Category Archives: psychology

College Freshmen Need a Class on Mental Health

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This is the second installment of my weekly column for the Daily Northwestern. Check it out in its original here.

As college students, we’re intimately acquainted with stress. Everyone feels it, often on a daily basis. We juggle classes, jobs, extracurriculars and social lives, and the stress we feel means we’re pushing ourselves to succeed. However, for increasing numbers of students, the stress has become unbearable.

Here are some statistics for you.

According to a study of 200,000 students, only about half of college students say they have “above average” mental health, which is unusual since people tend to overestimate how above average they are. (Google “Lake Wobegon Effect” or “illusory superiority” if you’re curious.) In 1985, it was 64 percent.

According to an Associated Press and mtvU survey, one-third of college students say they use drugs or alcohol to relax. One-fifth say they feel stress all or most of the time.

Feelings of stress only increase as we progress through college. According to the mtvU survey, almost 30 percent of freshmen say they’ve felt so stressed that they didn’t know how to pull out of it. By sophomore year, almost 60 percent of students say so.

Ten percent of college students say they’ve considered suicide just in the past year. For Northwestern, that means 900 undergraduates.

What are we supposed to do with this information? Making college easier obviously isn’t an option. But I don’t think it’s okay for things to be the way they are.

I propose that freshmen be required to take a class about mental health and stress management. Perhaps it could count as a distribution credit for ethics and values or social and behavioral sciences. This class should cover the basics of dealing with stress, sleeping well and knowing when to get help. It should be taught by personable faculty members or by Searle or CAPS staff. It should provide time for discussing students’ difficulties as they experience them, sharing each other’s coping strategies and perhaps some meditation lessons. It could be — dare I say it? — fun.

Why should this class be required? Well, for starters, because most students can’t predict whether or not they’re going to experience debilitating levels of stress someday. And because, when given the choice, people like to pretend they’re perfect and don’t need any help with personal problems like stress management. And because Northwestern requires students to learn about math, art and writing, but not about something that could one day save their lives.

A class like this could have benefits that reach far beyond its syllabus. Since class sections would have to be small to facilitate the right environment, students would make friends and get to know a faculty member. Unlike most academic courses, a class like this would jumpstart discussions about deep, personal topics and forge closer friendships than any other class could. Forming connections with professors is one of the best ways to ensure a good college experience, and it’s often hard for freshmen since they have to take large classes. Sharing rather personal things with each other brings people together, and students would come to realize that, despite what it may look like, they’re not the only ones who feel overwhelmed sometimes.

As we love to remind each other and ourselves, we’re all adults here. Our culture doesn’t emphasize mental health; it emphasizes productivity and perfection, so stress management isn’t something we learn unless we make the effort. As we start college, we’re at one of the most vulnerable points of our lives — freshmen have to adjust to an increased workload, a new physical environment, different social norms, greater financial stress and homesickness. We’re used to thinking of stress as something unavoidable, a necessary evil that we have to live with to do well in college. A class like this may not cure us of stress entirely, but it could make our years at NU happier, healthier and more productive.

The Happiest Day of My Life

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My sister-in-law and me, on the happiest day of my life. And maybe of hers, too.

[TMI Warning]

On April 3 of this past year, my older brother got married. I’d known his wife-to-be almost as long as he had–nearly two years–and she was basically part of our family by then. So to me, that day wasn’t just about the joy of one of my family members, but two. Though, actually, it was about the joy of all of us.

I woke up early on the day of my brother’s wedding after spending the night at the hotel with my whole family. My sister-in-law, her sister, their mother, and I all had our hair and makeup done professionally. The photographer posed us with our bouquets and snapped hundreds of shots.

The wedding itself was beautiful. It was an Orthodox Jewish wedding, and everyone received a little booklet explaining the traditions and why things were done the way they were. I found it all fascinating and unforgettable.

During the ceremony, I walked my little sister, the flower girl, down the aisle. I shed some stereotypical tears. I’m pretty sure my mom did too, and we probably weren’t the only ones. A Jewish wedding ceremony isn’t something I can easily describe or explain, so all I can say is that I hope you witness one someday.

The reception was fantastic. I got to see friends and family I hadn’t seen for years, and we danced for hours. I’d worn four-inch heels and my feet were killing me, but I didn’t care, for the most part.

And then it was over, I went home and went to bed, and woke up the next morning to the same life I’d lived before.

I’ve been thinking about that day a lot ever since. Not just because it was a major event in the story of my family, but because it holds a very special significance for me. It was, so far, the happiest day of my life.

