depression

Stuck in Depression and What Do You Do?

READ IT TO ME: Click play to listen to this post.

“You don’t understand

depression until you can’t

stand your own presence

in an empty room.” —Unknown

Depression is an epidemic across the world. It is estimated that more than 264 million people suffer from this malady. The late actor Robin Williams once said I think the saddest people always try their hardest to make people happy. Because they know what it’s like to feel absolutely worthless and they don’t want anyone else to feel like that.” Tragically, he died having been dominated by depression. 

Depression has been a “friend” throughout much of my life. Many years ago it dominated me. I was hospitalized at one point unable to function. It was like living in a body that wanted to fight to survive with a mind that wanted to die. At times I was tired and scared at the same time. I was dominated by a fear of failure but had no energy to produce. I wanted to be alone but dreaded being lonely. I worried about everything while at the same time caring about nothing. There were times my head felt like an old Maytag washing machine churning and churning with anxiety. Then there were moments when everything felt numb and paralyzed. Depression was like a bruise that never went away. It was like being lost in the woods. The further I walked into the deep woods the more lost I became and the dimmer the light of hope was at the end of the tunnel. I got stuck in mental wool-gathering. Dread, emptiness, anxiety, and panic jammed my headspace. It’s like in the movie The Lord of the Rings where Frodo Baggins is stung and paralyzed by the giant spider unable to move. With depression, I  wanted to talk and scream but all I could do was whisper. I wanted to stay in bed and hoped I would fall asleep before I fell apart. Depression is a wound that is deeper and more hurtful than anything that bleeds. So, the question is when you are stuck in debilitating depression how do you get unstuck when you feel so paralyzed? Here are a few considerations.

1. Slow things down and sit with what is real. Don’t try to fix depression on the run. People try to avoid discomfort by distracting themselves with activity and daily busyness. For some people it works, if you define “working” as being able to numb out unwanted feelings so that you simply exist. This choice involves running on a treadmill of doing more to keep from being less. You have to be busy 24/7 for 365. Of course, no one can do this so you engage in a cocktail of destructive behaviors. You can make food, sex, alcohol, work, drugs, etc. an additive piece that provides temporary relief.  Some people live and die this way. Others free fall into major depression which stops them cold in their tracks. If you suffer this malady you know that it is powerful and overwhelming. The best choice is to slow the pace of life and sit with unwanted feelings that are underneath the busyness of your life. 

2. Listen to your feelings, they will tell you where your life is out of balance. Most of us learn to avoid what is uncomfortable. Yet, the way out is leaning into the discomfort. Discomfort is there for a reason. Feelings are a way for your body to talk to you. People with depression often experience levels of nostalgia. When you sit with nostalgia you notice that you pine for past experiences. Reflection, about past memories, triggers awareness to create warmth and connection in the present moment. However, the tendency is to wallow in the experience of yesterday without being motivated to provide meaningful connections in the present. The result is chronic loneliness which left untended will fuel depression. There are many feelings that bombard your awareness. Slow your life in such a way that you listen to your feelings. They will tell you where you are out of balance so that you can adjust your lifestyle to create emotional equanimity.

3. Don’t go outside, go inside.  When people hurt on the inside they want to find a quick fix from the outside. There is help from the outside that will take you inside. The following medications have provided relief for millions: Selective Serotonin Reuptake Inhibitors (SSRI’s) like Celexa, Lexapro, Prozac, Paxil, and Zoloft are brand names that have been helpful. There are other medications that have also proven helpful. Plant medicines and dissociative medicines like ketamine can also be useful when administered by professionals and not recreationally. The utilization of these drugs and plant medicines, is strategically designed to assist in going underneath the symptoms of depression to address root causation. Ultimately, this is where healing takes place. Looking at the unresolved family of origin, trauma, and grief issues is helpful to drain the pain that fuels the major depression. There are many therapeutic interventions that trained therapists use to help with this process of healing. There is no magic bullet but there is healing for those who are brave enough to go inside.

4. Stop trying to fix other people. Other people’s problems become a tonic to our own existence—a way to get outside of ourselves. World-class performers like Michael Phelps, Dwayne (The Rock) Johnson, Lady Gaga, and Katy Perry admittedly have all used performance achievement as an escape from depression. But it never worked. You may not be famous but don’t try to avoid your depression by getting caught up with other people’s drama to energize your life and to escape what you do not want to deal with. Stop trying to fix other people.

5. Live your life in emotional honesty. When you live with incongruence you learn to feel one thing, say another, and end up acting disconnected from what you say or what you feel. You get lost. This makes you vulnerable to depression. People who overcome depression learn to open up and say it straight. It takes courage to be emotionally honest. In treating depression, without emotional honesty, you will drown. People fear disappointing others who are significant to their lives. At the core of healing depression, you will need to practice detaching from pleasing others to be true to yourself. 

