Why So Serious? The Case for Self-Deprecation

The author on why self-deprecation is a handy tool for controlling demons.

Mood music:

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A few readers have told me I put myself down too much in these blog posts. Since I’m really not trying to put myself down — I do have a monster ego, after all — it’s time to say a bit about the power of self-deprecating humor.

It’s true that I like to poke fun at myself. I do it to everyone around me, so I may as well do it to myself. [For more on this, see The Power Of Sarcasm]

I make fun of my bald head, big ears and nose.

I like to joke that I used to have hair halfway down my back, but now I’m bald and all the hair is on my back.

I’m a history buff who dresses conservatively and has a Cross, pictures of Jesus, Teddy Roosevelt and Abraham Lincoln covering his work-spaces at the office and at home. Yet I listen to Heavy Metal, which has often been panned as the Devil’s music.

Contradictions like that, in my view, are worth poking a little fun at.

I see self-deprecation as an important tool for OCD management because it keeps me grounded and reminds me — in moments of high ego intoxication and moments of deep self-pity — not to take myself too seriously.

It’s also a good ice breaker that usually puts others at ease.

So next time you hear me say something to belittle myself, don’t fret. I’m not engaging in self-loathing.

Truth is, I like who I am.

And since I like to tease those closest to me as a form of affection, you could interpret me making fun of myself as proof that I’m pretty much OK with who I’ve become.

How I’m Feeling

As I mentioned in my posts Prozac Winter and The Mood Swing, I recently went up 20 milligrams on the Prozac because of the depression that tends to set in during the winter. [For more on the background, see The Bad Pill Kept Me From The Good Pill and An OCD Christmas]

I’m three weeks into the higher dosage and it’s working — mostly.

I woke up feeling blue this morning and still feel that way, though the sunrise through the living room window helps. Sunday, I went through some pretty wild mood swings.

But most of the time I feel balanced. A friend recently commented in this blog that he sees anti-depressants as more of an art than a science. I see it as both.

Another friend, who has worked as a mental health worker, said my mood swings seem more like a bi-polar thing than OCD.

OCD is the root problem, though one of the byproducts is certainly bi-polar feelings and behavior.

I mentioned Sunday’s mood swings to the therapist, who reminded me that I went through the same thing last time the dose was adjusted. I had a couple touch-and-go weeks and then all was well. I’m starting to see the same trajectory, which is good.

Remember: I’m writing about this from my personal perch. What works or doesn’t work for me is not going to be the same for most other people who deal with some form of mental illness.

That fact is why I like the comments that are coming in. I want to be disagreed with when someone who knows what they’re talking about feels strongly about something.

So I say thank you and keep it coming.

I leave you with the song that best captures my mood this morning: “The Ballad of Love and Hate” from The Avett Brothers:

[youtube=http://www.youtube.com/watch?v=1cTJV3HK-Xs&hl=en_US&fs=1&]

Understanding Mental Disorders: The Brain as an Engine

I’ve written a lot about my use of Prozac as just one of many tools to treat my OCD. [See The Bad Pill Kept Me From The Good Pill]

Mood music:

As a result I’ve gotten a fair amount of questions about the true value of anti-depressants. I’m not a doctor, so don’t take my perspective as Gospel. Also remember there’s no one-size-fits-all solution here. What I write here is based on my own personal experiences. What works for me may not work for the next person.

http://activephilosophy.files.wordpress.com/2009/11/brain-engine.jpg

The more I read up on depression, mental illness and the drugs prescribed for it, the more I see the human brain as an engine. Comparing it to an engine makes this whole think easier to understand.

We know that the engine of a car is made up of many small parts and when one part gets worn out the rest of the engine can fail. We know that a car needs just the right amount of oil, transmission fluid, brake fluid etc. to function properly. If the oil runs out, the engine seizes up. If the brake fluid runs dry, the breaks fail. On the flip side, too much of these fluids can harm the engine.

We also know that the auto mechanic uses many different techniques to keep engines healthy or fix them when they break.

The brain works much the same way.

