her seminal book on the subject, Night Falls Fast:

Rest in Peace, Robin. Thank you for all the gifts you freely gave to the world. Your suffering is over.

Rear-ended by Depression

The abject pain of clinical depression is magnified expontentially when one considers that sufferers usually blame themselves for their plight. “What’s wrong with me?” is a common refrain. Most people with depression feel “bad” to their core. They can’t always articulate why this is so, but they know that they can’t shake their own self-condemnation. There is no place to hide from it, no true rest for the weariness it brings. We lay awake at night and hope that tomorrow it will be better.

I had a conversation last week with a mental health professional who asked me, “What in the world do lawyers have to be depressed about? They’re rich and powerful. Lawyers should stop complaining and realize how good they have it.” Yet a lack of gratefulness has little to do with depression. I used to recite a list of things I had to be grateful about – and there were many – but it all fell on depression’s deaf ears.

When others tell us to “snap out of it,” we may buy it hook, line and sinker and even believe that they know what they’re talking about. Well-meaning friends may try to reign in our sorrow by suggesting that they can identify with our suffering.

In her book about her own depression, An Unquiet Mind: A Memoir of Mood and Madness, psychiatrist, Kay Redfield Jamison writes:

“Others imply that they know what is it is like to be depressed because they have gone through a divorce, lost a job, or broken up with someone. But these experiences carry with them feelings. Depression, instead, is flat, hollow, and unendurable.”

Such attempts by others, even when well intentioned, always brought about a deep sense of loneliness in me. I had, like most people, gone through my fair share of difficult experiences in life like losing a job. But this experience – this blast furnace of melancholy – was not that. We get over losses in our lives, we adapt. We can’t just “get over” depression.

There is a sense that we have been rear-ended by depression; out of seemingly nowhere, our lives are crashed into and changed forever. In a very real sense, we will never be the same. Some will recover from their depression, many will not. That’s not a very popular thing to say, but it’s been my experience from talking with hundreds of lawyers from around the country who I’ve been privileged to share with. For many, recovery will be an on-again off-again sort of affair. They will have to work hard to recover and make lots of effort to stay healthy.

Part of the reason why too many lawyers don’t get better is simple: most don’t get any form of treatment for their depression. A study by the National Institute of Mental Health revealed that as many as 80% of people in this country get no form of help whatsoever. Looking out a window, I wonder how high the rate is for lawyers. It’s most likely a mixed bag. While it’s true that people from a higher socio-economic class tend to get treatment – mostly because of their access to good medical care – most attorneys still don’t because of the stigma associated with mental illness.

Such shame – dumped on people from others and the self-inflicted variety – is particularly deep for lawyers. This is so because of the myths surrounding their internal world. Lawyers feel like they’re supposed to be veritable Supermen able to bend steal and solve all manner of a clients’ problems without wrinkling their power blue suit. If they’re in pain, they’re told to “suck it up.” We live in a nation of winners where, deep down, many feel like losers.

This sort of mentality, in part, explains the epidemic rates of depression in the law. Studies have concluded that lawyers suffer from depression at a rate of twice the national average or about 20%. This means that 200,000 out of the one million lawyers in this country suffer from depression.

What’s a depressed lawyer to do? First, one must stop blaming oneself. This is tough because most people with depression have been living with this cognitive distortion for a long time – maybe their whole lives – and this corrosive self-talk promotes the viscous cycle that is clinical depression. If one can’t stop blaming oneself for having depression, it’s tough to get better. Little by little, we need to learn to let that bullshit go and start walking a healthier path.

The poem, The Journey, by Mary Oliver, captures some sense of this path for me. I hope it will for you.

One day you finally knew

what you had to do, and began,

though the voices around you

kept shouting

their bad advice – –

though the whole house

began to tremble

and you felt the old tug

at your ankles.

“Mend my life!”

each voice cried.

But you didn’t stop.

