Prevention Of Depression Quotes

The pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne. The prevention of many suicides will continue to be hindered until there is a general awareness of the nature of this pain.

No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions. I need both. It is an odd thing, owing life to pills, one's own quirks and tenacities, and this unique, strange, and ultimately profound relationship called psychotherapy

Hope drowned in shadows emerges fiercely splendid–– boldly angelic.

When you attempt suicide, the counselors try to talk you out of trying it again by asking you about other people, which is good prevention if you care about other people.

All depression has its roots in self-pity, and all self-pity is rooted in people taking themselves too seriously.” At the time Switters had disputed her assertion. Even at seventeen, he was aware that depression could have chemical causes. “The key word here is roots,” Maestra had countered. “The roots of depression. For most people, self-awareness and self-pity blossom simultaneously in early adolescence. It's about that time that we start viewing the world as something other than a whoop-de-doo playground, we start to experience personally how threatening it can be, how cruel and unjust. At the very moment when we become, for the first time, both introspective and socially conscientious, we receive the bad news that the world, by and large, doesn't give a rat's ass. Even an old tomato like me can recall how painful, scary, and disillusioning that realization was. So, there's a tendency, then, to slip into rage and self-pity, which if indulged, can fester into bouts of depression.” “Yeah but Maestra—” “Don't interrupt. Now, unless someone stronger and wiser—a friend, a parent, a novelist, filmmaker, teacher, or musician—can josh us out of it, can elevate us and show us how petty and pompous and monumentally useless it is to take ourselves so seriously, then depression can become a habit, which, in tern, can produce a neurological imprint. Are you with me? Gradually, our brain chemistry becomes conditioned to react to negative stimuli in a particular, predictable way. One thing'll go wrong and it'll automatically switch on its blender and mix us that black cocktail, the ol’ doomsday daiquiri, and before we know it, we’re soused to the gills from the inside out. Once depression has become electrochemically integrated, it can be extremely difficult to philosophically or psychologically override it; by then it's playing by physical rules, a whole different ball game. That's why, Switters my dearest, every time you've shown signs of feeling sorry for yourself, I've played my blues records really loud or read to you from The Horse’s Mouth. And that’s why when you’ve exhibited the slightest tendency toward self-importance, I’ve reminded you that you and me— you and I: excuse me—may be every bit as important as the President or the pope or the biggest prime-time icon in Hollywood, but none of us is much more than a pimple on the ass-end of creation, so let’s not get carried away with ourselves. Preventive medicine, boy. It’s preventive medicine.” “But what about self-esteem?” “Heh! Self-esteem is for sissies. Accept that you’re a pimple and try to keep a lively sense of humor about it. That way lies grace—and maybe even glory.

At issue here is the question: "To whom do I belong? God or to the world?" Many of my daily preoccupations suggest that I belong more to the world than to God. A little criticism makes me angry, and a little rejection makes me depressed. A little praise raises my spirits, and a little success excites me. It takes very little to raise me up or thrust me down. Often I am like a small boat on the ocean, completely at the mercy of its waves. All the time and energy I spend in keeping some kind of balance and preventing myself from being tipped over and drowning shows that my life is mostly a struggle for survival: not a holy struggle, but an anxious struggle resulting from the mistaken idea that it is the world that defines me. As long as I keep running about asking: "Do you love me? Do you really love me?" I give all power to the voices of the world and put myself in bondage because the world is filled with "ifs." The world says: "Yes, I love you if you are good-looking, intelligent, and wealthy. I love you if you have a good education, a good job, and good connections. I love you if you produce much, sell much, and buy much." There are endless "ifs" hidden in the world's love. These "ifs" enslave me, since it is impossible to respond adequately to all of them. The world's love is and always will be conditional. As long as I keep looking for my true self in the world of conditional love, I will remain "hooked" to the world-trying, failing,and trying again. It is a world that fosters addictions because what it offers cannot satisfy the deepest craving of my heart.

Between death and hell a bridge shining silver wings offers his soul hope.

Some people suffer in silence, pain in the hearts but smiles on their faces.

If you have been raped or sexually assaulted and you have been blamed, or fear that you may be blamed, I just want you to understand this: You are not to blame. There is nothing you did to make someone hurt you, nor is there anything you could have done differently to prevent or stop it.

Join with those who sing, tell stories, talk pleasure in life, and have joy in their eyes, because joy is contagious, and can prevent others from becoming paralysed by depression, loneliness and difficulties.

Join with those who sing, tell stories, take pleasure in life, and have joy in their eyes, because joy is contagious and can prevent others from becoming paralyzed by depression, loneliness, and difficulties.

Helping people better manage their upsetting feelings—anger, anxiety, depression, pessimism, and loneliness—is a form of disease prevention. Since the data show that the toxicity of these emotions, when chronic, is on a par with smoking cigarettes, helping people handle them better could potentially have a medical payoff as great as getting heavy smokers to quit.

simply interacting with others—playing a game, for example—offers new stimuli and helps prevent the depression that can come with solitude.

An outrageous instinct to love and be loved blinded your arms to lines of propriety––Women and Men, Christians and Jews, Muslims and Buddhists, white, black, red, brown. An outrageous instinct to love and be loved executed your brain every hour on the hour.

When I was first aware that I had been laid low by the disease, I felt a need, among other things, to register a strong protest against the word "depression." Depression, most people know, used to be termed "melancholia," a word which appears in English as the year 1303 and crops up more than once in Chaucer, who in his usage seemed to be aware of its pathological nuances. "Melancholia" would still appear to be a far more apt and evocative word for the blacker forms of the disorder, but it was usurped by a noun with a blank tonality and lacking any magisterial presence, used indifferently to describe an economic decline or a rut in the ground, a true wimp of a word for such a major illness. It may be that the scientist generally held responsible for its currency in modern times, a Johns Hopkins Medical School faculty member justly venerated -- the Swiss-born psychiatrist Adolf Meyer -- had a tin ear for the finer rhythms of English and therefore was unaware of the semantic damage he had inflicted for such a dreadful and raging disease. Nonetheless, for over seventy-five years the word has slithered innocuously through the language like a slug, leaving little trace of its intrinsic malevolence and preventing, by its insipidity, a general awareness of the horrible intensity of the disease when out of control.

Despite the cloud of my depression and anxiety, I woke up every morning with a choice, give up or trudge through. Trudging sucks. Giving up sucks. Sometimes life comes down to the lesser of two evils.

Illness has a lot to teach wellness. But when I am ill I forget these things. The trick is to keep hold of that knowledge. To turn recovery into prevention. To live how I live when I am ill, without being ill.

...for if we try to go on protecting them we prevent them from growing up to be ordinary, confident adults, capable of looking after themselves.

Tell me, just how many lives need to be lost until someone realises the impact that their words can have on another individual?

This was my wake-up call. I opened my eyes to the depressing fact that there are other forces at work in medicine besides science. The U.S. health care system runs on a fee-for-service model in which doctors get paid for the pills and procedures they prescribe, rewarding quantity over quality. We don’t get reimbursed for time spent counseling our patients about the benefits of healthy eating. If doctors were instead paid for performance, there would be a financial incentive to treat the lifestyle causes of disease. Until the model of reimbursement changes, I don’t expect great changes in medical care or medical education.5

Many of my daily preoccupations suggest that I belong more to the world than to God. A little criticism makes me angry, and a little rejection makes me depressed. A little praise raises my spirits, and a little success excites me. It takes very little to raise me up or thrust me down. Often I am like a small boat on the ocean, completely at the mercy of its waves. All the time and energy I spend in keeping some kind of balance and preventing myself from being tipped over and drowning shows that my life is mostly a struggle for survival: not a holy struggle, but an anxious struggle resulting from the mistaken idea that it is the world that defines me.

