A few weeks ago I posted “The Joys Of Not Working”. I wrote about both the joy and the responsibility that comes with being retired. Having to fill your time with activities of your own making is t…
Source: The Ups And Downs Of Retirement
A few weeks ago I posted “The Joys Of Not Working”. I wrote about both the joy and the responsibility that comes with being retired. Having to fill your time with activities of your own making is t…
Source: The Ups And Downs Of Retirement
Depression alone is bad enough, but unfortunately it is rarely a pure affliction: people with mental health issues are usually doomed to suffer many versions of misery. Depression and anxiety go together, so much so that many researchers believe that there is a deep relationship between the two. Unsurprisingly then, both benefit from the same sorts of pharmaceutical treatment (SSRIs).
Anxiety comes in many forms, and many of us suffer from more than one. At different times I’ve had my share of social anxiety, generalised anxiety, panic attacks, agoraphobia, and other phobias. I have found that one of the most striking – I want to avoid the word distressing because all forms of anxiety are distressing to those who suffer from them – is obsessive compulsive disorder (OCD). When I was a young teenager my life was blighted by OCD, often in florid forms. In the night I would go down the stairs dozens of times to check that the front door was shut; I would get up multiple times throughout the night to check that my bus pass was still in my school jacket pocket; I would repeat things in multiples of three. I was afraid of contamination, the idea that germs and disease could spread by touching something that touched something that touched something, or even by having seen someone with a disease. I would then wash my hands several times (in multiples of three of course). I was afraid other people could read my thoughts, or would misinterpret an innocent gesture as an offensive one, so would apologise inwardly to them (in powers of three; twenty seven sorries is bad enough, but just try eighty one).
All classic stuff. I didn’t know what OCD was then, and I just suffered, alone, in misery. OCD is, to use a cliché, living hell, and it’s even worse if you think you are alone and have no idea what’s going on. In retrospect something should have been done about it, but I just grew out of it. Mostly – I still have a tendency to overcheck things, usually three times, but no more, and only occasionally, so it doesn’t bother me. We can live with some pathology. Being obsessive even has its advantages as an academic; there’s nothing wrong with checking your data a few times, or being careful about proof reading and checking your facts are right. Being a writer is sometimes obsessive; we often feel a pressure to write. I think you need to be a bit obsessive just to overcome all the negative feedback writers get. The boundary between OCD and having an obsessive personality isn’t always clear – as ever the problems start when what we do makes us unhappy, or interferes with our lives. We also have a problem if our behaviour doesn’t make us unhappy, but affects those around us.
As with all mental illness, the precise causes are unknown, but as with depression there is almost certainly there’s both a genetic and environmental component. The brains of people with OCD look different, but again whether that’s a result or cause of the illness, or whether both result from something else, is not know.
But not all obsessions involve an obvious compulsion other than one to keep the obsession going. We all have things we worry about from time to time. Most of us are familiar with “ear worms”, tunes that get stuck in your head. I suffer very badly from these (I speculate it’s to do with my psychopathology). It can drive me mad – or more precisely even madder than I already am. They’re the strangest tunes too – I once endured a week of John Denver singing “Annie’s song” non-stop. Worst of all though are obsessive thoughts, the rumination on particular events, ideas, or people that takes over our minds. It is horrible. The compulsion, in as much as there is one, is to continue the obsession. The thoughts – bad thoughts – involve regret, guilt, and fear. When I was in my OCD phase as a teenager at the end of every school term I would struck by the idea that I had done something wrong, and the school holiday would then be ruined by the fear of punishment that would await me on my return at the start of the next term. Of course I never had done anything, and was never punished; it was all in my head. It’s impossible to reason yourself out of OCD.
I think obsessive thinking is verging on psychosis, because things really are out of control. We might refuse to accept that the obsession is irrational, and some people might even act upon their obsessions – I assume that is how people become stalkers. I just suffer though.
Obsessions without compulsion is called “primarily obsessional OCD”. I was encouraged to see that the Wikipedia entry on OCD says that “Primarily obsessional OCD has been called one of the most distressing and challenging forms of OCD”; it’s more than distressing, it’s mental agony. I almost envy people with OCD because at least enacting the compulsion provides a little relief, no matter how short.
However illogical and crazy the behaviour might seem to someone who has never experience OCD, it is impossible to reason your way out of the illness. You can’t tell yourself that it’s irrational to wash your hands so many times. First, the compulsion is stronger than our belief system. And second, there is always a grain of truth we can cling to – it is just possible that a disease might be passed on by touching something that was touched by someone who touched someone with a disease, for example. There is though a clear treatment plan for OCD that involves breaking the link between obsession and compulsion. One of the best books I have read on OCD is Brain Lock: Free Yourself from Obsessive-Compulsive Behavior, by Jeffrey M. Schwartz. He identifies four stages in treatment: relabel (you must recognise what is obsessive and clearly label it as such); reattribute (this thought is not me – it’s my OCD); refocus (the really hard bit, where you have to shift attention, at least for a while); and revalue (to take the whole cycle as something not to be taken as face value, and to adapt the view of a more impartial observer – being mindful). He suggests gradually building up a delay between having the compulsion and having to do it – you might only be able to manage a few seconds at first, but you increase it, perhaps very slowly.
