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Living With It

Bob

I am excited to start the year with a guest post from a friend I have known for 29 years. We met during our second year of college in a philosophy course and, though we probably didn’t know it at the time, connected in part because of our struggles with depression. It’s a rare gift to be able to see what the journey to self-acceptance looks like over the life span. For me, reading it was a reminder that wisdom is born out of suffering and self-compassion.

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I remember wandering around my neighborhood with tears streaming down my face. It was a sunny day in Austin, Texas, but to me everything was hopeless, sadness was all around, and the future promised only pain. My Dad picked me up in his car, clearly worried, and not long afterwards I was hospitalized with depression.

That hospitalization when I was fifteen was a long time coming. When I was seven years old and my parents were getting divorced, I pulled so much of my hair out that I had to wear a hat to cover up the bald spot. When I was eleven, I starved myself for months and had to be hospitalized and treated for anorexia.

I’m nearly fifty years old now, and for most of my life I’ve lived with depression and anxiety. It comes and goes. I’ve contemplated suicide too many times to count. I’ve spent days, weeks and months wishing I were not alive, crying when I thought no one would notice, and feeling like I was crazy.  

I’ve tried various strategies – ignore it, fight it, drink or smoke it away. I’ve taken all kinds of pills, and I’ve seen psychiatrists, psychologists, therapists, and counselors.

I’ve read books about depression, spirituality, self-help, mindfulness and positive psychology. I’ve quit some jobs, taken other jobs, and moved several times, at least partly influenced by depressive feelings.

Through all of this suffering, I like to believe I’ve learned a few things worth sharing. Here are my “Top 3” insights regarding living with depression – because everyone loves lists right?   

  1. Depression makes you believe a lot of things that aren’t true. A psychiatrist told me this, after I complained to him that I was a lazy, worthless bastard, and a burden to everyone I knew. He was right and I was wrong. Don’t believe the things depression tells you about yourself. No matter what you may have done or what you think your faults are, you deserve love from both yourself and others..
  2. Don’t give up. Even if the future seems bleak and promises nothing but pain, hang in there because things will get better. Even if you don’t think it will help, see that new doc or try that new technique, whether it’s yoga, exercise, diet, meditation or medication. Your depression may not completely go away, but finding a way to manage it is essential. And it’s a lifelong process. You never know where that breakthrough might come from – and sometimes a smile from a stranger is enough to get through the day.
  3. You’re not alone. The hardest part of depression for me has always been the loneliness. I feel like no one loves me or cares about me, and connection with other people is impossible. Now I know that is the depression talking, because it’s an illness that robs us of joy and love. We are never alone, no matter how lonely we may feel. Chances are at least one person in your life truly loves you, and even in the rare case where you are truly isolated, please know that many of us have been where you are, and have felt what you feel.  

None of these 3 insights are especially original, but that’s okay. I actually find it comforting that what I’ve learned from my experience of depression reflects what others have learned as well.

Maybe this is a fourth insight, or a corollary to #3 above, but it’s love that’s gotten me through. Love from family and friends who cared enough to help me when I’ve been down. Sometimes I’ve needed a lot of love, patience and support, when I wasn’t in a position to provide anything in return.

Your depressed mind may tell you that you don’t deserve love or help, that people don’t want to be bothered, and you’re not worth it. That’s not true. Reach out, ask for help. Tell someone how you feel.  

Your closest and most trusted friends are the ones who will hold you when you’re a basket case, tell you they love you, and never judge you. Those friends are keepers. Not everyone is equipped to provide this kind of support, but you might be surprised what other people have gone through, and how willing they are to help.

Sometimes I still feel like that teenager wandering around in the middle of the day and crying his eyes out. I feel fear and dread and sadness, without any apparent reason.  

But I know now this pain is universal, a drop in the enormous bucket of pain that the universe dishes up every day. It’s the pain that we have in common, and seeing that is what can unite us, and make love and joy possible.

Charles G. lives in the Upper Midwest with his family. He works in marketing, likes to travel, and gets by with a little help from his friends.

