The Suicide of a Lawyer with Depression — Ken’s Story

This is a guest blog by Cincinnati, Ohio attorney Tabitha M. Hochscheid, Esq., a partner at the law firm of Cohen, Todd, Kite & Stanford, LLC.  In this moving tribute, she writes about her law partner and dear friend Ken Jameson who committed suicide in May of 2011 after a battle with depression.

How well do we know those with whom we spend our work days with?  Is it possible to practice with someone and be there friend for years yet, not truly know that they are suffering from the depths of depression?  Being around other attorneys can give us the camaraderie and support we need to grow and build our practice.  But, often times, people keep their emotional health a secret and suffer from depression in silence.  By the time their colleagues realize what is going on, it can be too late to do anything about it. My partner and friend Ken Jameson was one of the people.  This is his story. 

Ken Jameson was, by outward appearances, successful, well liked, a loving husband and father, a friend to everyone and a dependable partner.  In fact, Ken was perhaps the epitome of the well liked, client centered and dedicated lawyer many of us envision when we think of how lawyers should behave. On the inside, however, Ken was struggling with the depression which eventually took his life.

I first met Ken in the summer of 2007 for breakfast to discuss my interest in joining Cohen, Todd, Kite and Stanford, LLC.  Ken was so easy to talk to and we instantly bonded because he too had left a small firm to find a place to grow and build his practice at Cohen, Todd, Kite & Stanford, LLC.   After I joined the firm in January 2008, Ken was always available to help and support me and we grew into friends, as well as, colleagues.

Like so many attorneys, Ken built a practice by creating a network of referrals, by giving his clients personal service and building long term relationships.  He was an attorney who facilitated resolutions and provided estate plans for people of all income levels.  Ken enjoyed his work.  After joining the firm himself in 2006, his practice thrived.  He became a trusted member of the firm and was on the management committee.   Ken shared is life outside of the office with his wife and best friend of 35 years, Betsy, and three adult children of whom he was most proud.

Ken was a universally well liked person.  He conducted himself professionally in such a way that he never seemed to have conflicts with others.  Ken cared about his firm family, he always checked in on people if they were sick or if he knew you were under stress.  He was active member in his Church.  Ken took care of his physical health by walking 5 miles a day, attending Pilates classes twice a week and maintaining a healthy diet.  By all outward appearances, Ken had success in his work, a happy home life and seemed content.

However, Ken had underlying mental health issues.  Like many attorneys he had trouble sleeping well.  Sleep is something that eludes most attorneys from time to time, but his type of sleep loss was chronic.   He would fall asleep and wake up in just a few hours and not be able to go back to sleep.  As long as I knew Ken, he had this issue.  He tried relaxation techniques to help him sleep better, he read books about stress management and attempted to delegate work to others.  Ultimately, Ken was a self confessed perfectionist and as such, had an inner critic who told him he had to be at work all the time.

Most lawyers struggle with the challenges of building a law practice, client demands and finding out how to have precious downtime.  Ken was doing all the right things, but he still wasn’t able to sleep.  In March of this year, he took time out of the office due to exhaustion.  He went to see his family doctor and was prescribed something for sleep.   He tried to come back to the office part time within a few weeks but was unable to sustain a schedule.   Ken represented to those of us at work that he was exhausted and initially did not tell others what was really going on.

In late April, he left the office again.  This time it was lack of sleep and a pinched a nerve in his back.   With this new medical issue, his depression worsened.  He spent sometime in the hospital to adjust to new medications and was scheduled for back surgery.  At this point, Ken began expressing worry about the office and felt as if he was letting the firm down.  Finally, Ken had back surgery for the pinched nerve in the middle of May.  After the surgery, Ken seemed to be doing better; everyone thought his return to the office was imminent.

Ken never returned to the office.  On Sunday, May 22, 2011, I received a call from our office manager.    She informed me that Ken’s depression had worsened and that he had taken his own life that morning.  As the next few days unfolded, details began to surface.  Ken underwent surgery on his back and in the days following the procedure, had checked in with people at the office and had seemed like his old self.  Ken also visited his mother and called his best friend.  All the while, Ken meticulously planned how to take his own life.

No one can answer the question of what was going through his head or why he was in such despair that he took his life.  The next five days were difficult at the office.  People were in a state of shock and disbelief.  His office door has remained open since Monday, May 23, 2011.   A memorial was held the Saturday following his death and it was standing room only.   Ken clearly touched the lives of thousands and his life was remembered in eulogies by his friends, his sister and his wife.  It was touching to see so many people who loved him, but the confusion as to what occurred actually increased for many.

Do you ever really know the people we practice law with?  Everyone at the office felt they had a personal relationship with Ken.  But, did anyone of us really know what was happening.  It is easy now to look back and see the signs of Ken’s illness (sleep deprivation, self criticism, feeling of letting others down, a search for answers and inability to allow others to help) and to wonder what if anything could have changed the outcome.  Time, however, does not give us this luxury and these questions will never be answered.  The best that can be done is to acknowledge that Ken’s illness, depression, can be deadly. 

It seems that our profession gives little in return for years of hard labor.  Learning a way to balance the demands of the business of being a lawyer with the need for downtime is essential to one’s mental and physical health.  Ken’s depression is an all too real downside of the practice of law.  His suicide is a tragedy to his family, our law firm and to the legal community.  He was one of the “good” guys and the profession needs more people like him.

For those of us left behind we struggle for understanding and to carry on in spite of the sadness we each feel.  Inevitably when speaking with others we are confronted with the questions of why?  Most people will ask the normal questions – were there money problems, did he have marital problems or health issues.  The answer to these questions is no and then people just cannot fathom why Ken chose to end his life.   I know in my heart that, as the minister said during his memorial, that Ken felt he was “fixing” the situation.  Ken was a fixer and this was his only choice left.

I’ll always miss Ken Jameson.  The courage and commitment he showed to his clients, his family and those of us in business with him is something I admire.   However, his suffering in silence has left me and his other colleagues with regrets as to what we could have done to help.  In the end, however, Ken could not give himself permission to be less than perfect and eventually, felt those in his life were better off without him.  It is truly a sad ending to a beautiful life that could have been prevented.  My hope in sharing Ken’s story is that there will be greater recognition of depression and the despair that can accompany and that it will help someone struggling with these issues.  As for Ken, I hope he has found the peace that life did not provide.

Editors note — If you or someone you know suffers from depression and may have thought about suicide, visit the website of the national organization The American Association of Suicidology which contains great information, resources and how to get help. Lawyers can also contact  Lawyer Assistance Programs in their legal community.  To locate a program near you, visit the ABA’s Commission on Lawyer Assistance Programs website.

Paying Attention to Our Depression

Depression isn’t just an illness.  It’s a messenger.

In his book, Unstuck, James Gordon, M.D., writes:

“Depression is not a disease, the end point of a pathological process.  It is a sign that our lives are out of balance, that we’re stuck.  It’s a wake-up call and the start of a journey that can help us become whole and happy, a journey that can change and transform our lives.  Healing depression and overcoming unhappiness mean dealing more effectively with stress; recovering physical and psychological balance; reclaiming parts of ourselves that we’ve ignored or suppressed: and appreciating the wholeness that has somehow slipped away from us, or that we have never really known”.

If we would but listen, we might find that our depression is trying to tell us something; important insights about our lives and the ways we live it that might be keeping us mired in a soupy gloom.

We often don’t heed our inner wisdom, but keep going full-speed ahead in the wrong direction anyway. Richard O’Connor, Ph.D. observed, “Depression is a vicious circle and we keep doing these destructive patterns because “we don’t how to do anything else.”

