Why Tess Holliday Was Right About Abusive Relationships and Responsibility

*** This Piece Was Originally Written For The Mighty on 8/7/20 ***

I’m admittedly a hopeless romantic at heart with a strong Florence Nightingale effect. I’ve always been drawn to the misunderstood, wounded soul with the tragic backstory, ultimately wanting to help save them from both their hard lives and themselves. I stayed in a dysfunctional relationship for 11 years, tolerating both repeated abuse and infidelity, because I firmly yet mistakenly believed it was my responsibility to stay the course and make things work. I desperately wanted to help him heal from the hardships of his past. I believed if I just loved him enough and was supportive enough, somehow we could make it work.

I spent years giving of myself and chipping away at my own self-worth until I completely lost myself in the process. In the end, no matter how much love or support I gave, no matter how many times I forgave his transgressions, the relationship ultimately failed. And even though it was his cheating and his abuse that destroyed everything, I was left with the overwhelming feeling that I had somehow failed, that if I had tried harder or loved more, maybe things would have changed; maybe he would have changed.

It took extensive therapy to accept that I was not at fault. In my desire to save everyone else, I had forgotten to bother trying to save myself. In wanting to help fix him, I had broken myself almost to a point beyond repair. In loving him despite all the abuse, I had stopped loving myself.

That’s why I know model Tess Holliday was completely spot-on when she recently said, “women shouldn’t be responsible for rehabilitating men,” and that, “women often get blamed for not doing ‘enough’ to ‘save’ their relationships. Guess what? We don’t have to carry that. We are only responsible for ourselves and our actions.”

And that goes for all people, not just women toward men.

We can love someone to the moon and back but it doesn’t change the fact that abuse is present. Abuse is never acceptable, nor is it a fee anyone has to endure and pay in order to eventually be worthy of love. It is not anyone else’s responsibility to love someone else enough that they eventually decide to change for the better. Nobody deserves to be abused and nobody has the right to subject anyone else to abuse.

Change has to come from within and the person doing the changing is solely responsible for both their actions and their choice to change. Nobody is required to endure abuse in order to be loved or save anyone else from themselves. The only person each of us is responsible for, the only person each of us has an obligation to save, is ourselves.

These days, I have found myself with another tortured soul who has had a relatively hard life. There are quite a few distinct differences, however, between my last relationship and this one. For starters, I will no longer tolerate anyone being abusive or otherwise treating me poorly because I understand now that abuse is not love. Secondly, I am no longer trying to save him, nor am I asking him to save me, but rather we are loving and standing by each other as we both attempt to save ourselves. Last, and perhaps most importantly, I have learned both to accept responsibility for my own actions and to refuse ownership of his or anyone else’s. I also know now that it is not solely my responsibility, nor his, to make this relationship work. Make it or break it, we both must be all-in and committed. Relationships are a partnership, not a rehab.

Originally Published on The Mighty on 8/7/20.

7 Things Considered ‘Lazy’ That Are Really Self-Care

*** Originally Written for The Mighty on 8/5/20 ***

In society today, it’s all about the hustle, the go go go, rush rush rush lifestyle, where people are often measured by their productivity. Even during the height of the pandemic here in New York, memes were circulating suggesting that everyone should be using their extra time to learn new languages, fix up their houses, and otherwise do “great things.”

With that frame of mind being so prominent these days, it’s easy to feel like you’re a failure if you don’t accomplish as much as everyone else.  People are quick to assume that if you’re not continuously productive, you must be lazy. But the truth is that you don’t have to compete with anyone else or accomplish as much as anyone else. The only one you have to compete with is yourself, to be the best you can be and do the best you can do. But you must also take time to practice self-care, because pushing yourself too hard can lead to burnout and even more downtime.

We often beat ourselves up, feeling like we don’t measure up, that we aren’t trying hard enough or that we are somehow letting people down if we aren’t able to be as productive as others in our lives. It can be especially hard for people who have a health condition that limits what we can do on any given day. But the truth is there are many things people often assume are signs that someone is “lazy” or unmotivated that truly are not.  Some are the products of pre-existing conditions and others are simply examples of self-care.

1. Not Having an Immaculate House Does Not Mean You Are Lazy

Many people live by the creed that appearances are everything, that a tidy house is needed for a tidy mind, and that clutter leads to chaos. It is easy to succumb to those feelings that if anything in your life is a mess, you as a person must also be a mess, and that not having everything in your life clean and pristine is a sign you are lazy.

However, there are many reasons your living space might not be clean that have nothing to do with being lazy.  You could be otherwise working outside of the house, or home taking care of your children or elderly parents, and be running on empty by the time you are done. You could be dealing with a debilitating chronic illness or mental health condition that makes it difficult to clean as often as you’d like. Or you could simply need to diffuse and unwind, to take a self-care day because you are overwhelmed with life at the moment. They are all valid reasons for your house not to be spotless. And honestly, you don’t need to have everything spotless all the time, nor do you have to impress anyone else.  It is OK for homes to look lived in — because they are lived in.

2. Not Having a Side Hustle Does Not Mean You Are Lazy

Many people tout that everyone should always have a side hustle, a second job or plan to fall back on so that you never fall behind in life. These people build second careers off selling cosmetics or candles or other items on the side, run part-time businesses after work and on their days off, attempting to fill every hour they can with some sort of productivity that makes money.  It is easy to feel that if you don’t have that same hustle, you must be lazy.

But the truth is that, while side hustles are wonderful if someone is so inclined, nobody has to be productive every moment of every day. In many cases, such as those with serious health or mental health conditions, you physically may not be able to keep going as much as others can. It may take everything you have just to accomplish what you can and anything beyond that feels out of the question. And that is perfectly OK. You are allowed to enjoy your downtime, to take time to yourself to relax. You are allowed to respect your own limitations and practice self-care when needed.  It does not mean you are lazy.

3. Not Delving Into Time-Consuming Hobbies or Activities Does Not Mean You Are Lazy

Hobbies and interests are a popular topic of conversation. People often talk about how they are taking art classes, cooking classes or dance lessons. Learning a new instrument or a new language.  Taking yoga or martial arts. Playing in a softball league or a bowling league or dart league.  When others talk about how many activities they are involved in, it’s easy to feel exhausted just thinking about it, or to feel like we are somehow less than or lazy because our schedules are not as full.

The reality is that we don’t have to compete with anyone else’s schedule, nor do we have to needlessly fill our own. If something piques your interest and you would like to explore it, especially if it is something you feel you can add to your self-care toolbox, that is wonderful.  But you do not have to accomplish as many activities as anyone else in order to not be considered lazy.  Your time is yours and yours alone to fill as you see fit, including giving yourself whatever downtime you need for your own self-care.

4. Not Cooking Fancy Meals for Yourself Does Not Mean You Are Lazy

It seems today that the internet is filled with Instagram chefs.  Social media timelines are filled with picturesque dishes of fancy meals that look like they could be served up in restaurants or lining the pages of culinary magazines. When we are bombarded with a constant influx of beautiful culinary images, it’s common to feel ashamed that our own meals do not measure up, that we must be lazy and not trying hard enough.

Often, though, especially when it comes to those of us with severe or chronic conditions, it is hard to even muster up the energy to cook, let alone the inspiration. We should not shame ourselves for not preparing an award-winning meal every night.  Again, we do not have to impress anyone else nor are we competing with anyone else.  Food doesn’t have to be fancy or picture-worthy to nourish the body and feed the soul. It is perfectly fine if you don’t even feel up to cooking at all because you don’t physically or mentally feel up to preparing anything big. It doesn’t mean you are being lazy. Make a sandwich or have a bowl of cereal. The most important thing is that you take care of yourself and eat when your body needs food, not that you rack up social media likes for your cuisine.

5. Not Going Out and Being A Social Butterfly Does Not Mean You Are Lazy

There are a lot of people who fill their social calendar with as much time as they can with friends and family, going to bars, clubs, barbecues and hikes. It seems they are always out and about with other people, doing things, living life to their fullest.  They sometimes assume that just because you are not out alongside them, living the high life, you must be lazy and unmotivated.

Unfortunately, though, often physical or mental conditions limit how much you can do.  You may experience pain or breathing impairment or other physical issues, or you might find yourself feeling mentally overwhelmed and unable to participate in as many things as others.  It is perfectly fine to acknowledge your own limitations and to excuse yourself from activities you do not feel capable of doing. It does not mean you are being lazy. It means you are respecting your body and yourself enough to not push yourself beyond your limits.

6. Not Having a Large Social Media Presence Does Not Mean You Are Lazy

Many people today seem to be all over the internet, on Facebook, Twitter, Instagram, YouTube, Pinterest, TikTok and more.  They post, they tweet, they upload pictures and videos all over the net virtually every single day.  Watching all of their activity, it is easy to feel like we are somehow being lazy, not trying hard enough, not measuring up, if we are not equally active.

Truth be told, much of what people portray online isn’t even real.  It is a persona people portray, an illusion of the perfection we all wish our lives could be.  And there is very little in most people’s day to day lives that really needs to be shared and overshared on the internet.  We do not have to beat ourselves up keeping up with the Joneses, or at least the image they are portraying online.  It is not being lazy to not be oversharing every aspect of your life, especially if you don’t feel you have anything noteworthy to share.  It is more important that we take care of ourselves, our bodies and our own reality rather than stress ourselves out trying to create a persona online. We don’t need to impress anybody.

7. Not Having a Job Does Not Mean You Are Lazy

Often one of the first questions people ask when they meet someone is “What do you do for a living?” as if our entire worth is defined solely by what job we do in society.  Whenever someone mentions they are unemployed, they are immediately looked down upon, as if we are somehow lazy because we do not have a job.  Even if we explain that we are not working because we are disabled and currently unable to work, we are met with judgment and doubt, reminded that many other disabled people work as if our lack of employment is simply the choice of the lazy.

The widespread shame placed on disabled people who cannot work is horrendous.  Not all disabilities create the same restrictions on lifestyles and even the limitations on one specific disability can vary from day to day.  It is hard enough to feel internally that you are not able to accomplish as much as you wish you could without being shamed by others.

