Is Our Society Manufacturing More Depressed People?

March 21st, 2012

Here is another one of these articles I found very interesting. In reading this article, we can think about what we need to do to become physically and emotionally involved in life again!

An Epidemic of Depression

Our society is in the throes of a virtual epidemic of depression. The numbers are quite staggering. More than twenty percent of the American population will experience at least one episode of what we refer to as clinical depression. We need to look deeper into this phenomenon to understand it and overcome it. My contention is, firstly, that our cultural values and memes induce us to live in ways that are, indeed, depressing. Secondly, much of what we refer to as clinical depression is inaccurate. Most depression is situational. The symptoms of depression are often due to depressing circumstances, not disease. In other words, under certain circumstances, it makes sense to be depressed.

Have We Lost Our Way?

Many of us live dulled lives, somewhat robotic in nature and devoid of deeper meaning and purpose. Our lives, often become visionless and passionless. We live in an intensely competitive culture that rewards achievement and success. Our identity and esteem become reflections of these external markers of achievement. Our pursuit of happiness and well-being become terribly misdirected. The demands of our intensely and neurotically driven culture strain our emotional and psychological balance well beyond its comfortable balance. The cultural paradigm in which we live leaves us disconnected, disenchanted and isolated. When this occurs, we tend to honor and seek material acquisitions at the cost of devoting ourselves to intimate and loving relationships – with others and ourselves.

People that thrive in loving relationships don’t typically feel depressed. Depression is symptomatic of feeling isolated and cut off. In our drive to live the good life, we typically isolate ourselves from relationships that might nourish us. Intimate and loving relations have become somewhat marginalized and have lost value in our very hurried lives. Our frenetic pace of life sees one day blur into another, until life begins to lose its meaning. We don’t have time to nurture our loved ones or ourselves, and we lose our vision of a well-spent life. In fact, the problem is that we don’t know how to live well.

Are People Dysfunctional?

Our therapeutic community attaches labels such as dysfunctional to people and families. People are not dysfunctional; social systems are. People suffer and experience pain. We are human beings, not machines that dysfunction. Such terminology expresses contempt for the human spirit. A society that produces such staggering rates of depression is dysfunctional. Our culture has created this epidemic.

Part of the problem is that we become corralled into a consensus of belief that does not serve our higher purpose. The desire to fit in and conform induces us to lose our inner voice. We are products of a cultural belief system that ignores or devalues matters of the heart and then turns and points its accusatory finger at those who suffer. When we do so, we victimize the victim. If we began to look at the depression as symptomatic of living depressing lives, we’d begin to understand that the cure lies in addressing what our souls are longing for. When we suppress the voice of our soul, depression arises. Depression surfaces for a reason. The symptoms of depression are crying out for our attention. The epidemic of depression is simply indicative of lives lived errantly, without joy or purpose.

People who feel passion for their work and friends and love their families and partners don’t become depressed as often as the population at large. People who are in touch with their spirit and enjoy a sense of community don’t incline toward depression. People who maintain a sense of wonder and awe don’t become depressed. Depression isn’t the enemy. It’s simply a warning sign that we’re not on the right path. Our disconnection and folly pursuits of happiness may have much to do with this.

Before the advent of modern psychotherapy, and well before the pathologizing of the word “depression,” we would refer to such symptoms as melancholia. Life would bring certain periods and events in which one might feel some melancholy. Sadness is appropriate at times. When people experienced such sadness, friends and family may have supported them through the difficult times. But they weren’t told that there was something wrong with them. Loving support is the most powerful agent in the treatment of depression. When we lose our compassion and relegate depressed people to their diagnosis, we tend to dehumanize them.

Is Our Society Manufacturing Depressed People?

A dominant theme in our society is that you should be happy, and if you’re not, there’s something wrong with you. Life can be difficult at times. It is in the labeling of people as depressed that the greatest injustice is done. I’m not suggesting that there aren’t people who are indeed clinically depressed, but simply that the indiscriminate manner in which diagnoses are meted out to people without proper discrimination is grossly absurd. When clinical diagnosis of depression is made in the astronomical numbers we witness in American culture, it speaks to something much larger: A society that has lost its way.