Such treatments, while effective for dealing with the compulsive actions, don’t immediately help us in being able to stop the bad thoughts coming in the first place. In a recent bout, ruminating on a mistake I had made, I tried saying internal loudly and firmly, “It was my choice”, which I eventually simplified to a loud “STOP!” in my inner speech. This approach eventually worked – or the bout blew itself out. A friend told me that a common technique is to visualise a STOP road sign, and I have since tried combining visualising the sign with thinking STOP! It is exhausting work though; bloody exhausting. At least my obsessions appear to have a natural life span, and eventually, after much pain, they eventually peter out.
The intrusiveness of thoughts is one reason why I find meditation so difficult. My thoughts just won’t go away. Even when counting breaths the thoughts overwhelm my inner voice counting. There is a paradox here because if I could just be mindful and live in the present, I wouldn’t be so obsessed by Bad Thoughts, but the Bad Thoughts stop me being able to attend to the present. Coming back to the now and trying to be present does help me when I’m being obsessive, and I think it’s a skill at which one can get better with practice.
I am grateful to and encouraged by everyone who has written to me about my blog. So many people suffer alone; it is time to stop the stigma of mental illness. For a long time I thought I was alone in suffering from obsessional thinking; if we all shared more we would be less isolated, less frightened, and maybe just a little better off. Please feel free to share this blog with whoever you might think would benefit from it.
Several people have asked me about the weight loss part of my self-improvement-for-retirement plan. I have now lost 31 pounds since January while, thanks to my gym efforts and my wonderful personal trainer, at the same time I have put on detectable muscle. I know it’s noticeable because people comment when they meet me. One to two pounds a week is generally considered to be a sustainable and healthy rate of weight loss. How have I done it?
The first point sounds obvious: you have to really want to lose weight. I’ve intended and tried to lose weight before and failed. It’s well know that many people go on a diet and then lapse, and within six months they’re back to where they were before – or even heavier. You have to make a commitment. By all means make a social commitment tell your friends what you hope to do, but the most important commitment is to yourself. Accept that it won’t be easy.
I remind myself of my goals several times a day. I use nudge techniques such as putting my scales in the middle of the bathroom floor so I have to look at them and walk round them. I bought some compression exercise gear which I wear all the time to remind myself of the shape I want to lose. I look in the mirror often. At the end of the day I think about what I’ve eaten – and what I haven’t eaten. I continually remind myself of why I’m getting fitter. I tell myself healthy body, healthy mind.
I became really, really fed up with psycho-tummy. Someone said I was developing a beer stomach – I don’t drink beer, with coeliac disease, and I couldn’t face explaining that it was a result (in part) of my medication. Having been thin all my life, a natural ectomorph, it hurt. Then I weighed myself and worked out my BMI (body-mass index), and I saw that I had edged into the “obese” category. I know there’s a so-called “obesity epidemic”, but obesity is something that happens to other people!: the couch potatoes who stuff their faces with cake and crisps in front of daytime television. Not me. And because I felt fat, my self-esteem was falling. Self-esteem is a big problem for depressed people, and the last thing we need is people telling us bad things when we meet them on the street, or looking in the mirror and being reminded of how feeble we are. My blood pressure had crept up and being overweight is a major influence on blood pressure. I want to live to be over a hundred and be healthy, and you are unlikely to be able to do that if you’re overweight. So there were many converging factors that made me resolute about changing.
Weight, food, and diet are of course just part of becoming healthy. You have to exercise too. There is now a huge amount of data on mental health, cognitive function, and fitness, so I don’t think most people need convincing they need to exercise. I used to walk a lot and play football, but in recent years I have become increasingly sedentary. I have had enthusiastic spells of trying to exercise, starting to run and cycle, but it just took something to disrupt my pattern and I would stop. So again I made a commitment and signed up with a personal trainer. She won’t let me stop, and pushes me more than I would push myself, and after a year I think that was one of my best life decisions. Of course exercise by itself isn’t a very efficient way to lose weight: it takes about ten minutes of running for an average person to burn off a banana, and well over half an hour to get rid of a typical candy bar. However it is widely thought that exercise increases our resting metabolic rate both in the short and long term, meaning that we burn off more calories just sitting around doing nothing, although some of the evidence is mixed (see this paper for a review).