But please know you are not being lazy.  If your doctor has deemed you unable to work due to your disability, you must remember that they are not only educated and trained to make that diagnosis, but they are also familiar with your specific circumstances and your condition. You do not have to justify the fact that you are not working to anyone else because they are not the professionals handling your case.  You are not being lazy by not working. You are following the recommendations of your doctors and taking care of yourself.

When you have a physical or mental disability, it is often easy to feel like you don’t measure up, especially when you don’t feel you are doing as much as everyone else in your life. It is easy to beat ourselves up or feel like we just aren’t trying hard enough, especially when outside voices are suggesting or implying that we are lazy for not doing as much. But once again, you do not have to compete with anyone else or keep up with the Joneses.  The only person you have to compete with, answer to and please is yourself.  And you must take time to take care of yourself, as well.

Everything in life does not have to be perfection and every moment of your day does not have to be filled in order to be worthy or good enough.  All that truly matters is that you are doing your best and continuing on. It is OK to have limitations. It does not mean you are lazy. It means you are human.

Originally Written For The Mighty on 8/5/20.

Republished on Yahoo Lifestyle on 8/5/20.

Republished on Yahoo Finance on 8/5/20.

Republished on Yahoo Finance – Singapore on 8/5/20.

Republished on Newsbreak on 8/5/20.

Republished on Programage on 8/5/20.

Republished on BPDLife on 8/7/20.

My Grief and Loss Is Intertwined With My Mentally Illness

I admittedly don’t know what loss and grief are like for most people. I have been battling my mental illnesses my entire life, so I don’t know what it is like to exist without them. Whenever I hear people offering their condolences and reassuring others that it gets easier over time, I can’t help but wonder if that’s actually the truth for some people because I know it is not a universal truth. Things most assuredly don’t ever feel like they get any better for me.

I have struggled with many types of loss throughout my life. Loss of innocence stolen too soon. Loss of safety and security. Loss of home, relationships, friends. Loss of babies who grew inside me but never got to take a first breath. Loss of both my parents a decade ago. And most recently, the loss of both of my emotional support animals. To say I am intimately familiar with the feelings of loss and grief is an understatement.

My depression often leaves me teetering between periods when I am raw and over-emotional, feeling everything too strongly, and periods where I shut down and am numb to the world, unable to process any emotion at all. Because of this, my grief often comes in waves. When there’s a lull in the storm of emotions, I often assume my heart has begun to mend, only to have it tear wide open again as another wave hits. My numbness deceives me into believing the worst is over for days at a time, only to awaken one day feeling raw and overwhelmed once again. And as is often the case with rough seas during a storm, multiple waves often crash seemingly at once, as older pain rides in on the heels of new.

My anxiety makes me question every loss I have experienced and meter out assumed personal accountability for ever heartache I have ever experienced. I over-analyze and criticize myself for things I have convinced myself after the fact that I could have, should have done differently. I find myself worried again and again that my actions or inaction will repeat the patterns of old losses and create new ones. Yet, instead of those fears promoting change, they often spark my fight or flight response, causing me to flee. Or worse yet, I become like a deer frozen in the headlights, terrified that any choice I make, to stay or to go, to act or not act, will ultimately be wrong.

My PTSD has caused me to relive some of the more traumatic losses of my life multiple times over the years. When those moments are triggered again in my memory, it is as if I am reliving those experiences again in real time. Having a flashback of old losses renews and resets the whole trauma for me.

It is not that I am dwelling on the pain and losses of my life. I try to focus on positivity as often as possible. I have a mental wellness toolbox full of techniques and exercises intended to help keep me grounded and centered. I spend time with family and friends, partake in hobbies and activities, and otherwise attempt to distract my mind from the pain I often feel. I thoroughly embrace and practice the art of self-care. I never sit home intentionally focused on those feelings of loss and grief. Yet somehow, those emotions seem to know about every crack in my armor, seem to always find a way back in.

I am not intentionally avoiding facing my grief and loss, either. I have spent many hours over the years talking about my feelings in therapy. I have further processed my emotions many times over by writing about them and the impact they have had on my life. I am not walling myself up, building an unfeeling facade that cracks under the pressure of pain. I have attempted numerous times to process my emotions, to rationalize with myself and heal. But the healing never comes.

I have allowed myself to feel both sorrow and rage. I have forgiven myself and others. I have accepted that I cannot change the past. I have done every single cliched suggestion thrown out there about moving on and letting go.

I want to heal. I don’t want to keep hurting over so much in life. But I honestly don’t know how to shut any of it off. Every time I think it is over, another wave hits or a different wave. It could be a few hours, a few days, sometimes as long as a week. But those waves of grief and loss always manage to find me, old waves and new, compounding on each other and seemingly ever-increasing as my heart develops new cracks.

And the moments are so seemingly random and sporadic that there’s no way to brace for them or adequately prepare.

My fiance and I were binge-watching old seasons of Hell’s Kitchen and came upon an episode where the contestants were preparing a dinner service for a young lady’s sweet sixteen. As quick and as simply as flipping a switch, my entire mood and demeanor shifted. One moment, we were laughing and joking, engrossed in the show. The next, my eyes were welling up with tears. I couldn’t stop thinking about how I never got my sweet sixteen, the sweet sixteen my mother had promised me for years. Three months before my sixteenth birthday, my father walked out on our family and cut all ties. I tried numerous times between that February and my birthday in April to get in touch with him but he always dodged my calls. I called up his work on the day of my birthday, sure that he wouldn’t deny me on that day, only to hear him in the background tell his co-worker “tell her I’m not here”. My sixteenth birthday was the first time I tried to kill myself.

Just like that, every emotion, every feeling of heartbreak and loss came rushing back.

My fiance lost his father to cancer shortly after we got together. The cancer, the hospice, everything triggered the loss of my father again and again. He’s still grieving the loss of both his parents and every time I attempt to comfort him and ease his pain, my own grief for the loss of my own parents renews.

For the last decade, I had two sugar gliders registered through my doctors as emotional support animals. I could take them everywhere with me, which helped immensely with both my depression and anxiety. One passed away roughly three months ago, the other last week. Losing them was like losing part of my heart. I cried inconsolably and went numb in waves, sobbing until my eyes ran dry and my voice went hoarse more than once. I watched the clock with pained precision, unsure what to do with myself each day when feeding time rolled around. I beat myself up horrendously for the fact that they passed at all, as if I could have spared them old age and death by sheer willpower alone. The truth is that they hadn’t been sick at all. They were just old and the time runs out for all of us eventually. Yet I still felt to blame for them not living longer, not living forever. I found myself taking in two sugar glider rescues last night, not because I was over the loss of my Lilo and Stitch or because I assumed they would fill the hole that loss left in my heart, but simply because I desperately needed that distraction. I needed new babies to keep me busy, new babies to love and to care for, a new purpose to keep going. Their adoption was bittersweet, though, because I am still raw from losing my other babies. But at least when feeding time rolls around again, I have something to focus on other than my grief.

An old friend from high school killed himself. The last time I spoke to him was less than a week before he died. Whenever I think of him, I wonder whether he would still be here today if I had said anything differently or called to check on him again. It doesn’t matter that we had grown somewhat apart over the years, living separate lives, and barely talked anymore. We used to be close so I feel responsible because I didn’t maintain that friendship better, didn’t reach out more, didn’t try harder. The rational part of my brain knows that line of thinking is irrational, but a larger part of my brain and my heart just won’t let go of those thoughts.

So many things can set off waves of grief, some large and obvious, others seemingly small and trivial. I’ve found myself sobbing uncontrollably over Hallmark commercials or sights and sounds, songs or movies that reignite memories. Empathizing with the pain of others reignites my own. As simple as that, in a flash, those feelings refresh and the grief is renewed. I can be fine one moment, laughing and joking, and be biting the inside of my cheeks the next in a futile effort to fight back tears.

I know mental illness is a liar and a master manipulator, capable of twisting truths and spinning lies. I know deep down that I am not responsible, directly or indirectly, for many of the losses in my life and that hindsight is 20/20. But my rational side knowing these things does not stop these emotions from flowing or my grief from being felt. And therein lies the problem. I can rationalize all I want but I cannot shut these feelings off.

Perhaps I’m just wired differently. Perhaps I’ve been broken too many times, been cracked to the core so often that I am incapable of fully healing. Perhaps some wounds just never heal. I honestly don’t know. I just feel like I’m in perpetual mourning, eternally haunted by every loss I’ve experienced in my life, whether one at a time or intertwined and flowing as one.

I honestly don’t know if those promises that things will get better is an old wives tale, something people just say when the silence becomes too heavy and they need some words, any words, to cut the tension and the pain in the room. I don’t know if for some people it does actually get better over time. I just know that for me, as someone struggling with mental illness, grief and loss never seem to fully go away.

Coronavirus Has Become The Great Equalizer For The Mentally Ill

For years now, I have attempted to combat the stigma associated with mental illness.  Again and again, I have given real world examples, approached the subject from differing angles, even used charts and graphs, hoping to help those who have never experienced it themselves better understand.  Yet, sadly I still often feel like I fall short.  While those who are living with mental illness have contacted me numerous times to thank me for putting their experiences into words, there are still those who could not wrap their minds around what it was like to live with our diagnosis.

That is, they couldn’t fully understand until this pandemic hit.

Day after day, for months now, I continue to see postings, comments and tweets that could have been written by any one of the millions of people who struggle every day with various mental illnesses.

———-

People talk about being worried all the time, sometimes not even knowing what it is that they are worried about, only that the ever-present feeling of dread is looming there, hanging over them.

People talk about being afraid of their world falling apart, the economy crumbling, their job not being there after all of this is over.  They worry about not being smart enough to home school their kids, and of the dangers of sending them back to school in the height of the pandemic. They worry about the house not being clean enough if they have to do a video conference with their co-workers or whether they are even capable to adequately work from home for any length of time. They worry about bills accumulating faster than money comes in and the continuous threat of losing their homes due to evictions and foreclosures.

