Stressed Depressed Quotes

If you want to conquer the anxiety of life, live in the moment, live in the breath.

What would I do without you? I'd die of stress and depression before nature killed me.

You cannot free someone who is caged in their own self.

A premature death does not only rob one of the countless instances where one would have experienced pleasure, it also saves one from the innumerable instances where one would have experienced pain.

Freedom from stress, freedom from anxiety, freedom from depression; freedom is autonomy from all that stagnates growth in this ever complex and noisy world. By the fear of being in the unknown, we often overlook and forget the serene view of being on the raft: the glowing virgin stars, the gentle ways that the waves moves, and the endless possibilities that exist under the sun. The fundamental principle of freedom is to be lost and our state of mind never differs too far from this analogy of being stranded in the middle of the ocean.

We live in a day when the adversary stresses on every hand the philosophy of instant gratification. We seem to demand instant everything, including instant solutions to our problems. . .It was meant to be that life would be a challenge. To suffer some anxiety, some depression, some disappointment, even some failure is normal.

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?

Master the art of selflove and you will never have to seek validation ever again.

Negativity is totally unnatural. It is a psychic pollutant, and there is a deep link between the poisoning and destruction of nature and the vast negativity that has accumulated in the collective human psyche. No other life-form on the planet knows negativity, only humans, just as no other life-form violates and poisons the Earth that sustains it. Have you ever seen an unhappy flower or a stressed oak tree? Have you some across a depressed dolphin, a frog that has a problem with self-esteem, a cat that cannot relax, or a bird that carries hatred and resentment? The only animals that may occasionally experience something akin to negativity or show signs of neurotic behavior are those that live in close contact with humans and so link into the humans mind and its insanity.

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

Conscious breathing is the best antidote to stress, anxiety and depression.

I am no one's to be claimed, I belong to me.

All of the diagnoses that you deal with - depression, anxiety, ADHD, bipolar illness, post traumatic stress disorder, even psychosis, are significantly rooted in trauma. They are manifestations of trauma. Therefore the diagnoses don't explain anything. The problem in the medical world is that we diagnose somebody and we think that is the explanation. He's behaving that way because he is psychotic. She's behaving that way because she has ADHD. Nobody has ADHD, nobody has psychosis - these are processes within the individual. It's not a thing that you have. This is a process that expresses your life experience. It has meaning in every single case.

Negative thoughts are the causes of all depression and all stress. Be positive; never infect your mind with negative thoughts.

It is easy to be swept away by some overwhelming feeling, so it’s helpful to remember that any stressful feeling is like a compassionate alarm clock that says, “You’re caught in the dream.” Depression, pain, and fear are gifts that say, “Sweetheart, take a look at your thinking right now. You’re living in a story that isn’t true for you.

The decision to be positive is not one that disregards or belittles the sadness that exists. It is rather a conscious choice to focus on the good and to cultivate happiness--genuine happiness. Happiness is not a limited resource. And when we devote our energy and time to trivial matters, and choose to stress over things that ultimately are insignificant. From that point, we perpetuate our own sadness, and we lose sight of the things that really make us happy and rationalize our way out of doing amazing things.

The cause of depression and stress are negative thoughts, Be positive, never infect your mind with negative thoughts.

Mental health, contemporary psychiatrists tell us, consists of the ability to adapt to the inevitable stresses and misfortunes of life. It does not mean freedom from anxiety and depression, but only the ability to cope with these afflictions in a healthy way.

Poverty entails fear, and stress, and sometimes depression; it means a thousand petty humiliations and hardships. Climbing out of poverty by your own efforts, that is indeed something on which to pride yourself, but poverty itself is romanticised only by fools.

Only about two percent of one percent of our thoughts deserve to be taken seriously.

It fascinated me how depression and anxiety overlap with post-traumatic stress disorder. Had we been through some trauma we didn't know about? Was the noise and speed of modern life the trauma for our caveman brains? Was I that soft? Or was life a kind of war most people didn't see?

Be as patient and kind with yourself as you would be with a cute little puppy that you’re trying to house-train. Stressing the puppy out will only make it pee on the floor.

Rape and war, she explained are among the most common causes of post-traumatic stress disorder, and survivors of sexual assault frequently exhibit many of the same symptoms and behaviors as survivors of combat: flashbacks, insomnia, nightmares, hypervigilance, depression, isolation, suicidal thoughts, outbursts of anger, unrelenting anxiety, and an inability to shake the feeling that the world is spinning out of control.

Suicide and mental health problems have no boundaries.

Doctors kept stressing that mental disease was the same as physical disease. Telling someone who was clinically depressed, for example, to shake it off and get out of the house was tantamount to telling a man with two broken legs to sprint across the room. That was all well and good in theory, but in practice, the stigma continued. Maybe, to be more charitable, it was because you could hide a mental disease.

Stressed, depressed, but well dressed.

When we are aware about our body’s sensations, we can release physical pain, tensions or stress through slow movements.

Bouncing on beds, I remember from childhood, is a great depression reliever.

Even if we take Nietzsche figuratively (which he would have much preferred anyway), fifty years of research on stress shows that stressors are generally bad for people,3 contributing to depression, anxiety disorders, and heart disease.

Community is about sharing my life; about allowing the chaos of another’s circumstances to infringe on mine; about permitting myself to be known without constraint; about resigning myself to needing others.

No one needs to hit rock bottom to change. And yet so many people do, only because most of us are unskilled in communicating with ourselves. Stress, depression, anxiety, insomnia, headaches, illness ... these are all symptoms of a bigger problem. You're trying to tell yourself something. Loudly. Listen now or listen later. There is no ignoring the call.

Many call it the 1000 yard stare and can't realize the pain when PTSD takes us there

You are not walking slow enough, when taking a walk, if you do not come across as bored or depressed (to the average sane person).