If we see depression as a signal that something is off, we might use the depression to catalyze positive change. Very often depression makes perfect sense. In my practice, I often treat individuals who are being abused, living in loveless relationships or suffering from loss. Depression in such instances seems quite appropriate. Rather than treat the depression, I prefer to assist these people in coming to terms with their life challenges. It is essential to treat the person, not the depression. We must come to understand how the depressed person struggles contextually in their lives and to appreciate their particular struggles and challenges. We must, at all costs, refrain from reducing them to a clinical compilation of symptoms.

Situational Depression

In some instances, depression is situational. Loss of a loved one, illness or job loss creates circumstances that are painful. Working through the loss is more healing than medicating the pain. It is essential to address the underlying causes and not simply suppress the symptoms. The difficulty is that in our quick fix mentality, we believe that if we can suppress the symptoms then all is well. When we come to see depression not as the enemy but as an expression of struggle, the epidemic will likely subside as we come to honor the integrity of our human spirit. We do not ordinarily grow without engaging struggle. So the irony is that by medicating our symptoms with psychotropic medication, we ensure continued stagnation, for the struggle is never resolved toward a breakthrough; it is merely placated.

Gary Greenberg, in Manufacturing Depression, suggests that depression as a clinical disease may indeed be manufactured. He references best selling psychiatrist Peter Kramer’s assertion in Against Depression that “depression magically skyrocketed after the drug industry introduced SSRIs and that diagnostic criteria can’t distinguish between depression and grief.”

Mel Schwartz, March 16, 2012

My thesis is, therefore, twofold: Much of what we call depression is a typical life struggle around loss, fear and grave situational issues that have become clinicalized for profit. Yet, there also lies a deeper despair that accompanies living an incoherent life, as a stranger in a strange land. What I am strongly asserting is that depression, and anxiety for that matter, are the most likely outcomes of living in and with the unmerciful and misguided constraints of a tired and destructive worldview. Our constructed reality is for many people depressive and anxiety inducing. Feeling as such ironically suggests that many depressed people are merely mirroring the affects of a somewhat incongruous, if not insane way of living, fostered by the society itself. In effect, the way that we are living is producing tragic results.

Some Tips on Getting Rid of Bad Habits: I Can’t Help Myself

March 6th, 2012

I love passing on information that I think can be helpful for you. This blog is written by Heidi Grant Halvorson. Dr. Halvorson is a rising star in the field of motivational science. Heidi is the Associate Director of the Motivation Science Center at the Columbia University Business School. She is a an expert blogger for Fast Company, The Huffington Post, and Psychology Today, as well as a regular contributor to the BBC World Service’s Business Daily, the Harvard Business Review, and SmartBrief’s SmartBlog on Leadership. Her writing has also been featured on CNN Living and Mamapedia. Her new book “Succeed: How We Can All Reach Our Goals”, and her Harvard Business Review ebook, “Nine Things Successful People Do Differently” are available on Amazon.
You can contact Heidi at heidi [dot] grant [dot] halvorson [at] gmail [dot] com

Do you snack every night in front of the television? Do you drink a little too much when you are out with your friends? Do you ever find that you’ve smoked a whole pack of cigarettes, bitten off half your nails, or eaten an entire bag of Doritos without realizing you were doing it?

That’s the real problem when it comes to ridding yourself of bad habits – back in the beginning, when the behavior was new; it was something you did intentionally and probably consciously. But do anything enough times, and it becomes relatively automatic. In other words, you don’t even need to know that you are doing it.

In fact, as new research shows, you don’t even need to want to do it. If you develop the habit of snacking in front of your TV at night, how hungry you are or how tasty the snack is will no longer determine whether or how much you eat.

Many bad habits operate mindlessly, on autopilot. They are triggered by the context (e.g., watching TV, socializing, feeling stressed), rather than by any particular desire to engage in the behavior. So, the key to stopping a bad habit isn’t making a resolution – it’s figuring out how to turn off the autopilot. It’s learning to disrupt the behavior, preferably before it starts.

Take for example a recent study of Movie Theater popcorn-eating. Researchers invited a group of people to watch fifteen minutes of movie previews while seated in a real movie theater. They gave the participants free bags of popcorn, and varied whether the popcorn was fresh or stale. (The stale popcorn was actually a week old, yuck!) Then they measured how much popcorn each person ate.