Practice these steps and free yourself from the dregs of depressed living. If you are stuck and want help from your depression, reach out. You are not alone. There is a light at the end of the tunnel. You simply must ask for help.

Intensity or Intimacy

The nature of addiction is to crave the escape that comes in the pursuit of a substance or a process high. It could be numbing out with drugs and alcohol—the adrenaline rush of something new like the risk of a new relationship, physical challenge, exotic adventure, or the rush of meeting a deadline at work. At first, the pursuit seems subtle, like the calming effect that a cup of coffee has to starting your day. Over time it roars like a lion and becomes a dominating organizing principle of everyday living. Someone addicted to nicotine cannot comprehend going through the day without lighting up, dipping or ending the day with a cigar. The entire day becomes organized around taking the edge off by engaging in nicotine. Some addicts describe having an intimate relationship with their addictive behavior.

One of my sons told me a story about doing a rigorous hike in the desert with a couple of friends in the summertime when it was way too hot. After hiking a great distance, they were sweaty, exhausted, and stopped to take a break. He reached for his water bottle to quench his thirst and find relief from the heat. His two friends reached for a cigarette and with sweat streaming down their face found relief with nicotine and later took a drink of water. 

Addiction response can be extreme and radical. Some of the most intense people I know are addicts. Do you know a workaholic who has literally slept at their office? NFL football coaches have been known to work all day and sleep in their office. The rush that comes from getting prepared for the next game can be intense. For a workaholic, pushing for completion and fanatically reaching to meet a deadline can be powerful and consuming. Stories of addicts fiercely lusting for a hit and radically moving heaven and earth together to satisfy a craving are replete. 

Intensity or Intimacy? Addicts confuse intensity with intimacy. Intimacy can be understood as a close personal open heart connection with self and another person. Many people refer to sexual intercourse as intimate. Of course, this can be true. However, compulsive sexual behavior is often not intimate. At times, the insatiable drive to be with another person is the furthest experience from true intimacy. It has been described by some that the intense desire to be close to another is like wanting to be inside the other person’s skin. There is a craving for another that is more about neediness than intimacy. The need is intense.

Addicts become disconnected from their feelings. They are poor at managing moments of emptiness. An addict will often seek to fill the emptiness with chaos and addictive behavior. Emptiness and loneliness trigger addicts to fill in the hole of their lives with drugs and alcohol and other compulsive behaviors. Most addicts create a cocktail of adrenaline experience that can include substance, relationship pursuit, work intensity, exercise, food, and high-risk adventure. When one or more of these behaviors don’t do the trick, then they just go to the next combination in behavioral experiences. This response is described as addiction interaction behavior. The intensity of this daily cocktail experience can be mistaken for intimacy with self.  

Recently, a young man counseled with me about feeling extreme loneliness and depression from a recent relational breakup. He engaged in meditative silence and then shifted to extreme outdoor adventure. He stated that he felt very intimate with himself by testing his physical endurance. For sure, engaging physical endurance activities can be intimate. Yet, for this person, he came home to the same dilemma of intense loneliness and depression after the endurance adventure. Rather than embracing and grieving the loss, he had mistaken physical intensity for emotional intimacy. This is a common experience for addicts. 

Intimacy begins with an interpersonal connection. What is important is to carefully listen to your feelings. This requires slowing down and embracing the very emotion you would like to avoid. Intimacy demands that you be able to embrace discomfort. Knowing that you can feel uneasiness and sift and sort understanding and meaningfulness from this experience is necessary in order to meet the personal needs that exist underneath the uncomfortable emotion. This is fundamental to practicing intimacy. It begins with an inner connection with self before it can be extended to another. Many attempt to first connect with another believing this connection will help awaken feelings within. However, it is a precarious path that often leads to relational intensity being mistaken for relational intimacy. What is missing is the cultivation of interpersonal connection with your own feelings. Those feelings become lost with the intense hot pursuit of another person, substance, or experience. 

Intimacy requires that you be open and honest, first with self and then others. Emotional honesty demands that you be willing to embrace unwanted feelings. In the context of this embrace, you will find the pathway that leads to intimacy. The intimate discipline of sitting with your own feelings will spawn understanding and separation between emotional intimacy and emotional intensity in an addict’s relation to self and others.

Only the Lonely

“Only the lonely, Know the heartaches I’ve been through-Only the lonely-Know I cry and cry for you.”
(Roy Orbison “Only the Lonely” lyrics)

Loneliness drives escapism. In an unsettled world there are a million different reasons to want to avoid reality. Traumatic experiences in home life can trigger the desire to travel anywhere but home to escape further stress and psychological harm. More than 15 million Americans suffer loneliness attributed to major clinical depression. Many will do anything to escape the dregs of emptiness, loneliness and anxiety that come with it. However, a temporary new environment is not the cure. Often, when this form of escape through travel is done impulsively, there’s a greater likelihood that symptoms will rebound or return even stronger than before. Lonely older adults are twice as likely to be prescribed an antidepressant compared to adults reporting no loneliness (27% vs 14%). This indicates that medication alone is not a cure to the challenge of loneliness.

