Mental Distress Quotes

The thing about having a mental breakdown is that no matter how obvious it is that you're having one, it is somehow not obvious to you. I'm fine, you think. So what if I watched TV for twenty-four straight hours yesterday. I'm not falling apart. I'm just lazy. Why it's better to think yourself lazy than think yourself in distress, I'm not sure. But it was better. More than better: it was vital.

A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease.

We love being mentally strong, but we hate situations that allow us to put our mental strength to good use.

Yet I also recognize this: Even if everyone in the world were to accept me and my illness and validate my pain, unless I can abide myself and be compassionate toward my own distress, I will probably always feel alone and neglected by others.

Love can crystallize things. When love is in the air, distressing rain can become a wonderful avalanche of shimmering diamonds. Raindrops are transformed into a flood of sparkling crystal pearls. The power of love can convert rain into a multitude of glittering prisms. The mental seduction of love and a boundless illusion, inflamed by a profound uprising emotion, can change any ordinary incident into a radiant, luminous voyage. ( "Crystallization under an umbrella" )

Capitalist realism insists on treating mental health as if it were a natural fact, like weather (but, then again, weather is no longer a natural fact so much as a political-economic effect). In the 1960s and 1970s, radical theory and politics (Laing, Foucault, Deleuze and Guattari, etc.) coalesced around extreme mental conditions such as schizophrenia, arguing, for instance, that madness was not a natural, but a political, category. But what is needed now is a politicization of much more common disorders. Indeed, it is their very commonness which is the issue: in Britain, depression is now the condition that is most treated by the NHS. In his book The Selfish Capitalist, Oliver James has convincingly posited a correlation between rising rates of mental distress and the neoliberal mode of capitalism practiced in countries like Britain, the USA and Australia. In line with James’s claims, I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill?

I know that these mental disturbances of mine are not dangerous and give no promise of a storm; to express what I complain of in apt metaphor, I am distressed, not by a tempest, but by sea-sickness.

The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable. Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims. The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom. The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .

A disruption of the circadian cycle—the metabolic and glandular rhythms that are central to our workaday life—seems to be involved in many, if not most, cases of depression; this is why brutal insomnia so often occurs and is most likely why each day’s pattern of distress exhibits fairly predictable alternating periods of intensity and relief.

depression in its major stages possesses no quickly available remedy: failure of alleviation is one of the most distressing factors of the disorder as it reveals itself to the victim, and one that helps situate it squarely in the category of grave diseases.

Trauma destroys the fabric of time. In normal time you move from one moment to the next, sunrise to sunset, birth to death. After trauma, you may move in circles, find yourself being sucked backwards into an eddy or bouncing like a rubber ball from now to then to back again. ... In the traumatic universe the basic laws of matter are suspended: ceiling fans can be helicopters, car exhaust can be mustard gas.

Persons under the shock of genuine affliction are not only upset mentally but are all unbalanced physically. No matter how calm and controlled they seemingly may be, no one can under such circumstances be normal. Their disturbed circulation makes them cold, their distress makes them unstrung, sleepless.

Sometimes it seems like "pain" is too obvious a place to turn for inspiration. Pain isn't always deep, anyway. Sometimes it's awful and that's it. Or boring. Surely other things can be as profound as pain.

Be so free that nothing more than your future can distract your attention.

I am Broken single mother Disconnected lover Slow motion dresser Dark secret confessor White flag trend Professional dead end

Lincoln's story confounds those who see depression as a collection of symptoms to be eliminated. But it resonates with those who see suffering as a potential catalyst of emotional growth. "What man actually needs," the psychiatrist Victor Frankl argued,"is not a tension-less state but rather the striving and struggling of a worthwhile goal." Many believe that psychological health comes with the relief of distress. But Frankl proposed that all people-- and particularly those under some emotional weight-- need a purpose that will both draw on their talents and transcend their lives. For Lincoln, this sense of purpose was indeed the key that unlocked the gates of a mental prison. This doesn't mean his suffering went away. In fact, as his life became richer and more satisfying, his melancholy exerted a stronger pull. He now responded to that pull by tying it to his newly defined sense of purpose. From a place of trouble, he looked for meaning. He looked at imperfection and sought redemption.

Yet despite all these things we know to be true- despite the preponderance of evidence showing the mental and emotional distress people demonstrate in violent and harassing environments- we still have no name for what happens to women living in a culture that hates them.

If your mental health is sound, then when disturbances come, you will have some distress but quickly recover.

It seems both outrageous and irresponsible that so few mental health clinicians connect the epidemics of mental distress in industrial societies with the devastating impact of our suicidal destruction of our own habitat and ecocidal elimination of whole species. — Linda Buzzel and Craig Chalquist

I am glad you like what I said of Mrs. Elizabeth Fry (prison and mental hospital reformer). She is very unpopular with the clergy; examples of living, active virtue disturb our repose and give one to distressing comparisons; we long to burn her alive.

Being human, we would expel from our lives physical pain and mental anguish and assure ourselves of continual ease and comfort, but if we were to close the doors upon sorrow and distress, we might be excluding our greatest friends and benefactors. Suffering can make saints of people as they learn patience, long-suffering, and self-mastery.

With a good music and a good dance, you enhance your physical, emotional, spiritual and mental well-being.

What a distressing contrast there is between the radiant intelligence of the child and the feeble mentality of the average adult. -Sigmund Freud

Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill? The ‘mental health plague’ in capitalist societies would suggest that, instead of being the only social system that works, capitalism is inherently dysfunctional, and that the cost of it appearing to work is very high. The

On the ward there was hurt and pain so big and so deep that speech could not express it. I had been interested in philosophy, and suddenly philosophy came alive for me, for here the basic questions of human existence were not abstractions: they were embodied in human suffering

There are some people who say they’re able to ‘compartmentalize’ things, as though it is possible to put negative or distressing thoughts into neat mental drawers to be taken out only at a psychologically convenient time. It’s a beguiling idea, but I’ve never bought it. In my experience, sadness and regret seek into one’s consciousness willy-nilly, or they suddenly leap out at you with a snarl. The only real remedy is time…

What if, instead of being diagnosed—being called mentally ill—what if I had been able to receive care for its own sake. To be in distress, to ask for care, to receive it. What if there were space in this world for care.

The movement of descent and discovery begins at the moment you consciously become dissatisfied with life. Contrary to most professional opinion, this gnawing dissatisfaction with life is not a sign of "mental illness," nor an indication of poor social adjustment, nor a character disorder. For concealed within this basic unhappiness with life and existence is the embryo of a growing intelligence, a special intelligence usually buried under the immense weight of social shams. A person who is beginning to sense the suffering of life is, at the same time, beginning to awaken to deeper realities, truer realities. For suffering smashes to pieces the complacency of our normal fictions about reality, and forces us to become alive in a special sense—to see carefully, to feel deeply, to touch ourselves and our worlds in ways we have heretofore avoided. It has been said, and truly I think, that suffering is the first grace. In a special sense, suffering is almost a time of rejoicing, for it marks the birth of creative insight. But only in a special sense. Some people cling to their suffering as a mother to its child, carrying it as a burden they dare not set down. They do not face suffering with awareness, but rather clutch at their suffering, secretly transfixed with the spasms of martyrdom. Suffering should neither be denied awareness, avoided, despised, not glorified, clung to, dramatized. The emergence of suffering is not so much good as it is a good sign, an indication that one is starting to realize that life lived outside unity consciousness is ultimately painful, distressing, and sorrowful. The life of boundaries is a life of battles—of fear, anxiety, pain, and finally death. It is only through all manner of numbing compensations, distractions, and enchantments that we agree not to question our illusory boundaries, the root cause of the endless wheel of agony. But sooner or later, if we are not rendered totally insensitive, our defensive compensations begin to fail their soothing and concealing purpose. As a consequence, we begin to suffer in one way or another, because our awareness is finally directed toward the conflict-ridden nature of our false boundaries and the fragmented life supported by them.

