Living with Depression

I imagine when all is black in my head and heart, I’ll write something brilliant that justifies the darkness within. But when I’m depressed like this, I can not motivate myself to create, or do anything beyond succumbing to my sadness.

This essay is simply on depression, living with it in a world that wears masks, puts on facades online and in-person, because we’re not allowed to feel bad, or at least show it. We’re allowed to feel frustrated, annoyed, disappointed, in moments, but they better not last too long, or be too intense, like when feeling angry translates into yelling. Even in anger, we’re supposed to retain our composure.

I suck at pretending. I can’t pull off the I’m OK Buddy, when I’m not. Most of you reading this are much better at wearing faces. Most people are. But depression, that feeling there is something stuck in your throat that you can’t swallow, that with every breath it feels as if you’re sighing— trying to shed the weight in your chest— makes putting on a mask particularly difficult because you’re spending so much energy just trying to breathe.

Commercials for drugs to combat depression are all over the media. They come with a list like: Using this product may make you dizzy; nauseous; stop breathing; feel even more depressed; become suicidal even if you didn’t feel that way before the drug; die. Wow. Thanks, but no thanks. I don’t really need to take Lexapro to help motivate me to kill myself.

I’ve tried Prozac, a long time ago. I was allergic. It almost killed me. I’ve tried Xanax, which is by far the most popular drug for depression. All it did was make me sleepy. I’m already tired all the time.

Therapists like to talk, or for me to talk. And talk. And talk. Business 101— you make more money with continuing clients than having to find new ones. I want ACTIONABLE things to do, other than taking drugs or talking to a shrink once a week, which just makes me poorer, and even more depressed.

What is “depression” anyway? I mean, everyone gets depressed occasionally, regardless of the masks we wear. Technically, and absurdly simply, depression lies in our chemistry— dopamine, serotonin, endorphins, and oxytocin— these ‘happiness hormones’ are not adequately delivered to the pleasure centers of our brain. It is commonly accepted that some are born with inadequate levels of these hormones, or there is a problem with their release inside the brain. Clinical depression apparently has a genetic component, but this has yet to be proven as hard fact.

Episodes of depression effect most people when events in our life hurt us. For most, the length and severity of feeling sad is usually consummate with the event itself. Losing a loved one, or loosing the lottery generally solicits dramatically different responses. As it should. Most let their feelings of sadness dissipate, often forget them entirely over time. I’ve spent a lifetime envying these folks.

Those of us suffering from depression internalize pain. It resides in us, like a cut, or injury that just won’t heal. We hang on to our hurts, from minor slights to major loss. And whether born with an imbalance, or too many painful life events, when sadness sticks, builds up and gets thick, every day feels like wading through molasses. If depression festers long enough it will eventually kill you. It strips us of the single motivating factor that keeps us all alive through dark times… hope.

Curing depression for those who experience it, and those who have to live with people who do, is paramount. Over 90% of those who attempt or commit suicide are clinically depressed. Suicide is the 10th leading cause of death worldwide, which is a shame, because so often emotionally wired people are the creators, writers, artists, innovators and builders of societies. It is believed Abraham Lincoln suffered from Depression.

The only way to help reverse, or at least halt the chemical cascade into darkness is to actualize pleasure. I realize an effect of depression is finding no joy in anything, but those of you living with that weight in your chest with most every breath KNOW that joy is attainable, even when we are consumed with sadness. That blackness is the ugly voice in our heads meant to perpetuate depression, and a LIE. A rainbow is still beautiful. A double-rainbow extraordinary. The taste of your favorite foods; a hug when we’re scared, or lonely; backrubs; creating something— these things are still pleasurable. The Pacific cresting at 40ft is still awe-striking; a field of blooming flowers still visually stunning…etc..;-}.

Living, existing as human, is all about FEELING. The good, the bad, the ugly, the wondrous, the awesome, the magnificent empowerment of feeling loved, respected, valued. The charge that comes with creation. The suffocating black hole with loss.

Are you living with Depression?

If so, SEEK and FIND joy, pleasure. NOT self-destructive behavior, like drinking or using drugs for momentary relief, as trying to bury feelings, even temporarily, will increase depression. DO things, stuff that turns you on, makes you feel— if not good— at least glad you get to see it, taste it, experience it—without regret later! ACCOMPLISHING TASKS also lights up our brain’s pleasure centers. String enough joy and accomplishments together, even simple things, and, over time, continually reminding your brain why you are choosing to live will reinforce your desire to do so. 

Therapy for Change or Ego?

Lonely?

You bet! So is most everyone else, even people with partners. And no need to be jealous of the relationship they have, since they likely don’t have the fulfilling romance you imagine they do.

Sad?

Of course! Lonely is depressing!

Anxious these days? Or any days navigating our modern world?

Sure you are. As if the cascading effects of Covid aren’t enough, there’s always our divisive politics, global warming, the growing wealth gap, care and feeding of ourselves and our kids, and all the digital crap we are bombarded with daily.

If you’re dealing with depression or anxiety, now may be the time to talk to a licensed therapist,” Michael Phelps, the Olympic gold medalist says to camera, like he’s talking directly to YOU.