You knew what you had to do,

though the wind pried

with its stiff fingers

at the very foundations,

though their melancholy

was terrible.

It was already late

enough, and a wild night,

and the road full of fallen

branches and stones.

But little by little,

as you left their voices behind,

the stars began to burn

through the sheets of clouds,

and there was a new voice

which you slowly

recognized as your own,

that kept you company

as you strode deeper and deeper

into the world,

determined to do

the only thing you could do – –

determined to save

the only life you could save.

Suicide: The Death of a Law Student

David.Nee.Photo.Friends

I am Chair of the Committee to Assist Lawyers With Depression in Erie County. Our committee is producing a documentary about depression in the legal profession. It will be made available to Bar Associations, legal organizations and law schools around the country later this fall. As part of this project, I headed off to New York City last week to interview some remarkable people. One of them was Andrew Sparkler.

Andrew is a lawyer in Manhattan who graduated from Fordham Law School four years ago. During his first year, he met a remarkable young man named David Nee. David is shown in the photograph above sitting between two of his law school friends.

David went to one of the finest preparatory schools in the country, Princeton University and then to Fordham. In my interview, Andrew told me that David was happy-go-lucky, the life of the party and always sought to make others feel comfortable. He was brilliant, often not having to study for exams and still getting good, if not great, grades. Something, however, changed during his Third Year of law school – at least in his friends eyes. David would disappear for weeks on end. When friends called him, he didn’t phone back. When he finally showed up, he always had some sort of plausible excuse.

Shortly after law school graduation, while studying for the Bar exam, David Nee died by suicide. In a note which he left, he said that he had been struggling with depression since he was fourteen years old. This poor soul, I thought. On the outside, he seemed so happy and carefree; on the inside, stuck in the dark world of depression.

Andrew Sparkler, his friends and family were devastated by David’s death. Why didn’t they know he was depressed? They decided to remember David by forming the David Dawes Nee II Foundation, a not for profit created to educate law students about depression and suicide. What a noble effort that deserves our praise and support.

Dave (not his real name) is in his late fifties and had battled depression most of his life. One day, he was driving his usual route to work. As the car sped by him, all he could feel was the pain of his existence. He suddenly got off the Niagara Falls exit. Once there, he parked his car. He got out, took off his shoes, socks and watch. He was methodical. He was a good lawyer after all. He thought of his wife and what his death would do to her. He called his best friend who got him into a psychiatrist that afternoon where he was immediately put on antidepressants and went into counseling.

In her best-selling book, Night Falls Fast: Understanding Suicide, psychologist, Kay Redfield Jamison states:

“Suicide is a particularly awful way to die: the mental suffering leading up to it is usually prolonged, intense, and unpalliated. There is no morphine equivalent to ease the acute pain, and death not uncommonly is violent and grisly.”

Jamison, who also suffers from depression, notes that there is a suicide every 17 minutes in this country. Identifying suicide as an often preventable medial and social problem, Jamison focus attention on those under 40 (suicides by those who are older often have different motivations or causes according to her book). Citing research that suicide is most common in individuals with mental illness (diagnosed or not), particularly depression, she clearly describes the role of hormones and neurotransmitters as well as potential therapies. Click here to hear an interview with Dr. Jamison on the Charlie Rose show.

Given that lawyers suffer from depression at a rate twice that of the national average and that the number one cause of death of middle aged lawyers is suicide, I believe that the legal profession must face this issue. It isn’t as if lawyer suicide is a sometime sort of thing. It happens a lot. Even one is too many.

The point here is not to be depressing by addressing suicide. The point is to speak up about just how dangerous depression is. It just isn’t just a mental illness; it’s also a killer.

A recent news article reported that 27 million American are on antidepressants – a staggering figure. Given the strong connection between depression and suicide, how can we avoid a frank discussion on this topic?

For more information, support and resources, check out the American Association of Suicidology.

I welcome everyone’s comments on this important topic.