Tag Archives: mental health

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.

Storytelling

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(Or: Massive Annual New Year’s Eve Note, Vol. 5)

[TMI Warning]

Many psychologists believe that it’s not what happens to us that matters, it’s the stories we tell ourselves about what happens.

Some people unfortunately interpret this to mean that we ought to “look on the bright side of life” and “find the silver lining” and all that crap.

I don’t really see things that way. Never have. Life sucks a lot of the time, and anyone who tells you otherwise is either stupid, in denial, or trying to sell you something.

But I have learned, over the past year, how powerful personal storytelling can be. This was the year I took a lot of pain and turned it into a force of energy.

~~~

A year ago, I thought I was done with this whole depression thing forever. That didn’t turn out to be the case. It came back almost as soon as the new year started, worse than ever before, seemingly undefeatable.

This has been a painful year. People hurt me this year. They lied, broke my heart, used me, and took my friendship for granted.

I was alone a lot, more alone than ever before. In fact, I spent most of the summer alone in New York. It was a fantastic experience, but a lonely one nonetheless.

It was hard, a lot of the time, not to think about all the ways depression limits me. If I didn’t have it, everything about my life would be different. I’d be outgoing, I’d go to parties, I could stay up late and take harder classes. I wouldn’t be so tired all the time, I wouldn’t have such a hard time talking to people, and, of course, I wouldn’t be so sad.

But sometime over the course of this year, I stopped thinking about all the things I couldn’t do because of depression, and started thinking instead about all the things I could.

For instance, I would never have started NU Listens, my peer-listening organization, if I hadn’t been depressed. I wouldn’t have the skills that allow me to help people. I wouldn’t write so much, or so well. I wouldn’t be able to fully appreciate my family and the other people I have in my life. I probably wouldn’t know what my calling is.

Some people, knowing that, would assume that I’m “thankful” for the experience of being depressed, or that I consider it “part of God’s plan” for me, or that it was “all for the best.”

Well, sorry to burst your bubble, but no. I don’t think any God would put a person through this, and that’s one of the reasons I don’t believe in God. I’m not thankful and I don’t think it was for the best. I want my adolescence back. I want the first two years of college back.

In our culture, preoccupied as it is with constantly finding the silver lining to everything from rejection to failure to broken hearts, I think it’s bold of me to say that I’m not thankful for what happened. I know I’m expected to offer up some grand lesson to be learned from all this, but I’m sorry to say that there just isn’t one. Sometimes shit happens. It definitely happened to me.

Knowing that, I’ve given up trying to find some sort of grand meaning in my experiences with depression. I sure as hell don’t accept the Judeo-Christian notion that I somehow deserved it, and although it has had some positive consequences, I’d say it did more harm than good. By far.

So how to go on? Well, that’s a complicated question for someone who prefers to see things in complicated ways. The story I’ve decided to tell about my own life isn’t necessarily happy, but it’s empowering for me. It’s about working within my limitations to achieve great things.

After all, the truth is that I’m probably not going to ever fully recover. I live at the mercy of something I can’t fully control, and my entire being–from feelings and moods to thoughts, beliefs, and actions–is tempered by it. Some days it leaves me alone, and some days it barely lets me get out of bed.

It means I have to be on my best behavior all the time. Nine hours of sleep, fruits and veggies, not too much carbs or meat, brisk walking every day, at least. Schoolwork has to be done before 9 PM or so, or else I can’t concentrate on it. I get overwhelmed by information easily, hence all the organization–categorized to-do lists and a calendar, a notebook that I carry everywhere, everything in filing folders in a box under my desk. In class I have to write by hand because it keeps me more alert. Otherwise, I start dozing off after sitting still for five minutes, no matter how much sleep I’ve been getting, because that’s how my body is.

I have to always stay busy, because as soon as I have a moment to myself, my mind starts conjuring up nasty thoughts. You’re such a bitch. Go kill yourself. The reason I take five/six classes, work two jobs, and run two student groups isn’t for my resume. It’s for my health.

~~~

So those are my limitations. Sometimes they seem pretty extreme. Sometimes they seem like a blessing compared to what some people are given.