On its own, that might not seem so strange. After all, since I’ve never gotten engaged or married myself, I don’t really have a choice but to live vicariously through those who have. Since I love and care about my brother and sister-in-law, it would make sense that their marriage would make me very happy.

But at the same time, it’s not the sort of thing you’d really expect as the happiest day of a young adult’s life. Most would probably say something like their high school graduation day, the day they were accepted to their dream college, the day they won a major competition or award, and so on. Self-directed things.

It was also kind of a weird time for the happiest day of my life to occur. Last winter and spring, I was going through a major depressive episode–I’ve lost count of the number by now, but it was probably my fourth or fifth one. In fact, I spent the night before the wedding and the night after it doing the exact same thing–sobbing on my bed for no immediately discernible reason. I remember it very clearly.

But in between those two nights, something was different. I wasn’t thinking about any of that. I wasn’t thinking about what a failure I am or how I have no friends or how I’m terrible at everything I ever try to do, or any of that other stuff that seemed so obvious to me.

And it wasn’t because I was “thinking happy thoughts” or “just ignoring it” or any of the other things depressives are constantly extolled to do.

It was because all of my attention was focused on someone else and on their happiness. Rather than trying to avoid my own thoughts, I actively directed them somewhere else.

In other words, the happiest day of my life was the day I almost didn’t think about myself at all.

I knew almost the instant the night was over that it had been a very special day for me. For months afterwards I kept replaying it in my mind, desperately trying to figure out how to get that feeling back. My parents told me later that their friends couldn’t stop telling them how amazing I looked–not just because I was dressed and coiffed and made up so well, but because I seemed to glow. I seemed alive, and it might’ve been the only time these people had ever seen me that way. It might’ve been the only time I ever have looked that way. I looked like a young person ought to look.

It was only tonight that I finally figured it out. And it made perfect sense. Because the truth is, I’m never going to love myself. I might not ever even like myself. I’ll probably always wish I were born another person. So for me, happiness will never come by focusing on myself and my own life. It will only ever come during those times when I can forget my own existence, my own self.

To be honest, I’m not sure that I’ll ever have a day as happy as that one again, except perhaps when my other siblings or close friends get married. I’m not sure that I’ll ever find someone who tolerates me enough to marry me, and even if I do, I doubt my own wedding day could make me as happy as someone else’s.

On a normal day, it’s just not possible to pretend that the world doesn’t exist. It exists, and it sucks a lot of the time. On normal days my family isn’t going through one of the happiest things that can happen to a person. On normal days, I don’t have anything this momentously joyous to think about.

But I think I can apply what I’ve learned to these normal days, too. That’s why the best advice I can offer to other people struggling with mood disorders is to “get out of your head.” The hard part is figuring out how to do that–it’s different for everyone–and summoning the strength to actually do it. For me, getting out of my head means getting into someone else’s and living through their eyes instead.

That day changed my life in many ways. It inspired me to learn more about the religious traditions I’ve thus far ignored, it obviously changed my family life pretty drastically, and, for about fourteen hours, it let me live without depression.

For those fourteen hours, I was alive. The black cloud over me was gone. The haze before  my eyes was gone.

I’ll never forget how that felt.

“If You’re Fat, Then What Am I?”

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There are a lot of misconceptions out there about body image and eating disorders. I can’t even begin to address all of them here. But there’s one I’ve been thinking about lately–that problems with body image are caused solely by comparing yourself to unrealistic standards, and can be solved by simply comparing yourself to the “real” bodies around you instead.

First, a disclaimer–I’ve never had anorexia or bulimia. However, I’m not entirely out of my depth here. Had I gone to see a psychiatrist at some point prior to this year, he or she would probably have taken note of my obsessive calorie-counting, severe dietary restrictions, compulsive weight-checking and fat-pinching, and general conviction that I was “fat,” and diagnosed me with something called “eating disorder not otherwise specified,” or “EDNOS.” This means that one doesn’t meet the diagnostic criteria for any of the eating disorders, but is definitely disordered nonetheless.

(For the record, I’m much better now.)

Anyway, one thing I remember very vividly from my years of thinking I’m fat was one particular response that I often encountered. Some people (mostly other girls), upon learning how I felt, would respond with this: “If you’re fat, then what am I?”

Now, I understand exactly where this comes from. Many of my peers were probably insecure, too, and it makes sense that they would be reminded of their own insecurity once I mentioned mine. Since I was indeed thinner than many other people, that response makes sense on some level. If I’m fat, they must be obese!