It is a common belief that we breathe with our lungs alone, but in point of fact, the work of breathing is done by the whole body. The lungs play a passive role in the respiratory process. Their expansion is produced by an enlargement, mostly downward, of the thoracic cavity and they collapse when that cavity is reduced. Proper breathing involves the muscles of the head, neck, thorax, and abdomen. It can be shown that chronic tension in any part of the body's musculature interferes with the natural respiratory movements. Breathing is a rhythmic activity. Normally a person at rest makes approximately 16 to 17 respiratory incursions a minute. The rate is higher in infants and in states of excitation. It is lower in sleep and in depressed persons. The depth of the respiratory wave is another factor which varies with emotional states. Breathing becomes shallow when we are frightened or anxious. It deepens with relaxation, pleasure and sleep. But above all, it is the quality of the respiratory movements that determines whether breathing is pleasurable or not. With each breath a wave can be seen to ascend and descend through the body. The inspiratory wave begins deep in the abdomen with a backward movement of the pelvis. This allows the belly to expand outward. The wave then moves upward as the rest of the body expands. The head moves very slightly forward to suck in the air while the nostrils dilate or the mouth opens. The expiratory wave begins in the upper part of the body and moves downward: the head drops back, the chest and abdomen collapse, and the pelvis rocks forward. Breathing easily and fully is one of the basic pleasures of being alive. The pleasure is clearly experienced at the end of expiration when the descending wave fills the pelvis with a delicious sensation. In adults this sensation has a sexual quality, though it does not induce any genital feeling. The slight backward and forward movements of the pelvis, similar to the sexual movements, add to the pleasure. Though the rhythm of breathing is pronounced in the pelvic area, it is at the same time experienced by the total body as a feeling of fluidity, softness, lightness and excitement. The importance of breathing need hardly be stressed. It provides the oxygen for the metabolic processes; literally it supports the fires of life. But breath as "pneuma" is also the spirit or soul. We live in an ocean of air like fish in a body of water. By our breathing we are attuned to our atmosphere. If we inhibit our breathing we isolate ourselves from the medium in which we exist. In all Oriental and mystic philosophies, the breath holds the secret to the highest bliss. That is why breathing is the dominant factor in the practice of Yoga.

One of the most universal causes of self-doubt and depression: trying to impress people you don't like. Stressing to impress is fine, but do it for the right people - those you want to emulate.

I danced in the flames and pranced on the shames of those whose names I could not reveal. I have been told, exhaustingly by a genus of psychiatry, that to forget allegedly means to heal but if only such a thought became real. To die when compared to living has, at times, seemed like the lesser evil.

A common misconception is that some people are only in pain because they are weak, anxious, depressed, or do not deal well with stress. This is not correct. Every experience you have — touch, warmth, itch, pain — is created by the brain and thus is all in your head, but it does not mean they are not real. Things like fear, anxiety, or depression can increase pain levels and can increase the chance of persistent pain. But often, these feelings only develop after a person already has chronic pain.

Chronic rage, by contrast, floods the system with stress hormones long past the allotted time. Over the long term, such a hormonal surplus, whatever may have instigated it, can make us anxious or depressed; suppress immunity; promote inflammation; narrow blood vessels, promoting vascular disease throughout the body;

You cannot let fear be your leader. Do not let fear and hurt press on the ‘stress and depression’ button in your mind.

Laughter has got to be the single healthiest activity one can perform. Just think how healthy you would be if you could sincerely laugh at that which now oppresses you.

…it seemed to Kirsch that the most reliable guide to the mental landscape of a patient was the patient himself. He was better placed to explain his behaviour and his experiences than anyone else. Yet wherever Kirsch went, the patient was the very last person anyone thought to consult. Because, of course, the patient was insane.

The defining feature of a major depression is loss of pleasure. If I had to define a major depression in a single sentence, I would describe it as a “genetic/neurochemical disorder requiring a strong environmental trigger whose characteristic manifestation is an inability to appreciate sunsets.

I can not remember telling my parents that I was studying classics, they might well have found out for the first time on graduation day. Of all the subjects on this planet, I think they would have been hard-put to name one less useful in Greek mythology when it came to securing the keys of an executive bathroom. Now I would like to make it clear in parenthesis, that I do not blame my parents for their point of view. There is an expiry date for blaming your parents for steering you in the wrong direction. The moment you are old enough to take the wheel, responsibility lies with you. What is more, I can not criticize my parents for hoping that I would never experience poverty. They had been poor themselves, and I have since been poor. And I quite agree with them, that it is not an ennobling experience. Poverty, entails fear, and stress, and sometimes depression, It means a thousand petty humiliations and hardships. Climbing out of poverty by your own efforts, that is something by which to pride yourself, but poverty itself, is romanticized only by fools. But I feared at your age was not poverty, but failure... Now, I am not dull enough to suppose that because you are young, gifted, and well educated, that you have never known heartbreak, hardship, or heartache. Talent and intelligence, never yet inoculated anyone against the caprice of the fates... ultimately, we all have to decide for ourselves what constitutes failure.

Intuition has always been my greatest gift. It has provided me with many ideas for my creative work and saved me from a lot of trouble. It’s just that when I feel stressed and desperate, I forget this gift.

But a whole bottle was what made me feel dead inside. And it worked, all the days stress was gone and I was able to live without the gigantic knot in my stomach. Without the boulders weighing down my shoulders.

What do you have to be stressed about?” the normies might have said, if I ever talked about these things with normal people. “You have a family, a house, a car, a good job. Just deal with it!” As if I could simply do that. As if I chose this. As if I looked at the options available to me and they were clearly labeled “Perseverance” and “Freaking the Fuck Out All the Time” and calmly said, “Mmm, yes, I select option B.

I’ve been married but I’m not anymore. And I still believe in love.

Happiness is an inevitable result of embracing, and unhappiness that of rejecting, what is.

It’s worth burning myself out like a match so long as others receive the light and warmth I dispatch.

Laborsaving devices do not necessarily save time, but they increase our expectactations of what mothers should accomplish

When the expected occurred, never panic, by keep calming, you gain control over the situation.

I believe in not trying to control things that are out of my control or none of my business.