Appearances Can Be Deceiving

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You know what’s hard about having depression and anxiety? Having to go about your day, looking like you feel fine when you’re not. I know everyone feels this way at times, but it’s something that I have to focus on a lot. Like, perhaps people have to prepare for the possibility of a thunderstorm every now and then, but it is a daily threat for me. So I always have to carry an umbrella and think about what shoes I want to wear. Whether my outfit is appropriate. Whether or not I’m at risk of getting struck by lightning.

But then again, perhaps I underestimate how bad the weather is for everyone. Because when I listen to my clients and read my friends’ Facebook status updates, I am reminded that there are all kinds of people walking around in pain, looking normal on the outside. We all feel broken in one way or another. It’s so convincing, though, when people look like they have it all, isn’t it? So easy to believe that you are alone in your pain.

When people tell me they read my blog, they always say something about how vulnerable I am in it. They mean it as a compliment, but even though I’ve been doing it for over 3 years now, it always makes me feel self-conscious. Have I said too much? Did they read something that makes me look bad? Do they think less of me as a person? As a psychologist?

Still, it has been worth the risk, both because of how much I have helped other people and because of how freeing it has been. Of all of the things that I have done to battle my demons, blogging has been one of my most powerful weapons. And if there are clients who choose not to see me after reading my blog, I am learning to accept that I can’t be all things to all people.

I realized recently that choosing vulnerability is like choosing love: it’s risky, and you’re bound to get hurt, but it’s better than spending a lifetime trying to play it safe. It’s still hard to put myself out there and risk judgment and criticism, but most of the time it results in a meaningful connection with someone–perhaps even a complete stranger. Because now they know they are not alone. And I am reminded that I’m not alone, either.

Wouldn’t it be nice if more people were willing to take the risk of being vulnerable? If instead of seeming like we had it all together, we could be honest about our pain? I know it would be unrealistic to go around telling everyone about the holes in our hearts all the time. Sometimes when someone asks how you are, you just have to say fine or you won’t have time to get a coffee before your first client. But if you want to know the truth about how I’m feeling, I’ll tell you. And if you read my blog, you will definitely find out.

Faking Good

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Did you know that some personality tests are sophisticated enough to detect when a person might be faking bad or faking good? When I took one in grad school, the computer report said that I could either be faking bad, or that I’m just really hard on myself. Talk about sophistication! My Inner Critic was detected right away.

In general, I think people are more likely to fake good than fake bad. I am no exception. Most people can’t tell when I’m upset. Even when I tell people I’m upset, they don’t believe me because I’ll be smiling–like when I bought my mattress. So even when I’m trying to be honest, my face is still faking good.

Facebook is the perfect example of millions of people faking good every hour of every day. Even though I know from experience that things are often not what they seem, I still feel like my life pales in comparison to my friends with their happy spouses who declare their undying love for each other on their anniversary. Or their children who are winning sports competitions and getting good grades and saying funny things. Or their vacations to exotic places while I’m stuck at home because of the snow.

But then again, sometimes I’ll scroll through my pictures and wonder if people feel the same way about me. All of the happy pictures with my family. Pictures at sporting events, tennis tournaments, and karaoke parties with my friends. Pictures of my latest knitting project or the jewelry I just made.

Even if we want to be more honest on social media, it’s hard to do because it’s so visually oriented. Like, it never occurred to me to take a picture when I was getting my divorce papers notarized. Or to take a selfie of me lying on the couch, too depressed to do anything. I guess I could have taken a picture of that time I shattered my microwave door and had to sweep up hundreds of shards of glass, but I was too busy being pissed off.

The most honest posts I’ve seen are the ones where people say how they still miss a loved one on their birthday. I have not yet lost someone close to me, and the thought of doing so fills me with fear. And now I know that the sadness stays with you for the rest of your life. It exists right alongside of those happy family posts. But at least it makes the picture of their life seem more realistic, and therefore more relatable.

