Grateful and Depressed? You Can Be Both

In his book “What Happy People Know,” Dan Baker argues that you can’t be in a state of appreciation and fear, or anxiety, at the same time. “During active appreciation,” Baker writes, “the threatening messages from your amygdala [fear center of the brain] and the anxious instincts of your brainstem are cut off, suddenly and surely, from access to your brain’s neocortex, where they can fester, replicate themselves, and turn your stream of thoughts into a cold river of dread. It is a fact of neurology that the brain cannot be in a state of appreciation and a state of fear at the same time. The two states may alternate, but are mutually exclusive.” Other studies have also highlighted how gratitude can buffer you from the blues, promote optimism, and, in general, make you feel peachy.

However, I do hereby swear that it is possible to be grateful and depressed.

Simultaneously.

Love gratitude 3

For example, I’ve articulated on several posts that I have been in a depressed cycle for about nine months. I have good days, and I’m able to write my blogs, do a little publicity, arrange play dates for the kids, and help with their homework. But I have, for three seasons now, woken up with that nausea in my stomach and the familiar dread that most depressives feel in the morning, of wondering how I’ll make it through the day with what I call “dark vision.”

Today I woke up incredibly grateful for my husband. By the time I got downstairs, he was brewing Godiva chocolate coffee and had the table set for breakfast. He was making the kids’ lunches and making sure our son had his lacrosse stick for practice afterward. I was grateful for my kids: for the creative and sarcastic one who left a poster for me last night that read “I love Daddy more than you,” and for the other one who has a beautiful, sensitive soul and the discipline and determination to–in my opinion anyway–succeed at whatever he wants to do in life. For my family I am incredibly grateful.

However, if learned this afternoon that tomorrow would be my last day on earth, I would be immensely relieved.

I know that seems wrong … that I could be grateful and want to die at the same time. But I guess it’s the difference between a physiological pain–a quiet desperation, or a plea for relief–and the virtues of love, commitment, and appreciation. Professor of Psychiatry Peter Kramer explains this quandary best when he says, “Depression is not a perspective. It is a disease.”

A Beyond Blue reader caused me to think about this. On the combox of my post, “Never Place a Period Where God Has Placed a Comma,” she wrote:

I know how hard it is to fight for sanity when your brain chemistry is askew. However, I sometimes feel you don’t realize how lucky you are. Perhaps I’ve missed posts regarding the blessings in your life, but you have a husband who loves you and supports you and two children, a boy and a girl even. The people you’ve loved, the people who’ve loved you, the joy and heartaches you’ve shared … relationships are where it’s at.

She’s absolutely right. I have so much to be grateful for. And if I haven’t articulated that enough in my blogs, I’m remiss. However, expressing the anguish of depression doesn’t mean I’m not grateful. The love I have for my husband and my kids can’t and won’t stop the pain of depression. And considering that 30,000 Americans kill themselves every year, I would imagine that I’m not alone in saying that. Good and healthy relationships are certainly buffers against depression and anxiety and can aid us in our recovery. But gratitude and appreciation can’t interrupt my mood disorder any more than they can relieve the pain of arthritis.

If I sound defensive, I guess it’s because I used to beat myself up over and over again for not being grateful enough to stop a depressive cycle. And based on my mail from readers, I know that is the case with lots of folks. So, while I continue to record all my blessings in my mood journal each day and say them aloud right before dinner and at bedtime with the kids, I now know that gratitude is a separate animal to my depression, and that sometimes confusing the two, especially while in a depressive cycle, can do more harm than good.

So I take note of my blessings. I thank God many times throughout the day. But if, at the end of my prayer, I’m still depressed … well, that’s okay. Because, as Kramer says, depression isn’t a perspective. It’s a disease.

Therese Borchard is the author of Beyond Blue: Surviving Depression & Anxiety and Making the Most of Bad Genes and The Pocket Therapist: An Emotional Survival Kit. Subscribe to Beyond Blue, visit her website, or follow her on Twitter @thereseborchard.

