Author Archives: Miri

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About Miri

Writer, activist, social worker, and huge fan of cats, flowers, and cities.

Antidepressants and Strength of Character

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You're not a bad person if you take any of these roads. I promise.

Spoiler alert: They have nothing whatsoever to do with each other.

There are different levels of stigma surrounding mental illness. There’s the stigma of having a disorder in itself, the stigma of being in treatment for a disorder, and, perhaps most of all, the stigma of that treatment being pharmacological.

People love to hate psychopharmacology, especially antidepressants, the efficacy of which is constantly being questioned (often for good reason). However, I’ve noticed that drugs like antidepressants receive a special type of scorn, one that cannot be based solely on the efficacy mystery.

I’ve found that where mental treatment is concerned, therapy holds some sort of moral superiority over drugs in many people’s eyes. I think many people still feel that mental disorders are spiritual illnesses, not medical ones, and that treating them with a pill is some sort of cop-out. (Imagine the public furor if researchers came up with a pill to, say, erase the feeling of guilt.)

This would explain why, though therapy is still stigmatized–after all, the Ideal Person works out these issues on his or her own–it is considerably less looked down upon than psychotropic medication. Our culture values struggle and hard work so much that even recovering from an illness should be mentally effortful.

What people don’t realize is that there are plenty of perfectly legitimate reasons why someone might choose medication over therapy, at least in the short term. Consider, for instance, the situation I found myself in a month before I began my sophomore year of college. Having spent my entire freshman year growing progressively more depressed, I’d thought that coming home for the summer would magically fix everything. It didn’t. With a month to go, I realized that I felt like I’d rather die than go back to school.

That was when I was first diagnosed with depression, and I think my psychiatrist realized, as did I, that I just didn’t have time to muck around with my feelings–I had to get better quickly, or else going back to school would be more upsetting and stressful than I could handle. So I started taking antidepressants and quickly improved enough to feel like I could deal with being in school. The mucking around with my feelings came later.

Aside from that, I can think of many other reasons medication can at times make more sense than therapy. For example:

  • Financial concerns. Antidepressants cost me $30 a month, while therapy costs $80 for four weekly sessions. That’s a pretty big difference for many people.
  • Time. Some people are at a point in their lives where they literally can’t spare an hour or more a week for therapy. That might sound ludicrous to you, but if you’re a college student, a new parent, or a low-income worker, it probably doesn’t.
  • Availability. Unfortunately, not everyone lives in an area where good therapists are available and accessible (and bad therapists will do more harm than good). This is especially true for members of marginalized communities, who may have a hard time finding therapists who are sensitive to their issues. Not all therapists are as open and accepting as they should be.
  • Insurance. I’m lucky to have a fantastic insurance policy that covers basically everything I’ve ever needed. However, many policies are very picky with regards to therapy (as opposed to medication, which does require a prescription from a person with an MD). For instance, some policies refuse to cover therapy unless there’s an official diagnosis, and you don’t necessarily need to have a diagnosable mental disorder in order to need help. Besides, you can’t be diagnosed without going to a specialist to begin with.
  • Nature of the disorder. Although most mental illnesses obviously involve a psychological component, some do not. For example, many people in temperate climates get Seasonal Affective Disorder (SAD) during the winter months, which is characterized by a low-grade depression as well as various physical symptoms. It’s usually treated with antidepressants or light therapy, which actually has people sit in front of full-spectrum light.
  • Language. Therapy requires people to talk pretty extensively about themselves and their lives, something that would be very difficult for, say, a new immigrant who’s just learning English. Unless such people are able to find a therapist who speaks their native language, it would be pretty hard for them to get anything out of therapy.
  • Comfort. As a future therapist, I obviously wish that everyone were comfortable with the idea of therapy. But not everyone is. That could be because of cultural factors, family attitudes, personality, or negative experiences with therapy in the past. I think that using medication to improve your quality of life while working up the courage to see a therapist is perfectly okay.

I hope that this list shows that making decisions about mental health isn’t that different from making decisions about physical health–it has more to do with personal preferences and practical concerns than with the strength (or lack thereof) of one’s character.

Of course, I do believe that therapy is really important and generally awesome, which is why one of my upcoming posts will be about why I think that everyone (or almost everyone) should see a therapist. Stay tuned.