That’s enough background. You want to know what I’ve done. I should as usual provide a caveat that I am neither a sports nor a nutritional scientist, but I am a scientist and have read a lot of the research. And I mean a lot. Unfortunately much of this research is contradictory, and any diets strike me as faddy and having no scientific motivation. The Paleo and Primal diets are most logical, although the evidence about them is controversial at best, and I don’t understand some of the more extreme claims. But thinking from an evolutionary point of view does make sense to me: how have we evolved to eat? I simply try to eat healthily, with as much variety as possible, hoovering up nutrients and micronutrients, without going to any great extreme. Perhaps the following is obvious to you, but it wasn’t to me.
So forget points, on and off days, food mixing, going to meetings, treats, and spending money on how to diet. Here is the Harley Diet in 25 easy to digest points.
If this all seems like a lot of effort, that’s because it is, but it’s your health, mood, and longevity, not just your weight, that are at stake. And much of it becomes a habit after a while; the more you do something the more automatic it becomes and the less long it takes to do it. I still think it’s easier to implement than many other diets out there, and I also think mine is a very healthy diet. I should say that I still have some way to go before I reach my target, but I’m getting there and I’m confident that when I get there, I will stay there.
Finally, thank you to everyone who has wished me well in my battle with anxiety and depression. It hasn’t been easy, but I detect a glimmer of light in the darkness. I am sure being fitter and eating healthily has helped.
A reminder you can contact me through the comments section here, or by email at firstname.lastname@example.org. You can follow me on Twitter at @trevharley. Good luck with losing weight.
Do not go gentle into that good night,
Old age should burn and rave at close of day;
Rage, rage against the dying of the light.
– Dylan Thomas, “Do not go gentle into that good night”
I realise that at least part of my recent mental malaise is to do with “retiring” and getting old. There’s been a lot of personal stuff too, which is also related to ageing, being alone, contemplating death childless and alone. There has been an unfortunate conjunction of traumas coinciding with nearing the end of the day job. Heavy shit has been going down, as they say.
As of writing this sentence, today I have 40 days left in the wilderness as an employee. Unfortunately many people are insisting on calling it my retirement. It’s only a word, but it gets to you, after a while. Many people don’t want to retire; many do and then regret it; a few look forward to it and really enjoy it. I must admit to having doubts. Suppose I can’t cut the mustard on my own? Suppose instead of writing I drift and each day follows the preceding one in a (hopefully) long line before the grave? Suppose I write and it’s no good? Suppose I have only a life of grinding poverty to which to look forward? Suppose (particularly living in the country) I become socially isolated? Suppose I never find love? Suppose I become more and more inward looking? Suppose I starve? Suppose I trip over my teddy bear and break a leg; how long would I lie there before anyone notices? And because I’ve been so unwell recently I’ve written very little, and that makes me feel like a failure, which in turn makes me feel more depressed …
I’m pretty sure I’m doing the right thing but doubts about major transitions are perhaps only natural. I’m not enjoying my job any more, and so much of it seems pointless. I’ve recently been so mentally ill I don’t think I’ll be able to do the job properly much longer. I don’t think it’s fair on my colleagues to have to carry me. Already I feel like I don’t have the energy or enthusiasm to carry out really good novel research any more; I was out of it as a manager for too long. I tootled along with research for a while. but am now out of tootling. It’s time to let someone younger have a go. There are things I want to do and can do; I believe I can still make a contribution through writing. So my plan is to maximise time for how I think I can make a difference. But I am doubting the plan. I am doubting whether I can execute the plan.
Why do people not rage more about getting old? It’s horrible. Why do so many go against Dylan Thomas and go gentle into that good night? Most other people I know either accept the prospect of getting old and infirm and then dying, or don’t even see that there’s an issue. Why am I cursed to be so different? Why can’t I just accept getting it like everyone else?
Perhaps we all rage against the dark, but most people keep do so quietly. The highest suicide rate of all is among elderly men. Am I an elderly man yet? We’re lonely, we feel useless, we feel that we’re a burden, we look at young people around us enjoying themselves and feel envy and regret. Our bodies afflict us with increasing troubles and increasing pain. People expect us to be depressed in a way that wouldn’t be tolerated in other demographic groups. Those of us alone and without children are even worse off. Although as far as I can tell everyone who is severely depressed feels very alone, even if they surrounded by friends and family, so perhaps really being alone doesn’t matter as much as I think it does. I don’t know.
Leaving a job is one of the great transitions in life – particularly for academics, who tend to stay in the same career all their lives, and often at the same institution for decades. I know many people who have only worked at the same place from the beginning of their careers. We lose our focus, our purpose, our social setting, all one day. Overnight any meaning in our life has gone. It is sad to define meaning and purpose in terms of work, but for many work does much more than pay the bills.