Even seemingly little things like running to the store for food or toilet paper feel huge.  The world outside doesn’t feel safe.  What if the store is out of whatever we need when they get there?  What if they bump into someone sick? What if they bring the virus home?  The sound of someone nearby coughing makes them jump and want to run back home to safety.  Many even put off going out for days until they absolutely have to, the dreaded eventual trip weighing on them.

People talk about being worried incessantly and excessively about their loved ones and friends, of imagining worst case scenarios of their illnesses and deaths, even though they know they are currently safe and healthy.

Though the common sense part of their brain keeps firing off, trying to remind them that everything is currently okay, and that things will likely eventually be okay again, they cannot help but feel like everything they are worried about is not only possible but probable.  Everything seems to be hanging heavily and even little things feel too big to handle some days.

They feel restless. Their mind runs nonstop.  Even reading the news feels overwhelming, yet they struggle to look away because they feel an urgency to stay informed.  They feel like they have no control over their lives, as if everything is spiraling down into chaos, getting crazier by the day, and there’s absolutely nothing they can do to stop it.

They talk about the confusion of differing information out there, of never knowing what to believe, who to trust, and being fearful of choosing incorrectly and it leading to disaster.

People talk about being continuously exhausted as the pandemic drags on and on, about wishing things would just be over but fearing there is no end in sight. They’re tired of thinking about the coronavirus, tired of worrying about it, want it to just go away. Yet it continues to loom, to linger, to threaten their peace of mind and their very sanity.

All of that is anxiety.

THAT is what people who live with an anxiety disorder go through every single day over a multitude of things in our lives.

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People talk about that feeling of hopelessness.

They feel trapped at home without any real purpose. They are constantly dragging throughout the day.  They can’t stay focused. They are eating and sleeping all the time or not at all.  Some complain about not even enjoying their favorite foods anymore or their favorite shows no longer bringing them any joy.

Some feel all alone.  Many of those feel isolated even with others around, afraid to talk about what they are feeling and going through because they don’t want to seem crazy.  They pull inwards, trying to cope and to put on a brave face, even though they feel like they are falling to pieces inside.

Homeschooling has become overwhelming – they don’t remember school being that hard and feel inadequate because they are struggling to help their kids with basic subjects.  They feel they are letting everyone down by not being enough. Yet the thought of sending kids back to school feels equally as disastrous. It is as if no matter what choice they make, it’ll be wrong, that every option is equally bad and hopeless.

Life itself feels exhausting to them.  There’s times they just feel numb to it all.  Other times, they just want to cry.  Often, they just resort to sleeping, or mindlessly scrolling through social media or watching random shows, though they can barely recall afterwards what it was that they saw.  They feel they are just going through the motions and desperately wish life would just get back to normal – though they know there is nothing they could do to change anything.

Some people are attempting to regain control of their lives, to go out and do something, anything, to reclaim the life they once knew. Yet, while out and about, they are distracted by all that could go wrong, by wanting to return to the safety of their homes. Though part of them desperately wants to enjoy their time out, their thoughts and feelings hang heavy on them, throwing a dark cloud over it all. They feel guilty for everything – for even trying to go out, for trying to have fun, for being too lax or not taking enough precautions. They apologize to others for sucking all the fun out of what could have potentially been a nice day, feeling they somehow seem to be ruining everything they touch.

They see other people being productive, using their downtime wisely to accomplish so many things. They wish they could get things done, as well, but seem to have no desire, no drive to do anything. They find themselves procrastinating and then beating themselves up for their inactivity, which in turn makes themselves procrastinate more, caught in an endless loop where nothing gets done and then they beat themselves up for that lack of productivity.

All of that is depression.

That is what people struggling with a depression diagnosis go through on a regular basis.

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I have seen people talk about wanting to be productive during this downtime, taking on a multitude of projects, more than any one person could legitimately handle, convinced they have the time and energy to do it all, only to crash into an overwhelmed, discouraged heap days later with everything half completed.  They go through cycles of manic, larger than life aspirations and heavy, depressing reality.

People talk about feeling irrationally angry, of feeling fed up about everything and nothing in particular at the same time. They find themselves continuously annoyed with everyone in their life and even the pandemic as a whole.

They describe many of the feelings common with depression, but with an entirely different mess added to the mix. They talk about having feelings that boomerang and yo-yo from one end to another, or sometimes both extremes at once. They talk about feeling so much, in so many directions, that they cannot even put it all into words.

Those highs, lows and extremes are all aspects of bipolar disorder.

People struggling with bipolar disorder often find themselves experiencing a wide variety of emotions and extremes with no rhyme, reason, pattern or predictable duration.

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The list goes on and on of ways this pandemic has helped mirror mental illness in the everyday lives of people who have never experienced it before and struggled to understand it. In the last few months, I have seen these sentiments appear and reappear throughout the country as pockets of positive cases sprung up and the epicenters continued to shift. No matter where the worst of the pandemic currently resides in the country, though, the narrative has remained largely the same.

Whenever I see people talking about their struggles during this pandemic, I want to call out “YES! Yes to this tenfold! That is exactly what it is like!” in hopes of turning it into a teachable moment.

At the same time, I find myself saddened, because I wouldn’t wish any of these experiences on anyone else, even if they are temporary and likely to end when this crisis is over.  I know what it is like to live with anxiety and depression every single day for years on end. I grew up seeing my mother struggle with bipolar disorder and now watch my fiance battle it on a daily basis. I am intimately familiar with many of the struggles of living with a mental illness. It breaks my heart to see so many others going through these struggles because I know firsthand how hard it can be.

As strange as it sounds, though, beneath it all, this pandemic has given me a strange sense of unnerving calm. For the first time in my life, I don’t feel entirely odd, different, unbalanced or crazy.  For the first time, I don’t feel singled out, the odd woman out in a world where everyone else seems to be breezing through life, coping much better than I could ever dream. For the first time, everyone else can finally understand all the feelings I go through every single day.  At least in that one aspect, the pandemic has become the great equalizer for those of us with mental illness.

I can only hope that their memories do not fade, though, once all of this is over.  Perhaps now that more people understand and have experienced many of the feelings commonly associated with mental illness even on a temporary basis, they will be more empathetic to the struggles many of us face every single day. Though even if those memories do eventually fade away, I hope everyone currently struggling to cope with the weight of the pandemic knows, as those of us in the mental health community often reassure each other, that none of you are alone. Though there are no easy answers or solutions to much of what you are feeling, we understand and we are all here, even if physically apart, to offer our support. Please never be afraid to seek help if you find you cannot cope on your own. Stay strong.

Stop Blaming Mental Illness For The Abhorrent Behavior Of Anti-Maskers

Whenever anyone behaves poorly or against the grain of what is considered socially acceptable, many people automatically attribute it to that person being crazy, off their rocker, completely unhinged, mentally ill. There is so much stigma surrounding mental illness that many assume that any unreasonable action or poor behavior must be synonymous with mental illness, because why else would someone behave so badly unless they were crazy and mentally ill.

Our country is currently in the midst of a viral pandemic, seemingly split down the middle. On one side, we have those who fundamentally believe in science, medicine and fact and are willing to take precautions for the safety of all. And on the other, we have those who are trying to politicize the virus, with many touting that the virus itself is a hoax, or no worse than the flu, or simply declaring it not their problem because nobody they know has been affected by it yet. These pandemic deniers, minimizers and anti-maskers have become increasingly fond of video recording themselves as they supposedly “stand up for their rights”, planning strikes against businesses attempting to abide by restrictions put in place for the safety of all. They storm into stores, refusing to wear masks, recording both themselves and the reactions of others, hoping to earn their 5 minutes of fame. They go in with the sole intention of showing their defiance, causing turmoil to businesses, workers and customers alike, and creating a scene worthy of becoming a viral trend.

As we have seen time and again during this pandemic, this type of egregious showboating often backfires, with those who are thumbing their nose at health restrictions ultimately being thrown out of stores and banned, being widely and publicly shamed for their apathy, and in some cases even being fired from their jobs as a result of their very public displays. Yet these bizarre occurrences continue in America, partly because these individuals want to make it fundamentally clear that they believe their personal right to not wear a mask is more important than everyone else’s right to not get sick or die, and partly because they ultimately hope to go viral for their bad behavior, to become infamous on the internet.

Yet whenever someone is called out for their horrid behavior, many people immediately blame mental illness. People assume that in order for someone to do something as foolish as to outright deny a viral pandemic that has infected over 18.5 million people worldwide and killed over 700k in less than a year, let alone to make such a spectacle of themselves by outright refusing to care about others, they must be “crazy” and “unbalanced”, that they surely must be mentally ill.

Often people in this country automatically associates horrible behavior such as this with mental illness, pointing fingers and claiming those involved “obviously need mental help” because their utter disregard for everyone else is unfathomable. Other times, the perpetrators themselves attempt to blame their own horrendous actions on mental illness whenever they are confronted. They cavalierly issue a non-apology, using mental illness as their scapegoat instead of taking any amount of personal responsibility for their own ridiculously irresponsible, ignorant actions. It’s as if they are smirking, shrugging and dismissively claiming they should not be held accountable because they are, after all, “crazy”.

Sadly, much of this comes from the stigma attached to mental illness. It is much easier for many people to assume that anytime anyone behaves despicably, they must be “crazy” and “mentally ill” than to consider that those individuals might just be inconsiderate, attention-seeking people who do not care about anyone but themselves. It is much easier to designate mental illness as the catch all scapegoat for all the wrongs in society than to consider that these people are behaving poorly simply because a portion of our society glorifies their bad behavior.

