I was diagnosed with clinical depression about two years ago. Sadly, this didn't lead to me beginning a wacky romance with a free-spirited girl who taught me to embrace life and love myself for who I am. I just started taking prescription drugs, made a few lifestyle changes, and felt smugly justified about listening to Joy Division.
All the time I spent not Silver Linings Playbook-ing it up made me realize that a lot of what I thought I knew about depression was about as accurate as what elementary school children know about where babies come from. If you haven't experienced mental illness for yourself, there's a chance you believe ridiculous things like ...
#5. Depressed People Are Constantly Miserable and Alone
Despite what we see in pop culture, depression is not a constant parade of doom and despair. That's one of the reasons people have so much trouble noticing that their friend is depressed -- how could Steve be depressed when he hosted such a smooth and bubbly orgy last week?
"Is he sad because I made fun of his cold feet?"
People will often feel at their best when they're socializing, because life's problems fade into the background when a stranger buries their face in your junk. But when you're alone, curled up in a ball of fear and panic like a kitten cuddling with the yarn ball of sadness, that's when depression fucks you over. Your friends aren't there to see it, and you don't want to talk to them about it because your brain is telling you that the shits they give will be precisely zero.
There will also be times when you feel fine on your own but miserable with friends. Your mood almost seems to be random, like your brain is playing roulette with your emotions and it's had too many comped drinks. That may explain the public nudity charges, but it doesn't really fly with a judge. Trust me on that one.
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"I can't believe he got an Xbox One and a PS4. This is bullshit."
Even when you're being treated, you're not always going to be at 100 percent. I have days where I wake up and feel like I'm going to rip life a new Saturday, but on other days I lie in bed for hours because the only thing I think would be worth getting up for is throwing myself in front of a bus made out of swords. Then there are the days where I do nothing but eat Oreos and masturbate. That has nothing to do with the depression; I just really like eating Oreos and masturbating. I call it cookies and cream. I'm not apologizing for that joke.
The point is that when you're depressed, you're in a constant battle with your dumb brain for control of your life. You can win and turn those crappy days around, but you have to know the fight is happening. Don't assume the battle is won, or that there isn't even a battle going on. You may be fighting for the rest of your life. Depression is the Warhammer of illnesses, basically.
This image isn't a metaphor, it's what actually happens during therapy.
#4. Depression Just Means Being Sad
When you hear that someone's depressed, you assume they're sad, because duh, it's right there in the name. It's not called happission. But while most depressed people do feel like they're having a week-long case of the goths, it punches everyone's crotch differently.
Some people end up with an anger trigger that the Hulk would consider extreme. That's because one way to feel better about yourself is to make other people feel like shit, so a nice bout of telling your neighbor's kid that his finger paintings look like they were done by a quadriplegic chimpanzee can be just the thing to pick you up. Sure, you're still depressed, but at least you're not a stupid idiot that can't even paint a simple kitty cat. This is especially problematic, because friends and family will be less enthusiastic about reaching out to someone who might bite their hand off.
"You call this an intervention?! I've seen alcoholics give better interventions!"
Contradictory symptoms are part of what makes depression difficult to detect. You might have trouble falling asleep or you might oversleep, and either way you might not realize that it's part of a bigger problem. I was sleeping until noon on weekends for months before I started to wonder if it wasn't only because I was staying up late to alphabetize my pornography.
I also lost a lot of weight, because when I'm having a bad day, a couple handfuls of blueberries and Cheerios seems like a good meal. That's not a joke, that was literally my supper on several occasions. And I found myself fidgeting like I had spent the night in a hotel overrun by bedbugs, even on the days when I hadn't replaced my blood with heroin.
That's just me. Others might find themselves having trouble remembering things, or gaining weight, or having trouble remembering things, or listening to blues music and smoking cigarettes in the rain, or having trouble remembering things. And of course these all add up to create new problems -- for example, it's hard to get motivated to take care of all your mundane day-to-day tasks when you're sad, tired, and lacking nutrients from two-thirds of the food groups.
"I could do the dishes, or I could just sit here and fantasize about killing myself. Then I wouldn't have to do the dishes!"
And then there's the reduced sex drive. I don't get laid, so I didn't really notice any difference, but sexual side effects do affect many depressed people. If you're in a relationship and can't make Mr. Smith visit the hat shop (is ... is that a sex metaphor? I'm really bad at sex, you guys), your partner might be unsatisfied or worried that you find them unattractive. And then you'll worry that you're making your partner unhappy, and then you'll be unhappy, and then you'll be even less in the mood to bring your horse to water.
Even your libido melting away like a Popsicle in the sun isn't a guaranteed side effect. One study found that some depressed women have more sex, because they're using the fun of orgasms to fight depression's other symptoms, which raises the obvious question of how I go about joining their support group.
"Hey, ladies. I've got your antidepressants right here."
#3. Antidepressants Don't Work
Everyone's heard that antidepressants are a scam. And not just from Sunshine Flower, the hippie who runs the local food co-op, but from the mainstream media. Often it's accompanied by a scary statistic that says more people in America are on antidepressants than water, or a commentary about how in the good old days people didn't need Big Pharma shoving pills down their throats. You even see it in pop culture. Garden State is a movie about a man whose life improves after he stops taking his prescribed medications, and we all know that Hollywood would never lie to us.
Fox Searchlight Pictures
"Just flush your meds and you too can bang Natalie Portman!"
First of all, depression rates are rising because we're getting better at diagnosing it. It's the same reason a lot more people were identified as mentally handicapped after people stopped assuming a donkey kicked them in the head as a child.
It's true that in some cases antidepressants are not effective. That's because the human brain is immensely complicated, and we don't know much more about it than the monkeys knew about the monolith in 2001. You're trying to fix a biological computer, not a tangled Slinky -- of course the same treatment isn't going to work for everyone. But for some people antidepressants absolutely do help, and it's irresponsible to claim otherwise. It's like saying that because cancer screening doesn't have a 100 percent effective rate there's no point in getting checked.
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"Based on current medical knowledge of the human body, I can confidently tell you that you have either cancer or gremlins."
The science behind antidepressants is complicated, heavily debated, and poorly understood. I'm not going to get into it, in part because any medicine beyond a splint is basically wizardry to me. But the real issue is that people misunderstand what antidepressants are supposed to accomplish. They're not magical feel-good drugs that wipe away all your problems just in time for you to win the big game; they're one part of a multifaceted treatment process. A long and tedious part -- it can take months of experimentation to determine what drug or drugs in what dosages are appropriate for each person, because again, brains are hard.
People who are anti-antidepressants say things like half of all people who try them quit after four months because they're not getting results. Well, maybe that's because it can take six weeks just to figure out if they're working, never mind the time spent fiddling with the prescription to get it just right. If you're expecting to cure a major mental illness in less time than it takes to play an NFL season, you may be a different kind of crazy.
The point of antidepressants isn't to solve all of your problems; it's to keep you from feeling overwhelmed so you can solve them yourself.