Concealed Depression Quotes

Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say “My tooth is aching” than to say “My heart is broken.

Like HIV, depression was a king at playing hide-and-seek. It concealed itself in reservoirs deep inside the mind, waiting for the walls you built around it to eventually erode. Depression could be at undetectable levels for months or years. You'd be all happy and stable and think you were cured, you were a survivor, and then BAM, out of nowhere it resurged.

The frequent attempt to conceal mental pain increases the burden: it is easier to say 'My tooth is aching' than to say 'My heart is broken.'"[21]

Once I ventured the guess that men worked in response to a vague inner urge for self-expression. But that was probably a shaky theory, for some men who work the hardest have nothing to express. A hypothesis with rather more plausibility in it now suggests itself. It is that men work simply in order to escape the depressing agony of contemplating life – that their work, like their play, is a mumbo-jumbo that serves them by permitting them to escape from reality. Both work and play, ordinarily, are illusions. Neither serves any solid or permanent purpose. But life, stripped of such illusions, instantly becomes unbearable. Man cannot sit still, contemplating his destiny in this world, without going frantic. So he invents ways to take his mind off the horror. He works. He plays. He accumulates the preposterous nothing called property. He strives for the coy eyewink called fame. He founds a family, and spends his curse over others. All the while the thing that moves him is simply the yearning to lose himself, to forget himself, to escape the tragic-comedy that is himself. Life, fundamentally, is not worth living. So he confects artificialities to make it so. So he erects a gaudy structure to conceal the fact that it is not so.

There's a crack in my mind, That I don't know how to heal. There are demons in my head, People tell me are not real. The voices are my own, Speaking words I don't believe. Convincing me I'm worthless, And that everyone will leave. You want me to be better, Don't you think I want the same? But you've convinced yourself it's nothing, Or that I'm the one to blame. So I'll tell you that I'm 'fine,' Because that's all you want to hear. And I'll conceal it with a smile, While hiding all the fear. I'll bury all the feelings, And I'll cut out all the pain. But that won't mean I'm healed, I've just chosen to not 'complain.' Because being sad was only half of it, And it was not the half to kill. The downfall began when I started to feel nothing, When I slowly lost my will.

You speak as if you envied him." "And I do envy him, Emma. In one respect he is the object of my envy." Emma could say no more. They seemed to be within half a sentence of Harriet, and her immediate feeling was to avert the subject, if possible. She made her plan; she would speak of something totally different—the children in Brunswick Square; and she only waited for breath to begin, when Mr. Knightley startled her, by saying, "You will not ask me what is the point of envy.—You are determined, I see, to have no curiosity.—You are wise—but I cannot be wise. Emma, I must tell you what you will not ask, though I may wish it unsaid the next moment." "Oh! then, don't speak it, don't speak it," she eagerly cried. "Take a little time, consider, do not commit yourself." "Thank you," said he, in an accent of deep mortification, and not another syllable followed. Emma could not bear to give him pain. He was wishing to confide in her—perhaps to consult her;—cost her what it would, she would listen. She might assist his resolution, or reconcile him to it; she might give just praise to Harriet, or, by representing to him his own independence, relieve him from that state of indecision, which must be more intolerable than any alternative to such a mind as his.—They had reached the house. "You are going in, I suppose?" said he. "No,"—replied Emma—quite confirmed by the depressed manner in which he still spoke—"I should like to take another turn. Mr. Perry is not gone." And, after proceeding a few steps, she added—"I stopped you ungraciously, just now, Mr. Knightley, and, I am afraid, gave you pain.—But if you have any wish to speak openly to me as a friend, or to ask my opinion of any thing that you may have in contemplation—as a friend, indeed, you may command me.—I will hear whatever you like. I will tell you exactly what I think." "As a friend!"—repeated Mr. Knightley.—"Emma, that I fear is a word—No, I have no wish—Stay, yes, why should I hesitate?—I have gone too far already for concealment.—Emma, I accept your offer—Extraordinary as it may seem, I accept it, and refer myself to you as a friend.—Tell me, then, have I no chance of ever succeeding?" He stopped in his earnestness to look the question, and the expression of his eyes overpowered her. "My dearest Emma," said he, "for dearest you will always be, whatever the event of this hour's conversation, my dearest, most beloved Emma—tell me at once. Say 'No,' if it is to be said."—She could really say nothing.—"You are silent," he cried, with great animation; "absolutely silent! at present I ask no more." Emma was almost ready to sink under the agitation of this moment. The dread of being awakened from the happiest dream, was perhaps the most prominent feeling. "I cannot make speeches, Emma:" he soon resumed; and in a tone of such sincere, decided, intelligible tenderness as was tolerably convincing.—"If I loved you less, I might be able to talk about it more. But you know what I am.—You hear nothing but truth from me.—I have blamed you, and lectured you, and you have borne it as no other woman in England would have borne it.—Bear with the truths I would tell you now, dearest Emma, as well as you have borne with them. The manner, perhaps, may have as little to recommend them. God knows, I have been a very indifferent lover.—But you understand me.—Yes, you see, you understand my feelings—and will return them if you can. At present, I ask only to hear, once to hear your voice.