Most people in the grip of depression at its ghastliest are, for whatever reason, in a state of unrealistic hopelessness, torn by exaggerated ills and fatal threats that bear no resemblance to actuality. It may require on the part of friends, lovers, family, admirers, an almost religious devotion to persuade the sufferers of life’s worth, which is so often in conflict with a sense of their own worthlessness, but such devotion has prevented countless suicides.

The trouble is that when we get around to solutions, it always seems to come down to Prozac. Or Zoloft. Or Paxil. Deep clinical depression is a disease, one that not only can, but probably should, be treated with drugs. But a low-grade terminal anomie, a sense of alienation or disgust and detachment, the collective horror at a world that seems to have gone so very wrong, is not a job for antidepressants. The trouble is, the big-picture problems that have so many people down are more or less insoluble: As long as people can get divorced they will get divorced; America=s shrinking economy is not reversible; there is no cure for AIDS. So it starts to seem fairly reasonable to anesthetize ourselves in the best possible way. I would like so much to say that Prozac is preventing many people who are not clinically depressed from finding real antidotes to what Hillary Clinton refers to as 'a sleeping sickness of the soul,' but what exactly would those solutions be? I mean, universal health care coverage and a national service draft would be nice, but neither one is going to save us from ourselves. Just as our parents quieted us when we were noisy by putting us in front of the television set, maybe we're now learning to quiet our own adult noise with Prozac.

How strange! This bed on which I shall lie has been slept on by more than one dying man, but today it does not repel me! Who knows what corpses have lain on it and for how long? But is a corpse any worse than I? A corpse too knows nothing of its father, mother or sisters or Titus. Nor has a corpse a sweetheart. A corpse, too, is pale, like me. A corpse is cold, just as I am cold and indifferent to everything. A corpse has ceased to live, and I too have had enough of life…. Why do we live on through this wretched life which only devours us and serves to turn us into corpses? The clocks in the Stuttgart belfries strike the midnight hour. Oh how many people have become corpses at this moment! Mothers have been torn from their children, children from their mothers - how many plans have come to nothing, how much sorrow has sprung from these depths, and how much relief!… Virtue and vice have come in the end to the same thing! It seems that to die is man’s finest action - and what might be his worst? To be born, since that is the exact opposite of his best deed. It is therefore right of me to be angry that I was ever born into this world! Why was I not prevented from remaining in a world where I am utterly useless? What good can my existence bring to anyone? … But wait, wait! What’s this? Tears? How long it is since they flowed! How is this, seeing that an arid melancholy has held me for so long in its grip? How good it feels - and sorrowful. Sad but kindly tears! What a strange emotion! Sad but blessed. It is not good for one to be sad, and yet how pleasant it is - a strange state…

Fighting the Blues with Greens Here’s a statistic you probably haven’t heard: Higher consumption of vegetables may cut the odds of developing depression by as much as 62 percent.26 A review in the journal Nutritional Neuroscience concluded that, in general, eating lots of fruits and veggies may present “a non-invasive, natural, and inexpensive therapeutic means to support a healthy brain.

Nesse’s research focuses on the evolutionary origins of depression. Why does depression exist at all? If it’s stayed in our gene pool for so long, he argues, there must be some evolutionary benefit. Nesse believes that depression may be an adaptive mechanism meant to prevent us from falling victim to blind optimism—and squandering resources on the wrong goals.11 It’s to our evolutionary advantage not to waste time and energy on goals we can’t realistically achieve. And so when we have no clear way to make productive progress, our neurological systems default to a state of low energy...

Maybe to be in a garden and feel awe, or wonder, in the presence of an astonishing mystery, is nothing more than a recovery of a misplaced perspective, perhaps the child’s-eye view; maybe we regain it by means of a neurochemical change that disables the filters (of convention, of ego) that prevent us in ordinary hours from seeing what is, like those lovely leaves, staring us in the face.

The depressed person’s therapist was always extremely careful to avoid appearing to judge or blame the depressed person for clinging to her defenses, or to suggest that the depressed person had in any way consciously chosen or chosen to cling to a chronic depression whose agony made her (i.e., the depressed person’s) every waking hour feel like more than any person could possibly endure. This renunciation of judgment or imposed value was held by the therapeutic school in which the therapist’s philosophy of healing had evolved over almost fifteen years of clinical experience to be integral to the combination of unconditional support and complete honesty about feelings which composed the nurturing professionalism required for a productive therapeutic journey toward authenticity and intrapersonal wholeness. Defenses against intimacy, the depressed person’s therapist’s experiential theory held, were nearly always arrested or vestigial survival-mechanisms; i.e., they had, at one time, been environmentally appropriate and necessary and had very probably served to shield a defenseless childhood psyche against potentially unbearable trauma, but in nearly all cases they (i.e., the defense-mechanisms) had become inappropriately imprinted and arrested and were now, in adulthood, no longer environmentally appropriate and in fact now, paradoxically, actually caused a great deal more trauma and pain than they prevented. Nevertheless, the therapist had made it clear from the outset that she was in no way going to pressure, hector, cajole, argue, persuade, flummox, trick, harangue, shame, or manipulate the depressed person into letting go of her arrested or vestigial defenses before she (i.e., the depressed person) felt ready and able to risk taking the leap of faith in her own internal resources and self-esteem and personal growth and healing to do so (i.e., to leave the nest of her defenses and freely and joyfully fly).

Just because your heart is beating, doesn't mean you're alive.

A faraway look—I have heard suicidologist Thomas Joiner refer to it as “the thousand-yard stare”—is a warning sign for imminent suicide, and one often missed.

Most of us have the ability to be far happier and more fulfilled as individuals than we realize. Often, we don’t claim that happiness because we believe someone else’s behavior is preventing us from doing so. We ignore our obligation to develop ourselves while we scheme and maneuver and manipulate to change someone else, and we become angry and discouraged and depressed when our efforts fail. Trying to change someone else is frustrating and depressing, but exercising the power we have to effect change in our own life is exhilarating.

At the base of whatever form of mood swing are individual experiences, the gradual or complete focus on issues that we have no control over. These are issues or circumstances that naturally trigger worry.

Did you get me that movie about Genghis Khan? 'It's in the Netflix queue, but that's not the surprise. You don't need to worry, it'll be something good. I just don't want you to feel depressed about going home.' Oh, I won't. But it would be cool to have a stream like this in the backyard. Can you make one? 'Ummm... no.' I figured. Can't blame a hound for trying. Oberon was indeed surprised when we got back home to Tempe. Hal had made the arrangements for me and Oberon perked up as soon as we were dropped off by the shuttle from the car rental company. 'Hey, smells like someone's in my territory,' he said. 'Nobody could be here without my permission, you know that.' 'Flidais did it.' 'That isn't Flidais you smell, believe me.' I opened the front door, and Oberon immediately ran to the kitchen window that gazed upon the backyard. He barked joyously when he saw what was waiting for him there. 'French poodles! All black and curly with poofy little tails!' 'And every one of them in heat.' 'Oh, WOW! Thanks Atticus! I can't wait to sniff their asses!' He bounded over to the door and pawed at it because the doggie door was closed to prevent the poodles from entering. 'You earned it, buddy. Hold on, get down off the door so I can open it for you, and be careful, don't hurt any of them.' I opened the door, expecting him to bolt through it and dive into his own personal canine harem, but instead he took one step and stopped, looking up at me with a mournful expression, his ears drooping and a tiny whine escaping his snout. 'Only five?

