21 Tips to Keep Your Shit Together When You’re Depressed.
A while ago, I penned a fairly angry response to something circulating on the internet – the 21 Habits of Happy People. It pissed me off beyond belief, that there was an inference that if you weren’t Happy, you simply weren’t doing the right things.
I’ve had depression for as long as I can remember. It’s manifested in different ways. I did therapy. I did prozac. I did more therapy. My baseline is melancholic. I’d just made peace with it when I moved, unintentionally, to a place that had markedly less sunshine in the winter. I got seasonal depression. I got that under control. Then I got really, really sick. Turns out it’s a permanent, painful genetic disorder. My last pain-free day was four years ago.
So, this Cult of Happy article just set me off. Just… anger. Rage. Depression is serious – debilitating, often dangerous, and it’s got an enormous stigma. It leaves people to fend for themselves.
It’s bad enough without people ramming Happy Tips at you through facebook. There is no miracle behaviour change that will flip that switch for you. I know, I’ve tried.
A friend of mine suggested that I write something from my point of view because, surprisingly, I manage to give an outwards impression of having my shit together. I was shocked to hear this. And I find this comical, but I see her point. I’m functioning. I’ve adapted. I’m surprisingly okay. I think the medical term is “resilient”.
So, here it is.
My 21 Tips on Keeping Your Shit Together During Depression
1) Know that you’re not alone. Know that we are a silent legion, who, every day face the solipsism and judgement of Happy People Who Think We Just Aren’t Trying. There are people who are depressed, people who have been depressed, and people who just haven’t been hit with it yet.
2) Understand that the Happy People are usually acting out of some genuine (albeit misguided) concern for you, that it’s coming from a good place, even if the advice feels like you’re being blamed for your disease. Telling you these things makes them feel better, even if it makes you feel like shit. (If they insist on keeping it up, see #12.)
3) Enlist the help of a professional. See your doctor. You need to talk about the ugly shit, and there are people paid to listen and help you find your way to the light at the end of the tunnel.
4) Understand that antidepressants will only do so much. They’re useful, they’ll level you out and give you the time you need to figure out your own path to getting well. They can be helpful. There are lots to choose from. They may not be for you, and even if they are, they take some time to kick in. Conversely, they may not be for you. Work with your doctor.
5) Pick up a paintbrush, a pencil, an activity you got joy from in the past and re-explore that. Or, sign up for the thing you always wanted to try. There is a long history and link between depression and creativity. It’s a bright light of this condition, so utilize it to your best advantage.
6) Eat nutritionally sound, regular small meals. If you’re having trouble eating, try to focus on what you’d like to eat. I went through a whole six week episode of tomatoes and cream cheese on a bagel twice a day. Not great, but it was something – helpful context, I’m a recovered anorexic. Conversely, if all you want to do is scarf down crap, try to off-ramp it by downing a V-8 and doing #9 for 15 minutes, and see how you feel. Chucking your blood sugar all over hell’s half acre is going to make you feel worse.
7) While you’re doing #3, get some bloodwork done. If you’re low on iron or vitamin D, or if your hormone levels are doing the Macarena… these can all contribute to zapping your energy or switching your mood to Bleak As Hell.
8) If you’re in bed and the “insomnia hamsters”, as I like to call them, are on the wheel of your head, watch Nightly Business News on PBS. This has the effect of Nyquil. Swap out your coffee for herbal tea. If you just cannot sleep, try the next tip….
9) Learn how to meditate. Start by focusing on your breathing. Not sleep, not thoughts. In through the nose, out through the mouth. Meditation is focusing on being present in your body, not careening around in your brain. It may not be as good as sleep but it will give you some rest and recharge you.
10) Face a window as often as you can – at work, at home. Look out into the world. Watch. Observe. Try to find something you find pretty or interesting to focus on. And, handily remember that one in five of those people out there feel the way you do.
11) Cry. Better out than in. Sometimes it’s not convenient or career-enhancing to cry, so find a private place as best you can and let the tears go. Carry Kleenex and face wipes and extra concealer if you wear makeup. You can always claim allergies.
12) Any “friend” who resolutely believes that your depression is because you’re lazy, because you’re not trying hard enough, who blames you for not bootstrapping out of it- that friend needs to be cut off. Polite (#2) is one thing, but there is a limit. You don’t have to explain, you can just not respond. You feel badly enough, you don’t need their “assistance”.
13) Limit your time with people who drain you. You know who they are. Often you don’t have a choice- but you can put the meter on. And, subsequently, be aware of what you’re asking of those close to you.
14) Everyone has shit they’ve got to deal with. What you have been saddled with is your shit. Recognize, just as you’re not alone, you’re also not unique. The grass may look greener, you may be jealous or envious of others who don’t have to deal with depression, but you likely do not know everything that’s going on with them.
15) Let go or be dragged. This is an old Buddhist saying. It’s a very useful way to frame aspects of depression. Betrayal, anger, fear… letting go is a process – often a painful and difficult process - but it’s ultimately going to show you the path out of this terrible place. Repeating the mantra can help when you’re feeling gripped by these feelings.
16) Wear clothes that make you feel confident. It takes as much time to put on nice clothes as it does to put on sweatpants. You will want to wear the sweatpants. Fight the urge. The whole “look good/feel better” campaign isn’t limited to cancer and chemotherapy. Or women.
17) Avoid fictional drama and tragedy like the plague. No Grey’s Anatomy, no to The Notebook, or anything that won a Pulitzer prize. You’ve got enough going on In Real Life. Comedy only. Or trashy stuff. Old episodes of WonderWoman? I’ve got the box set. Mindless drivel, like the latest CGI blockbuster. Or clever, funny books. David Sedaris. Jenny Lawson. Fiction exists to elicit emotion, and the emotion you need to express most right now is laughter.
