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Depression lies

wilwheaton.net

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Re: Depression lies

#52

I'd also recommend reading psychologist Martin Seligman's book "What You Can Change and What You Can't", which covers a variety of mental health issues from sexual fetishes to fear of spiders to schizophrenia, and the treatment options available for each. Cognitive behavioral therapy teaches people to recognize negative thoughts ("I failed the test because I'm stupid"), dispute the thought ("If I'm stupid, how did I…

Does it really work? My guess is that's just how slim people tell fat people that laziness got them fat and so they should do more exercise, i.e. people that never suffered from a certain condition giving advice to people suffering from that condition. " I failed the test because I'm stupid " - that's just how I felt when I got rejected after an onsite interview with a certain company that's renowned for its hiring s…

Studies have shown the two to have the same effectiveness rate at treating depression, around 50%.

It turns out it is actually healthy to pass the blame. I'd suggest reading one of Seligman's other books, Learned Optimism, for more, but in studies of people in high-pressure situations (freshman year at Army, cold call insurance salesman at MetLife, etc), the most successful people are the ones who externalize (blame others for) negative events and internalize (credit themselves for) positive events. It may not be an accurate view of the world, but then again, depressed people score higher on assessing the world accurately than non-depressed people, so it's not clear seeing the world accurately is that helpful.

When bad things happen to me I make a concerted effort to blame other people or one-off events ("the company I was interviewing at went through a reorganization or promoted an internal person/it was just bad luck they asked about the same origin policy/whatever"), and when good things happen to me I credit myself ("I got the job because I'm smart, I work hard, and people like being around me.") When I say it like that it sounds a little silly, but so is not making moves in your career or your personal life that clearly make sense, because you don't think you're good enough.

Like anything, CBT takes practice. Eventually you want to get to the point where you do the recognition and disputation automatically, like tying your shoes or typing the letter 'e'.

I wrote more about it here: http://kev.inburke.com/kevin/lectures-for-basketball-coaches...

Re: Depression lies

#54
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We have an incredible capacity for denial and self-deception. For years, I would periodically drop into severe depression; I would stop sleeping, stop eating, stop answering my phone or email. I wouldn't leave my room for weeks on end; on a few occasions I was so successfully reclusive that people worried that I disappeared or died called the police to investigate. A few times I almost did die; I think the biggest re…

Knowing you "have a problem" doesn't mean you or anyone understands the problem or what to do about it. And even if you know what to do, doesn't mean you can do it either, the psychological, social or just practical barriers can be impossible to climb. Medication has a statistical significant effect, but is often marginal at best, and most of the effect is placebo. And this assumes an accurate diagnosis, and don't co…

luriel, you added considerably to your post since I first replied, and I feel like it now merits a different response. I agree with almost everything you've said, but feel like your criticism is misdirected and may do more harm than good.

Knowing you have a psychological issue is like knowing your application is crashing for some customers. You might have only vague guesses as to what the triggers are, and no understanding of what's actually going on or how to fix it. But now you are in a position to assess the cost and allocate resources to fix the problem. Maybe it will take years of man-hours (in either case) to handle the problem, but now you have a place to start.

I don't think Wil was telling people to take medicine; I certainly wasn't. The only thing I'd like to emphasize is that Depression is a problem that can be addressed. Don't ignore it. If you have a problem with Depression, do your research; find out what helps, and what doesn't. Stop treating your mental state like it's an immutable part of your environment: change your environment and your behaviors as you discover what you need to be healthier.

"Changes to your environment" might include drugs, and even they don't work over the long term, they might temporarily be enough of a lifeline to help you get to a point where you can start hacking at the problem in other ways. Doctors can be helpful guides on this path; sometimes they're not helpful, but in aggregate, I believe they help more than they hurt. Scaring people away from seeing a doctor by telling them that they'll be locked up in a kafkian institution against their will is liable to prevent people from getting help. Of course this has happened, and continues to happen, but it's rare. I think a much more common (and in aggregate, more serious) mode of failure is people's belief that the doctor is in charge of curing them---that the drugs are all it takes---and that they can't or don't need to work on themselves.

Re: Depression lies

#57
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Earlier quoted context omitted.

