"Wisdom's a gift but you'd trade it for youth ...

...Age is an honor - it's still not the truth"

Cranky Cuss

Cranky Cuss
Location
Ossining, New York, United States
Birthday
February 28
Bio
I am the author of "Send In the Clown Car: The Road to the White House 2012," currently available on Amazon and CreateSpace. I'm currently semi-retired after 23 years in a corporate environment. My motto: The conventional wisdom has too much convention, not enough wisdom. Corollary: Even Einstein was wrong sometimes, and you're not Einstein.

MY RECENT POSTS

JULY 12, 2012 1:49PM

Depression Still Carries a Stigma

Rate: 38 Flag

The report that Jesse Jackson, Jr. may be receiving treatment for clinical depression, and his office’s apparent reluctance to confirm it, reminds me that, despite progress in awareness and sensitivity, mental illness continues to retain a stigma, especially among men. It also reminds me that depression can strike any demographic, regardless of race, age, gender, orientation, or financial status.

I first wrote about my battle with depression in an April 2010 post on my Open Salon blog. I was more nervous about clicking “publish” that morning than I usually am. Although I had been receiving treatment for two years, and the worst of it was a distant dot in my rearview mirror, I had not discussed the subject with anyone besides my doctor and my immediate family. I was not sure what the response would be.

I received many warm comments, which gratified me. What surprised me was the number of private messages I received from Open Salon members who told me about their own battles, which they were reluctant to discuss in public. (There was a similar response when I posted another piece a year later.) Even now, I occasionally receive, out of the blue, a message from someone who has stumbled upon one of those old posts. It confirms my belief that, despite America’s wealth and supposed greatness, this nation contains an awful lot of privately unhappy citizens.

However, I was especially startled by what happened offline. In the days following my post, a good friend and a relative both told me that they were being treated for depression. Although I had spent a fair amount of time with both people, I hadn’t had a clue about either’s illness.

It reminded me how diligently I had striven to hide my despair from everyone outside my home. During that time, I had shunned nearly all social engagements and when forced to interact, as at work, I made a strenuous effort to appear sociable though I did so on autopilot, like a Broadway actor performed the same script for the thousandth time. I honestly don’t know whether my true condition was visible to them or not, but I know the quality of my work decreased considerably.

I also have no idea to what extent, if any, there is a genetic predisposition toward depression. My father suffered from it, especially during his retirement years. I can’t confirm if it goes back further than that; I hate to delve into stereotypes, but my father was descended from a line of hard-drinking Irishmen (my dad didn’t drink much) and I don’t know if their drinking was a response to, or a cover for, deep unhappiness.

I have been gathering notes with the idea of writing a book about battling depression, not because I think there is money in it – I don’t think the Fifty Shades of Gray lady has anything to worry about – but because, with the notable exception of William Styron’s Darkness Visible, I have found much of the literature on the subject wanting.

Many of the people who have discussed their depression in print have had other problems (i.e. bipolar disease) or significant traumatic triggers (childhood abuse, the unexpected loss of a loved one, a precipitous collapse of one’s career or financial status). In my case, however, my childhood was fairly serene and my adulthood was trauma-free, and I believe that is true for many depression sufferers. While I think it’s wonderful that celebrities like the late Mike Wallace addressed their depression in print, I wonder if some of their stories from a life of privilege make depression less relatable, not more.

There are many topics for argument at another time: why Americans seem more prone to depression than any other nation; whether we are being overmedicated; whether current health coverage for mental health treatment is sufficient. What can’t be argued is that nobody should suffer in silence. Seek help and support from your loved ones. If your desolation persists for more than a couple weeks, please consult a mental health professional. And I can’t emphasize this enough: if you are thinking of harming yourself, seek help immediately.