Facebooking in Class–Symptom, not Disease

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FINALLY I get to use this meme in a serious context.

I think I’m going to have a series of posts criticizing GOOD’s pathetic education section, which is currently failing even harder than my insomniac classmates are at their finals.

This is an older article, but I decided to dig it up and poke fun at it anyway.

This article suggests that having a “15-minute tech break” for each half-hour of class would help students focus because they’d do all their Facebooking in those 15 minutes and then put their phones away.

The people who propose these initiatives seemingly have a complete lack of understanding of how young people actually use technology, and for what purpose. For instance:

Rosen says his tech break concept “works amazingly.” For every half-hour of focused work, he recommends allowing a 15-minute tech break. Once a students sees that nothing is happening on Facebook or send a friend that critical text message—they’re able to refocus, he says.

That’s not the way Facebook and texting work, though. You don’t just check it and then forget about it. You like to be on it. What’s to stop people from having their phones out under their desks outside of the “tech break?”

Furthermore, I don’t see how this is even doable. This would increase class time by a whopping 50%—ludicrous when everyone, both students and teachers, are already severely overbooked. (In fact, that may be why students use their phones in class to begin with.)

In addition, like it or not, multitasking is here to stay. If students are forced to learn how to integrate technology with learning rather than strictly separating the two, they’ll be better equipped to handle modern work environments, where you’re usually required to answer phones/emails/messages while working, and so on.

Finally, I still don’t understand why people see Facebooking/texting in class as some sort of crisis of epic proportions that requires a complete restructuring of the school day. Are students actually becoming dumber? Are their grades dropping? And even if they are, might it be because of much-needed and still-lacking education reforms, and not because of Evil Technology?

I obviously haven’t done research on this (though, by the looks of it, this guy hasn’t either), but I’d guess that Facebooking and texting in class aren’t a cause of distraction–they’re a symptom. Back in the day, kids would doodle or pass notes or just stare into space. These days they text and go on Facebook. What’s the difference? Oh, right, there’s a convenient piece of Evil Technology to blame.

That, ultimately, is the argument that I believe overrules everything else I’ve just said. If the problem is–shocker–not Those Darn Kids but the fact that school is worthlessly boring, then it’s time to have a completely different dialogue. This dialogue will have to be about how to make school both educational and fun and not about how to get Those Darn Kids to do what we want them to do.

Let Them Eat Snacks

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Next up on the syllabus: snacks.

In what might be the best argument for the abolition of the tenure system that I have personally heard of, a professor at Cal State Sacramento has walked out of his own class to protest the fact that some students didn’t bring snacks.

To elaborate, the professor, George Parrott, has had the following “snack policy” since shortly after he began teaching in 1969: students must “work in teams” to provide a homemade snack for each class, or else he’ll refuse to teach it. Apparently this helps promote teamwork and teach students about the consequences of unreliability.

Well, recently Parrott was forced to follow through on his threat because some students failed to bring snacks to class, and now university administrators are investigating the matter. (I don’t really know what there is to investigate. Dude’s been doing this since the 70s, so I’m sure it’s not news to them.)

Two things disappoint me most about this occurrence. The first is that the aforementioned wingnut is a member of his school’s psychology department. It always seems like it’s us psychologists who fuck everything up. Forcing people to electrocute each other, turning them malicious by pretending they’re in prison, having live sex demonstrations on stage…and now this. Seriously, academic psychology can’t seem to catch a break.

The second disappointing factor is that one of my favorite magazines/blogs, GOOD, has come out with an article in support of this inane policy. GOOD is all about alternative education, which doesn’t surprise me since its education section is “in partnership with University of Phoenix,” which might be the biggest baloney of a “university” I’ve ever heard of.

Anyway, the article claims, among other things, the following:

It’s well established that students who have close relationships with their peers or professors are less likely to drop out. At a time when only 30 percent of adults over 25 have a degree and only 56 percent of college students earn a degree in six years, colleges are looking for ways to ensure that students feel like they belong on campus.