People who are contented and serene sleep well. They fall asleep easily, stay asleep, and wake refreshed. Conversely, people who are anxious, stressed, or depressed do not sleep well, and chronic insomnia is strongly associated with mood disorders. These are clear correlations, but what is cause and what is effect is not clear. Most experts agree that sleep and mood are closely related, that healthy sleep can enhance emotional well-being, while insufficient quantity or quality of sleep can adversely affect it.

I became a student of my own depressed experience, trying to unthread its causes. What was the root of all this despair? Was it psychological? (Was it Mom and Dad's fault?( Was it just temporal, a 'bad time' in my life? (When the divorce ends will the depression end with it?) Was it genetic? (Melancholy, called by many names, has run through my family for generations, along with its sad bride, Alcoholism.) Was it cultural? (Is this just the fallout of postfeminist American career girl trying to find balance in an increasingly stressful alienting urban world?) Was it astrological? (Am I so sad because I'm a thin-skinned Cancer whose major signs are all ruled by unstable Gemini?) Was it artistic? (Don't creative people always suffer from depression because we're so supersensitive and special?) Was it evolutionary? (Do I carry in me the residual panic that comes after millennia of my species' attempting to survive a brutal world?) Was it karmic? (Are all these spasms of grief just the consequences of bad behavior in previous lifetimes, the last obstacles before liberation?) Was it hormonal? Dietary? Philosophical? Seasonal? Environmental? Was I tapping into a universal yearning for God? Did I have a chemical imbalance? Or did I just need to get laid?

Poverty entails fear and stress and sometimes depression. It meets a thousand petty humiliations and hardships. Climbing out of poverty by your own efforts that is something on which to pride yourself but poverty itself is romanticized by fools.

Dust sleeping on your bookshelf and all your plants are drying out you are too busy to save yourself is your mind heading for burnout? Coffee rings on your bedside table anxiety pills under your pillowcase working round the clock to foot the bill is there no time for breakfast these days? Friends haven't seen you in a while your phone is always out of reach you're slowly forgetting how to smile is your silence a figure of speech? Life can sometimes seem to be unfair but hoping is better than you think send the message in a bottle if you dare is it so hard to not force yourself to sink?

The fetus is biochemically connected to the mother, and her external, internal, physical, and mental health affect the overall development of the fetus. Stress and depression during pregnancy have been proven to have long-term and even permanent effects on the offspring. Such effects include a vulnerability to chronic anxiety, elevated fear, propensity to addictions, and poor impulse control.

One day I made note of a New York Times article I’d read that reported widespread fatigue, stress, and unhappiness among American lawyers—most especially female ones. “How depressing,” I wrote in my journal.

Slowly but surely, I let the happiness back into my life. There were times when I psyched myself out and let happiness play peek-a-boo as I let despair, pain, hurt, stress and depression back into my life. When I had to start from ground zero, I didn’t think I was going to make it. I was a fallen warrior who didn’t have any armor for protection. All of my weapons of bravery, peace, sanity, and joy were stolen from me. I was abandoned without any protection from the world

Your brain cannot change until you accept the anxiety or depression as a signal giving you information on its cause, or origin, and in this way you make the anxiety or depression work for you and not against you.

The assumption is that hope is a prerequisite for action. Without hope one becomes depressed and then unable to act. I want to stress that I do not act because I have hope. I act whether I have hope or not. It is useless to rely on hope as motivation to do what's necessary and just and right. Why doesn't anybody ever talk about love as motivation to act? I may not have a lot of hope but I have plenty of love, which gives me fight. We are going to have to fall in love with place again and learn to stay put.

Maybe the reason that I always need to rest is that I’m constantly trying to create a place where I can rest. And once I rest in the fact that I can’t create a place like that, maybe I’ll finally look for the God who already has.

When it comes right down to it, the challenge of mindfulness is to realize that “this is it” Right now is my life. The question is, What is my relationship to it going to be? Does my life just automatically “happen” to me? Am I a total prisoner of my circumstances or my obligations, of my body or my illness, or of my history? Do I become hostile or defensive or depressed if certain buttons get pushed, happy if other buttons are pushed, and frightened if something else happens? What are my choices? Do I have any options? We will be looking into these questions more deeply when we take up the subject of our reactions to stress and how our emotions affect our health. For now the important point is to grasp the value of bringing the practice of mindfulness into the conduct of our daily lives. Is there any waking moment of your life that would not be richer and more alive for you if you were more fully awake while it was happening?

Fear is the vigilance and the need to escape from something real. Anxiety is about dread and foreboding and your imagination running away with you. Much as with depression, anxiety is rooted in a cognitive distortion. In this case, people prone toward anxiety overestimate risks and the likelihood of a bad outcome.

Chronic threat and stress damage regions of the brain that are involved in planning and the pursuit of goals. The principle is clear: powerlessness undermines the individual’s ability to contribute to society (Principle 19). On Kayo Drive, this could be seen in the difficulties kids had sitting still and concentrating, in their bad grades, and in the depressions so common among their parents. Powerlessness robs people of their promise for making a difference in the world.

I was walking along one day and smacked into this wall called hope deferred and depression and...grief. And it wouldn't budge. After some time, I realized this darkness I'd found myself in was called grief. I'd been through so much trauma, everything about me- including my body, emotions and soul, was shutting down and going into preservation mode. I entered a season where the battle caught up with me and I realized just how badly I'd been beaten and torn up, inside and out.

Most emotional and physical symptoms of stress and depression are not typically caused by the circumstances themselves, but instead by how our minds perceive what is going on and how our hearts hold up under the pressure.

People with depression can't just snap out of it or "turn that frown upside down." Depression can be a painful and overwhelming state that makes one unable to function, to think clearly or reasonably, or to want to simply face another day. Many people suffer alone and in silence because they are scared or ashamed. They feel weak…or pitiful. How can a person be incapable of having joy? “Why can’t I just have a good time? Why can’t I get on with it?

To be sure, depression, anxiety, and prolonged stress can cause specific physical symptoms, but these symptoms are not limitless, nor are they actually unexplained. When doctors invoke these labels for symptoms as diverse as vomiting, paralysis, and sever, unending pain, it is the concept of the somatoform disorders--hysteria dressed up in modern garb-- that allows them to do so.