As someone who struggles with mental illness myself and who actively advocates for the mental health community, I would like to make it very clear that there is an enormous difference between the actions of these people and the mental illness community as a whole. While it is possible that someone who displays this type of abhorrent behavior might also be struggling with a mental illness, mental illness itself is not immediately to blame whenever anyone behaves inappropriately or with malicious intent. People who have mental illnesses such as depression, anxiety, ptsd, and bipolar disorder deal predominantly with issues such as self-worth, motivation to accomplish daily tasks, and battling the demons in their own heads and the trauma of their past. NAMI, the National Alliance on Mental Illness, could not have put it more perfectly when addressing the myth that being mentally ill automatically means you are “crazy”:

It’s plain and simple, having a mental illness does not mean you are “crazy.” It means you are vulnerable. It means you have an illness with challenging symptoms — the same as someone with an illness like diabetes. While mental illness might alter your thinking, destabilize your moods or skew your perception of reality, that doesn’t mean you are “crazy.” It means you are human and are susceptible to sickness and illness, the same as any other person. (1)

When attempting to attribute mental illness directly to poor behavior, let’s consider the penal system. According to the Prison Policy Initiative, there are currently approximately 2.3 million Americans incarcerated. (2) Yet, according to statistics by NAMI, “Only 5% of violent crimes in the U.S. are committed by people with serious mental illness. The unfortunate truth is that individuals with mental illness are more likely to be victims of violence than perpetrators.”(1) Furthermore, “Approximately 20% of state prisoners and 21% of local jail prisoners have ‘a recent history’ of a mental health condition.” (3) Though there are always exceptions, the vast majority of people with mental illnesses are not the least bit violent or otherwise confrontational, they are not by and large out committing crimes. With only one in five people who are incarcerated having any type of recent mental illness diagnosis,and only 5% of those with a mental illness being convicted of a violent crime, being mentally ill is clearly not the predominant driving force behind bad behavior.

Even if someone who is mentally ill were to momentarily lose control and behave poorly and irrationally, they are extremely unlikely to go on grandiose, premeditated video recorded rampages with the intention to upload the fallout later to the internet, screaming about their supposed rights to do whatever they please even if it means harming or killing others in the process. People who are mentally ill don’t normally plan out and intentionally video record their outbursts from start to finish in order to garner internet attention but rather any adverse reactions they may have are typically an unscripted, unplanned, unrecorded, spontaneous result of someone who is struggling to cope with life in the moment.

People who are struggling with mental illness often isolate and shut down. We struggle every single day to concentrate and focus on simple things, to function and accomplish daily tasks. Nearly one in five people, an estimated 46.6 million adults in the United States today, is currently struggling with a mental health diagnosis. Again, according to NAMI, severe mental illness is defined as “a mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities.” (4) In other words, even the most severe mental illnesses are defined specifically by the impairment and limitations they place on the lives of those who struggle with them. Being mentally ill does not typically send people out on premeditated, politically-fueled tirades and crusades to callously violate the health and safety of others for personal validation or internet infamy. If these types of self-recorded outings and outbursts were commonly indicative of mental illness, with over 450 million people suffering from mental illness worldwide according to the World Health Organization (5), there would be drastically more people causing scenes like this all over the globe.

When taking into account that there are 2.3 million people currently incarcerated and only roughly twenty percent of those have any type of mental illness diagnosis, we are looking at roughly 460,000 inmates who are mentally ill. When you further consider that there are roughly 46.6 million people in the United States currently struggling with mental illness, those who are incarcerated and also have a mental illness diagnosis account for less than one percent of the over all mentally ill population. Again, the proof is in the pudding. Over 99% of the mentally ill community are going through the motions of living their everyday lives, struggling with their diagnosis, not out committing crimes or thumbing our noses at laws or restrictions put in place for the safety of all.

We are not gathering en masse or heading out in droves, intent on recording ourselves causing a scene in the desperate hope it may make us internet famous. Many of us struggle to even function at all, let alone make plans even remotely close to this extent. Rather, these are the calculated actions of self-centered, egotistical people who are showing complete disregard and apathy for everyone else, people who place more value in their own temporary fame than in the health of their families, friends, co-workers and neighbors. These are attention-seeking individuals throwing temper tantrums, so hungry for their five minutes of infamy that they are willing to put other people’s lives at legitimate risk just to have their name trending on the internet.

Though you may see the occasional anti-mask sentiment in other countries, no other country has the widespread, reoccurring, largely combative and often explosive or violent issues that the United States has with people being unwilling to tolerate minor temporary inconveniences for the safety of all during a global pandemic. While there are some people in other countries who may disagree with wearing a mask, you don’t hear frequent stories about their citizens recording themselves causing combative scenes like you do in the United States. To date, I have personally only seen one news story out of the UK about protesters recording themselves storming a store and making a scene. The vast majority of those who disagree with wearing a mask in other countries simply organize peaceful protests or hand out informational material explaining their beliefs on the matter. For instance, in late July there was a peaceful anti-mask protest in London attended by hundreds of protesters. More importantly, those who disagree with wearing masks in many other countries appear to be a small minority. The vast majority of people in many other countries have taken a united stance, observed health precautions with little to no issue and have, in the majority of countries, seen cases declining by the day as a result.

You simply do not see the largely hostile and combative anti-mask sentiment to the scale and degree elsewhere that you see in the United States. Only in the United States are we seeing such a ridiculous and reoccurring blowback against common sense during a viral pandemic that has frequently escalated to rage-fueled outbursts and outright violence, with people even being physically assaulted simply for asking others to comply with restrictions and regulations. Only in the United States are we seeing the virus being widely politicized, regularly used and abused to garner people’s five minutes of internet fame at the detriment to other people’s lives. And only in the United States is a bonafide medical condition being used as a catch all scapegoat to garner all the blame for the bad behavior of these self-centered individuals. With mental illness being a worldwide problem, if this abhorrent behavior was truly a direct result of mental illness, these outbursts would surely be widespread worldwide, as well. But this type of disturbing behavior is predominantly an American thing, driven not by mental illness but rather the largely American desire to become famous or infamous by any means necessary, even if it means putting other people at risk.

Whenever a woman shoves her cart through a grocery store while defiantly refusing to wear a mask, recording herself screaming about her rights to do as she pleases other people be damned, or whenever a man records himself causing a scene by screaming that he is under attack in a store because he was asked to either mask up or leave, or whenever a woman video records herself violently attacking a display of masks while proclaiming she has had enough with the pandemic and being told what to do, it goes viral because people cannot fathom others behaving so ridiculously, screaming like petulant toddlers throwing a temper tantrum because they were asked to be considerate of the health and safety of others. As long as these people continue to trend as train wrecks that other people laugh at for their sheer absurdity and willful ignorance, there will continue to be people out there acting out just for the attention that going viral brings. While we cannot stop those people from behaving badly, nor can we stop others from watching their ridiculous outbursts with abject horror, we must stop assuming their behavior is automatically caused by mental illness instead of simply being the result of attention-seeking, arrogant, apathetic human beings desperately chasing their 5 minutes in the spotlight. Often, bad behavior directly correlates to inconsiderate people who care only about themselves, not to mentally ill people. We don’t deserve to be scapegoats for their poor behavior.

1. https://www.nami.org/Blogs/NAMI-Blog/October-2019/Six-Myths-and-Facts-about-Mental-Illness

2. https://www.prisonpolicy.org/graphs/pie2020.html

3. https://namibuckspa.org/education/about-mental-illness/facts-figures/

4. https://www.nimh.nih.gov/health/statistics/mental-illness.shtml

5. https://www.who.int/whr/2001/media_centre/press_release/en/

The Truth About Depression and Suicide

Suicide has quickly become one of the top killers across all age groups, races, sexes and socio-economic classes. You cannot go a week these days without seeing multiple stories in the news about suicide. Celebrities. Children. Veterans. And those are just the stories the press finds newsworthy enough to report on. Across the country and all around the world, people are dying by their own hands every single day at alarming numbers. And yet it is a topic nobody wants to talk about until it hits close to home. Even then, most people would rather talk about it in hushed whispers, a shameful secret they wish would just fade away, than to openly talk about it.

I have struggled with major depression my entire life. I have been suicidal more than once. I am honestly not sure how I am even still alive today because with each of my attempts, I told no one, I secluded myself, I gave no forewarning or signs that things had gotten so bad that I wanted to give up. Though people knew I was struggling, nobody really knew how badly. I didn’t want anyone to know because I didn’t want to give anyone the opportunity to stop me. More than once, whether by the grace of God or some strange twist of fate, someone came through a doorway to find my unconscious body barely clinging to life. More than once, I woke up in the hospital not sure how I even got there.

I have also been on the other side of that fence, losing people I cared about to suicide. I have been blindsided by their death, torturing myself for feeling like I didn’t see the signs, not realizing how bad things were, not being there to help when they desperately needed someone. I have spent endless hours thinking back over missed opportunities that I might have been able to intervene and make a difference. I have been haunted by words I did not say and calls I did not make that might have made the difference between life and death.

Part of me, though, knows better than to torture myself with hindsight. I have been on both sides of that fence. I know all too well that unless you actually know what to look for, the signs are usually not even visible until someone is looking in the rear-view mirror. But by then it is too late. The crash has already happened. And you can’t turn back time. The best anyone can honestly do is to be proactive, to talk openly, honestly and regularly about their own mental health and that of those they care about. We need to make everyone’s mental health as much of a priory as our physical health.  As hard a topic as suicide may be, it’s harder still to bury someone you love. I believe this difficult conversation is long past due.

Please know that most people don’t normally wake up one day out of the blue and decide to kill themselves. Barring some drastic, life altering circumstance or great loss that seemingly destroys someone’s entire life in a heartbeat making them lose all hope in an instant, suicidal feelings usually develop over an extended period of anguish. The weight of the world is piled on again and again, making everything feel increasingly hopeless.  Eventually, you reach the point when you cannot take anymore. You’ve found the proverbial straw that broke the camel’s back and you collapse under the weight of it all.

You don’t go directly from life being fine to choosing to die like a car going from zero to sixty in a few seconds flat. It is a slow build. It begins with feeling overwhelmed with life itself. Everything feels increasingly too hard, too overwhelming. You begin to feel like you’re drowning, like you can never fully catch your breath. It feels like no matter what you do, nothing is ever going to change, that you’ve been dealt a losing hand and there’s no way to exchange your cards. The deck is rigged and you’ve lost big time.  Everything in life begins to feel like a struggle, an uphill battle, a fight you cannot win. You feel like you no longer have any control of your own fate.  You become mentally, emotionally and physically exhausted, not sure how much more you can keep going, how much strength you have left.

