+
A PERSONAL MESSAGE FROM UPWORTHY
We are a small, independent media company on a mission to share the best of humanity with the world.
If you think the work we do matters, pre-ordering a copy of our first book would make a huge difference in helping us succeed.
GOOD PEOPLE Book
upworthy

mental illness

Mental Health

The danger of high-functioning depression as told by a college student

Overachievers can struggle with mental health issues, too.


I first saw a psychiatrist for my anxiety and depression as a junior in high school.

During her evaluation, she asked about my coursework. I told her that I had a 4.0 GPA and had filled my schedule with pre-AP and AP classes. A puzzled look crossed her face. She asked about my involvement in extracurricular activities. As I rattled off the long list of groups and organizations I was a part of, her frown creased further.


Finally, she set down her pen and looked at me, saying something along the lines of "You seem to be pretty high-functioning, but your anxiety and depression seem pretty severe. Actually, it's teens like you who scare me a lot."


Now I was confused. What was scary about my condition? From the outside, I was functioning like a perfectly "normal" teenager. In fact, I was somewhat of an overachiever.

I was working through my mental illnesses and I was succeeding, so what was the problem?

I left that appointment with a prescription for Lexapro and a question that I would continue to think about for years. The answer didn't hit me all at once.

Instead, it came to me every time I heard a suicide story on the news saying, "By all accounts, they were living the perfect life."

It came to me as I crumbled under pressure over and over again, doing the bare minimum I could to still meet my definition of success.

It came to me as I began to share my story and my illness with others, and I was met with reactions of "I had no idea" and "I never would have known." It's easy to put depression into a box of symptoms.

lighted candles on man's hand lying on the floorPhoto by Fernando @cferdophotography on Unsplash

Even though we're often told that mental illness comes in all shapes and sizes, I think we're still stuck with certain "stock images" of mental health in our heads.

When we see depression and anxiety in adolescents, we see teens struggling to get by in their day-to-day lives. We see grades dropping, and we see involvement replaced by isolation. But it doesn't always look like this.

And when we limit our idea of mental illness, at-risk people slip through the cracks.

We don't see the student with the 4.0 GPA or the student who's active in choir and theater or a member of the National Honor Society or the ambitious teen who takes on leadership roles in a religious youth group.

person holding white printer paperPhoto by Sydney Sims on Unsplash

No matter how many times we are reminded that mental illness doesn't discriminate, we revert back to a narrow idea of how it should manifest, and that is dangerous.

Recognizing this danger is what helped me find the answer to my question.

Watching person after person — myself included — slip under the radar of the "depression detector" made me realize where that fear comes from. My psychiatrist knew the list of symptoms, and she knew I didn't necessarily fit them. She understood it was the reason that, though my struggles with mental illness began at age 12, I didn't come to see her until I was 16.

If we keep allowing our perception of what mental illness looks like to dictate how we go about recognizing and treating it, we will continue to overlook people who don't fit the mold.

We cannot keep forgetting that there are people out there who, though they may not be able to check off every symptom on the list, are heavily and negatively affected by their mental illness. If we forget, we allow their struggle to continue unnoticed, and that is pretty scary.


This article was written by Amanda Leventhal and originally appeared on 06.03.16













Popular

The rise in mental health awareness has been great—but we're missing an important element

We should all be taught the tools to manage our brain.

Can we start taking a more proactive rather than reactive approach to mental health?

Nearly 300 years ago, Benjamin Franklin gave us the saying, "An ounce of prevention is worth a pound of cure." Oddly enough, he was talking about fire safety in that instance, but it holds true for health as well. It's arguably better to proactively prevent a problem than to wait for a crisis you have to fix.

It's taken a while—and there's still a ways to go, especially when it comes to insurance coverage—but disease prevention has caught on in the physical health world. We don't just treat illness when it comes; we know we need to proactively maintain good physical health. We have PSAs about eating a heart-healthy diet and exercising regularly to prevent heart disease. We have dieticians and nutritionists who research what foods our bodies need (and need to avoid) to function at their best. We consume calcium to prevent osteoporosis and wear sunscreen to ward off skin cancer. We talk about the importance of sleep to let our bodies repair themselves.

Kids learn about physical health maintenance and disease prevention in health classes, and they should. Why don't we teach mental health maintenance the same way?

