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.

The Happy Horizon Keeps Unhappy Lawyers Stuck

Lawyer Jennifer Alvey writes, “I’d be willing to bet more than 80% of you live with a Happy Horizon in your head. The Happy Horizon is the fantasy you use to convince yourself that all your angst over your job is just a temporary blip, rather than the actual contours of your daily existence.” 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

Attorneys Grapple with High Rates of Stress, Burnout

Business West reports, “Lawyers say they entered the legal field to help people with their problems — often very difficult, serious problems. The danger is internalizing those problems and making client stress a permanent part of one’s psyche. That pitfall, and other stressors common to lawyers, from time pressures to sometimes-adversarial work relationships, contribute to unusually high levels of burnout, depression, substance abuse, and even suicide in the legal field. One challenge, experts say, is to recognize those dangers before they take root.” Read the News

 

Lawyers, Don’t Let Perfectionism Ruin Your Health

Duke University Law grad, Jennifer Alvey explores why lawyers have such poor mental and physical health: “Part of the answer lies in lawyers’ predisposition toward perfectionism. I often encounter lawyers who can only envision doing something if they can be all in. Doing something less-than-perfectly is seen as failure. When it comes to exercise and diet, this kind of thinking can set anyone up for failure because they will try to make big, grand changes at once, be unable to sustain them, and quickly quit in disgust.”  Read the rest of her Blog

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