Not surprisingly, everyone who got the stale popcorn reported liking it less than those who got fresh. And people with a weak popcorn habit (i.e., those who didn’t usually eat popcorn at the movies) ate significantly more fresh popcorn than stale. But here’s the kicker – for people with a strong popcorn habit (i.e., those who always ordered popcorn at the movies) it didn’t matter how stale the popcorn was! They ate the same amount, whether it was an hour old, or seven days old.

That’s worth thinking about for a moment – people with a strong habit were eating terrible popcorn, not because they didn’t notice it was terrible, but because it didn’t matter. The behavior was automatic, not intentional. So if tasting like Styrofoam won’t keep you from eating something, what will?

The researchers found that there were, in fact, two effective ways to disrupt the automatic popcorn-eating.

First, you can disrupt the habit by changing the context. When they conducted the same study in the context of a conference room, rather than a movie theater, people with strong popcorn habits at the movie theater stopped eating the stale popcorn. The automatic popcorn-eating behavior wasn’t activated, because the situational cues were changed.

If you have a habit you’d like to break, spend some time thinking about the situations in which it most often occurs. If you snack in front of the TV at night, consider doing something else in the evenings for a while – reading a good book, spending time with friends or family, even surfing the web. Any alternative activity that is less likely to trigger mindless eating. If you just can’t give up your favorite TV shows, you might try rearranging the room or sitting in a different chair – anything that alters the context can help.

Second, you can disrupt a habit by changing the method of performance. In another study, the researchers found that asking habitual popcorn eaters who were in a movie theater to eat with their non-dominant hand, stopped them from eating the stale popcorn, too.

So if you can’t change the situation, you can change the way the habit gets executed. If you mindlessly eat or smoke with your right hand, try using your left. If you mindlessly drink from the glass that the bartender keeps refilling, try sitting at a table instead of the bar, so you’ll have to consciously get up and ask for a refill. Making the behavior a little more difficult or awkward to perform can be a great way to throw a wrench in the works.

Too often, we blame our failures on the wrong things. When it comes to ridding ourselves of bad habits, we usually chalk our difficulties up to a lack of commitment or willpower. But as I’ve argued in my new book, “Succeed: How We Can Reach Our Goals”, conquering your behavioral demons needs to start with understanding how they really work and applying the most effective strategy. In this case, success comes from not making it quite so easy for your autopilot to run the show.

Do Your Beliefs About Binge Eating Keep You Stuck?

February 23rd, 2012

Do you have some deep beliefs about binge eating?
Do you believe that you’ll never be able to regain control of your eating?
Do you believe you’ll always be hungry?

If you’ve answered yes to any of these questions, you can be helped. You can regain control of your eating.

Here is “The Re-gaining Control” process in two steps.

Step 1: Learning to breathe is the first lesson to learn. You may say, “Hey, I’m breathing.”

Breathing needs you to take (I mean really breathing) deep breathes all the way down into your belly and then release the air slowly. You will need to practice breathing for at least a week until deep breathing becomes a habit.

Step 2: You don’t need to be hungry all the time. You need to eat three meals a day, breakfast, lunch, and dinner. You also need to eat three snacks that include protein every day. Protein helps keep you full so you don’t feel starved and binge just because you’re over-hungry.

A former client of mine, Susie, keeps an energy bar in the glove compartment of her car so if she misses a meal or snack, she has food at hand.

Another friend, Carol, always carries her emergency stash, a bag of nuts, raisins, and granola in her purse. She is never caught without the food she needs to keep her blood sugar stable and keep from being over-hungry.

Here are a couple of sample meals that will help you:

Sample Breakfast:

1/2 cup cereal, 1 piece of toast, 1 piece of fruit, 1 egg or ½ cup of cottage cheese and 1 ½ tsp of Earth Balance (an approved butter substitute, or 1 tsp of flax oil.

Sample Snack:

The easiest snack is a piece of string cheese and a piece of fruit. You can substitute ½ c. yogurt or ½ c. cottage cheese, or 10 nuts for the cheese.

The first two steps will help keep you from being hungry, keep your blood sugar stable, and help you stay free from anxiety. You’ll begin to feel so good after 3-4 days, that you won’t be able to imagine being starved and eating large quantities of food again.

However, most of you are creatures of habit. The day will come when you’ll forget your snack bag. You’ll forget to eat lunch, have a small snack, and eat a huge dinner with cake and ice cream for dessert. And lots of it!