Charlotte already believed that Victorian marriage crippled women’s self-expression and prevented human progress. After the birth of her daughter, Katharine, her sense of being trapped in domestic drudgery, with no intellectual or creative life, resulted in deep depression.

When people recover from depression via psychotherapy, their attributions about recovery are likely to be different than those of people who have been treated with medication. Psychotherapy is a learning experience. Improvement is not produced by an external substance, but by changes within the person. It is like learning to read, write or ride a bicycle. Once you have learned, the skills stays with you. People no not become illiterate after they graduate from school, and if they get rusty at riding a bicycle, the skill can be acquired with relatively little practice. Furthermore, part of what a person might learn in therapy is to expect downturns in mood and to interpret them as a normal part of their life, rather than as an indication of an underlying disorder. This understanding, along with the skills that the person has learned for coping with negative moods and situations, can help to prevent a depressive relapse.

You will remember that every psychological or inner state finds some outer representation via the moving centre—that is, it is represented in some particular muscular movements or contractions, etc. You may have noticed that a state of worry is often reflected by a contracted wrinkling of the forehead or a twisting of the hands. States of joy never have this representation. Negative states, states of worry, or fear, or anxiety, or depression, represent themselves in the muscles by contraction, flexion, being bowed down, etc. (and often, also, by weakness in the muscles), whereas opposite emotional states are reflected into the moving centre as expansion, as standing upright, as extension of the limbs, relaxing of tension, and usually by a feeling of strength. To stop worry, people who worry and thereby frown too much or pucker up and corrugate their foreheads, clench their fists, almost cease breathing, etc., should begin here—by relaxing the muscles expressing the emotional state, and freeing the breath. Relaxing in general has behind it, esoterically speaking, the idea of preventing negative states. Negative states are less able to come when a person is in a state of relaxation. That is why it is said so often that it is necessary to practise relaxing every day, by passing the attention over the body and deliberately relaxing all tense muscles.

Because we feel ourselves to be separate from the world in which we live, we have also grown to feel quite alone in this world. Our sense of loneliness and isolation not only makes us feel depressed and miserable, but it also causes us to be anxious and afraid of the world and everyone in it. Because of this inherent fear, we put up all kinds of barriers to protect us from the world—barriers that we have created to keep us safe, but that really end up making us feel more alone, more miserable, and more afraid, as they prevent us from being our natural selves.

The fact that a patient is classified as mentally or emotionally sick prevents the psychotherapist from enquiring into the possibility of whether, or to what extent, his patient may be cognitively right. It is perfectly possible that a person with 'existential frustration', 'ontological despair', or simply 'sub-clinical depression' may, because of his abnormal condition, be in a better position to look through the camouflage of life that still is deceiving the 'healthy' psychotherapists.

I can't stop you from killing yourself. If that's what you truly want, no one can stop you. I can't be around twenty-four hours a day, looking after you. But if that's what you want, don't you think you owe it to your mother to talk to her first?

Today I finally recognise the mistake that almost became my downfall: I expected too much out of life. I thought it would owe me happiness and cheerfulness. In fact, life offers neither good nor evil. Happiness is a fruit you cultivate and harvest inside your soul. You can not gain it from the outside. Why should I be fretful like a child that has got no gift? I have years ahead to be happy.

the healthier our heart rhythm is, the healthier our body is. Studies have shown that a coherent or harmonious heart, which is produced when we center on positive emotion and spiritual truths, can prevent infection, improve arrhythmia, and help heal mitral-valve prolapse, congestive heart failure, asthma, diabetes, fatigue, autoimmune disorders, anxiety, depression, AIDS, and post-traumatic stress disorder (PTSD).[12]

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.

No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions.

I swallow Valerian pills every day against worry and depression, but it doesn't prevent me from being even more miserable the next day.

A twin study revealed that when physical activity was conducted outdoors it resulted in significantly lower rates of depression than when exercise occurred indoors.

IT'S OKAY TO NOT BE OKAY. It's also okay to ask for help when you need it.

Get a shot of love to prevent the infection called depression.

You have to learn to manage your reaction to those factors that cause stress.

Better my right hand should have been cut off. Go know I was setting in motion events that would lead to the ruin of one of the few truly good men I ever met.

and dangerous depths of the labyrinth that was her depression. It had prevented her from slipping

Never underestimate the power of discouragement and the treats of a person who lives with a mental health diagnosis and who is depressed and frustrated at the same time.

Lithium regulates the proteins that control the body’s inner clock. This clock runs, oddly, on DNA, inside special neurons deep in the brain. Special proteins attach to people’s DNA each morning, and after a fixed time they degrade and fall off. Sunlight resets the proteins over and over, so they hold on much longer. In fact, the proteins fall off only after darkness falls—at which point the brain should “notice” the bare DNA and stop producing stimulants. This process goes awry in manic-depressives because the proteins, despite the lack of sunlight, remain bound fast to their DNA. Their brains don’t realize they should stop revving. Lithium helps cleave the proteins from DNA so people can wind down. Notice that sunlight still trumps lithium during the day and resets the proteins; it’s only when the sunlight goes away at night that lithium helps DNA shake free. Far from being sunshine in a pill, then, lithium acts as “anti-sunlight.” Neurologically, it undoes sunlight and thereby compresses the circadian clock back to twenty-four hours—preventing both the mania bubble from forming and the Black Tuesday crash into depression.

Botox studies pointed in the opposite direction. Somehow, changes in the body—freezing the face with a neurotoxin—were producing changes in the mind: the ability to feel sadness or empathy. The horse appeared to be steering the rider. And we now know why. Our facial expressions are hardwired5 into our emotions: we can’t have one without the other. Botox lessens depression because it prevents us from making sad faces. But it also dampens our connection to those around us because we feel empathy by mimicking each other’s facial expressions. With Botox, mimicry becomes impossible, so we feel almost nothing at all.

The trick when it comes to dealing with depression is being able to imagine yourself out of it. When you can picture a happier life, you will be determined to work at the things that prevent it from happening.

Hovering in the enemy's neighbourhood, cutting off stragglers and foraging parties, preventing them from gaining any permanent base, Fabius remained an elusive shadow on the horizon, dimming the glamour of Hannibal's triumphal progress. Thus Fabius, by his immunity from defeat, thwarted the effect of Hannibal's previous victories upon the minds of Rome's Italian allies and checked them from changing sides. This guerrilla type of campaign also revived the spirit of the Roman troops while depressing the Carthaginians who, having ventured so far from home, were the more conscious of the necessity of gaining an early decision.

The technology exists for a male contraceptive pill. We have the drugs to switch off testosterone and prevent sperm production. These drugs have never gone to market because developers know that men would never take something like that. Men would never agree to switch off their hormones. They would never put up with the side effects such as depression and low libido. And, honestly, why should they put up with it? Why should women?

I use “anticapitalist” because conservative defenders of capitalism regularly say their liberal and socialist opponents are against capitalism. They say efforts to provide a safety net for all people are “anticapitalist.” They say attempts to prevent monopolies are “anticapitalist.” They say efforts that strengthen weak unions and weaken exploitative owners are “anticapitalist.” They say plans to normalize worker ownership and regulations protecting consumers, workers, and environments from big business are “anticapitalist.” They say laws taxing the richest more than the middle class, redistributing pilfered wealth, and guaranteeing basic incomes are “anticapitalist.” They say wars to end poverty are “anticapitalist.” They say campaigns to remove the profit motive from essential life sectors like education, healthcare, utilities, mass media, and incarceration are “anticapitalist.” In doing so, these conservative defenders are defining capitalism. They define capitalism as the freedom to exploit people into economic ruin; the freedom to assassinate unions; the freedom to prey on unprotected consumers, workers, and environments; the freedom to value quarterly profits over climate change; the freedom to undermine small businesses and cushion corporations; the freedom from competition; the freedom not to pay taxes; the freedom to heave the tax burden onto the middle and lower classes; the freedom to commodify everything and everyone; the freedom to keep poor people poor and middle-income people struggling to stay middle income, and make rich people richer. The history of capitalism—of world warring, classing, slave trading, enslaving, colonizing, depressing wages, and dispossessing land and labor and resources and rights—bears out the conservative definition of capitalism.

