Tag Archives: mental health

Mindful Road Rage

Once upon a time, I drove around in circles in a Kaiser parking lot bawling my eyeballs out, thanks to an old man who had no a clue just how terribly he had impacted me emotionally. I had already spilled my morning smoothie, was running late to an appointment, and had a conference to prep for the next day.

Like everyone else, I was desperately searching for parking and finally found someone leaving fair and square. Unfortunately, I had to torturously watch a seemingly evil old man slowly steal my spot, pretending I wasn’t there honking at him, staring aghast at the injustice of it all. One last hand-on-the-horn-for-15-seconds only earned me the bird for my efforts to take back justice. And only resulted in the flood gates bursting open instantly. Once I managed to calm down, I tried to justify my overemotional reaction after reigning in my thoughts of how cruel and, well, fucked-up people can be. I was ready to get that old man and his little dog, too

Here’s something everyone can relate to: road rage. Just pure, unadulterated everyone-out-of-my-mother… fatherbrothersister’s-way road rage.

I don’t know what it is about people who drive like maniacs / fools / donkey riders in the tenth century… but nothing riles me up faster than being cut off by someone (read: idiot on wheels) who doesn’t have the decency to pick up the pace when they get in the lane that is rightfully yours. Isn’t that what it feels like? The thirty-foot space in front of your vehicle belongs to you! It has your name carved into it. I get so territorial and deranged; I start tailing them,  revving the little engine of my not-so-souped-up two-door manual Civic and I’m so damn pleased with myself when I finally overtake the shit out of them, sneak over with a dirty look, and show them who’s boss. (Cue a war cry followed by your choice of ‘EAT MY DUST, SPARKY!’ or ‘JUSTICE!’ or  ‘This is SPARTAAAA!’)

But what happens when you are desperate to be constantly zen like me? When you judge yourself every time you get irritated, because you have a reputation for being a meditator and working at a center for compassion? I’ve been doing that for nearly eight years now (the meditation bit; the compassion gig for two), and only in the last few years have I touched upon the tip of the iceberg of something I like to call “Mindful Road Rage.” The road is truly is the best place to practice mindfulness—and by that I don’t mean you start meditating while driving. (My old research professor says she ‘meditates with her eyes open’ for her grueling two-hour commutes—much to my horror for her safety.) What I mean is realizing your supremely bizarre emotional anger every time you feel wronged on the road, before you begin to act like that a-hole on the road yourself (everyone in a Beamer—I’m looking at YOU! Including my friend Ari. The stereotype is there for a reason…!).

Of course, as I was thinking of this article, someone (an idiot so to speak) cut me off and I had immediate road rage Tourette’s and cursed out loud in what is known as Unglish (Urdu English—the language would warrant too many horrified gasps and therefore will be withheld. My mother knows I blog, okay?)

So why does this matter? Why in the holy name of Thom Yorke’s exceptional dance skills would you want to be mindful about your road rage? Why should you and whose army care?

Well firstly, not everyone can be as special as you, driving like they’re Han Solo in the Millennium Falcon in an asteroid field. Damn these inferior X-wing drivers. But guess what? The only person whom this negatively affects is actually you. The person who just cut you off most likely has no clue. And it’s unlikely they’ll become a better driver because you go off blaring your horn at them. You’ll probably startle them shitless and make them more of a liability on the road.

It can also be hard to see a person in a vehicle as a human being with loved ones… I know I just see a damn box on wheels. Similar to how it’s harder to relate over a computer or phone screen: we’re wired to read body language and voice tones. So it’s easy to get caught up and be obnoxious. Perhaps the metal body surrounding them, like a Power Ranger on wheels, sucks a little bit of the humanity out of them? Bold and a little out there, but something to consider.

Another reason is… science. Our flight-or-fight response is best reserved for fighting off wild beasts. It hasn’t evolved to deal with first-world problems just yet because we change shit too fast and too well; evolution is a long process of trying and testing—not like fast tracking in the FDA. There’s nothing you can do to get rid of that damned stress hormone, cortisol, so when you amp up your stress response, you are literally creating conditions for chronic stress (which, over time, will seriously fuck you up—to put it kindly). The power of science compels you!