When we think of depression only as an illness, we oversimplify its causes and remedies.  No doubt, it has profound effects on our brains and bodies.  Surely, it runs in families and likely has a genetic component. But if it were only that, a blue pill would solve the problem.  And it doesn’t.

The pain of depression may be an impetus for sufferers to live a more authentic life.  Often people who suffer from depression are living from a wounded place within themselves.  Along the way, they learned that they weren’t “good” enough or were “bad people”.  As a consequence, they learned to hide their true needs and wants and live an inauthentic life; a life that may not work, but they don’t know how to change.

In this vein, folks can come to think of depression as some sort of punishment:  a recompense of some unknown sins from an undefined past.  Or, maybe the very real wrongs they may have committed are magnified, as they are prone to be in the mind of a depressive, by the process of generalization: a known cognitive trick of depression where we take a negative incident (e.g. “I lost this case”) and turn it into “Why am I such a failure?”

Depression doesn’t just happen to anyone. Rather, it is the accumulation of a lifetime of varying degrees of psychic pain suffered during a lifetime, often starting in early childhood.  In our early years, many learned that it was dangerous to live from a space of our true selves because of a parent who was an alcoholic, abusive or in some way emotional abusive or absent.

Ellen McGrath, Ph.D., writes:

“Scientists know that traumatic experiences such as child abuse and neglect change the chemistry and even the structure of the brain.  They sensitize the stress response system so that those who are abused become overly responsive to environmental pressures.  They shape wiring patterns in the brain and reset the sensitivity level of the machinery.   Eventually, even small degrees of stress provoke an outpouring of stress hormones, and these hormones in turn act directly on multiple sites to produce the behavioral symptoms of depression. They push the brain’s fear center into overdrive, churning out negative emotions that steer the depression’s severity and add a twist of anxiety”.

Our parents, acting out of their own wounded souls, unconsciously played out their unresolved pain with us during our childhood.  They did so because of their distorted way of seeing the world; a place that they found threatening, its problems unsolvable and against them at every turn.  This hardened them and led them to fail in life’s most important vocation: the nurturance of their own children.

I recall my mom saying to me as a child, “Well, what are you going to do?”  While one could say this was the innocuous lament of a middle-aged mother of 5 kids, later in life I learned it was mom’s worldview that there weren’t really solutions to life’s fundamental problems, that we are, at our core, helpless in the face of life’s thorny challenges. 

My mom suffered from undiagnosed and untreated depression for most of her life.  I now see how this passive, victimized way of seeing the world took root in my psyche as a young man.  And how hard I had to work to overcome it over the years; how I had to struggle to listen less to the inner voice and critic of my parents and incline my ears toward my true self which was always there waiting to be heard.

In Listening to Depression, psychologist, Lara Honos-Webb writes that depression is trying to tell us something: that we are on the wrong track in life.  In this sense, depression can be a teacher if we would only listen to it.

How can we come to see depression as a teacher?  Honos-Webb writes:

“Depression can be seen as a break-down in the service of offering the person an opportunity for a break-through.  In this way, depression can be a corrective feedback to a life with little reflection.  We only reflect on those things that break down in life.  For example, if life is going along smoothly you won’t spend time thinking about the meaning of life.  We tend to think deeply about life when something is not working.  When we identify a problem, we begin to reflect on what caused the problem and how to fix the problem.  If you are disconnected from your deepest feelings and impulses you may still manage to get through life without realizing it.”

I admit that it’s hard to see depression’s value when in the thick of it, the swamp through which we slog with little relief.  But there’s much to be said for seeing depression not just as a disease, but as a messenger that our lives need to change for us to heal.

 

 

How Stress and Anxiety Become Depression

Lawyers suffer from depression at an alarming rate.  I am one of them.

I have been a litigator for more than 22 years, and I didn’t suffer depression in the beginning of my career. But I did have trouble managing the stress of my practice. 

Over time, this constant stress developed into anxiety.  I started feeling like I couldn’t control everything.  I would go to bed fearing the problems and disasters to confront me the next morning.  After years of this, the pendulum swung from states of anxiety to states of depression.  Why did this happen?  It took me a long time to understand.

Recently, scientists have been focusing on the connection between stress and anxiety and the role they play in triggering and maintaining depression.  This is something that should be of concern to all lawyers, who carry high stress loads in their law practices.

Too Much Stress Can Lead to Anxiety

“Stress” is anything in our environment that knocks our bodies out of their homeostatic balance.  Stress responses are the physiological adaptations that ultimately reestablish balance.  Most of the time, our bodies do adapt, and a state of balance is restored.  However, “if stress is chronic, repeated challenges may demand repeated bursts of vigilance,” warns Dr. Robert Sapolsky, an expert on stress-related illnesses and author of the best-selling book, Why Zebras Don’t Get Ulcers: An Updated Guide to Stress, Stress Related Diseases and Coping. “At some point, vigilance becomes over-generalized, leading us to conclude that we must always be on guard – even in the absence of stress.  And thus the realm of anxiety is entered,” writes Sapolsky.

About 20% of the population will experience some form of anxiety disorder at least once in their lifetime.  Studies show that law students and lawyers struggle with anxiety at twice that rate.

Anxiety and Depression

Stress went on too long in my life as a litigator.  I had, indeed, entered the realm of anxiety.  I felt like I had a coffee pot brewing 24/7 in my stomach.  I became hypervigilant; each file on my desk was like a ticking time bomb about to go off.  At some point, the anxiety made me dysfunctional, and I was unable to do as much as I had before.  I felt ashamed of this.  I denied it to myself and hid it from others, but the litigation mountain became harder and harder to climb as the anxiety persisted over a period of years.

Sapolsky writes, “If the chronic stress is insurmountable, it gives rise to helplessness. This response, like anxiety, can become generalized: A person can feel . . . at a loss, even in circumstances that [he or] she can actually master.”  Helplessness is one pillar of a depressive disorder that becomes a major issue for lawyers because we think of ourselves as invulnerable superheroes who are the helpers, not the ones in need of help.  Lawyers often don’t get help for their depression and feel ashamed if they do.     

Many lawyers do not appreciate the connection between their stress and anxiety and their risk for developing clinical depression.  But the occurrence of anxiety disorder with major depression is frequent; in fact, 60 percent of people with depression are also suffering from an anxiety disorder.

Maybe this connection helps explain studies that find such high rates of both anxiety and depression in the legal profession.

Depression “is stress that has gone on too long,” according to Dr. Richard O’Connor author of the book Undoing Perpetual Stress: The Missing Connection between Depression, Anxiety, and 21st Century Illness.  Many people with depression have problems dealing with stress because they aren’t “stress resilient,” writes O’Connor.  It’s not some central character flaw or weakness, but a complex interplay bewteen genetics and one’s experiences over a lifetime.

How our bodies and brains deal with stress and anxiety hasn’t changed much in the last 10,000 years.  This wonderful defense mechanism, which is wired into our nervous system, is called the fight-or-flight response.  When confronted with a threat – – whether real or perceived – – this response kicks in and initiates a sequence of nerve cell firing and chemicals like adrenaline, noradrenaline and cortisol that flood into our bloodstream and propel us into action to meet a threat.  This was an essential survival device for our ancestors who lived in the jungle and would have to flee beasts or fight foes trying to kill them.

Lawyers don’t fact these types of real life-or-death threats.  But they perceive life-or-death threats in their battles with opposing counsel while sitting in a deposition or sparring in the courtroom.  Our bodies respond as if we were being chased by a hungry lion.  Accordingly, the stress response can be set in motion by mere anticipation, and when humans chronically believe that a homeostatic challenge is imminent, they develop anxiety.

