Posts Tagged depression
I Really Didn’t Think This Through by Beth Evans. William Morrow| May 2018| 172 pages | $14.99| ISBN: 978-0-06-279606-6
Like many others, I discovered Beth Evans on Instagram. The millennial has a quarter of a million followers and posts cartoons about mental health and navigating adulthood. In this book, Evans writes about her struggles with depression, anxiety and OCD and intersperses comics throughout. It’s amusing and touching and honest. She delves into her experiences with bullying, self-harm, dating and how she manages her anxiety while maintaining a bit of a social life. She shares what happened when she first realized she might have depression. She reminds readers to practice self-love and self-care and to ask for help if you need help. With stigmas surrounding mental illness, it’s crucial that people keep sharing their experiences. In her comics and through her words, people will realize that they’re not alone and perhaps find some solace in similar experiences. People may also realize that it’s okay to struggle with mental illness and it’s okay to not have it all figured out. May is Mental Health Awareness Month and this is a perfect reminder to take care of yourself.
“For those unfamiliar with anxiety attacks, it’s kind of like being shoved off a ledge without being able to scream. It’s a silent takeover during which your body decides what’s going to happen, and all logic is tossed aside. What makes it even more challenging is that it sometimes happens in public. Then, not only do you have to figure out how to take care of yourself, but you have to try not to alarm those around you.”
“Anxiety is a powerful thing, and when it decides to strike, it can take many different, often demoralizing forms. Suddenly the only thing you can focus on is the absolute, fundamental sense of dread and upset storming inside you. When I’m anxious, I become obsessed with keeping everyone around me calm. It’s almost like the minute I start to feel bad, I need to focus on someone else instead of on what’s happening to me.”
Taking it one day at a time:
“And sometimes that’s all we can really hope for—the feeling of staying afloat. When things really suck, staying afloat seems pretty good. Sometimes it’s okay to celebrate just being here, because that in itself is an accomplishment. Some days I’m just going about my business, like walking around Target, and I’ll think, How on earth did I pick up all these broken shards and function like a normal person today?”
“Sometimes we get caught up in the idea that self-love has to be thinking we’re great 100 percent of the time. Often it’s something much less exciting, like treating ourselves with respect or holding our brains back a bit when we want to attack ourselves. In a world where we’re taught to be one kind of perfect or another, something seeing beauty in the imperfection is the best thing we can do.”
Recognizing that perfection is impossible:
“I think one of the hardest sentiment to wrap by head around is that I’m an all right human being. So often my brain screams that I’m the worst of the worst, and I constantly judge myself for past interactions and failures. I also need constant reassurances form those around me that I’m not a horrible person, which, honestly, is grating for everyone around involved.”
–review by Amy Steele
FTC Disclosure: I received this book for review from William Morrow.
A Mind of Your Own: The Truth About Depression and How Women Can Heal Their Bodies to Reclaim Their Lives by Kelly Brogan, MD. Harper Wave| March 2016| 352 pages | $26.99| ISBN: 9780062405579
“We are engaged in lifestyles that are not compatible with what our genome has evolved over millions of years to expect. We eat a poor diet, harbor too much stress, lack sufficient physical movement, deprive ourselves of natural sunlight, expose ourselves to environmental toxicants, and take too many pharmaceuticals.”
My psychiatrist at Mass General Hospital recommended this book. A colleague recommended it to her. At my last visit she still hadn’t read it so we couldn’t discuss it. However we have discussed the mind-body connection; that I do not want to be dependent on Klonipin or my current SSRI [I am tapering off Lexapro]; that I believe in homeopathic treatments and see an acupuncturist; that I do yoga and I am a vegan. Going into this book I felt I was doing lots of things right but I still am miserable and low functioning. I don’t take a lot of medications outside my daily psychiatric meds, vitamins and supplements. I listen to my body. I feel fairly connected. My psychiatrist said that there’s a disconnect between my level of education and my level of function. That’s not easy to hear. But I know that it’s likely the truth as I cannot find work and struggle to get paid for anything at which I feel I excel. Writing reviews for example.