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Think of the different drugs as different tools to deal with very specific problems in the engine.

http://i2.cdn.turner.com/cnn/2009/images/08/04/gall.antidepressants.jpg

In my case, Prozac addresses the very specific fluid deficiencies that spark OCD behavior. The effect is not as simple as the image below suggests (though I do like the image and need to find the artist so I can properly credit him/her):

https://theocddiaries.com/wp-content/uploads/2012/04/prozac.jpg?w=218

It may also be useful to think of the therapist as the auto mechanic who is well versed in how to regulate the different engine fluids and pinpoint specific fixes for specific problems. It’s also true that there are good mechanics and bad mechanics who sometimes make the problem worse. [More on this in my previous post: Have Fun With Your Therapist (A.K.A.: The Shrink Stigma)]

In the brain, when certain fluids are running low, the engine stops working properly. The result is depression and a host of other mental disorders.

Since OCD is essentially the brain pumping and spinning out of control, I like to think of my specific problem as a lack of brake fluid.

But the good folks at WebMD explain it much better than I ever could. Here’s some WebMD wisdom I included in a previous post, Prozac Winter:

How Antidepressants Work

Most antidepressants work by changing the balance of brain chemicals called neurotransmitters. In people with depression, these chemicals are not used properly by the brain. Antidepressants make the chemicals more available to brain cells like the one shown on the right side of this slide:

Photo Composite of Neurotransmitters at Work

Antidepressants can be prescribed by primary care physicians, but people with severe symptoms are usually referred to a psychiatrist.

 

Realistic Expectations

In general, antidepressants are highly effective, especially when used along with psychotherapy. (The combination has proven to be the most effective treatment for depression.) Most people on antidepressants report eventual improvements in symptoms such as sadness, loss of interest, and hopelessness.

But these drugs do not work right away. It may take one to three weeks before you start to feel better and even longer before you feel the full benefit.

And, just as weather can impair the performance of your car engine (my father‘s car went for a swim when Revere got flooded out in The Blizzard of 1978 and never worked properly again), too much bad weather can keep the brain from working properly:

Why do I seem to get so gloomy each winter, or sometimes beginning in the fall?

You may have what’s called seasonal affective disorder, or SAD. The condition is marked by the onset of depression during the late fall and early winter months, when less natural sunlight is available. It’s thought to occur when daily body rhythms become out-of-sync because of the reduced sunlight.

Some people have depression year round that gets worse in the winter; others have SAD alone, struggling with low moods only in the cooler, darker months. (In a much smaller group of people, the depression occurs in the summer months.)

SAD affects up to 3% of the U.S. population, or about 9 million people, some experts say, and countless others have milder forms of the winter doldrums.

So this worsening of mood in the fall and winter is not just my imagination?

Not at all. This “winter depression” was first identified by a team of researchers at the National Institute of Mental Health in 1984. They found this tendency to have seasonal mood and behavior changes occurs in different degrees, sometimes with mild changes and other times severe mood shifts.

Symptoms can include:

  • Sleeping too much
  • Experiencing fatigue in the daytime
  • Gaining weight
  • Having decreased interest in social activities and sex

SAD is more common for residents in northern latitudes. It’s less likely in Florida, for instance, than in New Hampshire. Women are more likely than men to suffer, perhaps because of hormonal factors. In women, SAD becomes less common after menopause.

I’m still learning the science of mental illness, and remember I’m not a doctor. I just share my personal experiences and explain what works for me.

Class dismissed.

Have Fun With Your Therapist (A.K.A.: The Shrink Stigma)

Mental-illness sufferers often avoid therapists because the stigma around these “shrinks” is as thick as that of the disease. The author is here to explain why you shouldn’t fear them.

Mood music for this post: “Just Another Psycho” by Motley Crue:

[youtube=http://www.youtube.com/watch?v=Ko23M-4AAbg&hl=en_US&fs=1&]

It’s a funny thing when I talk to people suffering from depression, addiction and other troubles of the mind. Folks seem more comfortable about the idea of pills than in seeing a therapist. After all, they’re just crazy “shrinks” in white coats  obsessed with how your childhood nightmares compromised your adult sex life, right?