Over time, this chronic anxiety causes the release of too much fight-or-flight hormones.  Research has shown that prolonged release of too much cortisol damages areas of the brain that have been implicated in depression: the hippocampus (involved in learning and memory) and the amygdala (a fear processing hub deep in the brain).  Another area of the brain, the cingulate (an emotion-dampening center located near the front of the brain), in tandem with the amygdala, helps set the stage for depression.

Lawyers need to learn better ways to deal with stress and anxiety to avoid the multiple triggers that can cause or exacerbate clinical depression.  Turning and facing those things that make us stressed and anxious, and doing something about it, gives us the best protection against depression.

I’m Now Tweeting About Depression

I have just begun tweeting.  I hope to sprinkle news stories and other articles about stress, anxiety and depression that are meaningful and significant.  I encourage you to get on board.  Today’s tweet is from today’s edition of The New York Times.  It’s a facsinating piece about the connection between the inability to recall specific details and depression.   A study was just conducted by a team of psychologists at Oxford University.  What they found was that the recall of past events in a broad, vague manner was an ” . . . unsung vulnerability factor for unhelpful reactions when things go wrong in life” and depression.  Connect with Twitter and read on.

My Desk, My Enemy: 6 Helpful Ways to Get Organized

I spend time – too much it – trying to keep my desk in check.

Like a taciturn child, it erupts with tantrums of disorganization. The fact that it’s a mess today seems unfair, as if a hole suddenly formed in the ceiling above me and dropped a cache of briefs, case opinions and half-used legal pads onto my workspace.

I shuffle the papers that lay before me. They look back at me.  Ten minutes go by.  I reshuffle everything all over again. Sound familiar?

Mind you, on the Clutter-o-Scale, my desk is only a 4 out of 10.  If so, why the grief?

Some of my angst comes from having trouble finding things.  But an equal measure comes from the sense that I should be more organized. We have made a religion out of organization in this country which has sprouted temples of crazed worship like The Container Store or Organize.com.  Maybe this growth industry is in reaction to how much stuff/junk/information we like or have to obtain and perpetually reorganize.  This mania has even spawned an inane reality T.V. show “Hoarders.”

Too many things compete for lawyers’ attention besides the usual culprits of returning phone calls, court appearances and last minute deadlines.  When you add a messy desk to an already stressed-out life, well, it becomes the enemy.

Desks are the pedestals of our productivity.  How we organize the stuff on them has a big effect on how well or if we get things done in a timely fashion.  But just as important as these practical concerns is the impact it has on our mental health.

What is your Organizational Style?

According to Kelly Lynn Anders in her book The Organized Lawyer, “Not everyone prioritizes about what the eye needs to feel relaxed. Some ideas work for some and not for others. That’s why it’s important to know your type.” She identifies four types of organizers:

Stackers organize by topic in stacks. They are visual and tactile and like to give the appearance of order. The busier these people are, the more stacks they have.

Spreaders are visual like stackers, but must be able to see everything they’re working on.

Free Spirits keep very few personal belongings around the work area. They like new ideas and keep reports, books, articles and magazines near.

Pack Rats have emotional ties to things. They like the feeling of fullness around them and like to tell stories about what’s in the office.

Which type are you?  She has a lot of useful suggestions, among them is color coding files. On her own desk, she keeps commonly used files close at hand. Because she identifies herself as a “stacker,” Anders avoids cabinets and other hidden spaces for her files.  “The reason I don’t have a lot of hidden storage is stackers have a tendency to squirrel things away,” she said. Check out some of her other suggestions at her website.

A Contrarian Point of View

Einstein considered his cluttered desk a help rather than a hindrance to his prodigious creativity.

While we don’t have his brain’s elephantine computing power, it’s worth considering that your desk mess might not be so bad after all.

Dr. Jay Brand, a psychology professor, argues that a squeaky clean desk doesn’t always equate with a productive employee. It can actually hinder personal efficiency because a person’s desk is an extension of his/her mind. That’s because our human memory has a limited capacity, or finite ‘cells’ available for storage and since most people do multiple things at once they almost immediately ramp their working memory to capacity. They need a place to park some of the information from their working memory into the environment and what more logical place than their desks?

According to Dr. Brand, “these cluttered desks that people use to store information from their working memory are called ‘cognitive artifacts’, and they expand a person’s capacity to think and utilize the environment”. He argues that companies with clean desk policies waste time by requiring workers to clean up their cognitive artifacts every night and re-clutter them the next morning. He points out that everyone has a different working style and piles can be organized topically, chronologically, or according to an individual system. As long as the pile means something to the person who made it, it is effective.

I’ve known plenty lawyers in this group.  But I ain’t one of them.  Maybe it has to do with my own depression over the years.  Or, as Kelly Anders suggests, it’s just my type that determines how I lay out the work space in front of me.

The Depressed Desk

When a lawyer has depression, motivation and organization are BIG problems.  A lack of energy blunts motivation.  We already know that it’s a good idea to keep our desk together, but there simply isn’t much neurochemical juice to get it done.    But, time or a court’s scheduling order waits for no one.  If we don’t keep the paperwork on the conveyor moving, we end up a casualty of our work days and add to the stress/anxiety/depression mix.

In her book Get it Done When You’re Depressed, Julie Fast writes:

“Many people equate depression with the inability to work. In reality, the problem is often the inability to feel like working.  People who are depressed assume that their lack of motivation is a sign of weakness, and if they could just buck up a bit, they would be more productive. But waiting until you feel like doing something is the single biggest mistake you can make when you’re depressed and need to get things done.”

Yes, we need to start working in spite of our desire not to.  Dr. John Preston, in the same book, elaborates further:

“Depressed people find it very hard to ignite this self-generated action due, in large part, to decreased metabolic functioning in the frontal lobes of their brain, which are responsible for initiating behavior.  So if a person waits a long time and not only not accomplish the non-rewarding tasks but also miss out on the big projects that can bring big rewards.”

So it appears that folks who aren’t depressed and are motivated people have ramped up brain metabolism.  I’m envious.  Yet, there is something we can do about it.  As I’ve written about before, consistent exercise helps boost the happy chemicals in our brains, jacks up metabolism and improves our motivation and focus.  Moving is motivating.

We must outfox depression.  It would have us do nothing.  So we must do something.   When I apply this simple wisdom to my day, I’m always pleasantly surprised at how my feelings catch up with my doing and how my doing affects my feelings.

My experience during bogged down moods, was that I’d get most things done, but it would take lots of energy.  When I’d come home from work, I’d be spent.

Six Simple Solutions

I agree with an observation made by Leo Babauta on his blog Zen Habits: “The most important thing to remember is that you must have a system in place, and you must teach yourself to follow the system.  Otherwise, you just clean your desk, and it gets messy again”.

Here are a couple of tried and true tips that have helped me:

1.   Get rid of all those pens. Only keep three or four.  More than that, and there’s too much ink in your work space.  If you love pen, keep your stash at home.  I often troll the pen aisle at Office Max — strange, but true. So I know how difficult it is to part with them.

2.   Take home any books that you don’t use on a regular basis. It’s just more clutter and keeps you from easily putting your hands on the important stuff you need to do your job.

3.   Hide cords – these are like a floating octopi with tenticles that seemingly go everywhere.  Use twist-ties or coil your cords up.

4.   Only keep on your desk what you need for that day. Then section off your desk and workspace so that everything has a specific space.

5.   Have a dump day.  Take everything off your desk and out of your drawer and then put it in a big pile. Then, sort through what is garbage and what you really need throughout the workday.