Let’s go back to that dastardly old man in that Kaiser parking lot. Once I finally wiped the sob-snot from my face, I thought, What if this man has a wife who’s dying in there? What if he’s coming in for his own regular chemo? People do douchebag things out of desperation sometimes. Perhaps this was something that didn’t matter in the grand scheme of what he was going through. Or you know, maybe he was just truly being a douchebag. But once you start to consider that you have not a damned idea about going on in another person’s story at that moment, it is in your best interest for your sanity to give them the benefit of the doubt. And that, ladies and gentlemen, will put some so-called a-hole drivers in a whole different perspective.

The fact is that everyone else on the road, your fellow earthlings, are just trying to get where they’re going, just like you are. They need to put their needs before yours, just as you put yours before theirs… and it’s going to happen again and again and again. You can’t change that, but you sure can change how you feel about it, and it’ll benefit not only your own well-being, but also the chaotic mess that is the phenomena of driving and traffic. You can even take it a step further by making it your random acts of kindness for the day or an easy way to be nice. You can’t change the situation, but you sure can change your thought process about it.

Now when you want heads to roll on the freeway, either play nice to boost your own good karma or choose wisely from Carlin’s incomplete list of impolite words, take a deep breath, and drop it immediately, so that no drivers, including yourself, are harmed in the process.

Big Mak standing by…

Photo by Rob Adams

Photo by Rob Adams

Medication? Meditation

I always love when people ask me what my favorite position is. Why, lotus, of course. What were you thinking?

It may seem like everybody and their mom is meditating these days. And, well… my mom just took a meditation course after seven years of my incessant nagging, so there you have it. Yet I meet so many people who are wowed by the fact that I’m a longtime meditator (7 years and counting, son!) and that I have a daily practice at the tender age of 25. So often, I hear the sentence “I wish I could meditate…” and I’m always stunned by it. I seriously mean this when I say it: anyone can meditate. You don’t need to be a monk, hermit, or even have a guru or teacher to learn to meditate (though it can help).

Simply put, meditation is being still: physically, verbally, and mentally still (eventually at expert level). It is not a Buddhist practice (though it can be.) It is not a Hindu practice (though it can be.) It is literally just sitting with an intention for stillness. There are many types (even standing and walking ones), but the two most basic ones are:

  1. Mindful meditation – Taking your awareness to different parts of your body, breath, thoughts.
  2. Concentration meditation – Actively trying to concentrate on a thought, sensation or a visualization and bringing yourself back to that when your mind wanders.

 

There is no poster child for meditation. I am a rowdy hockey fan whose favorite band since 16 has been Tool and I grew up in a third world country. None of those facts have any relevance to my ability to meditate. If I can do it… so can you.

When I first started, I wondered what good could possibly come of me being still sitting in silence doing absolutely nothing. Well, let me tell you—one UNDERenlightened to another UNDERenlightened friend. I can only speak from my own experience but a lot of research backs up my positive experience with meditation.

  • I feel more energized.
  • I feel calmer and less stressed.
  • I feel more focused and clear minded.
  • I can control my emotions better (e.g. not throw my drink at the TV screen when the San Jose Sharks make a terrible play).
  • I am more aware of my own self and others around me. (This one sounds pretty new age-y and I apologize for that. What I mean is, for example, if I feel angry, it’s easier for me to pick up on the fact that I’m angry and stop to think before saying or doing something hurtful. Similarly, I am more aware of how others around me are feeling and, honestly, sometimes they don’t have to say a darned thing for me to know.)

 

I’m a true believer in this preflight safety message across the board: Put on your own oxygen mask before tending to others.

How did I get into this life-changing practice? A 5-day course called YES Plus. I took my first freshman semester in college. I had just moved back to the United States after 12 years and was having a tough time adjusting to suddenly not having any friends. After attending an introductory meeting for a meditation group, I signed up. Initially, I believed it would just help me de-stress and show me the ropes of yoga. But little did I know that it would change my life. YES Plus is a course offered to college students and young professionals to learn meditation, gentle yoga, some simple, effective life skills and finally (and mainly) breathing techniques. It ended up being the best thing I’ve ever done for myself and since then I’ve assisted with at least 10 seminars at various universities (including Stanford University’s own YES Plus chapter—my main YES Plus community, since I work at Stanford.) I learned to manage my emotions better (which we know is most difficult at the dramatic age of 19), learned to be happier and more energized, and gained a huge ever-growing group of incredibly inspiring friends. I’ve never looked back since.