On another note, I consider it possible that the relapse has been exacerbated by cutting back on my medication – particularly the quetiapine. I was boasting about this success only two blogs ago, but it could be that as the drugs fell beneath a critical level the depression and anxiety kicked in when life events conspired. My resilience has gone. So my healthcare professionals have urged me to increase the dose again, at least in the short term. I hate it. I hate the sedated feeling, the necessity to sleep so much, and I live in fear of starting to put on weight again after I’ve fought so hard to lose a little. And I particularly hate the fact I can’t concentrate on anything. No wonder I can’t write. I can’t even read much, and that makes me feel like a failure, which in turn makes me feel even more depressed …
Last year I experimented with reducing the dose of my anti-depressant, Duloxetine (Cymbalta), and that experiment was a disaster for my mood. Within five days of increasing the dose again I started to feel better. It could be that I will need this dose of both drugs for ever. And that makes me feel like a failure, which in turn makes me feel more depressed …
Once I have left the job perhaps my life will be defined by having to empty the dishwasher every day, or periodically buy a new tube of toothpaste. It’s these things that I find to be overwhelming, and that make me think most of that savage god, suicide. (I have been reading Andrew Solomon’s The noonday demon, and am relieved to find that he thinks exactly the same way.) I do the dishes today and fuck it, they need doing again tomorrow. It overwhelms me. What is the bloody point?
After my last blog on how I have fought to cure my depressive illness, the gods would have it that I have had a relapse; it was in fact not so much a relapse as a collapse. Things have been pretty damned awful.
It was triggered by a life event, the details of which I’d rather not go into. It wasn’t unexpected and it wasn’t objectively that bad. But I switched from a state of feeling good and optimistic about everything, to total suicidal despair and extreme anxiety, within a few hours.
Of course being very depressed is incapacitating, and it has really put back the writing. I couldn’t have written this blog from scratch, but fortunately I had some of it ready and am just filling in the gaps. Blogging by numbers. I have written before about how one of the worst aspects of depression, and one that is rarely mentioned, is how it steals our life and our time. I occasionally wish that I was bipolar, when I would have highly creative, fertile periods between the down times. But for me it’s just all time wasted.
I suppose no one is depressed in just the way the textbooks say a person is. We each have our own way of being mad. I have written about what severe depression feels like to me in the book I am currently writing on the science of depression, No birds sing. (Note to publishers and editors: I am looking for someone to publish this book.)
Imagine feeling sad, but much, much more so, sadder than you’ve ever felt before. Imagine all the lights being turned off in your head. Imagine your mind turning black; black is the colour of depression. All of sudden you’re living in a monochrome world where all feeling and emotion except pain has been turned right down. Imagine a dark ball at the centre of your being that is so cold it hurts. It’s like an icy knife in your soul; it’s worse than any physical pain. You just want to go to bed and cry, to fall asleep, or even die. Die; don’t care if I do. It would be a relief. Death is an end to the misery. In any case, who cares: alive or dead, what’s the difference in the end? I hate myself and my life and I want to die. The idea of doing anything is impossible to contemplate. There’s nothing to look forward to, and nothing gives me pleasure, not even the things that in better mental states I can rely upon to excite me. My despair is utter. Everything is hopeless; I’m never going to get better. I feel a terrible sense of doom and fear, not just that I’m not going to get better, but that the universe is a threatening, mysterious, evil place. And everything is such a bloody fight; everyday life is exhausting. Managing to do the little things can wipe me out after I’ve used up so much energy making myself do them. I feel exhausted all the time. Imagine not being able to concentrate long enough to be able to complete simple tasks, and in any case often forgetting what you were going to do nearly as soon as you form the intention to do it. I make mistakes in the simplest tasks. I have no motivation do to do anything anyway, and no interest in anything. I feel nothing other than total despair. Oh, I do feel amazingly, incredibly guilty about everything, as though I’m lazy, incompetent, and everything wrong with the world is my fault. I deserve to suffer so much. Everything is overwhelming, and I am paralysed. I don’t just have very low self-esteem, I am also full of self-hated. I am the lowest of the low and completely worthless; the world would be a better place without me. If I’m depressed for any period of time self care tends to go a bit out of the window: what is the point of shaving? Can I really be bothered to wash my hair? Who cares if the kitchen sink is filthy? I overeat and overeat convenience food, because that’s all I can be bothered to cook. I sit, finding myself in tears, and I’m not sure why. I feel completely alone; no one can possibly understand how I feel just now, and even it there is a person who can, I couldn’t be bothered to speak to them. And in one final little trick of the mind, time seems to slow down to prolong the agony. Every second is torture. So I try to sleep for as much of the day as possible, and I drink wine and take pills to make sure I can sleep. You feel physically ill as well, with aches and pains exaggerated to distraction. There’s a tickle and lump in your throat. I perpetually tug at my eyebrows, and occasionally pull them out so that they contain strange bald patches. And the ear-worms – those annoying tunes stuck in your head that drive you mad. I also worry that I’m a black hole when I’m depressed, sucking in joy around me, ruining the lives of others – so it’s fortunate that I prefer to suffer in isolation. It is paradoxical that I am lonely and yet want to be alone at the same time, but depression is full of paradoxes.