Knowing the problem is depression and learning to recognize how depression affects me has led to big improvements for me. It doesn't stop me from getting depressed and believing all the same old lies, but when the depression lifts, I get to enjoy not being depressed right away. Before I understood depression, the lies depression taught me tended to stick around. They were part of how I thought even when I wasn't depr…

Absolutely. I haven't seen anybody mention David Burns' book "Feeling Good" but it probably saved my life from a descent into insanity. It's my "bible" now. I knew something was completely and absolutely wrong with my self-destructive thought patterns but didn't understand what until I learned about Cognitive Behavioral Therapy (CBT). A sad observation: everytime I encounter a struggling friend with dysfunctional tho…

I do think it is great you take the time to help them like that; I also think this isn't something you should be doing, basically taking them through a "mini therapy".

Now, granted, the line between "I just wanted to cheer them up" and "I showed them CBT" can be blurry but as soon as you take it onto yourself to actively make them better, I'd say you are strolling down a path you shouldn't. The main reason being I doubt you are an expert. The other reason being that it can affect you because you are close to them. And lastly I do not think just one such hint in the right direction is going to help the person suffering. Practically all therapists and people who have ever taken therapy will tell you just how much it feels like 1 small step forward 2 steps back, how much of a constant struggle it is. Changing a behavior is never easy, much less so if it is something that was "programmed" into you since you were a child, something that is your very view of the world. Understanding the mechanisms and a few techniques of CBT can be empowering, absolutely, but it takes so much more to actually make them work and work in the long run, to actually make you feel better and get out of that hole or to change... and not all people have that much energy or ability to introspect and watch themselves what they are doing AND then come up with ways of making it stop. Maybe in the long run it would be more helpful for them to just seek therapy?

Re: Depression lies

#58

Forgive the disposable account, I am a long-time registered user with high karma but even I think that once in a while there is a topic that requires anonymity (or at least further pseudonymity). I do not feel I suffer from depression, yet I think of suicide frequently. Frequently as in, once every couple of days to several times a day, for as long as I remember. Frequently these are just passing thoughts, of how I m…

Thank you for the reminder of the gift. Sometimes I also consider working to delay the extinction of humanity to be a good reason. Joy would be, and is for some.

I just requested the Myth of Sisyphus from the library. If you haven't read it, you might try Ernest Becker's "Denial of Death". http://en.wikipedia.org/wiki/The_Denial_of_Death

--Cronopio cronopio cronopio.

May your solitude be less embittered.

Re: Depression lies

#59
post #48

Until about 2 years ago I had a long period of heavy depression. At that time, thoughts about suicide did cross my mind often. This depression was partly caused due to a post traumatic stress syndrome. In his article Wil states that he wasn't very interested in using medicine and I shared the same thought. I did went to a shrink though and eventually we agreed that instead of medication I would go outside more, eat m…

Do that, and also get some drugs.

Re: Depression lies

#60

one in four adults suffer from a diagnosable mental disorder in a given year This is something that frightens me. What is a "diagnosable mental disorder"? I'm willing to bet this statement was far from true 50 or a 100 years ago. Not because I think people got more depressed or anxious, but rather because we're looking harder to "diagnose" things. I think there's a big danger, especially in psychological afflictions,…

>This is something that frightens me. What is a "diagnosable mental disorder"? I'm willing to bet this statement was far from true 50 or a 100 years ago. Not because I think people got more depressed or anxious, but rather because we're looking harder to "diagnose" things.

Eh, 50-100 years ago, we couldn't do anything about it, so why bother? now we can do something about it, and I think that's a good thing.

> I also never considered that I may have/have had ADD now/as a kid but now people tell me I should "get that checked out" all the time.

Really? in America? Generally speaking, telling someone else they should see a mental health professional is considered extremely rude, especially for something that is obviously not life-threatening (for instance, ADD. Irritating, but unlikely to kill you.) I mean, that's considered rude in the same way telling someone that they need to lose weight is rude; yeah, it might be true, and eh, the person might even need to hear it, but unless you are the person's doctor or you are /very/ close, it's a very rude thing to say.

(note, though, if you do suffer from ADD... I can plot income when I am treated and when I am not treated? the objective difference is... dramatic. Of course, side effects are unpleasant, but the difference is so dramatic I can usually get away with 6 months on, get a lot done, then coast for the next 6-12 months.)

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