Tuesday, January 8, 2008

A most relevant "discussion"

Wow...controversy on my blog.

Cool.

For all the gory details of said discussion view the post before this one. There are some very "interesting" comments.

I am going to highlight the main one which became the focal point of debate. And here it is:

buffalodickdy said...
"I, like most people have been depressed. That being said, I know how bad it can make you feel- and how little that makes a difference in what the world expects of you. I am not an optimist or a pessimist. I am a realist. You must give before you get. You must never let people know you are down, as they will see a whiner. You must show strength you didn't even know you had- to get respect, instead of pity. Respect is huge- go get some!"

Very interesting.... :>)

My most immediate reaction is to say that this is my blog and I will talk about whatever bloody hell topic I choose to talk about. I do want to talk about depression and I will continue to do so. There is a fine line between expressing one's "opinion" and delivering a personal attack and it is clear to me that this individual had/has crossed the line. I am not one to tolerate such nonsense so fella....the cyber road awaits you....don't let the door hit you in the ass on the way out.

My second response was one of puzzlement. I wrote a more generalized piece about depression...mainly citing references from a book I am reading about this topic, and trying to elicit conversation about questions posed from this said book. Surely not a post to get one's dander up so overly emotionally. This commenter took the post very personally as some sort of affront to his world views and I can only conclude that the man "doth protest too much." A psychological analysis would most likely reveal that this is a person who is afraid of their own times of feeling depressed and feels ashamed somehow. That shame translates into a projection onto others who remind him of it. Feelings of inadequacy can make people say the strangest of things.

After those momentary reactions flashed through my head, I came to the conclusion that this was a grand opportunity for others to say their piece about views on depression. And thank you to all who did come and very genuinely state their opinion. This is good...as it brings this topic to life. It isn't just about a passage from a page in a book about depression....this is about real people and how they cope and manage with this sometimes debilitating mood disorder. This stranger's comment is symbollic of what is out there in family member's and friend's attitudes about mood disorders.

I was and am shocked that such a neanderthal attitude still exists, but it clearly shows the need for more education and training to the general public about depression. I just assumed that everyone was pretty much on the same page by now in this day and age.

Let me re-state that his comments could have come from your mother, your father, you siblings, your neighbor, or co-worker. There are still many folk who do not understand the nature of depression, what it is, what it is not, and how to help themselves and/or others.

And I will say very vehemently that I do not believe this commenter's advice is a good strategy. In fact....not at all.

It is good to talk about it. It is good to tell someone you trust about your feelings especially if those feelings are leading to thoughts of harming oneself. Keeping it all in is not such a good idea as it limits your options of truly getting help.

And I especially take issue with the notion of "strength" as being defined as basically shutting up and putting up. This is not strength....this is fear. In my opinion, strength is the ability to be able to allow yourself to be vulnerable....to take those risks necessary for growth and connection. As my friend Mark so eloquently put it...this other stoic John Wayne approach to emotions is...well...."bullshit."

And likewise it isn't healthy.

I have had much trauma in my life and one of the issues I used to have was that I couldn't feel anything. Even as a very young girl I didn't show pain because to do so made me fearful for my survival. I remember my mother who was severely mentally ill....being hauled away in a paddy wagon one day when I was just five years old. I watched her scream my name as police pushed her into the car and I didn't cry. Not once. As a matter of fact, I joked with the policemen. Was I "strong"? No not really. I was just in shock. I remained in shock for a good portion of my life recounting horror stories and laughing as I told them, without any appropriate emotion. It took literally years of therapy work before I could show those emotions.

There are other instances where someone actually acts upon their feelings and they commit suicide. Is it really so "strong" to not tell someone about those feelings? Do you think those family members left behind thought..."oh well...at least the one I loved was strong and didn't show their sadness." No...they aren't going to say that.

Depression is not a source of shame. It isn't a form of personal weakness. I can cite so many extraordinary people who have suffered from depression. Did Lincoln lack self respect? Was Michelangelo weak of mind? You look at the world of musicians, artists, actors, writers, poets, and even and especially comedians....and many of them will be found to suffer from depression. I suppose they are all weak and soulless too.