Do you think “Here’s another diet that didn’t work.”?

Do you say to yourself, “I’m a failure.”?

Wait a minute. Sit down and do some deep breathing. Get yourself back in balance again.

Managing your food is almost like learning how to ride a bicycle. When you rode a two-wheel bike for the first time, did you fall down? How many times did you fall down? Then how many times did you catch yourself before you fell down?

Your simple eating plan works exactly the same way. Rather than going right to the negative thoughts, see if you can say to yourself, “I’m going to eat right again because then I feel good.” “I am not a failure.” “I can get back on the bike!” “I can even learn to catch myself before I fall down.” I can stop myself before I begin to binge.

So what if you “fall off the bike” many times. Each time that you get up, brush yourself off, and get back on that bike, you’ll be building your self esteem. You’ll feel better about your ability to eat in a way that enhances your wellness. You’ll be on the way to learning that you can do anything you set your mind to!

If you feel anxious, sit down and do some deep breathing. This works!

These exercises sound simple and guess what? They are.

When Kids Called You Names: Does Bullying Cause Eating Disorders?

January 26th, 2012

Did kids or siblings call you names when you were little?
Did you have stomachaches and begin to develop an eating disorder including bulimia when you were in school?
Did people beat you up after school?

Did you answer yes to any of these questions?

If you answered yes to any of these questions, you need to know that bullying leads to children’s eating disorders or other dysfunctional behaviors. More and more children are finding they need treatment for an eating disorder who are younger than 12.

Bullying is dangerous and can even lead to suicide. The internet has exposed the terrible truth about the effects of bullying. Remember, Phoebe Green, who hung herself at age 15 because of cyber bullying.

Only recently have we as health care professionals begun to look at the seriousness of bullying particularly after reported teenage suicides. Does your child use the internet? If so, be alert. Know that the internet has exposed the terrible truth about the effects of bullying, severe enough to drive some kids to self-harm or suicide.

Bullying effects millions of students but parents and teachers don’t understand the serious outcomes. When professionals or parents tell kids to ignore teasing, or to just get on with it, this not the kind of advice or understanding they need.

What does bullying looks like?

1. Emotional or verbal abuse looks like “Fatty fatty two by four, can’t get thru the kitchen door” or Piggy, piggy!
2. “Hey Jew boy.”
3. Cyber abuse is on Facebook where everyone from your school can see it.
4. Cruel emails can be sent from anywhere.

A person can be picked on by an individual or group with more power. Someone with more power may be peers, older kids, even teachers or parents. Bullies choose their victims because they look different, have a different religion, or are disabled. Bullies pick on a person simply because the person is shy or is gay or is a lesbian.

We must never forget that bullying is a severe form of abuse, i.e. emotional abuse, verbal and sexual abuse. Being excluded socially is a form of abuses. Verbal bullying, cruel email, or cyber-bullying (posting insults online) are forms of abuse.

Bullying like most forms of abuse is ongoing, like water dripping on a stone. The person being bullied lives in a constant state of fear. Everything in his or her life is affected. School work and health are both affected. A person being bullied can get stomach-aches, diarrhea, and headaches from the stress.
Kids abused by peers or family members can suffer from depression, low-self-esteem, and anxiety occasionally or a great deal of the time. They might even consider suicide!

Here are 8 tips to help you protect yourself from bullies. What advise will help if you feel bullied or know someone who is being bullied?

1. Tell someone about it, a teacher, a friend, a parent — tell anyone but tell right away.
2. Stick together with your friend who is being bullied — never leave him or her alone.
3. Learn to ignore the bully. Don’t add wood to the fire.
4. Don’t get physical (or angry) with the bully.
5. Practice feeling and looking confident. Posture is a give-away.
6. take small steps to be in charge of your life. This is where a good coach can help.
7. Talk about the bully and bullying to anyone and everyone. The more public you are, the bully will hide out.
8. Find true friends, friends that can offer you unconditional friendship.

If you’re a kid, find an adult who can guide you step by step through the process of taking charge of your life.

As you grow in confidence, you’ll stand taller knowing that no one will bully you again.

How to Help a Friend

September 15th, 2011

How to Help a Friend

I have always tried not to use another person’s material when writing my blog, but this article is so exceptional, I need to share it with everyone!! It comes from a website, www.eatingforlife.org.