Since I rely on a therapist and medication as two of MANY tools in my recovery, I’m going to take a crack at removing the shrink stigma for you.

I’ve been to many therapists in my life. I was sent to one at Children’s Hospital in Boston as a kid to talk through the emotions of being sick with Chron’s Disease all the time. That same therapist also tried to help me and my siblings process the bitter aftermath of our parents’ divorce in 1980.

As a teenager, I went to another therapist to discuss my brother’s death and my difficulty in getting along with my stepmother (a wonderful, wonderful woman who I love dearly, by the way. But as a kid I didn’t get along with her).

That guy was a piece of work. He had a thick French accent and wanted to know if I found my stepmother attractive. From the moment he asked that question, I was done with him, and spent the rest of the appointment being belligerent.

That put me off going to a therapist for a long time. I started going to one again in 2004, when I found I could no longer function in society without untangling the barbed wire in my head. But I hesitated for a couple years before pressing on.

The therapist I started going to specialized in dealing with disturbed children and teenagers. That was perfect, because in a lot of ways I was still a troubled kid.

She never told me what to do, never told me how I’m supposed to interpret my disorder against my past. She asked a lot of questions and had me do the work of sorting it out. That, ladies and gentlemen, is what a good therapist does. They ask questions to get your brain churning, dredging up experiences that sat at the back of the mind like mud on the ocean floor. That’s how you begin to deal with how you got to the point of dysfunction.

She moved to Florida a year in and I started going to a fellow who worked from his house. I would explain my binge eating habits to him, specifically how I would down $30 worth of McDonald’s between work and home.

“You should stock your car with healthy foods like fruit, so if you’re hungry you can eat those things instead,” he told me.

That was the end of that. He didn’t get it. When an addict craves the junk, the healthy food around you doesn’t stand a chance. The compulsion is specifically toward eating the junk. He should have understood. He didn’t. Game over.

The therapist I see now is a God-send. He was the first therapist to help me understand the science behind mental illness and the way an inbalance in brain chemistry can mess with your thought traffic. He also provided me with quite an education on how anti-depressants work. Yes, friends, there’s a science to it. Certain drugs are designed to shore up the brain chemicals that, when depleted, lead to bi-polar behavior. Other meds are specifically geared toward anxiety control. In my case, I needed the drug that best addressed obsessive-compulsive behavior. For me, that meant Prozac.

That’s not to say I blindly obey his every suggestion. He specializes in stress reduction and is big on yoga and eliminating coffee from the daily diet. Those are two deal breakers for me. Yoga bores the dickens out of me. If you’ve been following this blog all along, I need not explain the coffee part.

I also find it fun to push his buttons once in awhile. I’ll show up at his office with a huge cup of Starbucks. “Oh, I see you’ve brought drugs with you,” he’ll say.

Thing is, he’s probably right about the coffee. But I’ve given up a lot of other things for the sake of mental health. I’m simply not putting the coffee down right now.

I think part of this is about testing him, too. I can’t help but push the buttons sometimes just to see what I can get away with.

But on balance, it’s a productive relationship that has helped me to find a lot of peace and order in my life. I thank him for that.

He kind of reminds me of Dr. Keyworth, the shrink who counseled Josh Lyman and President Bartlet on “The West Wing.” He took their crap with a straight face, not the least bit concerned that these were powerful, intimidating people.

The main point of this post is this:

There are good therapists and not-so-good therapists, just like there are good and not-so-good primary care doctors; just like there are good cops and bad cops.

But if you feel like you need to talk to someone objective and you hold back for fear of being in the same room as a quack, well, then you’ll never know what you could have accomplished.

I chose to talk to a professional despite my deepest reservations. I’m grateful that I did.

Rockit Records Therapy Session

The author has mentioned Metal music as one of his most important coping tools for OCD and related disorders. Here’s a look at the year he got one of the best therapy sessions ever, simply by working in a cramped little record store.

Back when I was an angst-filled teenager bent on self-absorbed periods of depression — and before I became an angst-filled grownup bent on self-absorbed periods of depression — it was a place where I could escape.