Despite some initial skepticism about what our colleagues and patients might say if we suggested we were considering meditation as a preventive approach to depression, we decided to take a closer look. We soon discovered that the combination of Western cognitive science and Eastern practices was just what is needed to break the cycle of recurrent depression, in which we tend to go over and over what went wrong or how things are not the way we want them to be.

It’s easy to put the links between the increases in mental illness, depression, ADHD, and the like, with the speed of the modern world. People never get the chance to do nothing, or when they do, they lack the control to prevent their mind from racing off in a thousand different directions. So much so that their doing nothing becomes a thousand different things and the thousand different things becomes stress, anxiety, worry and fear. Left untreated these simple everyday things become well entrenched in our psyches and start to dominate our lives. We have a chronic addiction with doing and we love to use our busyness as a stamp of our hard work and hectic lives and we get stuck in this busy trap of always doing.

The One who has done the greatest thing of all for you, must be concerned about you in everything, and though the clouds are thick and you cannot see His face, you know He is there. 'Behind a frowning providence He hides a smiling face.' Now hold on to that. You say that you do not see His smile. I agree that these earth born clouds prevent my seeing Him, but He is there and He will never allow anything finally harmful to take place. Nothing can happen to you but what He allows, I do not care what it may be, some great disappointment, perhaps, or it may be an illness, it may be a tragedy of some sort, I do not know what it is, but you can be certain of this, that God permits that thing to happen to you because it is ultimately for your good. 'Now no chastening for the present seemeth to be joyous, but grievous; nevertheless afterward it yieldeth the peaceable fruit of righteousness...' (Hebrews 12. 11)." (Spiritual Depression Its Causes and Cure, 145)

It is safe to assume that, no matter how it appears, the attempt probably did not come out of the blue. Look for clues. Some possibilities include a family history of mental illness, a history of abuse, unusual or stressful family dynamics, prior diagnosis or evidence of a psychiatric disorder and/or bizarre behavior long before or in the days or weeks immediately preceding the crisis. Part of your job is to be a detective, assembling the pieces in the puzzle that is depression.

Guilt is not merely a concern with the past; it is a present-moment immobilization about a past event. And the degree of immobilization can run from mild upset to severe depression. If you are simply learning from your past, and vowing to avoid the repetition of some specific behavior, this is not guilt. You experience guilt only when you are prevented from taking action now as a result of having behaved in a certain way previously. Learning from your mistakes is healthy and a necessary part of growth. Guilt is unhealthy because you are ineffectively using up your energy in the present feeling hurt, upset and depressed about a historical happening. And it’s futile as well as unhealthy. No amount of guilt can ever undo anything.

There are proven techniques for exiting feelings of incipient sadness and depression before they become damaging to your health and happiness. Moreover, by cultivating habits of optimism you can help to prevent disease as well as have a happier life.

Fear (...) that has no relation to capabilities or even to reality is epidemic among women today. Fear of being independent (that could mean we'd end up alone and uncared for); fear of being dependent (that could mean we'd be swallowed by some dominating "other"); fear of being competent and good at what we do (that could mean we'd have to keep on being good at what we do); fear of being incompetent (that could mean we'd have to keep on feeling shlumpy, depressed, and second class). (...) Phobia has so thoroughly infiltrated the feminine experience it is like a secret plague. It has been built up over long years by social conditioning and is all the more insidious for being so thoroughly acculturated we do not even recognize what has happened to us. Women will not become free until they stop being afraid. We will not begin to experience real change in our lives, real emancipation, until we begin the process - almost a de-brainwashing - of working through the anxieties that prevent us from feeling competent and whole.

Both the suicidal and non-suicidal are often angry with others. One way to discharge this anger is to fantasize about violent revenge. The insults of daily life often cause fantasies of revenge to flare up and quickly subside. The people with these fantasies usually do not act on them; they are not motives or goals. They are involuntary responses to perceived insult—ways of coping with rage. The suicidal, whether or not they attempt, suffer tremendous and persistent pain and anger. That this pain should find its way into their fantasies and dreams is no surprise. This ideation is not a motive for action; it is an alternative to action. Fantasizing about suicide is an effort to delay or avoid suicide, not the activity of formulating a motive, goal, or intention. Fantasies doubtlessly succeed in preventing many attempts.

Physiological stress, then, is the link between personality traits and disease. Certain traits — otherwise known as coping styles — magnify the risk for illness by increasing the likelihood of chronic stress. Common to them all is a diminished capacity for emotional communication. Emotional experiences are translated into potentially damaging biological events when human beings are prevented from learning how to express their feelings effectively. That learning occurs — or fails to occur — during childhood. The way people grow up shapes their relationship with their own bodies and psyches. The emotional contexts of childhood interact with inborn temperament to give rise to personality traits. Much of what we call personality is not a fixed set of traits, only coping mechanisms a person acquired in childhood. There is an important distinction between an inherent characteristic, rooted in an individual without regard to his environment, and a response to the environment, a pattern of behaviours developed to ensure survival. What we see as indelible traits may be no more than habitual defensive techniques, unconsciously adopted. People often identify with these habituated patterns, believing them to be an indispensable part of the self. They may even harbour self-loathing for certain traits — for example, when a person describes herself as “a control freak.” In reality, there is no innate human inclination to be controlling. What there is in a “controlling” personality is deep anxiety. The infant and child who perceives that his needs are unmet may develop an obsessive coping style, anxious about each detail. When such a person fears that he is unable to control events, he experiences great stress. Unconsciously he believes that only by controlling every aspect of his life and environment will he be able to ensure the satisfaction of his needs. As he grows older, others will resent him and he will come to dislike himself for what was originally a desperate response to emotional deprivation. The drive to control is not an innate trait but a coping style. Emotional repression is also a coping style rather than a personality trait set in stone. Not one of the many adults interviewed for this book could answer in the affirmative when asked the following: When, as a child, you felt sad, upset or angry, was there anyone you could talk to — even when he or she was the one who had triggered your negative emotions? In a quarter century of clinical practice, including a decade of palliative work, I have never heard anyone with cancer or with any chronic illness or condition say yes to that question. Many children are conditioned in this manner not because of any intended harm or abuse, but because the parents themselves are too threatened by the anxiety, anger or sadness they sense in their child — or are simply too busy or too harassed themselves to pay attention. “My mother or father needed me to be happy” is the simple formula that trained many a child — later a stressed and depressed or physically ill adult — into lifelong patterns of repression.

Like I mentioned above, we can sometimes feel crushed under the weight of our own guilt. How fucked up is that? We are trying to move forward, and the fact that we haven’t been able to move forward until this point is the very thing keeping us feeling guilty and preventing us from moving forward at all.

In autumn 1937, the New York Times delivered its analysis of the economy’s downturn: “The cause is attributed by some to taxation and alleged federal curbs on industry; by others, to the demoralization of production caused by strikes.” Both the taxes and the strikes were the result of Roosevelt policy; the strikes had been made possible by the Wagner Act the year before. As scholars have long noted, the high wages generated by New Deal legislation helped those workers who earned them. But the inflexibility of those wages also prevented companies from hiring additional workers. Hence the persistent shortage of jobs in the latter part of the 1930s.