Regardless, I’m not going to define myself through them anymore.

Instead, I’m going to define myself through the unique gifts that I have, and that I’ve become aware of because of my experience with depression.

When I’m helping someone, my self disappears–and with it, so do all of my fears, insecurities, and dysfunctions. I feel like I’m entering the other person’s being. It’s almost a spiritual experience.

Of course, my ideas about others aren’t always correct, but I start down a path of understanding. I start to see why the love the people they love, why the fear the things they fear, why they do things I would never do, why they believe things that I don’t believe.

I’m not looking for any accolades or sense of moral superiority when I say that my calling is to help people feel better. In a way, I’m just as selfish as anyone else. Some people are happy when they make money, or when they do experiments, or when they play sports; I’m happy when I make others happy.

It’s pretty much that simple.

~~~

It’s been a year since I “came out” as having a mental disorder. Since then, my relationships have only grown stronger and my sense of being valued and respected has only increased. Sometimes people do imply–usually via anonymous comments on my blog, as they know better than to say it to my face–that I’m making people “uncomfortable.” My response to this is always the same: they’ll get over their discomfort. I won’t get over my depression.

The truth is that–and I’m terribly sorry about this–I really don’t give a fuck about your comfort. I just don’t. It’s not my job to make anyone comfortable. I don’t really care about fitting in or being cool or normal. I must be missing that gene, or whatever.

If I sound completely different right now than I did just a few paragraphs before, I wouldn’t blame you for being confused. My life’s work will be to help people find happiness, but never at the expense of my own ability to live and express myself as I see fit. My understanding of psychology is that if you’re so concerned with how I live that you’re made “uncomfortable” by my depression, it’s you who needs to change, not me.

I don’t think most people realize the extent of my lack of fuck-giving because, unlike many other young malcontents, I don’t wear it on my body. My clothes are normal. I talk like a more-or-less average educated person. I don’t have any tattoos or extra piercings and don’t plan on getting any, and my hair is dyed, but only slightly. It’s styled in a mostly average way. I don’t choose to “rebel” by doing lots of drugs or people, and I don’t smoke, drink, or listen to unusual music.

But internally, I feel like an alien in this world. There’s a thick glass wall between me and everyone else. There’s a terrible creature that has its tentacles wrapped around my brain, and every time it squeezes, I want to rip my head off.

That’s what depression is.

~~~

That’s not to say this year has been all bad. It certainly hasn’t. I made many friends this year–not just any friends, but best friends. I started working on two different research projects at school. I found a way to connect with the Jewish community at Northwestern. I made Dean’s List this past quarter, started my own peer listening group, got accepted as a columnist for the Daily Northwestern next quarter, drastically increased my blog’s readership, tried therapy for the first time, successfully navigated my first quarter in my own apartment, went on quite a few dates, learned how to make my own jewelry, was accepted to a quarter-long Jewish education program, and befriended a few professors.

I went to New York three times, growing more and more certain with each time that this is where I want to live someday. I watched my older brother get married and found out that I’ll be an aunt in a couple of weeks. I met distant family members I hadn’t even known about before. I decided to wean myself off antidepressants when the new year starts.