Located off of Route 1 northbound in Saugus, Mass., Rockit Records was literally a hole in the wall, not much bigger than a walk-in closet. It later expanded in size, but even then it seemed small. But the sounds booming from speakers above were always big.

It was the perfect safe house.

Now that someone has started a “Remembering Rockit Records” group on Facebook, the memories are flooding back.

There’s no real lesson in this post. Just a happy memory. Like any retail job, there were some unpleasant people and hours to contend with. It wasn’t perfection. But it wasn’t supposed to be.

Here’s an ad for the store from the early days:

And in this picture, on the left, is Al Quint, my former boss:

Al is still going strong, producing the Sonic Overload radio show and publishing his Suburban Voice magazine in blog form.

The store was crammed with cassettes, vinyl and eventually CDs. You could sell and buy used music. You could buy all the hard-to-get metal fanzines.

True story: On Aug. 3, 1987, I was the first kid in the store to buy Def Leppard’s just-released and long-awaited “Hysteria” album. The band was already spinning in a downward spiral toward candy-coated pop. I just didn’t realize it at the time. And in those days, I was a BIG Def Leppard fan.

A year later, I believe I was the second or third kid to buy Metallica’s “And Justice for All” album.

In 1992, just as I was transfering from North Shore Community College to Salem State College, a job opening became available and I applied on the spot. I thought the place was so cool at the time that  such a job was beyond my reach. No way they’d hire me. I wasn’t covered in tattoos or wearing nose and ear piercings. All I had going for me was the long hair, I thought.

But they called me in, and Al confirmed to the owner that I was a longtime shopper. They hired me, and I worked there for the next year, until new owners took over and I had decided to get too serious about my journalistic studies to work a retail job.

It was a tough year in a lot of ways. A family member was beginning to sink into some serious clinical depression and a suicide watch was on. I had turned North Shore Community College into a refuge of sorts, hiding for hours in the smoking room of the Lynn campus instead of facing my demons at home. I was uneasy about transferring to Salem State, though it turned out to be the best decision I could have made.

So for a year I manned the register as all my old school friends came in to shop. We smoked cigarettes at the front door and sometimes smoked other things out the back door. If we wanted a pack of smokes or something to eat and were short on cash, we borrowed from the register, putting index cards in place of the missing cash with such notes as “Bill borrowed $5, will return Thursday.”

I’m still not sure how we got away with that. It was a different time, I guess.

There was an Italian buffet restaurant across the parking lot called Augustine’s. The food wasn’t very good, but for a binge eater like me it was perfect.

If we liked the music that came in we would play it constantly. House of Pain was in the CD drive a lot. So was the Henry Rollins Band. Sometimes we’d get in promos for not-yet-released albums. If the staff didn’t like what they heard, the CD would quickly be converted into a Frisbee we’d whip across the store. One of the Poison albums suffered this fate.

I’m not sure if Al or the owner knew this was happening, but I wouldn’t be surprised if they knew and tolerated it.

The owner eventually sold the place and that essentially meant I was out of the job. I wasn’t exactly in the new owner’s good graces. But by then, it was time for me to move on.

I recently drove by the old shopping strip and noticed a Subway sandwich shop where Rockit Records once stood. A pity, really. But a lot of music stores suffered the same fate as the iTunes age dawned.

For me, it served its purpose. A jewel of an escape closet from a world of hurt.

Luckily for me, I’m finding people I worked with on Facebook. Now there’s the Facebook group.

Which means Rockit Records isn’t really dead, now, is it?

The Third Brother

Remembering Peter Sugarman, another adopted brother who died too early — but not before teaching the author some important lessons about life.

The first time I met him was my second day as a reporter for The Stoneham Sun. He was an oddball who wore a jacket and tie to go with his sneakers and sweatpants. He was rail thin with a mustache that could comfortably hide a pound of whatever crumbs got caught there.

He wore a a strange-looking hat over a thick mop of hair. I was absolutely certain from Day 1 that the hair was fake, but never asked about it.

This is the tale of Peter Sugarman, another older brother who left me before I was ready. But he taught me some important lessons along the way and — oddly enough — his death was the catalyst for me finally getting the help I needed for what eventually became an OCD diagnosis.