Running held a prominent place in my mental health kit, as essential as medication and therapy. Running reduced the number of naps I took, increased my self-esteem, made me more accountable, prevented my psychiatrist from having to increase or change my medication, and likely kept me out of the hospital, but it hadn’t cured me.

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

No matter how flat or sad his or her affect appears, the suicidally depressed adolescent is desperately trying to contain feelings of anger, rage, hatred, and violence. The suicide or the attempt represents the final self-destructive display of this rage. Where previously the rage may have been expressed in anti-social behaviors or directed at parents, school (the "system"), or a girl/boyfriend, now it has been turned inward. Not surprisingly, the suicide rate is much higher among runaways, teens in jail, and juvenile delinquents. Don't fear this anger! Allow the adolescent to express it; mobilize the anger rather than permitting it to remain festering inside, growing increasingly poisonous.

Diversion is pernicious to depressives. Our lives are like waking dreams--correction, nightmares--where monsters chase us, never breaking off pursuit in order to rest or to eat or to look for easier prey. Diversion prevents us from confronting those monsters. If we never confront them, we have no hope of ever defeating them. Diversion does NOT work.

Our world no longer hears God because it is constantly speaking, at a devastating speed and volume, in order to say nothing. Modern civilization does not know how to be quiet. It holds forth in an unending monologue. Postmodern society rejects the past and looks at the present as a cheap consumer object; it pictures the future in terms of an almost obsessive progress. Its dream, which has become a sad reality, will have been to lock silence away in a damp, dark dungeon. Thus there is a dictatorship of speech, a dictatorship of verbal emphasis. In this theater of shadows, nothing is left but a purulent wound of mechanical words, without perspective, without truth, and without foundation. Quite often “truth” is nothing more than the pure and misleading creation of the media, corroborated by fabricated images and testimonies. When that happens, the word of God fades away, inaccessible and inaudible. Postmodernity is an ongoing offense and aggression against the divine silence. From morning to evening, from evening to morning, silence no longer has any place at all; the noise tries to prevent God himself from speaking. In this hell of noise, man disintegrates and is lost; he is broken up into countless worries, fantasies, and fears. In order to get out of these depressing tunnels, he desperately awaits noise so that it will bring him a few consolations. Noise is a deceptive, addictive, and false tranquilizer. The tragedy of our world is never better summed up than in the fury of senseless noise that stubbornly hates silence. This age detests the things that silence brings us to: encounter, wonder, and kneeling before God. 75. Even in the schools, silence has disappeared. And yet how can anyone study in the midst of noise? How can you read in noise? How can you train your intellect in noise? How can you structure your thought and the contours of your interior being in noise? How can you be open to the mystery of God, to spiritual values, and to our human greatness in continual turmoil? Contemplative silence is a fragile little flame in the middle of a raging ocean. The fire of silence is weak because it is bothersome to a busy world.

I predicted that, in order to live a vital life, prevent disease, or optimize the chance for disease remission, you would need: Healthy relationships, including a strong network of family, friends, loved ones, and colleagues A healthy, meaningful way to spend your days, whether you work outside the home or in it A healthy, fully expressed creative life that allows your soul to sing its song A healthy spiritual life, including a sense of connection to the sacred in life A healthy sexual life that allows you the freedom to express your erotic self and explore fantasies A healthy financial life, free of undue financial stress, which ensures that the essential needs of your body are met A healthy environment, free of toxins, natural-disaster hazards, radiation, and other unhealthy factors that threaten the health of the body A healthy mental and emotional life, characterized by optimism and happiness and free of fear, anxiety, depression, and other mental-health ailments A healthy lifestyle that supports the physical health of the body, such as good nutrition, regular exercise, adequate sleep, and avoidance of unhealthy addictions

PCOS, premenstrual syndrome (PMS), fibroids, cystic ovaries, depression, thyroid issues, adrenal fatigue, irritable bowel syndrome (IBS), amenorrhea, dysmenorrhea, unexplained infertility, low libido, acne/rosacea/eczema, weight problems, human papillomavirus (HPV)—a lot of weighty medical terms to describe a lot of serious and challenging conditions. How can one protocol prevent and treat so many different “castaway conditions”?

I had spent the day before Googling how to kill yourself and how to kill yourself the easiest and how to kill yourself the fastest and when you start to kill yourself do you want to change your mind? but the thing is, when you Google things like that, you won't get answers the way it normally works. You will instead get numbers to hotlines and therapists and articles with lists about why you should stay alive. So of course I was scared.

Identify three obvious differences between you and your patient. A good intellectual way to distance yourself from a patient’s emotions and pain after a session is to focus on three clear differences between you. For example, I’m a woman, and he’s a man. She’s depressed, but I’m not. I’m a vegan, and he eats meat. This lets you appreciate what’s you and what’s the patient, a boundary that helps prevent you from absorbing unwanted energy.

I spent an hour yesterday watching the ladies bathe. What a sight! What a hideous sight! The two sexes used to bathe together here. But now they are kept separate by means of signposts, preventive nets, and a uniformed inspector – nothing more depressingly grotesque can be imagined. However, yesterday, from the place where I was standing in the sun, with my spectacles on my nose, I could contemplate the bathing beauties at my leisure. The human race must indeed have become absolutely moronic to have lost its sense of elegance to this degree. Nothing is more pitiful than these bags in which women encase their bodies, and these oilcloth caps! What faces! What figures! And what feet! Red, scrawny, covered with corns and bunions, deformed by shoes, long as shuttles or wide as washerwomen’s paddles. And in the midst of everything, scrofulous brats screaming and crying. Further off, grandmas knitting and respectable old gentlemen with gold-rimmed spectacles reading newspapers, looking up from time to time between lines to savor the vastness of the horizon with an air of approval. The whole thing made me long all afternoon to escape from Europe and go live in the Sandwich Islands or the forests of Brazil. There, at least, the beaches are not polluted by such ugly feet, by such foul-looking specimens of humanity.

Join with those who have never said: 'Right, that's it, I'm going no further,' because as sure as spring follows winter, nothing ever ends; after achieving your objective, you must start again, always using everything you have learned on the way. Join with those who sing, tell stories, take pleasure in life, and have joy in their eyes, because joy is contagious and can prevent others from becoming paralyzed by depression, loneliness, and difficulties.

In one sense the cause of suicide is simple: overwhelming pain. This overwhelming pain, however, is the aggregate of thousands of pains. Any hurt that we have ever suffered, if it remains consciously or unconsciously lodged within us, can contribute to suicide. This may range from being an incest victim 50 years ago, to losing a job 10 years ago, to having a car battery stolen yesterday. The pains come from everywhere: ill-health, family, peers, school, work, community, caregivers. For each suicide there was a finite point at which this aggregate became too much. Although "The straw that broke the back," is frequently an accurate metaphor, no one pain is ever the cause of suicide. Suicidal pain is decomposable into thousands of pains, and nearly all of these pains are decomposable into painful constituents. Sexual abuse, job loss, and personal theft each have numerous painful constituents. The search for the single cause is a fundamentally wrongheaded approach to the understanding and prevention of suicide. It is inaccurate to say simply that pain causes suicide, since a level of pain that is lethal for one person may not be lethal for someone with greater resources. Similarly, deficiency in resources cannot be regarded as the cause of suicide, since two people may have equal resources and unequal pain. Our resources may also come from everywhere; even such trivial distractions as going to a movie can contribute to coping with suicidal pain.

