Losing Faith, Finding Hope: A Journey With Depression

Monica A. Coleman, Ph.D. is an AME minister, seminary professor and author of the book Not Alone: Reflections on Faith in Depression.  She blogs on faith and depression at www.monicaaparker.com.

Many people describe depression as a kind of intense grief. It is a deep sadness. It’s like heartbreak, agony and despair all at once. I think depression is worse than grief. Grief usually has an identifiable cause. There are stages. People understand why you are sad. It eases with time.

I find that depression is more like death. In every depressive episode, something is lost. Sometimes it’s the belief that I’m not that sick. Sometimes it’s a dream. Sometimes it’s a concrete plan or goal. Sometimes it’s who I desperately wanted and expected myself to be. Sometimes it’s a harmful lie I’ve told myself, or that someone told me. Sometimes what dies, needed to go. Most times, it seems I would have been perfectly fine without the loss. I would smile more. I would know how I spent the hours in my day. I would see fewer doctors. When people ask me how I am doing, my response of “fine” would only be a lie thirty percent of the time. Like most people, right?

I have lived with a depressive condition since I was a teenager, although I didn’t have a name for it until my 20s. I don’t know how many lows I’ve had — excluding the two suicidal bouts. I don’t count how many times I’ve been sad and desperate for months. I don’t make a list of what I’ve lost.

I do, however, remember when I lost my faith.

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Like many people who are raised in a religious environment, I was taught to believe that God loves me and protects me. I was taught that God punishes sin, and rewards those who are faithful. I learned about my religion by studying Holy Scriptures. I prayed. I worshipped. This was supposed to strengthen my faith. It was supposed to make me happy.

For many years, it did. I cherished Sundays spent in church — singing, kneeling and feeling inspired by the words of the preachers. My friends were made up of the other people I met in church. We volunteered at Vacation Bible School for the children, the food drive and tutoring programs.

Meanwhile, I prayed for peace. In my sleepless nights, I asked God to save me, help me and rescue me from my sadness. Just make it all better. I also heard the messages that my faith told me about depression: that I was be too blessed to be stressed; that depression was a lie from “the enemy”; that suicide is an unforgiveable sin. Somewhere between my unanswered prayers and the realization that I could not worship myself into happiness, my faith died.

I kept going to church. I kept saying the words of the prayers. I still sang the songs. I’m a minister — I have to. But I was a fraud. I stopped talking with God. What could I say to the One who was not delivering me? What praise did I have? I could list my blessings, but I could not feel gratitude. I hid my faithlessness like a bobby pin in an updo. Everything looked composed on the outside, but I was barely holding it together. I was not faithful or pious. I felt abandoned and alone.

As my depression worsened, I learned more about it. I read books. I found doctors who understood my condition. I stopped fearing medication. I met other people who struggled like me. We learned to hear sorrow in one “hello,” and how to sit with each other without words. I began to believe that depression was not a personal weakness or failure. By accepting it, I began to manage it. When I felt joy, I appreciated it all the more. I started to trust the healing process. But I missed my faith in God, religion and worshipping community.

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Oddly enough, death is the purview of the religious. We call chaplains into hospital rooms. When someone dies, we go to the altar. Mourners bend their backs and wail. The spirituals express deep sorrow. We gather together with large meals. We don’t pretend like people aren’t in pain. In those times, we understand when people cannot praise God. We only ask people to be honest with God. And we don’t leave them alone. This is exactly what my depressed self needs: tears, music, good food, raw honesty, community. The same faith that demonizes my depression also teaches me how to have faith in the midst of it.

I lost the faith I once had. I stopped believing that God only loved me if I was happy and peaceful. I also gave up on the idea that depression was punishment or isolation from God. I can’t enjoy the same songs. I cannot bear the same sermons. That faith is gone. Just like the hours, weeks or months I lose to melancholy. And my incomplete plans. Or the image I’d like to have of myself.

In these moments when death prevails, I appreciate that so many religions have an understanding of life after death. Regrowth, reincarnation, resurrection. They all understand that there is a finality to death. We don’t get back what we lost. We get something or someone new.

My new faith is a deep trust that God is present with me and understands how I feel — especially when no one else can. I no more blame God for my sadness, than I credit God for happy days. This faith tells God how I really feel knowing that an offer of my true self is worship. I appreciate songs of sorrow more. I dance only when joyful. I am upheld by church community that can linger in pain without moving to fix it.

This faith is different than what died. But it’s just as holy.

This article first appeared in The Huffington Post on October 13,2012.

Judges Struggling With Depression: More Common Than You Think

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, 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.

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.

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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 eight 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,” my friend 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 eight 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.

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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

Perfectionism 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.”

An article from the ABA JournalPerfectionism, Psychic Battering’ Among Reasons for Lawyer Depression, 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 for those on the bench:

  1. Get help.  You can’t handle this by yourself.  It is a problem bigger than any individual person.  The ABA’s Commision on Lawyer Assistance Programs 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.
  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 Undoing 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.
  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 others and ourselves 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.