The most impactful thing I learned in YES Plus was breathing. Sounds silly, right? Different breathing techniques help segue into meditation—the ones I learned helped me breathe deeper (Pro Tip: use more lung space; if you’ve taken a biology class, you know that respiration is an act of energizing and detoxing your body so breathing deeper means more of that), and made me feel awake yet calm afterwards.  It’s like having caffeine without the anxious jitters. For people like me who think it’s incredibly difficult to just sit and be… breathing as an active and engaging process helps the transition into peace of mind tremendously. I’ve found that I can get to a deeper space of meditation faster.

To this day, I have trouble meditating sometimes—I have been conditioned to be on-the-go and I feel like I’m wasting my time sitting and ‘doing nothing.’ But the fact is that you are doing something in meditation. You are giving yourself peace of mind (a mini brain vacation, if you may) and that will translate into everything you do. Trust me. You can’t knock it till you try it! Perseverance is key. Set a bar for yourself: ‘I will meditate for 5 minutes daily for a month.’ If it feels good, up the ante by increasing the time or number of times you do it in the day. If it doesn’t, then you learned what doesn’t work for you and are one step closer to realizing what does.

Now that I have gotten you stoked about the prospect of meditation (hopefully!), here’s what I tell people who ask me how to meditate. Quite simply…

1. Prep yourself – Give yourself no excuse to get up once you’ve finally settled into a meditation. Listen to mom’s advice and go to the bathroom, drink water, eat a light snack, wear comfortable clothing (yoga pants/ sweat pants, etc.; not tight jeans and a corset). Do not eat a huge fatty meal because you will sleep, not meditate.

2. Exercise (yoga is a fantastic segue into meditation) – You will be sitting very still for a while so let loose any ants in your pants. Set a gentle alarm if you need to restrict time. There are plenty of meditation apps to help. Don’t startle yourself into consciousness with loud, sudden sounds; that defeats the purpose of relaxation. The best duration is around 20 minutes—not too much, not too little (though your perception of time can vary each and every instance!). But you can meditate for as little or as long as you damn please. As mentioned above, breathing techniques are amazing and simple ways to ease you into zen mode.

3. Keep your back straight – This can be uncomfortable to begin with because we’re a species that loves to slouch, but hang tough the first few times and you’ll even begin to see a change in your daily posture. Do your best—otherwise, soon you’ll be drooling on your shirt and sleeping, not meditating. Big difference. Use a backrest, pillow or wall. If you can without a wall, you’re already semi-enlightened… oh wait, this is about being UNDERenlightened. Scratch that.

4. Sit symmetrically – This means both feet on the ground, seated on a chair, or cross-legged on the floor. Essentially, both left and right sides of your body should look the same. Palms facing up (preferred personally, but try both) or down on your lap.

5. Set the mood to be relaxed and comfortable – You can’t meditate if your body is not where it wants to be. Snuggle up in a blanket, don’t sit cross-legged if it’s not comfortable, turn off or dim the lights. Keep your cellphone on silent or locked in a safe on top of the fridge.

6. Pay attention to your body and breath – Literally what those words mean. We often don’t even realize how much tension we carry physically. I often have scrunched up brows or tightly pursed lips or my shoulders are up to my ears. When you stop and just be with yourself, you’ll start to notice these things, trust me. It’s wild. Loosen up those parts taking deep breaths.