And there's a lot of responsibilities that I neglected I had a lot that was bottled inside, couldn't express it And this pain won't leave, I can feel the depression It's taking over my body, feels like I'm always stressing...I lay awake at night and think, my thoughts are relentless I need a moment to breathe, I need a moment to vent this I seem to be the only person that I play pretend with

You’re not fine. You’re not. And that’s OK. The first thing I want you to do is to finally tell yourself that it’s OK not to be OK. To accept that you’re feeling badly and that something isn’t right. Too many of us are in denial because we think that to admit there’s something wrong means we’re weak or broken or odd. I don’t know if it’s society, or just who we associate with, but we need to change our way of thinking. We are not weak. We are not broken. We are not odd.

Meditation is one of Mother Nature’s most powerful medicines and has no apparent side effects. It’s been scientifically proven that meditation helps calm the mind and de-stress the body. It also helps regulate blood pressure, lowers depression, induces the ‘relaxation response’, rewires the circuitry of your brain, enhances positive emotions, increases overall life satisfaction . . . And that’s just for starters!

Even short commutes stab at your happiness. According to the research,* commuting is associated with an increased risk of obesity, insomnia, stress, neck and back pain, high blood pressure, and other stress-related ills such as heart attacks and depression, and even divorce. But let’s say we ignore the overwhelming evidence that commuting doesn’t do a body good. Pretend it isn’t bad for the environment either. Let

People might be angry, stressed, or grieving over a broken heart—and in the latter case, they might think they’re depressed and in need of medicines and drugs—but they’re not. They’re just suffering from a broken heart, and there have been broken hearts ever since the world began, ever since man discovered that mysterious thing called Love.

For too many women in America are becoming sick with exhaustion and stress as they try to do things that can't be -- shouldn't be -- done. Too many are eaten up by resentment toward their husbands, who are not subject to the same heartless pressures. Too many are becoming anxious and depressed because they are overwhelmed and disappointed. Too many are letting their lives be poisoned by guilt because their expectations can't be met, and because there is an enormous cognitive dissonance between what they know to be right for themselves and what they're told is right for their children. Too many feel out of control.

The results of the study were astoundingly clear: The more childhood trauma someone had suffered, the worse their health outcomes were in adulthood. And their risk for contracting diseases didn’t go up just a few percentage points. People with high ACE scores were about three times as likely to develop liver disease, twice as likely to develop cancer or heart disease, four times as likely to develop emphysema.[2] They were seven and a half times more likely to become alcoholics, four and a half times more likely to suffer from depression, and a whopping twelve times more likely to attempt suicide.[3] Scientists have learned that stress is literally toxic. Stress chemicals like cortisol and adrenaline surging through our bodies are healthy in moderation—you wouldn’t be able to get up in the morning without a good dose of cortisol. But in overwhelming quantities, they become toxic and can change the structure of our brains. Stress and depression wear our bodies out. And childhood trauma affects our telomeres. Telomeres are like little caps on the ends of our strands of DNA that keep them from unraveling. As we get older, those telomeres get shorter and shorter. When they’ve finally disappeared, our DNA itself begins to unravel, increasing our chances of getting cancer and making us especially susceptible to disease. Because of this tendency, telomeres are linked to human lifespan. And studies have shown that people who suffered from childhood trauma have significantly shortened telomeres.[4]

Stress-related health issues, anxiety disorders, and cases of depression have skyrocketed over the past thirty years, despite the fact that everyone has a flat-screen TV and can have their groceries delivered. Our crisis is no longer material; it’s existential, it’s spiritual. We have so much fucking stuff and so many opportunities that we don’t even know what to give a fuck about anymore. Because

People complain about cold weather during winter, about hot weather during summer and about rain in rainy season. People who are single are depressed that they are single, those who are married think that singles are having more fun, people with darker skin want to get fair skin, people with white skin want tanning and the list never ends. Sometimes I think what would happen to people’s life if you take their complaining habit out of their life? -Subodh Gupta author, "Stress Management a Holistic Approach-5 Steps Plan

There is overwhelming evidence that meditation can increase focus and decrease anxiety, depression, and cortisol flooding. There is evidence that it decreases activation in the amygdala, one epicenter of fear in the brain, and increases activity in the prefrontal cortex. People who meditate are able to unstick themselves from cyclical, dangerous thinking and see things from a calmer, more positive perspective. The sympathetic nervous system, or the fight or flight system, is activated by stress. This is the system that gets us ready to run. The counter to this is the parasympathetic nervous system, the resting and digesting system. It lowers heart rate and blood pressure, slows breathing, and directly counters the stress response. Meditation activates the parasympathetic nervous system. It’s literally the antidote to stress. Plus, it’s what all the evolved, cool girls who look good without makeup are doing, according to social media.

Brian Wilson went to bed for three years. Jean-Michel Basquiat would spend all day in bed. Monica Ali, Charles Bukowski, Marcel Proust, Elizabeth Barrett Browning, Tracey Emin, Emily Dickinson, Edith Sitwell, Frida Kahlo, William Wordsworth, René Descartes, Mark Twain, Henri Matisse, Kathy Acker, Derek Jarman and Patti Smith all worked or work from bed and they’re productive people. (Am I protesting too much?) Humans take to their beds for all sorts of reasons: because they’re overwhelmed by life, need to rest, think, recover from illness and trauma, because they’re cold, lonely, scared, depressed – sometimes I lie in bed for weeks with a puddle of depression in my sternum – to work, even to protest (Emily Dickinson, John and Yoko). Polar bears spend six months of the year sleeping, dormice too. Half their lives are spent asleep, no one calls them lazy. There’s a region in the South of France, near the Alps, where whole villages used to sleep through the seven months of winter – I might be descended from them. And in 1900, it was recorded that peasants from Pskov in northwest Russia would fall into a deep winter sleep called lotska for half the year: ‘for six whole months out of the twelve to be in the state of Nirvana longed for by Eastern sages, free from the stress of life, from the need to labour, from the multitudinous burdens, anxieties, and vexations of existence’.‡ Even when I’m well I like to lie in bed and think. It’s as if

If everyone could spend some time self analysing, spend some quiet time with nothing to do and nowhere to go, then without a doubt the world would be an infinitely better place to live and play. It would probably be the cause of the end of bullying, teen suicide, anxiety, depression, stress, and fear and the start of a more genuine and authentic world. I have found that my tranquillity and peacefulness grew significantly stronger as I began to live comfortably with my desires and cravings.

