Secondary Trauma in the Law: An Interview with Expert Dawn D’Amico, Ph.D.

This podcast interview features my conversation with Dr. Dawn D’Amico, a psychotherapist, educator, and expert on secondary trauma in the legal profession. She is the author of the recently published book “Trauma and Well-Being Among Legal Professionals” and a companion workbook.

Secondary trauma is caused by witnessing another individual’s trauma experience or hearing his or her trauma narrative. Legal professionals are exposed to harrowing stories in courtrooms across the country, and these narratives often have a lasting psychological impact which may result in anxiety, depression, and suicide.  In this interview, Dr. D’Amico goes into greater detail about secondary trauma and offers some ideas and tools to help those who struggle better cope with these issues.

Dr. D’Amico has given keynote speakers and seminars around the country and internationally. For more information on her background, services, and incredible work, visit her website.

True Stories: A Lawyer With Depression Journey from Pain to Mental Health Advocacy

 

“True Stories” is a series of guest blogs I am running. Below, Gavin Alexander bravely tells his story of a journey from Harvard and Biglaw to becoming a champion for mental health and well-being in the legal profession.  

I felt comfortable enough to come out as bisexual when I was 16.  I didn’t feel comfortable enough to come out as suffering from depression until I was 30.  As a result, while I was pretty darn sure from around age 12 that the symptoms I was experiencing were tied to mental illness, I did not seek or receive any kind of treatment or mental health support until I was 5 years into my practice as a lawyer.  I was petrified that leaving any sort of “paper trail” of having received mental health treatment would place a cap on my ambitions, limit my career prospects, or even cause me to lose the support of my family and friends.

During my time in law school, I thought about killing myself nearly every day of every exam and study period. I believed, based on messaging I received from law school career services offices, law professors, and the legal media, that anything short of massive success would result in abject poverty and an inability to repay my over $200,000 of student loans.  I wound up finishing my 1L year at Boston University School of Law with the number 1 GPA in my section of over 80 students, transferring to Harvard Law School, graduating from Harvard in the top 10% of my class with a GPA of 4.02, and securing a clerkship with former Chief Justice of the Massachusetts Supreme Judicial Court (the “SJC”) Ralph Gants.  I provide these details not to brag, but to illustrate that depression and suicidal ideation can affect even those who show all external indicia of success.

True Stories: A Wife’s Pain Over Her Husband’s Struggle With Depression During His First Year of Law School

“True Stories” is a new series of guest blogs I am running; this is the fourth in the series. Here is a heartfelt story from Katie, who writes about her husband’s struggles with depression during his first year of law school.

Three years ago, my husband became a first-year law student at a state school with an excellent reputation. After several years of waffling between pursuing medicine, law, military, and scientific research careers, he opted for law and was admitted to a number of schools, accepting his best offer. We relocated so that he could attend, moving from the sunny Southwest to the frigid winters of the Mid-Atlantic. He was excited at first, eager to begin a new chapter of his life, and enthusiastic to embark on a learning journey; he loves to read and study politics, economics, business, and law, and I felt that this endeavor would help him fulfill his potential both personally and professionally.

True Stories: A Lawyer Tells All About His Traumatic Childhood, Drinking, Depression, and Recovery

“True Stories” is a new series of guest blogs I am running. Too often, lawyers don’t know the burdens other lawyers carry both outside and inside the office. Here’s an unvarnished and anonymous account by one BigLaw lawyer who shares his powerful story. 

I am an attorney with major depression. Understanding this recovery story from mental disease requires a trip back to my childhood, where depression first took root.

When I was nine months old, my mother left me alone with my father, an unpredictable, violent alcoholic. She returned to find a pile of blankets on the living room floor. Underneath, she found me, covered with welts. My father told her that I wouldn’t stop crying, so he hit me until I stopped crying. The physical (and later verbal) abuse continued for several years, as did my ability to accept it without responsive emotion.

At the age of four, I began going to the next-door neighbor’s house for before and after school care. There, the neighbor’s oldest son repeatedly sexually abused me.  He warned me not to tell anyone, so I didn’t.

Growing up in constant fear, I learned to hide all feelings, both good and bad, and keep secrets.

A Lawyer’s Tough Tale: Depression at a BigLaw Firm

This a guest blog by a lawyer, who wished to remain anonymous, and his difficult journey with bipolar depression and his BigLaw firm.  