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Thanks for this kindly, personal and timely post. Hoping the stigma goes away, sooner rather than later (though that may be a very optimistic thought), so that those who suffer from depression can feel they can obtain treatment without experiencing further pain.
Cranky, this is a very important subject and it's great to see your discussion here! It seems like our metro region has been hit by many tragic suicides lately from depressed individuals jumping off the Tappan Zee Bridge to Mary Richardson Kennedy's sad event in Bedford in May. I agree that the negative connotation that persists about those who are depressed should be eliminated.
Good for you for writing about depression and keeping it in the forefront. I hope you write your book. From my daughter's battle with it, I found that there is both a stigma and a tendency to think it's no big deal--neither of which is helpful.
Thank you for this post, Cranky. Unlike physical illnesses and diseases, mental illness still carries a stigma. I grew up with a clinically depressed mother and I often felt ashamed of her and of how people perceived her or us as a family. Unlike physical illnesses, the scars of depression and other forms of mental illness are invisible, but no less painful. Rated.
I mentioned to my wife when we were watching some of the TV coverage of Whitney Houston's funeral that Jesse Jackson seemed out of it, staring at the floor or into the distance, as if either bored or blasé being an observer rather than the focus of attention. I'm glad to know he's seeking treatment. Thanks for this, Crank.
I came to and then backed away from this post all day. This hits home, Crank. Depression runs in my family, most notably in my father and on his side. I think you're totally right about it being hidden. Previous generations were told to keep quiet, not to complain. Males, especially, were counseled to hide any emotion that wasn't joy or anger. I have enormous respect for you anyway, but to write this and to be so open raises you another notch in my eyes.
You hit every note w decency and authority.

Rated.
Styron's book is brilliant. His message, as you stated: get help immediately. People can beat it down, with help.
You're on a roll this week. Great posts!!
Amen, Breaux. I hope you do manage to get the book done; I have always believed that you could bring a perspective to it that many might relate to. I will also seek out the William Styron book you mentioned, since the subject interests me. I'm currently reading Elyn Saks' The Center Cannot Hold, about her battles with schizophrenia. I'm early into it, but it's enlightening reading.
Cranky, I remember your previous posts on this subject. They were, as this one raw and compelling.

(I've written a piece on happiness for another blog and have quite a bit of information.)

"According to some studies our happiness level depend 50% on our genetics, 10% on circumstances and 40% on our intentional activities.
Each of us is born with a pre-disposition to a certain level of happiness. This may be called the genetic set point, the level or point at which the happy state tends to stabilize, indifferent of what happen to us or we do. This pre-disposition is determined by characteristics inherited from our parents, especially temperamental and affective traits."

For the rest of this article:
http://www.lifecho.com/happiness-genetics-circumstances-intentional-activity/

That explains half of it.

My family has it's share (including myself at times) and there does appear the DNA connection is accurate.

Thanks for posting this.
Interesting suggestion to tease out of the Irish vein you mention. I've always thought of alcohol as Irish psychoanalysis. My dad came from a big Irish family but didn't drink much. I like and have liked to drink a little too much for reasons other than depression, but when I'm more moderate in consumption--it's depressing.
Attending NAMI classes really made me more aware of the stigma attached to mental illness. I do think we are predisposed to it. Depression runs in my family too. Great post./r
Wonderful piece on a subject familiar to many.

I've battled (and am treating) clinical depression for years. In my case, I think it's partially hereditary, but also related to the massive amounts of MDMA (ecstasy) I took in my 20's. I literally took bucketloads of those pills for five years straight. If THAT doesn't mess with your serotonin and dopamine levels, I don't know what does!
I was thinking of that stigma too this morning as I watched the news coverage about Jackson, Jr. Maybe it is because I am a Psychology major, but I have always been open about my diagnosis. I believe it helped me deal with it myself. It does run in my family, big time. And I agree with the notion that substance abuse can be an attempt to self-medicate depression.
There has been a book on the market written by a therapist who had become severely depressive.
I can't remember the title,but perhaps it is the book you have mentioned here.
It is not the Irish only who have a habit of excessive drinking.
All Northern regions of the globe seem to be affected by it due to the long lasting dark winter months,lacking sunlight:
Britain(Scotland),Scandinavia,Russia.
Rated
Thank you for this post - I recognize much of myself in your battle. I am trying to be more public about my battles but it is extremely hard.
Good piece, Cranky. I will never understand the stigma. ~r
The impatience from people who presume themselves to be mentally stable is what I find interesting. I found it easier, also, to cover and not tell anyone. They didn't want to hear it, anyway. But hopefully talking about it will help everyone to realize that depression doesn't mean unfit- it just means that something's out of balance.

