The Twin Pillars of Depression

“Once you choose hope, anything is possible.” – Christopher Reeve

There are two pillars upon which depression rests.

Helplessness

When in the grip of depression, we feel helpless despite our efforts to pull out. The more we struggle, the more exhausted we become. In her book Eat, Pray, Love, Elizabeth Gilbert writes, “They flank me – Depression on my left, loneliness on my right. They don’t need to show their badges. I know these guys very well . . . then they frisk me. They empty my pockets of any joy I had been carrying there.”

Hopelessness

Helplessness often leads to profound hopelessness about the future. In her book Prozac Nation, Elizabeth Wurtzel writes, “That’s the thing about depression: A human being can survive almost anything, as long as she sees the end in sight. But depression is so insidious and compounds daily that it’s impossible to ever see the end.”

What I have learned over the past twenty years of living with depression is we need to chisel away at these twin pillars. I began to discover helplessness and hopelessness are disempowering: I had no choice but to live my days under this rock of sadness. My healing involved learning that I did have options in how I related to life when depressed. And I found this power to choose empowering and life-affirming.

How did I leave helplessness and hopelessness behind?

Putting Pen to Paper: Writers on Depression

That terrible mood of depression, whether it’s any good or not, is what is known as The Artist’s Reward. Ernest Hemmingway

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. Kay Redfield Jamison, Night Falls Fast

That’s the thing about depression: A human being can survive almost anything, as long as she sees the end in sight. But depression is so insidious, and it compounds daily, that it’s impossible to ever see the end.  Elizabeth Wurtzel, Prozac Nation: Young and Depressed in America

In depression . . . faith in deliverance, in ultimate restoration, is absent. The pain is unrelenting, and what makes the condition intolerable is the foreknowledge that no remedy will come – – not in a day, an hour, a month, or a minute . . . It is hopelessness even more than pain that crushes the soul. William Styron, Darkness Visible: A Memoir of Madness

They flank me-Depression on my left, loneliness on my right. They don’t need to show their badges. I know these guys very well. …then they frisk me. They empty my pockets of any joy I had been carrying there. Depression even confiscates my identity; but he always does that. Elizabeth Gilbert, Eat, Pray, Love

Depression is nourished by a lifetime of ungrieved and unforgiven hurts. Penelope Sweet

Real Men Cry: Men & Depression

“A lazy part of us is like a tumbleweed. It doesn’t move on its own. Sometimes it takes a lot of depression to get tumbleweeds moving.”  – Robert Bly, Morning Poems

Growing up the son of a WWII vet, my dad’s parenting style could best be described as minimalist: punishment at his leisure as alcoholics are prone to do; hard, physical labor built character; and praise came from athletic accomplishments like football which prized hitting.

Crying? Only once as a young child. Dad’s reaction? “I’ll give you something to really cry about if you don’t knock it off. Only girls cry!” Looking at him through the eyes of a child, the message was clear: Crying (or any display of sadness) was never to be done again if I wanted his approval (In essence, his love which never came).  As I grew older, he added this maxim: Pain, physical or emotional, was to be endured, if not conquered.

Living with Depression: A Commercial

SAMSHA in Washington, D.C. asked me, and others, to be in this PSA about living successfully with mental illness and how important support is in recovery. I am proud of what they produced, but it’s often not easy for me to talk about living with depression. I don’t want to be defined by it. More importantly, I don’t want others to define someone else who is, likewise, struggling with a mental health problem. I hope this commercial helps.

Be Smart About How You Use Your Smartphone: Your Mental Health Is On The Line

 

Technology can be our best friend, and technology can also be the biggest party popper of our lives. It interrupts our story, interrupts our ability to have a thought or daydream, to imagine something wonderful, because we’re too busy bridging the walk from the cafeteria back to our office on the cellphone. – Steven Spielberg

My daughter in college, like most of her generation, seems addicted to her smartphone.  She pulls it out of her back pocket like a gunslinger from the wild west.

Not necessarily talking on it, but texting.  All the time. Every day. Like all her friends. When not pecking away, they’re on their laptops watching YouTube videos (no T.V., please!) or surfing the web on their mental boogie boards.

I like to think that I am not addicted to my phone.  And I guess, by comparison, to my 19-year old daughter, I’m am not.  I am on it about 2-hours per day. The average teenager spends about 9 hours a day consuming social media and music on their phones – often while doing other activities like studying for school.  And anxiety and depression rates are skyrocketing since the introduction of smartphones.

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

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

Dan:  What is depression?

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

You Can Recover From Depression

I am 57 years old. I am a lawyer. And I struggle with depression.

I was diagnosed when I turned forty.  I didn’t know what was happening to me. But I knew something was wrong. I was crying quite a bit.  My sleep became disrupted. It became difficult to concentrate.  I felt no joy in my life.

Ultimately, my family doctor diagnosed me with major depression and provided me with the help I needed. I started going to therapy and was put on anti-depressants. This saved my life.

Since being diagnosed all those years ago, I have learned to live with depression as have many of the 20 million people who are living with this illness right now in this country.

10 Summer Depression Busters

Although my mood seems to be better with more sun, I understand why a substantial number of folks get more depressed in the summer. Extreme heat is hard to tolerate. In fact, in a study published in Science in 2013, researchers reported that as temperatures rose, the frequency of interpersonal violence increased by 4 percent, and intergroup conflicts by 14 percent.

There are four distinct types of people when it comes to weather and mood, according to a study published in Emotion in 2011.

  • Summer Lovers (better mood with warmer and sunnier weather)
  • Unaffected (weak associations between weather and mood)
  • Summer Haters (worse mood with warmer and sunnier weather)
  • Rain Haters (particularly bad mood on rainy days)

Ten percent of those diagnosed with seasonal affective disorder suffer symptoms at the brightest time of the year. The summer’s brutal heat, bright light, and long days can affect a person’s circadian rhythm and contribute to depression for the opposite reasons that winter conditions do.

If you’re a Summer Hater, or just notice that your mood is affected negatively by the heat, here are some summer depression busters that may help you better tolerate these months — maybe even enjoy them.

5 Good Ways to Boost Your Mood

Depression makes everything harder: motivation is low, we get little pleasure from things we normally enjoy, we have no energy, and relationships tend to be strained. Small wonder it’s the leading cause of disability in the world, according to the World Health Organization.

Several treatment options are effective in reducing depression. The majority of psychological treatments with strong research support are cognitive-behavioral (CBT) and focus on changing thoughts and behaviors to improve mood. Some forms of medication, such as the selective serotonin reuptake inhibitors (SSRIs), can be as effective as CBT, at least for as long as a person takes them.

So, which treatment option should a person choose? Obviously, it’s an individual choice and one that should be made in consultation with one’s doctor. For those who prefer to start with a psychological treatment—either because they’ve not found medications to be helpful and/or the side effects weren’t tolerable—CBT is a good candidate given the strong research support.

A recent study, the largest of its kind—showed that a simple treatment requiring less

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