Mr. Phelps is selling online therapy, which has exploded in popularity with the isolation of the Covid19 pandemic. Before Michael got on board as their official spokesman, online therapy was slowly, quietly growing. As more celebs put their mental health in the spotlight, as Phelps has done with his own emotional struggles, the more acceptable seeking “mental help” becomes [for those who can afford it].

It’ just as easy as joining a video call, or texting with a friend,” Phelps continues. “Except it’s with a licensed professional therapist trained to listen and offer support, all from the comfort of your home.

Mr. Phelps is recommending that instead of calling a family member or friend, for free, who will likely listen and be supportive, you can PAY someone you don’t know, who does not know you, starting at $150 an hour or more, for a 50 minute online chat.

I get that many people don’t have ‘friends’ they can call up and talk about what matters to them. If this is you, the question is WHY?

There are social clubs, volunteering opportunities, gyms, classes, sports that you can engage in to meet others. Sure, that’s work, hard work, and it’s much easier to binge watch Netflix to help you forget you feel lonely. If you choose to pay for a therapist than deal with the work and compromise that comes with real relationships, well, it’s no wonder you’re lonely. And I won’t play therapist here and waste your time ‘exploring’ your lack of motivation, or apologize for telling you the truth. For most of us, there’s no real reason to be lonely. It is your choice to cultivate relationships with people who share your interests, both in-person and online, instead of paying someone to stoke your ego 50 min once a week for $150 plus, as this is what therapists are trained to do.

The best explanation on the value of modern therapy I’ve ever heard was from a friend who’d recently graduated from a prestigious university with his Doctorate in Psychology: “Going to therapy is like getting a mental massage.

The entire process of one-on-one therapy is fatally flawed.

Marriage and Family Counselors to doctorate-level psychologists are trained to be your advocate. It is their job to build trust between you. If they were constantly giving you real, hard truths about yourself, you wouldn’t want to keep paying them to hold you accountable for all of your choices. Most therapists are schooled in “understanding.” They’re taught to be an empathetic listener, more sympathetic than action driven. Listening to you whine, or, as they profess: “helping you figure it out for yourself,” makes it easier for them to care less about helping you fix your issues, than having you continue to pay them week upon week, month over month, year after year.

There is a fundamental conflict of interest at the core of the therapeutic process. It is easier to keep a client than get a new one! Anyone in business will tell you this adage is the truth. And therapy is a business, and a profitable one at that, if the therapist can get and retain clients. They are hoping for a long-term relationship, where you feel as if you have a friend in them over the years, maybe at times, the only true friend you feel you have. But this is likely a lie you tell yourself instead of working at garnering and nurturing relationships, and doing the work of changing your behavior to obtain the life you’d like.

We lie to ourselves often, and therapists don’t feel it’s their job to call you out, even though doing so could save you tens of thousands of dollars, and possibly years of your life’s time. Psychology 101: PEOPLE LIE. To ourselves a LOT, and to each other. We rationalize, justify, and flat out lie to look kind, smart, moral, wise, or to get what we want. And if you are telling yourself you do not lie, you are in fact lying to yourself.

In 1:1 sessions, the therapist is only hearing one point of view— the client’s. They have no idea what the real truth is compared to what they are being told. And as I’ve established, PEOPLE LIE. Since the therapist can not see your actions outside their office, and has no contact or even interest in your life beyond that same office, they have no idea what is actually happening for you, only what you choose to tell them. And we all paint a bias picture of events, and even feelings, to resist changing.

Transference is not a one way trip. Psychoanalysis describes the term as a client expressing feelings toward the therapist that appear to be based on the patient’s past feelings about someone else. But therapists are humans too. They often project their personal feelings onto their clients.

Age 13 forward, I’ve intermittently seen approximately 15+ different “therapists” when my life felt too sad for too long. Some I kept paying for several years. Clearly they weren’t helping me to feel any happier, or I’d have learned how to have more joy in my life, therefore eliminating the need to continue paying them.

A marriage counselor I saw first on my own, then brought my husband in, who saw her separately at times as well, nearly had us divorcing. We came to her to help us preserve our marriage. She was an advocate for me when I saw her, and my husband’s advocate when he saw her, essentially pitting us against each other. Sessions with my husband were all about working out our fiery righteous indignation that she’d sparked. We saw her weekly, sometimes more for 3 years, and finally quit her, instead of each other.

Every therapist I’ve seen I’ve asked for the same feedback—to show me the point of view I am not seeing; to consistently point out when I’m wrong, or lying to myself, and then help me find a path to change my destructive behaviors leading me to outcomes that will not make me happy. They’ve all been very understanding, sympathetic in the extreme when I explain any given event, what I felt and why I reacted as I did, but most of them have failed to give me insight I’ve yet to consider, or found particularly useful when applied in real life.

How many reading this blog have been in therapy for years at a stretch, spending thousands, possibly tens of thousands annually? How many collective hours of your life have you spent in therapy?

You’ve gotta wonder how well it’s really working…