Leaving aside the fact that canceling a class doesn’t seem like the best way to facilitate close relationships, I have this to say about Parrott’s methods: he clearly hasn’t studied his own field very well. The technique Parrott is using when he denies a lecture to the entire class because of one student’s mistake is a grade-school staple called collective punishment. It’s something I’ve fervently opposed ever since I was old enough to understand what it was (which, for me, was pretty damn young). Collective punishment is based on the premise that if one person causes negative consequences for the rest of the group, the other group members will convince bully that person into changing their behavior. What a great way to make students “feel like they belong on campus.”

Of course, there’s lots more wrong with this situation than just the dubious use of social psychology to manipulate people. First of all, if you poll random college students about why they’re in college, things like getting a degree and acquiring knowledge in their chosen field are likely to be higher on the list than learning about teamwork. Is teamwork important? Sure. But that’s not what we’re paying thousands of dollars for.

If he were that passionate about students learning how to work together, the professor could’ve taught a class about teamwork and petitioned to have it made mandatory. Or he could’ve had the class work in groups to carry out research projects or make short presentations at the beginning of each class. Or any number of things that are less stupid than forcing people to make their own snacks on their own time and money.

Some might defend this, saying that many of his students like the policy and that it’s not that hard to make snacks and whatnot. But I would argue that, when it comes to education, it’s the principle of the thing. Nobody should be picking classes based on whether or not they have time to bake cookies. Nobody should be denied a class because some random idiot forgot to.

Why You Should Date a Feminist

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Now don't tell me you wouldn't date Obama.

Men, this post is for you.

I’ve been told by trusted sources that potential suitors may read my blog and find themselves intimidated by my feminist ideas. I would never want to discourage a potential suitor until I discover him to be deplorable, so I’m offering up this post as an olive branch of sorts.

So, here’s why you should date feminist girls like me.*

  1. We split the check. Now, I’m not gonna lie–I don’t speak for all feminists, but I personally appreciate when a guy offers to pay for me. Sometimes I even accept. However, that doesn’t mean I expect it. Hell, sometimes I even pay for the guy.
  2. We won’t use you as a free plumber/computer technician/mover. I can unclog my own toilet, fix my own computer, and–usually–schlep my own shit up the stairs. Why? Because rather than sitting around looking pretty and helpless, I’ve enjoyed figuring out how to do that stuff myself. (Case in point: I once ran Linux (Ubuntu, if you’re interested) on my laptop for an entire year just for the hell of it.)
  3. We’re great in bed. Most–though of course not all–feminists refuse to buy in to the idea that a woman is only sexy if she’s either a shy, girlish virgin or a porn star. We recognize that sexiness is an attitude, not a set of genetically inherited traits. We understand that there’s nothing shameful or dirty about sex.
  4. We don’t expect you to be rich. I’ve dated (or at least crushed on) guys who’ve majored (or worked) in anything from business, economics, biology, and pre-med to philosophy, history, English, and psychology. I’ve been into guys whose parents are lawyers and guys whose parents barely make ends meet. Because I don’t see dating as a way to become financially secure. I can do that for myself.
  5. We will never subject you to monologues about our physical flaws. (Or, at least, we’ll do so very rarely.) After many years, I’ve finally stopped thinking I’m fat. But it’s not because I got any thinner or got an expensive therapist. It’s because I’ve finally realized that even if I were fat, that would in no way diminish my worth as a human being–and that’s an idea I can thank feminism for. Once I realized that, I finally stopped pinching my stomach and analyzing my thighs, and got to work thinking about the stuff that matters.
  6. We don’t buy into the whole Valentine’s Day shebang. Every February, I discover magazine advice columns full of letters from men terrified that they won’t be able to provide the “perfect” Valentine’s Day experience for their girlfriends, fiancées, or wives. Well, gentlemen, you don’t have to worry with me. I appreciate Valentine’s Day gifts and usually give them myself, but I have no special expectations for that day aside from a hug and a kiss.
  7. We don’t need you to be super ripped and athletic. Most feminists recognize that there are soooo many interesting things a person could do with his/her life aside from trying to look good. I like to date people who are passionate about something. If they’re passionate about sports, cool. If they’re passionate about something totally different and don’t have much time for sports, still cool.
  8. We care about things. Now, I realize that for some men, this is a dealbreaker. But I truly believe that most guys like it when a girl actually cares about things that happen in the world and has plenty of interests. I have lots of flaws, but one word that’s never been used to describe me is “boring.”
Of course, no discussion about dating feminists would be complete without an examination of the stereotypes associated with them. Many people unfortunately think that feminists are rude, uncaring, etc. Obviously, I don’t think that’s true. But a better argument is this–don’t you also know non-feminists who are rude and uncaring?