Caught in the center of a soundless field While hot inexplicable hours go by What trap is this? Where were its teeth concealed? You seem to ask. I make a sharp reply, Then clean my stick. I'm glad I can't explain Just in what jaws you were to suppurate: You may have thought things would come right again If you could only keep quite still and wait.

Whatever you are physically, male or female, strong or weak, ill or healthy - all those things matter less than what your heart contains. If you have the soul of a warrior, you are a warrior. Whatever the color, the shape, the design of the shade that conceals it, the flame inside the lamp remains the same. YOU are the flame. That's what I believe.

Nuala, on the other hand, exerts influence over her husband and children primarily through a tendency to become irrationally anxious and ‘upset’. Much of the family life has therefore always been arranged around their collective efforts to prevent Nuala from becoming ‘upset’, which involves concealing from her, by almost any means necessary, the existence of any problems or potential conflicts within the family circle. Nuala lives, to some degree, in a fictitious world acted out for her by a special dramatic troupe consisting of her own children and husband, a world in which none of her loved ones have ever been unhappy, sick, depressed, disappointed, hurt, anxious or frightened. But this, in Anna’s view, has also had the perverse effect of making Nuala feel as if her own anxieties are in fact the only anxieties that anyone on earth has ever experienced, and that her suffering is something she alone, the only unhappy person in a world of thriving and self-confident individuals, can understand.

Our world was a battleground on which good and evil clashed, and many of the combatants on the dark side were known to everyone. Terrorists, dictators, politicians who were merchants of lies and hate, crooked businessmen in league with them, power-mad bureaucrats, corrupted policemen, embezzlers, street thugs, rapists, and their ilk waged part of the war, and their actions were what made the evening news so colorful and depressing. But those fighting in that dark army had their secret schemes, too, intentions and desires and goals that would make their public villainy seem almost innocent by comparison. They were assisted by other politicians who concealed their hatred and envy, by judges who secretly had no respect for the law, by clergymen who in private worshipped nothing but money or the tender bodies of children, by celebrities who trumpeted their concern for the common man while in their off-screen lives assiduously hobnobbing with and advancing the interests of the elite of elites.… The war unseen by most people was one of clandestine militias, unincorporated businesses, unchartered organizations, philosophical movements that could not survive fresh air and sunlight, secretive coalitions of lunatics who didn’t recognize their own lunacy, nature cults and science cults and religious cults.

I want to say that yes, it was worth it; that I could suffer through pain and torture for her and go through a lot more than what Puck and his friends are capable of, and I can do it for all of eternity; suffer, until she realizes how much I love her. But she’s gone before I can say any of it. I wait till she’s left. And then I reach for my wallet. Hidden inside one of the flaps is a piece of paper that barely conceals a razorblade. Its frayed edges still have my blood on them. The blood is from the previous cuts I’ve made and I carry it around like a trophy, like Dexter carries around his victims’ blood on slides. I use that blade to give myself a cut and it starts bleeding. Right away, it feels as though the pressure that has been building inside me ever since that confrontation with Puck is lifted. I feel free again.

