Post-Election Depression is Coming, So Be Gentle With Yourself

If you’ve noticed yourself feeling more fatigued, sluggish, numb, or even down since the election, you’re not alone.

For some people, it might come as a surprise that a period of time they associate with feelings of relief, hope, or even joy could also be a time when depression symptoms show up. But it actually makes a lot of sense when you consider one compelling theory for why we get depressed in the first place. [1]

Most people will probably experience depression at some point in their lives. It’s pretty much the common cold of mental illnesses. But unlike the common cold, which is caused by a pathogen that enters the body, depression is something the body does to itself. Given how destructive depression can be, and how it can disrupt just about every facet of human functioning, why would our brains be able to do this shitty thing to us?

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Post-Election Depression is Coming, So Be Gentle With Yourself
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Back Through the Fire

Smoke after a forest fire.
Photo by Joanne Francis on Unsplash

[Content note: cancer, illness, suicide]

In November, I had my last cancer-related surgery. My temporary tissue expanders were replaced with permanent breast implants, and I was instructed to give my body six weeks to recover, after which I could return to my usual activities.

After five weeks and 6 days, I gave in and started exercising. It was almost the New Year. It was deep winter, a time of planning and setting things in motion. I was finally done with treatment, and I was ready to live again.

So for the next six weeks, I lived. I worked out almost daily. I started my private practice. I made plans. I designed a backyard garden. I took classes, learned new things. I took on new roles at work. I returned to freelance writing.

For six weeks, I lived. I was determined to get back everything I’d lost to cancer, and then some. I enjoyed my time with family, unburdened at last by the demands of treatment or recovery. Having emerged unburnt from the fire, I felt that nothing could stand in my way.

For six weeks I lived like a person reborn. This lasted until February 13.

That day my mom told me she had cancer too. That day, my newfound momentum sent me clear off what I now realized was a cliff, and like the coyote in the cartoon, I looked down and found myself unmoored, unsafe, and spiraling down.

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Back Through the Fire

Social Media, Mental Illness, and Vulnerability

“Wow, uh…you’re very open online.” I still hear this from people every so often.

“Yup,” I say, because I don’t assume it was meant to be a compliment.

And it’s true. On my Facebook–which, by the way, is not public–I’ve posted regularly about depression, anxiety, sexuality, sexual harassment and assault, body image issues, interpersonal problems, and other various struggles, big and small, that make up life. Don’t get me wrong–I also post plenty about food, cute animals, books, and other “appropriate” topics for online discussion, although I’ve noted before that there really is no way to win at social media (including refusing to play at all).

People who don’t know me well probably assume I do it “for attention” (as if there’s anything humans don’t do for some sort of attention, one way or another), or because I’m unaware of social norms (they’re not that different where I come from, trust me), or simply because I have poor impulse control. Actually, I have excellent impulse control. I’m not sure I’ve ever acted on impulse in my entire life, with perhaps the sole exception of snapping at my family members when they get under my skin. I know plenty of people who have destroyed relationships, lost jobs, or gotten hospitalized as a result of their impulses. I get…speaking rudely to someone for badgering me about my weight.

Being open about myself and my life online (and to a certain extent in person) is something I do strategically and intentionally. I have a number of goals that I can accomplish with openness (or, as I’ll shortly reframe it, vulnerability), and so far I think it’s worked out well for me.

A lot of the good things about my life right now–and, yes, some of the bad–can be traced back to a decision I made about five and a half years ago, when I was a sophomore in college. I had recently been diagnosed with depression and started medication, which was working out great and had me feeling like myself for the first time in years. (Yeah, there were some horrible relapses up ahead, but all the same.)

I wrote a very candid note on Facebook–later a blog post–about my experience and how diagnosis and treatment had helped me. At the time, I did not know anyone else who was diagnosed with a mental illness–not because nobody was, but because nobody had told me so, let alone posted about it publicly online. While I obviously knew on some level that I wasn’t “the only one,” it felt that way. I certainly didn’t think it would be a relevant topic for my friends. Mental illness was something experienced by Other People and by weird, alien me, not by any of the happy, normal people I knew.

I couldn’t have been more wrong. In response to my post, tons of friends started coming out of the woodwork–both in private messages and in the comments of my post–and talking about their own experiences with mental illness. An ex-boyfriend texted me and apologized for dumping me years prior for what he now knew was an untreated mental illness. Acquaintances and classmates turned into close friends. Circles of support were formed. I started speaking out more and gradually became recognized as an advocate for mental health on campus, and eventually started a peer counseling service that is still active on campus today, three years after I left. These experiences pushed me away from the clinical psychology path and towards mental health services, leading me to pursue internships, my masters in social work program, and now, what looks to be a promising career as a therapist.

All because of a Facebook post that many would consider “TMI” or “oversharing.”

Well, not all because. I don’t know what path my life would’ve taken if I’d made different choices, not just with coming out as a person with depression but with all kinds of things. Maybe I’d still be here, or somewhere similar. But I can’t possibly know that–what I do know is that the decision to make that Facebook post had very far-reaching and mostly positive effects on my life.

This isn’t a “you should come out” post; I don’t do those. I’m writing about myself and why I’m so open. This experience, and others that followed, shaped my perspective about this. So, here’s why.

1. To be seen.

That’s my most basic reason and the one that comes closest to being impulsive. But basically, I don’t like being seen as someone I’m not. I don’t like it when people think my life is perfect because I only post the good things. It hurts when people assume I have privileges I don’t, and when people think I couldn’t possibly need support or sympathy because everything is fine. If I didn’t post about so-called “personal” things,  people would assume that I’m straight, neurotypical, and monogamous, and the thought of that is just painful.

2. To filter people out.

I don’t expect everyone in my life to support me through hard times or care about my problems. Some people are just here for when I’m being fun and interesting, and that’s only natural. However, posting about personal things on Facebook is a great way to filter out people who not only aren’t interested in supporting me, but who are actually uncomfortable with people being honest about themselves and their lives. Otherwise, it’s going to be really awkward when we meet in person and you ask me how I’m doing and I say, “Eh, been having a rough time lately. How about you?” Because I do say that. Not with any more detail than that if you don’t ask for it, but that’s enough to make some people very twitchy because I didn’t perform my role properly.

I don’t want anyone in my life who thinks it’s wrong, weak, or pathetic to be open about your struggles. Because of the way I use Facebook, they don’t tend to stay on my friends list for long, and that’s exactly how I want it.

3. To increase awareness of mental illness.

When I post about my experiences with depression, anxiety, and eating disorders, it’s not just because I want people to know what’s going on with me personally. I also want them to know what mental illness is. When I published that post about depression I mentioned earlier, I didn’t just get “me too” responses–I also got comments from people who said that they’d never had depression and struggled to understand what it’s like, but that my piece helped. Some people took that knowledge and applied it to their relationships with depressed friends, partners, and family members, which I think is great.

It seems weird to write this section now, because so many people in my life have themselves been diagnosed with mental illness or are very knowledgeable about it through supporting others with it. But when I first started being open online about depression, that definitely didn’t describe my social circle, and I’d like to think that my openness is at least part of the reason for the difference.

4. To reduce the stigma of mental illness.

I don’t just want to make people aware of what mental illness is like–I want them to stop thinking of it is a shameful thing that ought to be kept secret. Since I’m fortunate enough to feel safe coming out, I think that’s a powerful action I can take to reduce that stigma. The more people see my posts about depression and anxiety as normal, just like posting about having the flu or going to the doctor, the less they’ll stigmatize mental illness.

Of course, stigma–and the ableism that fuels it–is a broad and systemic problem with intersectional implications that I don’t even pretend to be able to fix with some Facebook posts. But I do what I can.

5. To reduce the stigma of vulnerability, period.

Not everything “personal” that I put online deals with mental illness specifically (although, when you have lifelong depression, everything does tend to come back to that). I write a lot about homesickness, my love for New York (and the pain of leaving it), issues with my family, relationships, daily frustrations and challenges, and so on.

Not everyone wants to share these things with their friends (online or off), but many people do–they’re just afraid that nobody cares, that they’ll be seen as weak, or that there’s no room for this kind of vulnerability within the social norms that we’ve created. That last one may be true, but there’s no reason it has to stay that way.

As Brené Brown notes in her book that I recently read, vulnerability isn’t the same thing as recklessly dumping your personal problems on people. I’ve also written about guidelines for appropriate sharing, and how to deal when someone’s sharing makes you uncomfortable.