My friendship with Peter really blossomed over the course of 1997, though it was a year earlier when I had first met him. I was in a bad place. My best friend, Sean Marley, had recently died and I had just taken a job as editor of the Lynn Sunday Post, a publication that was doomed long before I got there. I just didn’t realize it when I took the job.

I worked 80 hours a week. To get through the pressure I binge ate like never before and isolated myself. I had no real friends at the time because no one could compete with a dark room and a TV clicker.

But Peter was a bright spot, even though he was infuriating my editor side. A lot. His writing could be off the wall and opinionated when I was looking for straight, objective articles from him.

He once wrote about a blind man who, instead of offering a story of inspiration and living large in the face of adversity, led a bitter existence and talked about that bitterness during his interview with Peter. I opened the story on my screen for editing and saw the headline “Blind Man’s No Bluff.” I let the headline go to print, though I shouldn’t have. But the dark side in me thought it was funny, and the higher ups weren’t paying enough attention to The Post to notice.

He would write one story after the next questioning the motives of city councilors and the mayor. He would tag along with firefighters and write glowing narratives portraying them as heroes. That would have been fine if the assigned piece called for opinion. But it didn’t, and I edited it heavily.

That Sunday, I found a voicemail from Peter. He was furious, ripping into me for letting the J-School in me take over and ruin a perfectly good piece of journalistic brilliance.

I quickly got used to getting those messages every Sunday.

At the same time, we became constant companions. Whenever I left my dark bedroom, it was either to be with Erin, by then my fiance, or Peter. We hung out in every coffee shop in Lynn. He showed me the dangerous neighborhoods, introduced me to the city’s most colorful characters and showed me hidden gems like the Lynn Historical Society, where I was treated to boxes of old correspondence from former Mass. Speaker Tommy McGee, a colorful pol who, like many a Speaker who followed, eventually left the Statehouse under a cloud of corruption. I wrote about the old correspondence and interviewed McGee in his Danvers condominium. I couldn’t help but like the guy.

Peter and his wife, Regina, became constant dinner companions. When I finally escaped from The Post, our friendship deepened. I still hired him for the occasional freelance article in the Billerica paper I was editing. He would show up to cover meetings wearing his colorful collection of hats, including one that had “Yellow Journalist” emblazoned across the front.

He became my favorite person to talk politics with. He was at every family gathering. He and Regina were a constant presence when both our children entered the world. They were at every kid’s birthday party. They were here for our Christmas Eve parties.

Peter was in bad health, though, and was often in the hospital. His colon had been removed long before I met him and he continued to smoke. He was also a ball of stress when traditional J-School editors were tampering with his writing. I would call him and he would rage at whoever the editor was at that moment.

I enjoyed the hell out of it. His tirades always entertained me, whether I was the target or not.

I ultimately came to understood what it was all about. He wasn’t in journalism to write the traditional reports people like me were taught to write. He was in it to root out the truth and help the disadvantaged. He was a man on a mission to right the wrongs he saw. And he did so cheerfully. Even when his temper flared, there was a certain cheerfulness about it.

In the spring of 2004, he developed shingles. He grew depressed, though not beaten by any stretch. Regina later told me he was “bolting” down his food. Swallowing quickly without chewing because the shingles had irritated the heck out of his mouth and throat.

One night, he choked on a piece of chicken. He lost his breath just long enough to cause insurmountable brain damage.

He lingered for about a week in the hospital, essentially dead but still breathing with the aid of life support. For the first time in our friendship, I saw what he looked like without the hairpiece. I was right all along.

In the months following his death, I really started to come unhinged. The OCD took over everything. Fear and anxiety were constant companions.

I finally reached the deep depth I needed to realize I needed help. In the years that followed, I got it. It hasn’t been easy, but then I can always remember that things weren’t easy for Peter. And yet, he carried on with that warped cheerfulness of his.

I’ve endeavored to do the same. I’ve also come to understand the value of the writing he tried to do, and have embraced it.

Thanks, Peter.

Marley and Me

The author describes the second older brother whose death hit harder than that of the first.