Another key process in the cycle of suffering is experiential avoidance. It is an immediate consequence of fusing with mental instructions that encourage the suppression, control, or elimination of experiences expected to be distressing.

Almost all of our relationships begin and most of them continue as forms of mutual exploitation, a mental or physical barter, to be terminated when one or both partners run out of goods. But if the seed of a genuine disinterested love, which is often present, is ever to develop, it is essential that we pretend to ourselves and to others that it is stronger and more developed than it is, that we are less selfish than we are. Hence the social havoc wrought by the paranoid to whom the thought of indifference is so intolerable that he divides others into two classes, those who love him for himself alone and those who hate him for the same reason. Do a paranoid a favor, like paying his hotel bill in a foreign city when his monthly check has not yet arrived, and he will take this as an expression of personal affection – the thought that you might have done it from a general sense of duty towards a fellow countryman in distress will never occur to him. So back he comes for more until your patience is exhausted, there is a row, and he departs convinced that you are his personal enemy. In this he is right to the extent that it is difficult not to hate a person who reveals to you so clearly how little you love others.

A more fundamental problem with labelling human distress and deviance as mental disorder is that it reduces a complex, important, and distinct part of human life to nothing more than a biological illness or defect, not to be processed or understood, or in some cases even embraced, but to be ‘treated’ and ‘cured’ by any means possible—often with drugs that may be doing much more harm than good. This biological reductiveness, along with the stigma that it attracts, shapes the person’s interpretation and experience of his distress or deviance, and, ultimately, his relation to himself, to others, and to the world. Moreover, to call out every difference and deviance as mental disorder is also to circumscribe normality and define sanity, not as tranquillity or possibility, which are the products of the wisdom that is being denied, but as conformity, placidity, and a kind of mediocrity.

It was Freud's ambition to discover the cause of hysteria, the archetypal female neurosis of his time. In his early investigations, he gained the trust and confidence of many women, who revealed their troubles to him.Time after time, Freud's patients, women from prosperous, conventional families, unburdened painful memories of childhood sexual encounters with men they had trusted: family friends, relatives, and fathers. Freud initially believed his patients and recognized the significance of their confessions. In 1896, with the publication of two works, The Aetiology of Hysteria and Studies on Hysteria, he announced that he had solved the mystery of the female neurosis. At the origin of every case of hysteria, Freud asserted, was a childhood sexual trauma. But Freud was never comfortable with this discovery, because of what it implied about the behavior of respectable family men. If his patients' reports were true, incest was not a rare abuse, confined to the poor and the mentally defective, but was endemic to the patriarchal family. Recognizing the implicit challenge to patriarchal values, Freud refused to identify fathers publicly as sexual aggressors. Though in his private correspondence he cited "seduction by the father" as the "essential point" in hysteria, he was never able to bring himself to make this statement in public. Scrupulously honest and courageous in other respects, Freud falsified his incest cases. In The Aetiology of Hysteria, Freud implausibly identified governessss, nurses, maids, and children of both sexes as the offenders. In Studies in Hysteria, he managed to name an uncle as the seducer in two cases. Many years later, Freud acknowledged that the "uncles" who had molested Rosaslia and Katharina were in fact their fathers. Though he had shown little reluctance to shock prudish sensibilities in other matters, Freud claimed that "discretion" had led him to suppress this essential information. Even though Freud had gone to such lengths to avoid publicly inculpating fathers, he remained so distressed by his seduction theory that within a year he repudiated it entirely. He concluded that his patients' numerous reports of sexual abuse were untrue. This conclusion was based not on any new evidence from patients, but rather on Freud's own growing unwillingness to believe that licentious behavior on the part of fathers could be so widespread. His correspondence of the period revealed that he was particularly troubled by awareness of his own incestuous wishes toward his daughter, and by suspicions of his father, who had died recently. p9-10

Oftentimes, what we experience as mental fatigue or emotional distress is simply a signal from our body that we’re not getting enough of something we physically need: nutrients, exercise, or rest.

Touch a button and hear, at every level of your life, the iron doors shutting out the Past the dead yesterdays. Touch another and shut off, with a metal curtain, the Future the unborn tomorrows. Then you are safe, safe for today! Shut off the past! Let the dead past bury its dead. Shut out the yesterdays which have lighted fools the way to dusty death. The load of tomorrow, added to that of yesterday, carried today, makes the strongest falter. Shut off the future as tightly as the past. The future is today. There is no tomorrow. The day of man's salvation is now. Waste of energy, mental distress, nervous worries dog the steps of a man who is anxious about the future. Shut close, then the great fore and aft bulkheads, and prepare to cultivate the habit of life of 'day-tight compartments.

Kitty made the acquaintance of Madame Stahl too, and this acquaintance, together with her friendship with Varenka, did not merely exercise a great influence on her, it also comforted her in her mental distress. She found this comfort through a completely new world being opened to her by means of this acquaintance, a world having nothing in common with her past, an exalted, noble world, from the height of which she could contemplate her past calmly. It was revealed to her that besides the instinctive life to which Kitty had given herself up hitherto there was a spiritual life. This life was disclosed in religion, but a religion having nothing in common with that one which Kitty had known from childhood, and which found expression in litanies and all-night services at the Widow's Home, where one might meet one's friends, and in learning by heart Slavonic texts with the priest. This was a lofty, mysterious religion connected with a whole series of noble thoughts and feelings, which one could do more than merely believe because one was told to, which one could love.

A sensual woman is the best escape and emotional cure for a man who's soul is distressed. If women could learn that, they wouldn't even have to spend one sleepless night worrying about the possibility of their men cheating.

Persons under the shock of genuine affliction are not only upset mentally but are all unbalanced physically. No matter how calm and controlled they seemingly may be, no one can under such circumstances be normal. Their disturbed circulation makes them cold, their distress makes them unstrung, sleepless. Persons they normally like, they often turn from. No one should ever be forced upon those in grief, and all over-emotional people, no matter how near or dear, should be barred absolutely. Although the knowledge that their friends love them and sorrow for them is a great solace, the nearest afflicted must be protected from any one or anything which is likely to overstrain nerves already at the threatening point, and none have the right to feel hurt if they are told they can neither be of use or be received. At such a time, to some people companionship is a comfort, others shrink from their dearest friends.

Civilization, which is about to self-destruct, thinks of itself as the superior culture that has answers for all the world’s people…The addict, truly, is a person who is emotionally dependent on things: television, substances, personality routines, other people, mental ideologies, total immersion in some cause or work. If the object of dependency is moved, addicts will experience insecurity, discomfort, distress, the symptoms of withdrawal – William H Koettke

Our "increasing mental sickness" may find expres­sion in neurotic symptoms. These symptoms are con­spicuous and extremely distressing. But "let us beware," says Dr. Fromm, "of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symp­toms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting." The really hopeless victims of mental illness are to be found among those who appear to be most normal. "Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been si­lenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does." They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their per­fect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish "the illusion of indi­viduality," but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But "uniformity and free­dom are incompatible. Uniformity and mental health are incompatible too. . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

I have always been told that a person has to accept that the illness is chronic," she says, at the end of our interview. "You can be 'in recovery,' but you can never be 'recovered.' But I don't want to be on disability forever, and I have started to question whether depression is really a chemical thing. What are the origins of my despair? How can I really help myself? I want to honor the other parts of me, other than the sick part that I'm always thinking about. I think that depression is like a weed that I have been watering, and I want to pull up that weed, and I am starting to look to people for solutions. I really don't know what the drugs did for me all these years, but I do know that I am disappointed in how things have turned out." Such is Melissa Sances's story. Today it is a fairly common one. A distressed teenager is diagnosed with depression and put on an antidepressant, and years later he or she is still struggling with the condition. But if we return to the 1950s, we will discover that the depression rarely struck someone as young as Melissa, and it rarely turned into the chronic suffering that she has experienced. Her course of illness is, for the most part, unique to our times.

A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. It may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather , to pilot the patient through his existential crises of growth and development.