Most addicts suffer from loneliness. For many, home was disastrous, chaotic, totally abusive and unsafe. People need to belong, experience sanctuary and be treated with dignity and respect. Addicts run from the fear that if they slow down they will have to face the anxiety and terror of coming home to themselves. The experience is devastating. For those who do not come to terms with loneliness, it is a shadow that follows and never releases its grip. Addicts in recovery must learn to manage the experience of loneliness. It is a major trigger for relapse. Here are a few considerations to help you work with this common malady that affects everyone.

1. Practice coming home to yourself: Addicts learn to lose themselves with busyness and activities that distract from the discomfort of anxiety and other difficult emotions. Thich Nat Hanh stated that sitting is an act of revolution. In the presence of the urge to rush and be active, it is counterintuitive to sit with your feelings. However, sitting with your feelings will cultivate awareness. It helps to separate your thoughts and emotions from your true nature. As some say, sitting helps you to see your true nature to be like the sky and your feelings and thoughts to be like the clouds that come and go away. Coming home to yourself is a way of connecting with yourself and accepting what is.

2. Quiet the clamor and clutter by putting away your electronic devices for a definite period of time each day. It has been said that in America, the average person spends 7 hours looking at a screen each day. Your computer and cell phone distract you from being connected with yourself. You would think social media would help you to connect with others. However, it is an illusion that social media helps you to connect with others when you do not connect with yourself. Technology does not help reduce loneliness. Take time each day to turn off your phone and all other technology each day to cultivate conscious awareness. Make it a deliberate act.

3. Connect with the here and now. Distractions keep you from being present. You might be doing something important but your mind is somewhere else. People go through their life distracted without being connected to the present moment. Poet T.S. Eliot penned “we shall not cease from exploration, and the end of all our exploring will be to arrive where we started and know the place for the first time”. Many people will never experience this reality in reflection because they don’t know how to connect to the present moment. Don’t allow yourself to live a life of distraction from the here and now.

4. Go Inside. Loneliness is about feeling disconnected from others. You won’t connect with others until you connect with yourself. Becoming a social butterfly can make you popular with many acquaintances. Yet, you can be lonely in a crowd of people. Loneliness will disappear when you go inside. Learn to become an island to yourself. Buddhists teach that you go inside yourself through the in-breath and the out-breath. Hahn says that you tidy your home within by going inside. This is where you calm your spirit and connect with yourself. It all begins by cultivating a lifestyle of going inside.

5. Make peace with your loneliness. There is a wounded child within each of us that needs to be recognized and embraced. Loneliness is magnified when you busy yourself with activity and neglect the pool of pain that exists within you. People try to minimize this pain by comparing their life experience with others. This only isolates the wounded child and intensifies loneliness. Coming home requires that you focus on healing your wounded child.

6. Liberate yourself from the prisons of the past. Addicts live with a vacuum inside that makes them uncomfortable connecting with others. Their wounded child has been betrayed and let down by others. They don’t trust themselves or others. Dominating their brain are mistaken beliefs that keep them inside an emotional prison. Liberation requires an act of daily forgiveness which simply means that you will not hold this egregious destructive behavior against yourself any longer. Every day you come home to yourself and make this agreement. You then walk away from destructive behavior and embrace healing and practice being helpful to others. Addicts who choose to live this way liberate themselves from loneliness effectively. They learn to use their eyes to look at others with compassion and eliminate criticism.

Water and Ice—Two Symbols of Emotional Wisdom

Many 12-step groups allow for a feelings check, frequently at the beginning of a meeting. Many people struggle to identify and embrace feelings. Sometimes, a group member will struggle, and then share a thought while attempting to express a feeling. An example might be “I feel like I am in a pretty good place today”. We use phrases “I feel like” or “I feel that” to express our emotions, but that will keep us stuck in our heads. It is easy to gloss over an inward feelings check and instead move toward listening to others share or prepare your mind for what you want to say. However, the feelings check, based on what’s inside, is a crucial exercise in support groups. It creates an opportunity to settle in on what you are really feeling. It challenges you to sit and listen to what the feeling has to say to you. 

The spirituality of Step 2 asks that you humbly listen to the voice of God as you understand God. The concept of God is wide and varied within the framework of a 12-step community. It includes God as a personal entity, God as a No-God to those who do not believe in a God and yet seek to access their higher self, God as an unknown universal creativity energy, and others.