Most people who aren’t depressed think that being depressed is like being very sad, as though a loved one has just died. A sense of strong sadness and a sense of loss pervade depression, but there is much more besides that to it. Anhedonia is the inability to gain any pleasure from anything; the things that normally give me pleasure, such as reading, watching movies, my garden, and music, give me nothing at all other than a sense of profound boredom. I get up in the morning and I see the day stretching ahead with nothing to look forward to other than being able to go back to sleep again. But what most people don’t seem to understand is the pain of depression: it is mental torture. It is a knife being stuck in your mind and being turned around and around so that you want to scream with the pain – or more realistically just kill yourself so that you can get away from it.
I wake up every morning filled with dread. I have great difficulty in getting going. Often I find that the murk lifts for a few hours around 11. I usually have coffee then, which helps even more, but I get the uplift even if I miss coffee out. I haven’t seen a great deal about this 11 am effect in the literature, but I know from speaking to others that I am not alone in getting some relief then. When I was an undergraduate at Cambridge I was taught about a distinction between reactive and endogenous depression (a distinction that no longer stands up), with endogenous (or psychotic) depression being the worse, and characterised by particularly low mood early on in the day.
And then throughout the day there is panic. There is a persistent low level of anxiety that’s worse before 11 but to some extent there every day. Then there are occasional panic attacks; today I had a panic attack while in a car in a tunnel. I just wanted to escape. I wasn’t driving, it was dark, and I could sense all these other cars and people around me, and I just needed to be out of there. I couldn’t breathe. My heart felt ready to explode, and I was drenched in sweat. When you’re really anxious consciousness seems to shrink to a pin prick; the reduction in awareness feels physical, as though your sense organs have been eviscerated. We now at least understand how depression and anxiety are two sides of the same coin.
There is a huge literature out there on OCD, but I find while I get very obsessed, I no longer suffer much from compulsion. (I did when a teenager.) I can find very little on thoughts just taking over our minds, other than rumination, the idea of going over and over some thought, such as the meaning of life. I find that I just can’t stop thinking about something. The thought is all consuming but there is nothing I can do to release it. I think I’d rather the O be accompanied by a C so that at least I could discharge it occasionally. Instead the same thought, image, or just idea, goes round and round in my mind.
I seem to be very prone to ear worms – tunes stuck in the head. I think I get these worse immediately before an intense depressive episode, but I don’t know of any research on this speculation. But when a song gets stuck in my head – and I mean stuck! I can hear it with crystal clarity, at loud volume, every intake of breath and strum of guitar – I know I’m in trouble, And there’s a limit to the number of times a chap can hear John Denver sing “Annie’s song” and stay sane.
That’s a big claim to catch your eyes and score highly on the search engines. I hope.
To be honest I don’t think you can cure yourself without help from others or drugs or both. I didn’t. And in fact I don’t think you can be cured of depression: I’m not. In fact this blog has been delayed because I’ve had a relapse, and have been feeling extremely depressed this past few days. At the moment (who knows in the future?) depression is a life sentence without a cure; the best we can do is keep it in abeyance for as long as we can, and if we’re very fortunate, that might be for the rest of our lives.
But there are many things we can do to help to help ourselves, and I’m going to talk about some of the things that have helped me. I think everyone might find them helpful; if you’re not suffering from depression, then maybe these will help you to live just a little better life.
And apologies if they seem blindingly obvious to you; they weren’t to me. I’ve learned them the hard way.
If you are really depressed, and if it has been going on for any period of time, you almost certainly need them, and you have to see a medical practitioner to get them. In the UK that means your GP or a psychiatrist, who then writes to your GP. They will almost certainly start you off with an SSRI. Do some research: there are many anti-depressants out there, and they work in slightly different (and mysterious) ways. They take time – weeks, months – to take effect though, so don’t be too dismayed if nothing has happened the next day. You should hopefully start to see an improvement within a few weeks. If the first one doesn’t work, then you will need to try another. It’s preferable that you have someone to monitor your mental state and behaviour, because you are often not the best person to judge if you are getting any better. Different drugs have different side-effects on different people, and if you find yours unbearable, again you should discuss changing drugs with your medical advisor. There are alternatives you can get without prescriptions (e.g. St John’s Wort, SAM-e), but these had no discernible effect on me. If you’re interested, after many years and changes of medication I have settled on Duloxetine (Cymbalta) for depression and Quetiapine for anxiety.
You cannot fight severe depression alone. You hopefully have already seen your doctor, but probably should be seeing a psychiatrist as well. I have tried different sorts of clinical psychology and therapy, and have eventually found a cognitive-based therapy system that looks at your childhood, attitudes, and relationships to be a revelation. Different things though seem to work for different people. You will need your friends too, and need to be open with them that you are depressed. Fight that stigma!