i was once swallowed in a dark shroud of fear, pain, and self-loathing which i believed i couldn’t voice because if i spoke of my loneliness would it not prove my uselessness? light could not break the shadows unless i asked for help and when i finally became so lost i reached out in desperation for even the smallest guidance every tearful thought i had hidden was exposed in all of its falsehood depression is not the problem it’s when we choose to conceal it -My Relationship with Depression

And then there are colors. The truth is that the brain knows far less about colors than one might suppose. It sees more or less clearly what the eyes show it, but when it comes to converting what it has seen into knowledge, it often suffers from one might call difficulties in orientation. Thanks to the unconscious confidence of a lifetime's experience, it unhesitatingly utters the names of the colors it calls elementary and complementary, but it immediately lost, perplexed and uncertain when it tries to formulate words that might serve as labels or explanatory markers for the things that verge on the ineffable, that border on the incommunicable, for the still nascent color which, with the eyes' other bemused approval and complicity, the hands and fingers are in the process of inventing and which will probably never even have its own name. Or perhaps it already does -- a name known only to the hands, because they mixed the paint as if they were dismantling the constituent parts of a note of music, because they became smeared with the color and kept the stain deep inside the dermis, and because only with the invisible knowledge of the fingers will one ever be able to paint the infinite fabric of dreams. Trusting in what the eyes believe they have seen, the brain-in-the-head states that, depending on conditions of light and shade, on the presence or absence of wind, on whether it is wet or dry, the beach is white or yellow or olden or gray or purple or any other shade in between, but then along comes the fingers and, with a gesture of gathering in, as if harvesting a wheat field, they pluck from the ground all the colors of the world. What seemed unique was plural, what is plural will become more so. It is equally true, though, that in the exultant flash of a single tone or shade, or in its musical modulation, all the other tones and shades are also present and alive, both the tones or shades of colors that have already been name, as well as those awaiting names, just as an apparently smooth, flat surface can both conceal and display the traces of everything ever experience in the history of the world. All archaeology of matter is an archaeology of humanity. What this clay hides and shows is the passage of a being through time and space, the marks left by fingers, the scratches left by fingernails, the ashes and the charred logs of burned-out bonfires, our bones and those of others, the endlessly bifurcating paths disappearing off into the distance and merging with each other. This grain on the surface is a memory, this depression the mark left by a recumbent body. The brain asked a question and made a request, the hand answered and acted.

Rubens discovered a peculiar thing: memory does not make films, it makes photographs. What he recalled from any of the women were at most a few mental photographs. He didn't recall their coherent motions; he visualized even their short gestures not in all their fluent fullness, but only in the rigidity of a single second. His erotic memory provided him with a small album of pornographic pictures but no pornographic film. And when I say an album of pictures, that is an exaggeration, for all he had was some seven or eight photographs. These photos were beautiful, they fascinated him, but their number was after all depressingly limited: seven, eight fragments of less than a second each, that's what remained in his memory of his entire erotic life, to which he had once decided to devote all his strength and talent. I see Rubens sitting at a table with his head supported on the palm of his hand, looking like Rodin's Thinker. What is he thinking about? If he has made peace with the idea that his life has narrowed down to sexual experiences and these again to only seven still pictures, seven photographs, he would at least like to hope that in some corner of his memory there may be concealed some eighth, ninth, or tenth photograph. That's why he is sitting with his head leaning on the palm of his hand. He is once again trying to evoke individual women and find some forgotten photograph for each one of them.

wooded area, eventually making his way to the road that led to the hanging tree. Once there, he simply followed the path the truck had taken on previous trips, walking briskly, but not so fast as to attract attention. There was precious little to attract anyway on a hot Sunday shortly after dawn. Most miners and Peacekeepers would not rise for hours. After a few miles, he reached the depressing field and broke into a run for the hanging tree, eager to conceal himself in the woods. There was no sign of Lucy Gray, and as he passed under the branches, he wondered if in fact he’d misinterpreted her message and should have headed to the Seam instead. Then he caught a glimpse of orange and tracked it to a clearing. There she stood, unloading a stack of bundles from a small wagon, his scarf wound in a fetching manner around her head. She ran over and hugged him, and he responded even though it felt too hot for an embrace. The kiss that followed put him in a better mood. His hand went to the orange scarf in her hair. “This seems very bright for fugitives.” Lucy Gray smiled. “Well, I don’t want you to lose me. You still up for this?” “I have no choice.” Realizing that sounded halfhearted, he added, “You’re all that matters to me now.” “You, too. You’re my life now. Sitting here, waiting for you to show up, I realized I’d never really be brave enough to do this without you,” she admitted. “It’s not just how hard it will be. It’s too