So be cautious of the advice given by this commenter. It is not the truth about depression as facts demonstrate. It is just an opinion....a dangerous one in my opinion....but nonetheless I am very thankful he did make it so that we can talk about this openly.

I am going to leave you with a lot of information coming from many different and varied sources, I hurriedly found on the internet and so easily. This is all out there and black and white. I assumed most people already knew all this but I am finding out otherwise.

You can be sure I will be posting lots more on this topic. More to come!

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FACTS ABOUT MOOD DISORDERS

A Common Myth Proven Wrong
For many years there has been a common myth that depression is due to a personal weakness or lack of will-power. Many think that a depressed person can simply "snap out of it" by using will-power.

This is NOT True!

Depression involves a chemical imbalance in the areas of the brain that controls mood and emotion. It is a physical illness similar to diabetes or high blood pressure. A person with depression is not able to use will power to control their moods any more than a diabetic can use will power to change their blood sugar levels. This chemical imbalance may result from many different factors. People suffering from this illness often require medications and / or therapy in order to recover just as a diabetic requires insulin in order to regulate blood sugar levels.


Are Depressed People Lazy? NO! NO! NO!

No, they are not lazy! Physical symptoms are associated with depression which cause people to feel profoundly tired, and extremely unmotivated. Many people find it difficult to get out of bed in the morning and may sleep excessively during the day. In some cases they might find it difficult to fall asleep and may even awaken frequently during the night.

Another common symptom is reduced appetite resulting in weight loss or increased appetite resulting in weight gain.

Some people may even experience headaches, constipation and general aches and pains. These physical symptoms are real and often debilitating. They cannot simply be thought away.
Besides the physical symptoms, depression is also accompanied by changes in mood. People have a persistent feeling of sadness and are often unable to find pleasure in activities they once enjoyed such as hobbies, family activities, socializing, etc. Some people may have less or no desire for sexual relations. Sometimes intense irritability is also experienced which may result in short tempers and lack of patience.

Thought patterns often change. Negative thoughts, pessimism, guilt, hopelessness and helplessness are feelings often experienced with this illness. Many people have difficulty remembering, focusing and / or concentrating, and self-esteem and self-confidence is usually very low.Symptoms of anxiety are frequently prevalent with many people suffering from depression. This often results in excessive worrying, nervousness, restlessness, panic, and difficulty with sleep.

----------------------------------

"It is important to realize that depression is a true illness or disorder. It is not a sign of weakness nor does it affect those with a "lack of willpower." Depression strikes all walks of life, and does not discriminate due to race or age. It does however, affect twice as many women as men."
-------------------------------
Depression is not a passing mood. It is not a personal weakness.
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"Depression affects about 19 million people annually in the U.S. alone. Some of the most prominent and well-known individuals who have suffered from a depressive disorder include Alexander the Great, Napoleon Bonaparte, Abraham Lincoln, Theodore Roosevelt, Winston Churchill, George Patton, abolitionist John Brown, Robert E. Lee, Florence Nightingale, Sir Isaac Newton, Stephen Hawking, Charles Darwin, J.P. Morgan, Barbara Bush, Ludwig von Beethoven and Michelangelo. Not exactly people who just sit around feeling sorry for themselves."

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"Myth: You can will depression away. If you can’t, then you’re weak."

"Depression cannot be willed away any more than heart disease or diabetes can. It’s caused by chemical changes in the body, which cannot be overcome simply by positive thinking and grim determination. Given how much stigma is still attached to mental illness, seeking help for depression is an act of courage and strength — not weakness — on your part."