 

Why It’s Important to Join a Depression Support Group

“What can I do to help my depression?”

Well, there are many things you go do, really:  therapy, medication, etcetera, etcetera.

But one idea you might not have given much thought to: join a depression support group.  There are many benefits.   I have belonged to one for the past seven years. Here are some of my thoughts about why it’s good for you and how to find one.

Why It’s Good For You

One of the worst aspects of depression is the loneliness that sufferers endure.  There are several reasons why this is so: they don’t feel up to being with other people, others simply don’t understand, or they feel a sense of shame and hide.  While it may be a good idea to take “timeout” from others to enjoy some peace or not share with others that we have strong reason to believe won’t understand, these strategies are often maladaptive and only serve to maintain and/or fuel one’s depression.  Here is a bit of hard-won wisdom I’ve learned:  when I feel the worst is when I most need to be with other people and share.

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Being with others is even more critical when you’re in pain.  You need to communicate your distress and know that your “tribe” will listen and care.  When this doesn’t happen, you feel alone, distressed and even abandoned.  You wander in the wilderness of pain by yourself and endure it as best you can.  But don’t you deserve better than that?

Having a place to admit and share your story

Andrew Solomon, author of the best-selling book The Noonday Demon: An Atlas of Depression, writes:

Depression is a disease of loneliness. Many untreated depressives lack friends because it saps the vitality that friendship requires and immures its victims in an impenetrable sheath, making it hard for them to speak or hear words of comfort. Worldly success does little to assuage that agony, as Robin Williams’ suicide makes clear. Love, both expressed and received, is helpful, not because it  ameliorates the symptoms of depression (it does not), but because it gives people evidence that life may be worth living if they can only get better. It gives them a place to admit to their illness, and admitting it is the first step toward resolving it.

Besides the psychological salve that support can bring to the wounds of your loneliness, there are important physiological reasons for being part of a support group.

Positive experiences can also be used to soothe, balance, and even replace negative ones.  When two things are held in the mind at the same time, they start to connect with each other.  That’s one reason why talking about hard feelings with someone who’s supportive can be so healing: painful feelings and memories get infused with the comfort, encouragement, and closeness you experience with the other person. (Buddha’s Brain: The Practical Neuroscience of Happiness, Love & Wisdom, Rick Hanson, Ph.D. with Richard Mendius, M.D.)

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I’ve talked to hundreds of folks about depression over the years and often found that a good chunk are resistant to joining a support group.  They feel tired and unmotivated to do so or feel hopeless that anything, even this, will help their depression. They have to meet this resistance and push forward because as depression expert Richard O’Connor, Ph.D. once told me, “Depression isn’t your fault.  But it is your responsibility to get better.”  And a support group, together with treatment, is one of the best ways for you to take responsibility for getting and staying better.

Small steps are best.  Before going to a group, get in touch with the contact person for the group and speak with them by phone, or, better yet, meet them for coffee to see if the group would be a good fit for you.

How to Find a Support Group

It isn’t as hard to find a support group as you may think.  Here’s my list:

The Depression & Bipolar Support Alliance

The National Alliance for the Mental Ill

Anxiety and Depression Association of America

Mental Health America

If you are a lawyer, check in with your local and/or state ABA’s Lawyers Assistance Program.

If there isn’t a support group in your community, my next blog will address how to create one.

Depression and Loneliness Are More Contagious Than You Think

Depression is known as the ‘common cold’ of mental illnesses and 40% of adults will experience loneliness in their lifetimes. Consequently, the likelihood of you being in close contact with a person who is either depressed, lonely, or both is rather high. Since both depression and loneliness have been found to be contagious in certain situations, how worried should you be when your roommate, close friend, family member, or spouse is suffering from depression or loneliness (read Are You Married But Lonely here), and what steps can you take to protect yourself from ‘catching’ these conditions when they afflict someone near and dear to you?

Why Depression Can Be Contagious

We all have different outlooks on life and different ways of reacting to stressful events. A tendency to interpret events negatively, to feel hopeless or helpless when you encounter challenges, and to brood over negative events and feelings can make you more vulnerable to depression (such thinking styles represent some of the very symptoms of depression).

A recent study assessed incoming college students’ outlook and thinking style before they moved in with their randomly assigned roommates and repeated the assessments three months into the semester, and another six months later. They found that students who did not have a negative thinking style but roomed with a person who did, often ‘caught’ their roommate’s negative outlook and had twice as many symptoms of depression at the six month mark. The results were so alarming and so significant (given the short period of time), the researchers hypothesized this effect might not be limited to situations of major life transitions.

In other words, when you spend a significant amount of time with someone whose outlook is negative and pessimistic (as is the case when a person is depressed), their maladaptive perceptions and thinking can influence your own such that over time, you too become more vulnerable to depression.

Why Loneliness Can Be Contagious

Beyond the emotional pain and distress lonely people feel, chronic loneliness has a devastating impact on our physical health. It impacts our cardiovascular systems as well as our immune systems to such a degree that it literally shaves years off our life expectancy. Therefore, how people become lonely, and whether a person’s loneliness can influence those closest to them is of significant importance.