Mood music:

[soundcloud url=”http://api.soundcloud.com/tracks/48842027″ iframe=”true” /]

It doesn’t seem right that a friend’s death would hit me harder and fuel my insanity more than the death of a biological brother. But that’s what happened.

This is the story of Sean Marley, who introduced me to metal music, taught me to love life, and whose death was one of the cattle prods for my writing this blog.

I had known Sean for as long as I could remember. He lived two doors down from me on the Lynnway in Revere, Mass. He was always hanging around with my older brother, which is one of the reasons we didn’t hit it off at first.

Friends of older siblings often pick on the younger siblings. I’ve done it.

Sean was quiet and scholarly. By the early 1980s he was starting to grow his hair long and wore those skinny black leather ties when he had to suit up.

On Jan. 7, 1984 — the day my older brother died — my relationship with Sean began to change. Quickly. I’d like to believe we were both leaning on each other to get through the grief. But the truth of it is that it was just me leaning on him.

He tolerated it. He started introducing me to Motley Crue, Ozzy Osbourne, Van Halen and other hard-boiled music. I think he enjoyed having someone younger around to influence.

As the 1980s progressed, a deep, genuine friendship blossomed. He had indeed become another older brother. I grew my hair long. I started listening to all the heavy metal I could get my hands on. Good thing, too. That music was an outlet for all my teenage rage, keeping me from acting on that rage in ways that almost certainly would have landed me in jail.

We did everything together: Drank, got high, went on road trips, including one to California in 1991 where we flew into San Francisco, rented a car and drove around the entire state for 10 days, sleeping and eating in the car.

This was before I became self aware that I had a problem with obsessive-compulsive behavior, fear and anxiety. But the fear was evident on that trip. I was afraid to go to clubs at night for fear we might get mugged. When we drove over the Bay Bridge I was terrified that an earthquake MIGHT strike and the bridge would collapse from beneath us.

I occupied the entire basement apartment of my father’s house, and we had a lot of wild parties there. Sean was a constant presence. His friends became my friends. His cousin became my cousin. I still feel that way about these people today. They are back in my life through Facebook, and I’m grateful for it.

He was a deadly serious student at Salem State College, and his dedication to his studies inspired me to choose Salem State as well. Good thing, too. That’s where I met my wife.

In 1994, things started to go wrong for Sean. He became paranoid and depressed. He tried to hurt himself more than once. I didn’t know how to react to it.

That fall, he got married and I was best man. I wanted to be the greatest best man ever. But I was so self-absorbed at the time that there was no way I could effectively be there for someone else, even him.

Over the next two years, his depression came and went. He was hospitalized with it a couple times. By the summer of 1996, he was darker and more paranoid than I’d ever seen him. But I was so busy binge eating and worrying about my career that I didn’t pay enough attention.

In November 1996, I got a call at work from my mother. She had driven by Sean’s house and saw police cars and ambulances and all kinds of commotion on the front lawn. I called his sister and she put his wife on the phone. She informed me he was dead. By his own hand.

I spent a lot of the next 10 years angry at him for doing such a thing. He had everything going for him. And he chose to end it. I didn’t understand it, even as I was descending into my own brand of craziness.

The reason his death hit harder than my own brother’s is complicated. I think it’s because I had been burned for the second time, which is always worse than the first. It’s probably that I was an adult the second time and had a greater awareness of circumstances behind his death. Or it’s probably just the nature of the ending.

It took my own struggle with depression and OCD years later to truly grasp what he had gone through. I wasn’t there for him, but by sharing my own struggles I can hopefully be there for others.

Life has been good in the years since his death. I married a wonderful woman, followed a career path that’s produced many Blessings, found God and had two precious children.

We named our first son Sean Michael Brenner. And with that, I guess I was able to move on.

My son is every bit as smart as the man he was named for. His wit tickles me every day. And he’s caring beyond his years.

You can bet your ass I’ll be watching him like a hawk to make sure he doesn’t become too much like the man he’s named after.