There are many changes I have made that I think have contributed to my shift towards wellness.
For want a better name – that thing that someone else pays you to spend your time doing. In the first instance you might need a period of time off work – look into your sick leave entitlement. Contact your HR department.
I took a long hard look at my academic job and decided I had had enough. There are many things I liked about it, but an increasing number of things I no longer enjoyed and that seemed to me to be pointless. On the other hand I love writing and journalism, so I decided to “retire” and become a full-time writer. It’s a financial risk. It might not work out. I might be poor for the rest of my life. But at least I feel that I am in control, and doing only what I think is worthwhile.
You might say I’m lucky being in the position to retire and become self-employed, and you’re probably right. But what is your health worth? What big changes can you afford to make? Is the big house and fast car really worth what you’re having to endure? And big changes don’t apply just to work either: is that toxic relationship really worth staying in?
I think you have to be starting to get well to make some of these changes, or at least not in the pits, but I decided I had to lose weight and get fit. I, like many depressed people, am pretty useless at self-discipline. So I joined a gym and signed up with a personal trainer. It’s one of the best calls I’ve ever made. I’ve lost over 25 pounds so far and my weight is still going down. I feel so much better; I have more energy and after each exercise session my mood is lifted. There’s plenty of evidence for the positive effects of exercise so get to it. And no, I still don’t really enjoy doing exercise, particularly cardio, which I find painful and boring.
Fresh air and light.
Many of us who are depressed really benefit from more light. I try and maximise my exposure to sunshine, even sitting outside when it’s sunny but in the cold depths of winter. I have a light box that I use even in summer when it’s dull. I try and get as much fresh air and to get outside as much as I can even when I’m busy working at home.
I have tried many diets (in the sense of modes of eating) and as I have blogged before find the science complicated, confusing, and contradictory. One certainty is that you have to cut sugar and refined and processed food right out of your diet. I have also greatly decreased the amount of carbohydrates I consume. My breakfast will be something like prawns, berries, another piece of fruit, and nuts; my lunch fish, sweet potato, and home-made baked beans; dinner lean white meat or fish, lots of vegetable, and nuts. It’s a bit boring and expensive, as I don’t like spending large amounts of time cooking for myself, but I see no alternative. I also take good quality fish oil supplements. I have cut back on the amount of wine I drink but still find some each evening calms me down; fairly harmless self-medication in moderation.
Mindfulness and meditation.
I find meditation difficult – sometimes it hurts my mind too much to sit still with nothing but my thoughts, even for as little as ten minutes – but I try. And I do gain a great deal from being mindful – trying to live in the moment and be present. The evidence suggests that mindfulness training might be as effective as medication. There are many good books and resources on mindfulness training, so give it a try.
I have tried to change my cognitive structure – saying “I am not my illness”, working out what the really important things are in my life and changing those things, trying to be honest with myself, and trying to be kind. I accept responsibility for things I do wrong and acknowledge the role of others when things go well. Or rather at least I am trying to do these things!
I have written about my search for a perfect routine so many times before (blogs ad nauseam). How can the writer find a perfect day when they can write something good every day and yet fit everything else in? But a routine of some sorts is essential if you are or have been depressed. It’s boring and others might mock you for it, but you’re the one that’s ill or have been ill.
My problem, particularly under medication, is staying awake at night and waking up in the morning. However I used to have terrible trouble getting to sleep. The most important thing is to choose regular times and stick to them, come what may. I have a particular problem with waking in the morning, so I set my alarm for 7.20 and get up at 7.30. Occasionally I really struggle, but I will always be out of bed by 7.55.
My friend Ian Jay swears by a gratitude diary – somewhere towards the end of each day you list three things that day for which you’re grateful.
It’s important to do the things you have decided help you, particularly if you feel yourself becoming ill again. If you’re getting a bit down and start skipping your exercise you’re going to be in trouble. So write out a list and tick the things off every day.
I hope you find some of these ideas useful. Good luck with the fight regardless.
It is easy to get out of the habit of writing. In spite of my blog a few weeks ago (Nulla dies sine linea – not a day without a line, first said by the painter Apelles of Kos, but which applies just as much to writing as painting), quite a few of my recent days have sadly passed without a line.
I can attribute this failure in part to what remains of the day job (especially marking, a task that I particularly detest but which is one of the most important things that academics do, and which requires time and concentration), but I know thats a feeble excuse. I should have had plenty of time. I have just found it difficult to find an independent working routine that suits me.