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"Let's demolish these five popular misconceptions about depression:

Myth #1 - You Can "Snap Out Of It

"Don't you just hate it, when you admit to feeling down, people tell you to "snap out of it?" Isn't it amazing, the impatience that develops in those that are up and don't want to be bothered with someone who is down? To them, your pessimism, your anxiety, your timidity (and possibly your full-blown depression) seem a perverse personality quirk that you yourself could easily correct if you just tried to "rise above it." In other words, they see your low mood level as a personal failing of yours. That's because despite overwhelming scientific evidence to the contrary, people still believe that dysthymia and depression are psychological disorders - are "all in your head". They think that "mood is a state of mind" and therefore must have a purely psychological cause - for which a psychological remedy must be found. Even you yourself may have held that mistaken view on occasion. In effect, they assume that you're "programmed wrong" - and they suggest you go and have yourself reprogrammed. This makes it hard to open up to anybody about low mood levels such as depression (although depression is a serious and possibly life-threatening affliction). It makes it even harder to admit to the lesser condition of being dysthymic (shy or timid, just slightly depressed) because "come on, no one ever died from it!"

On top of it, haven't we ourselves bought into the story that how we feel is our fault? That we would simply "snap out of it" if we weren't such wimps? Let's get really clear about this: You cannot snap out of it. To "snap out of" dysthymia or depression is a physical impossibility. It makes about as much sense as asking someone to "snap out of" diabetes or an underactive thyroid gland. "

"Mood is NOT a state of mind. How you feel is NOT your fault. You can NOT "snap out of" a low mood."

24 comments:

buffalodick said...

Sorry. I thought we were talking about a case of the blues. I didn't mean to glib or flip. I'm no expert at this, I'm sure you know someone who is. Good Luck.

Synchronicity said...

thank you. your apology means a whole lot.

now dirk dear...where are you? :>)

Deadman said...

"I didn't mean to glib or flip."

Well. Ahem. Looks like I was a little rough on BD. In light of this, sorry old chap.

This is obviously a subject that brings out strong emotions.

jafabrit said...

My mother didn't want me to tell people what had happened to me when I was young for fear they would not like me or couldn't handle it.. My answer to that was if I tell and they can't handle it etc then they are NOt the kind of people I want in my life.

As for depression, I remember it having the oddest effect on my body. Even when I thought I was coping I physically became very sluggish. As for being down or blue, I don't hide it, I just work with it and around it. I feel it is just a part of the ebb and flow of life. I think sometimes we have to teach others by our actions and words what they can and can't do to help. Sometimes I need to go and have a laugh with friends, other times I need to stay home and work it out. I want (and do enjoy) respect for who I am. It if is earned under pretense then it is hollow.

DirkStar said...

No apologies here.

I didn't say anyone was 1.weak 2.Lazy 3.Faking

I stand by what I said.

Depression is not a get out of jail free card.

I have diabetes. I don't wallow in self pity because of it. I don't expect everyone else in life to handle me with pity because of my condition.

I do not surrender to my disease and use it as a reason not to try.

I have a lot of respect for you as an individual who is facing her M.S. with courage and dignity.

I have no respect for those who wallow in self pity, decrying the severity of their ailment, and expecting the rest of us to baby them into feelings they can manifest from within.

Like a very wise man once said before me.

Bah humbug...

DirkStar said...

I meant that in the kindest most possible way.

DirkStar said...

I just spent some time over at buffalodickeys blog and I am stunned at the reaction he caused here.

Far from being some attacking shock jock type of character I found him to be a kind and gentle soul with a very self depreciating nature.

He expressed a personal opinion without calling anyone a single name or hurling one single insult.

His view point was certainly not popular, however, simply because it was different from someone else's did not mean it to be insulting.

I'm glad I came to his defense.

His blog was sweet, kind and filled with warmth. I think he was unfairly judged and condemned as something he is not.

He is a good soul. Not a heartless bastard.

Joan said...

I offer for your consideration the English word “love.” We use the same word to describe the feeling of joy when eating decadent dark chocolate or watching a really good TV series as we use to describe the intense craving and affection we feel for our sweetheart. Do we mean the same thing when we say that we love our jobs versus when we say that we love our children? Do we love our NFL football teams in the same way that we love our parents? (Not if you live in Pittsburgh – the Steelers come first!) I believe that these situations conjure different emotions and intensities, yet we use the same word.

And so it goes with the word “depression.”

I am not surprised that there has been a flurry of comments on this discussion of depression. There are various ‘shades’ and levels of depression, from the light blue sadness you feel when you come home from vacation to discover that your favorite fern died while you were gone, to the dark indigo that strikes when you experience the death of a close family member, to the intense cold complete black that sucks out your soul and leaves you with such hopelessness that there is simply nothing.