It turns out that how you think about stress is also one of those core beliefs that can affect your health, happiness, and success. As we’ll see, your stress mindset shapes everything from the emotions you feel during a stressful situation to the way you cope with stressful events. That, in turn, can determine whether you thrive under stress or end up burned out and depressed. The good news is, even if you are firmly convinced that stress is harmful, you can still cultivate a mindset that helps you thrive.

Dear Exquisite Black Queen… Being a Strong Black Woman doesn’t mean that you can’t be vulnerable. It’s okay to cry. It’s okay if you’re having a bad day. It’s okay if some days you feel like giving up. It’s okay if you need to ask for help. It’s okay if you’re feeling stressed out. It’s okay if you’re feeling a little depressed. It’s okay if you’re not quite sure about what you’re going to do next. It’s okay if you fall short sometimes. It’s okay if you don’t have all the answers. It’s okay to show your true emotions and not feel weak. I encourage you to not be so hard on yourself! Allow yourself to feel whatever it is you’re feeling, and know that it’s okay. You’re human, and you’re doing your VERY best, Queen. Love, respect, and appreciate the Black Queen you are!

A final depressing point about inequality and violence. As we’ve seen, a rat being shocked activates a stress response. But a rat being shocked who can then bite the hell out of another rat has less of a stress response. Likewise with baboons—if you are low ranking, a reliable way to reduce glucocorticoid secretion is to displace aggression onto those even lower in the pecking order. It’s something similar here—despite the conservative nightmare of class warfare, of the poor rising up to slaughter the wealthy, when inequality fuels violence, it is mostly the poor preying on the poor. This point is made with a great metaphor for the consequences of societal inequality.41 The frequency of “air rage”—a passenger majorly, disruptively, dangerously losing it over something on a flight—has been increasing. Turns out there’s a substantial predictor of it: if the plane has a first-class section, there’s almost a fourfold increase in the odds of a coach passenger having air rage. Force coach passengers to walk through first class when boarding, and you more than double the chances further. Nothing like starting a flight by being reminded of where you fit into the class hierarchy. And completing the parallel with violent crime, when air rage is boosted in coach by reminders of inequality, the result is not a crazed coach passenger sprinting into first class to shout Marxist slogans. It’s the guy being awful to the old woman sitting next to him, or to the flight attendant.*

As far as he could discover, there were no signs of spring. The decay that covered the surface of the mottled ground was not the kind in which life generates. Last year, he remembered, May had failed to quicken these soiled fields. It had taken all the brutality of July to torture a few green spikes through the exhausted dirt. What the little park needed, even more than he did, was a drink. Neither alcohol nor rain would do. Tomorrow, in his column, he would ask Broken-hearted, Sick-of-it-all, Desperate, Disillusioned-with-tubercular-husband and the rest of his correspondents to come here and water the soil with their tears. Flowers would then spring up, flowers that smelled of feet. "Ah, humanity..." But he was heavy with shadow and the joke went into a dying fall. He trist to break its fall by laughing at himself.

Freud was fascinated with depression and focused on the issue that we began with—why is it that most of us can have occasional terrible experiences, feel depressed, and then recover, while a few of us collapse into major depression (melancholia)? In his classic essay “Mourning and Melancholia” (1917), Freud began with what the two have in common. In both cases, he felt, there is the loss of a love object. (In Freudian terms, such an “object” is usually a person, but can also be a goal or an ideal.) In Freud’s formulation, in every loving relationship there is ambivalence, mixed feelings—elements of hatred as well as love. In the case of a small, reactive depression—mourning—you are able to deal with those mixed feelings in a healthy manner: you lose, you grieve, and then you recover. In the case of a major melancholic depression, you have become obsessed with the ambivalence—the simultaneity, the irreconcilable nature of the intense love alongside the intense hatred. Melancholia—a major depression—Freud theorized, is the internal conflict generated by this ambivalence. This can begin to explain the intensity of grief experienced in a major depression. If you are obsessed with the intensely mixed feelings, you grieve doubly after a loss—for your loss of the loved individual and for the loss of any chance now to ever resolve the difficulties. “If only I had said the things I needed to, if only we could have worked things out”—for all of time, you have lost the chance to purge yourself of the ambivalence. For the rest of your life, you will be reaching for the door to let you into a place of pure, unsullied love, and you can never reach that door. It also explains the intensity of the guilt often experienced in major depression. If you truly harbored intense anger toward the person along with love, in the aftermath of your loss there must be some facet of you that is celebrating, alongside the grieving. “He’s gone; that’s terrible but…thank god, I can finally live, I can finally grow up, no more of this or that.” Inevitably, a metaphorical instant later, there must come a paralyzing belief that you have become a horrible monster to feel any sense of relief or pleasure at a time like this. Incapacitating guilt. This theory also explains the tendency of major depressives in such circumstances to, oddly, begin to take on some of the traits of the lost loved/hated one—and not just any traits, but invariably the ones that the survivor found most irritating. Psychodynamically, this is wonderfully logical. By taking on a trait, you are being loyal to your lost, beloved opponent. By picking an irritating trait, you are still trying to convince the world you were right to be irritated—you see how you hate it when I do it; can you imagine what it was like to have to put up with that for years? And by picking a trait that, most of all, you find irritating, you are not only still trying to score points in your argument with the departed, but you are punishing yourself for arguing as well. Out of the Freudian school of thought has come one of the more apt descriptions of depression—“aggression turned inward.” Suddenly the loss of pleasure, the psychomotor retardation, the impulse to suicide all make sense. As do the elevated glucocorticoid levels. This does not describe someone too lethargic to function; it is more like the actual state of a patient in depression, exhausted from the most draining emotional conflict of his or her life—one going on entirely within. If that doesn’t count as psychologically stressful, I don’t know what does.

