21 Tips to Keep Your Shit Together When You’re Depressed.
A while ago, I penned a fairly angry response to something circulating on the internet – the 21 Habits of Happy People. It pissed me off beyond belief, that there was an inference that if you weren’t Happy, you simply weren’t doing the right things.
I’ve had depression for as long as I can remember. It’s manifested in different ways. I did therapy. I did prozac. I did more therapy. My baseline is melancholic. I’d just made peace with it when I moved, unintentionally, to a place that had markedly less sunshine in the winter. I got seasonal depression. I got that under control. Then I got really, really sick. Turns out it’s a permanent, painful genetic disorder. My last pain-free day was four years ago.
So, this Cult of Happy article just set me off. Just… anger. Rage. Depression is serious – debilitating, often dangerous, and it’s got an enormous stigma. It leaves people to fend for themselves.
It’s bad enough without people ramming Happy Tips at you through facebook. There is no miracle behaviour change that will flip that switch for you. I know, I’ve tried.
A friend of mine suggested that I write something from my point of view because, surprisingly, I manage to give an outwards impression of having my shit together. I was shocked to hear this. And I find this comical, but I see her point. I’m functioning. I’ve adapted. I’m surprisingly okay. I think the medical term is “resilient”.
So, here it is.
My 21 Tips on Keeping Your Shit Together During Depression
1) Know that you’re not alone. Know that we are a silent legion, who, every day face the solipsism and judgement of Happy People Who Think We Just Aren’t Trying. There are people who are depressed, people who have been depressed, and people who just haven’t been hit with it yet.
2) Understand that the Happy People are usually acting out of some genuine (albeit misguided) concern for you, that it’s coming from a good place, even if the advice feels like you’re being blamed for your disease. Telling you these things makes them feel better, even if it makes you feel like shit. (If they insist on keeping it up, see #12.)
3) Enlist the help of a professional. See your doctor. You need to talk about the ugly shit, and there are people paid to listen and help you find your way to the light at the end of the tunnel.
4) Understand that antidepressants will only do so much. They’re useful, they’ll level you out and give you the time you need to figure out your own path to getting well. They can be helpful. There are lots to choose from. They may not be for you, and even if they are, they take some time to kick in. Conversely, they may not be for you. Work with your doctor.
5) Pick up a paintbrush, a pencil, an activity you got joy from in the past and re-explore that. Or, sign up for the thing you always wanted to try. There is a long history and link between depression and creativity. It’s a bright light of this condition, so utilize it to your best advantage.
6) Eat nutritionally sound, regular small meals. If you’re having trouble eating, try to focus on what you’d like to eat. I went through a whole six week episode of tomatoes and cream cheese on a bagel twice a day. Not great, but it was something – helpful context, I’m a recovered anorexic. Conversely, if all you want to do is scarf down crap, try to off-ramp it by downing a V-8 and doing #9 for 15 minutes, and see how you feel. Chucking your blood sugar all over hell’s half acre is going to make you feel worse.
7) While you’re doing #3, get some bloodwork done. If you’re low on iron or vitamin D, or if your hormone levels are doing the Macarena… these can all contribute to zapping your energy or switching your mood to Bleak As Hell.
8) If you’re in bed and the “insomnia hamsters”, as I like to call them, are on the wheel of your head, watch Nightly Business News on PBS. This has the effect of Nyquil. Swap out your coffee for herbal tea. If you just cannot sleep, try the next tip….
9) Learn how to meditate. Start by focusing on your breathing. Not sleep, not thoughts. In through the nose, out through the mouth. Meditation is focusing on being present in your body, not careening around in your brain. It may not be as good as sleep but it will give you some rest and recharge you.
10) Face a window as often as you can – at work, at home. Look out into the world. Watch. Observe. Try to find something you find pretty or interesting to focus on. And, handily remember that one in five of those people out there feel the way you do.
11) Cry. Better out than in. Sometimes it’s not convenient or career-enhancing to cry, so find a private place as best you can and let the tears go. Carry Kleenex and face wipes and extra concealer if you wear makeup. You can always claim allergies.
12) Any “friend” who resolutely believes that your depression is because you’re lazy, because you’re not trying hard enough, who blames you for not bootstrapping out of it- that friend needs to be cut off. Polite (#2) is one thing, but there is a limit. You don’t have to explain, you can just not respond. You feel badly enough, you don’t need their “assistance”.
13) Limit your time with people who drain you. You know who they are. Often you don’t have a choice- but you can put the meter on. And, subsequently, be aware of what you’re asking of those close to you.
14) Everyone has shit they’ve got to deal with. What you have been saddled with is your shit. Recognize, just as you’re not alone, you’re also not unique. The grass may look greener, you may be jealous or envious of others who don’t have to deal with depression, but you likely do not know everything that’s going on with them.
15) Let go or be dragged. This is an old Buddhist saying. It’s a very useful way to frame aspects of depression. Betrayal, anger, fear… letting go is a process – often a painful and difficult process - but it’s ultimately going to show you the path out of this terrible place. Repeating the mantra can help when you’re feeling gripped by these feelings.
16) Wear clothes that make you feel confident. It takes as much time to put on nice clothes as it does to put on sweatpants. You will want to wear the sweatpants. Fight the urge. The whole “look good/feel better” campaign isn’t limited to cancer and chemotherapy. Or women.
17) Avoid fictional drama and tragedy like the plague. No Grey’s Anatomy, no to The Notebook, or anything that won a Pulitzer prize. You’ve got enough going on In Real Life. Comedy only. Or trashy stuff. Old episodes of WonderWoman? I’ve got the box set. Mindless drivel, like the latest CGI blockbuster. Or clever, funny books. David Sedaris. Jenny Lawson. Fiction exists to elicit emotion, and the emotion you need to express most right now is laughter.