The Dialectical Dilemma for the Patient The borderline individual is faced with an apparently irreconcilable dilemma. On the one hand, she has tremendous difficulties with self-regulation of affect and subsequent behavioral competence. She frequently but somewhat unpredictably needs a great deal of assistance, often feels helpless and hopeless, and is afraid of being left alone to fend for herself in a world where she has failed over and over again. Without the ability to predict and control her own well-being, she depends on her social environment to regulate her affect and behavior. On the other hand, she experiences intense shame at behaving dependently in a society that cannot tolerate dependency, and has learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. Indeed, when in a positive mood, she may be exceptionally competent across a variety of situations. However, in the positive mood state she has difficulty predicting her own behavioral capabilities in a different mood, and thus communicates to others an ability to cope beyond her capabilities. Thus, the borderline individual, even though at times desperate for help, has great difficulty asking for help appropriately or communicating her needs. The inability to integrate or synthesize the notions of helplessness and competence, of noncontrol and control, and of needing and not needing help can lead to further emotional distress and dysfunctional behaviors. Believing that she is competent to “succeed,” the person may experience intense guilt about her presumed lack of motivation when she falls short of objectives. At other times, she experiences extreme anger at others for their lack of understanding and unrealistic expectations. Both the intense guilt and the intense anger can lead to dysfunctional behaviors, including suicide and parasuicide, aimed at reducing the painful emotional states. For the apparently competent person, suicidal behavior is sometimes the only means of communicating to others that she really can’t cope and needs help; that is, suicidal behavior is a cry for help. The behavior may also function as a means to get others to alter their unrealistic expectations—to “prove” to the world that she really cannot do what is expected.

Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact. But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.

Until very recently, most mental-health practitioners believed that personality disorders were incurable because unlike mood disorders, such as depression and anxiety, personality disorders consist of long-standing, pervasive patterns of behavior that are very much a part of one’s personality. In other words, personality disorders are ego-syntonic, which means the behaviors seem in sync with the person’s self-concept; as a result, people with these disorders believe that others are creating the problems in their lives. Mood disorders, on the other hand, are ego-dystonic, which means the people suffering from them find them distressing. They don’t like being depressed or anxious or needing to flick the lights on and off ten times before leaving the house. They know something’s off with them.

Only those who have been on the receiving end of poverty, unemployment, homelessess, mental illness, domestic violence, racism, sexism or ageism can fully identify with others' reactions to those distressing experiences. Only those who have been members of marginalised minority can fully appreciate how that feels. [p50]

We recoil from the notion that this is it—that this life, with all its flaws and inescapable vulnerabilities, its extreme brevity, and our limited influence over how it unfolds, is the only one we’ll get a shot at. Instead, we mentally fight against the way things are—so that, in the words of the psychotherapist Bruce Tift, “we don’t have to consciously participate in what it’s like to feel claustrophobic, imprisoned, powerless, and constrained by reality.” This struggle against the distressing constraints of reality is what some old-school psychoanalysts call “neurosis,” and it takes countless forms, from workaholism and commitment-phobia to codependency and chronic shyness.

Our “increasing mental sickness” may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But “let us beware,” says Dr. Fromm, “of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting.” The really hopeless victims of mental illness are to be found among those who appear to be most normal. “Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does.” They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish “the illusion of individuality,” but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But “uniformity and freedom are incompatible. Uniformity and mental health are incompatible too. . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

sensations of somatic distress occurring in waves lasting from twenty minutes to an hour at a time, a feeling of tightness in the throat, choking with shortness of breath, need for sighing, and an empty feeling in the abdomen, lack of muscular power, and an intense subjective distress described as tension or mental pain.” Tightness in the throat.

Hate causes distress, potentially leading to mental and physical health problems. Adolescents

In former days, people frustrated in their will to meaning would probably have turned to a pastor, priest, or rabbi. Today, they crowd clinics and offices. The psychiatrist, then, frequently finds himself in an embarrassing situation, for he now is confronted with human problems rather than with specific clinical symptoms. Man’s search for a meaning is not pathological, but rather the surest sign of being truly human. Even if this search is frustrated, it cannot be considered a sign of disease. It is spiritual distress, not mental disease.

The consequences of this affliction are physical neglect and an aversion to oiling and bathing the body and to other aspects of the daily regimen, when exactly the opposite should happen: purely mental suffering ought to be helped by physical fitness. Mental distress abates and subsides to a great extent when it is dispersed in physical calm, as waves subside in fair weather, but if as a result [B] of a bad regimen the body becomes sordid and foul and transmits to the mind nothing benign or beneficial, but only the harsh and unpleasant fumes of pain and distress, then even those who desire it find that recovery becomes hard to achieve. These are the kinds of disorders that take possession of the mind when it is treated so badly.

Many survivors of relational and other forms of early life trauma are deeply troubled and often struggle with feelings of anger, grief, alienation, distrust, confusion, low self-esteem, loneliness, shame, and self-loathing. They seem to be prisoners of their emotions, alternating between being flooded by intense emotional and physiological distress related to the trauma or its consequences and being detached and unable to express or feel any emotion at all - alternations that are the signature posttraumatic pattern. These occur alongside or in conjunction with other common reactions and symptoms (e.g., depression, anxiety, and low self-esteem) and their secondary manifestations. Those with complex trauma histories often have diffuse identity issues and feel like outsiders, different from other people, whom they somehow can't seem to get along with, fit in with, or get close to, even when they try. Moreover, they often feel a sense of personal contamination and that no one understands or can help them. Quite frequently and unfortunately, both they and other people (including the professionals they turn to for help) do misunderstand them, devalue their strengths, or view their survival adaptations through a lens of pathology (e.g., seeing them as "demanding", "overdependent and needy", "aggressive", or as having borderline personality). Yet, despite all, many individuals with these histories display a remarkable capacity for resilience, a sense of morality and empathy for others, spirituality, and perseverance that are highly admirable under the circumstances and that create a strong capacity for survival. Three broad categories of survivorship, with much overlap between them, can be discerned: 1. Those who have successfully overcome their past and whose lives are healthy and satisfying. Often, individuals in this group have had reparative experiences within relationships that helped them to cope successfully. 2. Those whose lives are interrupted by recurring posttraumatic reactions (often in response to life events and experiences) that periodically hijack them and their functioning for various periods of time. 3. Those whose lives are impaired on an ongoing basis and who live in a condition of posttraumatic decline, even to the point of death, due to compromised medical and mental health status or as victims of suicide of community violence, including homicide.

All of us must do our best to live gracefully in the present moment. I now see depression as akin to being tied to a chair with restraints on my wrists. It took me a long time to realize that I only magnify my distress by struggling for freedom. My pain diminished when I gave up trying to escape completely from it. However, don't interpret my current approach to depression as utterly fatalistic. I do whatever I can to dull depression's pain, while premising my life on its continuing presence. The theologian and philosopher Thomas Moore puts it well with his distinction between cure and care. While cure implies the eradication of trouble, care "appreciates the mystery of human suffering and does not offer the illusion of a problem-free life.

Emotions that stem from distress, disappointment, and anxiety hamper us. They slow us down and can even cause us to abandon our intentions when things go wrong. This makes emotion management a requisite skill.

Amid the green peace, amid the rightness of nature, the violence of a lie stands out. It is so utterly wrong, a violation of the rightness of the logos. A lie is at the root of all mental distress, the discord between what humans know and what they say, or more deeply, between what humans know and what they dare to admit to themselves. A century ago, Borden Parker Bowne listed the need for truth as one of the most elementary human needs.44 Today, that may seem quaint. We have become accustomed to living in a world of make-believe, of artifacts masquerading as physical objects—the paper flowers pretending to be living plants, the plastic furniture pretending to be wood, the robots pretending to be humans—and humans pretending to be robots. Yet through the ages humans have known that there is no condition more basic to authentic humanity than to live in truth.

A series of studies by Marian Radke-Yarrow and Carolyn Zahn-Waxler at the National Institute of Mental Health showed that a large part of this difference in empathic concern had to do with how parents disciplined their children. Children, they found, were more empathic when the discipline included calling strong attention to the distress their misbehavior caused someone else: “Look how sad you’ve made her feel” instead of “That was naughty.