I have found help in accessing the phrase the “voice of God” as a metaphor toward connecting with higher power. Some people testify they have literally heard a voice from God. Some people feel moved with impressions when they read sacred literature. Others sense the direction of a kind of higher power in the collective wisdom that is accumulated in a support group. There are many sources of wisdom that people have experienced. 

One of the repeatedly overlooked sources of wisdom are revelations that come through the experience of feelings. Many world religions emphasize the value of feelings toward cultivating intimacy and gaining wisdom. It has been my experience that every emotion is leavened with insight, understanding, and enlightenment. The challenge is to slow down and lean into the message that each feeling brings. For example, I have experienced life-long depression, usually low-grade and chronic but at times it has spiked to a major part in my life. Rather than simply treat with an antidepressant, which at times was needed, I have learned to listen to the wisdom from the “voice of God” (a metaphor) in order to gain insight regarding what has been out of balance in my life, where to self-parent or reach out for help. Many times medication is needed to treat depression but often sitting with depression to gain its acumen is overlooked. 

Most addicts can be triggered to act out when disconnected from their feelings. This familiar practice becomes the breeding ground for incongruence and double-life living. Unwilling to sit with emotional discomfort, an addict can choose to say one thing and then do another. As a recovering addict, you have to teach yourself to stay with unwanted and uncomfortable feelings in order to meet the legitimate needs that exist underneath the craving for an addictive act out. In this way, an addict can learn to transform what seems to be a curse (the craving) into a blessing (awareness of legitimate need). It becomes an invitation to personal emotional intimacy in your life. The challenge is to stay with the feeling to gain crucial insight and understanding. The only way to open your heart when it is closed is to sit with the discomfort of an unwanted feeling. 

Pema Chodron describes this concept with the metaphor of water and ice. The metaphor of free-flowing water can be an analogy of open heart and open mind. On the other hand, ice is a metaphor of getting stuck with a closed heart and unwanted feelings. When stuck you can become over-reactive, out of control, even into a rage or rant, and overwhelmed by other powerful feelings like shame and fear. The way through to wisdom is to become very intimate with the ice. It is important to sit with it and to know it well so that you can gain insight and know what to do to care for yourself. It wouldn’t be helpful to throw the ice cube away. When you bring the warmth of open-mindedness, the ice begins to melt. 

To illustrate, take an ice cube and place it in the palm of one hand while covering it with the other. The human warmth of your body will melt the ice into flowing water until the ice is completely melted. This has been my experience with sitting with unwanted emotions. Sending kindness and warmth to myself has always been what I needed when facing emotional discomfort. It overcomes addictive craving. You will recognize that to do this you will need the help of your support community.

Here are four suggestions to make open-hearted kindness (flowing water) from unwanted feelings and difficult circumstances (ice):

1. Practice sitting with the discomfort of unwanted feelings. The only way to learn that you can get through a difficult experience is to stay the course and work through it. You may need to reach out to your support. In your recovery, it can be like teaching your dog to “stay” when it so much wants to chase the cat. You simply work to condition yourself to stay with the emotional discomfort. Gradually, you will increase your staying power and in time the wisdom of self-care will dawn in the horizon. 

2. Be your own best friend when you lean into unwanted feelings. In the midst of discomfort be kind, even gentle, with yourself. Befriend not just the good parts of who you are but your whole self, warts, addiction, and all. Treat yourself like your own child that you have always loved, even though at times their behavior is not lovely.

3. Integrate/Don’t segregate. Close-minded living segregates and isolates. It promotes intolerance, disrespect, and antagonism within self and toward others. Segregation advocates the desire to “ditch your addict”, even to hate that part of yourself. It expresses itself with self-criticism and judgmentalism toward others. Integration promotes acceptance of self, patience, forbearance, humility, and generosity. We learn to become unconditionally friendly toward ourselves. In the framework of that generosity, we learn to listen to our unwanted feelings and cravings. We learn to respond with healing self-care. 

4. Learning to cultivate wisdom from your feelings requires that you fuel perspective and vision for self and others. Cultivating skills to sleuth wisdom from unwanted feelings is a life-long pursuit. It challenges the systemic fantasy of “embracing the improbable and ignoring the obvious” that has been so ingrained in many of us from families of dysfunction. For most, the progression happens slowly and subtly. Yet, this valued skillset is not only for you but a legacy for the generations that come after you. At times, this journey may seem lost. Nonetheless, those who stay the course will transform intimacy disability into deep connection with self and others. Each time an addict listens to the wisdom imbued in an unwanted feeling, it opens the door to lessen the grip of addiction not only within but toward future progeny in the generations to come. 

Limits

“Your time is limited, so don’t waste it living someone else’s life. Don’t be trapped by dogma – which is living with the results of other people’s thinking. Don’t let the noise of other’s opinions drown out your own inner voice. And most important, have the courage to follow your heart and intuition. They somehow already know what you truly want to become. Everything else is secondary.” 