The first suicidal thoughts that creep in are abstract. You’re not making specific plans to kill yourself. You look outside during a snowstorm and ponder how long you would have to be exposed to the elements before everything just faded to black. You look at the currents of the river coursing by and ponder what it would be like to just be pulled under, swept away. When you pass a set of train tracks, you wonder where along the tracks it might be dark enough that they wouldn’t see you until it was too late. The thought of death is more of a fade to black. A sweet escape. Death itself becomes a daydream. Those abstract thoughts are commonly referred to as suicidal ideation.

With suicidal ideation, it isn’t so much about dying as it is about wanting to be freed from a life you feel is too painful to continue. The thought of death almost feels like a peaceful, sweet release. You become increasingly consumed by the thought of ending your suffering, of fading away, of just disappearing from the story, not having to fight or cry anymore, of just being free.

Most people who are suicidal honestly don’t want to die. For days, weeks, months, they’ve been soul-searching and agonizing, looking for any reason to keep going and not give up. It isn’t a decision made lightly or spur of the moment. They’ve been secretly fighting to hold on, to live, to find any reason to cling to so they don’t give up.  They have just reached the point where they feel they cannot take anymore, cannot hurt anymore, cannot go one more day living in their own personal hell.

Neither suicidal ideation or suicide itself are a plea for attention. It honestly is not about anyone else at all. Nobody who tries to kill themselves is thinking “I’ll show them!” or “they’ll be sorry when I’m gone!” like a kindergartner contemplating running away from home. By the time someone has made that ultimate choice to give up, they aren’t even thinking of anyone else beyond being convinced that others would be better off without them. They feel completely isolated and alone, in agonizing pain that they can no longer take. They are convinced their life is out of their hands and there is no way to fix anything in their life. Death is the only exit they can see in the darkness.

People often describe a loss by suicide as “unexpected” and “out of the blue”. Those who have lost someone to suicide often feel lost and confused, bewildered about how anyone could give up on life when they “had so much to live for”. The problem is that by the time someone is at that point of giving up, they have fallen so deeply into the darkness that they can no longer see any of the light. All they can feel is hopelessness and despair. And they feel utterly alone.

It’s nearly impossible for those who have not been there themselves to understand how anything could possibly get that bad, how anything could feel so hopeless, how anyone could feel so alone. I have frequently seen suicide aptly described as a bi-product of depression, heard others refer to suicide as a death caused by a person’s mental illness. Truer words have never been spoken.

Depression is a nefarious and deadly disease. It eats at your mental and emotional well-being just as surely as cancerous tumors eat away at a person’s body. And just like cancer weakens the immune system, making it harder to fight it off, depression feeds off your ability to distinguish reality and see anything but the darkness and despair that the illness wants you to see.  It systematically breaks and devours you until there is no will left to fight anymore.

Depression is not an illness you can easily disregard. You cannot just “suck it up”. It will not go away because you spew out some tired cliches about life or insist someone just try a little harder to be happy. Depression cannot be cured by taking a walk, going for a run or getting yourself a dog. It is not mind over matter or learning to toughen up. It is a serious medical condition and one that can have deadly consequences if left untreated.

People talk about being dumbfounded by someone’s suicide, of not seeing it coming. But honestly, there are plenty of signs there if someone takes the time to actually look and listen.

Has the person withdrawn themselves from family and friends, frequently making excuses about being too busy, swamped with life or feeling under the weather?

Have they stopped doing things they enjoy? Quit groups or teams? Given up hobbies they once loved? Are they spending a good portion of their time alone seemingly doing nothing?

Have their sleep patterns changed drastically? Are they laying down and sleeping more or are they up more with insomnia, tossing and turning, unable to sleep?

Has their appearance changed drastically? Losing or gaining weight? Not showering as much or wearing dirty clothes? Keeping their hair pulled back so they never have to tend to it or not shaving for long periods of time that is inconsistent with how they used to present themselves?

Is their room or house even more of a mess than usual or are they frequently wearing stained clothes like they just don’t care anymore? Do they always seem to be asking you to “excuse the mess”?

Are they frequently talking abut being exhausted, overly tired or fed up? Do they make comments about being tired of fighting or regularly insist life shouldn’t be this hard?

Are they frequently edgy, snippy and short with everyone as if they’re trying to push everyone away? Does everything seem to annoy them?

Are they frequently uncharacteristically silent as if they’re lost in their own world? Do they seem more scatterbrained than usual, life their mind is always off somewhere else?

Are they frequently sad, overly emotional or teary?

Do their emotional responses in general seem more raw, exaggerated and over-the-top as if they are feeling everything much stronger than usual?

Are they smiling and laughing less or are they pursing their lips together when they smile as if it was forced? Does their laughter seem less frequent and insincere, as if they’re trying to give you the reaction they believe you want even though their heart is not really in it?

Do they often blame puffy eyes or stuffy noses on allergies even when it’s not allergy season or they have not ventured outsides to be exposed to seasonal allergens?

Do they often insist they’re “fine” with no elaboration and claim they don’t want to talk about it when pressed, using dismissive phrases like “it is what it is” as if they have no control over their own life?

These are just some of the common signs of depression. Though they do not necessarily mean a person is currently considering suicide, it is likely they are struggling along that path. If you see drastic changes in mood and appearance, don’t be afraid to speak up and ask whether they’re okay. If someone doesn’t seem like themselves, there is usually a reason why. Don’t be afraid to call attention to drastic changes that concern you.

And please know it should never be a “one and done”. Even if you inquired once and they insisted they were fine, you can’t shrug and walk off, telling yourself that “hey I tried”. If someone’s depression has gotten bad enough that you can see multiple signs, it did not happen overnight and it is not going to be resolved overnight either. It might take multiple times of checking in and reaching out before someone is finally able to open up.

That is because depression isolates us. It gets into our head and convinces us that nobody cares, that we are all alone in the world. It is easier for us to believe that someone is asking how we are just to be nice or to make polite small talk than to believe they’re genuinely invested in our well-being.
People struggling with depression also have a lot of trust issues. Most likely, we have tried talking to others in the past and have been shot down or had our feelings minimized. Or we have heard you or others talk dismissively about their struggles so we’re unsure how supportive you’ll be for us. We’re afraid of being seen as weak or broken or crazy. We’re afraid to let anyone in only to get hurt again. Everything has felt like a fight for so long that we’re weary about letting anyone else in, too. And we don’t want to be a burden or to let anyone down by admitted we aren’t “strong enough”.

You cannot let yourself be discouraged, though. Continue to reach out every few days, even if just to check in about how they are doing. If someone seems to be cancelling plans a lot to go out, offer to come over and visit. If they make excuses about a mess, offer to help them clean it. If they claim they feel under the weather, offer to bring soup. Whatever you do, don’t let them continue to isolate. Let them know you miss them and just want to see them. Reinforce that they matter.

Coordinate with others in their life. Take turns checking in and offering reassurances. Make it clear that multiple people care and that they are not alone. Create a united front where everyone can face the depression together.
Most importantly, make it clear that it is okay to talk about whatever they are feeling and to get help. Don’t further stigmatize doctors or medication.  Don’t suggest it’s all in their head or tell them to suck it up and get over it. Don’t treat them like they’e crazy or broken. Remember that they are sick and need help. Be supportive. Be part of the solution not part of the problem.

If you are seeing yourself in these words, if you are exhausted and struggling to keep going, tired of fighting, tired of hurting, wanting to give up, please realize that those feelings are not reality. Your depression is lying to you, making all the bad in your life feel exaggerated and overwhelming and is snuffing out the light. Please know that you are not alone and there are others out there who understand completely what you are going through. You’ve got to fight this. Don’t give up. Reach out. Talk to friends, family, a therapist, a pastor. Someone. Anyone. Just don’t give up. Don’t shut everyone out. I know all too well that siren’s call that death will bring peace but it really won’t. Not for you and not for everyone in your life that you’ll be leaving behind. You can get past this.

Looking back, I am grateful I never succeeded. I feel blessed to still be here. Because now I have the ability to reach out and help others, to be the voice that shines like a beacon to light up the darkness. I am in a unique position where I understand not only the great loss that comes with losing someone to suicide but also the steep descent into the hopelessness of depression myself. Suffering in silence for years almost killed me multiple times. I can only hope that by finally speaking up, speaking out, I can help save others from succumbing to that darkness themselves.

Depression and suicide have robbed the world of so many beautiful souls. Fathers, mothers, sisters, brothers, children, friends. They have stolen so many lives from us far too soon. We can no longer stick our heads in the sand like an ostrich then claim later that we didn’t see the signs, didn’t know things were that bad. We are one society, one world. We have to start acting like it. We must start looking out for one another, be there for each other, truly listen and hear. The signs are there. We just have to take off our blinders and see them. We cannot pretend everything is fine because we don’t want to have an uncomfortable conversation. Inaction kills. We need to be proactive, not only with our own mental health but towards those we care about, as well. We all have the power to save lives if we are willing to actually reach out and try.

Talking About Mental Illness Is Not A Plea For Attention

After struggling with mental illness my entire life, a couple years ago a miraculous thing happened.  I found my voice and finally began opening up about my mental health struggles.  Talking about living with such a debilitating illness has altered my life in so many positive ways, as well as changing my outlook on life itself for the better.  For the most part, I have been met with wonderful support, not only from others who are struggling as well but also by those who, though they have never experienced mental illness firsthand, yearn to understand and empathize with the plight of others in their lives.

And then there are the trolls.

Those lovely people who relish commenting on other people’s lives for no other reason than to accuse and attack.

They inform me that my mental illness “is all in my head”.

They tell me that “everyone has problems”, say I “should stop having a pity party” and “just get over it”.

And they suggest that I’m just looking for attention and wanting others to feel sorry for me.