The point isn’t to completely disregard all social norms; some of them are there to help interactions go smoothly and make sure people’s implicit boundaries are respected. The point is to design social norms that encourage healthier interactions, and while I’m sure there are some people who can healthily avoid divulging anything personal to their friends, I’m not one of them and my friends aren’t either. So for us, reducing the stigma of vulnerability and encouraging openness about how we feel is healthy.

6. To create the kinds of friendships I value. 

Being open online doesn’t just filter people out–it also filters people in. Folks who appreciate vulnerability read my posts, get to know me better, and share more with me in turn. I’ve developed lots of close friendships through social media, and not all of them are long-distance. In fact, a common pattern for me is that I meet someone at a local event and chat casually and then we add each other on Facebook, at which point we learn things about each other that are way more personal than we ever would’ve shared at a loud bar or party. Then the friendship can actually develop.

I’ve been very lucky to find lots of people who appreciate this type of connection. People who don’t always answer “how are you?” with “good!”, who engage with “negative” social media posts in a supportive and productive way rather than just ignoring them or peppering them with condescending advice or demands to “cheer up!” People who understand that having emotions, even about “silly” things, doesn’t make you weak or immature. People who understand that working through your negative/counterproductive emotions requires first validating and accepting them, not beating yourself up for them or ignoring them.

So, that’s why I’m so open online. If you don’t like it, you don’t have to read it. But I’m not alone in it, and it’s becoming less and less weird. It’s hard to believe that just a few years ago, I was the only person I knew with depression. Not only do I now know many, but I’m also so much more aware of all sorts of joys and sorrows I haven’t personally experienced–all thanks to my friends’ openness online. For a therapist–hell, for a human being–that’s an invaluable education.


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Social Media, Mental Illness, and Vulnerability

The Mental Health Advocate Pedestal

[Content note: depression and eating disorders]

I recently read Olivia’s excellent blog post, “I’m Tired Of Curating.” In it she describes her experiences as a mental health advocate and a person with mental illness(es), and it resonated a lot with me:

I’m not allowed to share these thoughts because they glorify an eating disorder, because I’m not actively telling people how awful it is to be sick, because I’m remembering how intertwined I am with the disease, the way it really is part of the way my mind works rather than something that needs to be kicked out of my life.

[…] I’m sick of trying to spin these thoughts into something useful or meaningful. Since I’ve started to write openly about treatment and recovery and mental illness, I feel as if I need to be a role model or someone that others can look to to see that mental illness does not destroy your life. And yet it’s consumed all of mine and I feel as if I’ve gained nothing except 50 pounds.

I don’t want to curate my words today. I don’t want to be careful not to trigger anyone or to mistakenly portray the ways I behave in a positive light. I want to be allowed the space to honestly portray my mental illness, including the way that it looks seductive when I’m anxious and overwhelmed. Right now restriction is the only thing that makes sense to me. I hate having to hedge that with the caveat that I know it’s not healthy and no other people shouldn’t do it and yes it will fuck up my life.

[…] As someone who has a mental illness and advocates for people with mental illnesses, sometimes I feel like I’m not actually allowed to have my mental illness. Sure, I get to talk about the experience and share inspiring stories or even stories about how nastybad it is and tips and tricks that I’ve picked up, but I don’t get to publicly have the thoughts and feelings that come with a jerkbrain. I don’t get to type “I think I’m a shitstain on the world” without people disregarding everything else I say. I don’t get to type “I truly would like to skip all upcoming meals indefinitely” without being accused of promoting unhealthy behaviors. Newsflash world: I have depression and an eating disorder. These are things that I think on the regular. If it’s too ugly to see it and you have to look away when I can’t be polished, then I don’t understand the point of my activism and advocacy. I don’t understand why I write anymore.

When I read this, it suddenly put my experiences into a context that made sense. Because I’ve been there.

Not only have I felt like I couldn’t share my negative experiences with mental illness, but I was also made to feel like I couldn’t share my victories, either. I once posted on my personal Facebook that I was proud of myself for having been (safely) off of medication for a year, and someone messaged me letting me know that I shouldn’t post things like that because it’ll make people who still need to be on medication feel bad, and that this might be helpful for me to know “considering [my] future career.” Except my personal Facebook page isn’t the same as my professional counseling website, and it’s not even the same as my blog. It’s my space to share my life with my friends. The purpose of my Facebook is to connect with my friends, not to affirm other people. Of course, I like to affirm other people and often try to, but that shouldn’t be an expectation placed on me. It shouldn’t have to be the primary goal of my self-expression.

So that’s a weird, narrow line we mental health advocates have to walk. We’re criticized for being honest about the ugly sides of mental illness (either because it means we’re “glorifying” mental illness or because we’re “confirming negative stereotypes” or [insert accusation here), and we’re criticized for “making others feel bad” when we’re honest about successful recovery. (And, yes, I get to simultaneously believe that there is nothing wrong with taking psychiatric medication and to be proud of myself for getting to a place where I am able to stop taking it. You can accept medical treatment as necessary and morally acceptable and you can be glad when you don’t need medical treatment anymore!)

As a result, we end up presenting a sanitized version of our actual struggles that’s neither overly negative nor inappropriately jealousy-inducing. “Jerkbrain’s really getting me down today, please send cute animal photos.” “Today sucked so I’m going to do some much-needed self-care.” And so on and so forth. Obviously, those can be completely valid and genuine expressions, but as Olivia pointed out, sometimes it’s a lot less pretty.

A while back, I wrote about a particular strain of criticism of people (generally teenage girls) who “glorify” or “enable” mental illness symptoms by presenting them in a romantic or sexy light. The argument goes that these blogs may discourage young people from seeing their mental illnesses as treatable (or seeing them as illnesses at all) and encourage them to do harmful behaviors associated with those illnesses–self-harm, restricting, purging, etc. In that post, I concluded: “It’s easy to say, ‘Don’t romanticize depression! It encourages people to view depression as normal and healthy.’ It’s harder to say, ‘Don’t show symptoms of your depression! It encourages people to view depression as normal and healthy.'”

Unfortunately, as I’m learning, it’s not actually particularly difficult to say that at all; you just have to be a little more subtle. Certainly nobody in our communities would ever come right out and say that people with mental illnesses should hide all of their symptoms; heavens no, that would be ableist. Instead, they fill our Facebook threads with condescending reminders to “take better care of yourself” and “that’s just jerkbrain talking.” We can discuss our symptoms as long as we make it absolutely clear that we hate the symptoms and the illness and are completely dedicated to the project of making a full recovery. To admit that sometimes we don’t want to recover is to “glorify” mental illness and “enable” others. It’s to “confirm stereotypes” about people with mental illness, as if the problem is overlapping with a stereotype and not stereotyping people to begin with.

The Mental Health Advocate Pedestal is real and it’s a narrow ledge to squeeze yourself onto. Be honest, but don’t freak us out. Motivate those who are still struggling, but don’t give a rosy and unrealistic perspective. Hate your illness because it’s unhealthy and bad for you, but don’t hate your illness because that’s ableist and implies that there’s something wrong with having a mental illness. Recover, but not so much or so visibly that you make others feel bad. Accomplish because it’s inspirational for others and because people with mental illnesses can do anything neurotypical people can, but don’t accomplish too much, or else are you sure you’re really all that mentally ill? Maybe you just want attention.

I used to blame myself a lot for doing what Olivia calls “curating”–for only portraying my depression in a particular way, not too negative and not too positive. Now I’ve come to see it as a double-bind that everyone who discloses mental illness is placed in, one way or another. Why is it that we’re the ones constantly accused of “encouraging” mental illness when everything about the way our society is set up encourages it? Why is a teenage girl who posts a selfie of herself with mascara tears running down her face any more responsible for someone else’s mental illness than the neurotypical adults who tell each other to “calm down” and “just get over it,” or the boss who creates a stressful and anxiety-provoking work environment, or the primary care doctor who fails to spot the warning signs of depression and refer their patient to a therapist, or the parent who tells their teenager that they’ll “grow out of it”?

We all contribute to ableism and mental illness stigma in various ways, and those of us who actually have mental illness tend to be more aware of that than anyone.