If you scroll through my wall, amidst the posts of family and friends, sports and crafts, you’ll see my blog posts. Verbal snapshots of my obsessiveness in action. Guilt and shame over failed relationships. Evidence of how difficult it is for me to be kind to myself. To believe that I deserve to be loved. That I’m worthwhile. This is my attempt to be honest through social media. My tribute to the complexities of real life.

But not everyone has a blog. So if you have ideas for how to stop faking good on social media, I’d love to hear them. It could be the beginning of a campaign. Like the one to stop bullying. We can work on the catchy phrase later.

It’s Complicated

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Have you ever noticed how you can experience two things at the same time that seem contradictory? If you have, you probably berated yourself for being irrational. At least that’s what I always do.

Take my last post on being indispensable, for example. I confessed to all kinds of things that I do in relationships that don’t make any sense. I know I can’t be all things to all people, but I try to do it, anyway. I feel this anxiety in the pit of my stomach about a guy, and I do everything I can to be in a relationship with him. I am devastated when the relationship ends, even though I’m not sure I liked him that much to begin with.

I know it’s not just me. I had 2 clients last week who were beating themselves up for similar things. But as a therapist, I’m much wiser than I am in real life. As a therapist, I tell them that we can experience things that seem mutually exclusive at the same time. People can love you and still make choices that they know will hurt you. You can be afraid, but you can still take a risk. You can be grateful for all of your blessings and still have a right to be sad.

People are complex. We are a mix of loving and hateful feelings. We are both selfish and unselfish. Good and bad. In fact, if you know someone who only seems to be on one side of the good/bad continuum, you probably don’t know them very well.

I just went to lunch with a friend who told me that she was catching up on my blog and realized how little she knew about me. I told her it’s because I’m good at hiding how I feel, which I’ve always taken pride in. But I don’t think it’s such a good thing any more, which is why I blog about honesty.

But my friend pointed out that it can be a good thing and that she was glad that I seem happy and together; it helped her to accept the other things about me. Which seemed insulting at first, but I think I get it.

If my weaknesses were the only things people knew about me, I probably wouldn’t get as many comments about being courageous and honest. I would probably be judged more harshly, fair or not.

But I am not just those things. I am also relatively well-adjusted. I am also someone who strives to be a better person. I am also someone who shares my vulnerabilities so that other people can feel normal.

I am a walking contradiction. I am the entire spectrum. Strengths and weaknesses. Crazy and normal. Perfect and flawed, all at once. And so are you.

I have to admit, even as I write this, I still don’t love all of the contradictions that make me who I am. But at least it gives me lots of material to blog about.

200 Posts!

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You know what I love about blogging? Unlike birthdays and New Years, I feel different as I reach each landmark. In honor of my 200th post, I thought I would take this opportunity to reflect on what I’ve learned up to this point. Here are the highlights:

1. Vulnerability works. I started this blog in part as an experiment to see if sharing our vulnerabilities really makes people feel more connected to one another. The answer is an emphatic yes. Every time I read posts warning of trollers whose purpose is to write mean comments on your blog, I brace myself for the cruelty. But perhaps it’s harder to be cruel to someone who has already shared their weaknesses with you.

Perhaps there is less of a need to tear someone down when you know they feel just as flawed as you do.

2. Compassion works. You’re not supposed to judge how well you are practicing compassion, so I will just say that at this point, criticism is still my default. However, the more I practice, the more amazed I am at how powerful it is. MLK day was last Monday, and I think about how someone tried to strike down the message of peace and love. But that has only multiplied exponentially the power of Martin Luther King’s message.

Hate might be easier, but love is stronger than hate, so it is well worth the practice.

3. Prayer works. Every time I pray, I throw in a caveat that I totally understand if my prayer isn’t answered, given how trivial my concerns are in the grand scheme of things. And every time, I am surprised that God cares about my problems, big and small. I hate to admit it, but when I’ve heard people say that in the past, I looked down on them. But now I know it’s true. I guess if my parents care about my problems, why wouldn’t God?

It’s good to be reminded that my suffering is never trivial.