 

 

 

“I’m Already Getting Help For My Depression: Now What?”

One study found that as many as eighty-percent of all people in this country that suffer from depression don’t get any treatment.

Given that depression is the leading cause of disability in the U.S. and that over 20 million people are afflicted with it, that’s a lot of people – about 16 million.

However, many of the law students, lawyers and judges with depression that I’ve met tell me that they don’t need to be told to get help because there are already getting it. They’re already in therapy, taking medication or both.  They get it.  They know that depression is an illness and they have to deal with it.

Some of them have been coping with it for a very long time.  I call these people “depression veterans”.  I have met many such veterans and their courage and determination to recover and stay well inspires me. As I wrote in a prior blog, these people are really my “heroes”.

I also have met many in the legal biz who say they’re at the end of their rope.  They’ve been in and out of therapy over the years with little or negligible improvement in their depression.   Others have started and stopped a number of antidepressant and/or other mood stabilizing medications tired of to little impact on the mood and too many side effects. But the depression always returns for them.

For most of them, it’s not a relapse into major depression.  Rather, a mild or moderate depression interspersed with fatigue, a lack of pleasure and a glum outlook on life. What they are experiencing is a fact about depression and its course.  That it often a chronic and life-long illness for those so afflicted.

Then there are many who go through long stretches of feeling pretty well most of the time, but still have pockets of depression.

I put myself in this camp.

Most days, my depression, on a scale of “1” through “10” is a 1 or 2, if it’s present at all.  If it gets worse, it’s less often, not as strong and has a much shorter duration is much shorter – maybe a 3 or 4.  This seems to be especially so during the dark days of winter.

What worked for me to reign in the beast of depression was a change in life style, which included regular therapy, medication, a support group, prayer and exercise.  While there is no one thing that is a panacea for depression sufferers, I am convinced that such the positive changes have a direct, lasting an significant alleviation of depression’s worst symptoms.

To make a lifestyle change, I develop a depression “toolkit”.  A game plan that I’ve pretty much stuck to for a number of years. The value of such a toolkit is that it provides a map for us to stay on course.  It gives us a sense of structure and a sense of hope.

If you thinking about how to really recover from depression stay healthy, it’s important to come up with your own depression toolkit.  There are lots of ways to go about it.  The two best examples of depression toolkits I’ve found come from the University at Michigan’s Depression Center and the Depression and Bipolar Support Alliance.

So pick up your pen and start building  your own toolbox today.

Copyright 2014 by Daniel T. Lukasik

 

 

Hope Has The Final Say: A Lawyer Shares His Pain

I made a new friend this week.

A lawyer from down south emailed me.  He had found me through my website. He told me about some terrible and unexpected turns his life had taken recently which had plummeted him into a major depression.

I e-mailed him back and said that I would like to speak with him by phone.

I learned that his drop into the well of depression wasn’t his first experience with this terrible illness. He had gone through a bad episode twenty-five years ago, but since then nothing until his most recent crash.

During our thirty-minute talk, I felt the rawness of his pain in his voice.  I recognized this sound all too well.  It was the pain of depression.

He told me that the only respite he felt was when he fell asleep because it was only in this state of unconscious that he had some relief from the grinding wheels of depression.

I also learned that he was married, a father of four and had worked very hard for over twenty-five years as a lawyer.  He was a Catholic who prayed often. He felt horrible about the pain and anxiety his depression had caused his wife and children.  He told me that he felt comfortable talking with me because I was a lawyer and someone who had been through depression.  As we talked, his voice became a little lighter and his tone a bit more optimistic.

I don’t attribute to anything I did.

Instead, I see it more as a testament to this central truth about life on earth: It is in sharing with one another our stories that we heal.

And I believe that we’re all called to be healers of one another.

And in listening to one another’s stories, we learn that suffering doesn’t have the final say.

And in this truth, we find hope.

Stress Reduces When Shared

A new study suggests sharing your feelings of stress with someone having a similar emotional reaction to the same situation reduces levels of stress more than sharing them with someone who is not.  Read the News

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