― Steve Jobs

Limits are difficult for type A, entrepreneurial people who like to insist on getting things the way they want it. And when they don’t, that’s when the color comes out in their behavior. Some people become green with envy, red with rage or a host of other colors demonstrating frustration, anger and exasperation. Some show ugly intolerance, making deleterious demands with iterations that reflect sophomoric immaturity. There is a mentality in the social milieu of our country that disdains limitations. There is an emphasis upon becoming a limitless person. Yet I have discovered great benefit to living within the context of personal limits. 

Boundaries are synonymous with limitations. Living within the framework of boundaries has saved more than one addict from deepening the hole of destructive behavior. 

Metaphors for the value of limits are all around us. I grew up in east central Illinois. To go home, I often fly from Phoenix to St. Louis. From the airport, I take Interstate 270 around the city of St. Louis leading to the I-70 bridge over the Mississippi River that parallels the old Chain of Rocks Bridge that has been shut down and abandoned for decades. After crossing the Mississippi there is another bridge that goes over a canal built for commercial barges to navigate safely through the Chain of Rocks. 

This canal is designed to be wide enough to accommodate the barge traffic with a steep shoreline. It is plenty deep so that commercial traffic can navigate with no problem. For me, this canal channel is a metaphor to recovery. There is no danger of the barge becoming impeded or stuck in shallow waters. The canal is designed and properly sized for typical commercial barge traffic. Within its confines, each barge is safe from the hazard of shallow waters. 

As long as addicts stay within the confines of healthy boundaries and respect limitation, they are safe from the hazards that lead to addictive acting out. It’s only when an addict ignores limitations that he or she gets into trouble with addictive acting out. Work addicts frequently lose themselves in the conquest of pursuing more to keep from being less. At some point, one more acquisition only adds meaningless content to an overstuffed portfolio. Ego grows while awareness of personal brilliance dims. 

I often hear complaints from work addicts who resent the need for limitation and boundary. Yet, true to the metaphor,  individuals who honor and respect limitation discover that they can go as deep within the boundary as they want. Rather than think horizontally, I want this, that and the other, consider the unexplored depths of going deep within.  It’s by respecting our limits and going deep within the heart that we have the opportunity to know ourselves best. Canadian poet Shane Koyczan declared that,“To discover the thing you’re brilliant at you first must explore meaningfulness in average experiences of life.” Limitations are the common stuff of every day living. Everyone has limits. The common frame of mind of “having your cake and eating it too” is often unrealistic. Limitation is the average awareness that all must embrace. Rather than stretching yourself to conquer more and more, consider plunging deep within the heart of average everyday experience and mine your own personal brilliance from within.   

Reflection:

  1. What personal limits have you tried to ignore?
  2. If you were to honor your limits and go deep within, what does your personal brilliance tell you about who you are? 
  3. Does the word “average” only connote assessment and judgment of performance to you?
  4. If average meant commonplace experience, what every day happenings do you minimize in your chase for achievement and success? 
  5. In what ways do your personal limits offer benefit rather than a burden toward developing personal brilliance?

Understanding Crazy Living

“I’m on a drug. It’s called Charlie Sheen.
It’s not available. If you try it once, you will die. Your face will melt off and your children will weep over your exploded body.”
By Charlie Sheen

Addiction is all-consuming. Brilliance is lost to the twisted, distorted perspective that says, “I am the essence of brilliance.” Audacious self-importance keeps a person stuck. Now in reported recovery, Sheen may well speak from a different place than he once was.

I remember watching Charlie Sheen on 20/20 television show when he said, “I just didn’t believe I was like everybody else. I thought I was unique.” The public self-destruction of Charlie Sheen was painful to follow in the news. The descent from being the highest-paid American television actor on primetime ($1.8 million per episode on Two and a Half Men) to being HIV positive and suspected of threatening to kill a former fiancée all was very sad to his most loyal fan base.

Addicts are an odd lot. Rapacious, loner, renegade, charismatic, luminary, chic, and disgusting are among the many adjectives that describe those who suffer from addiction. During my professional experience, I have treated individuals who have squandered hundreds of millions of dollars dedicated to escaping what they don’t want to feel. I have listened to a medical professional describe having unprotected sex with an HIV-positive partner numerous times and confessing that they cannot get enough of what they really don’t want. Some have spent millions of dollars on a cocktail of experience with sugar daddy prostitutes, alcohol, and opiates and then blew their brains out! I have spent time with workaholics who literally experienced tremors, excessive sweating, nausea, and diarrhea from simply withdrawing from the rush of adrenaline that comes with the art of the deal. The merry-go-round lifestyle of most addicts is dumbfounding and would make anyone dizzy just listening to the staggering story of out-of-control behavior.