As usual, I’ve got no solution to this except to pay attention to your automatic responses to folks with mental illnesses discussing their experiences. Watch what makes you go “Wow, that is So Real, that is So Brave of you to share” and what makes you go “Uh, are you sure you want to post that so publicly?” The answer might be instructive.

~~~

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The Mental Health Advocate Pedestal

Brains Lie, But So Do People

[CN: mental illness, gaslighting, abuse]

For those of us with mood disorders to manage, learning and understanding the fact that brains often lie was a revelation. Suddenly we had an explanation–and not a BS, pseudoscientific explanation–for why we think and feel things that don’t make sense and that make life unbearable. We learned that feeling like everyone hates you isn’t actually a feeling; it’s a thought, and the thought isn’t based in reality. We learned that we have a much easier time remembering the bad than the good, which leaves us with the skewed impression that everything is awful and must always continue to be awful.

And so we adopted a new language. We talk about jerkbrains and depression!brains and all sorts of other brains, and we teach ourselves to constantly question and second-guess the negative things we tell ourselves.

For the most part, this is how mood disorder recovery happens. Once you develop the awareness that many of your depressive or anxious thoughts are not based in reality, you are able to develop coping skills to stop these thoughts or minimize their impact. This is CBT, in a nutshell. CBT is not a panacea–some people, especially those whose disorders started early in their life (or seem like they’ve been going on forever) don’t find this sufficient to actually stop the thoughts. But recovery can’t happen until you internalize the fact that brains lie.

Here’s where I worry, though. When I start hearing this:

“My friends are always making jokes at my expense and it makes me feel hurt. But that’s just my depression, I know they don’t really mean it.”

“I know I should be ok with my partner wanting us to be poly. It’s just my anxiety, it’s not a rational thing.”

“It’s not that I don’t want to have sex with him, it’s just that I don’t really have a sex drive because of my medication. So I do it anyway because I mean, I don’t mind.”

Sometimes we overcompensate. We get so used to these tropes–depression makes you feel like people hate you, anxiety makes you freak out that your partner’s going to leave you when there’s no evidence, medication makes you lose your sex drive–that we assume those causations. If you’re diagnosed with depression and your friends are making mean jokes and you feel hurt, it’s because of your depression. If you’re taking medication and you don’t want to have sex, of course it’s the medication.

Obviously these things are all true in many cases. It could very well be that all evidence suggests your friends love you and assume you’re be okay with some good-natured teasing. It could very well be that all the evidence suggests that your partner is committed to you, poly or not, and that your anxiety contradicts your other beliefs about the relationship and your preferences. (For instance, polyamory often makes me very anxious, but I’ve decided that it’s nevertheless what’s best for me and so that’s what I’m doing.)

But sometimes, your “friends” are being callous assholes and don’t care that their jokes hurt you. Sometimes, your partner is pressuring you to try polyamory even though it just doesn’t work for you, and everything about this is (rightfully) freaking you out. Sometimes, meds or no, you’re just not attracted to someone and haven’t internalized the fact that you don’t owe them sex. Sometimes the reason you don’t want to have sex with someone is because they’re giving off a ton of red flags and you should pay attention to them.

This gets even worse when close people, well-meaning or not, start pulling out these sorts of phrases in order to “help” you: “Oh, that’s just Depressed Miri talking.” “That’s your jerkbrain.” “This isn’t who you really are, it’s just your illness.” “Did you take your meds today?”

The message? “That’s not based in reality.”

Don’t get me wrong. When used by a kind, perceptive, absolutely not abusive person, these responses can be incredibly powerful and helpful. Sometimes we really do need that reality check: a partner who helps you draw the connection between skipping meds and feeling bad; a friend who patiently reminds you that sometimes depression feeds you lies.

When used by someone who wants to control you, though, they become very dangerous.

Upset that your partner keeps canceling your plans to see their other partner? That’s your depression, of course they still love you, it’s only natural that they’d want to see their new partner a lot. Scared to have sex without a condom? That’s just your anxiety, they already told you they’ve been tested, so what’s the problem? Annoyed that your friend keeps cutting you off in conversation? You know that irritation is a depression symptom.

I’ve written before that attempting to treat your depression or anxiety by invalidating your feelings can lead to a sort of self-gaslighting; even more harmful, I think, is when others do it to you. I have to admit that I start to get a queasy feeling when I see someone trying to manage their partner’s mental illness for/with them. As I said, sometimes this can be a great and healthy situation, but never forget that in a relationship between a person with a mental illness and a neurotypical person, the latter holds privilege. With privilege comes power, and with power comes responsibility.

The problem here, obviously, is not with CBT or the term “jerkbrain” or even the idea that thoughts/feelings can be irrational; the problem is abusive people learning this terminology and taking advantage of it. To a lesser extent, too, the problem is with ourselves over-applying these concepts to situations that are legitimately unhealthy, unsafe, or just straight-up unpleasant.

I don’t have a solution to this, but I do have some suggestions if you worry that you might be in this situation:

1. If you have a therapist, ask them to work with you on (re)learning how to trust your gut when appropriate. Most of us have a spidey sense when it comes to abusive people and dangerous situations; the problem is that our culture often trains us to ignore that sense. “But he’s such a nice guy, give him a chance!” “But it’s not your friends’ job to make sure none of their jokes ever offend you!” and so on. For many people, especially marginalized people, a crucial task is to remember what that sense feels like and to feel comfortable using it.

2. When an interpersonal situation is making you depressed or anxious, ask for a reality check from more than one person, and make sure that none of those people is directly involved in the situation. If you’re sad because your partner hasn’t been spending as much time with you as you’d like, that’s obviously an important conversation to have with your partner at some point, but the reality check part has to come from someone else, because your partner probably has a vested interest in keeping things as they are. (Not necessarily a bad thing! Maybe your partner has already patiently explained to you many times that they love you and wish they could see you more, but this year they need to focus on completing and defending their dissertation. Or maybe your partner is neglectful and stringing you along in this relationship that they’re only in for the sex and not being clear with you about what they actually want.)

It helps to find people that you can trust to be kind and honest. In many social circles I’ve been in in the past, there was a tendency to support your friend no matter what, and “support” meant agreeing with them about all interpersonal matters. If I’m upset at my partner, my friend agrees with me that they’re a jerk who doesn’t deserve me. If another friend is angry at me for missing their birthday party, my friend agrees with me that they’re obviously overreacting and being so immature. That’s not helpful for these purposes. You need someone who will say, “That sounds really rough for you and I’m sorry, but the fact that your partner has been busy lately doesn’t mean they hate you and don’t care if you live or die.”

3. Remember that feelings don’t have to be rational to be acted on. While it’s good to treat feelings with some amount of skepticism when you have a mental illness, that doesn’t mean you have to just ignore those feelings unless you can prove to yourself that they’re rational. There are many interpersonal situations that trigger my depression or anxiety for reasons I’ve determined aren’t rational, but I still avoid those situations because, honestly, life’s too damn short to feel like crap all the time, and I can’t will myself out of my depression and anxiety.

For example, here’s a meme I come across often:

//

Yes, rationally I know that sarcasm doesn’t mean you hate me, that that’s a perfectly valid way of expressing yourself and interacting with people, that for many people that’s part of their family culture/subculture, etc. etc.

But this interpersonal style interacts really badly with my depression. It makes me feel insecure and small. It is disempowering. It makes my brain go in circles about What Does This Person Really Think Of Me Do They Hate Me Or Not Did I Do Something Wrong.

(A part of me wonders if the reason people do this isn’t so much because they enjoy feeling relaxed enough to just be their snarky, sarcastic selves, but because they enjoy making people feel the way I just described. I’m not sure.)

So I decided at some point that I just wasn’t going to put up with it. When someone treats me this way, I remove them from my mental list of people I trust or want to get closer to. I minimize my interactions with that person. I prepare myself to set specific boundaries with them if that becomes necessary, but it usually doesn’t because distance does the trick.

At no point do I have to convince myself that, yes, all the available evidence suggests that this person hates me or is a cruel, bad person. I’m sure they don’t hate me. I’m sure they are a decent human being. For my purposes, though, it doesn’t really matter.

You are allowed to act in ways that minimize negative emotions even if those emotions are mostly being caused by mental illness.

~~~

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Brains Lie, But So Do People

Irrational Feelings are Still Valid, and Valid Feelings Can Be Irrational

Kate recently wrote about how sometimes, viewing your emotions as unjustified or irrational can actually prevent you from taking action to make them better. On the other hand, simply accepting all emotions as “valid” can also leave you with no way of trying to change them. To try to resolve this issue, she proposes a distinction between “local validity” and “global validity”:

Local validity is about noticing and responding to your current emotions as if they’re real emotions that are happening to you. Global validity is about reflecting about the trends and patterns of emotions and how well you think they’re grounded in a realistic view of the world.