4. I love being alone. I have always been one of those people who had to be in a relationship, even if it was a crappy one. Of all my faults and failings, this is the one I have been the most ashamed of. But it turns out that I am happier when I am not in one. I admit, the first year was hard. I imagine it’s sort of how it feels to go through detox. Which gives me a better appreciation of how hard it is to overcome an addiction.

But now that I am “clean,” I have never felt better.

5. I am a writer! Perhaps the biggest philosophical question in the blogosphere is when you can call yourself writer. When you are published? When you receive your first paycheck? When you have declared yourself a writer? For me, it was when I discovered that many writers are night owls. They are always in their heads. They are plagued by demons that tell them that their writing sucks. They write even when they don’t get paid or published. Even when they find out that fame and fortune are unlikely.

I’m not even sure if I care about publishing a book anymore. Or about trying to make my blog popular. I like the freedom of writing about what I want when I want. I write because the joy is in the act of writing itself.

Self Disclosure is the Hardest Work I know

Christmas gift

I have another guest post today! This one is from a former client who was different from the students I usually see–older and more worldly with lots of interesting life experiences. I am finally at the point where I feel like I have something to offer students in their 20’s, but not someone like her. She seemed so confident and poised. I was actually kind of intimidated by her in the first session. What could I possibly have that would be helpful to her?

It’s nice to be reassured that giving someone the opportunity to be authentic truly is a gift. And it is a gift to me, as well, to work with people who are willing to take the risk of being vulnerable.

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I am like a Christmas present. Shiny, alluring; and, there for the taking. What’s inside is a mystery. All wrapped up, I look really good. All wrapped up I am…the full package.

If Christmas morning never came no one could open me and reject me. No one would know I can be snippy, selfish, anxious, needy, human. No one would learn sometimes I am distant, selfishly desirous of the solitude of the privacy of my own mind; sometimes I have anxious feelings about what is between us; sometimes shiny me has a complaint, sometimes there is navigating to do. If Christmas morning never came, no one would find out who I am. All wrapped up, I am the full package all the time. I would rather gird myself in duct tape than disclose my feelings to you.

Fortunately, therapy has given me the vast perspective it takes to find the reasons why doing the business of feelings is complex for me and why I work so hard to perpetuate the illusion of perfect satisfaction in my outward appearance. In lieu of being fully human I am a picture of calm. The pay-off from learning what I have learned through therapy is that this Christmas and in this New Year I will give myself the gift of feeling human through disclosing my feelings to others.

Why? Because packaging how I feel, and not outwardly acknowledging my feelings or your feelings, being preternaturally centered at all times, has started to take a toll on my relationships. Before now, my feelings were kept prisoner in a shiny box and I thought revealing them would doom my relationship with others. Now, I understand that I must practice self-disclosure and feel my feelings in order to thrive. And, in order to be fully engaged in my relationships.

Experiencing the full range of human emotions cannot be done alone. Until I disclose who I fully am to those who I love and who love me, I am an unfinished gift. Pretty on the outside, and such a mystery that it amounts to an unknown inside.

Christmas is coming. I will be under the tree at the end of the day, finally open. My wrapping no longer encumbering me, my many colors of tissue and my many mysteries will be out of the box. All of me open and on display under the tree I will be like any other Christmas presents—some of them pure treasure, some of them so-so, some of them needing alteration, some of them more perfect than anyone imagined, some of them forever gifts, some of them for consumption now. All unwrapped, I still look really good. I am the full package.

Elizabeth Barbour is a perennial student of Life, recent law grad, avowed Late Bloomer, proud Mother, and writer coming into fruition. 

Do Something that Scares You

Decisions

Sometimes anxiety is a good thing.

The other night I gave a presentation on anxiety to Active Minds, the student organization whose mission is to raise awareness and reduce stigma about mental illness. I began the presentation by reminding everyone that anxiety is not always something we want to get rid of. It motivates us to act. It socializes us. And it warns us when we are about to do something scary.

But sometimes it’s good to do something scary.

