Living With Depression: Hope

[Content note: depression and suicide]

This is my series on depression and what it’s actually like beyond the DSM symptoms. It’s not meant to reflect anyone’s experience but my own, although I’m sure plenty of people will identify with it. If things were completely different for you and you feel comfortable sharing, the comments section’s all yours. Previous posts in the series are here.

The title of this post is “Living With Depression: Hope,” but because of the bit before the colon, the part after it is hard to come by.

One of the main ways in which depression differs from sadness or “the blues” is the pervasive loss of hope that its sufferers experience. When you’re depressed, you don’t merely feel bad; you know beyond a doubt that you will always feel bad. You don’t have evidence for this, but the strength of your conviction is so great that you automatically attribute it to accuracy. After all, if it weren’t absolutely true that you will always feel this bad, why else would you be so certain of it?

That’s one of many ways in which the depressed brain tricks you.

Unfortunately, the hopelessness of depression isn’t limited to big-picture questions like whether or not you will eventually feel better. It affects every little thing. You will never make friends. You will never find a partner. You will never have sex again. You will never get a job. You will never get into graduate school. You will never find a place to live that you like. You will never reconcile with your family. You will never get in shape. You will never get these damn errands finished.

(This also means that it’s impossible to tell the difference between what’s actually unattainable and what merely feels that way. I recently told my mother that one of the reasons I chose not to go for a PhD was because there’s absolutely no way I could’ve made it into a doctoral program given my lack of research experience. My mother pointed out that I’d said the same thing about the master’s program to which I will soon be merrily on my way. It’s true. I did say that. I also said that I will never get into Northwestern and never get any summer internships and never find a partner and never find a way to move to New York City. Sometimes I think that I’ll never get married or never be able to get a fulltime job. Which of these are based on a skeptical assessment of the evidence, and which are not? Who knows.)

This is going to sound ridiculous when I say it this way, but imagine knowing for certain that every little bit of your life will always be bad. Imagine if someone traveled back in time from the future and told you that you are going to fail at everything and you will never be happy and nobody will ever like you. Got it? Now try to live out the rest of that life.

That is depression.

When you look at it that way, suicide becomes a little easier to understand. One of the many things healthy people don’t get about suicide is how you could want to end your life for good just because of a “temporary setback” or “when things might get better” or “without knowing how life will turn out.” People call suicide a “permanent solution to a temporary problem.”

Sure, that’s how it looks to a healthy person. But to a depressed person, it’s not a temporary problem. It’s a permanent problem. You do know exactly how life will turn out and it will turn out terribly.

This is why it’s so patently ridiculous to me when people start going on about “Yeah well how can you really know if it’s depression or just sadness I mean aren’t we sort of medicalizing a normal emotion.” This is why it’s so clear that these people have no clue what they’re talking about. I’ve spent a lot of time being depressed and I’ve also spent a lot of time being sad. When I’m sad, my thought process goes like this: “Blah, it’s really fucking sad to be leaving behind my life in Chicago with all these friends I have and all the places I like to go. I will never have these things in my life in this way again. This is really fucking sad. I can’t wait till the move to NYC is over because then I’ll get to acclimate to a new life and it won’t feel as bad to have left this one behind.”

When I’m depressed, my thought process is more like this: “THERE IS ABSOLUTELY NOTHING GOOD ABOUT CHRISTMAS BREAK ENDING AND HAVING TO GO BACK TO CHICAGO. I HATE EVERYTHING THERE. Yeah, I guess I have friends there, but they probably don’t even like me. My classes will probably suck this quarter (yeah I picked them myself but whatever everything I choose for myself always ends up being shitty). The weather fucking sucks and I can’t stand it anymore. I’ll just sit in my apartment alone like a loser. Fuck my life.”

But here’s the thing: when Christmas break ended and I went back to Chicago, it was…fine. I adjusted, as I always do. But in the days leading up to break ending, I was absolutely unable to see that that would happen. It didn’t matter that I’d had the same thoughts at the end of every break. It didn’t matter that I had the same thoughts as I prepared to go home for break, from where I was now so reluctant to leave.

Nothing mattered. I had lost hope. Hopelessness was the default state in which I lived most of the time.

But without hope, there’s no way to be happy or even content. If things are going poorly for you right now, you’re convinced that they will always be that way. If things are going well, you’re convinced that it could all end at any time and your future seems grim.

Without hope, something as mundane as returning to school from Christmas break feels like an insurmountable obstacle. Without hope, my upcoming move to NYC would have me completely paralyzed with dread and anxiety (and I have to say, it’s pretty difficult even with hope).