7. Here’s where you can go two ways: you can continue to just be mindful of your thoughts and body, and every time you get too wrapped up in your head, remind yourself to bring yourself back to the breath and focus on that. No need to get mad at yourself for your brain wandering. It’s got a PhD in it! Or, alternatively, when you feel calm and settled after step 5, you can walk yourself through all your body parts gently and take deep breaths as you do so.  To give you an idea of an order to follow, this is what I do (you can say this in your head slowly as you go along): Take your attention to your right foot, right knee, right thigh and hip. (Follow that with the same on left side, and don’t forget to keep breathing; also, if needed, feel free to pause and stay on any body part as long as you wish.) Abdomen, stomach, chest, right shoulder, right arm and hand. Left shoulder, arm and hand. Neck, face, cheeks, top of the head. Throughout, you can be as detailed as you like. And finally, just take your attention to your whole body.

Now. ‘Take your attention to’ does not mean ‘pay attention to.’ You don’t need to focus like it’s two hours ‘till that O Chem exam you’ve stayed up all night cramming for. It’s just a gentle awareness, like, “Hey foot, how’s it hanging? Say hi to your mother for me, alright?” It’s really more of a “Oh, that’s my foot. Deep breath.” And if you feel like moving on to your next bit… swell. If not, just listen to what your body is asking you to pay attention to.

NOTE: You may experience tingling, lightheadedness, have a movie of thoughts, or even the dreaded… nothing. Nirvana wasn’t achieved in one day. Practice is key to going deeper. Even if you do it 5 minutes a day, the quality will begin to shift. Even if you don’t experience a life-changing shift right away, maybe you’ll see a change in your energy levels or mood. Give it a fair chance before declaring yourself a meditation squib (inside joke for you Harry Potter junkies).

8. Once you’re far away in Blissville or Zenlandia, you have two more options… to stay there or to lie down on your back (bed, floor, whatever is closest and requires the least movement) until you’re happy to get back to the real world or until your alarm goes off. Or you may just fall asleep and wake up 8 hours later.

9. Repeat steps 1 – 8 as often as possible. There are apps to remind you of these too. I use a free basic meditation insight timer.

And there you have it! I like to say that meditation is my medication—my cure-all. I sure you hope you try out a dose or two to see if it’ll change your life like it did mine. If you do, I’d love to hear about it.

Your first step toward enlightenment is now complete. Your first step toward UNDERenlightenment is understanding irony. May the force be with you.

Photo by Sara Slattery

Photo by Sara Slattery

A Healthier Alternative to the New Year’s Resolution

Happy New Year, everyone. Please allow me to state my unpopular opinion: I consider New Year’s resolutions to be the devil. Yes, I realize that resolving to accomplish certain goals every January can really help people have a positive outlook on their futures and motivate themselves, but: 1) People very rarely have the wherewithal to stick with them (which is the most obvious drawback) and 2) New Year’s resolutions cause you to reflect upon the past year and think of all the shit you did not accomplish. As in, “Oh God, there goes another year and I didn’t change careers / put myself out there in the dating world / lose ten pounds…” You fill in the blank. Woe is you. You messed up this year, huh? But that’s okay, because next year you will do all those things! Right? Right! Except there’s a chance you might not. Because point #1.

But what if, instead of making New Year’s resolutions, we did Past Year’s reflections? I think this method is a healthier, glass-half-full approach to prepare for the next 365 days. Sure, there are some things you wish you could have done this past year, things you really hope you’ll do next year. But why not catalog all the really cool, life-changing things that you did do? It can feel like time is speeding up in all sorts of odd ways as we age, and it’s easy to lose track of the milestones as the year flies by. Reflecting upon the past twelve months reminds me how long a year actually is, and I wind up realizing that I have made progress as a human being.

Ready? Awesome, I’ll start, and I’ll start by being perfectly honest. This past year wasn’t one of my favorites. There were a lot of personal hurdles to confront family-wise, work-wise, self-wise, money-wise, pet-ownership-wise… pretty much all of the wises. But every time an obstacle cropped up, the way I ultimately chose to deal with it was with the pat on the back I gifted myself. I might not have compiled all the Facebook-friendly accolades that usually qualify as “milestones.” This year, mine were quieter and more personal but no less valuable.