When the system of mass incarceration collapses (and if history is any guide, it will), historians will undoubtedly look back and marvel that such an extraordinarily comprehensive system of racialized social control existed in the United States. How fascinating, they will likely say, that a drug war was waged almost exclusively against poor people of color—people already trapped in ghettos that lacked jobs and decent schools. They were rounded up by the millions, packed away in prisons, and when released, they were stigmatized for life, denied the right to vote, and ushered into a world of discrimination. Legally barred from employment, housing, and welfare benefits—and saddled with thousands of dollars of debt—these people were shamed and condemned for failing to hold together their families. They were chastised for succumbing to depression and anger, and blamed for landing back in prison. Historians will likely wonder how we could describe the new caste system as a system of crime control, when it is difficult to imagine a system better designed to create—rather than prevent—crime.

Had she been able to listen to her body, the true Virginia would certainly have spoken up. In order to do so, however, she needed someone to say to her: “Open your eyes! They didn’t protect you when you were in danger of losing your health and your mind, and now they refuse to see what has been done to you. How can you love them so much after all that?” No one offered that kind of support. Nor can anyone stand up to that kind of abuse alone, not even Virginia Woolf. Malcolm Ingram, the noted lecturer in psychological medicine, believed that Woolf’s “mental illness” had nothing to do with her childhood experiences, and her illness was genetically inherited from her family. Here is his opinion as quoted on the Virginia Woolf Web site: As a child she was sexually abused, but the extent and duration is difficult to establish. At worst she may have been sexually harassed and abused from the age of twelve to twenty-one by her [half-]brother George Duckworth, [fourteen] years her senior, and sexually exploited as early as six by her other [half-] brother… It is unlikely that the sexual abuse and her manic-depressive illness are related. However tempting it may be to relate the two, it must be more likely that, whatever her upbringing, her family history and genetic makeup were the determining factors in her mood swings rather than her unhappy childhood [italics added]. More relevant in her childhood experience is the long history of bereavements that punctuated her adolescence and precipitated her first depressions.3 Ingram’s text goes against my own interpretation and ignores a large volume of literature that deals with trauma and the effects of childhood abuse. Here we see how people minimize the importance of information that might cause pain or discomfort—such as childhood abuse—and blame psychiatric disorders on family history instead. Woolf must have felt keen frustration when seemingly intelligent and well-educated people attributed her condition to her mental history, denying the effects of significant childhood experiences. In the eyes of many she remained a woman possessed by “madness.” Nevertheless, the key to her condition lay tantalizingly close to the surface, so easily attainable, and yet neglected. I think that Woolf’s suicide could have been prevented if she had had an enlightened witness with whom she could have shared her feelings about the horrors inflicted on her at such an early age. But there was no one to turn to, and she considered Freud to be the expert on psychic disorders. Here she made a tragic mistake. His writings cast her into a state of severe uncertainty, and she preferred to despair of her own self rather than doubt the great father figure Sigmund Freud, who represented, as did her family, the system of values upheld by society, especially at the time.   UNFORTUNATELY,

Then the time came for you to be your own man and take on the world, and you did. But somewhere along the line, you changed. You stopped being you. You let people stick a finger in your face and tell you you’re no good. And when things got hard, you started looking for something to blame, like a big shadow. Let me tell you something you already know. The world ain’t all sunshine and rainbows. It’s a very mean and nasty place and I don’t care how tough you are it will beat you to your knees and keep you there permanently if you let it. You, me, or nobody is going to hit as hard as life. But it ain’t about how hard you hit. It’s about how hard you can get hit and keep moving forward. How much you can take and keep moving forward. That’s how winning is done! Now if you know what you’re worth then go out and get what you’re worth. But you’ve got to be willing to take the hits, and not pointing fingers saying you ain’t where you want to be because of him, or her, or anybody! Cowards do that and that ain’t you! You’re better than that! I’m always going to love you no matter what. No matter what happens. You’re my son and you’re my blood. You’re the best thing in my life. But until you start believing in yourself, you ain’t going to have a life.

and confused if someone does not appreciate their niceness. Others often sense this and avoid giving them feedback not only, effectively blocking the nice person’s emotional growth, but preventing risks from being taken. You never know with a nice person if the relationship would survive a conflict or angry confrontation. This greatly limits the depths of intimacy. And would you really trust a nice person to back you up if confrontation were needed? 3. With nice people you never know where you really stand. The nice person allows others to accidentally oppress him. The “nice” person might be resenting you just for talking to him, because really he is needing to pee. But instead of saying so he stands there nodding and smiling, with legs tightly crossed, pretending to listen. 4. Often people in relationship with nice people turn their irritation toward themselves, because they are puzzled as to how they could be so upset with someone so nice. In intimate relationships this leads to guilt, self-hate and depression. 5. Nice people frequently keep all their anger inside until they find a safe place to dump it. This might be by screaming at a child, blowing up a federal building, or hitting a helpless, dependent mate. (Timothy McVeigh, executed for the Oklahoma City bombing, was described by acquaintances as a very, very nice guy, one who would give you the shirt off his back.) Success in keeping the anger in will often manifest as psychosomatic illnesses, including arthritis, ulcers, back problems, and heart disease. Proper Peachy Parents In my work as a psychotherapist, I have found that those who had peachy keen “Nice Parents” or proper “Rigidly Religious Parents” (as opposed to spiritual parents), are often the most stuck in chronic, lowgrade depression. They have a difficult time accessing or expressing any negative feelings towards their parents. They sometimes say to me “After all my parents did for me, seldom saying a harsh word to me, I would feel terribly guilty complaining. Besides, it would break their hearts.” Psychologist Rollo May suggested that it is less crazy-making to a child to cope with overt withdrawal or harshness than to try to understand the facade of the always-nice parent. When everyone agrees that your parents are so nice and giving, and you still feel dissatisfied, then a child may conclude that there must be something wrong with his or her ability to receive love. -§ Emotionally starving children are easier to control, well fed children don’t need to be. -§ I remember a family of fundamentalists who came to my office to help little Matthew with his anger problem. The parents wanted me to teach little Matthew how to “express his anger nicely.” Now if that is not a formula making someone crazy I do not know what would be. Another woman told me that after her stinking drunk husband tore the house up after a Christmas party, breaking most of the dishes in the kitchen, she meekly told him, “Dear, I think you need a breath mint.” Many families I work with go through great anxiety around the holidays because they are going to be forced to be with each other and are scared of resuming their covert war. They are scared that they might not keep the nice garbage can lid on, and all the rotting resentments and hopeless hurts will be exposed. In the words to the following song, artist David Wilcox explains to his parents why he will not be coming home this Thanksgiving: Covert War by David Wilcox

The point is that the fatigue characteristic of such depression reasserts itself every time we repress strong emotions, play down the memories stored in the body, and refuse them the attention they clamor for. Why are such positive developments the exception rather than the rule? Why do most people (including the “experts”) greatly prefer to believe in the power of medication rather than let themselves be guided by the knowledge stored in their own bodies? Our bodies know exactly what we need, what we have been denied, what disagrees with us, what we are allergic to. But many people prefer to seek aid from medication, drugs, or alcohol, which can only block off the path to the understanding of the truth even more completely. Why? Because recognizing the truth is painful? This is certainly the case. But that pain is temporary. With the right kind of therapeutic care it can be endured. I believe that the main problem here is that there are not enough such professional companions to be had. Almost all the representatives of what I’ll call the “caring professions” appear to be prevented by our morality system from siding with the children we once were and recognizing the consequences of the early injuries we have sustained. They are entirely under the influence of the Fourth Commandment, which tells us to honor our parents, “that thy days may be long upon the land the Lord thy God giveth thee.