Irrational and invalid aren’t the same thing. We can go wrong when we believe that any emotion that’s irrational must therefore be invalid, but we also go wrong when we believe that any emotion that’s valid must also be rational. (I think the latter error is made less often, but it’s true that some people feel that because emotions are “valid,” they must simply accept them as they are.)

In social circles where rationality is very highly valued, it can become difficult to tell others about how you’re feeling when you think that your feelings are irrational. Sometimes we fear judgmental responses from others (“But that makes no sense! Of course I don’t hate you! How could you possibly believe something like that?”). Other times, we may trust that people will be supportive, but we still don’t want to come across as someone who has a lot of “silly” or “irrational” feelings.

In this way, sometimes, people in social circles that have more traditional approaches to relationships and communication are at a slight advantage. For instance, suppose Sally is in a traditional monogamous relationship with Bob. Sally might feel totally comfortable telling Bob that she’s jealous when Bob spends time with his friend Susie. Sally might even feel comfortable expressing anger about this.

Of course, the resulting conversation might not necessarily be productive–Bob might just agree not to spend time with Susie anymore, or he might react angrily and tell Sally that she’s being “crazy.” But in my social circles, we often wouldn’t express feelings like Sally’s at all. We feel that being progressive/feminist/polyamorous/rational/whatever means we shouldn’t feel jealous when a partner spends time with a friend (or another partner), because that’s irrational, and therefore that feeling should be ignored rather than brought out into the open.

And so a lot of us end up trying to ignore or cope with these feelings alone. Where Bob might hug or kiss Sally and reassure her that he loves her, we get ice cream and Netflix. (Or maybe that’s just me. Seriously, I am Extremely Bad at this.)

The difference is that many people in traditional monogamous relationships treat jealousy as normal, even healthy, even a sign that you really love someone. Expressing jealousy in the context of these relationships can be a completely acceptable thing, like telling your partner that you’re annoyed that they didn’t tell you they’d be home late, or that you’re sad that they can’t spend the holidays with you and your family. I don’t want to borrow traditional monogamous folks’ ideas about jealousy necessarily, but I want to borrow their norms about expressing it and expecting your partner to hear you and respond lovingly to you even if the jealousy is “irrational.” (Yes, yes, #notallmonos.)

But as Kate’s example shows, this tendency to conflate “irrational” and “invalid” doesn’t just apply to relationships and decisions about whether or not to tell others how we’re feeling. I have a hard time engaging in self-care practices that help if I don’t feel like there’s a “rational” reason to feel the way I’m feeling.

For instance, if someone was mean to me or I had an awful day at work, I acknowledge those as “good” reasons to feel bad, and in response, I might ask friends for support or spend some money on something that brings me joy.

But if I’m feeling bad for reasons I think aren’t “good,” such as being jealous of someone or completely randomly, then I don’t feel like I have the “right” to ask for support. I don’t feel like it’d be justified to take time off of my responsibilities to do something pleasant to improve my mood. So I just sit there and suffer through it.

In a blog post, Malcolm writes about how it can be useful to “step outside” of one’s own feelings. To help someone else do that, you might ask them, “What feelings came up for you during that?” rather than “How do/did you feel?” The latter question makes people identify with a feeling in ways that the former doesn’t. To say that sad feelings came up for me feels different than saying that I am (or was) sad. He adds:

Our sociolinguistic context is full of maxims like “that’s just how I feel” or “I can’t help how I feel” or [INSERT OTHER EXAMPLES]. We don’t necessarily take them seriously, but they add to the confusion of what someone might mean when they say “I feel X”. A bunch of questions you could (mentally or verbally) ask in response:

do you endorse feeling X? do you think that feeling X makes sense?

would you like me to address (my reassurance, etc) towards the feeling, towards its causes, or towards you as the experiencer of the feeling?

is that all you’re feeling?

how do you feel about having that feeling?

do you see a way out of the feeling or does it feel all-consuming or inevitable?

Questions like these, when asked of yourself, can make it a lot easier to communicate feelings that you think are irrational. For instance: “I don’t endorse this feeling, but I’m jealous about your date with ____.” “I know this doesn’t make sense, but I’m sad about leaving for vacation tomorrow.”

And on the flip side, when people share feelings like these with us, I think it’s important not to jump too immediately to “Your feelings are valid” or “It’s okay to feel that way.” Those are very important and worthy sentiments, but for many people (such as me), they can contribute to a defeatist sort of attitude: “Well, I guess it’s ok that I’m just going to feel depressed every time a friend succeeds at something I haven’t, since that’s a valid and okay way to feel.” Often, “valid” starts to mean “unchangeable.”

Here, Malcolm’s example question, “How do you feel about having that feeling?” can be very helpful. If someone says they’re ashamed or embarrassed or having difficulty accepting that this feeling is even happening, validation can be very helpful. But if they say they’re frustrated by having to deal with the feeling, or they understand where it’s coming from but still wish it weren’t happening, then validation can unintentionally send the message that they should just accept it.

Some of this, I think, is a question of where someone is in their own process. Years ago, I was unable to fully acknowledge my depressive feelings because I didn’t understand that I had depression, and kept trying to convince myself that I “should” be happy given all the good things I had going for me. At that point, if someone had told me that sadness/depression is a valid feeling, that might’ve been a revelation.

Nowadays, I’ve basically accepted the fact that I have depression and that that brings with it depressive feelings. At this point, reminders that my feelings are “valid” are pretty much useless. I want to change them! And in order to change them, I have to understand how they’re irrational, how they’re set off, how to counter those automatic processes, and basically how to tell myself a better story about my life.

Ironically, both of these counterproductive processes can happen for the same person. Sometimes I refuse to treat my feelings as valid simply because they’re irrational. Other times, I have trouble changing irrational feelings simply because I’ve accepted that they’re valid. Depression feels so real that changing it seems impossible. But it’s not.

~~~

Note that I intentionally avoided getting bogged down in what exactly “rational” and “irrational” and “valid” and “invalid” mean. If this post doesn’t make sense to you, we’re probably working from different definitions, and that’s okay. Another blog post, another day.

~~~

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Irrational Feelings are Still Valid, and Valid Feelings Can Be Irrational

Reaching Out for Support When You Have a Mental Illness

[Content note: mental illness]

After having written tons of posts about supporting people with mental illness, I realized that there was a gap–I’ve seen few articles about how to reach out for support when you’re the one with the mental illness. Specifically, how to do so in a way that’s respectful of people’s boundaries.

This is a difficult topic, for reasons that I think are obvious. I don’t want to discourage anyone from reaching out for help, ever. I also want to encourage people to be mindful of others’ needs and boundaries, even when everything hurts so much that that feels impossible to do. Especially then.

Why do these two goals feel like they stand opposed to each other? They shouldn’t. Getting affirmative consent before sharing difficult and potentially-triggering things with people isn’t just good for them, it’s also good for you. Most of us who struggle with mental illness have our moments of panic about imposing on others or being a burden on them. Making sure that we’re actually getting their consent before leaning on them for support can help us with those feelings.

I’ve been on both sides of this. I’ve been the depressed and suicidal person who had to reach out for help, sometimes in ways that didn’t really allow people to say no. I’ve also had people reach out to me in ways that made me feel trapped and coerced. So I think I have a lot of empathy for everyone in both of these situations.

This is a huge topic and this post is very long, but it still doesn’t cover all the nuances. This post is focused on the issue of consent and boundaries specifically, so please don’t be too disappointed if it doesn’t cover everything you thought it would. Suggestions for future posts are welcome as always.

Consent, Consent, Consent

The most important thing about reaching out to someone for support with a mental health issue is to explicitly ask for their consent to have this conversation. This means that, rather than sending them a sudden wall ‘o’ text on Facebook, you might first say, “Hey, can I vent to you about depression for a bit? You can respond whenever you have a moment.” Or in person, if the topic hasn’t come up organically in a way that suggests that they’re ready to hear about it, you might say, “Can we talk about some ED stuff I’m going through right now?”