But as men farther exalt their idea of their divinity, it is their notion of his power and knowledge only, not of his goodness, which is improved. On the contrary, in proportion to the supposed extent of his science and authority, their terrors naturally augment; while they believe, that no secrecy can conceal them from his scrutiny, and that even the inmost recesses of their breast lie open before him. They must then be careful not to form expressly any sentiment of blame and disapprobation. All must be applause, ravishment, extacy. And while their gloomy apprehensions make them ascribe to him measures of conduct, which, in human creatures, would be highly blamed, they must still affect to praise and admire that conduct in the object of their devotional addresses. Thus it may safely be affirmed, that popular religions are really, in the conception of their more vulgar votaries, a species of dæmonism; and the higher the deity is exalted in power and knowledge, the lower of course is he depressed in goodness and benevolence; whatever epithets of praise may be bestowed on him by his amazed adorers. Among idolaters, the words may be false, and belie the secret opinion: But among more exalted religionists, the opinion itself contracts a kind of falsehood, and belies the inward sentiment. The heart secretly detests such measures of cruel and implacable vengeance; but the judgment dares not but pronounce them perfect and adorable. And the additional misery of this inward struggle aggravates all the other terrors, by which these unhappy victims to superstition are forever haunted.

There is some quite trivial, distant noise; a sound, moreover, which has nothin to do with me, to which there is not the slightest need for me to pay any attention; yet it suffices to wake me, and in no gentle way, either, but savagely, violently, shockingly, like an air raid alarm. The wheels, my masters, are already vibrating with incipient motion; the whole mechanism is preparing to begin the monotonous, hateful functioning of which I am the dispirited slave. I began to feel that if I did not succeed in breaking out of the loathsome circle I should suddenly become mad, scream, perpetrate some shocking act of violence in the open street. But worst of all was the knowledge that the laws of my temperament would forbid me even a relief of this kind. I was inexorably imprisoned behind my own determination to display no emotion whatever. Now I saw that I was in a street which I did not know very well. Night had fallen, the lights glowed mistily through a thin haze. It was as though, in some mysterious way, I had become the central point around which the night scene revolved. People walking on the pavement looked at me as they passed. Some with pity, some with detached interest, some with more morbid curiosity. Some appeared to make small, concealed sights, but whether these were intended for warning or encouragement I could not be sure. The windows lighted or unlighted, were like eyes more or less piercing, but all focused upon me. The houses, the traffic, everything in sight, seemed to be watching to see what I would do. To wait — with no living soul in whom to confide one's doubt, one's fears, one's relentless hope. Some secret court must have tried and condemned me, unheard, to this heavy sentence. Coiling itself round me it knows I cannot escape. Imprisoned in its very fabric, I am like a small worm, a parasite, which the host harbors not altogether unwillingly. A human being can only endure depression up to a certain point. When this point of saturation is reached it becomes necessary for him to discover some element of pleasure. No matter how humble or on how low a level, in his environment if he is to go on living at all.