Sure, there were a few big moments: I moved in with a significant other. We adopted a rescue dog and showered her with love. I left my Hollywood assistant job and launched my freelancing career, ignoring how much the prospect terrified me. I finished writing my first book. Then I rewrote it. And rewrote it again. (I’m still rewriting it again.) So, yeah, these are big, important things! But the moments in between these big, important things, when life was definitely not throwing me a Get-it-Girl parade, are the moments in which I feel I grew the most. And they’re the moments I think I’m proudest of.

I learned how to enrich my relationship with my family from afar when someone close to me confronted a health crisis. There was a lot of flying back and forth to New York for a few months, and I had to really weigh the pros and cons of my life on the opposite coast. That was scary. So was the realization that the healthy status-quo of your parents is not permanent by any means: it’s something we all know on a very basic level, but it’s different when you really start to know it. I’m not proud of how much I yo-yoed emotionally during that time. But I’m proud of and happy with my decision to stay on the West Coast. By even suggesting that I’d move back East, I was giving my family the impression that the situation we were in might be worse than it actually was. They wanted me to keep on keeping on so that we could establish a new normal. So I did. And they did, too. That was a huge thing to have learned. Life is full of establishing “New Normals” when something doesn’t go as planned.

Another “New Normal” (and yes, I’m sensing a pattern here) that I had to establish was in regard to my dog Sydney—the peanut butter to my jelly, the Hobbes to my Calvin. Sydney underwent major surgery on both her eyes and went completely blind due to glaucoma. I had to teach her how to “see” her world in a new way, and boy… it was tough. For weeks, I couldn’t even get her to walk to the front gate of our apartment complex. But every day I set a goal for the two of us to accomplish, however small, and every day, she achieved that goal with my help. Eventually, “Today, we’ll take five steps to the water bowl” turned into “Today, we’ll run up the stairs for a treat.” And I also finally paid off that enormous vet bill. We definitely have a new normal in our household, but I don’t think I’ve ever learned so much about patience as it relates to adaptability in all living things.

“Patience and Adaptability” could totally be the theme song for my recent career move as well. After several years of working different assistant jobs throughout the entertainment industry, I decided to strike out on my own and start freelancing as a writer. I prepared for it. I gave myself a financial cushion. I pulled together a portfolio that I was proud of. I forced myself to take on projects that I didn’t really think were up my alley, just to see if I could broaden my range. Yes, I was super nervous and had daily panic attacks for a month or so. And yeah, money is tight when you do this. It’s unpredictable. But like I said, patience, adaptability, and establishing a new normal have been my jam for 2013. And I’m happier. I might not be exactly where I want to be career-wise at the moment, but I’ll be damned if I’m not pleased as punch with my decision to go for it.

And what’s that they say about long-term goals? That they’re long-term, right? Patience and discipline pays off, little by little. Before you know it, a year has gone by, and that “little-by-little” has started to look like pretty awesome progress. I think pursuing long-term career goals is a lot like climbing a tree (which 8-year-old Liz was definitely the authority on). You don’t realize how high you’ve climbed ‘till you look down, and by then, it’s usually a lot easier to keep climbing than to try to make your way back to the ground. The only difference is that once you reach the top of your career-goals tree, you won’t be yelling for your dad to come out with the ladder and help you get back down before it gets dark out.

To those of you who are suffocating yourselves with New Year’s resolutions in light of all the things you think you didn’t accomplish in 2013—cut yourself some slack. Reflect upon this past year and take stock of how you changed personally. I feel great after writing this, much better than I would have in February 2014 after realizing that I hadn’t even scratched the surface of whatever my New Year’s resolution was. Even if you had a tough year and you don’t think your milestones actually look like milestones… look closer. Not all progress is heralded by 100 “likes” and a tornado of congratulatory texts.

Move ahead with each passing year, but don’t beat yourself up over goals you were unable to accomplish when life got in the way. If you did your best with the circumstances you were dealt this past year and you know it, then guess what? You just won New Year’s.

What is “Normal”? Dealing with Depression & Anxiety

“It’s okay. It’ll get better. Everything will be all right.” I hate when people casually say those words to a distressed friend—and, usually, I am that distressed friend.