Another recent study examined the spread of loneliness within social networks over time and found that loneliness spreads through a clear contagion process. People who had contact with lonely individuals at the start of the study were more likely to become lonely themselves by the end of it. The researchers even found a virulence factor. The closer someone was to a lonely the person the lonelier they reported themselves to be later on. Further, the effects of the loneliness contagion spread beyond first degree contacts to the entire social network.

How to Avoid ‘Catching’ Depression or Loneliness

These and other studies suggest that it is possible to become influenced by the people around you and adopt their negative perceptions and thinking styles. However, by no means am I suggesting you avoid friends and loved ones if they are depressed or lonely. Rather, simply to try keep the following in mind as you spend time and interact with them:

1. Remain aware of the dangers. Pay attention to the outlook and thinking styles of those around you. When someone close to you has an overly-negative ways of thinking, remind yourself that their negativity is not “truth”. A depressed person might view upcoming events as doomed to fail. Someone lonely might tend to describe people and their intentions in a jaded, mistrusting, or otherwise negative manner. Make a conscious effort to ‘disagree’ internally when you hear such things. Whether you voice the disagreement to the other person is up to you as it might not always be necessary or wise to do so.

2. Catch and correct your own negativity. Optimism and positivity can be practiced and learned. If you catch yourself thinking negatively and pessimistically, balance out your thoughts with reasonable but positive ways of thinking about the same events. Remind yourself of the valuable relationships and deep connections you’ve made with people in the past and that you still have today, as well as of the many opportunities to do so in the future.

3. Find people with positive outlooks and high sociability. If you find yourself living with or around people with negative outlooks consider balancing out your friend roster and seeking out someone whose outlook and perspective is upbeat, positive, and hopeful. Reach out to a ‘connector’—someone you know who tends to be at the hub of many social circles, get together with them, and soak in a ‘dose’ of well-honed social and relatedness skills. Reminding yourself that some people connect easily and meaningfully to others can be a good way of ‘correcting’ any negative thinking you might have ‘picked up’.

By Guy Winch, Ph.D.

Guy received his doctorate in clinical psychology from New York University in 1991 and completed a postdoctoral fellowship in family and couples therapy at NYU Medical Center. He has been working with individuals, couples and families in his private practice in Manhattan, since 1992. Check out his new book, Emotional First Aid: Practical Strategies for Treating Failure, Rejection, Guilt, and Other Everyday Psychological Injuries.

The Need for Community

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My psychologist said something remarkable months ago:  “You’re a real loner Dan.”  I really never thought about myself that way – and I’m 48 years old!  But after reflecting on it awhile, I found what he’d said to be profoundly true.  It didn’t mean that I didn’t have people in my life that I love and who love me.  I have the best wife, a beautiful daughter and great friends.  Yet, I often didn’t see just often I isolated myself by choosing solitary activities.  There’s nothing inherently wrong with this.  It’s a question of balance.  For me, the scales are tipping in the direction of reaching out and enjoying the fruits that only happen when really sharing with others.

And it’s not just lawyers that feel lonely.  In a recent edition of the national publication for judges, Judicature, it was estimated that 70% of judges feel lonely.  While there haven’t been any depression studies on judges, as there have been for law students and lawyers, one can only imagine their high depression levels.

I know that when I went through the worst of my depression, it was a very lonely experience.  Not because people didn’t try to be there for me and help.  Rather, it was because depression short circuits something in our brains that makes us essentially human: our capacity to engage with and feel connected to people.  I’ve often said that being a lawyer can be a lonely job and believe that most lawyers, at least in their private thoughts, feel this way.  When this loneliness in our jobs is compounded by the isolation we feel during a depression, it has a crushing effect.  Oxygen disappears from the room only to be replaced by the vapor of melancholy.  It feels like there is no escape and we are pounded into submission; a submission that on one level makes no sense because we are still carrying on with our lives – but just barely. 

Lately, I’ve felt the desire to end my isolation.  I have begun to recognize that what is most important in life, really, is family, friendship and community.  It may sound trite and simplistic to offer this up, but such a simple truth has long eluded me in my life.   My best friend, my wife, has seen me reach out to her more and it has only deepened our marriage.  How many of us who have dealt with depression don’t reach out to the most precious person that we live with everyday?  For some of you, it may not be your spouse.  It could be anyone that you feel close to.  If you don’t have someone like this in your life, it’s critical to develop one because a hour of therapy per week and a trip to the psychiatrist once a month simply is not enough support, love and encouragement to recover from and stay out of depression.

Think hard about your life.  How much time do you spend with friends that you really connect with?  What is your relationship life with your spouse and children?  As lawyers, we often think and say, “Time is money.”  However, the span of our lives is short and none of us is guaranteed even another day on this earth.  If you are spending all of your time at the office and neglecting your need to connect with others, the cost is simply too high.

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