This book isn’t without controversy. For one thing Kelly Brogan, MD is an anti-vaxxer. I’ve worked as a healthcare professional and get my flu shot every year and have done so for the past decade or longer. Dr. Brogan believes that mental illness is not a chemical imbalance but a symptom of imbalance in our body. It is NOT a disease. I only recently started thinking that mental illness was a disease and a disability because I attended DBSA Boston meetings and that’s what the majority of people at DBSA and NAMI believe. Many receive SSDI.
Dr. Brogan writes: “Depression is merely a symptom, a sign that something is off balance or ill in the body that needs to be remedied.” This is much more complicated to both comprehend and accept. For how many years have we been told that we have some sort of chemical imbalance in our brains and with the right medication we might be able to stabilize it? She adds: “[sic] there has never been a human study that successfully links low serotonin levels and depression. Imaging studies, blood and urine tests, post-mortem suicide assessments, and even animal research have never validated the link between neurotransmitter levels and depression. In other words, the serotonin theory of depression is a total myth that has been unjustly supported by the manipulation of data.”
She also states something that’s way easier to understand: “So many patients today who are being shepherded into the psychiatric medication mill are overdiagnosed, misdiagnosed, or mistreated.” If you are like me, you’ve been to quite a few psychiatrists who churn out the prescriptions – one pill to wake you up, one pill to make you sleep, one to calm you down. And for some people they can handle side-effects such as weight gain and cognitive impairment. Some even seem resigned that they will always have that extra weight because they will always be on medication. Then there are the psychiatrists who speak to you for two minutes and give you an out-of-left-field diagnosis. That’s their interpretation of the symptoms with which you present combined with your lifestyle. You could likely get a different diagnosis depending where you go and who you see. I speak from experience. Brogan explains that over time antidepressants lose their efficacy and can result in chronic and treatment-resistant depression. Instead of helping us, medications make us feel worse. Of course Big Pharma controls the medical industry. It’s all well and good to want to be treated holistically but few insurances cover that. A script for another drug? Absolutely. Transmagnetic Stimulation [TMS], acupuncture, light therapy and cranial stimulation? Not so fast. What’s in it for Big Pharma? How can pharmaceutical companies make money? That’s the bottom line.
What can you do? Dr. Brogan focuses on diet, exercise, sleep, eliminating environmental toxins and meditation. If you’ve read Moody Bitches by Julie Holland, M.D. and/or Your Health Destiny by Eva Selhub, M.D. [which I HIGHLY recommend] this is somewhat familiar territory. Everybody knows that we feel better after a great workout, a good night’s sleep or a big salad. Dr. Brogan believes that inflammation causes depression symptoms and to get rid of inflammation you should eliminate gluten, dairy, GMOs, artificial sugars, NSAIDs and antibiotics. She’s also not a fan of birth control, statins, acid-reflux medications, fluoride and vaccines. Take what you choose from this book. There are definitely some thoughtful and useful tips and explanations. Embracing the mind-body connection remains the best treatment. Of course when you’re completely unmotivated, anxiety-ridden or too tired to move it’s tough to hit the gym and make yourself a healthy meal.
In one chapter, Dr. Brogan explains the importance of quality food to fuel the body. She suggests not eating processed food and to eat whole foods. So consuming products with fewer ingredients and eating more produce, legumes and grains will make you feel much better. In another chapter Dr. Brogan explains the importance of meditation, sleep and exercise. On lack of sleep, she writes: “Otherwise balanced, rational women are rendered near psychotic by the trauma of insomnia and disrupted sleep cycles. Their bodies and minds have “forgotten” how to do it. It turns out that one of the many poorly elucidated lasting effects of antidepressants is their interference with normal sleep patterns.” There’s an entire chapter focused on detoxifying our environment. She discussed everything from tap water to cell phones to cleaning products to dust. Admittedly some of what she claims to do seems unrealistic for many. Who is dusting every single day or using a body brush four times a day (to stimulate the lymphatic system)? In the chapter on tests and supplements, Dr. Brogan suggests certain tests such as thyroid functioning, MTHFR (methylation), and various vitamin levels. To my psychiatrist’s credit [I switched to MGH Psychiatry for a reason], the phlebotomist withdrew about eight vials of blood so I could be tested for a bevy of things including MTHFR. As for supplements, Brogan writes: “Magnesium, zinc, iodine, and selenium are essential to the body’s functionality.” You can read details about these supplements as well as many others. And yes, that can get expensive and insurance does not yet cover supplements. In summation, much of your mental and physical health remains in your control. You need to ask questions, conduct research and remain vigilant. Listen to your body.