Stress and glucocorticoids have inverted-U effects here as well. Moderate, transient stress (or exposure to the equivalent glucocorticoid levels) increases spine number in the hippocampus; sustained stress or glucocor-ticoid exposure does the opposite.7 Moreover, major depression or anxiety—two disorders associated with elevated glucocorticoid levels—can reduce hippocampal dendrite and spine number. This arises from decreased levels of that key growth factor mentioned earlier this chapter, BDNF. Sustained stress and glucocorticoids also cause dendritic retraction and synapse loss, lower levels of NCAM (a “neural cell adhesion molecule” that stabilizes synapses), and less glutamate release in the frontal cortex.

Caring for others tends to be the first cut when we review our personal time budget. It does not necessarily fulfill the goals of my ambition; it will not pave the way for my success; it takes away from my own depleted emotional resources. It is an imposition in every way. To some of us, it is an inconvenience from which we unashamedly run. We have become experts in maintaining a grand scope of friendships and amateurs in genuine intimacy and care. Unwittingly, we have sacrificed everything on the altar of self-sufficiency—only to discover that we have sold our souls to isolation.

Things weren’t always as good as they are now. In school we learned that in the old days, the dark days, people didn’t realize how deadly a disease love was. For a long time they even viewed it as a good thing, something to be celebrated and pursued. Of course that’s one of the reasons it’s so dangerous: It affects your mind so that you cannot think clearly, or make rational decisions about your own well-being. (That’s symptom number twelve, listed in the amor deliria nervosa section of the twelfth edition of The Safety, Health, and Happiness Handbook, or The Book of Shhh, as we call it.) Instead people back then named other diseases—stress, heart disease, anxiety, depression, hypertension, insomnia, bipolar disorder—never realizing that these were, in fact, only symptoms that in the majority of cases could be traced back to the effects of amor deliria nervosa.

I took on my depression like it was the fight of my life, wich of course, it was. I became a student of my own depressed experience, trying to unthread its causes. What was the root of all this dispair? Was it psychological? (Mom and Dad's fault?) Was it just temporal, a "bad time" in my life? (When the divorce ends, will the depression end with it?) Was it genetic? (Melancholy, called by many names, has run through my family for generations, along with its sad bride, Alcholisme.) Was it cultural? (Is this just the fallout of a postfeminist American career girl trying to find balance in an increasingly stressful and alienating urban world?) Was it astrological? (Am I so sad because I'm a thin-skinned cancer whose major signs are all ruled by unstable Gemini?) Was it artistic? (Don't creative people always suffer from depression because we're so supersensitive and special?) Was it evolutionary? (Do I carry in me the residual panic that come after millennia of my species' attempting to survive a brutal world?) Was it Karmic? (Are all these spasms of grief just the consequences of bad behavior in previous lifetimes, the last obstacles before liberation?) Was it hormonal? Dietary? Philosophical? Seasonal? Environmental? Did I have a chemical imbalance? Or did I just need to get laid?

As much as we complain about other people, there is nothing worse for mental health than a social desert. A study of Swiss cities found that psychotic disorders, including schizophrenia, are most common in neighborhoods with the thinnest social networks. Social isolation just may be the greatest environmental hazard of city living—worse than noise, pollution, or even crowding. The more connected we are with family and community, the less likely we are to experience colds, heart attacks, strokes, cancer, and depression. Simple friendships with other people in one’s neighborhood are some of the best salves for stress during hard economic times—in fact, sociologists have found that when adults keep these friendships, their kids are better insulated from the effects of their parents’ stress. Connected people sleep better at night. They are more able to tackle adversity. They live longer. They consistently report being happier.

I was diagnosed with ADHD in my mid fifties and I was given Ritalin and Dexedrine. These are stimulant medications. They elevate the level of a chemical called dopamine in the brain. And dopamine is the motivation chemical, so when you are more motivated you pay attention. Your mind won't be all over the place. So we elevate dopamine levels with stimulant drugs like Ritalin, Aderall, Dexedrine and so on. But what else elevates Dopamine levels? Well, all other stimulants do. What other stimulants? Cocaine, crystal meth, caffeine, nicotine, which is to say that a significant minority of people that use stimulants, illicit stimulants, you know what they are actually doing? They're self-medicating their ADHD or their depression or their anxiety. So on one level (and we have to go deeper that that), but on one level addictions are about self-medications. If you look at alcoholics in one study, 40% of male adult alcoholics met the diagnostic criteria for ADHD? Why? Because alcohol soothes the hyperactive brain. Cannabis does the same thing. And in studies of stimulant addicts, about 30% had ADHD prior to their drug use. What else do people self-medicate? Someone mentioned depression. So, if you have been treated for depression, as I have been, and you were given a SSRI medication, these medications elevate the level of another brain chemical called serotonin, which is implicated in mood regulation. What else elevates serotonin levels temporarily in the brain? Cocaine does. People use cocaine to self-medicate depression. People use alcohol, cannabis and opiates to self-medicate anxiety. Incidentally people also use gambling or shopping to self-medicate because these activities also elevate dopamine levels in the brain. There is no difference between one addiction and the other. They're just different targets, but the brain systems that are involved and the target chemicals are the same, no matter what the addiction. So people self-medicate anxiety, depression. People self-medicate bipolar disorder with alcohol. People self-medicate Post-Traumatic-Stress-Disorder. So, one way to understand addictions is that they're self-medicating. And that's important to understand because if you are working with people who are addicted it is really important to know what's going on in their lives and why are they doing this. So apart from the level of comfort and pain relief, there's usually something diagnosible that's there at the same time. And you have to pay attention to that. At least you have to talk about it.