If for example you are diagnosed with depression, then your clinician might prescribe therapy to reduce your depression and or recommend anti-depressant medication. As we have discussed previously though, reducing the symptoms of mental illness does not seem to reduce the probability that someone will make a suicide attempt. Two treatments in particular, dialectical behavior therapy DBT and cognitive behavioral therapy for suicide prevention, CBT-SP, have demonstrated the ability to reduce the probability of suicidal behaviors in multiple studies conducted by multiple research teams. Other treatments that share many of the same characteristics and components as these treatments via attempted suicide.

When you are depressed, you may have a tendency to confuse feeling with facts. Your feelings of hopelessness and total despair are just symptoms of depressive illness, not facts. If you think you are hopeless, you will naturally feel this way. Your feelings only trace the illogical pattern of your thinking. Only an expert, who has treated hundreds of depressed individuals, would be in a position to give a meaningful prognosis for recovery. Your suicidal urge merely indicates the need for treatment. Thus, your conviction that you are "hopeless" nearly always proves you are not. Therapy, not suicide, is indicated. Although generalizations can be misleading, I let the following rule of thumb guide me: Patients who feel hopeless never actually are hopeless. The conviction of hopelessness is one of the most curious aspects of depressive illness. In fact, the degree of hopelessness experienced by seriously depressed patients who have an excellent prognosis is usually greater than in terminal malignancy patients with a poor prognosis. It is of great importance to expose the illogic that lurks behind your hopelessness as soon as possible in order to prevent an actual suicide attempt. You may feel convinced that you have an insoluble problem in your life. You may feel that you are caught in a trap from which there is no exit. This may lead to extreme frustration and even to the urge to kill yourself as the only escape.

But for some of us, a harsh, toxic madwoman is telling us we don’t deserve lower stress or improved mood. She says it’s right that we should suffer; we don’t deserve kindness or compassion or to grow mighty. And so she will punish us forever, no matter what we achieve. This dynamic is not just self-criticism, it’s self-persecution.10 Folks with more history of abuse and neglect, parental rejection and humiliation are more likely to experience harsh self-criticism and react to it with a sense of helplessness and isolation.11 When people with depression try to be self-reassuring, their brains respond with threat activation.12 In fact, fear of compassion for self is linked to fear of compassion from others. That means that somewhere inside them, they believe that if they’re isolated, that’s good; isolation protects others from their real, core badness. And if they’re suffering, that’s good; it prevents them from growing mighty, which might lead to them having power that they would inevitably fail to use effectively, or might even abuse. If that’s you, don’t start with self-compassion; start with lovingkindness toward others. Metta meditations, as they’re known in Buddhism, involve wishing love, compassion, peace, and ease on everyone from the people we care about most to people we hardly know to total strangers to our worst enemies—and even on ourselves. When self-compassion feels out of reach, try lovingkindness for others.

Mercantilists promote the view that private market activity often drives the economy into difficulties which require government to intervene and set matters back on course. They typically characterize the economy as cyclical, driven to excesses by human emotions of greed and fear, which cause “bubbles” and “crashes” and interrupt steady progress of society. Government, they say, must prevent these cycles, smooth these bubbles and crashes, so as to achieve less volatility and greater stability in economic growth. Then they persuade government to adopt policies which produce cycles, bubbles, crashes, volatility, high taxes and unemployment, and economic instability —and monstrously large, illicit gains for themselves.

It is sheer fantasy to think that you can ever transform your grandiose energies so they will never seduce you again, that you can ever prevent your grandiosity from being seductive. Sometimes people think if they just prayed enough, or went to enough masses, then their grandiosity would stop being seductive. Or if they became a cardinal, or a bishop, or a mother superior, it would not be seductive anymore. The truth, of course, is just the opposite, because the more successful you get, the more seductive grandiosity gets. The more traumas and tragedies you have in your life, the more grandiosity will attack you. It can tell you how impressive it is that you are still alive, or it can chide you into depression by suggesting you might as well go ahead and commit suicide. Many suicidal thoughts come from a grandiose perfectionism.

I won't say that writing tamed the Black Beast. It soothed him, though, enough so he agreed simply to occupy a corner of my mind...Gradually, I redirected my focus and skills towards causes much closer to my own heart: writing and mental health advocacy. [...] I felt so good at times that I even wondered, was I still bipolar? In my community work, I saw so many people who were much worse off than I was - deep in their disease in a way I no longer seemed to be. I knew that this often happens to manic-depressives: the brain forgets the ravages of the illness they way a woman forgets the pains of childbirth. You have to, to survive. But it's always a dangerous place to be, because you inevitably start to question the need for medication, therapy, and all the other rigorous stopgaps of sanity so carefully put into place to prevent another episode.

Yet why all this resistance? Why this powerful attraction to the darkness? Jesus says, “Everybody who does wrong hates the light and avoids it, to prevent his actions from being shown up; but whoever does the truth comes out into the light, so that what he is doing may plainly appear as done in God” (John 3:20–21). That is an answer to my question. I do often prefer my darkness to God’s light. I prefer to hang on to my sinful ways because they give me some satisfaction, some sense of self, some feeling of importance. I know quite well that moving into God’s light requires me to let go of all these limited pleasures and no longer to see my life as made by me, but as given by God. Living in the light means acknowledging joyfully the truth that all that is good, beautiful, and worthy of praise belongs to God. It is only a truly God-centered life that will pull me out of my depressions and give me hope. It is a clear path, but a very hard path as well.

We can no longer speak Evil. All we can do is discourse on the rights of man - a discourse which is pious, weak, useless and hypocritical, its supposed value deriving from the Enlightenment belief in a natural attraction of the Good, from an idealized view of human relationships (whereas Evil can manifestly be dealt with only by means of Evil). What is more, even this Good qua ideal value is invariably deployed in a self-defensive, austerity-loving, negative and reactive mode. All the talk is of the minimizing of Evil, the prevention of violence: nothing but security. This is the condescending and depressive power of good intentions, a power that can dream of nothing except rectitude in the world, that refuses even to consider a bending of Evil, or an intelligence of Evil. There can be a 'right' to speech only if speech is defined as the 'free' expression of an individual. Where speech is conceived of as a form implying reciprocity, collusion, antagonism or seduction, the notion of right can have no possible meaning.

An unexpected breakup can cause considerable psychological distress. The social pain has been associated with a twentyfold higher risk of developing depression in the coming year. It's important to lean on family and friends for support. You'll find that brain activity in the craving centers will have decreased significantly after about ten weeks." "Actually, it's been almost two weeks and I don't think of him at all," Layla offered. "Then you weren't truly emotionally invested in that relationship," Charu Auntie said. "Or you're a psychopath." "Definitely a psychopath." Daisy sliced furiously, decimating the onion as tears poured down her cheeks. "She didn't feel anything when she stole the pakoras from my lunch kit in sixth grade." Charu Auntie balanced the basket on one hip and adjusted her glasses. "Distraction and self-care are important to prevent a craving response in the ventral tegmental area, the nucleus accumbens, and orbitofrontrontal/prefrontal cortex." "I think she's saying, in her oddly complicated way, that she thinks you should hook up with fuckboy Danny," Daisy said. "Too bad the sexy beast upstairs is such a piece of-" "Shhh.