But it doesn’t really work that way. It would certainly be convenient if people’s self-concepts were always rational and based on reality. But the very definition of mental problems is that they’re distortions of reality–they’re unrealistic. That’s why grief after the death of a loved one isn’t considered a mental disorder, but depression is.

And that’s exactly why “If you’re fat then what am I” is not an effective response. At the time, I didn’t give two shits what other people were. It didn’t enter my thought process. In my case, my conviction that I was fat was mostly caused by cultural factors; namely, the fact that Russians are fucking preoccupied with beauty and weight. Absolutely preoccupied. It was also caused by years of ballet lessons, my depressive personality (which magnifies personal flaws), the belief that I could lose 10-20 pounds and still be healthy, fear that guys wouldn’t find me attractive if I had folds on my stomach, and many other causes.

For other people with body image and eating issues, the causes may be different. Some people develop the feeling that they’re unable to control their environment, so they control the only thing they can–their body. Others may start out actually overweight, start to diet and lose weight, and find that they’re addicted to the feeling of getting thinner. Others develop an overwhelming guilt whenever they eat, especially when they eat unhealthily, and they start to purge after eating. Some may have friends who constantly talk about their bodies’ flaws (remember Mean Girls?) and start to think the same way.

Whatever the causes are, these issues are much too complicated to be defeated by a simple glance at someone who weighs more than you.

Of course, “If you’re fat then what am I” also fails one of the most basic requirements of being a good listener–don’t change the subject to yourself. If your friend feels crappy and needs to talk to you, don’t make it about you. If your own issues are making it difficult for you to listen, tell your friend that. Sure, they might be disappointed that you can’t listen to them, but that’s much better than how they’re going to feel when you take their pain and turn it into a conversation about you and your weight.

It’s easy to resent people who, according to you, “should” be perfectly happy with their weight but are not. I can’t say I don’t get a twinge of annoyance whenever I witness a girl much smaller than me freaking out about her weight. But then I remind myself that she’s not me. Poor body image seems almost like a cliche among young women these days, but it’s so much more complex than you might think.

You Don’t Need Alcohol

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[This is my first column for the Daily Northwestern, NU’s student newspaper. I can’t find the link on their website so I’m not linking to it, but here’s the full piece.]

You don’t need alcohol.

Wait, hear me out. You really don’t need it.

Before I came to college, I obviously expected that there’d be a lot of drinking and partying going on here. What I didn’t know is why. I grew up in a large, loud Russian family, where alcohol flows freely at dinner parties and camping trips, but never takes center stage. My parents seem mosty the same to me whether they’ve had five drinks each or not a single drop, and they seemed to have just as much fun without alcohol or with it.

I was puzzled, then, when I came to college and found that alcohol was often–not always, but often–the main event. As far as I knew, most people readily admit that they don’t like the taste of alcohol, at least not of the sort usually served at college parties. Dealing with the unpleasant consequences of drinking too much is a drag. Meaningful connections aren’t usually made while one is drunk. So why?

The answer both suprised and disappointed me: people think they need it.

I started hearing the same story from almost everyone I asked. “I don’t really feel comfortable with people unless I’ve been drinking.” “I can’t talk to girls without a few drinks.” “I could never hook up with someone if we’re not both drunk.”

One friend even confided to me that he literally can’t have sex if he’s not drunk. “Why not?” I asked. “I’m more of a traditional person,” he said. “I don’t feel comfortable doing that with someone I don’t really know if I’m sober.”

Could it really be that the brilliant, accomplished people I go to school with can’t make friends or hook up without alcohol?

The answer, I think, is no. I think we’ve been deluding ourselves. Sure, it can be fun to get drunk. But should it ever be something we “need” to function socially?

I think I can attest to the fact that it’s not necessary. I used to be painfully shy and incapable of having a conversation with anyone my age. Since coming to college, I’ve truly branched out and made many friends. Yet I’ve never been drunk and can count the number of parties I’ve been to on the fingers of one hand. People, if the girl who used to bring encyclopedias to read at birthday parties can do it, anyone can.

I also don’t think we should be using alcohol to help us ignore our own values. If you’re just not the sort of person who wants to sleep with people you don’t know, that’s totally fine. I’m not either. If you think it’s perfectly okay but feel too insecure to do it without alcohol, that’s something you can work on.

That applies to making friends, too. This school is full of really cool, really interesting people. You’re going to find people who think you’re awesome. It’s just a matter of convincing yourself of that. So practice in front of the mirror, get friends to introduce you, do whatever you have to do. Having the confidence to approach people and connect with them is a wonderful thing, and it’ll be with you always–long after the party’s over and the alcohol’s all gone.