If you want to talk to someone about things that are fairly likely to be triggering–examples include self-harm, suicidal ideation, eating disorders, homicidal ideation, and so on–it’s a good idea to include a content note. In a message or text, that can just look like “TW: anorexia”; in person, you might say, “Can I talk to you about some eating disorder issues I’m having. I might get into detail.” This is important because 1) the person you’re talking to might have their own issues, which you may not necessarily know about; 2) they may be in a space right now where seeing a sudden wall of text about a very serious topic might really stress them out; and 3) regardless, people can often help you better if they have some idea of what you’re going to talk to them about, especially when it’s something pretty serious like that. When I see “Hey, can I talk to you about anorexia?”, I put myself in a different headspace than when I just see “Hey, can I talk to you about some stuff?”.

When you message someone to talk to them about Heavy Stuff and do not give them a warning about the content or an opportunity to politely bow out, understand that you are making it very difficult for them to say no to you, especially if they’re not someone who feels comfortable asserting boundaries (and most people aren’t). You may not intend to make them feel this way, but that’s the effect it often has when you don’t check in to see if it’s okay first.

I’ve gotten sudden walls ‘o’ text while in class, while on dates, when I was just about to fall asleep in bed, while finishing an assignment on deadline, and all sorts of other inopportune times. It put me in a serious bind, because on the one hand I had a really serious message demanding my attention, and on the other hand, I had things that I needed to be doing. When someone suddenly sends me five paragraphs about having an eating disorder and being suicidal, it feels incredibly wrong to say, “I’m really sorry, but I’m busy right now and can’t talk.” I usually do it, but that’s only because I’ve developed very strong boundaries over the years. Most people haven’t.

Another way that you may unintentionally make it difficult for people to set boundaries is by getting their consent for a certain type of conversation (“Hey, got a minute to chat?”) and then, once they agree, making it clearly way more than a minute and more than just a “chat” (“So I’m really really depressed and I think I’m about to lose my job and I just don’t know what to do, I’m almost out of savings and–“). Phrases like “got a minute to chat” and “hey what’s up” are vague, sometimes intentionally so. Once someone gets into a conversation with you, it’s almost impossible to then be like, “Um, actually, I thought this would just be a casual chat; I’m not really available for a conversation like this right now.”

If someone tells you that no, they cannot talk/listen right now, respect that answer, even if it feels unfair or unreasonable. They may in fact be lazy. They may in fact be selfish and callous. They may in fact completely not understand what you’re going through and if they did then they’d listen. They may in fact just be shallow people who want everything to be sunshine and daisies all the time. They may be all of those things, but they still deserve to have their boundaries respected.

The Importance of Being Specific

Consent is one reason why, when you’re reaching out to someone for support, it can be helpful to be as specific and clear as possible about what you need from them. (I say “as possible” because that can be really difficult when you’re in a moment of crisis.) If they know what they’re being asked to do, then they can actually consent to it. But taking a moment to think about what you need from others right now will help you, too–it’s easier to get what you need if you know what that is and ask for it:

“Hey, I need to just vent at someone about some depression stuff. Would you be able to listen for a bit?”

“I’m feeling down and it would be helpful to distract myself. Could you come over and play video games with me?”

“I’m feeling unsafe tonight. Is it ok if I spend the night at your place and just do my own thing with someone else in the room?”

You may, like me, be concerned that if you let people know you’re having a hard time, they’ll try to offer you types of help that you don’t need. In that case, it can be a good idea to be clear about what you’re not looking for, too:

“I’m going through a really rough time. I don’t really want to talk about it, but could we just chat for a while about something else?”

“I’m having a really bad day. I’m not really up for talking to anyone, but could you send me some cute animal videos?”

What if you want support but have no idea what would help? In that case, being specific is clearly impossible. I think it’s better to be transparent and say something like, “I’m feeling really bad and to be honest I don’t know what would help right now. I just wanted to reach out to someone.” Hopefully, your support person might have some ideas about how to help or what to say.

The reason this sort of transparency is helpful is because otherwise, the person might assume that you do need something specific and you know what that is, but that they need to somehow intuit it. Or they may ask you what they should do, which can be stressful for you to have to respond to.

As a more long-term strategy, though, it might be helpful to try to figure out what other people can do that would help you feel better, so that you know what specifically to ask for from them. If you have a therapist, they can help with that project. If not, you can ask others who struggle with similar issues (maybe on a support forum if you don’t know anyone personally) what works for them. Just because you have similar issues doesn’t necessarily mean the same things will work for you, but there’s a good chance you’ll find something.

Why This Can Be So Hard

Back to the issue of boundaries. For many of us, the pain of mental illness is so strong that it’s hard to empathize with someone who says it’s too much for them to hear about. Resentment can build. You think: “They can walk away from this conversation, but I have to live with this my whole life.” When someone is unable to listen to us talk about how awful we’re feeling, that can kick up those feelings of resentment.

But just as we ask our friends, partners, and family members not to take it personally that we have a mental illness, we should try not to take it personally when they have their own feelings and limits. There’s a reason psychologists have a concept called “vicarious traumatization,” and a reason why therapists and social workers have such high burn-out rates. Of course, you may not be asking them to do anything close to what a therapist does, and they may not experience it as “traumatization,” but the point is that being very close to someone’s pain can have an impact. In addition, your support people may be dealing with their own mental health issues, which you may or may not know about. They may want to listen to you, but may be unable to because of what it brings up for them.

One last thing I want to say about this is that for me personally, depression made it really difficult to see how my own pain was hurting others. I don’t mean in that awful way that we talk about, where people take our pain as a personal insult or expect us to be happy all the time. I mean that seeing someone you love in pain hurts. Legitimately. But when I’m depressed, I think I’m so awful that I don’t understand how anyone could possibly care that I’m hurting–even though I reach out to them with the hope that they’ll listen. (Mental illness causes many such contradictions.) And when they say that they care so much that it’s really difficult for them to hear about it, it sounds like they’re insulting and patronizing me, presumably to “get out” of having to listen to me. That this perception is often wrong is something that I had to recover from the worst of it before I could understand.

Self-Forgiveness

Reading this, you may realize that you have overstepped boundaries in the past. (Or maybe you already knew this.) Mental illness can make people feel like they’re horrible and deserve to die, and realizing that you have overstepped boundaries may exacerbate this.

Try to be gentle with yourself. Mental illness can provoke boundary-crossing behavior, and while it’s important not to use this as an excuse not to work on it, it also means that you’re not a terrible person, and you can get better–both in terms of boundaries and in terms of your symptoms themselves.

Talking about this issues presents what The Unit of Caring refers to as a competing access needs problem. Some people will really benefit from this advice. Some people may already be so terrified of violating boundaries that they almost never ask for the help they need. (This may be surprising given that I wrote this post, but I’m squarely in the latter group.) Mental illness also complicates matters in that people may simultaneously be excessively terrified of crossing boundaries, while also sometimes crossing boundaries!

If you feel that implementing this advice will do harm to you, then don’t implement it. However, I would posit that it would actually be helpful for most people, because my core message here isn’t “You should be Very Very Careful about not violating anyone’s boundaries,” but rather “Hey, here’s how to reach out for help in a way that respects people’s boundaries.”

Supportive People Who Aren’t Really

One reason you may be terrified of crossing boundaries is because you may have done your due diligence and followed all this advice and then still had people tell you that you’ve overwhelmed and burdened them and they never wanted to help you this much but felt obligated to. There’s a lot going on here, such as:

  • Poor boundaries on the part of those people
  • People being used to passive communication and reading unspoken messages into your words that you never put there (such as, “If you don’t help me I will hate you/hurt myself/etc”)
  • A duty-centered view of relationships (believing that being your friend/partner/family member obligates them to help you whether or not they want to or can safely do so)
  • Simple ableism: believing, however implicitly, that your mental illness makes you so weak and helpless that they are ethically obligated to help you, no matter at what cost to them

The plentiful existence of people who act in these ways makes it difficult to talk about boundaries and mental illness. If we’re constantly accused of being burdensome and asking for too much no matter how careful we are, that can easily obscure the fact that sometimes we really do reach out to people in ways that make them feel like they can’t say no. But remember: both of these things can be true, and are true. They sound contradictory but are not.

There’s no simple way to fix this problem. If you’re not sure whether or not you’re being mindful of boundaries, it might be worthwhile to consult a friend that you trust to be honest and ask them for feedback. And if you notice that there are people in your life who keep telling you that it’s okay to vent about your feelings or to ask them to take you out for ice cream but then it turns out that they never wanted to help you and only did it out of a sense of obligation, it might be time to downgrade these people from “friend that I ask for mental health support” to “acquaintance that I talk about Marvel films with.”