FROM THE WAVERLEY KITCHEN JOURNAL Angelica - Will shape its meaning to your need, but it is particularly good for calming hyper children at your table. Anise Hyssop - Eases frustration and confusion. Bachelor’s Button - Aids in finding things that were previously hidden. A clarifying flower. Chicory - Conceals bitterness. Gives the eater a sense that all is well. A cloaking flower. Chive Blossom - Ensures you will win an argument. Conveniently, also an antidote for hurt feelings. Dandelion - A stimulant encouraging faithfulness. Frequent side effects are blindness to flaws and spontaneous apologies. Honeysuckle - For seeing in the dark, but only if you use honeysuckle from a brush of vines at least two feet thick. A clarifying flower. Hyacinth Bulb - Causes melancholy and thoughts of past regrets. Use only dried bulbs. A time-travel flower. Lavender - Raises spirits. Prevents bad decisions resulting from fatigue or depression. Lemon Balm - Upon consumption, for a brief period of time the eater will think and feel as he did in his youth. Please note if you have any former hellions at your table before serving. A time-travel flower. Lemon Verbena - Produces a lull in conversation with a mysterious lack of awkwardness. Helpful when you have nervous, overly talkative guests. Lilac - When a certain amount of humility is in order. Gives confidence that humbling yourself to another will not be used against you. Marigold - Causes affection, but sometimes accompanied by jealousy. Nasturtium - Promotes appetite in men. Makes women secretive. Secret sexual liaisons sometimes occur in mixed company. Do not let your guests out of your sight. Pansy - Encourages the eater to give compliments and surprise gifts. Peppermint - A clever method of concealment. When used with other edible flowers, it confuses the eater, thus concealing the true nature of what you are doing. A cloaking flower. Rose Geranium - Produces memories of past good times. Opposite of Hyacinth Bulb. A time-travel flower. Rose Petal - Encourages love. Snapdragon - Wards off the undue influences of others, particularly those with magical sensibilities. Squash and Zucchini Blossoms - Serve when you need to be understood. Clarifying flowers. Tulip - Gives the eater a sense of sexual perfection. A possible side effect is being susceptible to the opinions of others. Violet - A wonderful finish to a meal. Induces calm, brings on happiness, and always assures a good night’s sleep.

Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say ‘My tooth is aching’ than to say ‘My heart is broken.’” - C.S. Lewis

Could the common feeling that “we don’t know what to say” to our depressed friend conceal an ancient inherited instinct to recoil from close contact with people who are behaving as if they are inflamed and potentially infectious?

She didn’t want to be angry. But if she let go of her anger, she’d be left with the overwhelming sense of emptiness and depression.

Far from starting with the premise that the authorities tell the truth, a depressingly large number of people now accept as a given that the government constantly lies. If it does not actively lie, many are persuaded, it conceals the truth.

Concealed was the terrible dark reality, whispering to the soul.

April 2012 Mixed feelings rose when I read Aria’s email. On one hand, I was relieved to know Andy was well and alive, but on the other I was afraid. I had not connected with my ex-lover, and the prospect of reconnecting with him was closing in by the minute. I wouldn’t know how to react if and when he wrote. It had been extremely painful for us after our separation. I had plunged into the deep end trying to find the love we shared. For more than a year and half, I lived a double life through a series of licentious sexual encounters, often visiting underground sex clubs; it brought nothing but further depression. I was desperately trying to find the kind of unconditional stability, mentorship, and companionship my ‘big brother’ had so lovingly provided. I, being stubborn, faced a myriad of difficulties without my soulmate’s guiding presence. Not admitting defeat, I told myself that if I could survive alone in a major metropolis, I could survive anywhere in the world. As much as I hated this hellacious experience, it also strengthened my courage in the face of adversity. My single-mindedness to succeed in my chosen career saved me from sinking into progressive deterioration. Now, a possible reconnection with Andy would open years of concealed wounds that I might not be able to reconcile. The best solution I knew was to sleep on my fears and meditate on the problem until an answer arrived without active participation on my part.

The occasion was muted, the generals gracious. These were soldiers, and they understood one another. In defeat Lee was stoic; in victory, Grant was sympathetic. “As he was a man of much dignity, with an impassable face,” Grant recalled of Lee, “it was impossible to say whether he felt inwardly glad that the end had finally come, or felt sad over the result and was too manly to show it. Whatever his feelings they were entirely concealed from my observation; but my own feelings…were sad and depressed. I felt like anything rather than rejoicing at the downfall of a foe who had fought so long and valiantly, and had suffered so much for a cause, though that cause was, I believe, one of the worst for which a people ever fought.