Here is a short form list of what is happening to your life: 1. You are practicing hate. 2. You are practicing violent abuse toward your parents and to your own family. 3. The way you treat your parents causes them physical and emotional pain. 4. The way you treat your parents causes them to develop mental diseases such as PTSD, depression, obsessive thoughts, low self esteem, aggressive and self destructive behavior, distrust of entering relationships, isolation, anxiety, panic attacks and obsessive thought of suicide. 5. The way you treat your parents causes them to develop physical illnesses such as chronic toxic stress which leads to inflammation of body organs which leads to heart attacks, arthritis, and irritable bowel syndrome. 6. The way you treat your parents produces feelings of abandonment and ostracism which is experience as physical pain on a

Everyone has an Everest. Whether it’s a climb you chose, or a circumstance you find yourself in, you’re in the middle of an important journey. Can you imagine a climber scaling the wall of ice at Everest’s Lhotse Face and saying, “This is such a hassle”? Or spending the first night in the mountain’s “death zone” and thinking, “I don’t need this stress”? The climber knows the context of his stress. It has personal meaning to him; he has chosen it. You are most liable to feel like a victim of the stress in your life when you forget the context the stress is unfolding in. “Just another cold, dark night on the side of Everest” is a way to remember the paradox of stress. The most meaningful challenges in your life will come with a few dark nights. The biggest problem with trying to avoid stress is how it changes the way we view our lives, and ourselves. Anything in life that causes stress starts to look like a problem. If you experience stress at work, you think there’s something wrong with your job. If you experience stress in your marriage, you think there’s something wrong with your relationship. If you experience stress as a parent, you think there’s something wrong with your parenting (or your kids). If trying to make a change is stressful, you think there’s something wrong with your goal. When you think life should be less stressful, feeling stressed can also seem like a sign that you are inadequate: If you were strong enough, smart enough, or good enough, then you wouldn’t be stressed. Stress becomes a sign of personal failure rather than evidence that you are human. This kind of thinking explains, in part, why viewing stress as harmful increases the risk of depression. When you’re in this mindset, you’re more likely to feel overwhelmed and hopeless. Choosing to see the connection between stress and meaning can free you from the nagging sense that there is something wrong with your life or that you are inadequate to the challenges you face. Even if not every frustrating moment feels full of purpose, stress and meaning are inextricably connected in the larger context of your life. When you take this view, life doesn’t become less stressful, but it can become more meaningful.

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.

From birth to death and further on As we were born and introduced into this world, We had a gift hard to express by word And somewhere in our continuous road, It kind of lost it sense and turned. There was that time we sure remember, When everything was now and 'till forever Children with no worries and no regrets, The only goal was making a few friends. But later on everything has changed, By minds that had it all arranged To bring the people into stress, Into creating their own mess. We have been slaved by our own mind, Turned into something out of our kind Slowly faded away from the present time, Forced to believe in lies, in fights and crime. They made it clearly a fight of the ego, A never ending war that won't just go They made it a competitive game, To seek selfish materialistic fame. They turned us one against eachother, Man against man, brother against brother Dividing us by religion and skin color, Making us fight to death over a dollar. Making us lose ourselves in sadly thoughts, Wasting our days by living in the past Depressed and haunted by the memories, And yet still hoping to fly in our dreams. Some of us tried learning how to dance, Step after step, giving our soul a new chance Some of us left our ego vanish into sounds, Thus being aware of our natural bounce. Some tried expressing in their rhymes, The voice of a generation which never dies They reached eternity through poetry Leaving the teachings that shall fulfill the prophecy Others have found their way through spirituality, Becoming conscious of the human duality Seeking the spiritual enlightenment, Of escaping an ego-oriented fighting Science, philosophy, religion, Try to explain the human origin. Maybe changes are yet to come, And it shall be better for some Death's for the spirit not an end, But a relieving of the embodiment So I believe that furthermore, We'll understand the power of our soul But leaving behind all we know, And all that we might not yet know It all resumes to that certain truth, That we all seek to once conclude.

Bruce has wrestled with his moods, and a psyche genetically prone to extremes, for most of his adult life. Decades of psychotherapy helped reveal and cast light on some of his most primal traumas and conflicts, but his raw moods, and occasional descents into full-blown depression, never quite went away. "You go through periods of being good, then something stimulates it," he says. "The clock, some memory. You never know. The mind wants to link all your feelings to a cause. I'm feeling that because I'm doing this, or because that happened." Eventually Bruce realized that his worst moods had nothing to do with what was actually taking place in his life. Awful, stressful things could happen - conflicts, stress, disappointments, death - and he'd be unflappable. Then things would be peaceful and easy and he'd find himself on his knees. "You're going along fine, and then boom, it hits you. Things that just come from way down in the well. Completely noncasual, but it's part of your DNA, part of the way your body cycles." Bruce knows his particular brain chemistry will never leave him completely in the clear. "You manage it, you learn and evolve, but another recognition you gotta have is that these are the cards you were dealt," he says. "These things are never going to be out of your life. You gotta be constantly vigilant and realistic about these things.