Whatever their reasoning for not being honest (or not being aware enough of their own needs to be able to be honest), it’s not a healthy dynamic. It’s the sort of dynamic that leads many of us to feel like such awful burdens all the time. It’s the sort of dynamic that can make it really difficult to take this blog post seriously, because if people are constantly calling you a burden when you’re not, you may not be able to recognize the ways in which you might actually be crossing boundaries.

Of course, supportive people are difficult to come by and it can feel counterintuitive to stop going to these people for support when they seem to be acquiescing. (And if you ever feel like it’s a matter of life or death, please, do whatever you need to do to keep yourself safe.) But they’re not, in fact, supportive people. If they were, they would properly set boundaries with you in a way that’s compassionate but still assertive. Pretending to consent and then blaming you for believing them is an unkind and unsupportive thing to do.

~~~

If you are in crisis and do not feel safe, and none of your support people are available to talk to, please call 911, go to the ER, or call one of these hotlines if you don’t feel safe doing the first two things:

  • National Suicide Prevention Lifeline
  • The Trevor Project (for LGBTQ youth)
  • Trans Lifeline
Reaching Out for Support When You Have a Mental Illness

Some Advice on Supporting Friends with Depression

This Captain Awkward post about supporting friends with depression has been bouncing around in my head ever since I read it when it was first posted last August.

Since I’ve been having my own little depressive episode since December or whenever that was, I’ve been wanting to shout this entire post from the rooftops (except, of course, I don’t have the energy). I’ll highlight this part in particular:

I think one thing you can do to help your friends who are depressed is to reach out to them not in the spirit of helping, but in the spirit of liking them and wanting their company. “I’m here to help if you ever need me” is good to know, but hard to act on, especially when you’re in a dark place. Specific, ongoing, pleasure-based invitations are much easier to absorb. “I’m here. Let’s go to the movies. Or stay in and order takeout and watch some dumb TV.” “I’m having a party, it would be really great if you could come for a little while.” Ask them for help with things you know they are good at and like doing, so there is reciprocity and a way for them to contribute. “Will you come over Sunday and help me clear my closet of unfashionable and unflattering items? I trust your eye.” “Will you read this story I wrote and help me fix the dialogue?” “Want to make dinner together? You chop, I’ll assemble.” “I am going glasses shopping and I need another set of eyes.” Remind yourself why you like this person, and in the process, remind them that they are likable and worth your time and interest.

Talk to the parts of the person that aren’t being eaten by the depression. Make it as easy as possible to make and keep plans, if you have the emotional resources to be the initiator and to meet your friends a little more than halfway. If the person turns down a bunch of invitations in a row because (presumably) they don’t have the energy to be social, respect their autonomy by giving it a month or two and then try again. Keep the invitations simple; “Any chance we could have breakfast Saturday?” > “ARE YOU AVOIDING ME BECAUSE YOU’RE DEPRESSED OR BECAUSE YOU HATE ME I AM ONLY TRYING TO HELP YOU.” “I miss you and I want to see you” > “I’m worried about you.” A depressed person is going to have a shame spiral about how their shame is making them avoid you and how that’s giving them more shame, which is making them avoid you no matter what you do. No need for you to call attention to it. Just keep asking. “I want to see you” “Let’s do this thing.” “If you are feeling low, I understand, and I don’t want to impose on you, but I miss your face. Please come have coffee with me.” “Apology accepted. ApologIES accepted. So. Gelato and Outlander?”

I think it’s a natural impulse to assume that the only way you can help someone who’s in a lot of pain is to try to address it directly, that maybe if they Vent to you and Get It Off Their Chests then they’ll feel better, and maybe sometimes they do, but I never did. I’ve written before that a lot of unnecessary pain and drama happened in my life because people thought they were willing to hear me vent and I thought it would be a good idea to take them up on the offer.

I truly believe that all of these folks mean well, but I truly believe that they don’t really understand depression, because they treat it like it’s just a LOT of sadness. Like it’s just like getting fired from five jobs at once, or being dumped by five partners at once (hey, if you’re poly, it could happen), or having a Really Bad Day where literally every single thing that could go wrong goes wrong, from getting humiliated in front of the whole office by your evil boss to losing your keys to walking into the subway station just as the express train pulls away to realizing you’re out of toilet paper right when you need the toilet paper.

Those things are not like depression. Those things are just really shitty.

One thing about depression is that it makes it really difficult to access the parts of your life that are genuinely good. For some people, this takes the form of anhedonia–losing pleasure or interest in things you used to enjoy. Not necessarily completely or all of the things, but sometimes completely and all of the things. For some people, this can mean that watching their favorite show or playing their favorite game is suddenly not fun anymore. For some, it can mean that trying to socialize with their good friends feels like reading a really boring story and not being able to actually interact with the story in any way. For others, it can mean not perceiving food as tasty anymore.

Another way this plays out is that you may still enjoy things, and know that you enjoy them, but lack the motivation to make those things happen. This seems very common. It’s a big part of depression for me. I do still enjoy spending time with my friends, but it usually doesn’t occur to me to invite them to do anything or to chat with them online, and if it does occur to me, I immediately come up with a bunch of reasons why I can’t do it and then I forget about it and end up reading for hours instead. Sometimes writing is this way for me too. But if I can just find a way to do the thing, I almost always find that it was worthwhile and wish I’d done it sooner.

So Captain Awkward’s advice about connecting with friends with depression is very on-point. If you just plop the ball down in their court, they’re probably going to look at it in confusion for a little bit and then toss it off into the bushes (possibly with a lot of shame and guilt). If you walk over, offer them the ball, and let them know how they can throw it back if they choose to, they’re much more likely to throw it back.

So here are some well-intentioned but not very helpful ways that people try to do this, and some better ways.

Less helpful: “We should hang out sometime!”*

More helpful: “I’d love to hang out if you’re up for it. Want to do that on Thursday night?” [if no] “Ok! Should I ask again next time I’m free?”

Less helpful: “Let me know if you need help with anything.”

More helpful: “Is there any way I can help?”

Even more helpful: “If it would be helpful for you, I’d love to [cook you a meal once a week/help you find a therapist/watch TV with you when you need a distraction. What do you think?”

Less helpful: You can talk to me if you need to.

More helpful: What helps you feel better when you’re feeling depressed? Is that something I can help with, and that you’d want me to help with?

Sometimes a friend with depression will say no to a lot of things and decline all or most of your invitations. This can make you feel like you’re overstepping boundaries and should immediately leave them alone until they reach out to you themselves. Pay attention to this feeling: it’s true that when people keep saying no to things you ask, it’s probably a good idea to stop asking. However, depression can also cause people to say no while wishing they could say yes.

The way to deal with this is not to assume, but to just ask directly: “You’ve said no the past few times I’ve invited you to do something. That’s okay, but I just wanted to check: would you like me to keep inviting you?” I’ve done this before with other people dealing with depression and found that they often respond that they do want me to keep asking, and they hope that one of these days they’ll be able to say yes.

For many people, depression causes a pervasive sense of disconnection from the world and from other people. When I’m having a depressive episode, I feel like I’m not part of anything, like I’m just one person and I don’t matter, like I could disappear and nothing would even change, etc. I feel like there’s a glass wall between me and everyone else. I feel like I can’t do “normal” things like laugh at a sitcom or make someone happy or fall in love. I feel like an alien sent here to try to learn how to act like a human being only I’m completely failing.

So for me, the most helpful thing that someone can do is to help bring me back into connection with others. This is why I find venting mostly useless. When I’m venting, I’m still only talking about my depression, and while the person I’m venting to may be very kind and a very good listener, this isn’t something we can connect over, you know? It’s not the same as a two-sided conversation about difficulties we’ve dealt with in our lives. It’s totally one-sided. It’s just me, talking about the exact thing I need to learn how to stop ruminating over.

Helping a depressed person feel more connected to others is a tall order even for the most empathic friend, but there are some things friends can do that might be helpful, some of which Captain Awkward mentioned.

One is to ask for their help with something they’re good at. Make it clear that you really value this person’s skill or experience with this thing. This helps them feel that they have something to offer others, which is a feeling that’s pretty thin on the ground when all you can think about is how sad you are.

Another is to talk to them about some of your own struggles. I’ve always found that hearing about other people’s problems gets me out of my head a little by activating my empathic or problem-solving sides (depending on whether they’re just sharing, or asking for advice). It’s also a reminder that everyone struggles, even if the magnitude of that struggle varies for different people at different points in time. This may be somewhat specific to me, but seriously, the kindest thing someone can do for me when I’m depressed is to talk about their problems–it means I don’t have to talk about myself (hard to do when all I can say is “yup, still sad”) and I also don’t have to pretend to be happy while they share happy things (as much as I wish I could just be happy for others when I’m depressed, that is basically impossible).

Another is to plan fun things with your circle of friends, if you share one, and include them in that. While not everyone is up for group things, especially when they’re depressed, I personally find it more helpful than hanging out with someone one-on-one. When I’m with a group of friends, there’s inside jokes and lively discussion (that I don’t have to personally initiate!) and it makes me feel like part of something again. Seriously, last month I spent a week in Minneapolis (where I have a shocking number of close friends) and my depression was basically on hiatus that whole week, because I was just always surrounded by great people that I trust and care for, and they were being interesting and/or funny all the time, and it was great.

Remember that no matter how patient you are, and how much your friend may want to be able to spend time with you, sometimes it’s just going to be impossible. Some people disappear for weeks or months at a time when struggling with depression. It’s legitimate to feel sad that you’re not getting to see your friend, but please don’t take it out on them or make them feel guilty. Believe me, they already feel like human garbage, because that’s how depression tends to make people feel. Remember the ring theory and find someone else to talk to about your legitimate feelings about not getting to see your friend who has depression. If not being able to see them for a long time causes you to no longer feel close enough to them to consider them a friend, that’s also legitimate. Accept that nobody’s at fault and move on. They didn’t get depression as a personal slight against you.

The most important thing about supporting someone with depression is to be really self-aware. Make sure that you’re really doing it because you care about them and want them to feel better, not because you need the validation of Fixing Someone’s Problems. Depression isn’t going to be fixed by someone’s friends, no matter how kind and patient they are. You may invite them to a thing and they may appear and seem totally happy and then later that night they post another Facebook status about how awful they feel, and you may feel like you Failed and you might as well not have bothered, but trust me–it’s more than just in-the-moment feelings. I may feel like shit, but I’ll remember somewhere in the back of my mind that I have friends who love me and who make an effort to get me out of my room, and that matters.

Besides that, stuff like friendship bonds can be a protective factor against future depressive episodes. Your friend will eventually recover from their current episode, and now that they feel better, they may be able to fully internalize how much people care about them and how connected they are to others. That can help prevent a future relapse. That matters.

So don’t do it because you’re hoping to see obvious and immediate results. Don’t make a person with depression carry that burden for you.