Not every feminist woman will be right for you. That much, I hope, is obvious. I’m not arguing that you should date women just because they’re feminists. Rather, I’m arguing that you shouldn’t write them off just for that reason.

So, give it a try. Don’t let my mom be terrified for my romantic future. You wouldn’t do that to her, would you?

~~~

*Disclaimer: I don’t claim to speak for all feminists. However, this list is applicable to most feminists that I’ve personally met and/or read the writing of. If you’re a feminist and some of this doesn’t apply to you, that’s perfectly fine. I still consider you a feminist. Don’t worry.

Sleep: Forgotten Martyr of College Life

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See? It's even on a shirt.

“Academics, social life, and sleep: pick two.” -popular advice given to college freshmen

I’m sure you’ve heard that one before. Most college students, it seems, pick the first two.

What surprises me isn’t so much the fact that they do, but the fact that sleep deprivation is considered such a routine part of college life. Nobody seems to see anything wrong with this idea that getting through college necessitates depriving oneself of sleep.

I have a different way of looking at things because I have a different body. More specifically, living with depression means that sleep takes on a central significance in my daily life. Get too little, even by an hour, and I’m facing the sort of fatigue most people experience only after an all-nighter. Get too little too often, and I’m significantly increasing my chances of relapsing.

Most people don’t have depression (though many do, especially in college), but everyone knows, in the backs of their minds, that sleep is really, really important. Lack of sleep is implicated in all sorts of health problems, from susceptibility to stuff like colds and flu, to obesity, diabetes, attention and memory problems, and, of course, depression. Fatigue also makes the other two items on that list, academics and social life, nearly impossible to handle.

What’s strange is that sleep is probably unique in its complete invisibility as a college health issue. Dining halls increasingly provide healthy options, including full salad bars at each of Northwestern’s. Campus medical centers provide free condoms and cheap STI testing. Campus gyms are open from 6 AM to 11 PM each day and provide plenty of free (or cheap) classes, intramural sports teams, and what have you. Counseling centers provide free counseling and stress management workshops (though of course there’s much to be desired in that department). Anti-binge drinking initiatives abound.

But sleep is that subject that nobody ever seems to touch. After all, exercise makes you look good and can be fun, grabbing a free condom is easy, and getting a salad instead of a pizza is no big deal. Getting enough sleep, meanwhile, requires actual lifestyle changes–and, sometimes, actual sacrifices.

Ultimately, though, I think that the whole “pick two” joke is a false dichotomy (trichotomy??). I know that having all three is possible, because I have all three. I have great grades, I have great friends, and I sleep a solid 8-9 hours a night.

(A few weeks ago, frustrated by the fact that I’m usually exhausted by the time I come home from classes at 6 or 7 PM, I called my mom to complain. She said, “Of course you’re tired. It’s normal to be tired after a long day of classes.” Until she told me this, I’d never realized that. Because the campus culture I’m steeped in tells me that I should come home in the evening, go to meetings and do homework until midnight, and then engage in a social life until 2 or 3 or later–or, if I’ve been procrastinating with my homework, I should just stay up all night.)

What worries me most is that people wear their sleepless nights like badges of pride. You never hear anyone say, “Dude, I’ve legit been eating three slices of pizza EVERY DAY this week,” or “Man, guess how long I’ve managed to go without working out!” or “Guess what, guess what? I totally didn’t use a condom last night!”

But they make those comments about their lack of sleep. The only comparison is the way people talk about binge drinking.

Why is sleep deprivation cool? Probably for similar reasons as binge drinking is. It’s a mark of physical endurance, in a way, and it’s a way of displaying that you have the “right” priorities–socializing, usually–and not the “lame” ones.

Yet colleges actively try to combat the culture of binge drinking, but they ignore the problem of sleep deprivation. Why?