Why? Gabor Maté has been so helpful with this question. He suggests rather than why the addiction, why the pain? A simple question that requires the courage to go deep under the surface and examine family-of-origin, social mores, economic conditions, etc that promote escape through addiction. This post will focus on family of origin.

As a kid, I always wondered if I was crazy. I created a make-believe friend who would walk alongside me and I could talk and feel safe as I walked up and down the railroad tracks of the Illinois Central. I once printed fliers warning of the end of the world and tried to give them to people I cared for and loved, fearing they would perish in hell. When my Little league coach was killed in a train/car crash I literally put my ear to the ground and thought I heard his screams in hell because when he died he was a Catholic! I was taught that Catholics weren’t Christian. I ran out of a minor league baseball stadium believing that it was going to blow up. And once I cut a 12-inch gash on the top of my right arm from my wrist to my elbow. I learned to soothe myself each night with masturbation. It was my only constant soothing source.

Later in life, I learned to hide and minimize these earlier childhood experiences by focusing on pleasing others, by being zealous in my Christian faith and by working harder than anyone else I knew. My work addiction and sex addiction flourished to a point of being out of control. Once I worked 120 hours in one week and averaged 80-90 hours per week as a minister “serving” God. Sex addiction became a way for me to medicate the crazy work schedule for which I was complimented for sacrificing for the sake of God’s kingdom.

Depression was never felt because I was too busy and tired to feel it. I used work and sex to be a way of holding back depression. However, like trying to hold a beach ball underwater, inevitably depression sprang forth and debilitated the existence of my life. Paralyzed with depression and unable to function, I had lost 48 pounds in six weeks and was suicidal. Hospitalized I found myself in the proverbial padded cell contemplating how I got there.

I thought about all the crap that my family and I had gone through in the church, and a wave of rage came over me. There were memories of a lot of sexual abuse. I felt the shame that manacled me and all of my siblings. I thought of the complexity of everything I knew about the church and its abuse. I wanted to throw up, but I did not. Rather, I began hitting my Bible with my bare fists. I struck my Bible again and again until my knuckles were bleeding. When I finished, I was exhausted. Not from the physical act of hitting but from tapping into all the rage, hate, and shame that had enveloped my life like a wet blanket for so many years.

Soren Kierkegaard once said, “life is meant to be lived forward but it can only be understood backwards”. Since being hospitalized for major depression, I have launched a lifelong exploration to understand why I suffered such debilitating depression. Somehow I had to make sense of the physical, sexual, emotional, and religious abuse I experienced. I wanted to know why I was an addict. I never signed up to be one! Learning about my family’s dysfunction helped me to convert and integrate unbelievably painful and abusive behaviors, perpetrated to me and from me, to a healing experience that made sense to me. This pursuit imparted wisdom which promoted self-compassion and empathy toward others.

It made sense that I would have a make-believe friend as a young boy. Being the youngest of five boys in a family of nine, I never experienced fitting in or acceptance by my older brothers. Every attempt to impress was thwarted or sabotaged. Any win I ever achieved in sports over an older brother was derided and shamed. If I didn’t want to play I was criticized for being a big baby. I once pitched a perfect game in baseball and was criticized for that! So fantasy became my refuge. Having a make-believe friend who was nice to me made all the sense in the world. Figuring out that I grew up in an evangelical cult helped me understand my over-the-top evangelistic fervor and fear. Think about it. If you were a young kid and sat week after week listening to a preacher tell you horror stories about people who died and went to hell, and that the world would end any day, you would probably do some type of crazy behavior.

Paradoxically, cutting myself felt soothing. It relieved tremendous emotional pain inside. It was a way of telling someone I was in distress, and cleaning myself up was a manageable problem, but the craziness in my life was not. Masturbation became a constant predictable source of relief in a world of chaos when I was a kid.

Listed are a few considerations to unravel your own craziness:

  1. Listen to your feelings — they are the voice of the universe talking to you about your life imbalance. Shame, hate, anger, depression, and resentment are powerful feelings you tend to want to avoid. Rather than run from them, embrace them. They will tell you what you need and your wise mind will suggest how to meet that need if you will but listen!
  2. Look backward for understanding your addiction behavior. You might find the meaning that could save your life. Nothing changes until it is real. Careful examination of your family of origin can help you make sense of your current destructive behavior. Actions and behaviors that seem crazy from one perspective will make sense from another. Understanding will help cultivate adult insight and compassion which creates acceptance and meaningfulness.
  3. Trying to fill the empty hole inside with a cocktail of experience (performance, work, alcohol, drugs, etc) from the outside is like a little kid who can’t get enough sugar. There is never enough! Unmet developmental needs from childhood are wounds that must be scrubbed. When ignored they create a pool of pain that triggers destructive behavior to sedate the emotional pain that exists. Grieving unmet needs from an early age is a way of discharging the suffering that gets locked in childhood. If the wound is not scrubbed and cleaned then the infection of arrogance, wanting what I want when I want it, contaminates and spreads through selfish myopic behavior. Adults give their power to the immature child within to make decisions and run the show. You will need to grow yourself up, take the reins from the small child, and enable your wise-mind adult self to make the decisions and empower you to sit with painful discomfort and resource your healing.