Continued in “Death of a Second Sibling

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http://www.theocddiaries.com/2009/12/22/ocd-diaries-12-22-the-ego-ocd-built/

6 Guys I Look To In Times of Trouble

This is the perfect time to write about why I’m such a history nut. I’m in a rotten mood because my office technology is on the blink, keeping me from getting things done.

People with OCD don’t just shrug off such things. We zero in on the problem like the proverbial laser beam, trying anything and everything to fix the problem until, exhausted and bewildered, we realize what we knew in the first place — that some things are beyond our control no matter how much we’d like to make it so.

Now that I’ve found my bearings and poured another cup of coffee, I’m ready to sit back and let the IT professionals do their thing.

What does all this have to do with history? Plenty.

Yesterday I wrote about all the pictures and statues of historical figures I have scattered across my desks at home and in the office. Today is about why these people are important to me.

Bottom line: The historical figures I revere all had to overcome disease, mental illness and personal tragedy through the course of their lives. I look up to them because they dealt with challenges greater than anything I will probably come across in my own lifetime. And they achieved what they achieved despite crippling personal setbacks.

I’ll stick with six examples, though there are many more:

Teddy Roosevelt was a sick kid who wasn’t expected to live a very long life. He had serious asthma and other ailments. His first wife died giving birth to his first child the same day his mother died in the same house. Yet he went on to fame as the Rough Rider and President of the United States. He wrote countless books throughout his life, went on a danger-filled journey to South America to map The River of Doubt after he was president and already in declining health.

FDR was a pampered child whose world view changed when he was crippled by polio in 1921. A lot of people would have given up right there, but he rebuilt his life, became a mentor to other polio victims and was the longest-serving president in history, dealing with war and economic calamity that could have broken the spirit of healthier leaders. Through it all, he carried on an outward cheeriness that put people at ease.

Abraham Lincoln has been covered at length in this blog. He suffered crippling depression his whole life and lost two of his four children, all in a time before anti-depressants were around.

JFK had plenty of flaws. But he achieved much for a guy who spent most of his life in bad health. He suffered searing back pain, intestinal ailments, frequent fever and he had to see two siblings die and another institutionalized before his own death.

Winston Churchill held his nation together and led it to victory over the Nazis despite a lifetime of suffering from crippling depression, which he often called his Black Dog. He also spent every waking moment in a constant buzz and smoked long cigars that I’ve tried but couldn’t handle.

Now for the most important example of all:

As mentioned before, I’m a convert to the Catholic Faith and would be nowhere today without it. Jesus appears sixth because I wanted to save the best for last.

The picture above speaks volumes to me. Here was a man who went through suffering of the most brutal kind. And he did it to give me and everyone else a second chance.

I don’t dare put myself in the same light as these individuals. I relate to what some of them went through in their lives, though, and here’s the point:

When work isn’t going the way I want or I’m going through an episode of depression or other compulsive behaviors, I can look up to the people tacked to my workspace walls and be reminded that my troubles are nothing compared to what the REALLY BIG ACHIEVERS went through.

And when my ego blows its banks, the sixth fellow on the list is there to take me down a few pegs and remind me of where I fit in the larger order of things.

Growing Pains

Despite all the progress I’ve made in managing OCD, there are still times where I forget to use my skills — momentarily, at least.

This morning is a good example.

I woke up depressed. Two hours later I was angry. Maybe I was getting tired of the winter outside my window. Maybe I was just plain tired. I was snapping at Erin and the children. I realized I was letting the crazy side loose and went upstairs to the bedroom because I didn’t want to lash out at my family for things that weren’t really their fault. Even if it were, lashing out is not my preferred way to deal with it.

The kids came into the room one at a time to see if they could do anything to make me feel better. Then Erin came in and we talked through it.

I feel no need to explain what exactly triggered my inner demon this morning, though through talking it over with Erin I figured it out. The important thing to point out here is that I can now see how I am managing things better than before.

1. I retreated to the bedroom instead of blowing up at those I love.

2. Instead of keeping it inside, I talked to Erin about what I was really feeling. She deserves much of the credit for bringing me to a place where I can purge the darker emotions.

3. I told everyone involved that I was sorry.

Now I feel better, and I can move on and have a better rest of the day.