For sure, the dramatic rise in mental health awareness and education in the past decade or two has been extraordinary, fulfilling a long-neglected need. People are far more aware, accepting and understanding of mental health issues than in the past, and we've come a long way in removing the stigma of mental illness.

But our approach to mental health awareness and education is still largely reactive. "If you struggle with anxiety/depression/etc. it's okay to seek help and here's where to find it" is the most common messaging. And that's great—a huge step up from "Suck it up, buttercup. If you need therapy, you're a psycho." It's good that we've normalized going to therapy if you have a mental health issue, and it's good that we've reduced the shame of taking medication to manage mental health disorders. However, as a parent whose kids have struggled with various degrees of anxiety, I think we need a more proactive approach—one that focuses on mental health maintenance and provides tools that might prevent disorders from spinning out of control in the first place.

When I started taking my daughter to therapy for a debilitating anxiety disorder, I was surprised to find out how much I didn't know about how anxiety actually functions. I knew the basics of the "fight, flight or freeze" response and I knew anxiety meant that instinctual survival system was overreacting. What I didn't know was that the logical approaches my husband and I had tried to calm that system in our daughter were actually making her anxiety worse.

Thanks to her therapist, we learned all about the amygdala (the brain's fear center), what it responds to and what it doesn't. My daughter learned to recognize the cues that her anxiety was in its early stages, like a snowball starting to roll down a mountain, and how to manage it before it became a thundering avalanche. We learned that our repeated reassurances that everything was fine actually reinforced her anxiety instead of alleviating it, which is totally counterintuitive. My daughter learned how to talk to her brain when it told her something she feared was going to happen. Instead of saying, "No, that bad thing isn't going to happen," (the amygdala really hates being told it's wrong), she learned to say things like, "Maybe you're right, maybe you're wrong—let's wait 10 minutes and see what happens." That small difference in language inside her own head made a world of difference. Literally life-changing.

I don't have an anxiety disorder, but sitting in on her therapy sessions helped me learn a ton about how brains work in general. And it definitely helped me be better able to help my children. In every session, I kept wondering, "Why have I not learned these things before? Why do they not teach us about managing thoughts and feelings in school?" We all have brains. Most of us struggle with our brains misbehaving sometimes. One in three adults will deal with an anxiety disorder in their life, and many more will experience fear or worry that doesn't rise to the level of a full-fledge disorder, so isn't "How to manage the amygdala" something all of us should learn?

Imagine if we started developing skills and tools to manage our brains at a young age instead of waiting for mental health disorders to develop before learning them. Schools started down that road with social-emotional learning (SEL), which teaches teaches kids about recognizing their emotions and manage them with breathing exercises and the like, but SEL unfortunately got wrapped up in the craze over curriculum and has been banned in some states. But we don't need that large of a curriculum umbrella for simply teaching kids how their brains work. This is basic health information. Maybe people worry that proven mindfulness techniques will turn too woo woo or something, but there's plenty of evidence-based, research-backed, non-controversial tools we can share to manage and maintain our mental health.

And I'd argue such knowledge is far more useful to the average person than, say, knowing how to factor quadratic equations.

I have personally witnessed how passing on the strategies we learned with my daughter to her younger siblings helped them learn to manage their own anxiety so much earlier. Could we have prevented my daughter's anxiety disorder completely? I doubt it—some of us are genetically hardwired with certain tendencies. But I do think we could have prevented it from becoming debilitating if we had known from the start how to navigate what her brain was doing, saving her years of anguish and frustration.

While we can't necessarily prevent mental health disorders, we can set people up with a much fuller mental health toolbox a lot earlier than we do. We all benefit from understanding our own thoughts and feelings, and the idea that we should all learn more about how our brains work is…well, a no-brainer. Of course we need to treat disorders when they occur, but let's get proactive in how we manage mental health as well. With mental health issues reaching epidemic levels, it could only help.

Saturday Night Live/Youtube

Pete Davidson on "Saturday Night Live"

Singer Ariana Grande and "Saturday Night Live" cast member Pete Davidson were dating back in May of 2018.

Neither star had confirmed the relationship outright, but their reps weren't pushing back on reports claiming the two had linked up either. The singer and comedian's playful interactions on Instagram certainly suggested to fans the romance was budding.


While many celebrated the news, it inevitably came with a side of backlash too. Some of the criticism, however, crossed an unfortunate line.

Trolls began pointing to Davidson's history of mental illness to suggest he couldn't be in a healthy relationship.