When I started my blog, it never occurred to me to use an avatar, because the point was to get people to know me so that they would buy my book someday. Plus, anonymously blogging about vulnerability seemed hypocritical. But I have to admit, sometimes I wonder what the hell I’m doing, telling people all my deep, dark secrets, and I wish there were a way I could take it all back.

Some posts are scarier than others. The post that I wrote a few weeks ago, Undeserving, was one of the scarier ones, because what therapist admits to having the exact same fears that her clients have? Publishing it felt a bit like standing in front of people naked and saying, go ahead; judge my body.

Which nobody did, thank goodness. Not to my face, at least. Although the most vulnerable posts are always the most popular, knowing this won’t make it less scary to bare my soul the next time. Because anxiety has no memory. It does not distinguish between past, present, and future. It does not know the difference between reality and fantasy. In the moment, there is only fear.

Actually, I am growing accustomed to baring my soul before friends, family, and strangers. But the thought of standing naked before students and clients still terrifies me. Therapists are supposed to be blank screens. At minimum, they use self-disclosure with caution. They certainly don’t let clients know that they struggle with anxiety and depression and that they don’t think they deserve to be loved.

Last night a student from the school newspaper emailed me some questions about Seasonal Affective Disorder because she’s writing an article about depression. I realized this was an opportunity to publicize my blog, since my last post was on this very topic. But the thought of doing so gave me an anxiety attack, so I decided to sleep on it.

Plus it was midnight, and I promised myself I wouldn’t start working on stuff after midnight so that I don’t screw up my sleep cycle. Even though I ended up staying up until 1:30 a.m., anyway, doing pointless stuff like playing Sudoku and Minesweeper. What is wrong with me?!

But I digress.

This morning I answered the student’s questions and told her about my blog. Part of me hopes that it will lead to a thousand new followers, and a part of me hopes that she ignores the reference to my blog altogether. In any case, I did it; I pushed myself to do the thing I fear the most, as far as blogging is concerned.

And I have to say, it feels pretty good.

The Courage to Be Vulnerable, Part 2

I’m humbled by the feedback that I’m an inspiration, but to be honest, I’m not quite sure what people mean by that. I can understand how people could read my blog and think, wow! I’m not so crazy after all! But I don’t see how it can be an inspiration. Unless it inspires people to be honest about the stuff they are afraid to share with other people.
In one scene in the book A Fault in Our Stars, (which I love!), Hazel and Augustus are in the Anne Frank House watching a video of Otto Frank. After reading Anne’s diary, he concludes that parents don’t really know their children.  I would venture to say that we never really know anyone unless we have the opportunity to read their diary–or blog.

Our inquiries about people’s lives are fairly superficial. We ask people how they’re doing when we greet them, but any response beyond “I’m fine” would be TMI for most. Recently I asked a friend how her husband was doing because I heard he had been sick. She said he has his good and bad days. I’m sure some people don’t want to go into more detail, but maybe some people do. Maybe they feel like the person is just asking to be nice. To let them know they care without really wanting to hear the details.

I am one of those rare individuals who likes to tell people everything that’s going on in my life when I greet them. Well, not everyone. Just the ones who will tolerate it. I’ll even do it before they have a chance to ask me how I’m doing.  I’ll just bombard them with the minutiae of my day the moment I see them. Because I spend most of my time alone with no one to talk to, I am willing to break protocol. Admittedly, this stuff isn’t particularly inspirational, but at least I’m consistent in my self-disclosure.

I do think the world would a better place if we could all risk being a little more vulnerable. If we could all admit that we are human, I think people would feel a lot better about themselves. It does take courage to put yourself out there, but taking that risk also requires good listeners. People who are willing to be present and bear witness to our humanity without judgment.

So I am thankful to all of the readers out there who are willing to bear witness to my humanity. You are the ones who make courage possible.

Grace

I’ve received a lot of comments from readers lately about being too hard on myself. Which is a little scary, because these comments were in response to posts where I purposely avoided criticizing myself. But perhaps people know me well enough by now to know what I’m thinking, even if I don’t say it out loud.