Though I always try to remind myself “water off a duck’s back”, those comments honestly eat at me because I have never seen myself as seeking attention or wanting anyone to feel bad for me.

As a matter of fact, for most of my life, I kept my struggles largely to myself.  I did not want to burden anyone else with my problems, especially problems they neither caused or would be able to solve.  Many of my friends were genuinely surprised when they finally heard about what I’ve been through because I kept so much to myself.  I’ve been described as one of the happiest, sweetest depressed people that most will ever meet because I refuse to let my illness defeat or define me.

I also personally have never wanted anyone to pity me.  Yes, I have been through a lot of trauma in my life.  And yes, I am struggling with a life-long debilitating mental illness as well as multiple meningioma tumors on my brain.  But you know what?  I’m still here.  Still fighting.  Every single day.  I fight to stay healthy and to stay positive, despite my own brain constantly trying to convince me otherwise.

Yet I am quick to tell others not to feel sorry for me for the simple fact that I am still here.  I am a survivor.  If you must feel sorry for someone, feel sorry for all those who have lost their battle with mental illness.  Feel sorry for all those who suffered in silence and died never finding their voice.

The question remains:

If I am not looking for attention or for pity, why am I writing?

I write so others can better understand an illness that affects millions of people every year yet is still widely misunderstood and stigmatized.

I write because I know there are others out there who are struggling but don’t have the words to fully articulate the battles they are fighting every single day.

I write because I should not be ashamed of my illness or forced into silence due to other people’s ignorance, misinformation, lack of compassion or any other stigma they carry regarding my condition.

I don’t write for a pat on the back from anyone either.  I don’t need a “good job”, a certificate of merit or a gold star.  I need others to know they’re not alone.  I need them to be okay, to keep fighting, to not give up.  If my words can help even one person or five or ten, then I have made a positive difference in this world and that is enough for me.

Imagine silently struggling for years with an illness that nobody else can see.  The entire time, friends and family are repeatedly asking what is wrong with you, why you seem so different, so distant, why you’re not able to do everything you used to be able to do.  Imagine spending your life being expected to apologize just for being ill.

If your best friend invites you along for a 5k run and you decline, explaining that the chemotherapy your doctors gave you to fight your cancer has you too worn out and  drained to go along, your friend will most likely show compassion, support and understanding.  They will accept that you are struggling with an illness you neither asked for nor have any control over and that you are trying your best to heal and get healthy again.

Your family would not question if you spent whole days in bed while struggling to beat cancer either.  They just want you to do whatever you need to do to get better.   Nobody would accuse you of looking for attention simply for describing what you are going through and explaining that you currently don’t feel capable of joining in.

Replace cancer with many other debilitating illnesses and conditions and the story remains unchanged.

Can’t go running because you have a heart condition and you physically cannot handle it in your current state? Not a problem.

Spent the day in bed because your diabetes has flared up and struggling to balance your sugar again has you exhausted? Asthma acting up and you’re struggling to even breathe so you need to rest? Rheumatoid arthritis flare up and you can barely stand let alone run? Get some rest and feel better.  It’s okay.  Everyone understands.  Take care of yourself.

However, if you are struggling with a mental illness, compassion often goes right out the window.

You’re told to “suck it up”.

To “stop feeling sorry for yourself”.

To stop making excuses, get off your butt and get over it”.

“Stop being a baby”.  “Stop looking for attention”.  “Just stop altogether”.

The truth is – we shouldn’t have to stop acknowledging our existence or our reality.

Our medical condition is just as valid as any other one.  It, too, was diagnosed by a doctor.  It, too, needs medical treatment.  And it, too, deserves to be acknowledged.  We deserve the same compassion and empathy that you’d show to anyone else who is sick with any other debilitating illness.

I spent forty years apologizing.  “I’m sorry I can’t do more”.  “I’m sorry I’m such a mess”.  “I’m sorry I’m so broken”.  “I’m sorry I’m having such an off day”.  “I’m sorry I let everyone down”.  “I’m sorry for existing”.  “I’m sorry for being sick”.

But you know what?

I shouldn’t have apologized all those times.  I had done nothing wrong.  I was, and still am, struggling with a valid and verifiable medical condition.  I did not ask to be sick nor did I do anything to cause this illness.  I was born with it hard-wired into my genetics.

And these days I am completely unapologetic for my condition.

Am I looking for attention?

No.

All I want, and feel I rightfully deserve, is the same acknowledgement, compassion and understanding as people would show anyone else with any other serious medical condition.

Do I want anyone to feel sorry for me?

Absolutely not.

I don’t wallow in my condition but I don’t minimize it or sugar coat it either.  I am unapologetically and blatantly honest about what it is like living with mental illness because the only way to fight misconceptions and stigma is with the truth.

I’m a fighter.  I am so much more than my illness and I refuse to let it define me or beat me.  Don’t pity me.  Cheer me on for the fact that I am still going.  Be proud of the fact that I am taking the lemons life has given me and transforming them into something positive to help others.

I talk about my struggles with mental illness because I refuse to stay silent any longer.  I refuse to pretend I am fine when I am not or to apologize when I have done nothing wrong.  Most importantly, I write about what it is like because there are too many others out there struggling who need to know they are not alone.

Trolls are going to troll.  They attack what they don’t care to understand.  It is easier for them to pass judgment than to show compassion or try to walk a mile in someone else’s shoes.

But I don’t write for trolls.

I write for that teenager sitting alone in a dark room feeling all alone, convinced nobody else could possibly understand.  I write for that widow, sitting in an empty house, struggling to find a reason to pull themselves out of bed.  I write for that person who keeps eyeing that bridge on their drive home each night or who sits at their table, gun in hand, weighing whether or not to eat a bullet and put an end to their misery.  I write to add my voice and my story to the collective of everyone struggling with mental illness.

I write to let them all know they are not alone and that others understand. I write so that they know they, too, are more than their diagnosis and they don’t have to let it define them.  I write to remind them that they, too, are fighters and survivors and to help them find the courage and the words to tell their own stories.  I write to encourage them to get the help they desperately need.

I also write for that parent who desperately wants to understand why their teenager has begun isolating themselves and never smiles anymore.  I write for that husband who needs to understand why his wife just hasn’t been the same since she had the baby.  I write for everyone who has lost someone to suicide or has sat there dumbfounded after a loved one’s failed attempt, unsure of what to say so that their world would make sense again.  I write for everyone who desperately wants to understand this illness though they have never experienced it themselves.

I don’t write to appease trolls because I have no place in my life anymore for those who spend their lives spreading negativity, judgment and hatred.  They are not my target audience.  Not my circus.  Not my monkeys.  Not my problem.  I will spend just as much time caring about their opinions as they have spent empathizing with my condition.

For those that I am hoping to reach – please don’t give up.  Don’t lose hope. You are so much more than your illness.  You, too, are a fighter.  A survivor.  You, too, can get through this.  Know that you are not alone.  Don’t be afraid to reach out, to speak up.  There is no shame in asking for help, for needing to see a doctor for your medical condition.  Stay strong.  You’ve got this.

Republished on The Mighty on 5/27/19.

Republished on Yahoo Lifestyle on 5/27/19.

Republished on Yahoo Finance on 5/27/19.

Republished on Yahoo News on 5/27/19.

Republished on The J. Wheeler Group on 5/27/19.

Republished on Core Wellness on 5/27/19.

The Depression Chart – Helping Others Understand Depression

*Ever since I created my Anxiety Chart, I have been asked by readers to create a similar chart for depression.  After much thought and consideration, this is the chart and accompanying graph that I designed.

Many people do not understand depression, assuming it is just random bouts of sadness and crying.  Unless someone has suffered through their own struggle with depression, it is near-impossible for them to truly understand how debilitating it can be to live with that diagnosis.

One of the hardest parts of explaining depression is that it is neither rational nor is it predictable.  It is hard to provide relatable examples because the feelings connected with depression would feel wildly irrational to anyone not experiencing them at that moment.  It is also impossible to predict or predetermine depression because it often comes unexpectedly in waves.

Therefore, instead of providing a chart with relatable examples, the chart I devised shows the increasing intensity of this mental illness.  My hope is that the statements provided at each level, combined with the descriptions included, will help those who have never struggled with depression understand how our frame of mind is magnified as our condition worsens.

It is also important to note that depression is not all sadness and hopelessness.  Instead of providing a chart listing levels 1-9, I have split this chart in half.  There is a 1-4N to designate worsening stages of numbness and a 1-4D to describe stages of downward spiral.  This chart is extremely simplified, yet illustrates how, as depression worsens, the intensity of the condition increases.  However, unlike conditions like anxiety that worsen in one direction, depression can and does frequently occur in both the realms of numbness and hopelessness to varying extents.

It is also important to note that depression is not linear.  It comes in waves and spikes.  It is not uncommon to struggle with days of increasing numbness, only to wake up the following day in the midst of a downward spiral.  Depression randomly alternates between the two, with no rhyme or reason to the length or intensity on any given day.  Some days you feel nothing at all, other days you feel everything too strongly.  There’s no way to predict when you will be pulled in either direction or how long either will last.

There will be days when someone might even feel fine, or even just more functional.  On other days, you might be unable to pull yourself out of bed or might seem to cry over everything.  There are days that feel like a struggle and others that feel completely impossible, days where you find yourself crying a little bit more and days you just want to give up.

When describing increased emotional pain, the best example I can think of is to compare it to the pain of loss.  Milder stages of depression might be akin to losing something that matters to you, perhaps something of sentimental value.  As depression increases, imagine the pain of losing a beloved pet, your parents, your spouse or your child.  Imagine the ache and the pain, the feeling in that moment of things never being okay again, of wanting to give up, to crumble under the weight of that pain.

Except the person you are mourning is yourself.  Your happiness and who you used to be.  And the loss comes again and again in waves, sometimes mild, other times so severe that the tears and the pain feel like they will never stop.