When you look underneath the addictive behavior, it’s never crazy and always makes sense. It is not healthy sense but nonetheless, there is rhyme and reason to what seems crazy-making. Only when you unravel what’s behind your own crazy-making behavior will you be able to answer the question “Why the pain?”

Shane Boylan: Riding Out Ahead of His Father’s Depression

They say a lot of things in life are as easy as riding a bike. For Shane Boylan, riding a bike is perhaps the most beautifully difficult thing he’ll ever do. Shane, an 11-year-old from Highland Park, New Jersey, is making sure people never forget that depression can take a devastating toll on countless people worldwide. According to the Hope for Depression Research Foundation, a depressed person dies from suicide every 14 minutes in the US. It’s a staggering statistic that, unfortunately, hit too close to home for Shane last year. His father (and avid bike rider), Timothy, took his life after a battle with depression and alcoholism. Shane, however, didn’t let the tragedy get the better of him. He started asking questions, hoping to help other families avoid the same suffering. Eventually, Shane hopped on his own bike to take action.

Depression and AlcoholismNow in its second year, Shane’s “Depression Doesn’t Ride” fundraiser was an eleven-mile journey to raise money to raise awareness and combat depression. (Every year, the distance grows to match Shane’s age.) “Last year, we had no idea how many people to expect,” Shane’s mother Aanika said, claiming that they were originally overwhelmed by the turnout. “It was really shocking and surprising to see so many people come out.” What started off as an homage to Shane’s dad turned into something much larger and inspiring for others, with everyone from USA Today to The Huffington Post picking up the story. In fact, Shane’s original goal of $400 to fund depression research quickly reached $4,000—all of which was donated to the Hope for Depression Research Foundation. Held just after Father’s Day this year, even more riders came out to participate than in 2016. “There were more people riding with us than there were watching us ride, which was good,” Shane said, noting that there were dozens of others pedaling alongside him.

The ride is a lot more than just the time spent on a bike seat, too. According to Shane’s mother, it’s about the conversation it gets going. “It’s really remarkable how many people share their personal connections to addiction and depression,” Aanika said. “Once you mention the ride, it really opens up the doors for conversations about depression. People start talking about their own issues—and that’s healing for us and for the people willing to share their stories with us.” And it’s a conversation definitely worth having, since the Centers for Disease Control and Prevention report that 1 out of 20 Americans suffer from depression. If nothing else, Shane’s ride reveals that no one is truly alone in their battle.

“The overall support has been wonderful,” Aanika said, practically smiling through the phone. “At his school and in our community and neighborhood, everyone cheers him on and acknowledges what he’s doing.” Louisa Benton, Executive Director of Hope for Depression, goes one step further in saying that Shane’s event is both unique and quietly profound. “Shane is wise beyond his years,” Benton said. “What he’s doing can change the world, and that’s what touches us so deeply. He represents the future and is an ambassador of hope.” At the end of the day, however, Shane takes all of that attention in stride. He’s a kid who’s as unassuming as he is determined, crossing the finish line with a pretty straightforward motivation: “I just think of my father and I keep going for him,” he said.

And while this year’s path hasn’t changed (it’s the same hour-long journey around historic Johnson Park, through the colonial buildings of East Jersey Olde Towne), the mood was certainly different for Shane’s mother. Where the first year was overwhelming on a number of levels, this year’s ride was hugely sentimental. “There was a picture of Shane this year riding in Johnson Park and I suddenly remembered years ago, back in 1991, that Tim and I were at the same place. The park had been flooded and we’d had our picture taken there,” Aanika said. “This year, that was a profound moment for me: Shane was riding in the exact same park where his father and I had been.”

The ride is clearly as meaningful as it is cathartic for Shane and his mother. Still, it’s not the memories or the outpouring of support that’s the most rewarding part of the experience. No, it’s seeing Shane turn an activity his father loved into something that’s rewarding, heartwarming, and important to countless others. “[Shane’s dad] was already proud of Shane,” Aanika said, “but he would be extremely proud of what he’s done.” For his part, Shane plans on riding, year after year, in memory of his father. And for a kid who crossed the finish line and immediately thought, “Is it really over?”, his singular fight against depression is nowhere close to being finished.

If you’re interested in helping Shane get started for his 2018 ride, visit the HDRF website (http://www.hopefordepression.org). At the bottom of the Donate page, in the “In Memory Of/Comments” section, write “Shane’s Ride.”

Is Alcoholism a Disability and Protected by Law?