Write the book. It's needed.
Cranky:

If ou have not already,read anythng by Dr. Kaye Jamison, an M.D. and Ph.D at John Hopkins. She, herself, has bi-polar and is considered one of the countries leading experts on depession (she also has a wonderful book n the link between depression and creativity).

Re: the connection with alochol. It appears the gene that causes alcoholism, also can cause depression. In an intake, the first questions are about parents medical history and alcohol use, and including grandparents medical history and alcohol abuse, because we know people are born with a pre-disposition to it if anyone on eitther side of the family suffered from either alcoholism or depression.

I think James E here on OS is so admired is he refuses to hide that side of himself, and says what many feel and think, but to not only to stigma, but OSers are not always kind to fragile writers, and that is another reason why so few write about thier own experiences with it.

Thank God for medication. Even just 50 years ago, people just went to the barn and shot themselves. Your book could save lives.
Your point is well noted - that depression is not dependent on circumstance - I think that may be part of the problem - the depressed person asks themselves why they could possibly be depressed when nothing bad has ever happened to them - and expect that those around them will want the answer to the same question :(.

Then it becomes a vicious circle kind of thing from inside and out.. "What must really be wrong with me is that I'm selfish and self-centered and just want attention." which of course just aggravates the original depression and helps nothing.

Rated for listen.. listen..
Cranky - Maybe "Depression" is "The Norm" & Everybody Else ought to start worrying! It didn't help when singer Bobby McFerrin in 1988 flooded our senses with "Don't Worry, Be Happy" either! Best of luck with your Book if you do tackle it. R
Thanks for this Cranky. I take a little pill every night for mine. What amazes me are the people (most recently my ex-wife) that appear to believe depression is not real. I quote 'Those people just need to get over themselves and get on with their lives'. Good reason not to be married to her anymore I suppose. Anyway, thanks again for your post. It is real. It can be painful and debilitating. If you have it, you are most certainly not alone. There are many ways to treat depression that have a record of success.
Thanks for the post Cranky... put up my own a few weeks back and I too was astounded and encouraged by the response. Jackson has a right to his medical privacy and Nancy Pelosi and the other pinheads in congress should get their heads out of their asses!!
Real Depression, like you say, comes over its victim like a dark cloud out of nowhere for no particular reason. The "no reason" part is what makes it so hard for the average non-depressed person to understand. Sure, everyone gets depressed over bad stuff. Actual Clinical Depression in a person who has everything going well is scary for people because they think it could happen to them, they misinterpret the sufferer as ungrateful for the good in his/her life, and they interpret the inability to let them help as passive-aggression. Educating the public to get past these misinterpretations is a big job.
" And I can’t emphasize this enough: if you are thinking of harming yourself, seek help immediately."

How about if I still giggle like an evil clown when I think about hurting my ex-boss' boss' boss??? :D

Great piece my friend!
It's great to put yourself out there to help others Cuss. Great Post, should be EP/RP~
Thoughtful post Cranky. My own guess is that more than most psychological ailments, depression invokes the most skepticism from non-sufferers. I suspect too that many depressives (is that the right term?) sense that and may at some level think that they have only themselves to blame. Which, as a depressive, really lubes up that vicious circle.
What a great public service you have offered here. I agree that the U.S. does seem to have a high rate of depression, but I've read that is true of other industrialized nations. We are peeing so much Prozac down toilets that fish downstream of our waste are experiencing hormonal changes that inhibit their sex drive and even cause gender changes. You've got to wonder what it is about our frenetic, stressful society that is causing all this madness. R.
Very compassionate and relevant post, Cranky. Depression is the most common, most widespread mental health condition--yet it as a stigma, perhaps because people who have experienced some brief, situational depression think they know what it's like to suffer recurring episodes of serious clinical depression. They think, simplistically, that people should "pull themselves up by their bootstraps through will-power" (a widespread American delusion) and just "snap out of it." The human psyche doesn't work like that.
No easy answers, but an experience many of us have had coloring our lives for decades at a time. Thank you for this post. [r]
It is no surprise to me that Americans suffer a great deal with mental illness. When everyone is forced to 'compete' in a dog-eat-dog manner with their fellows for every scrap of bread and those who consider themselves 'winners' can smugly look down on those whose abilities are not necessarily income producing, what else can you expect?