~~~

Now that I’ve reached the end of what I have to say, I just want to note that it’s almost impossible to even write about this (especially given that I am currently depressed) because the response is always immediately “Yeah well you don’t speak for all depressed people, my partner/best friend/I are totally different!”

Yes, I don’t speak for all depressed people, but I speak for more depressed people than just myself. If you already know for a fact that this doesn’t apply to the person you’re thinking of, just ignore it. (Or write your own article that describes your own experience.) But you probably don’t know that, and you can open up a conversation about it by showing them this article and asking if they feel that it applies to them.

~~~

*I just want to state for the record that, depression or no, I have no idea what to do with “We should hang out sometime!” Are you merely expressing a preference for the sake of expressing it? Are you asking me if I also want to hang out? Are you asking me to plan/initiate the actual hanging out? In practice, I just respond, “Yeah, totally!” and then nothing ever happens.

Some Advice on Supporting Friends with Depression

Opening Up, Closing Down

[Content note: depression, suicide, self-harm]

The truth about mental illnesses that many of us have learned is that they change you for good. Even after the symptoms are gone, the medication gradually reduced to nothing or stabilized at a dose that works, something remains. (And for many of us the symptoms are never entirely gone.)

Depression left my scaffolds–indeed, my very foundation–cracked. I’m okay, even joyful, much of the time. But it feels a little flimsy.

One of the ways this plays out in my daily life is that I have problems with intimacy. I don’t mean the sexual euphemism, but rather the ability to be vulnerable, to let people in, to be seen as you are, to be comfortable with closeness.

I am intensely uncomfortable with all of this.

I hate talking about myself, whether it’s positive or negative. I hate feeling like I need someone’s help to deal with emotions. I hate wanting someone’s help to deal with emotions even when I know I don’t need it. I hate the first time I tell someone I love them and I hate many of the subsequent times too. I hate it when people know that I miss them. I hate being visibly upset around someone, which means that if it’s at all possible to leave, I leave. I hate expressing any emotion besides joy and anger (which I rarely feel) to anyone. I hate it when someone says things to me in an attempt to build intimacy but I don’t know what to do so I say nothing. I hate when people notice emotions I didn’t intend to share. I hate when they tell me this as though it’s going to somehow endear them to me. I hate that there’s nowhere I can cry without being seen or heard by someone.

So relationships, whether platonic or romantic or sexual or some combination, are difficult.

Some people have difficulties like these for their whole lives, but for me, it happened as a result of depression. And, ironically, depression is also the thing that’s hardest for me to share with people.

During my nine years of depression–in fact, probably my whole life up to and including that–I was very different. My experience of mental illness was that it triggered a sort of leaking of thoughts and emotions. I literally lacked the ability to hold them in. They spilled out of my hands, like when I try to move a big pile of laundry from the washing machine to the dryer and little bits and pieces–a sock here, a tank top there–keep falling on the floor. I remember crying apropos of nothing on the band bus in 10th grade and telling my boyfriend that there’s no way to be happy when you hate yourself. Fifteen is old enough to know that this is not an appropriate thing to say. It didn’t matter. It just came out.

It’s not like I didn’t try to plug the leaks. In 6th or 7th grade, I decided to keep a record in my journal of “things left unsaid.” Each day I intentionally tried to shut myself up at some crucial juncture, and rewarded myself for it by writing it down in the notebook later–the thing left unsaid, the person I didn’t say it to, and the reason I didn’t say it.

Years later, what I learned about psychology and behavior change suggested that this could be quite an effective strategy for some people. But it didn’t help me much, because my problem wasn’t purely behavioral. When I looked at those entries later, I noticed how many of them had to do with hurt feelings. “Thing left unsaid: that I was upset about what _____ said about my outfit. Reason: because it wouldn’t make a difference.”

I tried so very hard, but everything hurt. If they couldn’t read it explicitly in my words, they read it implicitly in my face, my body, my tone. I couldn’t hide it. I gave up writing the entries within weeks because it was already too late, everything was leaking out and I couldn’t patch the holes fast enough. In college the dam broke completely, and everything from those little hurts all the way up to wanting to kill myself became common knowledge for those who interacted with me a lot.

For a while it was okay. I thought that being so open was keeping me going–and, as I’ll get to in a moment, it was important in some ways–but what it ultimately did was it completely broke me. It destroyed any sense of self-respect, independence, and competence that I had. When I confided my depressive feelings to someone, usually a partner, I felt like garbage. I felt so much more shame about the act of confiding than I ever did about the feelings I confided themselves.

If you’ve ever had to call the last person you want to speak to right now because they’re the only one available to talk you out of slashing your own wrists, then maybe you know what I’m talking about.

You have to reveal. You have to open up, in order to live. You have to tell it to the therapist and the psychiatrist and your parents and your partner and anyone else who is in any way responsible for your well-being.

You tell people the darkest most horrible things not because you trust them and want to let them see this part of you, but because you have no fucking choice.

And so the concept of “opening up” has been totally ruined for me, because I didn’t get to save it for those special, bonding late-night conversations with someone I feel ready to show myself to.

I had to do it.

Now I don’t.

And not having to feels like freedom. It feels like victory. It feels like independence, finally. It feels like adulthood, although it shouldn’t. It feels like maturity, although it shouldn’t. It feels like wholeness. It feels like safety.

It feels like recovery.

So now I sit at the computer with words typed into the chat box–“I feel sad,” “I can’t stop crying,” “I miss you so much”–and I can’t send them. I want to send them and I don’t want to send them. Not wanting to send them almost always wins out.

In a way, intimacy was easy when I was depressed. I wore it on the outside and it created a sense of intimacy with many people almost instantly. New partners saw my neat little red scars so early on, too early on. “We’ll work on that,” said one, an aspiring psychologist. “I wish you wouldn’t do that,” said another.

Now nobody has to see, and it’s almost impossible to want it any other way. Intimacy has gotten much harder. Perhaps mirroring my own style, new partners disclose little and so I lose interest in them quickly, convinced we have nothing in common besides politics.

Instead I write. The stress of work, the rush of falling in love, the little depressions that come and go, the grief of losing my old lives, the fear of the future–they sink into paper and that’s where they stay.

It’s lonely and isolating as hell, but it beats feeling opened up and exposed.

And now, although I’m known as someone who talks about depression a lot, I don’t really talk about it. I speak obliquely of it, the way someone might mention the passing of a loved one without ever speaking openly of their grief.

I can say that there is fatigue. I can say that it feels sad and numb and dark and hopeless. I can say that I wanted to die. I can say that my head was–still is, much to my constant disappointment–fuzzy and slow, memory useless, words perpetually at the tip of my tongue but left unspoken. I can write this blog post about how depression has affected my ability to desire, build, and feel intimacy.

But I do not ever, not anymore, tell you how it really feels. I will not make you listen to me tell you I hate myself I hate myself like I’ve never hated anything before and I wish I could rip my body and my mind to shreds–

No, I stay on a meta level. I’m comfortable talking about it conceptually.

But the feeling of depression itself? That is a dark room into which I want to go alone. I don’t want anyone knocking on the door trying to get me to let them in. I don’t want to have to hold their hand and guide them around the sharp corners they can’t see, because when I’m in that room, I need to be caring for myself. Not for anyone else.