The very use of the term "mental illness" (rather than, say, "neurosis", "insanity", "nervous breakdown", or other euphemisms) can be seen as an effort to move certain kinds of psychological distress into the biomedical realm.

[..] neoproletariat caste, the future cybercattle of neurocracy, joyous sophisticate of the always-incomplete chain of predation, primed by silos of soya, stocks of onions, pork bellies…and completed by the global apotheosis of the Great Futures Market of neurolivestock, more volatile (and more profitable) than all the livestock of the Great Plains. Neurolivestock certainly enjoy an existence more comfortable than serfs or millworkers, but they do not easily escape their destiny as the self-regulating raw material of a market as predictable and as homogeneous as a perfect gas, a matter counted in atoms of distress, stripped of all powers of negotiation, renting out their mental space, brain by brain.

Most of us have physical or mental conditions that have caused us distress in the past. And when we get a whiff of one coming—an incipient asthma attack, a symptom of chronic fatigue, a twinge of anxiety—we panic. Instead of relaxing with the feeling and letting it do its minute and a half while we’re fully open and receptive to it, we say, “Oh no, oh no, here it is again.” We refuse to feel fundamental ambiguity when it comes in this form, so we do the thing that will be most detrimental to us: we rev up our thoughts about it. What if this happens? What if that happens? We stir up a lot of mental activity. Body, speech, and mind become engaged in running away from the feeling, which only keeps it going and going and going. We

I noticed that there were clear patterns in which kinds of Autistic people succumbed to this kind of fate. Autistic women, transgender people, and people of color often had their traits ignored when they were young, or have symptoms of distress interpreted as “manipulative” or “aggressive.” So did Autistic people who grew up in poverty, without access to mental health resources. Gay and gender nonconforming men often didn’t fit the masculine image of Autism well enough to be diagnosed. Older Autistics never had the opportunity to be assessed, because knowledge about the disability was so limited during their childhoods. These systematic exclusions had forced an entire massive, diverse population of disabled people to live in obscurity.

Both the worldling and the noble disciple experience painful bodily feelings, but they respond to these feelings differently. The worldling reacts to them with aversion and therefore, on top of the painful bodily feeling, also experiences a painful mental feeling: sorrow, resentment, or distress. The noble disciple, when afflicted with bodily pain, endures such feeling patiently, without sorrow, resentment, or distress. It is commonly assumed that physical and mental pain are inseparably linked, but the Buddha makes a clear demarcation between

What is personal death? Asking this question and pausing to look inward - isn't personal death a concept? Isn't there a thought-and-picture series going on in the brain? These scenes of personal ending take place solely in the imagination, and yet they trigger great mental ad physical distress - thinking of one's cherished attachments an their sudden, irreversible termination. Similarly, if there is 'pain when I let some of the beauty of life in' - isn't this pain the result of thinking, 'I won't be here any longer to enjoy this beauty?' Or, 'No one will be around and no beauty left to be enjoyed if there is total nuclear devastation.' Apart from the horrendous tragedy of human warfare - why is there this fear of 'me' not continuing? Is it because I don't realize that all my fear and trembling is for an image? Because I really believe that this image is myself? In the midst of this vast, unfathomable, ever-changing, dying, and renewing flow of life, the human brain is ceaselessly engaged in trying to fix for itself a state of permanency and certainty. Having the capacity to think and form pictures of ourselves, to remember them and become deeply attached to them, we take this world of pictures and ideas for real. We thoroughly believe in the reality of the picture story of our personal life. We are totally identified with it and want it to go on forever. The idea of "forever" is itself an invention of the human brain. Forever is a dream. Questioning beyond all thoughts, images, memories, and beliefs, questioning profoundly into the utter darkness of not-knowing, the realization may suddenly dawn that one is nothing at all - nothing - that all one has been holding on to are pictures and dreams. Being nothing is being everything. It is wholeness. Compassion. It is the ending of separation, fear, and sorrow. Is there pain when no one is there to hold on? There is beauty where there is no "me".

The increase in deaths of despair was almost all among those without a bachelor’s degree. Those with a four-year degree are mostly exempt; it is those without the degree who are at risk. This was particularly surprising for suicide; for more than a century, suicides were generally more common among the educated,1 but that is not true in the current epidemic of deaths of despair. The four-year college degree is increasingly dividing America, and the extraordinarily beneficial effects of the degree are a constant theme running through the book. The widening gap between those with and without a bachelor’s degree is not only in death but also in quality of life; those without a degree are seeing increases in their levels of pain, ill health, and serious mental distress, and declines in their ability to work and to socialize. The gap is also widening in earnings, in family stability, and in community.2 A four-year degree has become the key marker of social status, as if there were a requirement for nongraduates to wear a circular scarlet badge bearing the letters BA crossed through by a diagonal red line.

What’s so interesting here is that through the course of development, these secure children increasingly “internalize” their parents’ emotional availability and responsiveness and come to hold the same constant or dependable loving feeling toward themselves that their parents originally held toward them (certainly, a beautiful developmental process to watch unfold in securely attached children). Said differently, cognitive development increasingly allows securely attached children to internally hold a mental representation of their emotionally responsive parents when the attachment figures are away and they can increasingly soothe themselves as their caregivers have done—facilitating the child’s own capacity for affect regulation and independent functioning. Thus, as these children grow older and mature cognitively and emotionally, they become increasingly able to soothe themselves when distressed, function for increasingly longer periods without emotional refueling, and effectively elicit appropriate help or support when necessary. In this way, object constancy and more independent functioning develops—facilitating their ability to comfort themselves and become the source of their own self-esteem and secure identity as capable, love-worthy persons. Furthermore, they possess the cognitive schemas or internal working models necessary to establish new relationships with others that hold this same affirming affective valence.

...lack of leadership can have fearsome consequences. A dog's mental health, after all, depends to a large degree on leadership: dogs get enormously distressed when they think no one is in charge. Accordingly, it's not only nonsensical to fail to establish rules and limits with a dog...but cruel.

only upset mentally but are all unbalanced physically. No matter how calm and controlled they seemingly may be, no one can under such circumstances be normal. Their disturbed circulation makes them cold, their distress makes them unstrung, sleepless. Persons they normally like, they often turn from.

Why should caring for others begin with the self? There is an abundance of rather vague ideas about this issue, which I am sure neuroscience will one day resolve. Let me offer my own “hand waving” explanation by saying that advanced empathy requires both mental mirroring and mental separation. The mirroring allows the sight of another person in a particular emotional state to induce a similar state in us. We literally feel their pain, loss, delight, disgust, etc., through so-called shared representations. Neuroimaging shows that our brains are similarly activated as those of people we identify with. This is an ancient mechanism: It is automatic, starts early in life, and probably characterizes all mammals. But we go beyond this, and this is where mental separation comes in. We parse our own state from the other’s. Otherwise, we would be like the toddler who cries when she hears another cry but fails to distinguish her own distress from the other’s. How could she care for the other if she can’t even tell where her feelings are coming from? In the words of psychologist Daniel Goleman, “Self-absorption kills empathy.” The child needs to disentangle herself from the other so as to pinpoint the actual source of her feelings.

Psychopaths can assume the burden of mental accounting without any obvious distress. That is no accident: They are psychopaths. They do not care about others and are quite happy to sever relationships whenever the need arises. Some people are monsters of egocentricity. But lying unquestionably comes at a psychological cost for the rest of us.

I doubt that, in this case, I was dealing with a neurotic condition at all, and that is why I thought that he did not need any psychotherapy, nor even logotherapy, for the simple reason that he was not actually a patient. [...] A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease.