American 'society' now judges everyone on the same scale - how much money are you worth - no other scale is acknowledged unless and until one is 'comfortably well off.'

The present drift towards fascism is going to make this much worse in future too!
.
Best wishes on that book. Who knows? It could surprise you and become a bestseller. There's certainly a big market for it here in the United States.
My wife has been involved in federal grants for campus suicide prevention programs at two universities. Most of that is about the Seek Help Immediately part - how to make sure the people who need help do. Most of them don't.

It's probably time for you to write this book, not just because you have something to say, but because what you have to say isn't being said elsewhere that's conspicuous. What happens when you're depressed but don't have an obvious Excuse to be depressed? No bipolar disorder, no abusive childhood, etc. It's still illness. It may be your job to tell us all that you don't need that kind of excuse, that the excuse is internal, genetic, chemical, and that the wrong mix of neurotransmitters isn't always dependent on obvious external stimuli. That's one Hell of an important message and, if it's not getting out there, get it out there.

Good luck with it. Break a leg, so to speak.
RP nomination. Can I get a second?

http://www.open.salon.com/blog/os_readers_picks/2012/07/12/os_readers_picks_11th_awards
I have to say that over the years I have developed a very good facade to hide it. I would love to be treated again, I was years ago, but now, thanks to government regulations, it would end up costing me my job.

When I was being treated my doctor had me on Prozac. I moved so I had to change drug stores. While the old one had records showing the build up the new one balked at filling it saying they didn't know you could take that much and had to research it and call my doctor.
I've always thought that if I ever did my personality would allow me to have a drinking problem.

It's time that people like me can come out and say I need help.
My mother was majorly depressed.. I do remember her taking "her pills " and receiving what I now know was ECT back in the '60's. As Kate, and others, referenced to alcohol I don't drink.
I hate posting on my xoom. I always seem to get them screwed up. You have to move a couple sentences in my reply. Sorry
We should all be taught about the various degrees of depression. Some of the warning signs are not always obvious. This is due to stigma and pride. Not all intervention methods alleviate the depression and only those professional experts practicing medicine with expertise in psychiatry/psychology should give advice to people or patients suffering from depression.

Not every person who has had suicidal or homicidal thoughts is a danger to himself or others; however, this person should seek immediate counseling and advice from qualified professionals dealing with mental health issues.
Great post, Richard. I hope you do write that book. I've been surrounded by mental illness all my life and I take my one Prozac/day to keep me on an even keel (for me it started with post partum depression - but with Schizophrenia, Bi-Polar, Borderline Personality Disorder (& more I'm sure) in my immediate family, seemed like a good idea to stay on it.
Interesting you mention "William Styron’s Darkness Visible" as Lea above mentioned it once recently and I just finished reading it. Fascinating explanation.
Great post, Richard. I hope you do write that book. I've been surrounded by mental illness all my life and I take my one Prozac/day to keep me on an even keel (for me it started with post partum depression - but with Schizophrenia, Bi-Polar, Borderline Personality Disorder (& more I'm sure) in my immediate family, seemed like a good idea to stay on it.
Interesting you mention "William Styron’s Darkness Visible" as Lea above mentioned it once recently and I just finished reading it. Fascinating explanation.
Cranky,

I used to think I had a happy childhood. I thought there was something frighteningly wrong with me and my brain when I began to exhibit burn out and a quasi breakdown in my early twenties after being a one-woman pr department for the wonderfulness of my family. I couldn't gunny-sack the real truth anymore and deny all the chronic crazymaking from a dysfunctional family system.

I started to get to 12 step meetings decades ago. I couldn't see my real history at first but I began to see the similarities in my history and with people who were in touch with reality and were triggering insights in me about how much actual pain and trauma my exceptional family had been in and had had passed down to it.