The comedian felt it necessary to shut that down. Fast.

"Normally, I wouldn't comment on something like this cause like, fuck you," Davidson wrote in a note he shared to his Instagram story. "But [I've] been hearing a lot of 'people with BPD [Borderline Personality Disorder] can't be in relationships' talk. I just wanna let you know that's not true."

Davidson said he was diagnosed with BPD in 2016 after having lived through a "nightmare" year that involved rehab and grappling with the ups and downs of diagnosis. The comedian has also spoken openly about living with depression.

"Just because someone has a mental illness does not mean they can't be happy and in a relationship," Davidson wrote. "It also doesn't mean that person makes the relationship toxic."

After noting there are many life-changing treatments available for people like him, Davidson emphasized the importance of combating stigmas associated with mental illness.

"I just think it's fucked up to stigmatize people as crazy and say that they are unable to do stuff that anyone can do," he wrote. "It's not their fault and it's the wrong way for people to look at things."

Davidson has been praised by mental health advocates for using his celebrity to humanize his illnesses — and poking fun at himself along the way.

In one "SNL" segment that aired shortly after he went public with his diagnoses, the comedian spoke candidly about his mental illness with "Weekend Update" host Colin Jost.

"If you're in the cast of a late-night comedy show, it might help if they, you know, do more of your comedy sketches," Davidson joked about ways others can help him get through his dark times. "I was born depressed, but it might make me feel better if I was on TV more."

Like many comedians, Davidson often uses brash and cringeworthy lines as a form of therapy to overcome trauma. His father died on 9/11, for instance, and the comedian's folded the devastating loss into his routine with a comedic spin.

Laughter may not be the best medicine, but it certainly can help.

Davidson ended his message on Instagram clarifying why he decided to speak up in the first place.

"I'm simply writing this because I want everyone out there who has an illness to know that it's not true [that you can't be mentally ill and be in a relationship] and that anyone who says that is ill and full of shit," he wrote. "Mental illness is not a joke; it's a real thing."

"For all those struggling I want you to know that I love you and I understand you and it is going to be OK," Davidson concluded. "That's all. Love to everyone else."


This story originally appeared on 05.25.18

Family

Supportive husband writes a fantastic 'love list' to his depressed wife

“He knows I struggle to see good in the world, and especially the good in myself. But here it is."

Image from Imgur.

Husband shares a list of love with his wife.

Imgur user "mollywho" felt her life was falling apart. Not only was she battling clinical depression, but she had her hands full.

"I've been juggling a LOT lately," she wrote on Imgur. "Trying to do well at work. Just got married. Couldn't afford a wedding. Family is sparse. Falling out with friends, yaddadyadda.”

She was also upset about how she treated her new husband.

"I've not been the easiest person to deal with. In fact, sometimes I've lost all hope and even taken my anger out on my husband."



When she returned home from a business trip in San Francisco, mentally exhausted, she collapsed on her bed and cried. Then she noticed some writing on the bedroom mirror. It was a list that read:

Reasons I love my wife

1. She is my best friend
2. She never quits on herself or me
3. She gives me time to work on my crazy projects
4. She makes me laugh, every day
5. She is gorgeous
6. She accepts the crazy person i am
7. She's the kindest person i know
8. She's got a beautiful singing voice

9. She's gone to a strip club with me
10. She has experienced severe tragedy yet is the most optimistic person about humanity i know
11. She has been fully supportive about my career choices and followed me each time
12. Without realizing it, she makes me want to do more for her than i have ever wanted to do for anyone
13. She's done an amazing job at advancing her career path
14. Small animals make her cry
15. She snorts when she laughs

love letters, support, marriage, mental illness

The list of love.

Image from Imgur.

This amazing show of support from her husband was exactly what she needed. "I think he wanted me to remember how much he loves me," she wrote. "Because he knows how quickly I forget. He knows I struggle to see good in the world, and especially the good in myself. But here it is. A testament and gesture of his love. Damn, I needed it today…"

She ended her post with some powerful words about mental illness.

"I'm not saying mental illness is cured by nice words on a mirror. In fact, it takes professional care, love, empathy, sometimes even medication just to cope. Many people struggle with it mental illness - more than we probably even realize. And instead of showing them hate or anger when they act out. Show them kindness and remind them things can and WILL get better. Everyone needs a little help sometimes. If that person can't be you - see if you have any resources for therapy."


This article originally appeared on 12.10.15