Before she received her MD from Weill Cornell Medical College, Dr. Kelly Brogan earned a B.S. in cognitive neuroscience at MIT. She’s board certified in psychiatry, psychosomatic medicine and integrative holistic medicine. This book contains a plentitude of valuable information which may or may not be successful for you and your mental illness. I take zinc, magnesium and a multi-vitamin but may consider adding other supplements. I also want to try to go gluten-free although I adore toast! Mental health might be that element I can control in order to realize my goals.
–review by Amy Steele
FTC Disclosure: I received this book for review from Harper Collins.
Hesitation Wounds by Amy Koppelman. The Overlook Press| November 2015| 192 pages| $25.95| ISBN: 9781468312188
Well-written novels about mental illness are few and far between. There’s Prozac Nation by Elizabeth Wurtzel and the classic The Bell Jar by Sylvia Plath. Many write memoirs. My favorite is Darkness Visible by William Styron. I met author Amy Koppelman through Twitter, an excellent source for connecting with authors. She sent me her novel Hesitation Wounds. I figured I’d be a strong match because I have depression and anxiety.
In Hesitation Wounds, a psychiatrist specializes in treatment-resistant depression. Sometimes meds just don’t work. When you’ve tried seemingly every medication and treatment plan with zero symptomatic relief, what can you do? You face despair and uncertainty. Dr. Susanna Seliger becomes the last resort for many troubled people. Of her practice: “When the MAOIs, TCAs, TeCAs, SNRIs, and SSRIs fail to get results, the patients are sent to me. And I zap ‘em. Or that’s what the movies would have you think. Electroconvulsive therapy (ECT), or, as it’s better known, shock treatment, is only shocking in that it doesn’t actually cause much, if any, physical pain. A patient’s emotional pain is an entirely different story.”
She makes every effort to avoid emotional attachment or involvement in how her patients feel but instead treats their symptoms. She maintains a professional detachment. She’s not there to talk and empathize. Dr. Seliger’s brother died and she feels quite a bit of guilt that she couldn’t save him. Koppelman elaborates: “You eternally seventeen. I try to figure out still. What I missed. Words I let pass, smells I didn’t recognize, unfamiliar tastes and sounds. Each an opportunity I failed to seize. Each a possibility to save you. Although now, so many years, so many patients later, I am aware that treatment is not without consequence, death without promise, visions without meaning. And handholding is merely that.” She now tries to save others from suicide. When a patient she allowed to break the emotional barrier [maybe he reminded her of her brother] commits suicide it throws Dr. Seliger into a spiral where she contemplates the relationship with her mentally ill brother and any warning signs she missed. Could she have stopped him?
“You can’t possibly know this because depression is an insidious disease. Robbing you of forethought, it makes you a reactive participant. Witnessing the world through the distorted prism of carnival glass leaves you feeling betrayed. The cruel nature of beauty. The unremitting groan of loss. You close your eyes and see him, cover your ears and hear. But that doesn’t excuse your actions. You should have said goodbye, Dan. Or at the very least let me know you had to go.”
Mental illness and its aftermath aren’t blatantly glamorized on these pages. The words remain open to interpretation. Dr. Seliger questions her profession and her past by allowing thoughts and feelings to gush upon the pages. Grief engulfs herself and leaves her in a quagmire of uncertainty and despair. And as readers we can feel it though we’re helpless just as Dr. Seliger remains somewhat helpless. She must come to terms with it in her own time and through her own distinct process. That’s the beauty of Koppelman’s rather poetic, journal-style writing. At times passages read as an open letter to Seliger’s dead brother. In order to understand herself she must splinter both her heart and her orderly thought process. Dr. Seliger must no longer resist what’s been holding her back from living freely with a level of contentment. That’s the trickiness with mental illness. It’s an up and down process for those who suffer with it and those who love those who live with it daily. This short novel packs a strong punch with lovely turns of phrase. Just like mental illness clear-cut solutions and fairytale endings do not exist. Managing the moment does. The mind remains a malleable work-in-progress. Koppelman writes with heartbreaking authority on the topic. It’s quietly effective, nuanced and moving.