6.   Schedule a date and time to clean your desk.  Ideally, at the end of a workday.  Weather permitting, do it on Friday’s around 4 so that I start my Monday fresh.

99 Things About Depression

  1. Depression sucks.
  2. You know this if you suffer from it.
  3. You know this if you’ve suffered from it before.
  4. If you have it, you’re not alone.
  5. If you’re in the legal profession, you’re really, really not alone.
  6. 10% of Americans struggle with depression.
  7. 20% of lawyers struggle with depression.
  8. Do the math – 200,000 out of 1 million lawyers have the big “D”.
  9. Grad school is tough.
  10. Apparently, tougher law students.
  11. 20 to 40% of law students will become depressed at some point.
  12. Do more math – 30,000 to 60,000 out of the 150,000 law students.
  13.  Ok, ok, we get it.  Depression is a BIG problem in the law.
  14. I’ve felt lonely when I’ve been depressed.
  15. I’ve been bone-tired when depressed, but couldn’t sleep.
  16. People who struggle with depression are my heroes.
  17. If there are so many depressed lawyers, why do they stay in the law?
  18. Money?  For sure, what else?
  19. Status?  Yes.
  20. Very often, they’ve drifted into it.
  21. But, maybe they’d be depressed in or out of the law. Maybe.
  22. Many wonder, “What else could I do with a law degree?”
  23. Not getting help?  Not a good idea.
  24. Getting help?  Much better idea.
  25. We are people who happen to be lawyers.
  26. We’re not lawyers who happen to be people.
  27. Remember this.  Don’t forget it.  Write it down someplace.
  28. Depression changes your brain chemistry.
  29. You may need medication.  Maybe not.
  30. You’ll need to talk to someone about it.
  31. A friend?  Good start.  A therapist?  Even better.
  32. You’ll need to make changes in your life to get better.
  33. And stay better.
  34. What combination of changes those are different for everyone.
  35. You can start to feel better.
  36. I care about you even though I’ve never met you.
  37. This is so because I’ve been there and understand.
  38. You need to find people like this to talk to.
  39. Be realistic – it might take a bit of time to feel better.
  40. How long? Nobody really knows.  Just keep going.
  41. Some say, “I feel like killing myself”.
  42. Don’t do that.  Though, I understand why you might feel this way.
  43. This painful impulse is depression talking – don’t listen.
  44. Talk with a therapist about this pain – immediately – and listen to them.
  45. Take a good look at how you see the world.
  46. Take a good look at how you see yourself.
  47.  The Buddha once said, You are what you think.
  48. Psychologists say that too.
  49. True, but you’re more than just your thoughts.
  50. You are a child of God, however you conceive of Him, Her or It.
  51. You are precious beyond measure.
  52. Exercise isn’t just about losing weight.  It’s also about good brain chemistry.
  53. Don’t listen to people who say “Toughen up.” Simple ignorance.
  54.  Don’t try to handle this by yourself.
  55. It’s an illness. You’re not a bad, weak person.
  56. Depression tends to run in families.
  57. Your drinking too much might really be about depression.
  58. It’s okay to be scared.  There are millions of others who feel this way too.
  59. There are different degrees of severity with depression.
  60. Just like coffee at Starbucks – mild, medium and bold.
  61. Depression isn’t just in our heads, it’s in our brains.
  62. Does your job feel meaningless?
  63. If so, it’s no surprise that you feel unhappy – maybe even depressed.
  64. Chances are you didn’t have a healthy childhood if you have depression.
  65. Many with depression didn’t.
  66. “Nobody cares about me.” That’s depression talking.
  67. What do you really want out of life?
  68. Has anyone ever asked you that question? And really listened to your response?
  69. Have you ever asked yourself that question? What would that life look like?
  70. Most people with depression also have a problem with anxiety – about 60%
  71. Are you just unhappy or depressed?  Important question.
  72. Maybe you’re both?  You should talk to an expert.
  73. Maybe the hardest part of depression is feeling hopeless.
  74. Depression is a vicious circle.
  75. We keep behaving in ways that keep us depressed.
  76.  We keep thinking in ways that keep us depressed.
  77. As such, we keep getting depressed.
  78. What’s your greatest passion in life?
  79. Do you do enough of it?  Why not?
  80. Small children can be great antidepressants.
  81. Serving others can be as well.
  82. Depression isn’t just a sign of illness.
  83. It is a sign that you need to change your life.
  84. You need to educate yourself about what depression is.
  85. You need to educate your significant other about it also.
  86. A good book would help.
  87. When you’re depressed, you don’t feel like doing anything.
  88. That’s why you need to do things.
  89. You can’t wait until you feel like doing things.
  90. If depression had its way, you’d never feel like doing anything.
  91. For most, depression isn’t happening all the time.
  92. Pay attention to that.
  93. Are there things, people that trigger it?
  94. Are there things that help bring it down a notch?
  95. I’m no expert.
  96. I don’t have all the answers.
  97. I hope I have a few.
  98. Thanks for reading this.
  99. Adios.

 

 

 

 

 

 

The Company We Keep

Life is partly what we make it, and partly what it is made by the friends we choose – Tennessee Williams, playwright

People in and out of the law often ask, “What causes such high rates of depression in the legal profession?”

I’ve written about some of the causes in law students (too much competition and too little feedback), lawyers (chronic stress which changes brain chemistry) and judges (loneliness that can contribute to and/or help cause a depressive episode).

There’s another dimension to it, though.  It’s the company we keep.  It’s not just the rough and tumble of fighting with opposing counsel that grinds on lawyers’ mental health.  It can also be more subtle forces . . . like our colleagues.

When we’re depressed, it’s like we’ve jumped out of a plane and are in free fall.  We lose our sense of perspective and hope as we speed towards the ground trying to untangle our chute.

Hanging out with cynical lawyers is like jumping out of that plane after they’ve just handed you an anvil.  This only adds more weight onto the backs of lawyers who may be already struggling to get out from under depression’s shoe. The grousing of other attorneys is unhealthy for a depressive because it only serves to reinforce their pessimistic view of the universe. 

Behind Closed Doors  

Over the years, my door has been a revolving one.  You know there’s trouble when a colleagues enter, give you a conspiratorial glance and silently shut the door behind themselves.  Often – too often – it’s to replay negative experiences they’ve had at work and how unhappy they are.  They’re usually not looking for solutions as much as collusions; confirmation that others don’t like their law jobs either and that everyones common fate in the law is misery.

A lawyer friend of mine, who used to meet me for coffee, would tell me how unhappy he was in his job.  “Most people are assholes in this field,” he would snort.  I’d then tell him about all of the positive experiences I have had — and still enjoyed — with other lawyers.   He looked like he was listening, but he had already tuned out.  It simply didn’t confirm his dreary conclusions about his professional life.  As if he hadn’t heard me, he’d just return to his diatribe about how much being a lawyer sucks.

I sometimes have difficulty saying “no” to people and setting appropriate limits.  Especially, when I sense they’re in trouble like my friend in the above story. But, I finally concluded that I wasn’t helping matters for my friend or myself.  He didn’t want to change his mind or explore options.  And the exchanges only served to bring me down.  I let the friendship go because I needed to set boundaries.  I just couldn’t spend more time with my friend.  I needed to spend time around others who, while they may be in distress, want to change and heal.  Or just hang out with others who enjoyed life and had never been despressed.

Lunchtime

Bitching about the law is common fare when lawyers break bread; a midday break which leaves one with a sort of indigestion of the mind.