All the data shows that we work best when we follow a routine. Depressed people function better when they follow a routine that imposes some structure on our lives. Finding a good routine is good. In fact to be creative you might need one. If you look at the lives of highly creative people they all have very highly structured periods when they’re working – routines bordering on rituals (hence the title of one my favourite books on the subject, Mason Currey’s Daily rituals, a book I’ve talked about before in this blog). One of the most popular rituals is to get up early and start writing, stopping around lunchtime, and then taking the rest of the day “easy” (including do those low-value, distracting tasks such as email). I can see the advantages of such a schedule: you get your words under your belt first thing. I always feel better about the day after I’ve written at least a thousand words. But life is not so simple for a depressed writer: my medication (even though I’ve really cut back) really interferes with my morning. I feel tired on waking around 7.30, and it takes me a few hours to get going properly. Maybe one day I’ll be able to cut out that final Quetiapine, but I still can’t really imagine waking at 5 am, because I can’t imagine going to bed at 9 pm. I love midnight too much. And in any case I’ve talked to a few depressed people who say they can’t really get going until 10.30 or 11.00 am.
Let me take yesterday as an example. I woke at 7.15, and rushed to get out before my preferred two hours easing in time, leaving before 9 for gym at 9.30. At least exercise makes me feel better overall, and has the advantage of waking me up. Then I had a few errands to run, and back for coffee at 10.45. I did some useful reading while drinking coffee. Then as rain was forecast for later in the day, I did a few garden jobs I’d been putting off. Then I had my Primal living lunch (yet another type of diet, or rather lifestyle, I’m trying out). After that there were some “real work”-related things I had to do, and particularly several pressing emails to answer. That left me pretty tired, so I had a short nap. Then it was 4.45. I had a few work things to do again, and some washing to sort out, which took me to 6. That left me two hours of creative time, by which time I felt horribly guilty about not doing enough earlier.
Sound familiar? That’s how my life often goes. I can’t point to anything and say I shouldn’t have done it, so what else could I have done? Now you unlucky souls in a 9-5 job are probably thinking “lazy f*cker, he should have my job to see what can be done in a day”. But I “work” after 5, and all weekend, and most holidays too. And as I’ve talked about before in this blog, if you look at how much real work can be done in an hour, it’s surprisingly little. My own measurements suggest I cant do more than 35 minutes an hour over 8 hours without hitting the wall. This figure of 3-5 hours of real work – deep work – a day is consistent with what Cal Newport says in Deep work, with how highly creative people schedule their time in Daily Rituals, and how much deep practice can be sustained in one day (a discussion of which can be found in Duckworth’s superb book Grit, which I’ve just finished reading). Passion and perseverance are tiring.
So I am still searching for the perfect routine, the perfect ritual, the perfect day. And of course every day is different: some days I don’t go to the gym, some days there are other things to deal with, and some days it’s Christmas. Nulla dies sine linea says nothing about stopping writing just because it’s Christmas (but I have).
So one reason why we don’t we stick at what we want to do is finding the time to do real work. It’s difficult enough for the best of people with the best of intentions. Those of us with mental health problems suffer additional burdens that eat into our time in addition to the time-killing side-effects of medication.
Being mad really does steal your life.
It’s under a hundred days to go now before my official “retirement” date and when my life as a full-time writer begins. I’ve made the big change – or at least the decision to make the big change – that I hope will lead to a more satisfying and mentally healthier life, and now it’s time to look at smaller changes I can make. I’ve already taken up exercise in a big way and been going to the gym regularly for some months now; I’m pleased – and surprised by myself – that I’ve stuck to it. I’ve reduced my medication gradually without too many ill effects. I have now sorted out my life, to some extent, and my depression is in abeyance, at least for now. I have identified a purpose – writing, in the first instance on consciousness. I now need to go further and tweak my mental and physical well-being. I also face many years (I hope) “post-work”, and I want them to be healthy, happy years. I can already feel a bit of arthritis in the fingers of my left hand, and I still feel more tired than I would like. I am at last doing enough exercise, so what else can I change for a better life?The obvious answer is diet.
Now I don’t think my diet is too bad – as I have coeliac (celiac) disease (I don’t like the phrase “I am celiac”, identifying myself with the disease), I already avoid gluten and wheat and too much dairy. I am fortunate in not particularly liking the taste of sugar, and avoid processed food. What else can be done for a better diet and hence better life? We are after all what we eat Note that I am using the word “diet” in a loose sense to refer to everything we eat, not specifically a means of calorie restriction.
Unfortunately the world of improving your health through diet is a nightmare. It used to be so straightforward: eat with the pyramid of a little fat, lots of complex starches, fruits, and vegetables, and avoid saturated fat, while doing moderate or more exercise three to five times a week.We can say with some certainty what is bad: smoking, too much alcohol, no exercise at all, processed food, sugar, modified sugars, trans and hydrogenated fats, and too many calories. But then things get very confusing. It’s pretty much agreed that leafy green vegetables are good for us (although opinion is divided on whether they are better lightly cooked or raw). But here is the list of some of the disputed foods:
– carbohydrates: much loved by “official” dieticians, treated with great suspicion by many food movements (e.g. Paleo, Primal, to a lesser extent South Beach). I’m assuming we’re talking about good carbs (no crisps, no cakes) that you get directly from vegetables. Sweet potato seems to be the healthiest.