Sarah Silverman earned a SAG nomination for her portrayal in the film adaptation for Koppelman’s second novel I Smile Back released this fall. I highly recommend the film. Silverman brilliantly depicts a woman struggling with her mental illness while raising her two children. One minute she’s packing school lunches, the next she’s snorting cocaine or crying on the floor. Honest and intense, it’s a must-see
–review by Amy Steele
sometimes I’m like this:
sometimes I’m like this:
occasionally I’m like this:
I have clinical depression, anxiety and an unspecified mood disorder. the stigma surrounding mental illness astounds me. I’ve never gone off my meds and have always been under the care of both a psychiatrist and a therapist since I was diagnosed at age 27. Currently I’m part of an extensive year-long mentalization program at McLean Hospital. It’s challenging to be mentalizing when I can’t afford anything, I have no career and therefore not engaging in interpersonal relationships as one would in her 40s. Also most of the time I feel McLean doesn’t fucking care about Amy Steele, her mental health and general well-being. I’m just a fucking number. I’m not a person with feelings and emotions and goals.
I’m really stuck. I’ve been looking for work for years. A friendship ended badly several years ago and I’ve been cyber-harassed for four years. I’m tired all the time yet I also have severe insomnia. I can have days (or nights) where I’m extremely sad or unmotivated. I’m insecure but I also think I’m rather cool. I think about killing myself often. I’m just not as professionally and personally successful and satisfied as I thought I would be by this time.
Every day I take several medications. I will always have to take those medications. In addition I exercise for my mind and body and I have cut way down on sugar intake. Two years ago I cut out diet soda and although I didn’t drink it in massive amounts I feel better.
Depression means keeping a mood journal. It means being kind to yourself. It means lots of self-care and not having as many expectations for oneself as you may have had. It doesn’t mean I’m lying about in bed all day and night. I have goals and aspirations. I do a lot but some days I get extremely tired both physically and mentally. And that’s okay.
I’ve had a few hospitalizations– very brief stays– that didn’t lead to much change in my care. After one major breakdown four years ago I changed psychiatrists and meds, I took CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavioral Therapy) and completed a partial program. One year ago, at this time, I was in the hospital for a week where I was ignored, lost five pounds and then at my insistence got into a program at McLean Hospital (my psychiatrist had to call them but I had a psychiatrist who was a resident at Brigham and Women’s Hospital). After the partial at McLean in April, I was recommended for the Mentalization program and took a six-week introductory course. In August I started the year-long program which consists of weekly individual therapy and group therapy. Not sure what’s going on in the program and feel as much of a misfit and as judged as I do anywhere else.
Don’t call the police on someone who is depressed. The police are not trained to deal with the mentally ill. If someone says “hey I’m lying here with a bag over my head and I’m about to duct tape it” or “I just swallowed 200 pills” then yes, call 911. Otherwise, call that person directly and suggest a chat or meeting over tea. It’s much more useful and shows empathy.
FACTS about DEPRESSION:
–major depressive disorder is the leading cause of disability in the U.S. for ages 15 to 44.3
–affects 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.
— the median age at onset is 32.5
–Women are 2 times as likely to suffer from depression than men.
–20 million people in the United States suffer from depression every year.
— Many creative individuals experienced depression, including Ludwig van Beethoven, John Lennon, Edgar Allan Poe, Mark Twain, Georgia O’Keefe, Vincent van Gogh, Ernest Hemingway, F. Scott Fitzgerald, Anne Sexton, Virginia Woolf and Sylvia Plath.
–Mood disorders such as depression are the third most common cause of hospitalization in the U.S. for both youth and adults ages 18 to 44.
Finding Peace Amid the Chaos by Tanya Brown. Publisher: LangMarc Publishing (March 2014). Nonfiction. Memoir. paperback. 248 pages. ISBN 978-1-880292-49-5.
“As I eyed the pills, the significant losses in my life that brought me to that rock-bottom pit clicked on, playing slowly and nostalgically in my mind like an old, crackling silent film. I could see Nicole’s beautiful shining face smiling at me, but that was immediately wiped out by the blood at the crime scene, the funeral, the tabloids, the helicopters hovering over our home.”