Photo by Andy Sutterfield

Looking back on my teen years, filled with moments of extreme sadness and anger over my body-image issues and my limitations, it’s tempting to say that my panic attacks and depression started then. I think, however, that I was just a regular moody teenager. But I do know that it was around this time that I adopted habits that later led to my anxiety disorder: I stayed silent, I ate my feelings, I avoided talking about it when others broached the subject, and I became resentful of my friends for their “easy” lives.

Anxiety disorders are the most common mental illnesses in the U.S., affecting 40 million people, roughly 18% of the population. There are a wide variety of them: generalized anxiety, OCD, PTSD, phobias, etc. If you’ve never experienced depression or a panic attack, here’s a rundown: We all experience anxiety, but those who do not have a disorder can rationalize their fears, work through them, and come out with a plan of attack for any issue they’re facing. But when you have an anxiety or panic attack, the fear takes over. You can’t step back, you can’t shake yourself out of that place of fear, and you can’t force yourself to “just not think about it.” I’ve heard people say a panic attack feels like having a rubber band pulled across their chest, or having an elephant sit on them. The first time I felt it, I thought it might be a heart attack: the shortness of breath, the erratic breathing, the tears. After the attack passes, then comes the self-admonishment, the feelings of inadequacy, the thoughts that you must be weak and inferior to those around you because they don’t go through this—all of which feed into depression. And when you’re depressed, you can’t lift yourself out.

Depressed isn’t just sad or frustrated or down. Depression is detached, and that feels worse than the sad times or the panic-stricken times. You hear people say that if you put on a happy face, the good feelings will come. It’s not true. I’m putting on the happy face, I’m being my perky self. I’m at work, I’m with friends, I’m joking, I’m laughing. But there’s a cold layer around me. I feel as though all my movements are jerky and disjointed as I’m internally debating and debasing myself. You try to pull yourself out, wanting to feel something because anything is better than nothing. You try to talk to friends and family about it but you can’t get the words out or, when you do, they don’t know what to do. So they just offer the only comfort they can—“It’s okay.”

Anxiety disorders and depression do not always go hand in hand, nor does one predispose an individual to the other. However, studies show high co-morbidity rates: in a study of 3,000 patients in clinical trials for generalized anxiety or depression, about a third of anxiety disorder patients had severe enough depressive symptoms to enter the depression trials, while two thirds of the patients in the depression trials had anxiety disorders that warranted joining the generalized anxiety trials. I’ve gone through periods of both anxiety and depression, and because I have—because I’ve sought help—I know I’m likely to go through them again. I know it’s not an instance; it’s a cycle that’s repeated and feeds on itself. But I’ve also learned I’m not alone.

When you live with anxiety or depression, you might feel like you’re the only one, until you meet another ‘only one.’ When my attacks clustered closer and closer together and I started distancing myself from friends, I was scared about where I’d end up if I didn’t get help. So, I started talking to friends who I could trust. It helped me to vent and their comfort kept me from feeling like less of a person. But I still felt disconnected from my peers who all seemed to excel, unhindered. Then, a friend confided in me and told me about her own struggles. A coworker revealed the truth about her battle with the same illness. Suddenly, I wasn’t an imperfection in a perfect world; my struggles weren’t proof of my inadequacies as a human being. I was normal, beautifully and imperfectly normal. It seemed weird and maybe even wrong to feel legitimized by other people’s struggles. But I was. And that was worth something.

I’m not saying talking about it always helps, but not talking about it never does. I’d talked to friends mid–panic attack, either calling them or tracking them down at school to explode at them. They weren’t prepared for it, nor did they have the knowledge or skills to deal with it. But as I became more comfortable telling friends about the imperfect areas of my life, they reciprocated that comfort. I found safe zones to talk and let off steam before I reached attack mode.

So, how can you tell if you’re near this precipice? If any of the above resonated with you, you may want to talk to someone (yes, actually voice the thing you’re most desperate to quell). There’s a stigma associated with “not being able to deal.” A coworker who’s faced similar struggles told one of our peers and was discouraged from telling anyone else. But what we’ve experienced is real, and so is the connection I now have with this amazingly strong and beautiful woman. If she hadn’t told me about her situation, we might not have ever had this connection.