– grains: many are a no-no already when you cut out gluten, but things like rice are disputed. I don’t like them much anyway.
– fruit: you thought you were on safe ground, but many are very high in sugars, particularly fructose, and Paleo and Primal limit their intake. Best fruit: berries.
– nuts: high in calories and oils and many have the wrong Omega 3:6 ratio.
– oily fish: generally agreed to be good, but some worry that they’re a source of contaminants, heavy metals, and colourings: wild or organic are best (if you can get them!).
– meat: disliked by many diets, but preferred in Paleo and Primal, particularly grass-fed and organic (again if you can get it).- saturated fat: despised in the traditional diet, but desired as a major source of calories in Paleo and Primal.
-mushrooms: full of fibre and vitamins – but argued by some to aggravate intestinal yeast infections. Is this anything more than superstitious thinking?
– garlic: how can garlic be evil? The Bulletproof diet says avoid because of its mind-altering properties.
– omega 3 oils (fish oil): as long as they’re heavy metal free, although the extent to which they are beneficial to adults remains disputed by some scientists.
– organic or not: surely it’s got to be better to eat stuff that’s free from pesticides and herbicides? Some scientists have argued it makes no difference.
– alcohol: preferably as red wine, a little is generally thought to be good by many.
What is most problematic is whether most of our calories should be coming from carbohydrates, or from fat, oils, and protein. Will fat kill us, or stave off the heart attack? It’s a high-stakes game.
But in the end, as my finger hurts and my back hurts and I decide to skip that glass of wine and measure out a nice, I sometimes just despair at the confusion. It’s difficult being an anti-ageing biohacker.
I have to finish the first draft of my book on consciousness by the start of November. I want to leave about two months for rewriting, clarifying, and improving the style. That means. 1339 words a day every day before 1 September to reach my target 160,000 words. (My writing software of choice, Scrivener, will automatically calculate the daily target based on your deadline and target length, and keep track of your daily writing total against the daily target.) There are probably going to be some days when something goes wrong and I can’t write, so I should be aiming for about 1500 words a day. I don’t know whether that sounds a lot or little to you; most days I have to read and think to be able to write those words, and I have to keep track of citations (not included in the total) as I go.
It would be easier if I didn’t have a day job too. Fitting writing in spare moments is difficult and stressful. Whoever thought that a writer has an easy life? At the very least it requires great discipline and great dedication.
When writing like this it is difficult to fit much else in to life. The mundane tasks are piling up. I really should wash the car, clear the vegetable patch, and change my energy suppliers, but such things always come last.
But the end is in sight. I finish the day job on 31 July. As of today that’s exactly 100 days.
Hopefully then things will be easier. But then there are these things called “holidays”. No wonder holidays can be among the most stressful of life events! Holidays for the writer and depressed person are interesting things. Words don’t get written unless you’re at the computer (or typewriter, or even with a notepad and pencil), and totals don’t wait for holidays. I suppose all self-employed people have the same problem – can we afford to take a break? It is though I think more challenging for writers facing a deadline. My current plan is never to stop writing, and write even in holidays and on Christmas day.
I suppose there is with every task a point at which it sometime becomes a chore, no matter how important the job and no matter how enjoyable it usually is. We just have to push on through.
A long time ago, Apelles the painter said:
Nulla dies sine linea.
Not a day without a line. The same applies to writers too. Even depressed writers. And setting some task for the day ahead, however small, and if possible doing it is of great help to depressed people in general.
My planned post can wait: last week was UK Depression Awareness Week.
I used to be sceptical about these special days and weeks, but now I think there is a great deal of benefit to having a concerted surge of activity because at the very least it generates publicity.
There used to be a great deal of stigma and shame associated with any kind of mental illness. People felt forced to hide their suffering. They were discriminated against, made fun of, and even bullied – things that of course just made people even worse. At our school, many years ago, boys who were slightly odd were given nicknames based on the local mental hospital. People found it more difficult to get and keep jobs. I remember an employee, a long time ago and in a place far away from here, feeling forced to tell me that he had been off work for some weeks with a “very bad cold in the head” – whereas there were rumours that he had had a “nervous breakdown”. There was very little advice available in the NHS, and there was a much more restricted choice of drugs. Prozac only became widely available in 1988.
Things are by no means perfect even now, but every time a celebrity “comes out” as mad, there’s another step forward. Every time someone is honest at work or with their friends all of us are a little more liberated. Those of us who can owe it to the others to stand up and say we’re GLAD TO BE MAD. Well, maybe not glad, but we are, and there’s nothing to be ashamed of. Stop the stigma now.