Many adoptees try to convince themselves and others that they have no special needs. They are masters at keeping that vulnerable place within themselves concealed. However, beneath the surface there is often depression. Rage. Bewilderment. Confusion about identity. Fear of loss. Shame. Lack of direction. Lack of emotional stamina. Low stress tolerance. Floating anxiety.

It concealed itself in reservoirs deep inside the mind, waiting for the walls you built around it to eventually erode. Depression could be at undetectable levels for months or years. You’d be all happy and stable and think you were cured, you were a survivor, and then BAM, out of nowhere it resurged.

Even as depression and anxiety, or else simple dissatisfaction with the state of things, are as prevalent as ever, we are urged to get over these feelings, to recover from them, to bounce back quickly, or else to conceal them. To do otherwise is to embrace the “fail.” You are not following the rules. Start acting like a happy winner or you might become a depressed loser forever.

One needs to realize that the symptoms of vital depression are often not spontaneously mentioned … They are often concealed by other symptoms which may seem to be more severe. They may not come to the patient’s mind even with questioning. Patients admit to these symptoms only as the links of an integral whole in a dialogue that is free and comprehensible.

Structural truth at all costs war their motto and all buildings which attempted to conceal the true nature of their construction, or to disguise the materials in which they were carried out, stood convicted of acting a lie. That a high proportion of the buildings which many generations of man-kind had agreed to regard as masterpieces failed to reach this exalted standard was held to be quite irrelevant. Unfortunately the new theory did not in practice prove quite so easy to carry out satisfactorily as hoped. Simplicity is not invariably and on every occasion a virtue, and while desperate attempts to lend some transient interest to a hopelessly uninspired structure by a top-dressing of cornice and pilasters are doubtless reprehensible, the bright, unvarnished truth tends too often to be even more depressing. After all few of us, by and large, look our best in the nude.

From the outside, looking at a woman objectively, there’s no obvious single transition point which marks the beginning of this odyssey. Menarche, the first occurrence of menstruation and a gateway to adulthood, is easily identifiable; pregnancy, a gateway to motherhood, is even more visible. But the features of menopause — that final, great biological upheaval in a woman’s life — aren’t nearly so obvious from the outside and are often deliberately concealed. To add to the complexity, the passage lasts for a much longer period of time. Usually, it starts during our “midlife” years. Perimenopause, sometimes called “menopause transition,” kicks off several years before menopause itself, and is defined as the time during which our ovaries gradually begin to make less estrogen. This usually happens in our forties, but in some instances it can begin in our thirties or, in rare cases, even earlier. During perimenopause, the ovaries are effectively winding down, and irregularities are common. Some months women continue to ovulate — sometimes even twice in the same cycle — while in other months no egg is released. Though four to six years is the average span, perimenopause can last for as little as a year or it can go on for more than ten. Menopause is usually declared after twelve months have passed without a period. In the US, the average age at which menopause is recorded is fifty-one years, though around one in a hundred women reach this point before the age of forty. Four years is the typical duration of menopause, but around one in ten women experiences physical and psychological challenges that last for up to twelve years — challenges which include depression, anxiety, insomnia, hot flashes, night sweats, and reduced libido. Sometimes, these challenges are significant; at their most severe they can present as risks to physical or mental health, and women need help to manage them.

For most of us it may require a crisis of some kind before we question the veracity and solidity of the self-concept we act from, before it even occurs to us that it might conceal something truer about us. Such crises might take the form of some relational catastrophe such as a divorce or near divorce; a debilitating addiction that disrupts our functioning, such that we can no longer ignore or tolerate it; the midlife bewilderment that may befog our forties or fifties; a sudden depression that ensnares us as we go along what we thought was our merry way; or a medical affliction,

Practicing telling the truth. Tell too many lies, it will be hard for you to keep up with what you have said. Concealing a truth, can lead to anxiety, stress, and depression