Without hope, treating your depression feels pointless. Why make the effort when you already “know” it’s not going to help? Without hope, platitudes about “looking on the bright side” are pointless, because depression is an illness that literally prevents you from ever looking on the bright side. Telling a person with depression to try to be hopeful or to try to believe that things will get better is like telling a person with diabetes to consider trying to produce more insulin.

As of a few days ago, my depression has been subclinical for about a year. This means that I don’t fit the diagnostic criteria for it. I do not have major depression. I have recovered.

I do have many of its symptoms, some in mild forms and some a little stronger. So to say that I’m not at all depressed is probably inaccurate. In any case, though, the past year has been an experiment in learning to have hope again–hope that I will adjust just fine to my move in a few weeks (!!!!!!!!), hope that I’ll like my new graduate program, hope that I’ll be able to pay my bills, hope that I’ll get a job when this is all over, hope that my life will slowly start to resemble, however crudely, the vision I have had for it.

This means trying to see clearly through the fog that has hung like a curtain in front of my eyes since childhood, and occasionally getting a peak behind that curtain. We are all, of course, largely ignorant when it comes to predicting our own futures, but the important thing is to have the ability to make predictions that don’t make us want to curl up under the covers and cry.

Living With Depression: Hope
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Why Are Adults So Negative?

[Snark Warning, TMI Warning]

No, really, that’s a legitimate question. Why are people older than me–even by just a few years–so eager to put down all of my hopes and dreams?

Let me give a few nonspecific examples of Things Older People Have Said recently to me:

  • “You know, guys really don’t go for complex women.” (Women like me, that is, in the context of that conversation.)
  • “Oh, trust me, by the time you have a job, you’re not going to care about making a difference. It’ll just be about how you hate your boss and can’t wait to go home by the end of the day.”
  • “You’re never going to be successful if you don’t learn how to be pushy.”
  • “It’s going to be even harder to make friends after college, you know.”
  • “You’re gonna go for a PhD? You do realize how much work that is, right?”
  • “Psychologists don’t make that much money. You should try to get an MD instead.”

Perhaps you Well-Meaning Adults are all under the impression that I have excessively high expectations and need a Dose of Healthy Realism to prevent myself from getting disappointed later on. Perhaps you just don’t realize what weight your words can carry for someone who is younger and looking for someone to help them find their way.

Well, this might be news to you, but I have a mental disorder that basically means that my expectations are already unhealthily low. That’s what depression does. It robs you of all the hope and optimism you used to have. Every bit of genuine excitement that I have for the future is something I’ve worked very, very hard to muster up. And guess what you’re doing. You’re taking it away from me.

People. My disorder does a perfectly fine job of putting me down all on its own. It really doesn’t need any help from you. I don’t need to be reminded of how hard it’s going to be to make friends, get a job, find a partner. Trust me, I’ve been over this in my mind over and over and over again Many, many sleepless nights. I’ve been over it until I’ve cried my head off and wanted to kill myself. Really. I do not need your help.

You know what, I appreciate that maybe your life didn’t turn out the way you wanted. And that sucks. I’m sorry you have a shit job, I’m sorry  you have an awful time meeting people and dating. If you’d like, feel free to tell me about that. Or go tell a therapist. Or whatever. But your experiences do not give you the right to take my hope away from me. Especially when you’re some measly three or four years older! Jesus Christ! You’re still finding your own way. You’re not dead yet. At least wait till you get your own kids before you start dispensing your Divine Wisdom to someone else.

I’m seriously considering kicking these people out of my life, because as much as I’ve always believed that friendship with people older than me is important and extremely valuable, I can’t have these people making me feel crappy all the time.

Why does this happen? I think we have a cultural stereotype of young adults as exceedingly cocky, optimistic, and entitled. Well, guys, you know what they say about people who assume. First of all, as I’m pretty sure everyone I’m acquainted with knows, I’m not even from this country. Take everything you know about “American Young Adults” and toss it the fuck out, because I grew up with a different cultural background, one in which humbleness and realism are prized qualities.

Second, even supposing I were the most typical American girl you can imagine, you should still quit it with the damn stereotypes already. Everyone has their quirks and idiosyncrasies. Some people come from broken families. Some people grew up poor. Some people have a disability, maybe one you can’t see. Some people read a ton of books when they were kids. Some people grew up being bullied in school. Some people have depression, anxiety, OCD, ADHD, a substance abuse disorder, autism or Asperger’s, or some other condition. Some people are just plain different!

So throw out those silly magazine articles about “Today’s Entitled Bratty Self-righteous Cocky Inept Stupid Young Adults” and see what’s right in front of you. Some of us are just trying to get by. Some of us are just trying to scrounge up every last shred of hope we have and keep on living. Just because I’m young doesn’t mean I think it’s all rainbows and butterflies ahead. I work hard to keep my chin up. Don’t you dare take that away from me.

Why Are Adults So Negative?