Part-memoir, part self-help book, Tanya Brown chronicles her mental breakdown a decade after her sister Nicole Brown Simpson’s murder. It’s been 20 years this week since Nicole Brown Simpson’s murder and the OJ Simpson white SUV chase broadcast on CNN. Tanya (at least a decade younger than Nicole) internalized her pain and mental illness until she had a major outburst and took too many pills. I’m not fond of the book’s subtitle: My Escape from Depression and Suicide. There’s really no escape. It takes maintenance, patience and hard work when you have depression or another mental illness.
There’s a reason for the stigma associated with depression and mental illness. There IS no cure. Instead one learns tools to cope, tools to interact with others and tools to survive. Medication may or may not play a part in one’s stability. As someone who personally struggles with depression, I can relate in many ways to Brown. She initially says that she’s not addressing OJ in this book but then spends quite a bit of time on OJ or the trial and her thoughts on him. How can she avoid it? Now a life coach, Brown utilizes the book’s second half to provide tips for others. Clearly Brown studied psychology. She provides exceptional definitions of key psychiatric terms such as breakdown point, meditation and triggers.
Brown’s useful tools to maintain one’s mental health and ideally prevent further issues are worth reading. Anyone who’s been in a partial program or behavioral health program will recognize them. She suggests scheduling everything down to the smallest thing and checking each task off as you accomplish it. She reminds us to remain present. Mindfulness is a key concept for depression. Remain in today, in the now and don’t focus your attentions on the bad events in your past. Brown implores people to break away from negatives, express feelings [avoid the bottle up that could lead to a blow-out and breakdown], commend yourself, pay attention to nutrition and be sure to exercise. She also addresses identifying and managing your thoughts via a mood journal or daily journaling. All these tips take time to work in to your lifestyle. Brown shares some of her methods with readers. For example she avoids driving with the radio on and takes nearly daily walks with her mom. In the epilogue she provides contact information to book her as a speaker or to hire her as a life coach (a bit unusual for a memoir). Worth reading although a bit rough around the edges despite being written with a co-writer.
On the breaking point:
“Each of us has a mental breaking point. It’s that undignified moment caused by the overwhelming stress and aggravation of a volatile situation, when we finally wreak emotional havoc on those around us.”
On holding her feelings in:
“I, on the other hand, bottled up everything, kept my opinions to myself, and stayed in the background as I felt everybody wanted me to do. I worried more about pretending to be happy instead of taking care of me. Our polar opposite ways of dealing with the loss of Nicole eventually came to a head.”
Advice from Nicole:
“Delete the need to understand. We don’t need to understand everything. Some things just are.”
“Meditation, misunderstood by many who don’t do it, can be sitting in silence, meditating on scripture, doing yoga, listening to a guided imagery CD, or doing some deep breathing. It is something you do by yourself that puts you in a state of calmness, a space of solitude and peace. It’s a place where answers come to you because your mind is still, quiet, and calm. It’s a surefire way to shut out the technological distractions of the world and focus.”
FTC Disclosure: I received this book for review from LangMarc Publishing.
purchase at Amazon: Finding Peace Amid the Chaos: My Escape from Depression and Suicide
“People think that my life is so great. I travel the world. I’m a ski racer. Everything is great. I’m happy but you don’t know. Everything is not sunshine and roses.”
“Go talk to someone and be open about it. Don’t keep it to yourself and stay locked in your room.”
–to Katie Couric on a recent episode of The Katie Show, October 2013
Stephen Fry has bipolar disorder. He recently admitted that he attempted suicide last year. His first suicide attempt was at age 17.
Speaking to comedian Richard Herring, Stephen said:
“I am the victim of my own moods, more than most people are perhaps, in as much as I have a condition which requires me to take medication so that I don’t get either too hyper or too depressed to the point of suicide. I would go as far as to tell you that I attempted it last year, so I’m not always happy – this is the first time I’ve said this in public, but I might as well. I’m president of Mind, and the whole point in my role, as I see it, is not to be shy and to be forthcoming about the morbidity and genuine nature of the likelihood of death amongst people with certain mood disorders.”