Of course, it always starts out with them hoping to care for me, but that’s never how it ends up. People end up needing my support to navigate the nightmares in my own head.

Well, I’m sorry, but I just don’t have the mental fortitude for that. Caring for one person–me–is enough.

Presumably, I don’t have to be stuck this way for my whole life just because I have/had depression. I’m hoping to start therapy again soon, for this and for other reasons. But for now, as I reflect on myself and my life at this very special (for me) time of year, it’s hard not to feel hopeless about all the little things I can no longer do, at least not without lots of anxiety and fear. Like tell someone how the stress actually feels. Or talk to someone about how powerless I feel in my work. Or ask someone if they can talk to me for a while to help me get my mind off of things.

In this way, and in many other ways, mental illnesses may never end, or may take much longer to end than we expect, and there is no hopeful cheery note for me to end this on.

Opening Up, Closing Down

A Flare-up of a Chronic Illness

[Content note: depression]

This is a personal post, not an advice post or a big societal problems post. But past experience has shown that some people appreciate and benefit from it when I describe how I try to think about things.

“Reframing” is a term we sometimes use in mental healthcare (and elsewhere) to basically refer to changing the way you think about something. While therapists sometimes suggest ways to reframe things to clients, it’s ultimately up to the individual to decide whether or not they want to reframe, and if so, how.

For some people this concept can hit a nerve because it can sound a lot like the well-meaning but ultimately useless (and even hurtful) advice we get to “look on the bright side” and “think about the positives.” But that’s not what reframing means to me. Here’s an example.

In one of my classes, we are required to meet in pairs for ten weeks to administer and receive counseling. Not as a roleplay exercise, but as an actual attempt to disclose one’s struggles or work with someone else on those struggles. Many students in the class expressed strong discomfort with being one of the “clients” in this exercise, but I’m already accustomed to sharing very personal and intimate details with thousands of strangers online, so I had no qualms about signing up to be counseled.

During our first session, my student-counselor asked me a question: “What, to you, would be an ideal or perfect day?”

It didn’t take me long to think about my answer, which turned out to be sort of a non-answer.

“There isn’t one,” I said. I explained that after eleven years of depression, there is no longer such a thing as an ideal or perfect day and it feels like there never was. That sort of thing is so far out of the realm of possibility for me that, in my view, there’s no point in sitting around hypothesizing about it*.

The reason is that hypothesizing won’t bring me any closer to experiencing it. The things that stop me from being able to have perfect days, those days you spend the rest of your life wishing you could relive, are not surmountable things.

As an example, I told them about the previous weekend, when my roommate and I had gone to visit friends in the suburbs of Philly and then went to a steampunk-themed dance in the city proper. I’d been looking forward to it for a while. It was supposed to be one of those awesome nights. We got all dressed up, and I was wearing my friend’s spectacular dress that I felt amazing and sexy in, and I was with my friends, and it was going to be awesome.

Until, of course, it wasn’t. Not long after we got there, I experienced one of the things I refer to as a depressive trigger, for lack of a better term. It’s whatever the depression version of getting triggered is–specifically, it brings on acute depression symptoms–and it happens to me periodically. I heard it and I felt every metaphorical gear that keeps my brain working properly grind to a halt. It was like driving down a beautiful country road in the sunshine and suddenly finding yourself in a thunderstorm.

After that I couldn’t make myself function. I felt an uncomfortable combination of numb and sad in a very “deep” sort of way. I was constantly on the verge of crying, and knew I would if I let myself think about the thing that had triggered me. I couldn’t talk to anyone, at least not in any socially appropriate way, and I couldn’t dance or pretend to be happy or do much of anything else.

So I left my friends, sat in a corner, and spent most of the rest of the night writing in my notebook (good thing I carry it everywhere) and messaging with one of my partners on my phone. (Situations like this, by the way, are one of the reasons I’m so adamant that it should be socially acceptable to be on your phone at social events. Because my options at this point were: cry in front of my friends, be on my phone, or leave and somehow find my own ride back from Philadelphia to New York at 10 PM on a Saturday night.) I was eventually more or less okay, but it took a long time, and I spent most of the night on the effort to make myself feel more or less okay.

This is not atypical for me; it’s been happening for almost as long as I can remember, and while the triggers have changed a little over the years–as has my ability to manage them–the fact that they happen in the first place has not.

I used to hate myself for it. I’d berate myself endlessly for “ruining” everything or “wasting” good times away, especially since the triggers were as predictable as they were unavoidable. Surely I could learn to stop doing this? (But I see nothing about “acute depression triggers” in any of the scholarly material I read and I don’t even know if this is a typical aspect of the experience of depression or if anyone has ever reported it at all. I just know that that’s how depression works for me.)

Now, I told my student-counselor, I think about it differently. Of this specific incident, I think: I had a flare-up of a chronic illness, but I was able to manage it.

And because I’ve learned to think about it that way, a lot of other things start standing out–the things that went right. I had a great, relaxing day with my friends before it happened. I got dressed up and felt good about how I looked. At the event itself, during the times when I was feeling more or less okay, I met some interesting new people and took some great photos that I’ll have to look at and reminisce. While I was feeling triggery, my friends noticed and checked in on me in ways that demonstrated their concern and care but did not step over any of my emotional or physical boundaries. (Most significantly, I don’t like to talk about the things that cause me to feel bad, and nobody asked or expected me to.) While I was feeling triggery, I managed to disclose a little bit of it to my partner online–not something I am often able to do–and my partner was supportive. I was able to stop it from getting any worse.

Reframing is not the same as its distant cousins, “looking on the bright side” and “finding the silver lining.” I didn’t choose to look on the bright side or find the silver lining. The silver lining found me, after I had reframed the situation in a way that didn’t make me look like a horrible wretched failure of a person. And when I reframe, I don’t attempt to dilute or ignore the reality of the situation. It is not preferable that things like this happen when I’m trying to have a good time with my friends. There is no “silver lining” to getting triggered. I’m not going to wax poetic about what this teaches me about myself or about the human condition. I’m not going to gush about how situations like this really bring out the wonderfulness of my friends and partners, because my friends and partners are wonderful a lot of the time, whether or not I’m currently feeling like crap.

When I think back to that night now, I don’t feel sad, because I’m remembering the good things along with the bad. Previously, the distortion that my brain engages in would’ve made that impossible. I’ve tried to somehow force myself to think about the good things before and failed. It could only happen once I found a way to look at the situation realistically.

I didn’t fail. I didn’t ruin anything. I didn’t choose for this to happen. I had a flare-up of a chronic illness, but I was able to manage it–with the help of some of my friends, but also by drawing on my own strengths and resources.

~~~

*That said, the question the student-counselor asked is typically a pretty good one to ask, as it helps the therapist understand what their client hopes to change about their life. But I already know that I want something impossible. I want to be cured. I won’t be, and that’s okay.

A Flare-up of a Chronic Illness