It’s hard to be honest about how these comments make me feel, because I don’t want to seem ungrateful. But if I’m afraid to say it, that probably means I should say it.

When I read comments that are meant to be supportive, I feel a little angry and defensive. I feel like I’m being told that I’m failing at self-improvement. The words forgiveness, self-compassion, and self-acceptance are in almost every single post, so it’s not like I don’t know that’s my problem; I’m just not getting better at them fast enough, apparently.

This morning as I was driving to work, I realized something about my reaction to these comments. I realized that they are hard to take in because it’s hard to take in love–love from others, love for myself, and love from God.

I have spent the last week in an email exchange with a loyal reader and friend who is trying to convince me that I don’t need to work so hard to earn God’s approval because God already loves me just as I am, in all of my glorious imperfection. I know that’s true for other people, but something in me resists believing that it’s true for me.

You would think it would be a relief to hear the thing that you most want to hear, but it often isn’t. You don’t want to let yourself off the hook. You don’t want to risk being too full of yourself. You might get complacent. You might become a sloth–which is a deadly sin.

That’s how the Inner Critic is for people like me. It’s like an abusive partner who does everything it can to make you feel bad about yourself as a way to keep you dependent on it. It uses the language of morality and turns it against you.

In therapy I address this part by telling clients that once they leave my office, the Inner Critic will try to undo all of the progress we have made. That perhaps it is even talking to them now while we are in session, telling them not to listen to me. It helps to let them know that I know all of its tricks.

I also tell clients that accepting love is a gift, and rejecting it hurts the giver. These clients are highly motivated to do good, so it is often eye-opening to reframe self-criticism as a form of rejecting others.

When I thought I could blog my way to self-acceptance, I assumed that sharing my vulnerabilities with the world would be sufficient. It helps, but it’s not enough. Without feedback from others, it’s still just me and the Inner Critic, duking it out.

In therapy, I tell clients that they are worthwhile as many times as it takes for them to believe it. Maybe that’s how blogging works, too. I will continue to write about what my demons say, and readers will keep telling me that I’m being too hard on myself, and I will get pissed off, but eventually I will believe them. Maybe one day the Inner Critic will lose its power to make me feel bad about myself.

Maybe God works through blogs, too.

Losing Control

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I am seeing a couple of clients whose lives revolve around not losing control of their emotions. They both have a parent who is very out of control–addictions, emotional outbursts, marginally functional–the kind of people who seem beyond hope. “Black hole people,” as my client calls them. These clients fear that if they let their emotions out, they will get lost in them like their parents.

This is a common fear. Most people think that having feelings makes you needy. Weak. Crazy. It’s better to do whatever you can to avoid feelings altogether. Ironically, it is the things that people do to control their feelings that brings them to therapy.

Eating disorders are a good example of this. Every client says that their eating disorder began as a way to have control. They can’t control any other aspect of their lives, but they can control what goes into and comes out of their bodies. Stuff down their feelings with food. Numb themselves by restricting and exercising. Get rid of feelings by purging.

At some point they lose control over this strategy. They think about food, exercise, bodies, and weight all day long, every day. They eat in isolation. They lose friends because they are constantly lying and hiding. When it gets really bad, a dean forces them to come to the counseling center. But no one can help them until they are willing to let go. Until they are willing to feel, to be vulnerable.

We all have ways that we try to control our emotions. Mine is to help other people. I don’t have problems. I don’t need anyone. I’ve got all the answers; I don’t need help.

A client recently asked if I had any flaws. I told her that I have all kinds of flaws. She seemed relieved. I almost told her about my blog–but I’m not ready to go that far.

So what do we do with all of these feelings if we don’t suppress them, deny them, or push them away? How do we keep from falling into the black hole?

One of my favorite movies is “The Matrix.” By the end of the movie, Neo realizes that all of his fears are an illusion. He has to die first to realize this, but once he is outside of the matrix, his fears no longer control him. Feelings are the same way. Your feelings are a part of you, and you are larger than any of your parts.

Sometimes you have to let go before you can discover that you have control.