Depression keeps me from being truly happy, but I refuse to let it rewrite the story of my life any longer. What I’ve been able to do despite of (and perhaps because of) my limitations makes me glad to be alive. I hope to recover someday, but even if I don’t, my life is going to be worthwhile.

~~~

A few days ago. I’m walking near Union Square in Manhattan. The sun has nearly set and the wind is chilling. I hear a man begging for money.

“Can you spare some change?” he’s saying, over and over. The passerby walk past him and he says, “That’s okay. Maybe next year.”

I put a dollar bill in his cup and he says, “God bless you, miss. I really mean that.”

He says happy New Year, and I say happy New Year too.

And then I continue on my way.

Maybe next year.

Yes, We Need Psychiatric Labels

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Recently I stumbled upon a Huffington Post article by one Dr. Peter Breggin, who lists himself on HuffPo as a “reformed psychiatrist.”

This should’ve told me everything I needed to know, but I read on.

The article is titled “Our Psychiatric Civilization” and tries to make the tired point that in this day and age, we are defining ourselves by our psychiatric diagnoses and not by anything else. It’s difficult to fully dissemble this argument because Breggin unceremoniously shoves so many unrelated arguments into the same sad little article, but his main points seem to be:

  • Psychotropic medication is overprescribed.
  • Psychiatric diagnoses (i.e. major depression, bipolar disorder, ADHD, etc.) oversimplify the human condition.
  • Back in the good ol’ days, people apparently did a lot of spiritual soul-searching rather than resorting to all those damn pills.
  • The way people connect in our culture is through their psychiatric diagnoses.

I honestly don’t know which planet Breggin is living on, but it’s certainly not mine. I’ve addressed the overprescription crap elsewhere so I won’t talk about that now.

As for the second point, this is, to a certain extent, true. Psychiatric diagnoses DO oversimplify one’s psychological state, but that’s because you have to have a starting point. If you’re diagnosed with ADHD, you know that, some way–whether it’s through medication, therapy, or some combination of the two–you need to learn how to focus your attention better. If you’re diagnosed with major depression, you know that you need to somehow learn how to fix your cognitive distortions and become more active. If you’re diagnosed with seasonal affective disorder, you know that you need to do things that counteract the shortening of the days–use a full-spectrum lamp, take vitamin D supplements, etc.

Just as knowing that I have, say, asthma or the flu doesn’t describe the full state of my entire body, a psychiatric diagnosis isn’t meant to describe my entire psychological condition. Breggin seems to think that we live in a world where all we know about each other is what pills we’re popping, and nothing else. This is ludicrous. In fact, that’s something we don’t often know, given the stigma that still exists regarding mental illness.

Breggin goes on to claim in a condescending way that there’s no reason for people to connect with each other based on psychiatric diagnoses at all:

Patients ask me, “Should I join a bipolar support group?” If I were flippant, which I never am with patients, I could respond, “Only if you want support in believing you’re bipolar and need to take psychiatric drugs.”

My first thought upon reading this drivel was, Thank G-d he doesn’t say this to patients. My second was more like, What the fuck?

The idea that seeking support from others who face similar issues as you is somehow disempowering and promotes seeing oneself as a victim is quite possibly the most batshit stupid thing I’ve ever heard from someone whose profession is helping the mentally disordered. Shockingly enough, people like to feel like they’re not the only ones with problems. Perhaps this has truly never occurred to Dr. Breggin.

Quite the contrary, I have benefited immensely from connecting to other people who have depression and other mental disorders. Many of my friends have one, and together we’ve formed a sort of support network. All of us can always count on having someone to talk to, and those of us who aren’t as far along in the process of recovery as others can ask friends for advice. I don’t know where I’d be right now without that.

(Maybe in a perfect world, we could just have support groups called “Fucked-up People Support Group,” but somehow this seems counterintuitive.)

Anyway, psychiatric diagnoses can also be immensely helpful in explaining to healthy friends and family what the deal is. While Breggin seems to think that “depressed” is some sort of insulting, disempowering label I ought to reject, let me tell you some of the labels that my close friends and family described me with before they knew I had depression:

  • overdramatic
  • overemotional
  • bitchy
  • attention whore
  • immature
  • insensitive
  • selfish
  • crazy
  • weird
  • fucked up

Yeah um, I’d take “depressed” over that any day.

Not surprisingly, you don’t make a particularly strong case for yourself when you try to insist to people that, no, it’s not that you’re really overdramatic, it’s just that you have this problem with, well, being overdramatic, and you’re trying to work on it, you promise!

Trust me, that doesn’t work. What does work is saying, “I have a disorder called depression that distorts my thinking and sometimes makes me act in a way that seems overdramatic. With therapy and medication, it’ll improve.”

Apparently, though, Dr. Breggin is much too intent on destroying his own profession to allow those with mental illnesses even that small comfort. After all, he makes it pretty obvious that the reason he hates psychiatric labels so much is because they make it possible to prescribe medication, and that, of course, is a big no-no.

If I got a dollar every time some well-meaning fool tried to inform me that the medication that saved my life is unnecessary, I would have enough money to actually afford a therapist.

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.