What to do if you think someone may have an eating disorder
Eating disorders are not about the food. There is always a deeper problem that is causing the person to focus so intently on food. The eating disorder is the outward manifestation signaling that there is an inner problem (e.g. self-esteem, family issues, depression, anxiety). An eating disorder is a person’s attempted solution to that problem. The eating disorder will begin to go away when the inner problem is addressed, and usually counseling is helpful in this process.

Make sure you approach the person one-on-one. If a group of you is concerned, it is very important that one person be chosen to talk with the friend. Group confrontation can make a person feel “ganged up on” and can cause a friend to feel betrayed, as if everyone has been talking about them. The goal is to support your friend, and often a group confrontation can leave a person feeling like they have been betrayed by their support system.

Make a plan to approach your friend in a private place. Try to choose a non-stressful environment where you will have time to talk at length, if necessary.

Present what you have observed and what your concerns are in a non-confrontational, caring way. Tell him or her that you are worried because of what you have noticed and that you would like to offer some help. Stay away from saying “we’ve been talking and are worried” – focus on what you yourself have seen, it is less threatening. (Friends who are too angry or hurt to talk supportively should not be the ones to confront.)

Offer human company and empathy. You don’t need to agree with the person’s feelings or stance. There is a place for challenge, advice, information, pep talks, jokes, and confrontation. Generally, that place is after she or he feels her or his experience is understood and accepted for what it is.

Listen carefully and non-judgmentally. Give the person time to hear what you have to say and to verbalize their feelings. Ask clarifying questions and then accept whatever they have to say without judgment. Encourage him or her to talk about their feelings.

Do not argue about whether or not there is a problem. Power struggles are not helpful. You could say, “I hear what you are saying and I hope that you are right and that this is not a problem. But I am still concerned about what I have seen and heard because I care about you.” (It is best not to say what other people feel or what they have noticed. Speak with “I” statements.)

Do not lay guilt trips, like “Look what you are doing to your family or roommates”. We are each responsible for our own feelings. Bear in mind that people with eating disorders yearn to know that someone could both know the worst about them and love them and care about them anyway.

If the person denies the problem, becomes angry, or refuses treatment, understand that this is often a part of the illness. They have a right to refuse (UNLESS their life is in danger). You may feel helpless and angry. You might say, “I know you can refuse to go for help, but that won’t stop me from being concerned. I may bring this up again later – maybe we can talk about it then.” Follow through on this, and other promises you might make. Your friend may need time to process what you have said to them. Don’t expect an immediate positive response, the important thing is to follow through and be consistent.

Provide information and resources for treatment. Make sure that you brush up on your knowledge of eating disorders before you talk to your friend, and be sure to offer resources to your friend. Encourage her or him to see a counselor, nutritionist, or physician and offer to go with them to the first appointment. Remember that recovery is a long process. It may take a while before your friend is feeling better and it is important for you to remain supportive throughout the entire recovery process.

Do not try to be the hero or rescuer – you may be resented. If you do the best you can to help on several occasions and the person does not accept it, stop. This does not mean stop being aware of their behavior, but you have done all it is reasonable to do. Eating disorders are stubborn problems, and treatment is most effective when the person is truly ready for it. You may have planted a seed that helps them get ready.

Make sure you get support for yourself. It can be difficult to live with someone who is dealing with an eating disorder. Get the information and support that you need.

For continuing support of your friend:
Remember that she or he is more than the eating disorder. Don’t let it become an identity – focus on his or her other characteristics that make them great. The more you help him or her identify his or her positive attributes, the easier it will be to let go of the “eating disorder” identity.

Don’t be afraid of conflicts or problems. These areas need to be brought out into the open, not hidden. Be sure to keep lines of communication open.

Do not focus on weight gained or lost. Focus more on their mental state. If you say, “you look thin” you are focusing on appearance and feeding into their behavior. If you say, “you look healthy” she or he may think you are saying, “you look fat.”

Don’t focus on achievements – grades, promotions, etc. Instead, talk about his or her inner qualities and strengths. Set an example – be good to yourself and she or he will see that it is possible.

Stay positive! People do recover from eating disorders. Many people who recover acknowledge the importance of friends who believed in them and kept trying to reach out to them.

Women’s Resource Center
Boston College