These brothers and sisters in arms – those who we toil beside in the legal trenches – are usually good people.  But, that doesn’t change the fact that their inner discontent isn’t good for us.

We tend to hang out with the same people every day for lunch.  We do so because of flat-out inertia or we just don’t know what else to do with ourselves and, well, just drift into it.  I recall the times in my career when I did this too much.  My cadre of complaining colleagues ramped up my stress level to the point where I felt compelled to unload. This becomes a chorus of woe because complaining just breeds more . . . complaining.

In her book The (Un)happy Lawyer: A Roadmap to Finding Meaningful Work Outside of the Law, Monica Parker, a Harvard Law graduate, recommends  ditching your lawyer friends:

“I’m betting a lot of the people you know are lawyers.  How many of them are happy practicing law?  I can count the happy lawyers I know on one hand.  How many of them are successful at finding other opportunities?  Expecting these people to help you make a career change is the proverbial blind leading the blind.  The miserable leading the miserable blind, actually.”

Afterward my lunches, I’d walk back to my office feeling hollow and dispirited.  I kept making resolutions to not join in the negative banter.  When that failed, I just decided I had to begin to break away. This involved setting up a different routine – lunch with non-lawyers, the library, church or catching up of work at Starbucks.  They didn’t know why I had stopped going to lunch.  But, like everything else in life, they got used to it.  If I had to have lunch with them for some work-related problem, I tried to have it with only one person from this group.  It was less overwhelming when dealing with only one person’s negative views on reality and gave me a fighting chance to interject some positive elements in a way I couldn’t with the lunchtime crowd.  If all else failed, I e-mailed or sent memos.

Some Food for Thought 

Pick a person who you admire or who has a career that they like or love.  What do they like about it?  Are there some habits they have which make them happy at work, even small ones, which you can apply to your law career?  

Negativity feeds on itself.  Notice that when you don’t join in the gripe, how it brings down the fervor of your day a notch.  Moreover, when we don’t participate in it, we feel a little lighter than if we had.  Try it and see for yourself.

When we are depressed, we go into a default mode.  We don’t deliberate about going into a dark mood, so much as fall into it.  There are so many triggers that cause depression that we can feel we’re being shot at from all sides.  We commonly succumb.  The time to work our way through this swamp is not when we’re under depression’s spell.  We must prepare beforehand.  Write it out a self-care plan which includes positive people.

One thing that I’ve found particularly helpful is a reminder from my psychologist that we’re always observing ourselves as we behave.  For example, when we work out, we observe ourselves doing something good for our body.  Not participating or setting limits on colleagues dumping their negativity on us makes us feel more in control of our life and positive. This simple approach can dispel the hopelessness that so often accompanies depression. Another why of skinning the cat of depression – which requires more practice than getting to the gym for most of us – is to describe the good parts only when you are talking about situations.  In her book The 10 Best-Ever Depression Management Techniques, Margaret Wehrenberg writes:

“Get into the habit of reviewing what went right in any situation – observe what worked out fine despite stumbling blocks along the way.  For people with depression this may take some practice!  You are probably accustomed to instead focusing on what went wrong.  But ignoring what satisfies you can be a trigger to depressed mood. So learn to rate your experiences of what went right rather than on what went wrong.”

Finally, think about joining a depression support group.  While people can and do talk about difficult and sometimes painful things, the emphasis is a constructive one – learning to deal with your law job in a more constructive way so as not to facilitate a depressive episode or getting support in coming out of one.  It’s important to join one because depression can be so isolating.  Being part of a group teaches you that other people understand and truly care about you.   You can find a lawyer support group near you by contacting your state’s Lawyer Assistance Program.  If your community doesn’t have one, or you’d rather not go to a group with other lawyers, check out the Depression and Bipolar Support Alliance website which has support groups all over the country.

Search out warm hearts and contented others whether in the law or not.  They’re out there.  Your happiness depends on it.

Finding Our Way in the Law

It’s in the darkness of men’s eyes that  they get lost – Black Elk

Graduating from law school is both exciting and frightening at the same time.  There’s a real itch to put our knowledge into action, to be a bona fide “attorney at law” and to start making some dough instead of spending it on tuition and books. On the other hand, we really don’t know a lot about the application of legal theory to legal combat, may have a heap of debt and pray that our first stab at competency doesn’t land us face first on the courthouse steps. 

Beyond all of these pragmatic concerns is the meatier matter of living a life in the law that matters; a life in accord with our inner core of what we truly value in life.  As author Studs Turkel once wrote:

“Work is about a daily search for meaning as well as daily bread, for recognition as well as cash, for astonishment rather than torpor, in short for a sort of life, rather than a Monday-to-Friday sort of dying.”

Lawyers, young and old alike, find it difficult to live out their values in the workplace, to search for “meaning as well as daily bread.”  There are challenges and compromises, some more difficult than others.  For example, we may really value spending time with our family.  But as the demands of our career mount, we become untethered from this life-giving sustenance as we spend more and more time toiling at the office.

Andrew Benjamin, Ph.D., J.D., a lead researcher in studies about the mental health of law students and lawyers, concludes that much of the dissatisfaction in the profession comes from a widening gap between the values we truly care about and the things we end up pursuing in in our jobs as lawyers.  This takes place over time and its effects are cumulative.  Many end up leaving the profession.  Or, if they stay, are mired in unhappiness, discontent and can’t see a way out.

Dr. Benjamin found that approximately 20% of lawyers – about twice the national average – aren’t just unhappy; they’re suffering from clinical anxiety or depression. We aren’t talking about everyday stress, sadness, blues or categorical grumpiness.  We’re talking rubber to the road clinical anxiety and depression; devastating diseases that cause breakdowns in every area of one’s life.  Put in perspective, Benjamin’s studies suggest that a whopping 200,000 of this nation’s 1 million lawyers are struggling – some very badly.

Certainly a gap between our values and the way we live as lawyers doesn’t cause depression.  But it’s one of many factors that include a history of depression in one’s family and emotional abuse and/or neglect during one’s formative years that make a person prone to depression. 

Lawyers also seem to have a particularly fearsome type of stress overload; a jacked central nervous system fueled by the adversarial nature of the trade.  Modern science now knows that there is a powerful connection between chronic and remitting stress and the development of clinical depression.  As I wrote in “How Stress and Anxiety Become Depression,” chronic stress and anxiety causes the release of too many fight-or-flight hormones such as cortisol which damages areas of the brain that have been implicated in depression: the hippocampus (involved in learning and memory) and the amygdala (involved in how we perceive fear).

The point of all this sobering news isn’t to rain on anyone’s parade.  Law can and should be a noble calling and a satisfying way to make a living.  Rather, these warnings are meant to impart some thorny wisdom: living out your values and dreams are just as important as – to quote my brother Wally’s favorite expression, “carving out a living”.  Or, as Studs Terkel earlier surmised:  “. . . to have a sort of life, rather than a Monday-to-Friday sort of dying.”

It’s scary when you sense that you’ve wasted a lot of time doing a type of law – or law at all – that fails to connect with your deeper values.  Part of the fear is driven by the growing sense as we age that we don’t have forever – we are finite beings.  When we don’t know the way, can’t find path to move our outer life closer to our inner life, we can experience a sort of existential terror.  We may be sitting in a classroom, at court or just wandering downtown during our lunch break and a visceral sense that we yearn for something else will hit us.  How many of us quickly dismiss such thoughts as minor meanderings that aren’t worth our time.  But, these thoughts may keep coming.  Listen to them.  If we don’t, we may risk greater peril.