Once upon a time, I was a trial attorney at a personal injury defense firm. I was good at it.  I always pushed hard; always did the best job possible.  I won a good share of cases, and, of course, lost a few as well.  I was valued highly enough to be made a partner shortly after joining the firm.

But I had a dirty little secret.  I had bipolar disorder, which was well-controlled through a close partnership with a good psychiatrist.  Still, in my mind, if word ever got out, my employers would see me as weak, a liability.  To a degree, I understood.  If the insurance companies that paid the bills learned that one of the firm’s trial attorneys had such a condition, their mandate would be clear: if you want our business, get rid of him. That is what I assumed.

Throughout my career, colleagues would make offhanded remarks about someone “not taking his medication.” I would grit my teeth and ignore it.

Instead, I was able to construct an alter-ego, the “happy warrior.”  I had a smile on my face and a sardonic remark ready on cue. But I went about my daily business feeling like a secret agent in a Cold War spy movie.  If my cover was ever blown, I was certain that my career would be at an end.

Wired: Anxiety Strikes at Harvard Law School

Freud was of the opinion that in fear a person is responding to a specific and immediate threat to physical safety while in anxiety a person is responding to a threat that is objectless, directionless, and located somewhere far off in the future—ruination, for example, or humiliation, or decay. Daniel Smith, Monkey Mind: A Memoir of Anxiety

I spoke at Harvard Law about the challenges of living with depression and the epidemic of poor mental health in the legal profession. It was a memorable event.

Days before I am scheduled to talk, my sleep goes cuckoo. I become incredibly anxious about my speech. What if I fall flat on my face? I graduated from some third-tier law school, after all. I don’t belong lecturing at Harvard.  My churning nighttime ruminations now seep into my days as the event gets closer.

Can We Undo Lawyer Depression? A Psychologist Weighs In

This blog is by Dr. Richard O’Connor, a psychologist in NYC who has treated patients with depression for almost 40 years. He is the author of the best-selling book “Undoing Depression: What Therapy Doesn’t Teach You and Medication Can’t Give You” and appears in the documentary, “A Terrible Melancholy: Depression in the Legal Profession.”

There’s some interesting research to suggest that happy people view the world through certain comforting illusions, while depressed people see things more realistically. For instance, the illusion of control. You can take a random sample of people and sit them in front of a video monitor with a joy stick, and tell them their joy stick is controlling the action of the game on the screen. (But the point of experiment is that it actually doesn’t). Depressed people will soon turn to the lab assistant and complain that their joy stick isn’t hooked up correctly. Normal people, on the other hand, will go on happily playing the game for quite some time.

Too Much Depression, Too Little Sleep: 3 Things You Can Do to Get a Better Night’s Slumber

The worst thing in the world is to try to sleep and not to. – F. Scott Fitzgerald

When first diagnosed with depression, my sleep became fragmented in a way I had never experienced before.

Before this time, I, like most frenzied lawyers, had periods of restless sleep tinged by stress and anxiety. But my sleep would return to normal after a lengthy trial or round of contentious depositions.

But this was different.

Lots of Depression, Little Sleep

I was always tired, but couldn’t sleep through the night. I went to bed early, exhausted from trying to make it through another day with depression. Trouble sleeping is a symptom of major depression.  Kay Redfield Jamison, M.D., a psychiatrist, writes:

The body is bone-weary; there is no will; nothing is that is not an effort, and nothing at all seems worth it. Sleep is fragmented, elusive, or all-consuming. Like an unstable, gas, an irritable exhaustion seeps into every crevice of thought and action.”

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.

Slogging Through the Swamp of Lawyer Depression With Dr. James Hollis

Here is my fascinating interview with Dr. James Hollis, psychoanalyst and author of several best-selling books including “Swampland of the Soul” and “What Matters Most: Living a More Considered Life.”

Dan:  What is depression?

Jim:   I think first of all we have to differentiate between depressions because it‘s a blanket term which is used to describe many different experiences, different contexts and different internalized experiences of people.  First of all, there is the kind of depression that is driven by biological sources and it is still a mystery as to how that works.  We know it affects a certain number of people in profound ways.   Second, there is reactive depression which is the experience of a person who has suffered loss and as we invest energy in a relationship or a situation and for whatever reason, that other is taken away from us, that energy that was attached to him will invert as depression.  Reactive depression is actually normal.

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