Imagine you live on a planet where the dominant species is far more intellectually sophisticated than human beings but often keeps humans as companion animals. They are called the Gorns. They communicate with each other via a complex combination of telepathy, eye movements & high-pitched squeaks, all completely unintelligible & unlearnable by humans, whose brains are prepared for verbal language acquisition only. Humans sometimes learn the meaning of individual sounds by repeated association with things of relevance to them. The Gorns & humans bond strongly but there are many Gorn rules that humans must try to assimilate with limited information & usually high stakes. You are one of the lucky humans who lives with the Gorns in their dwelling. Many other humans are chained to small cabanas in the yard or kept in outdoor pens of varying size. They are so socially starved they cannot control their emotions when a Gorn goes near them. The Gorns agree that they could never be House-Humans. The dwelling you share with your Gorn family is filled with water-filled porcelain bowls.Every time you try to urinate in one,nearby Gorn attack you. You learn to only use the toilet when there are no Gorns present. Sometimes they come home & stuff your head down the toilet for no apparent reason. You hate this & start sucking up to the Gorns when they come home to try & stave this off but they view this as evidence of your guilt. You are also punished for watching videos, reading books, talking to other human beings, eating pizza or cheesecake, & writing letters. These are all considered behavior problems by the Gorns. To avoid going crazy, once again you wait until they are not around to try doing anything you wish to do. While they are around, you sit quietly, staring straight ahead. Because they witness this good behavior you are so obviously capable of, they attribute to “spite” the video watching & other transgressions that occur when you are alone. Obviously you resent being left alone, they figure. You are walked several times a day and left crossword puzzle books to do. You have never used them because you hate crosswords; the Gorns think you’re ignoring them out of revenge. Worst of all, you like them. They are, after all, often nice to you. But when you smile at them, they punish you, likewise for shaking hands. If you apologize they punish you again. You have not seen another human since you were a small child. When you see one you are curious, excited & afraid. You really don’t know how to act. So, the Gorn you live with keeps you away from other humans. Your social skills never develop. Finally, you are brought to “training” school. A large part of the training consists of having your air briefly cut off by a metal chain around your neck. They are sure you understand every squeak & telepathic communication they make because sometimes you get it right. You are guessing & hate the training. You feel pretty stressed out a lot of the time. One day, you see a Gorn approaching with the training collar in hand. You have PMS, a sore neck & you just don’t feel up to the baffling coercion about to ensue. You tell them in your sternest voice to please leave you alone & go away. The Gorns are shocked by this unprovoked aggressive behavior. They thought you had a good temperament. They put you in one of their vehicles & take you for a drive. You watch the attractive planetary landscape going by & wonder where you are going. You are led into a building filled with the smell of human sweat & excrement. Humans are everywhere in small cages. Some are nervous, some depressed, most watch the goings on on from their prisons. Your Gorns, with whom you have lived your entire life, hand you over to strangers who drag you to a small room. You are terrified & yell for your Gorn family to help you. They turn & walk away.You are held down & given a lethal injection. It is, after all, the humane way to do it.

Almost a year after the start of the corona crisis, how is the mental health of the population? MD: For the time being, there are few figures that show the evolution of possible indicators such as the intake of antidepressants and anxiolytics or the number of suicides. But it is especially important to place mental well-being in the corona crisis in its historical continuity. Mental health had been declining for decades. There has long been a steady increase in the number of depression and anxiety problems and the number of suicides. And in recent years there has been an enormous growth in absenteeism due to psychological suffering and burnouts. The year before the corona outbreak, you could feel this malaise growing exponentially. This gave the impression that society was heading for a tipping point where a psychological 'reorganization' of the social system was imperative. This is happening with corona. Initially, we noticed people with little knowledge of the virus conjure up terrible fears, and a real social panic reaction became manifested. This happens especially if there is already a strong latent fear in a person or population. The psychological dimensions of the current corona crisis are seriously underestimated. A crisis acts as a trauma that takes away an individual's historical sense. The trauma is seen as an isolated event in itself, when in fact it is part of a continuous process. For example, we easily overlook the fact that a significant portion of the population was strangely relieved during the initial lockdown, feeling liberated from stress and anxiety. I regularly heard people say: "Yes these measures are heavy-handed, but at least I can relax a bit." Because the grind of daily life stopped, a calm settled over society. The lockdown often freed people from a psychological rut. This created unconscious support for the lockdown. If the population had not already been exhausted by their life, and especially their jobs, there would never have been support for the lockdown. At least not as a response to a pandemic that is not too bad compared to the major pandemics of the past. You noticed something similar when the first lockdown came to an end. You then regularly heard statements such as "We are not going to start living again like we used to, get stuck in traffic again" and so on. People did not want to go back to the pre-corona normal. If we do not take into account the population's dissatisfaction with its existence, we will not understand this crisis and we will not be able to resolve it. By the way, I now have the impression that the new normal has become a rut again, and I would not be surprised if mental health really starts to deteriorate in the near future. Perhaps especially if it turns out that the vaccine does not provide the magical solution that is expected from it.

Predominantly inattentive type Perhaps the majority of girls with AD/HD fall into the primarily inattentive type, and are most likely to go undiagnosed. Generally, these girls are more compliant than disruptive and get by rather passively in the academic arena. They may be hypoactive or lethargic. In the extreme, they may even seem narcoleptic. Because they do not appear to stray from cultural norms, they will rarely come to the attention of their teacher. Early report cards of an inattentive type girl may read, "She is such a sweet little girl. She must try harder to speak up in class." She is often a shy daydreamer who avoids drawing attention to herself. Fearful of expressing herself in class, she is concerned that she will be ridiculed or wrong. She often feels awkward, and may nervously twirl the ends of her hair. Her preferred seating position is in the rear of the classroom. She may appear to be listening to the teacher, even when she has drifted off and her thoughts are far away. These girls avoid challenges, are easily discouraged, and tend to give up quickly. Their lack of confidence in themselves is reflected in their failure excuses, such as, "I can't," "It's too hard," or "I used to know it, but I can't remember it now." The inattentive girl is likely to be disorganized, forgetful, and often anxious about her school work. Teachers may be frustrated because she does not finish class work on time. She may mistakenly be judged as less bright than she really is. These girls are reluctant to volunteer for a project orjoin a group of peers at recess. They worry that other children will humiliate them if they make a mistake, which they are sure they will. Indeed, one of their greatest fears is being called on in class; they may stare down at their book to avoid eye contact with the teacher, hoping that the teacher will forget they exist for the moment. Because interactions with the teacher are often anxiety-ridden, these girls may have trouble expressing themselves, even when they know the answer. Sometimes, it is concluded that they have problems with central auditory processing or expressive language skills. More likely, their anxiety interferes with their concentration, temporarily reducing their capacity to both speak and listen. Generally, these girls don't experience this problem around family or close friends, where they are more relaxed. Inattentive type girls with a high IQ and no learning disabilities will be diagnosed with AD/HD very late, if ever. These bright girls have the ability and the resources to compensate for their cognitive challenges, but it's a mixed blessing. Their psychological distress is internalized, making it less obvious, but no less damaging. Some of these girls will go unnoticed until college or beyond, and many are never diagnosed they are left to live with chronic stress that may develop into anxiety and depression as their exhausting, hidden efforts to succeed take their toll. Issues