You’d better muse over your lessons and sums,” said Marilla, concealing her delight at this development of the situation. “If you’re going back to school I hope we’ll hear no more of breaking slates over people’s heads and such carryings on. Behave yourself and do just what your teacher tells you.” “I’ll try to be a model pupil,” agreed Anne dolefully. “There won’t be much fun in it, I expect. Mr. Phillips said Minnie Andrews was a model pupil and there isn’t a spark of imagination or life in her. She is just dull and poky and never seems to have a good time. But I feel so depressed that perhaps it will come easy to me now. I’m going round by the road. I couldn’t bear to go by the Birch Path all alone. I should weep bitter tears if I did.” Anne was welcomed back to school with open arms. Her imagination had been sorely missed in games, her voice in the singing and her dramatic ability in the perusal aloud of books at dinner hour. Ruby Gillis smuggled three blue plums over to her during testament reading; Ella May MacPherson gave her an enormous yellow pansy cut from the covers of a floral catalogue—a species of desk decoration much prized in Avonlea school. Sophia Sloane offered to teach her a perfectly elegant new pattern of knit lace, so nice for trimming aprons. Katie Boulter gave her a perfume bottle to keep slate water in, and Julia Bell copied carefully on a piece of pale pink paper scalloped on the edges the following effusion: When twilight drops her curtain down And pins it with a star Remember that you have a friend Though she may wander far.

Exercise as Medicine More than 1000 trials have examined the relationship between exercise and depression, and most have demonstrated an inverse relationship between them.13,14 Physical activity may also prevent the initial onset of depression.15,16 Regularly performed exercise is as effective an antidepressant as psychotherapy or pharmaceutical approaches.13,17–21 Well-designed studies also support that exercise combined with pharmacologic treatment is superior to either alone, but exercise appears to be superior in maintaining therapeutic benefit and preventing recurrence of depression.22–26 Evidence provides some support for the use of exercise. A recent Cochrane review (updated from 2009) included 32 studies (n=1858) involving exercise for the treatment of researcher-defined depression. From these studies, 28 randomized controlled trials (RCTs) (n=1101) were included in a meta-analysis revealing a moderate to large effect in favor of exercise over standard treatment or control. However, only four trials (n=326) with adequate allocation concealment, blinding, and ITT analysis were found, resulting in a more modest effect size in favor of exercise. Pooled data from seven trials (n=373) with long-term follow-up data also found a small clinical effect in favor of exercise.28 The additional benefits that may be attained by patients who exercise, including increased self-esteem, increased level of fitness, and reduced risk of relapse, make exercise an ideal intervention for patients suffering from depression. Both aerobic and anaerobic activities are effective.19,23,33,34 Regardless of the type of exercise, the total energy expenditure appears more important than the number of times a week a person exercises, and high-energy exercises are superior to low-energy exercises.

The problem with our society is not that democracy has not worked, but that it has, and the results are less than good.13 We have been freed to pursue happiness and “every citizen has been granted the desired freedom and material goods in such quantity and of such quality as to guarantee in theory the achievement of happiness. In the process, however, one psychological detail has been overlooked: the constant desire to have still more things and a still better life and the struggle to obtain them imprints many Western faces with worry and even depression, though it is customary to conceal such feelings