The Disability Discrimination Act states that alcoholism is not included under its list of protected disabilities, however, courts in the U.S. and Canada have ruled on a case-by-case basis that alcoholism is a disability that is protected by law. This means that alcoholics maintain certain rights and privileges. For example, it would be legally questionable to fire an alcoholic employee for behavior related to their alcoholism. The government provides assistance to people suffering from alcoholism in the form of food stamps and subsidized housing. Certainly, there are generous interpretations to the law and even loopholes. For instance, even if a judge were to rule against protecting alcoholism as a disability, the conditions that result from this disease, such as depression or cirrhosis, may qualify for protection. But the bottom line is that major organizations, such as the ACLU and American Medical Association, view alcoholism as a disability.

There are two competing sets of recommendations at odds in laws regarding the workplace. At the same time that the Americans with Disabilities Act stipulates that employers are responsible for making sure that a professional environment is devoid of illegal substances and their use, this same law states that workers who are recovering from addiction are entitled to protection. However, the process of recovery is almost never a straight line, and is often fraught with relapse. At what point is someone “recovering” versus a “user”?

2 Things to Consider Before Firing an Employee

DisabilityEmployers who might be considering firing an employee because of his or her excessive drinking need to take a few things into consideration, given that courts have returned rulings that view it as a protected disability. First, equal treatment for all employees. If a number of employees have drinking problems, then one or two cannot be selected for termination. This is difficult grey area because employers should document the difference between moderate to heavy drinking and an actual addiction. It’s extremely challenging in certain employment sectors, such as the restaurant industry, where alcohol consumption tends to be quite widespread. Second, the excessive drinking has to interfere with the performance of employee’s job and lessen the quality of their work. This can also prove to be challenging to distinguish and document.

Drug use is a bit more problematic of a category than alcoholism because of the illegal nature of those substances. It is clearly stated in the law that illegal drug use is not considered a disability, however, it is legal in the U.S. for anyone over the age of 21 to consume alcohol, so alcoholism, in not involving with illegal substances, is more readily treated as a disability in the workplace than any other addiction. Testing for illegal drug use is not a violation of protection for disabilities.

Recovering alcoholics who are not currently drinking are the clearest category protected under the disability act. Employers must provide reasonable accommodation of alcoholism as a disability. This means to offer the employee a special schedule in order to attend Alcoholics Anonymous meetings. The official disability awards is based functional limitation caused by alcoholism.

The Disability Discrimination Act states that alcoholism is not included under its list of protected disabilities, however, courts in the U.S. and Canada have ruled on a case-by-case basis that alcoholism is a disability that is protected by law. This means that alcoholics maintain certain rights and privileges. For example, it would be legally questionable to fire an alcoholic employee for behavior related to their alcoholism. The government provides assistance to people suffering from alcoholism in the form of food stamps and subsidized housing. Certainly, there are generous interpretations to the law and even loopholes. For instance, even if a judge were to rule against protecting alcoholism as a disability, the conditions that result from this disease, such as depression or cirrhosis, may qualify for protection. But the bottom line is that major organizations, such as the ACLU and American Medical Association, view alcoholism as a disability.

There are two competing sets of recommendations at odds in laws regarding the workplace. At the same time that the Americans with Disabilities Act stipulates that employers are responsible for making sure that a professional environment is devoid of illegal substances and their use, this same law states that workers who are recovering from addiction are entitled to protection. However, the process of recovery is almost never a straight line, and is often fraught with relapse. At what point is someone “recovering” versus a “user”?

2 Things to Consider Before Firing an Employee

Disability

Employers who might be considering firing an employee because of his or her excessive drinking need to take a few things into consideration, given that courts have returned rulings that view it as a protected disability. First, equal treatment for all employees. If a number of employees have drinking problems, then one or two cannot be selected for termination. This is difficult grey area because employers should document the difference between moderate to heavy drinking and an actual addiction. It’s extremely challenging in certain employment sectors, such as the restaurant industry, where alcohol consumption tends to be quite widespread. Second, the excessive drinking has to interfere with the performance of employee’s job and lessen the quality of their work. This can also prove to be challenging to distinguish and document.

Drug use is a bit more problematic of a category than alcoholism because of the illegal nature of those substances. It is clearly stated in the law that illegal drug use is not considered a disability, however, it is legal in the U.S. for anyone over the age of 21 to consume alcohol, so alcoholism, in not involving with illegal substances, is more readily treated as a disability in the workplace than any other addiction. Testing for illegal drug use is not a violation of protection for disabilities.

Recovering alcoholics who are not currently drinking are the clearest category protected under the disability act. Employers must provide reasonable accommodation of alcoholism as a disability. This means to offer the employee a special schedule in order to attend Alcoholics Anonymous meetings. The official disability awards is based functional limitation caused by alcoholism.