Gregg Levoy, author of Callings: Finding and Following an Authentic Life, talks about the dangers of not following the murmurs coming from within us all:

“Of course, most people won’t follow a calling until the fear of doing so is finally exceeded by the pain of not doing so – pain that we appear to have an appalling high threshold for. Eventually the prospect of emotional and financial turmoil, the disapproval of others and the various conniptions of change, can begin to seem preferable to the psychological death you are experiencing by staying put.  Those who refuse their passions and purposes in life, though, who are afraid of becoming what they perhaps already are – unhappy – won’t of course experience the unrest (or the joy) that usually accompanies the embrace of a calling.  Having attempted nothing, they haven’t failed, and they console themselves that if none of their dreams come true then at least neither will their nightmares.”

So remember your values and where they are trying to lead you.  That’s realistic.  Our values are not set in granite; they can and will change over time.  Yet the only tuning fork you will ultimately have is trying to build a solid bridge between who you really are and what you are in the real world.  We can and will hit choppy waters as we sail our ships in our careers.  There will be many temptations – money, power.  This story has been played out for millennia.  As you go through your career, watch the currents and stir your ship bravely, with integrity and passion.

As Apple founder Steve Jobs wrote:

“Your time is limited, so don’t waste it living someone else’s life.  Don’t be trapped by dogma – which is living with the results of other people’s thinking.  Don’t let the noise of other’s grievances drown out your own inner voice; and most important, have the courage to follow your heart and intuition.  They somehow already know what you truly want to become.  Everything else is secondary.”

Judges and Depression

Loneliness is the most terrible poverty — Mother Teresa

I’ve written a lot on stress, anxiety and depression in the legal profession, but not about the judiciary. There has been much commentary, research and Law Journal articles about what ails law students and attorneys — but not about judges.

I guess that’s not surprising.  In my work over the past four years, I have spoken with scores of judges from all over the country.  It’s a noble, important calling in life.  But it’s also very stressful, demanding and . . . lonely.

Here’s a clip from the new documentary A Terrible Melancholy: Depression in the Legal Profession. My good friend Judge Michael Miller talks about the loneliness of being a judge:

Isolation, Loneliness & the Judiciary

In an article for Judicature magazine, psychiatrist Isaiah Zimmerman culled through twenty years of notes he accumulated from treating state and federal judges.  Here are the voices of the judges in their own words: 

“Before becoming a judge, I had no idea or warning, of how isolating it would be.”

“Except for those very close, old friends, you cannot relax socially.”

“Judging is the most isolating and lonely of callings.”

“The isolation is gradual.  Most of your friends are lawyers, and you can’t carry on with    them as before.”

“When you become a judge, you lose your first name!”

“It was the isolation that I was not prepared for.”

“After all these years on the bench, the isolation is my major disappointment.”

“The Chief Judge warned me: ‘You’re entering a monastery when you join this circuit.’”

“I live and work in a space capsule – alone with stacks of paper.”

“Your circle of friends certainly becomes smaller.”

“Once you get on the appellate bench, you become anonymous.”

These weren’t isolated comments or small pockets of pedestrian sadness.  Dr. Zimmerman notes that about 70% of the judges he interviewed came up with these observations on their own.

There are several things that contribute to a sense of judicial loneliness.  The Code of Judicial Conduct imposes restrictions on judicial behavior both in and out of the courtroom.  Judges must avoid the appearance of impropriety and thus must be cautious and keep an appropriate distance and bearing at social and bar events. There are good reasons to have these restrictions, but if a judge isn’t careful to live a balanced life, they can help trigger a profound sense of lonesomeness.

Loneliness isn’t just emotionally painful; it’s also dangerous to your health on multiple levels.  According to an article by psychologist, Hara Estroff Marano, writes:

“Evidence has been growing that when our need for social relationships are not met, we fall apart mentally and even physically. There are effects on the brain and on the body. Some effects work subtly, through the exposure of multiple body systems to excess amounts of stress hormones. Yet the effects are distinct enough to be measured over time, so that unmet social needs take a serious toll on health, eroding our arteries, creating high blood pressure, and even undermining learning and memory.”

Given the pressures and isolation of the job, judges need to recognize the dangers associated with loneliness: unhappiness, discontent, health problems and perhaps . . . depression.

Judges and Depression

Judges are supposed to be problem solvers in black robes; not human beings with psychological problems of their own.

Given the position that judges occupy in our society, the stigma around disclosure to others –and perhaps getting treatment for clinical depression — is much, much greater. 

One psychiatrist I know who treats judges told me that judges request very early or very late weekday or weekend appointments.  Moreover, they ask not to be scheduled before or after another lawyer or judge and pay in cash so as not to attract attention or leave a paper trail.

For the first ten years of my career, much of my practice was spent litigating cases in state and federal courts in New York City.  One of my best friends from those days is now a judge.  When I decided to go public with my depression four years ago by writing an article for Trial magazine, my friend called me for dinner to catch up on things.  He wanted to know how I was feeling and expressed concern about my plans to go public about my depression. 

“Dan, why can’t you write the article anonymously,” the judge said.  “But that’s the problem, isn’t it?” I replied. “Why should I have to write such an article anonymously? What do I have to be ashamed of?  Depression is an illness no different than diabetes or heart disease.  Would I write an article about those illnesses . . . anonymously?”

We kept in contact with dinners and phone calls over the next four years, but over time our conversations centered less on my depression and well-being and more on his.  You see, my friend the judge disclosed to me that he was suffering from depression and had tried to commit suicide some years before. 

I think he felt he could trust me.  Moreover, I think my disclosure gave him implicit permission to talk about his pain and struggles; a hurt only his therapist and wife knew of.  He spoke of the loneliness of his job and how he missed the collegiality of his old large firm.  But, he said that on the balance,  he’d rather be a judge and didn’t regret his change in vocation; a move from the courtroom to the chamber.  He liked his job, enjoyed the intellectual challenge and the chance to do justice.

The statistics on lawyer depression are deeply troubling.  They suffer from depression at a rate twice that (20%) of the general population.  As such, about 200,000 of this nation’s 1 million lawyers are struggling with depression right now.  No studies have been done on judicial depression.

There are 1,774 federal level judges in the U.S. Were you to plug in the 20% depression rate we see with attorneys to the number of judges, approximately 350 judges across America are suffering from depression. Even though there haven’t been any studies of judicial depression, why would we expect the 20% rate to be any different than that found with attorneys?

I couldn’t find any statistics on how many state judges there are in the U.S.  New York State has 1,250.  Were you to plug in the 20% depression rate we see with attorneys to the number of these judges, approximately 250 of the Empire State’s judiciary are suffering from depression.

This isn’t sadness or burnout, but true clinical depression.  Sometimes, we confuse being down in the dumps with depression. They’re really not the same thing – not even close. Here’s how psychologist Richard O’Connor, best-selling author of the book Undoing Depression, distinguishes it:

“Everyone knows what depression feels like.  Everyone feels the blues at times.  Sadness, disappointment, fatigue are normal parts of life.  There is a connection between the blues and clinical depression, but the difference is like the difference between the sniffles and pneumonia.”

Nobody’s Perfect

Perfection is also an indicator for depression.  In his article Even Judges Get the Blues, Judge Robert L. Childers writes:

“Because of the weight of public expectation, judges generally feel that they should be perfect.  Not only do they feel that they should be fair, impartial, and make the right decision 100 percent of the time, but the public expects this of judges as well, as do the lawyers who practice before them.  This can create undo pressure for judges and, consciously or unconsciously, keep judges from admitting or recognizing the signs of debilitating disease.”