18) Simple exercise, if you can. It can be something as simple as taking the stairs up a flight, or walking around the block. It doesn’t have to be elaborate, it doesn’t have to involve climbing a mountain or running a marathon. Baby steps.
19) Depression will lie to you. Depression will try to tell you what others are thinking. That you are unloved and unworthy, that others think little of you or don’t care – or even wish you harm. You are not a psychic. Keep repeating that. “I am not a psychic”. Repeat. The only way to know what another person is thinking is to up and ask them.
20) If you are well and truly losing this battle, reach out to someone. I’ve been the random friendly-but-not-close person who has fielded the occasional outreach. I like to think I’m not judgemental and generally resourceful, and others have thought the same, so they called and asked. You know someone like me. And they will help you.
21) Forgive yourself. I’m writing out all these tips, and I can’t always muster the strength to even stick my nose outside, or walk up the stairs, or eat my vegetables. Today, I got outside for ten minutes. I will try again tomorrow. And I will try again the day after that.
WHAT YOU SHOULD DO:
- Stay with us and keep calm.
The last thing we need when we’re panicking, is to have someone else panicking with us.
- Offer medicine if we usually take it during an attack.
You might have to ask whether or not we take medicine- heck, some might not; but please, ask. It really helps.
- Move us to a quiet place.
We need time to think, to breathe. Being surrounded by people isn’t going to help.
- Don’t make assumptions about what we need. Ask.
We’ll tell you what we need. Sometimes; you may have to ask- but never assume.
- Speak to us in short, simple sentences.
- Be predictable. Avoid surprises.
- Help slow our breathing by breathing us or by counting slowly to 10.
As odd as it sounds, it works.WHAT YOU SHOULDN’T DO:
1. Say, “You have nothing to be panicked about.”
We know. We know. We know. And because we know we have nothing to be panicked about, we panic even more. When I realize that my anxiety is unfounded, I panic even more because then I feel like I’m not in touch with reality. It’s unsettling. Scary.
Most of the time, a panic attack is irrational. Sometimes they stem from circumstances — a certain couch triggers a bad memory or being on an airplane makes you claustrophobic or a break up causes you to flip your lid — but mostly, the reasons I’m panicking are complex, hard to articulate or simply, unknown. I could tell myself all day that I have no reason to be having a panic attack and I would still be panicking. Sometimes, because I’m a perfectionist, I become even more overwhelmed when I think my behaviour is “unacceptable” (as I often believe it is when I’m panicking). I know it’s all in my mind, but my mind can be a pretty dark and scary place when it gets going.
Alternate suggestion: Say, “I understand you’re upset. It is okay. You have a right to be upset and I am here to help.”
2. Say, “Calm down.”
This reminds me of a MadTV sketch where Bob Newhart plays a therapist who tells his patients to simply “Stop it!” whenever they express anxiety or fear. As a sketch, it’s funny. In real life, it’s one of the worst things you can do to someone having a panic attack. When someone tells me to “stop panicking” or to “calm down,” I just think, “Oh, okay. I haven’t tried that one. Hold on, let me get out a pen and paper and jot that down, you jerk.”
Instead of taking action so that they do relax, simply telling a panicking person to “calm down” or “stop it” does nothing. No-thing.
Alternate suggestion: The best thing to do is to listen and support. In order to calm them down without the generalities, counting helps.
3. Say, “I’m just going to leave you alone for a minute.”
Being left alone while panicking makes my heart race even harder. The last thing I want is to be left by myself with my troubled brain. Many of my panic attacks spark from over-thinking and it’s helpful to have another person with me, not only for medical reasons (in case I pass out or need water) but also it’s helpful to have another person around to force me to think about something other than the noise in my head.
Alternate suggestion: It sometimes helps me if the person I’m with distracts me by telling me a story or sings to me. I need to get out of my own head and think about something other than my own panic.
4. Say, “You’re overreacting.”
Here’s the thing: I’m not. Panic attacks might be in my head, but I’m in actual physical pain. If you’d cut open your leg, no one would be telling you you’re overreacting. It’s a common trope in mental health to diminish the feelings or experience of someone suffering from anxiety or panic because there’s no visible physical ailment and because there’s no discernible reason for the person to be having such a strong fear reaction.
The worst thing you can tell someone who is panicking is that they are overreacting.
Alternate suggestion: Treat a panic attack like any other medical emergency. Listen to what the person is telling you. Get them water if they need it. It helps me if someone rubs my back a little. If you’re in over your head, don’t hesitate to call 911 (or whatever the emergency services number is where you are). But please, take the person seriously. Mental health deserves the same respect as physical health.
Okay, so I wasn’t ever going to make this post, but it’s happened to me enough that I feel the need to tell everyone this public ally so it can stop.
Please stop insulting me and my work. It’s extremely hurtful and effects me on a very deep level.
Saying things like “Hey, I found your comic at…
Hey. I found your kickass comic book on my bookshelf where I keep the rest of my awesome comics today. You know, the one where issue two was so beautifully written and drawn that it brought me to tears? Yeah, that one. It’s brilliant. Don’t forget that. Some people don’t understand the comic book industry, but don’t forget the ones that try to comprehend and appreciate everything you produce and put your soul into.
I think writing things like this can be a tremendous wake up call on teaching people to rethink how to tell someone something before they say it. Whether they mean it as a compliment or “constructive” criticism or whatever else, if it upsets you, then you have every right to stand up for yourself and tell them their comment is inappropriate. Kudos to you for sticking up for yourself!