How’s it going?” People have not always greeted each other in this way: they invoked divine protection for themselves, and they did not bow before a commoner the way they bowed before a nobleman. In order for the formula “How’s it going?” to appear, we had to leave the feudal world and enter the democratic era, which presupposes a minimal degree of equality between individuals, subject to oscillations in their moods. According to one legend, the French expression “ça va?” is of medical origin: how do you defecate? A vestige of a time when intestinal regularity was seen as a sign of good health. This lapidary, standardized formality corresponds to the principle of economy and constitutes the minimal social bond in a mass society that seeks to include people from all over. But it is sometimes less a routine than a way of intimating something: we want to force the person met to situate himself, we want to petrify him, subject him to a detailed examination. What are you up to? What’s happened to you? A discreet summons that commands everyone to expose himself for what he really is. In a world that makes movement a canonical value, there is an interest in how things are going, even if we don’t know where. That’s why a “how’s it going?” that expects no answer is more human than one that is full of concern but wants to strip you bare and force you to give a moral accounting for yourself. This is because the fact of being is no longer taken for granted, and we have to pay permanent attention to our internal barometers. Are things going as well as I say, or am I embellishing them? That is why many people evade the question and move to another topic, assuming that the interlocutor is perceptive enough to discern in their “fine” a discreet depression. Then there is this terrible expression of renunciation: “Okay, I guess,” as if one had to let the days and hours pass without taking part in them. But why, after all, do things have to be going well? Asked daily to justify ourselves, it often happens that we are so opaque to ourselves that the answer no longer has any meaning other than as a formality. “You’re looking good today.” Flowing over us like honey, this compliment has the effect of a kind of consecration: in the confrontation between the radiant and the grouchy, I am on the right side. And now I am, through a bit of verbal magic, raised to the summit of a subtle and ever-changing hierarchy. But the following day another, ruthless verdict is handed down: “You look terrible today.” This observation executes me at point-blank range, deprives me of the splendid position where I thought I had taken up permanent residence. I have not proven worthy of the caste of the magnificent, I am a pariah and have to slink along walls, trying to conceal the fact that I look ill. Ultimately, “how’s it going?” is the most futile and the most profound of questions. To answer it precisely, one would have to make a scrupulous inventory of one’s psyche, considering each aspect in detail. No matter: we have to say “fine” out of politeness and civility and change the subject, or else ruminate the question during our whole lives and reserve our reply for afterward.

It is not–I can’t emphasize this enough–that we don’t have it good. Far from it. If anything, kids today are struggling under the burden of too much pampering. According to Jean Twenge, a psychologist at San Diego State University who has conducted detailed research into the attitudes of young adults now and in the past, there has been a sharp rise in self-esteem since the 1980s. The younger generation considers itself smarter, more responsible, and more attractive than ever. “It’s a generation in which every kid has been told, ‘You can be anything you want. You’re special,’” explains Twenge.29 We’ve been brought up on a steady diet of narcissism, but as soon as we’re released into the great big world of unlimited opportunity, more and more of us crash and burn. The world, it turns out, is cold and harsh, rife with competition and unemployment. It’s not a Disneyland where you can wish upon a star and see all your dreams come true, but a rat race in which you have no one but yourself to blame if you don’t make the grade. Not surprisingly, that narcissism conceals an ocean of uncertainty. Twenge also discovered that we have all become a lot more fearful over the last decades. Comparing 269 studies conducted between 1952 and 1993, she concluded that the average child living in early 1990s North America was more anxious than psychiatric patients in the early 1950s.30 According to the World Health Organization, depression has even become the biggest health problem among teens and will be the number-one cause of illness worldwide by 2030.31

One should never conceal their path to the field from their source.

Yes, it was a disturbing story. I read and became agitated. We were all serving a Lord who kept us under surveillance to see what we chose, good or evil. What an absurdity, how could one accept such a servile condition? I hated the idea that there was a Father in Heaven and we children were below, in the mud, in the blood. What sort of father was God, what sort of family that of his creatures: it frightened and at the same time infuriated me. I hated that Father who had created such frail beings, continuously exposed to suffering, so easily perishing. I hated the fact that he was watching how we puppets dealt with hunger, thirst, illness, terror, cruelty, pride, even the good sentiments that, always at risk of bad faith, concealed betrayal. I hated the fact that he had a son born of a virgin mother and subjected him to the worst, like the unhappiest of his creatures. I hated that the son, although he had the power to work miracles, used that power for games that were scarcely effective, not for anything that really improved the human condition. I hated that the son tended to mistreat his mother and didn’t have the courage to stand up to his father. I hated that the Lord God let his son die, suffering atrocious torture, and didn’t deign to respond to his cry for help. Yes, it was a story that depressed me. And the final resurrection? A horribly mutilated body that returned to life? I had a horror of the resurrected, I couldn’t sleep at night. Why have the experience of death if you are going to return to life for eternity? And what was the sense of eternal life in a crowd of resuscitated dead people? Was it really a reward, or was it a condition of intolerable horror? No, no, the Father who lived in Heaven was exactly like the unloving father of the chapters in Matthew and Luke, the one who gives stones, snakes, and scorpions to the son who is hungry and asks for bread.