In an article from the ABA Journal,  Perfectionism, Psychic Batterning’ Among Reasons for Lawyer Depression, the piece states: “Lawyers [and judges] are taught to aim for perfection, to be aggressive and to be emotionally detached. They ‘intellectualize, rationalize and displace problems on others’ . . . . They don’t take direction particularly well. They tend to have to have fairly elaborate denial mechanisms. And they tend to challenge anything they’re told.”  In another article from the ABA Journal, it notes that when combined with depression, perfectionism makes it harder for a person to seek help.  And in the worst case scenario, leads to suicide.

Loneliness & Depression

Depression is a multifaceted illness that has several different causes – some genetic, some physical and some emotional.  In the depths of my depression, I felt very alone – like I was trapped at the bottom of a dark well. 

Many with depression isolate themselves because it’s painful to be around others.  I would hang out at Starbucks and do my work.  I didn’t want others I knew to engage me; I didn’t want others to see the pain I was desperately struggling with.

I’ve found that loneliness and depression often travel the same road.  This creates a lot of problems because the two can feed off one another.

According to psychologist Dr. Reena Sommer:

“Depression is a problem that often accompanies loneliness. In many cases, depressive symptoms such as withdrawal, anxiety, lack of motivation and sadness mimic and mask the symptoms of loneliness. In these cases, people are often treated for depression without considering the possibility that loneliness may be a contributing and sustaining factor in their condition.”

Generally, the debilitating symptoms of depression can usually be managed with antidepressant medication. But when the underlying loneliness is ignored or overlooked, the depressive-like symptoms will probably continue. Unless the reasons for loneliness and depression are separated out, it can easily turn into a ‘chicken and egg’ situation where depression leads to loneliness, and loneliness leads to depression.”

Turning It Around

While depression might not be our fault, it is our responsibility to get better.  We need to start behaving and thinking in constructive ways.  Here’s some food for thought:

  1. Get help.  You can’t handle this by yourself.  It is a problem bigger than any individual person.  The A. B.A. ‘s Commision on Lawyer Assistance Programs recently created a Judicial Assistance Initiative.  Reach out to them and they can get you pointed in the right direction.
  2. You may have to take antidepressant medication to help you.  That’s okay.  You may have a chemical imbalance that you need to address.  For many, psychotherapy alone won’t help until they quieted down their somatic complaints — e.g. fatigue from sleep problems — so that they can have the energy and insight to work on their problems.
  3. Whether you need medication or not, you will need to confront your negative thinking with a therapist.  A lot of research suggests that cognitive behavioral therapy is a particularly effective form of treatment for depression.  Interview a couple therapists before you settle on one.
  4. Exercise. The value of exercise is widely known: It’s simply good for everybody. For a person with depression, it becomes not just about a healthy habit, but a critical behavior and habit – they absolutely need to work out.  In his book Spark: The Revolutionary New Science of Exercise and the Brain, Harvard psychiatrist John Ratey devotes a chapter to the importance of exercise in alleviating depression.  Please check this book out.
  5. If you have a spiritual practice, do it.  If you don’t, think about starting one.  This could be anything from a formal meditation practice, going to Mass, or walking the woods.  A lot of research suggests that people who have a spiritual practice do better with depression recovery.  If you believe in God or a higher power (I am Catholic), you can avail yourself of help and support from Someone who is bigger than your depression.  If you do not believe in God, maybe you believe in some other form of spirituality you can tap into.  Spiritual growth and development, in my opinion, are very important pillars of recovery. Two books from my tradition include Seeing beyond Depression by Father Jean Vanier and Surviving Depression: A Catholic Approach by Sister Kathryn James Hermes.  Also see the wonderful guest article she wrote for my website.
  6. Get educated. Read some good books on the topic. As part of your education, learn about the powerful connection between stress, anxiety and depression.  On this subject, I recommend Dr. Richard O’Connor’s Undong Perpetual Stress: The Missing Connection between Depression, Anxiety and 21st Century Illness. Dr. O’Connor suggests that depression is really about stress that has gone on too long. The constant hammering away of stress hormones on the brain changes its neurochemistry.  This can and often does result in anxiety disorders and/or depression.  Also see the article I wrote for Trial Magazine about the connection between stress, anxiety and depression. It is a companion piece to an excellent article written by Andrew Benjamin called “Reclaiming Your Practice.”
  7. Build pleasure into your schedule.  Judges, like all those in the legal profession, are busy and have the “I will get to it later” mentally – especially when it comes to things that are healthy pleasures.  We have to jettison this approach to how we live our days.  We must begin to take time – now – to enjoy pleasurable things and people.  A hallmark of depression is the inability to feel happiness or joy.  We need to create the space where we can experience and savor good experiences and feelings.
  8. Practice mindfulness. In mindfulness meditation, we sit quietly, pay attention to our breath, and watch our thoughts float by in a stream of consciousness. Normally, we immediately react to our thoughts (e.g. “I am losing my mind with all of these deadlines”).  With mindfulness practice, we can begin – slowly – to let the thoughts and feelings float by without reacting to them.  If such an approach to depression seems far-fetched, read the best-selling book The Mindful Way through Depression: Freeing Yourself from Chronic Unhappiness, for an excellent primer on how you can incorporate mindfulness into your day.
  9. Remember to be kind to yourself. It sounds so simple. I tell this to depressed lawyers and judges all the time and they usually look puzzled.  They often admit that they have rarely, if ever, thought about it and don’t know how to be kind to themselves.  I believe that it first begins with a conscious intention – “I am not going to treat myself poorly anymore.” Such a simple refrain can help us.  Depression is often built on poor mental, emotional and physical habits. We must learn to acknowledge that we are worthy of love from ourselves and others and that part of such love involves taking better care of ourselves.
  10. Spend time outside and in nature.  We humans forget that we are part of nature and the animal kingdom.  We need fresh air and sunshine.  Even more so when the darkness of winter strikes.  If you live in a part of the country with long winters, load up on vitamin D and consider using a light box to help you.

If you or a judge you know might be suffering from loneliness and/or depression, please forward this article to them.  Here’s a list of depression’s symptoms and a self-test from the Mayo Clinic.

Is It Lawyer Unhappiness or Depression?

Since you get more joy out of giving to others, you should put a good deal of thought into the happiness that you are able to give – Eleanor Roosevelt

There’s a Difference

Is there a difference between discontent and depression, a lack of fulfillment and true melancholia? 

The lines between murky malaise and downright clinical depression are blurred in everyday conversation, the popular media and discourse amongst professionals and academics about what troubles the legal profession.   Two journal articles – which, by the way, I enjoyed immensely, “Stemming the Tide of Law School Depression: What Law Schools Need to Learn from the Science of Positive Psychology” and “On Being a Happy, Healthy, and Ethical Member of an Unhappy, Unhealthy, and Unethical Profession” took this approach by canvasing studies that have been done on law student and lawyer unhappiness, discontent, stress, anxiety, depression and wellness.

But unhappiness is not depression, not even close.  I am not saying that this was the authors’ intentions, or for that matter, even their suggestion.  Nor I am saying that these issues aren’t related to one another.  Yet, I don’t think this lumping-of-the-maladies approach is particularly productive because it plays into the popular myths that depression is just an amplification of everyday sadness or, worse, a banal self-absorption with all that’s wrong in one’s life.  Remarkably, a recent poll showed that 45% of Americans think of depression as a failure of will.

Another problem with the lumping together approach is that sadness and depression call for radically different solutions.  In the two journal articles cited above, the first concentrates on positive psychology and how it can help alleviate distress and the later on living an ethical life and picking the right job — no doubt important considerations for everyone.  Yet I’m not sure that any of these approaches is a panacea to the epidemic of depression in the law.