18) Simple exercise, if you can. It can be something as simple as taking the stairs up a flight, or walking around the block. It doesn’t have to be elaborate, it doesn’t have to involve climbing a mountain or running a marathon. Baby steps.
19) Depression will lie to you. Depression will try to tell you what others are thinking. That you are unloved and unworthy, that others think little of you or don’t care – or even wish you harm. You are not a psychic. Keep repeating that. “I am not a psychic”. Repeat. The only way to know what another person is thinking is to up and ask them.
20) If you are well and truly losing this battle, reach out to someone. I’ve been the random friendly-but-not-close person who has fielded the occasional outreach. I like to think I’m not judgemental and generally resourceful, and others have thought the same, so they called and asked. You know someone like me. And they will help you.
21) Forgive yourself. I’m writing out all these tips, and I can’t always muster the strength to even stick my nose outside, or walk up the stairs, or eat my vegetables. Today, I got outside for ten minutes. I will try again tomorrow. And I will try again the day after that. http://www.diycouturier.com/post/47249603128/21-tips-to-keep-your-shit-together-when-youre (via jessiawesome)
This is a really big problem for Georgia. You can’t lose eight hospitals and not have it effect your state overall.
The organization for rural hospitals in Georgia says ‘if Georgia doesn’t figure out how to stop what’s going on, how to keep it’s hospitals opened, that state is going to create a Third World nation health situation in rural parts of the state.’
Now, one way to fix this problem, of course, is to get the poor people who live in rural parts of that state to have health insurance, so that they could go to the doctor before things became an emergency, and when they did go to the doctor, the doctor and the hospital would be paid for the treatment. Radical idea, I know, this whole ‘health insurance’ thing.
The federal government has told Georgia that it will pick up 100% of the cost of getting health insurance to 600,000 people in that state who are currently uninsured. The federal government would pay 100% of the cost of that for three years, and 90% of the cost thereafter, and even though Georgia’s hospitals are dropping like flies, losing the fight to stay opened, as they struggle to treat that state’s poor, rural population which doesn’t have health insurance and can’t pay for the treatment out of pocket, even as that’s happening. They’ve lost eight hospitals, Georgia republicans have said ‘no’.
They’ve said no to covering 600,000 more people in the state, at no cost to the state.
They’ve said no to that deal.
The governor of that state, is named Deal. It’s Nathan Deal, and now Governor Deal of Georgia has proposed a new solution to Georgia’s vexing problem of all it’s hospitals shutting down:
If the rural hospitals are shutting down, because they have to treat people at the emergency room, but none of these uninsured patients can pay for that treatment, if that is the crux of the problem, well rather than turning those uninsured patients into people who can pay, by giving them insurance, Governor Deal has decided ‘You know what, let’s fix the other side of this problem. Let’s fix the Ronald Reagan side of this problem. Let’s repeal the requirement that hospitals have to treat people.’
That’s his big idea, that would do it. Georgia Governor Nathan Deal has now proposed this. He is turning down the option that would 600,000 more people in his state to have health insurance. He is turning that down and instead is proposing that the solution problems is for the federal government to repeal the Reagan Era law that says ‘if you turn up at the hospital while you’re in labor, or while you’re having a heart attack, that hospital has to treat you.’
That’s a federal law, he is asking federal officials to move to repeal it, because that would be good for Georgia.
The governor said that revisiting that specific law is what congress should do “if they really want to get serious about lowering the cost of healthcare in this country.”
When the paper in Noonan, Georgia called the Noonan Times-Herald, when they published Governor Deal’s proposal on that issue this week, they said that what the governor wants to do is get rid of the rule that says that emergency rooms have to treat sick people, the first comment on that article was this:
'Why yes, that is a way to cut medical spending: let the poor die.”
02/28/2013 on Georgia Governor Nathan Deal’s proposal to repeal the Reagan Era “Emergency Medical Treatment and Labor” act. (via misterdelfuego)
Governor Nathan Deal is a horrendous deal for Georgia. He needs removed from office.
I promise not to tell you that it’s because they like you.
when the teachers call home to tell me that
you pushed them to the ground in return
I’ll take you out of school early and buy
you your favorite ice cream.
when you get older and the boys
try to touch you when you don’t want to be touched
I’ll look at you like the sun when you come home
with anger in your fists.
they all tell you not to fight fire with fire
but that is only because they are afraid of your flames.
when the boys yell after you like hyenas
you yell back, baby.
I will not teach you to be afraid of your anger
so that you look for it in others.
I will not make you be the better person
because you already are.
you wanna fight ‘em? fight ‘em.
don’t you dare apologize for the fierce love
you have for yourself
and the lengths you go to preserve it.
when the boys try to tell you to soften up
I hope you make them bleed with your edges.
I hope you remember that you are not theirs
that their disappointment in you is not yours.
when the boys come to your door with pretty words and
I hope you show them the anger in yours.
I hope you show them just how strong your mommy
thinks you are.
I hope you show them the animal they can’t always
see in their own reflection.
when the boys come with the intention of hurting you
my advice will always stay the same, my darling:
give ‘em hell.
I will tell this to my daughter.
I hope you remember that you are not theirs
that their disappointment in you is not yours.
Things people with Social Anxiety do
•go to the bathroom to escape
•feel very uncomfortable without a phone or some other crutch
•dwell on a small awkward moment for much longer than necessary
•never go to any social event without a person that makes you feel comfortable
•follow said person way too much
•worry about the person beginning to find you obnoxious
•faking an illness to get out of a social event