Since the moment when, at the sigh of his beloved and dying brother, Levin for the first time looked at the questions of life and death in the light of the new convictions, as he called them...he had been less horrified by death than by life without the least knowledge of whence it came, what it is for, why, and what it is. Organisms, their destruction, the indestructibility of matter, the law of the conservation of energy, development--the terms that had superseded these beliefs--were very useful for mental purposes; but they gave no guidance for life, and Levin suddenly felt like a person who has exchanged a thick fur coat fora muslin garment and who, being out in the frost for the first time, becomes clearly convinced, not by arguments, but with the whole of his being that he is as good as naked and that he must inevitably perish miserably. From that moment, without thinking about it and though he continued living as he had done heretofore, Levin never ceased to feel afraid of his ignorance...What astounded and upset him most in his connection, was that the majority of those in his set and of his age, did not see anything to be distressed about, and were quite contented and tranquil. So that, besides the principal question, Levin was tormented by other questions: were these people sincere? Were they not pretending? Or did they understand, possibly in some different or clearer way than he, the answers science gives to the questions he was concerned with?

The thing about having a mental breakdown is that no matter how obvious it is that you’re having one, it is somehow not obvious to you. I’m fine, you think. So what if I watched TV for twenty-four straight hours yesterday. I’m not falling apart. I’m just lazy. Why it’s better to think yourself lazy than think yourself in distress, I’m not sure. But it was better. More than better: it was vital

A man’s concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. It may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient’s existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy

I always imagined rape as this violent scene of a woman walking alone down a dark alley and getting mugged and beaten by some masked criminal. Rape was an angry man forcing himself inside a damsel in distress. I would not carry the trauma of a cliché rape victim. I would not shriek in the midst of my slumber with night terrors. I would not tremble at the sight of every dark haired man or the mention of Number 1’s name. I would not even harbor ill will towards him. My damage was like a cigarette addiction- subtle, seemingly innocent, but everlasting and inevitably detrimental. Number 1 never opened his screen door to furious crowds waving torches and baseball bats. Nobody punched him out in my honor. The Nightfall crowd never socially ostracized him. Even the ex-boyfriend who’d second handedly fused the entire fiasco continued to mingle with him in drug circles. Everybody continued with business as usual. And when I told my parents I lost my virginity against my will, unconscious on a bathroom floor, Carl did not erupt in fury and demand I give him all I knew about his whereabouts so he could greet him with a rifle. Mom blankly shrugged and mumbled, “Oh, that’s too bad,” and drifted into the kitchen as if I’d received a stubbed toe rather than a shredded hymen. Everyone in my life took my rape as lightly as a brief thunderstorm that might have been frightening when it happened, but was easy to forget about. I adopted that mentality as the foundation of my sex life. I would, time and time again, treat sex as flimsily as it started. I would give it away as if it was cheap, second hand junk, rather than a prize that deserved to be earned.

The quality of our love relationships is also a big factor in how mentally and emotionally healthy we are. We have an epidemic of anxiety and depression in our most affluent societies. Conflict with and hostile criticism from loved ones increase our self-doubts and create a sense of helplessness, classic triggers for depression. We need validation from our loved ones. Researchers say that marital distress raises the risk for depression tenfold!

Utah ranks number one in incidents of depression and suicides, nationwide. One study reported: “In Utah, 14 percent of adults and adolescents reported experiencing severe psychological distress, and 10 percent said they’d had a major depressive episode in the past year. Bad mental health days come three times a month for those living in Utah.”i Incidentally, Utah leads the nation in fraud (see “God is Not a Good Investment Advisor,” chapter 8) and pornography consumptionii

And as he sat there alone, he knew that never again would he have any sensation of peace or contentment, that never would his days or his nights be free from anguish and bitter distress. Because of what he had seen and heard that evening he would be driven tormented to mental horror as yet unknown to him and feared, there would be no rest for him until he had crushed and hidden and made secure into eternity his own creation, possessed for ever or returned to the place from whence it came.

Similar to other people, I suffer from my own brand of neurosis – a functional mental and emotional disorder involving emotional distress, indecision, social awkwardness, and interpersonal maladjustment. Unlike other rational people, I also suffer from mental delusions. It is a risky gambit attempting to hold at bay a pressing pack of personal abnormalities and a hazardous stable of personal neuroses including obsessional conduct, and compulsive thoughts while simultaneously straddling the horizontal bars of rationality and irrationality.

It is tragic, too, that students now describe themselves as mentally ill when facing what are the routine demands of student life and independent living. The NUS survey reports that students' feelings of crippling mental distress are primarily course-related and due to academic pressure. In 2013, in response to that year's NUS mental health survey, an article cheerily entitled 'Feeling worthless, hopeless ... who'd be a university student in Britain?' listed one young writer's anxiety-inducing student woes that span the whole length of her course: 'Grueling interview processes are not unusual, especially for courses like medicine, dentistry, and veterinary science, or for institutions like Oxbridge'. And then: 'Deadlines come thick and fast for first-year students, and for their final-year counterparts, the recession beckons'. Effectively, the very requirements of just being a student are typified as inducing mental illness. It can be hard to have sympathy with such youthful wimpishness. But I actually don't doubt the sincerity of these 'severe' symptoms experienced by stressed-out students. That is what is most worrying--they really are feeling over-anxious about minor inconveniences and quite proper academic pressure.

Psychotic conditions were considered to involve thought disturbances, including delusions and/or hallucinations, a break with reality, and, in general, an inability to function in normal social situations. Neuroses involved several conditions in which one suffered from distress (sometimes debilitating distress) but without significant distortions of thought, or loss of touch with reality. The neurotic conditions most related to fear and anxiety included anxiety neurosis (excessive worry, dread), phobic neurosis (irrational fears), obsessive neurosis (repetitive thoughts), and war neurosis (mental problems in soldiers that stemmed from stress, exhaustion, and specific battlefield experiences).

How have individuals been affected by the technological advances of recent years? Here is the answer to this question given by a philosopher-psychiatrist, Dr. Erich Fromm: Our contemporary Western society, in spite of its material, intellectual and political progress, is increasingly less conducive to mental health, and tends to undermine the inner security, happiness, reason and the capacity for love in the individual; it tends to turn him into an automaton who pays for his human failure with increasing mental sickness, and with despair hidden under a frantic drive for work and so-called pleasure. Our "increasing mental sickness" may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But "let us beware," says Dr. Fromm, "of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting." The really hopeless victims of mental illness are to be found among those who appear to be most normal. "Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does." They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish "the illusion of individuality," but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But "uniformity and freedom are incompatible. Uniformity and mental health are incompatible too. ... Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

Grief is a swarm of feelings that swirls inside of you for your whole life; it's a weight that settles around the eyes, transforms the shape of a laugh. It is sadness mixed with a furious rage churning in an ocean of helplessness. It's an old word, dating back to the 1200s, and its latin roots mean to "make heavy." The first six definitions in the Oxford English Dictionary describe various types of hardship or physical pain. The seventh definition makes me think grief is the correct term for the storm of emotion I associate with my mom's mental illness. "Mental pain, distress, or sorry...deep or violent sorrow, caused by loss or trouble; a keen or bitter feeling of regret for something lost, remorse for something done, or sorrow for mishap to oneself or others.

The role played by stress in the causation of cancer is so great that it would not be an exaggeration to say that 80% or more cancer cases have their immediate origin in some form of mental pressure or strain. Grief, distress, fear, worry, and anger are emotions which have horrible effects on the body's functions. Researchers have discovered that these emotions cause the release of chemicals from the brain called neuropeptides. These potent compounds have a profound immune-suppressive action. Scientists have traced a pathway from the brain to the immune cells proving that negative emotions can stop the immune cells dead in their tracks. This results in part from the release of chemicals from nerve endings. Once this happens, harmful microbes or cancer cells can invade any tissue in the body.

This control of emotions and altered states can be referred to as mental health oppression—the ways we suppress our emotions or embodied responses because we are, understandably, afraid of having our autonomy taken away, of being institutionalized for displaying signs of emotionality that can be interpreted as ‘madness.’ Some of these embodied expressions can include prolonged laughing, crying, screaming, shaking, or trembling. When we express ourselves in these ways, often to regulate or move through the state we are in, we are at risk of being pathologized and labeled as someone who is mad or ill. In the paradigm of pathology, it is rare for our experiences, hurts, or social or environmental conditions to be taken into account as causes or catalysts for our distress, and need for catharsis.