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

If, thus, a strong meaning orientation plays a decisive role in the prevention of suicide, what about intervention in cases in which there is a suicide risk? As a young doctor I spent four years in Austria's largest state hospital where I was in charge of the pavilion in which severely depressed patients were accommodated - most of them having been admitted after a suicide attempt. I once calculated that I must have explored twelve thousand patients during those four years. What accumulated was quite a store of experience from which I still draw whenever I am confronted with someone who is prone to suicide. I explain to such a person that patients have repeatedly told me how happy they were that the suicide attempt had not been successful; weeks, months, years later, they told me, it turned out that there was a solution to their problem, an answer to their question, a meaning to their life. "Even if things only take such a good turn in one of a thousand cases," my explanation continues, "who can guarantee that in your case it will not happen one day, sooner or later? But in the first place, you have to live to see the day on which it may happen, so you have to survive in order to see that day dawn, and from now on the responsibility for survival does not leave you.

Insofar as the feeling of meaninglessness is concerned, however, we should not overlook and forget that, per se, it is not a matter of pathology; rather than being the sign and symptom of a neurosis, it is, I would say, the proof of one's humanness. But although it is not caused by anything pathological, it may well cause a pathological reaction; in other words, it is potentially pathogenic. Just consider the mass neurotic syndrome so pervasive in the young generation: there is ample empirical evidence that the three facets of this syndrome-depression, aggression, addiction-are due to what is called in logotherapy "the existential vacuum," a feeling of emptiness and meaninglessness. It goes without saying that not each and every case of depression is to be traced back to a feeling of meaninglessness, nor does suicide-in which depression sometimes eventuates-always result from an existential vacuum. But even if each and every case of suicide had not been undertaken out of a feeling of meaninglessness, it may well be that na individual's impulse to take his life would have been overcome had he been aware of some meaning and purpose worth living for. If, thus, a strong meaning orientation plays a decisive role in the prevention of suicide, what about intervention in cases in which there is a suicide risk?

No, seriously," Mark continued. "Once you've been involved for a while, do your charity work in some third world toilet, they start letting you in on some of the bigger secrets to Responsivism, and how the knowledge will save you." "Go on," Juan said to indulge him. Murph might be flakey, but he had a topflight mind. "Ever heard of 'brane theory?" He'd already talked with Eric about it so only Stone didn't return a blank stare. "It's right up there with string theory as a way of unifying all four forces in the universe, something Einstein couldn't do. In a nutshell, it says our four-dimensional universe is a single membrane, and that there are others existing in higher orders of space. These are so close to ours that zero-point matter and energy can pass between them and that gravitation forces in our universe can leak out. It's all cutting-edge stuff." "I'll take your word for it," Cabrillo said. "Anyway, "brane theory started to get traction among theoreti cal physicists in the mid-nineties, and Lydell Cooper glommed on to it, too. He took it a step further, though. It wasn't just quantum particles passing in and out of our universe. He believed that an intelligence from another 'brane was affecting people here in our dimension. This intelligence, he said, shaped our day-to-day lives in ways we couldn't sense. It was the cause of all our suffering. Just before his death, Cooper started to teach techniques to limit this influence, ways to protect ourselves from the alien power." "And people bought this crap?" Max asked, sinking deeper into depression over his son. "Oh yeah. Think about it from their side for a second. It's not a believer's fault that he is unlucky or depressed or just plain stupid. His life is being messed with across dimensional membranes It's an alien influence that cost you that promotion or prevented you from dating the girl of your dreams. It's a cosmic force holding you back, not your own ineptitude. If you believe that, then you don't have to take responsibility for your life. And we all know nobody takes responsibility for himself anymore. Responsivism gives you a ready-made excuse for your poor life choices.

Weaknesses in claims about self-esteem have been evident for a long time. In California in the late 1980s, the state governor set up a special taskforce to examine politician John Vasconcellos’s claim that boosting young people’s self-esteem would prevent a range of societal problems (see chapter 1). One of its briefs was to review the relevant literature and assess whether there was support for this new approach. An author of the resulting report wrote in the introduction that ‘one of the disappointing aspects of every chapter in this volume … is how low the associations between self-esteem and its [presumed] consequences are in research to date.’1 Unfortunately, this early expression of concern was largely ignored. Carol Craig reviews more recent warnings about the self-esteem movement in an online article ‘A short history of self-esteem’, citing the research of five professors of psychology. Craig’s article and related documents are worth reading if you are interested in exploring this issue in depth.2 The following is my summary of her key conclusions about self-esteem:        •   There is no evidence that self-image enhancing techniques, aimed at boosting self-esteem directly, foster improvements in objectively measured ‘performance’.        •   Many people who consider themselves to have high self-esteem tend to grossly overestimate their own abilities, as assessed by objective tests of their performance, and may be insulted and threatened whenever anyone asserts otherwise.        •   Low self-esteem is not a risk factor for educational problems, or problems such as violence, bullying, delinquency, racism, drug-taking or alcohol abuse.        •   Obsession with self-esteem has contributed to an ‘epidemic of depression’ and is undermining the life skills and resilience of young people.        •   Attempts to boost self-esteem are encouraging narcissism and a sense of entitlement.        •   The pursuit of self-esteem has considerable costs and may undermine the wellbeing of both individuals and societies. Some of these findings were brought to wider public attention in an article entitled ‘The trouble with self-esteem’, written by psychologist Lauren Slater, which appeared in The New York Times in 2002.3 Related articles, far too many to mention individually in this book, have emerged, alongside many books in which authors express their concerns about various aspects of the myth of self-esteem.4 There is particular concern about what we are doing to our children.

When the routines and circumstances of your life are set up so that your lifestyle is a good fit for your natural preferences, it can give you a feeling of being in equilibrium. This will help prevent you from getting overwhelmed by anxiety on a regular basis. And by arranging your life to suit your temperament, you’ll have the time to process and calm down from life events that make you feel anxious. Some areas in which you can set up your life to fit your temperament are: --Have the right level of busyness in your life. For example, have enough after-work or weekend activities to keep you feeling calmly stimulated but not overstimulated and scattered. Note that being understimulated (for example, having too few enjoyable activities to look forward to) can be as much of a problem as being overstimulated. --Pick the physical activity level that’s right for you. Fine-tuning your physical activity level could be as simple as getting up from your desk and taking a walk periodically to keep yourself feeling calm and alert. Lifting things (such as carrying shopping bags up stairs) can also increase feelings of alertness and energy. Having pleasurable activities to look forward to and enough physical activity will help protect you against depression. --Have the right level of social contact in your life, and have routines that put this on autopilot. For example, a routine of having drinks after work on a Friday with friends, or attending a weekly class with your sister. Achieving the right level of social contact might also include putting mechanisms in place to avoid too much social interruption, like having office hours rather than an open-door policy. --Keep a balance of change and routine in your life. For example, alternate going somewhere new for your vacation vs. returning to somewhere you know you like. What the right balance of change and routine is for you will depend on your natural temperament and how much change vs. stability feels good to you. --Allow yourself the right amount of mental space to work up to doing something—enough time that you can do some mulling over the prospect of getting started but not so much time that it starts to feel like avoidance of getting started. --If coping with change sucks up a lot of energy for you, be patient with yourself, especially if you’re feeling stirred up by change or a disruption to your routines or plans. As mentioned in Chapter 2, keep some habits and relationships consistent when you’re exploring change in other areas. --Have self-knowledge of what types of stress you find most difficult to process. Don’t voluntarily expose yourself to those types without considering alternatives. For example, if you want a new house and you know you get stressed out by making lots of decisions, then you might choose to buy a house that’s already built, rather than building your own home. If you know making home-improvement decisions is anxiety provoking for you, you might choose to move to a house that’s new or recently renovated, rather than doing any major work on your current home or buying a fixer-upper. There’s always a balance with avoidance coping, where some avoidance of the types of stress that you find most taxing can be very helpful.