At the same time, you loathe and disgust yourself.  You feel worthless, a waste of space.  Your own mind lies to you, convincing you that the world would be better off without you in it.  That is where rationality parts ways.  Everyone can understand loss, pain and grieving.  But it is hard to wrap your head around losing yourself, let alone hating yourself, unless you have spiraled down to those depths yourself.

Yet those feelings are there, along with a tremendous amount of guilt.  You feel guilty that you are such a mess.  You feel guilty for subjecting everyone else to your mess, as well.  Often, you are also ashamed of your illness because you feel you should be stronger, more capable, better than you are.  That shame often leads you to lie or minimize the intensity of your suffering for fear of being judged.  Depression makes you feel like a failure just for being sick.

When someone is struggling with depression, their very perceptions become distorted.  It is common for everything to feel much worse than it actually is.  Think back to when you were a little child.  Things on the counter felt up way too high, the door knob out of reach.  Even simple things like tying your shoes were a struggle and felt like a monumental task that took maximum effort and concentration.  That is how everyday tasks feel when you have depression.  Everything feels harder.  Every problem feels bigger.  You feel small and helpless.

Think back, too, to when you were a young child and were upset with your parents, when you felt completely misunderstood and all alone in the world.  Think back on the time when your four or five year old self was convinced you should run away, that nobody would care if you were gone. Think back to any other point in your life, as well, when you felt completely alone, when you had no help, nobody there.  With depression, those feelings are ever-present.  Your mind tells you that nobody understands, that you are alone in the world.  Depression isolates you by telling lies that you do not matter.

Think back to the last time you were sick, laid up in bed with a bad flu or stomach bug.  Remember how physically and mentally exhausting it felt to even move or pull yourself out of bed?  How easily you found yourself worn out, just wanting to lay back down and sleep?  How you put off going to the bathroom for hours because you didn’t even want to move?  How you ate frozen waffles or canned soup for three days because you just did not have the energy or the desire to cook a real meal?  That is what depression is like, too.

The numbness, however, is hard to explain to anyone who has not experienced it firsthand.  If you’ve ever had someone or something upset you so much that you no longer cared, magnify that lack of concern tenfold.  It is similar to that catatonic shock following an accident or trauma.  You feel nothing, lost, blank, numb.  Eventually, you mentally shut down.  You are immobile, held hostage, trapped in your own mind.  You have no interest or motivation to do anything.  You see no point in even trying.

I wish there were more relatable examples I could give but it is impossible to rationalize the irrational.  There are some examples that are somewhat similar in one way or another, but even those don’t quite equate.  The best I can do is to illustrate the directions depression can go and to quantify how bad it can get.

When trying to explain depression, the best someone who is struggling can do is to explain how close we are at the given moment to either shutting down or wanting to give up.  The worst part is that the status can change in a moment’s notice on any given day.  There is no way to predict when it will veer off in either direction, let alone the severity of the bout.  You cannot even predict what will cause your condition to worsen, or whether it will even be something large or small.  Something as tragic as a great loss is just as likely to cause a period of numbness as a simple broken plate is to cause a severe downward spiral.  There are times we are honestly not even sure why we are feeling the way we do, only that the depression is there.  There is no rhyme, reason or rationality to any of it.

It is not something that a person can control in any way, either, let alone simply snap out of on their own accord.  Depression is a mental illness.  It is a medically-diagnosed condition that severely affects the ability to cope with life, negatively impacting and impairing both thoughts and behaviors.  Having a mental illness is no different than having any other type of illness.  Much like a diabetic has a pancreas that is malfunctioning, when a person has a mental illness, their brain is not working correctly.  The only difference is the organ affected.  Both conditions need medical treatment.

I understand how difficult it must be for someone who has never suffered from depression themselves to understand. Depression seems irrational because it is.  It doesn’t make sense, even to those of us struggling with it every day.  We find ourselves on a roller coaster ride that is speeding out of control, flying up and down every which way, with no way to stop or slow down.  Nobody asks for a mental illness.  Depression is not something anyone has done to themselves or is causing because they are not trying hard enough.  We don’t understand how we even ended up on this ride, let alone how to get off.  How can we adequately explain something we don’t even understand ourselves?

The confusion surrounding depression is also in part due to the stigma attached to mental illness in general.  For years, anyone with a mental illness was labeled as lazy, crazy, dangerous or a joke.  Either way, they were not taken seriously.  Mental illness was a dirty word that wasn’t discussed openly.  People fear or mock what they don’t understand.  The lack of education about medical conditions like depression led to wide-spread ignorance and misinformation.  Unfortunately, once that cat is out of the bag, the damage is done and it will take much longer to properly educate people about mental illness than it took to originally spread the falsehoods and misconceptions.

I understand fully that depression makes no sense to someone who has never experienced it themselves.  It honestly makes no sense to us, either.  But please know that depression is much more than just merely feeling sad from time to time.  With depression, you sometimes feel everything so strongly that it is completely overwhelming, the emotions feel agonizingly painful and never-ending, and the world feels utterly hopeless.  Other times, someone with depression is completely numb, feeling absolutely nothing at all.  Either way, everything feels much harder, more intense.  Depression is exhausting, both physically and mentally.  Perhaps worst of all, you feel helpless to do anything, like you have no control over your own mind.  And depression is not linear.  It goes up and down, every which way, changing direction and intensity on the drop of a dime.

I wish I could provide a chart that was more relatable for those who have never experienced depression, but, as I have stated before, there really is no way to rationalize the irrational.  The best I can do is to lay out what depression is like in a very simplified form and hope for your empathy, compassion, understanding and patience.

Republished on The Mighty on 2/18/19.

Republished on Yahoo: Lifestyle on 2/18/19.

Republished on Yahoo: News on 2/18/19.

Republished on Yahoo: Finance on 2/18/19.

Republished on Core Wellness on 2/18/19.

Republished on MamaMia on 2/23/19.

Republished on MSN on 2/24/19.

Please Give Mental Illness The Same Respect You Would Give Other Illnesses

Not everyone understands what it is like living with a mental illness. I get that. Most people, at their core, mean well and are trying to help in one way or another.  Whether they are attempting to be supportive or trying to snap someone back into their perceived “reality”, they just don’t know what to say.  I understand that completely, too. But using tired old cliches about life that don’t apply to living with a serious illness does not help at all.  Nor does it help to offer outdated advice that has been proven to be both ignorant and ineffective.  They do much more harm than good. It not only minimizes our condition and our struggles, but it also tells us that you neither understand what we are going through nor do you take our illness, or us, seriously.

Please do not tell us that “everyone has problems sometimes“, “into everyone’s life a little rain must fall“, or that “nobody said life was fair“.  Likewise, please don’t tell us “it is what it is” or “everyone gets depressed sometimes“, as if our diagnosis is an everyday, trivial, meaningless bit of happenstance that is unimportant and should be paid no mind.  A mental illness is not an average, run of the mill problem, a typical bump in the road of life that everyone faces at some point and is easily cast aside or overcome. It is a medical diagnosis, a medical condition that drastically affects every aspect of our lives.  You wouldn’t tell someone with cancer that everyone has problems sometimes, laughing it off like it was nothing. You would show an appropriate level of concern over their health and well-being. You would encourage them to see a doctor and take care of themselves. You would be supportive. You wouldn’t dream of minimizing their condition because, left untreated, it could have deadly consequences. So could my mental illness and it deserves to be treated in the same regard.

Asking us if we’ve “just tried being happy“, telling us we “need to just learn to focus on the positives” or otherwise suggesting we’re not trying hard enough misplaces the blame on us for our diagnosis. The patient is never to blame when their body goes haywire and runs amuck. We understand that sometimes our bodies malfunction, become unbalanced, and horrible things like tumors occur.  You can’t will away cancer with a positive outlook and trying harder won’t make tumors disappear. The same goes for mental illnesses.  We don’t tell someone with cancer that it is “all in their head“, “mind over matter“, and expect them to become healthy again by sheer willpower alone. We encourage them to see a doctor immediately, get everything taken care of and treated so their body can work properly and be healthy again. Untreated cancer can eat a person alive from the inside out, deteriorating their health and destroying the quality of their life in every way. So can mental illness. The only difference is cancer mainly attacks and destroys the physical body while mental illnesses primarily attack the mind.

Please don’t judge us on our appearance, telling us that we “don’t look sick” or that we “just need to smile more” as if our diagnosis is even remotely dependent on our outward appearance.  Also, please don’t tell us that we “don’t look all that sad to you” or that we “looked just fine the other day” because we have briefly managed to put on a brave face or wear a mask to hide our pain.  Having a good day here and there does not negate all the bad ones.  Invisible illnesses are still illnesses.  Like many other serious health conditions inside the body, you cannot often or easily see mental illness with the naked eye.  Not seeing a tumor growing inside someone does not make it any less real or dangerous.  Not seeing a diabetic’s pancreas malfunctioning does not mean it is not happening or that they do not need treatment.  Someone with cancer or another serious medical condition occasionally smiling, laughing or briefly enjoying life does not mean that they are instantly cured and tumor-free.  Just because you cannot see our mental illness does not mean we are not suffering.

Asking us “why can’t you just be normal?” or suggesting that we “need to stop feeling sorry for ourselves” not only blames us for our diagnosis but treats us as if we’re somehow broken or flawed and it is all in our head.  Nobody asks to have a mental illness nor does anyone want to be sick.  We are not doing this to ourselves.  We are not having pity parties. Please don’t suggest we’re just looking for attention or tell us that “the only one we’re hurting is ourselves” either, as if we’re intentionally sabotaging our own happiness by entertaining the absurd idea of some make-believe malady.  Mental illness is a very real medical diagnosis, one that is often completely beyond our control.  Our behavior did not cause it any more than a person’s attitude or imagination can cause tumors.