How have individuals been affected by the technological advances of recent years? Here is the answer to this question given by a philosopher-psychiatrist, Dr Erich Fromm: ‘Our contemporary Western society, in spite of its material, intellectual and political progress, is increasingly less conducive to mental health, and tends to undermine the inner security, happiness, reason and the capacity for love in the individual; it tends to turn him into an automaton who pays for his human failure with increasing mental sickness, and with despair hidden under a frantic drive for work and so-called pleasure.’ Our ‘increasing mental sickness’ may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But ‘let us beware’, says Dr Fromm, ‘of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting.’ The really hopeless victims of mental illness are to be found among those who appear to be most normal. ‘Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does.’ They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness.

There comes a time in most of our lives in which we no longer have the strength to lift ourselves out or to pretend ourselves strong. Sometimes our minds want to break because life stomped on us and God didn’t stop it. Like a family who watches their loved one slip and fall onto the rocks on a mountainside vacation when all was supposed to be beautiful and fun; or like a parent whose child was mistreated or shot while at school. Charles and those who lost their loved ones that terrible day had to come to terms with suffering in a house of God while the word was preached and a prankster cackled. Questions fill our lungs. We mentally wheeze. We go numb. When on vacation or at school or at church, that kind of thing is not supposed to happen there. Even the knees of a Jesus-follower will buckle. Charles’ wife, Susannah, said of Charles at that time, “My beloved’s anguish was so deep and violent, that reason seemed to totter in her throne, and we sometimes feared that he would never preach again.”5 Though it cannot be said for all of us or for every person that we have loved, it remains true that, in this cherished case, Charles Spurgeon did preach again. But sorrows of many kinds haunted and hounded him for the rest of his life. His depression came, not only from circumstances, or from questions about whether or not he was consecrated to God, but also from the chemistry of his body. God gave to us a preacher who knew firsthand what it felt like for his reason to totter, not just once, but many times during his life and ministry. And somehow this fellow sufferer named Charles and his dear wife Susannah (who also suffered physically most of her adult life) still made a go of it, insisting to each other and to their generation that the sorrowing have a Savior. On that November morning, in weakness, Charles did what some of us are not yet able to do in our sorrows; he read the Bible. Perhaps it will comfort you to learn that for a while “the very sight of the Bible” made Charles cry.6 Many of us know what this feels like. But this Scripture passage, Philippians 2:9-11, “had such a power of comfort upon [his] distressed spirit.” And being found in human form, he [Jesus] humbled himself by becoming obedient to the point of death, even death on a cross. Therefore God has highly exalted him and bestowed on him the name that is above every name (Phil. 2:8-9). From this Scripture, Charles set the larger story of his hope before us. The same Heavenly Father who picked up His son out of the muck, misery and mistreatment can do the same for us.

I fancy that many men would have arrived at wisdom if they had not fancied that they had already arrived, if they had not dissembled about certain traits in their character and passed by others with their eyes shut. For there is no reason for you to suppose that the adulation of other people is more ruinous to us than our own. Who dares to tell himself the truth? Who, though he is surrounded by a horde of applauding sycophants, is not for all that his own greatest flatterer? I beg you, therefore, if you have any remedy by which you could stop this fluctuation of mine, to deem me worthy of being indebted to you for tranquillity. I know that these mental disturbances of mine are not dangerous and give no promise of a storm; to express what I complain of in apt metaphor, I am distressed, not by a tempest, but by sea-sickness. Do you, then, take from me this trouble, whatever it be, and rush to the rescue of one who is struggling in full sight of land.

April 12 MORNING “My heart is like wax; it is melted in the midst of my bowels.” — Psalm 22:14 OUR blessed Lord experienced a terrible sinking and melting of soul. “The spirit of a man will sustain his infirmity, but a wounded spirit who can bear?” Deep depression of spirit is the most grievous of all trials; all besides is as nothing. Well might the suffering Saviour cry to His God, “Be not far from me,” for above all other seasons a man needs his God when his heart is melted within him because of heaviness. Believer, come near the cross this morning, and humbly adore the King of glory as having once been brought far lower, in mental distress and inward anguish, than any one among us; and mark His fitness to become a faithful High Priest, who can be touched with a feeling of our infirmities. Especially let those of us whose sadness springs directly from the withdrawal of a present sense of our Father’s love, enter into near and intimate communion with Jesus. Let us not give way to despair, since through this dark room the Master has passed before us. Our souls may sometimes long and faint, and thirst even to anguish, to behold the light of the Lord’s countenance: at such times let us stay ourselves with the sweet fact of the sympathy of our great High Priest. Our drops of sorrow may well be forgotten in the ocean of His griefs; but how high ought our love to rise! Come in, O strong and deep love of Jesus, like the sea at the flood in spring tides, cover all my powers, drown all my sins, wash out all my cares, lift up my earth-bound soul, and float it right up to my Lord’s feet, and there let me lie, a poor broken shell, washed up by His love, having no virtue or value; and only venturing to whisper to Him that if He will put His ear to me, He will hear within my heart faint echoes of the vast waves of His own love which have brought me where it is my delight to lie, even at His feet for ever.

As the Harvard Gazette summarized in 2017: Close relationships, more than money or fame, are what keep people happy throughout their lives. . . . Those ties protect people from life’s discontents, help to delay mental and physical decline, and are better predictors of long and happy lives than social class, IQ, or even genes. That finding proved true across the board among both the Harvard men and the inner-city participants.[7] Men who’d had warm childhood relationships with their parents earned more as adults than men whose parent-child bonds were more strained. They were also happier and less likely to suffer dementia in old age. People with strong marriages suffered less physical pain and emotional distress over the course of their lives. Individuals’ close friendships were more accurate predictors of healthy aging than their cholesterol levels. Social support and connections to a community helped insulate people against disease and depression. Meanwhile, loneliness and disconnection, in some cases, were fatal.

The existence of reservoirs of energy that habitually are not tapped is most familiar to us as the phenomenon of “second wind.” Ordinarily we stop when we meet the first effective layer, so to call it, of fatigue. We have then walked, played or worked “enough,” and desist. That amount of fatigue is an efficacious obstruction, on this side of which our usual life is cast. But if an unusual necessity forces us to press onward, a surprising thing occurs. The fatigue gets worse up to a certain critical point, when gradually or suddenly it passes away, and we are fresher than before. We have evidently tapped a new level of energy. There may be layer after layer of this experience. A third and a fourth “wind” may supervene. Mental activity shows the phenomenon as well as physical, and in exceptional cases we may find, beyond the very extremity of fatigue-distress, amounts of ease and power that we never dreamed ourselves to own—sources of strength habitually not taxed at all, because habitually we never push through the obstruction, never pass those early critical points.37

If two people with no symptoms in common can both receive the same diagnosis of schizophrenia, then what is the value of that label in describing their symptoms, deciding their treatment, or predicting their outcome, and would it not be more useful simply to describe their problems as they actually are? And if schizophrenia does not exist in nature, then how can researchers possibly find its cause or correlates? If psychiatric research has made so little progress in recent decades, it is in large part because everyone has been barking up the wrong tree. It is not a question of getting a bigger and better scanner, but of going right back to the drawing board. What’s more, medical-type labels can be as harmful as they are hollow. By reducing rich, varied, and complex human experiences to nothing more than a mental disorder, they not only sideline and trivialize those experiences but also imply an underlying defect that then serves as a pseudo-explanation for the person’s disturbed behaviour. This demeans and disempowers the person, who is deterred from identifying and addressing the important life problems that underlie his distress.