Okay, so what should I do? Again, talk about it. I couldn’t afford a therapist, so I looked into group programs I could join, which are cheaper. The people I met there provided me with a support system. If that doesn’t help, maybe one-on-one sessions are a better fit for you. Bear in mind, however, that it can take a couple of tries to find the right therapist or support group. You have to feel as though you’re in a safe place. Don’t settle until you’ve found that.

Aside from the importance of talking about it, I’ve also learned the value of the following:

Don’t Assume

The perception that your friends and family have it easy builds negative emotions and increases your feelings of being different. It’s hard to remember that those around us suffer too, that the grass isn’t always greener on the other side, but try. Resentment only distances you from the positive influences in your life.

Sleep

This can be hard when you lie awake at night for hours thinking of what’s to come. But if you’re prone to missing sleep, don’t go to bed when you have to be up in eight hours. It sounds weird, but budget for the freak out. You’ll cry and you’ll stress, but eventually you’ll be so drained emotionally and physically that you will drift off to sleep. However, if you suffer from insomnia, consult your physician.

Exercise

To quote Elle Woods, “Exercising gives you endorphins. Endorphins make you happy. Happy people just don’t kill their husbands. They just don’t.” I’ve always hated when people suggested exercise to help with mood, cramps, whatever. But it does help. Exercising results in an increase of serotonin and endorphins, which are chemicals that alleviate depression. But even if that twenty-minute walk around your neighborhood doesn’t do much for you chemically, it at least allows you to have some time alone. You have the opportunity to think things through, to be away from the pile of bills waiting for you on your desk, or your spouse who you just had a fight with.

Stress Less

Easier said than done, I know. But map out the major stressors in your life, talk it through with someone if it helps, and formulate a plan of attack to deal with each one in turn. Try not to think negatively. It’s hard but doable. Instead of thinking of “I can’t get a better job,” say to yourself “I’m going to revamp my resume by the end of the week.” Turn your fears into a to-do list. When you make a mistake, instead of obsessing, take a step back and see what you learned from the mistake and do your best to accept it.

Focus on the Happy

I love journaling because it’s a great way to document milestones and see how far I’ve come. However, when I’m upset and want to gain perspective, looking at old journal entries from when I was down can actually increase my feelings of anxiety or depression. For my New Year’s Resolution, a friend and I started a little yearlong project. We each bought a mason jar and pretty stationary. Every time something good happened or we stumbled upon something random that made us happy, we would write it on a piece of paper and stick it in the jar. Whenever I’m down, I open the jar and read through some of the anecdotes. Remembering those moments and how happy I was when I wrote them down helps to lift me out of my funk.

Recognizing and Helping Depression

In thinking about writing this post, there were a lot of angles I considered coming from. Do I talk about how, in my work at a university, I frequently see students who are buried under the weight of this nebulous and frightening disease? Do I talk about family members or partners or friends or other loved ones whom I have been able to help or, in some terrible cases, not been able to help? What I hope my internal editorial struggle conveys is that depression is incredibly common. According to the CDC, about 1 in 10 adults report experiencing depression in their lifetimes. The number is even higher for young adults.

Seeing a friend, family member or loved one who might be depressed can be scary and overwhelming. But depression is both recognizable and treatable. This should bolster you, knowing that if you can catch depression in yourself or recognize it in a good friend or loved one, you can go a long way toward making someone’s life better.

Depression and other mental health issues are still incredibly stigmatized in the U.S., and so it’s important to remember a few things: people are never, ever at fault for their mental health problems, and treating them like they are only alienates them and makes it harder to help them. Second, you will probably not get a bouquet of roses from someone you are helping, but that does not mean you didn’t make a difference.

Below are some basic signs that you or a loved one might be depressed. Keep in mind that depression is complex, that this is not an exhaustive list, and that this is not in order of importance. It is a good place to start, however, if you are feeling concerned. Here are some common aspects of depression:

  • Feelings of hopelessness and/or pessimism—like nothing will ever get better.
  • Feelings of guilt, worthlessness, and/or helplessness—like nothing matters or you can’t do anything right.
  • Irritability, restlessness, or being easily angered (this is especially common for men).
  • Sharp and unexplained change in behaviors, including the following:
    • Disinterest in activities, hobbies or work that were once very important or fun;
    • Feeling very tired or excessive sleeping;
    • Insomnia, early-morning wakefulness;
    • Change in eating behavior, like overeating, skipping meals, or a loss of appetite.
  • Difficulty concentrating, remembering details, and making decisions, especially if this was not an issue before.
  • Thoughts of suicide or suicide attempts.
  • Persistent aches or pains, headaches, cramps, or digestive problems that do not get better, even with treatment.

