Tag: Major Depression

Are you depressed?

by Nathan Chua

No, you’re not.  You are called by a name, and I don’t think your parents or guardians would name you, “Depressed!”  Yes, this is kind of a play on words, but it can also serve as a reminder to you that your depression doesn’t define you.  I have met a good number of clients who have come to me saying that they have been diagnosed with major depression and subsequently medicated for something they are supposed to have that causes the depression…some sort of brain disease.  It no longer surprises me when clients come to me and say that they had a chat with their provider for 15 minutes and voila, they are labeled as being stricken by something that is called major depressive disorder or MDD!  Sad to say you’re broken and you need some fixin’!  

These conclusions are made in the service of a manual that says someone has a problem with depression when it lasts for a couple of weeks or more, plus a few other criteria listed.  Most people who get such a diagnosis often end up feeling like they have very little control over their choices regarding how they want to spend their time.  Much of their time from thereon will be focused entirely on getting rid of this depression.  They begin to adjust their lives and expectations about their lives and their relationships around a diagnosis.  People have to be careful about my feelings.  They shouldn’t say anything that can trigger my depression or sense of self-worth.  All of a sudden a mask is worn throughout their remaining existence.  

A few words about our sadness:

I have recently shared this thought experiment about our sad feelings.  It speaks about how understandable our negative feelings are.  If you were in a funeral wake to visit the friends and loved ones of the departed, wouldn’t you be surprised if anyone came in without at least a tinge of sadness in their face?  If you lost someone you cared for, would you think you’re abnormal for feeling sad?  Wouldn’t you once in a while even after years following the death of a loved one, still feel a sadness that comes with a reminder of the person who once meant so much to you?  Wouldn’t that be about just being a person who has feelings?  And yet we have a system or a culture that says you only have a couple of weeks to get over your sadness.  

The loop:

I remember an expert sharing that depression as we interpret it today, is not about the presence of sadness, but the unwillingness to feel sadness.  The loop happens when you and I try to get rid of our feelings of sadness.  This can come in many different forms.  We may try to distract ourselves, opt out of activities we enjoy, ruminate about the guilt and the what ifs, and some of us even take substances.  The sad news is unless you have a major brain injury or you are close to that age when you get hit by Alzheimer’s, you will experience sadness sooner or later.  No amount of avoiding can help you on your way to being unable to feel.  Take it from me, there are times I wake up feeling sad for no particular reason at all.  That’s just the case about feelings.  They visit us once in a while and they come and go of their own accord.

In short, the loop kind of looks like this, you don’t only feel sad, but also feel sad that you are sad.     

It’s not what you are, it’s something you have:

You are not a walking depression.  You can just observe.  Take a full day without any medication and see if you will feel sad 24 hours non stop.  Chances are you will find that your sadness only visits you in spurts.  And when it is a longer spurt, chances are you are trying to suppress it.  The problem with that strategy is that the more you try to forget about your sadness, the more you remember.  Because trying to forget something only reminds you of what you have to forget!

The meaning behind the sadness:

Finally, this article won’t be complete without some kind of redemption.  If our sadness were meaningless then I would be first to recommend that all of us should find ways to escape it.  For example, if you were being physically or verbally abused by a partner or a guardian, this is needless pain that all of us can and should avoid.  But the kind of sadness I speak about here does stand for something.  Our sadness means we have lost something or someone of great value to us.  We have sad feelings for a reason.  We are sad for the loss of a loved one because…we loved them!  If our sadness stood for something as life-changing and powerful as love, then why should we be ashamed of it?  

I remember an author and psychologist mention that we have tears come out of our eyes because they were meant to be seen.  I often say this to my clients, your tears today tell me something about you that any form of running away from or medicating your way out of your sadness cannot.  They tell me something about you that makes me feel connected to you.  You’re just as human as I am. 

So next time you lose someone or something that matters to you, take a moment and look at the other side of the coin.  This moment is precious because your sad feelings tell you you have lost someone precious.  And for you to feel the pain of the loss, is the essence of why it is both difficult and a privilege to be part of the human species.                   

Are you a walking diagnosis?

by Nathan Chua

In my more than a decade’s work, one of the most common questions I get from people inquiring about mental health services is, “Can you give me a diagnosis?”  These come in many forms.  Some call already with a prior diagnosis from another practitioner, “I had been diagnosed as a borderline personality, is there anything different about the way you treat people like me?”  Even as I had training from that very same school of thought, I had always had my reservations about the practice of diagnosing.  I had been diagnosed once, and I know how it feels and I know that it really wasn’t helpful.  It is as if knowing what people have can make them somehow more aware of their tendencies and therefore allow them to be more cognizant of their actions.  

Does knowing one’s diagnosis really help?  Let’s take a look at what a diagnosis really comes up to, by taking this to an absurd level of analogy.  If one were diagnosed to be bipolar, would they go around eating in restaurants and meeting people and saying, “Hi, I am Nathan.  I am a bipolar disordered person!”  Would they introduce themselves in every situation the same way?  Like would that be how you would tell someone about yourself in a group class?  From this, we can notice that we all act differently depending on the situations that we are in. We act differently when we are at work and when we are at home.  We act differently when we are stressed and when we are relaxed.  

Based on my experience, I have seen how this happens to people who had been dealt with a veritable life sentence of being attached to a label.  At times, even worse, pinned with an inaccurate one at that.  

As human beings we have evolved into a group of cells and individuals that thrive and survive through cooperation.  One of the scariest parts of being human is to become isolated from a group.  Being creatures who survive in communities, we have yearnings to belong.  In the wild, the isolated human’s fate is most probably becoming a dead human sooner than later.

Belonging is important to us.  There was even a famous study in the past that showed how much humans require nurturing and caring.  Babies cannot survive just being fed through a bottle.  They need touching and the physical and mental stimulation that comes from a caregiver.

However in the age of social media and the rest of the modern accoutrements we enjoy, the mind has hijacked this inner yearning to belong.  Our problem-solving minds are excellent in categorizing people.  The way to this felt sense of belonging has turned into being special instead of being one with others who share the same doubts, fears, and inner perturbations.  You and I can see this in how special people want to project themselves in their social media accounts.  The way to belong is to become special!  Do you notice the oxymoron here?  

The other way the mind hijacks this yearning to belong is the complete opposite of the abovementioned example.  Our thoughts turn us into especially vulnerable individuals that need special attention.  I have bipolar disorder so you better be extra kind and loving around me. 

Like traits, all these diagnoses serve more to put us in boxes of categories.  Experts have seen how countries that had adapted this system of classification (or what we call our DSM, Diagnostic and Statistical Manual for Mental Disorder) get worse results.  What we used to think were just the shy nerdy types in school have now turned into walking diagnoses that need special attention and worse, medication.  We had forgotten an era when that shy, quiet girl in class can turn into the next world class stage performer.  

So let’s get back to how I started this blog post.  What do I say when asked about whether or not I can give a diagnosis?  I just tell them that I don’t.   

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