We cannot possibly expect, and should not desire, that the great bulk of the populace embark on a mental and spiritual voyage for which very few people are equipped and which even fewer have survived. They have, after all, their indispensable work to do, even as you and I. What we are distressed about, and should be, when we speak of the state of mass culture in this country, is the overwhelming torpor and bewilderment of the people. The people who run the mass media are not all villains and they are not all cowards—though I agree, I must say, with Dwight Macdonald’s forceful suggestion that many of them are not very bright. (Why should they be? They, too, have risen from the streets to a high level of cultural attainment. They, too, are positively afflicted by the world’s highest standard of living and what is probably the world’s most bewilderingly empty way of life.) But even those who are bright are handicapped by their audience: I am less appalled by the fact that Gunsmoke is produced than I am by the fact that so many people want to see it. In the same way, I must add, that a thrill of terror runs through me when I hear that the favorite author of our President is Zane Grey.

It's always useful to make lists, ranked by either occurence or severity, single out each, one by one, trace the pathways of each fallen 'domino', and make active efforts to make sure each preceding domino stay upright. It is unfair to smash the last domino, just because we can't clearly see how they fell to begin with. With regards to crime, those who have enough food, acceptable shelter, and ability to acquire basic status and recognition within immediate groups - may be less prone to violence and crime. Though there are other reasons for crime to occur, it is often related [in one way or another] to physical, mental, social or economical wellbeing. Crime is desperation, actions of distress. Violent criminals may not be angels, but reality is, their state of mind very likely gradually became less and less empathic due to their subjective experience of society's inability to recognize the real need for greater stability within certain communities. It may be easier said than done, but small efforts to raise the poverty line, projects and development - showing that society truly cares, may be the only viable solution. Employing good rolemodels [in the right places] may be especially effective. Effort, great, small.

The most visible feature of self-oriented perfectionism is this hypercompetitive streak fused to a sense of never being good enough. Hypercompetitiveness reflects a paradox because people high in self-oriented perfectionism can recoil from competition due to fear of failure and fear of losing other people's approval. Socially-prescribed perfectionism makes for a hugely pressured life, spent at the whim of everyone else's opinions, trying desperately to be somebody else, somebody perfect. Perfectionism lurks beneath the surface of mental distress. Someone who scores high on perfectionism also scores high on anxiety. The ill-effects of self-oriented perfectionism correlate with anxiety and it predicts increases in depression over time. There are links between other-oriented perfectionism and higher vindictiveness, a grandiose desire for admiration and hostility toward others, as well as lower altruism, compliance with social norms and trust. People with high levels of socially-prescribed perfectionism typically report elevated loneliness, worry about the future, need for approval, poor-quality relationships, rumination and brooding, fears of revealing imperfections to others, self-harm, worse physical health, lower life satisfaction and chronically low self-esteem. Perfectionism makes people extremely insecure, self-conscious and vulnerable to even the smallest hassles. Perfection is man's ultimate illusion. It simply doesn't exist in the universe. If you are a perfectionist, you are guaranteed to be a loser in whatever you do. Socially-prescribed perfectionism has an astonishingly strong link with burnout. What I don't have - or how perfectionism grows in the soil of our manufactured discontent. No matter what the advertisement says, you will go on with your imperfect existence whether you make that purchase or not. And that existence is - can only ever be - enough. Make a promise to be kind to yourself, taking ownership of your imperfections, recognizing your shared humanity and understanding that no matter how hard your culture works to teach you otherwise, no one is perfect and everyone has an imperfect life. Socially-prescribed perfectionism is the emblem of consumer culture. Research shows that roaming outside, especially in new places, contributes to enhanced well-being. Other benefits of getting out there in nature include improved attention, lower stress, better mood, reduced risk of psychiatric disorders and even upticks in empathy and cooperation. Perfection is not necessary to live an active and fulfilling life.

We can all be "sad" or "blue" at times in our lives. We have all seen movies about the madman and his crime spree, with the underlying cause of mental illness. We sometimes even make jokes about people being crazy or nuts, even though we know that we shouldn't. We have all had some exposure to mental illness, but do we really understand it or know what it is? Many of our preconceptions are incorrect. A mental illness can be defined as a health condition that changes a person's thinking, feelings, or behavior (or all three) and that causes the person distress and difficulty in functioning. As with many diseases, mental illness is severe in some cases and mild in others. Individuals who have a mental illness don't necessarily look like they are sick, especially if their illness is mild. Other individuals may show more explicit symptoms such as confusion, agitation, or withdrawal. There are many different mental illnesses, including depression, schizophrenia, attention deficit hyperactivity disorder (ADHD), autism, and obsessive-compulsive disorder. Each illness alters a person's thoughts, feelings, and/or behaviors in distinct ways. But in all this struggles, Consummo Plus has proven to be the most effective herbal way of treating mental illness no matter the root cause. The treatment will be in three stages. First is activating detoxification, which includes flushing any insoluble toxins from the body. The medicine and the supplement then proceed to activate all cells in the body, it receives signals from the brain and goes to repair very damaged cells, tissues, or organs of the body wherever such is found. The second treatment comes in liquid form, tackles the psychological aspect including hallucination, paranoia, hearing voices, depression, fear, persecutory delusion, or religious delusion. The supplement also tackles the Behavioral, Mood, and Cognitive aspects including aggression or anger, thought disorder, self-harm, or lack of restraint, anxiety, apathy, fatigue, feeling detached, false belief of superiority or inferiority, and amnesia. The third treatment is called mental restorer, and this consists of the spiritual brain restorer, a system of healing which “assumes the presence of a supernatural power to restore the natural brain order. With this approach, you will get back your loving boyfriend and he will live a better and fulfilled life, like realize his full potential, work productively, make a meaningful contribution to his community, and handle all the stress that comes with life. It will give him a new lease of life, a new strength, and new vigor. The Healing & Recovery process is Gradual, Comprehensive, Holistic, and very Effective. www . curetoschizophrenia . blogspot . com E-mail: rodwenhill@gmail. com

Why do we despise, ostracize and punish the drug addict when as a social collective we share the same blindness and engage in the same rationalizations? To pose that question is to answer it. We despise, ostracize and punish the addict because we don’t wish to see how much we resemble him. In his dark mirror our own features are unmistakable. We shudder at the recognition. This mirror is not for us, we say to the addict. You are different, and you don’t belong with us. Like the hardcore addict’s pursuit of drugs, much of our economic and cultural life caters to people’s craving to escape mental and emotional distress. In an apt phrase, Lewis Lapham, long-time publisher of Harper’s Magazine, derides “consumer markets selling promises of instant relief from the pain of thought, loneliness, doubt, experience, envy, and old age.” According to a Statistics Canada study, 31 per cent of working adults aged nineteen to sixty-four consider themselves workaholics, who attach excessive importance to their work and are “overdedicated and perhaps overwhelmed by their jobs.” “They have trouble sleeping, are more likely to be stressed out and unhealthy, and feel they don’t spend enough time with their families,” reports the Globe and Mail. Work doesn’t necessarily give them greater satisfaction, suggested Vishwanath Baba, a professor of Human Resources and Management at McMaster University. “These people turn to work to occupy their time and energy” — as compensation for what is lacking in their lives, much as the drug addict employs substances. At the core of every addiction is an emptiness based in abject fear. The addict dreads and abhors the present moment; she bends feverishly only towards the next time, the moment when her brain, infused with her drug of choice, will briefly experience itself as liberated from the burden of the past and the fear of the future — the two elements that make the present intolerable. Many of us resemble the drug addict in our ineffectual efforts to fill in the spiritual black hole, the void at the centre, where we have lost touch with our souls, our spirit, with those sources of meaning and value that are not contingent or fleeting. Our consumerist, acquisition-, action- and image-mad culture only serves to deepen the hole, leaving us emptier than before. The constant, intrusive and meaningless mind-whirl that characterizes the way so many of us experience our silent moments is, itself, a form of addiction— and it serves the same purpose. “One of the main tasks of the mind is to fight or remove the emotional pain, which is one of the reasons for its incessant activity, but all it can ever achieve is to cover it up temporarily. In fact, the harder the mind struggles to get rid of the pain, the greater the pain.” So writes Eckhart Tolle. Even our 24/7 self-exposure to noise, emails, cell phones, TV, Internet chats, media outlets, music downloads, videogames and non-stop internal and external chatter cannot succeed in drowning out the fearful voices within.