If this sounds like someone you know, it’s really important that you reach out to them. Here are some basic steps for talking about depression with someone you love:

  1. Express your concern. If you see something, say something. Depression can be incredibly isolating, and so it’s very important to show that person you notice and are concerned.
    • Do this with as much care and kindness as possible, in a private and controlled environment. This is not a good discussion to have on the bus or in a crowded coffee shop. Talk about specific behaviors you’ve noticed, but don’t make the observations sound like you are accusing them of having done something wrong. Something like “I’ve noticed you’ve been missing a lot of work recently, I’m concerned that something might be wrong” is much better than “Why have you been missing so much work?” because it is less accusatory.
    • The person you are speaking with may rebuff you, get angry, or be relieved that they have someone to share with. It feels best when people are relieved, but don’t expect this reaction 100% of the time. If the person you are concerned about is angry at you, do not take this personally. Depression can come along with strong feelings of shame and anger, and this can make it easy for the person to deny the severity of what they are experiencing and lash out at you. Remember, bravery isn’t a lack of fear, it’s doing something despite your fear. Even if you are worried about their reaction, it’s still important to reach out.
  1. Listen. Give your friend the space to express themselves and really listen. Don’t jump in, don’t talk about your own experiences (especially don’t tell that story about your cousin’s friend’s brother), and don’t give advice. Also, don’t be offended if they are not interested in telling you their life story. Create a welcoming and safe space, and allow your friend to be supported by you.
  1. Refer. I know, I know, we just talked about not giving advice, but this is different. Having a resource or two on hand to give to your friend is incredibly important. This can be anything from a hotline, to the number for your therapist, to the counseling center at your university (if you’re still in school), to an article online talking about depression.
  1. Follow Up. Check back in with your friend after a day or two and see how they are doing. Again, express your concerns, and listen. You can’t make someone get help, and you shouldn’t follow up in order to make sure that they do. This is mostly to let them know that you are consistently going to be there for them, and that you are not going to bail after one (likely very intense) conversation.

Lastly, here are some resources to keep in your pocket:

  • In an Emergency: Call 911 – If someone is thinking about attempting suicide or if they have already attempted suicide,  it’s critical to get highly trained professionals on your side. Don’t hesitate to call 911.
  • National Institution of Mental Health – Information about Depression: Interested in some more information about the prevalence and effects of depression? That is provided here in a helpful way and contains much more information about the many types of depression, treatment options, and experiences of those who have been diagnosed with depression.  http://www.nimh.nih.gov/health/topics/depression/index.shtml
  • Suicide Hotlines: Sometimes it’s critical to have someone to talk to and give you strategies to not harm yourself, or to help you work through whether a friend is in need. These are free and most are available 24 hours.  They have services specifically for veterans, Spanish speaker, and teens, among others. Call if you need help yourself, or if you need help helping someone else. Sometimes friends aren’t available or don’t have the right tools, and this is where these folks come in. http://www.suicidepreventionlifeline.org/
  • Online Emotional Crisis Support: Not everyone feels comfortable on the phone or has access to a private place to have a conversation. This is the chat room version of the service above.  http://www.crisischat.org/
  • College Student Helpline: Depression for college students is very common. 18-24 year olds experience a wide range and, according to some researchers, the highest prevalence of mental health problems. These folks are specifically trained to help college students.  http://www.ulifeline.org/
  • Grad Student Helpline: Many studies have shown that for whatever reason (high stress, high pressure environment, self-selecting factors), grad students are at a very high risk of poor mental health. Like the resource above, this helpline is specifically geared to help graduate students and to understand the issues they face. http://gradresources.org/

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