Please do not suggest we should just “snap out of it and get over things already“, either.  A person cannot snap out of a mental illness diagnosis any more than they can snap out of diabetes.  There is no set time frame that someone should be better, or even show marked improvement.  Like diabetes, a mental health diagnosis often lasts a lifetime.  And the healing process with most illnesses is not linear.  A diabetic can alternate between periods of stability, and episodes of sugar spikes and crashes, dangerous highs and lows that drastically and dangerously impact their health.  Similarly, even when in ongoing mental health treatment, a series of good days can be interrupted by periods of downward spiraling or numbness, and worsening symptoms as we attempt to balance medications and work through both past and new traumas.  Along the same lines as the fact that we refuse to take the blame for our illness, we are also under no obligation to heal on anyone else’s schedule or whim.  It is our illness, our treatment, and we will take as long as we need to take to heal fully and properly, even if it takes a lifetime.

Do not remind us that “every cloud has a silver lining” or tell us to “look on the bright side“, suggesting that we need to look for something positive at the core of our struggle.  Likewise, please never tell us that “what doesn’t kill us makes us stronger” or tell us that “it is God’s will“, as if our suffering was some divine gift or that it will be worth it in the long run.  Again, it is an illness, a medical diagnosis.  You would not confront a diabetic who must have their feet amputated due to their condition and suggest that they would somehow come out stronger for their loss.  You would not imply to a patient who cannot keep down any food because they are undergoing chemotherapy that the silver lining is that they always did want to lose a few pounds.  You would not tell anyone that their illness was a blessing in disguise, that they should be grateful for their suffering and pain.  Comments like those would be not only wildly inappropriate but also extremely insensitive, as well.  You would offer the person suffering your compassion, sympathy and support.  People with mental illnesses deserve the same.  There is nothing positive about our diagnosis or our struggle so please don’t insist we look for a silver lining or a bright side that is not there.

Please don’t tell us that “other people have it worse“, as if our struggle is insignificant because someone else has struggled more.  Don’t ask us “what do you even have to be depressed about?“, expecting us to justify our diagnosis or quantify our suffering so you can determine its validity.  A mental illness is a bonafide medical diagnosis that deserves acknowledgement and actual medical treatment regardless of its severity in comparison to someone else’s.  It is always a serious health condition that can continue to worsen if left untreated.  You wouldn’t shrug off anyone’s cancer diagnosis as trivial or be so unsympathetic as to suggest their tumors were insignificant because someone else had larger ones.  Cancer is always taken seriously.  Mental illness should be, as well.

If we trust you enough to open up about our diagnosis, please don’t shut us down by telling us “there are just some things you just shouldn’t talk about” or reminding us that “some things should be kept private“.  That is ignorance and stigma talking.  Yes, we understand that mental illness is uncomfortable to discuss.  So is any other serious medical diagnosis.  The difference is that families and friends will discuss other illnesses and the impact they will have on everyone’s lives.  We sincerely apologize for any discomfort our diagnosis might give you, but please know that we are not confiding in you hoping you can solve it or make anything better.  We are sharing our diagnosis because we consider you an integral part of our lives and we want you to be aware of everything that is going on.  Don’t tell us that we shouldn’t talk about mental illness as if it is something we should be ashamed of having.  The biggest reason this diagnosis has become so rampant in society today is because no one talked about it for far too long.  No one talked and nobody sought treatment.  But silence won’t make the problem go away.  Health issues don’t vanish because you refuse to acknowledge them.  It will only make it worse.

Please stop shaming us for our diagnosis altogether or our efforts to seek treatment.  Don’t tell us that “all we really need is some fresh air and some running shoes” in order to feel better.  Don’t tell us that “only weak people rely on medication” or suggest we try vitamin regimens, scented oils or other homeopathic remedies instead of what we have been prescribed.  We have seen actual doctors.  Medical professionals have given us a verifiable medical diagnosis and prescribed us the appropriate medications to treat that diagnosis.  You wouldn’t shame a diabetic for using insulin to balance their body so please stop shaming us for taking our prescriptions to balance our minds.  You wouldn’t tell a cancer patient that they didn’t need chemo, to just go for a brisk run or take a nice, long bath instead.  That is because it is widely accepted that chemotherapy is used to treat cancer and insulin to treat diabetes.  If you are willing to accept other medical diagnoses and treatments as valid, please accept ours, as well.

Please don’t attack us, demanding to know “what have you even done with yourself lately?” or otherwise question why we are not able to function as well as a healthy person.  Don’t interrogate us about what we have and have not accomplished recently, either, as if our level of productivity must meet your standards or our activity must be on par with yours.  Having a mental illness takes a lot out of a person, both mentally and physically.  It is perfectly acceptable for someone who has just undergone chemotherapy to spend a day in bed if they so need it.  If a diabetic has a sugar crash and feels under the weather, others will suggest they go lay down and feel better.  Healing and recovery time is acceptable for all other illnesses.  It should be for mental illnesses, too.

For so many years, mental illness was treated as something shameful, something you just didn’t discuss, something whispered about in dark corners.  With the continuing rise of suicides, addictions and other mental health crisis in our society, mental illness is being spoken about today on a scale previously unimaginable.  I understand that it might take some time for everyone to fully understand how to openly discuss our diagnosis with both compassion and respect after being shrouded in secrecy and stigma for so long.  When unsure how to proceed, many people turn to old cliches and outdated advice that they believe have stood the test of time.  However, many of those statements and sayings are not at all appropriate or applicable to mental illnesses.  If you are unsure what to say to someone with a mental illness, a good place to start would be to ask yourself if you would say those words to someone else with any other serious illness.  If you cannot imagine saying it to someone with cancer or diabetes, for example, it’s a good bet that it is not an appropriate response to our diagnosis, either.

After all, people with mental illnesses are not asking for special treatment.  We are just asking to be treated with the same courtesy you would treat anyone else who is ill.

I Have Depression.. But I am Happy..

I have struggled with depression my entire life, in part due to a genetic mutation passed down to me from my parents that affects the way my body metabolizes specific chemicals my brain needs to moderate my moods.  I regularly go through horrendous downward spirals where I feel completely broken and worthless, where life feels utterly hopeless.  I struggle with long periods of numbness where I have difficulty functioning or even finding the motivation to get out of bed.  On bad days, I will cry until my face is sore and my voice is hoarse, and it is unlikely I will be able to accomplish much more than basic self-care.  I am battling an illness that warps my very perceptions of life and continuously exhausts and pains me both physically and mentally.

But I am happy.

I have an amazing fiance who is very supportive of me and my diagnosis.  I have healthy, kind, smart and all-around wonderful children who have grown into incredible adults.  My fiance’s children are both amazing, as well. Together we have all formed a beautiful, blended family that I love with all my heart and am proud to call my own.  I have a team of doctors who actually listen to me and a treatment plan that is slowly but surely helping improve my quality of life.  And I have a blossoming writing career that has given me a true sense of purpose and an ability to help others in need.  I have many wonderful blessings in my life to be grateful for, many reasons to be happy.

Yet I have been diagnosed with depression.

That is because a mental illness like depression has nothing to do with happiness.  Depression is not caused by being in the wrong frame of mind or just not trying hard enough to be happy.  Having a depression diagnosis has nothing to do with feeling sad, a little blue or under the weather.  People with depression aren’t being Negative Nancys or Debbie Downers who just need to learn to lighten up and look on the bright side.  My diagnosis wouldn’t just disappear if I just tried to smile a little harder or maintained a more positive outlook on life.  My depression has nothing to do with whether or not I am happy.

I have trained myself to find reasons to smile everyday.  I am usually the first to look for something positive in even the roughest of situations.  No matter how hard my own day might feel, I always try to show compassion and kindness to others.  If nothing else, I am grateful each day I wake up and thankful of all the loving and supportive people in my life and share that sentiment regularly.  I am hopeful for the possibilities the future may have in store for me, as well.  Some of my friends lovingly joke that I am the happiest, most positive little depressed person they know.

Yet I continue to struggle with my depression diagnosis.

My brain does not care whether or not I am happy or grateful, whether I am hopeful, compassionate or kind.  My mental illness is caused by my brain not working properly, much like a diabetic’s pancreas malfunctioning causes their condition.  I have no more control over having a mental illness than someone else having diabetes, heart disease or another medical condition they may have been passed genetically.  Yes, events in my life may have further exasperated my mental illness, much like having excessive sugar might worsen a person’s diabetes or having foods high in cholesterol might affect the severity of heart disease, but my condition preceded any of the traumas and abuses I have endured over the years.  I have even sought treatment to help resolve those issues to the best of my ability, yet my depression has remained.

Because depression is an illness, a medical diagnosis with both mental and physical causations.

It is not all in my head.

It is not a state of mind or an emotion.

Depression isn’t about being sad.

The cure for depression is not happiness.

Like any other illness, depression needs ongoing medical treatment.  Doctors need to not only diagnose the condition, but also to isolate and treat both the mental and physical reasons for the illness, as well. Though doctors often utilize psychological treatments like therapy, meditation and mindfulness, they usually also include psychiatric methods and medications to help treat the physical causation.  That is because doctors recognize mental illnesses such as depression as a verifiable disability that deserves a comprehensive, multi-pronged treatment.

In cases like mine where my depression has a genetic causation, my diagnosis is permanent.  I was born with it much like some children are born diabetic.  You would not blame a child for being born with a pancreas that was incapable of functioning properly so please don’t blame me for the fact that I was born with organs that malfunctioned, as well.  The only difference in my case are the organs affected.  No matter how happy I am or how positive my outlook is on life, my liver will never be able to metabolize the substances my brain needs in order to function properly.  I will have this medical diagnosis and need ongoing treatment until the day I die.

If I confide in you that I am struggling with depression, please don’t try to encourage me to try to be happier and more positive, or point out all the blessings I have in my life.  I am happy and grateful already.  You do not need to remind me to be hopeful for the future because I already am.  Please don’t blame me for my diagnosis either, insinuating that I wouldn’t be ill if I just tried a little harder.  I did not ask for this diagnosis, nor did I cause it.  What I need from you is the same compassion, understanding and support you would give anyone else with any other medical diagnosis.

Because, though I am already happy, knowing you were doing your best to be supportive and treat me with the same respect you would someone struggling with other illnesses would make me even happier.

Republished on the Mighty on 4/4/19.