To me, unhappiness and discontent are part of the human predicament.  It’s unavoidable that all of us will go through epochs in our lives when things unequivocally stink; we mope and wonder why meteorites always seem to pelt us when our car battery’s dead, our kids are in an uproar and the day at the office was survivable at best.  In the book Zorba the Greek, the larger than life Zorba was asked if he was married and replied with great gusto, “Me? Wife, kids, job — the full catastrophe!!”

But depression isn’t part of the human condition.  It’s a multifaceted illness, for some disabling and for many cruel. For many of its victims, the pain isn’t so much a feeling of sadness, but of nothingness.  There’s no air to breath, little room to escape this type of pain – until one, hopefully, gets treatment or it passes, mercifully, of its own inscrutable violation.  

How can nothingness be painful? Perhaps, it’s because it’s emotions that give life its vibrancy. These visceral forces energize us, heighten the intensity of our lives and make the human experience so rich.  The absence of this life force leaves us impoverished, longing and mourning for that richness in our being we once knew.

Psychiatrist Kay Redfield Jamison, herself a depressive, captured this experience when she wrote:

“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.”

At least when the problem is one of discontent, we have our faculties (e.g. the ability to concentrate), are capable of making choices and bring focused energy to bear on changing matters in small or large ways.  For someone in the throes of depression, the power to choose is diminished if not extinguished.  Richard O’Connor, Ph.D., in his seminal book Undoing Depression, writes in his blog:

“Everyone knows what depression feels like.  Everyone feels the blues at times.  Sadness, disappointment, fatigue are normal parts of life.  There is a connection between the blues and clinical depression, but the difference is like the difference between the sniffles and pneumonia.”

No, depression isn’t unhappiness.  But discontent in one’s vocation is a real problem and often very painful.  We feel like a jammed door that won’t let us open into a life that works on some fundamental level.  We know something is wrong, sense that we’re stuck like in the traffic of our lives.  Our happiness is trying to tell us something and we know it.  Our emotional core senses we’ve been living a life out of sync with who we really are.  And if we’re in the legal profession, we’re not alone in this experience – far, far from it. 

Drifting Towards Unhappiness in the Law

There has been much debate about whether lawyers are really unhappy, to what degree, why that is so and what can be done about it. The Wall Street Journal interviewed Gretchen Rubin, a Yale Law School alumnus who clerked for Sandra Day O’Connor, about her book “The Happiness Project.”  Here’s her take on why so many lawyers find themselves in funks:

“There’s [this] whole notion of ‘drift’ that I think a lot of people fall into with law school.  They’d don’t decide, necessarily, to go to law school, but they drift into it, really for a lack of a better idea.  And that’s one of the reasons so many lawyers are unhappy.  They hear these lines that, on their face, seem to make sense: ‘It can’t hurt to take the LSAT.’ ‘I can always go to law school.’ ‘I can always change my mind later.’ That’s what happened to me.  I drifted into it.”

Gretchen realized that she had never made any real choice about whether to go to law school, let alone join the legal profession.  Yet, how many lawyers really chose their jobs? Most of us stumble around. There is a steep learning curve to life and there are few instruction manuals.  It’s often through trial and error that most people find their way.  The discovery that you’ve invested lots of time and money into a career that you later find was a bad fit is troubling indeed.  Many aren’t willing or able to make the leap to change matters; hence, unhappiness and distress. 

Perhaps the notion of happiness depends on how long you’ve been in the profession.  Recently minted lawyers seem to expect something more from their jobs than their predecessors.  The New York Times article The Falling Down Professions notes:

“Especially among young people, professional status is now inextricably linked to ideas of flexibility and creativity, concepts alien to seemingly everyone but art students even a generation ago. ‘There used to be this idea of having a separate work self and home self,’ notes Richard Florida, the author “The Rise of the Creative Class: And How it is Transforming Work, Leisure, Community and Everyday Life.”  ‘Now they just want to be themselves.  It’s almost as if they are interviewing places to see if they fit them.”

In a sense, it’s amazing that young lawyers are even taking into consideration flexibility and creativity; all the more so given the sour economy and the glut of law school graduates — currently about 150,000 per year.  But an increasing number of young lawyers seem willing to seek a job fit that jives with their desire for not only a decent paycheck, but a decent life.   Many middle-aged or older lawyers eventually get there, but often after a lot of struggle and pain.  Some switch jobs to find a better fit (the litigator who starts a real estate practice) or others chuck the whole profession and start life anew in other fields.

In the new book “The Happy Lawyer: Making a Good Life in the Law,” the authors point out that six experiences that are critical to making a person satisfied with her life, including security, autonomy, authenticity, relatedness, competence, and self-esteem.  Certainly, money can and should be part of the equation, but not to the exclusion of other intrinsic values. 

There’s nothing new here, but don’t we all need to be reminded of this message over and over again?  At the very least, it’s a counterweight to the popular and legal culture which puts way too much emphasis on money and deludes us into thinking that more of it will mean greater happiness.

According to psychology expert and lawyer Dan Bowling, “Common sense, though, would suggest that the happiest lawyers are those who feel they are really good at law practice, who deal with clients and can see results of their work, or who have a sense that they are involved in a greater cause. Another question about the research, he say, ‘and I think it’s a fair question is this one. ‘It’s the so-what question.  It is: Whoever said law is supposed to be easy? Law is a career sacrifice for clients. . . . Who said we’re supposed to be happy?’ Bowling has an answer: ‘I think the law can be a jealous mistress, but I also think she can be kind, too,” he says.

A contrary view is offered in “Scholars Debate: Is Law a Picnic?” by Harvard Law Professor David B. Wilkins who reports that in a study of 4000 lawyers in the first decade of their careers:  “. . . contrary to what many believe, there is ‘no evidence’ of ‘any pervasive unhappiness in the profession,’ he says – at least not among those who began practicing in 2000. In that group, nearly three-quarters reported being ‘satisfied’ or ‘very satisfied’ with their jobs.

Perhaps happiness is somewhat determined by the type of law we go into.  In The Happy Lawyer, the authors note that those who work for government, in a small firm, or in a solo practice, as well as those attorneys who work aligns with their values, are more likely to be satisfied with their careers.

In “On Being a Happy, Healthy, and Ethical Member of an Unhappy, Unhealthy, and Unethical Profession,” Patrick Schlitz writes:

“This is the best advice I can give you: Right now, while you are still in law school, make the commitment—not just in your head, but in your heart—that, although you are willing to work hard and you would like to make a comfortable living, you are not going to let money dominate your life to the exclusion of all else. And don’t just structure your life around this negative; embrace a positive. Believe in something—care about something—so that when the culture of greed presses in on you from all sides, there will be something inside of you pushing back. Make the decision now that you will be the one who defines success for you—not your classmates, not big law firms, not clients of big law firms, not the National Law Journal. You will be a happier, healthier, and more ethical attorney as a result.”

We each have to take our own journey in life to find out what makes us happy.  Just don’t get stuck in negative rumination about what’s wrong in your life.  Think about what could be “right” in your life.  Believe, at the very least, in the possibilities and follow your passion.  Make no mistake about it, there will be a cost.  If one follows one’s passion there may be risk, the displeasure of our peers and family members and financial concerns.  But if one doesn’t take this journey, if money carries too much weight in what we’re willing to do to make a living, we will be unhappy; if this situation goes on to long, maybe depressed.

Further reading:

Chicken Little: Lawyer at Law” by Stephanie West Allen

The New York Times Dissects Lawyer Unhappiness with a Note on Following Your Dreams” by Victoria Pynchon

 

 

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