Yet we use the same word to describe the entire spectrum of feelings.

Depression is personal. Deeply personal. People who have only experienced the various shades of blue in the spectrum simply cannot understand what it’s like at the black parts of the spectrum. It is just not in their realm of experience or understanding. The advice for people in the cooler blues part of the spectrum does not apply to people in the indigo parts, nor in the frozen black section.

Yet we try to make everything fit.

Depression is real. Sadness is real. The Steelers football team is real.
But we all react to these things differently. For some, just talking about the Steelers conjures up intense hatred. For others, pride. And then there are those who don’t understand the passion and are uncomfortable spending time even discussing it or being around fans who want to discuss it.

And so it goes with “depression.” Some understand. Some don’t. Sometimes I understand. Sometimes I don't. This discussion has made me realize that I need to be more tolerant of people who give me pale blue advice in a cheery voice ("just think about all the good things in your life") when I'm broken and frozen at the bottom of a black hole.

Thanks, Linda, for having the courage to step out and face the entire spectrum in an effort to understand it's depth and breadth. It's tough, and it's messy. And this discussion has given me a lot to think about.

Anonymous said...

"Depression is not a get out of jail free card."

No one said it was! Diabetes is serious that is for sure, but I have to argue here and say that Bipolar is damn ass powerful and can truly knock you off your feet.

I am so sick and tired of people thinking that "depressed" people whalo in self pity. Damnit to hell - it can swallow you whole - drain you to NO end.

I NEVER discuss my depression to anyone expect for MY BLOG...I never talk about it to family and friends. I don't even share my deepest thoughts with my husband that is why I blog.

So the next time people say that we whalo in self pity - think again...all we do is try and pray that we will overcome.

Synchronicity said...

i don't think anyone is in need of defending. i have said what i have wanted to say on this topic and i am really glad i did. and i am glad others had a chance to say their piece. i do think a lot of good came from this. there are no villians...just people expressing what they value and what is important to them.

DirkStar said...

Amen...

Synchronicity said...

thanks dirk. :>)

+PHc said...

Buffalodickdy and Dirkstar,

Buffalodicky, last night I compared you to my father who blames people for suicide, not just being glib, or flip, but with vitriolic hatred (which I assume is fear, but can't know). He can change course dramatically in his thinking and acting (depending on his mood), but I can't imagine him ever apologizing. I can't believe you apologized. I apologize to you for my comparing you to him without knowing anything about you, past one comment on a blog. Your apology means so much.

Dirkstar, my "clinical" depression is physical - and psychological (I have AIDS) - and even though it seems to me to be predominantly physiological , the way people treat me and what they say can affect it, sometimes profoundly. I can't always (rarely) hide depression, the way I can hide HIV, and when people assume or imply directly, or indirectly that the reasons my depressions take so long to get over must be due to holding on to a "past" injury - (AIDS has vicissitudes, but is never a past injury, nor MS, or other kinds of other potential underlying factors you can't see) - or that sometimes weeping for long periods of time is "wallowing" in self pity, or that my inability to contribute to goodness in life through being able to hold a traditional job is a manifestation of lack of taking responsibility for my life - a "get out o jail free card", ... it makes my life harder, and makes it harder to dig and scratch my way out of depressio so that I can contribute in he ways that I can. And when Merelyme "pities" me with her sweet posts asking me how I'm holding up when few other people do - it can make the difference in whether I go to a doctor's appointment, or take my antivirals that day. My point is that you can't ever know what other factors are at play under the surface of the way other people act, and that your words and attitudes can have effects that - unintentionally - wound deeply.

Synchronicity said...

this was really so very well said +PHc. i feel humbled by this gentleman's apology as well. that is very big in my book when someone can say they are sorry. underneath any anger of mine is a deep hurt of not being understood.

i am so very glad that i can help in any way...i feel so powerless...all i have are words. it is so amazing how we begin to care for others in this little blogworld...people we would have never met or heard about otherwise in a million years.

i do hope that more good came from this than pain. i sincerely want to do good.