I would shake my head during early meetings over the anger expressed by people in the rooms. I was repelled by some and pitying of others and yet their words haunted me the whole week and I couldn't get back to the next meeting fast enough.

It was also like frostbite. The sting of the truth. Like frostbite recovery. You give up the numbness for liveliness and pain is the first sensation. You also come to realize that stress was mostly negative growing up and you are unhealthily afraid of positive stress, which helps one mature and even thrive. Facing down challenges and believing you can push through it, not have to stay tethered there to ever worsening stress.

It was humbling facing it all down, especially my own character defects that had been defense mechanisms for survival growing up. But I am grateful for the reality checks. I feared less the "wrongness" that I believed was intrinsically part of me and saw that I had had some ferocious conditioning that had induced me to be depressed and neurotic and self-blaming and shame-based. I am still fighting the good fight against those conditions.

As I was reading your blog I thought of that old movie, All That Jazz with Roy Scheider. Remember when he looks in the mirror and smiles manically and announces, "It's SHOW TIME!" periodically in the film. Healthy living is not pushing so hard to present a dynamic persona, it is just being yourself. Too many scripts got handed out by insecure authority figures who were tragically hurt by their own insecure authority figures. Passing it all forward.

We have a culture that can't take responsibility for its global family members who are hurting. We ask for impression management instead of healthy real communication. More and more of us have to speak our truths and feelings and thoughts and end the charade. Like you and like me. And more and more others.

My thoughts.

Best, libby
Libby,

Your "All That Jazz" reference is perfect. The image of Scheider in front of the mirror is exactly how I felt many times before heading to work or any social engagement.

Statistics show that Americans are far more prone to depression than any other nation. (They also show that people who immigrate to America immediately become more prone than they were in their native country.) I'm convinced that a major factor is that the U.S. puts far more emphasis on the individual, and far less on the community, than other nations. We are told, "You can be anything you want to be, as long as you work hard enough." The result is that if you don't fulfill all of your dreams, even if you're modestly successful, you can feel like a failure.
While searching for answers about my father I researched a lot of unpleasant disorders. I found that Anti Social Personality Disorder (was sociopathy prior to 1980) was genetic and they found that sufferers had not only a traumatic event(s) that precipitated it but also markedly lower levels of seratonin present in the brain. My eldest and I both suffer from depression (aside from other disorders) and I wonder if we have low levels of it and how many others do.

Brain chemistry is a delicate balance, I find I have to sleep regular hours to feel good, and since I started taking melatonin and eating a diet rich in it, I have far less depression and no anxiety. Interestingly the highest concentration of seratonin in the brain is in the pineal glad which is where melatonin is produced in the body. There's a lot of research out there, you just really have to search for it.

Depression still carries a heavy stigma and it shouldn't. It's almost as if those who don't suffer from it think those that do enjoy being depressed.
Since I started reading you, I've admired so much how openly you talk about your struggle with depression, and how you want to help others suffering the same condition. I think writing a book would be an excellent idea, and I wish you all the luck in the world - it seems something that needs to be written and I think you'd be a great person to do it. As always, best wishes to you.
This post has received a Readers' Picks award.
Cranky - This is an important post as I'm sure your book will be upon completion. You write eloquently about your battle with your own demons in a way that resounds with both sufferers and non-sufferers (who are trying to understand - perhaps as a family member.) I wish you the gift of hard work, productive times and a little bit of luck.

I believe the book that Heidi is referring to is "Undercurrents: A Therapist's Reckoning with Her Own Depression" by Martha Manning. It is a slim volume like "Darkness Visible," and is written in journal form, but it captures the essence of a woman slipping and sliding into the hell that depression is, and the reader is privy to a sense of her helplessness. I have read and reread it many times. I highly recommend it.

Another decent book on the subject, though it is a tome, is "The Noonsday Demon: An Atlas of Depression" by Andrew Solomon. He writes about his own battle, integrating the narrative with clincial findings. Some people I know who have read it didn't like this mixing of styles, but I found it interesting.

Although I agree that depression (and mental illness in general) still carries a stigma in this country, I do believe that there has been some progress albeit at a snail's pace.