Just how important a close moment-to-moment connection between mother and infant can be was illustrated by a cleverly designed study, known as the “double TV experiment,” in which infants and mothers interacted via a closed-circuit television system. In separate rooms, infant and mother observed each other and, on “live feed,” communicated by means of the universal infant-mother language: gestures, sounds, smiles, facial expressions. The infants were happy during this phase of the experiment. “When the infants were unknowingly replayed the ‘happy responses’ from the mother recorded from the prior minute,” writes the UCLA child psychiatrist Daniel J. Siegel, “they still became as profoundly distressed as infants do in the classic ‘flat face’ experiments in which mothers-in-person gave no facial emotional response to their infant’s bid for attunement.” Why were the infants distressed despite the sight of their mothers’ happy and friendly faces? Because happy and friendly are not enough. What they needed were signals that the mother is aligned with, responsive to and participating in their mental states from moment to moment. All that was lacking in the instant video replay, during which infants saw their mother’s face unresponsive to the messages they, the infants, were sending out. This sharing of emotional spaces is called attunement. Emotional stress on the mother interferes with infant brain development because it tends to interfere with the attunement contact. Attunement is necessary for the normal development of the brain pathways and neurochemical apparatus of attention and emotional selfregulation. It is a finely calibrated process requiring that the parent remain herself in a relatively nonstressed, non-anxious, nondepressed state of mind. Its clearest expression is the rapturous mutual gaze infant and mother direct at each other, locked in a private and special emotional realm, from which, at that moment, the rest of the world is as completely excluded as from the womb. Attunement does not mean mechanically imitating the infant. It cannot be simulated, even with the best of goodwill. As we all know, there are differences between a real smile and a staged smile. The muscles of smiling are exactly the same in each case, but the signals that set the smile muscles to work do not come from the same centers in the brain. As a consequence, those muscles respond differently to the signals, depending on their origin. This is why only very good actors can mimic a genuine, heartfelt smile. The attunement process is far too subtle to be maintained by a simple act of will on the part of the parent. Infants, particularly sensitive infants, intuit the difference between a parent’s real psychological states and her attempts to soothe and protect the infant by means of feigned emotional expressions. A loving parent who is feeling depressed or anxious may try to hide that fact from the infant, but the effort is futile. In fact, it is much easier to fool an adult with forced emotion than a baby. The emotional sensory radar of the infant has not yet been scrambled. It reads feelings clearly. They cannot be hidden from the infant behind a screen of words, or camouflaged by well-meant but forced gestures. It is unfortunate but true that we grow far more stupid than that by the time we reach adulthood.

With global advances in technology, our society is becoming more engrossed in personal gadgets than in the world around them. We hold our phones more than we hold real conversations, and each other. We’re so busy looking down at screens and engaging in digital interactions that we forget about the environment around us. It seems people would rather experience an event through a camera than use their eyes to enjoy what’s in front of them. Concert audiences are lit up by the shimmering of phone screens. This isn’t to say that we shouldn’t capture mementos of these precious times. But living through a screen prevents us from being present in the moment. As we continue to distract ourselves from the present moment, we become more anxious, fearful and stressed. Worries overwhelm us in our everyday lives because we’re now conditioned to live elsewhere, rather than right here. What’s more, we ignore the people around us and our personal relationships pay the price. This is often why we feel distressed, disconnected and lost. Our vibration is lowered because we feel like we’re in some imagined situation that doesn’t match up with our lived reality. We relive moments of the past, fear the future and create obstacles in our minds. We devote creative energy to destructive ideas – and this invites turmoil into our lives. Now is the only time you have. Once your past is gone, it doesn’t exist, no matter how many times you recreate it mentally. The future hasn’t even arrived; but again, you keep taking yourself there mentally. Tomorrow comes disguised as today and some of us don’t even notice. Nothing is more valuable than the present moment because you can never get it back.

How to Perform Visualization To practice visualization, sit in a comfortable position and relax any muscle tension. Once you feel relaxed, begin to visualize a pleasant scene. Imagine every aspect of the scene, using all of your senses. For instance, if you visualize sitting on a beach watching the ocean waves lapping against the shore, imagine first what the scene looks like, then imagine how the sand feels on your bare feet. Take a deep breath and imagine how the clean ocean air smells and tastes. Next, listen for the sounds of the waves and seagulls. As you become more involved with your mental picture, your body will relax and you will be able to let go of your worrisome thoughts. It often helps to make positive, affirmative statements, such as “I feel calm and relaxed,” while practicing to block negative thoughts more effectively. You could picture also an image that represents the tension you feel when you begin, such as a kite that is stuck in a tree getting more and more tangled. As you become relaxed, imagine the string loosening and the kite becoming free and soaring in the sky. With practice, you will be able to use this technique to help yourself relax whenever you feel distressed. Lori spent last Thanksgiving at her best friend Haley’s house. Most of the members of Haley’s large, extended family were there. Everyone was talking at once, the children were running around, and Lori felt completely overwhelmed. It was so different from her quiet house. As she felt herself getting more agitated and anxious, she went upstairs to the bathroom and began to visualize herself at her family’s quiet cabin. She heard the wind rustling through the leaves and the chirping of birds. She smelled the soil and felt the coolness of the air. Soon, she felt calm and relaxed and was able to return downstairs.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration. I would strictly deny that one's search or a meaning to his existence, or even his doubt of it, in every case is derived from, or results in, any disease. Existential frustration is neither pathological or pathogenic. A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. it may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy regards its assignment as that of assisting the patient to find meaning in his life. Inasmuch as logotherapy makes him aware of the hidden logos of his existence, it is an analytical process. To this extent, logotherapy resembles psychoanalysis. However, in logotherapy's attempt to make something conscious again it does not restrict its activity to instinctual facts within the individual's unconscious bu also cares for existential realities, such as the potential meaning of his existence to be fulfilled as well as his will to meaning. Any analysis, however, even when it refrains from including the noological dimension in its therapeutic process, tries to make the patient aware of what he actually longs for in the depth of his being. Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflict claims of id, ego and supergo, or in the mere adaptation and adjustment to society and environment.

As the result of some observations I have made in recent years, I propose to add two new and previously undescribed varieties to the various forms of insanity with fixed ideas, whose underlying phenomenology is essentially phobic. The two new terms I would like to put forth, following the nomenclature currently accepted by leading clinicians, are dysmorphophobia and taphephobia. The first condition consists of the sudden appearance and fixation in the consciousness of the idea of one’s own deformity; the individual fears that he has become deformed (dysmorphos) or might become deformed, and experiences at this thought a feeling of an inexpressible disaster… The ideas of being ugly are not, in themselves, morbid; in fact, they occur to many people in perfect mental health, awakening however only the emotions normally felt when this possibility is contemplated. But, when one of these ideas occupies someone’s attention repeatedly on the same day, and aggressively and persistently returns to monopolise his attention, refusing to remit by any conscious effort; and when in particular the emotion accompanying it becomes one of fear, distress, anxiety, and anguish, compelling the individual to modify his behaviour and to act in a pre-determined and fixed way, then the psychological phenomena has gone beyond the bounds of normal, and may validly be considered to have entered the realm of psychopathology. The dysmorphophobic, indeed, is a veritably unhappy individual, who in the midst of his daily affairs, in conversations, while reading, at table, in fact anywhere and at any hour of the day, is suddenly overcome by the fear of some deformity that might have developed in his body without his noticing it. He fears having or developing a compressed, flattened forehead, a ridiculous nose, crooked legs, etc., so that he constantly peers in the mirror, feels his forehead, measures the length of his nose, examines the tiniest defects in his skin, or measures the proportions of his trunk and the straightness of his limbs, and only after a certain period of time, having convinced himself that this has not happened, is able to free himself from the state of pain and anguish the attack put him in. But should no mirror be at hand, or should he be prevented from quieting his doubts in some way or other with rituals or movements of the most outlandish kinds, the way a rhypophobic who cannot get water to wash himself might, the attack does not end very quickly, but may reach a very painful intensity, even to the point of weeping and desperation.