+PHc said...

Dirkstar,

...And I am NOT meaning to minimize diabetes. I am saying that some of us strong, sometime-dignified people are not capable of "manifesting from within" what it takes, the way you can. And some of us sincerely, gravely need non-judgement and extended kindness more than you seem to.

Kell said...

I appreciate the honesty everyone writes with in these comments. It's been very helpful to see people describe something that seems so indescribable to me.

I've had people tell me that I need to suck it up and just take a pill and workout more. I even had a couple of people ask me what I have to be depressed about. Those are the extremes, of course, but those are the ones that, unfortunately, stick with me. When I was diagnosed with MS, it seemed to make it easier for people to deal with my mood swings. As if now there was a real reason for it.

Unknown said...

Boy, Did I read the controversy comments. Depression often has a physical basis. At the simplest level, we know that lack of sleep, insufficient excercise, the side effects of drugs, physical illnesses, or improper diet can all creation depression. Thousands of women experience depression as part of a monthly premenstrual syndrome (PMS) and some are victimized by postpartum depression following childbirth. Other physical influences, like neurochemical malfunctioning, brain tumors, or glandular disorders, are more complicated creators of depression.

Depression is reality, as least for me and my experience. When hit with depression (inner turmoil) with my own life BEFORE I was diagnosed with Multiple Sclerosis, my doctor prescribed me prozac. A few years later, I was diagnosed with MS. Some cases of depression may be caused by chemical imbalances. If that is the cause, then antidepressant drugs may be the answer. My depression may be association with MS or not but it is treated.

Coping with depression is a task for me. It is not easy and I am thankful that I have families and friends who are there for me and encouraging me.

whimsical brainpan said...

Another excellent post Merely!

What you stated here took me years to learn.

jenji said...

Great post.

I think my comment on "Coming Out of The Dark" (from the post THE FRONT) site may interest you.

http://bipolarmadness.blogspot.com
/2008/01/front.html

I would cut and copy the comment here, but it was tailored specifically for that blogger, and honestly, I'm not narcissistic enough to do so.

I sincerely like the way you think.
Keep on!

be well,
jenji

laughingwolf said...

that's one prob with folk, we forget to: ensure brain is engaged before putting mouth in gear....

blessings to all!

Anonymous said...

As already noted, there is a huge chasm between those who are feeling down and those who are truly depressed. Never, ever, tell the latter to pull him/herself together. It cannot be done in an instant.

When I am battling against MS, I get very down but am loathe to use the word depressed because I know that is not the case. Sometimes, yes, and each time I sought help.

Diane J Standiford said...

Dirk, I had the same experience when I checked out buffalos blog, he is just a sweet old fart(as he says)---and of course I like you. Any man brave enough to wear that hat...

eric1313 said...

It's good to see he came right out and was not afraid to be the first to apologize. That takes some fortitude.

I was amazed at the list of people who suffer from depression. Quite a lot of influential people, people who changed history in ways we won't ever really know because of their perseverance.

Anonymous said...

Hi Merelyme,

I was reading your old post on Coping With Depression (as usual I am interested to read on how others cope with depression due to my own bipolar depressive episodes), and found this post interesting and useful.

There are so many myths and misunderstandings relating to depression. I think those of us who suffer from severe or clinical depression are bound to go through it because others who have no such experience think that we are being weak and that if we try hard enough, we can snap out of it. I suffered for some 20 years and often felt very ashamed of myself. I used to hate myself for not being able to get well.

After my diagnosis of bipolar, I am glad to know that my depression are biological and it can be treated and managed. I am thankful for family and friends who are more understandings in the recent years. But they have not been like that in the beginning. Now I do still have friends who keep away from me after they know I have suffered from depression. Some friends still think I am being weak and wallow in self-pity. I tried not to let that hurt me but take every opportunity to educate them even at the expense of losing their friendship.

That reminds me that I should post a post on Myths and Misunderstandings re depression and bipolar. Do you mind if I quote you and some of the quotations you quote here? Hope you have a nice day. Take care.

Regards,
Nancie