Prozac Winter

The author discovers that winter makes his depression worse and that there’s a purely scientific explanation — and solution.

My therapist and I recently agreed that my Prozac intake should go up a bit for the duration of the winter.

I’m doing well for the most part, but there’s a three-hour window of each day — usually late afternoon — where my mood slides straight into the crapper.

The reason is simple: People who suffer from chemical imbalances in the brain are directly impacted by daylight levels. When the weather is dismal, cold, rainy and the days are shorter, a lot of folks with mental illness find themselves more depressed and moody. Give us a long stretch of dry, sunny weather and days where it gets light at 4:30 a.m. and stays that way past 8 p.m. and we tend to be happier people.

There are lessons to be had in the history books:

— Abraham Lincoln, a man who suffered from deep depression for most of his adult life, went from blue to downright suicidal a few times in the 1840s during long stretches of chilly, rainy weather. [See Why “Lincoln’s Melancholy” is a Must-Read.]

— Ronald Reagan, a sunny personality by most accounts, was a man of Sunny California. Once, upon noticing that his appointments secretary hadn’t worked time in his schedule for trips to his ranch atop the sun-soaked mountains of Southern California — and after the secretary explained that there was a growing public perception that he was spending too much time away from Washington — Reagan handed him back the schedule and ordered that ranch time be worked in. The more trips to the ranch, he explained, the longer he’ll live.

The WebMD site has excellent information on winter depression. Here’s an excerpt:

If your mood gets worse as the weather gets chillier and the days get shorter, you may have “winter depression.” Here, questions to ask your doctor if winter is the saddest season for you.

Why do I seem to get so gloomy each winter, or sometimes beginning in the fall?

You may have what’s called seasonal affective disorder, or SAD. The condition is marked by the onset of depression during the late fall and early winter months, when less natural sunlight is available. It’s thought to occur when daily body rhythms become out-of-sync because of the reduced sunlight.

Some people have depression year round that gets worse in the winter; others have SAD alone, struggling with low moods only in the cooler, darker months. (In a much smaller group of people, the depression occurs in the summer months.)

SAD affects up to 3% of the U.S. population, or about 9 million people, some experts say, and countless others have milder forms of the winter doldrums.

So this worsening of mood in the fall and winter is not just my imagination?

Not at all. This “winter depression” was first identified by a team of researchers at the National Institute of Mental Health in 1984. They found this tendency to have seasonal mood and behavior changes occurs in different degrees, sometimes with mild changes and other times severe mood shifts.

Symptoms can include:

  • Sleeping too much
  • Experiencing fatigue in the daytime
  • Gaining weight
  • Having decreased interest in social activities and sex

SAD is more common for residents in northern latitudes. It’s less likely in Florida, for instance, than in New Hampshire. Women are more likely than men to suffer, perhaps because of hormonal factors. In women, SAD becomes less common after menopause.

Here’s where the Prozac comes in for me:

As I mentioned in The Bad Pill Kept Me from the Good Pill, Prozac helps to sustain my brain chemistry at healthy levels. Here’s a more scientific description of how it works from WebMD:

How Antidepressants Work

Most antidepressants work by changing the balance of brain chemicals called neurotransmitters. In people with depression, these chemicals are not used properly by the brain. Antidepressants make the chemicals more available to brain cells like the one shown on the right side of this slide:

Photo Composite of Neurotransmitters at Work

Antidepressants can be prescribed by primary care physicians, but people with severe symptoms are usually referred to a psychiatrist.

Realistic Expectations

In general, antidepressants are highly effective, especially when used along with psychotherapy. (The combination has proven to be the most effective treatment for depression.) Most people on antidepressants report eventual improvements in symptoms such as sadness, loss of interest, and hopelessness.

But these drugs do not work right away. It may take one to three weeks before you start to feel better and even longer before you feel the full benefit.

I’m convinced the drug would NOT have worked as well for me had it not been for all the intense therapy I had first. Developing the coping mechanisms had to come first.

I’ve also learned that the medication must be monitored and managed carefully. The levels have to be adjusted at certain times of year — for me, anyway.

So next week I’ll start taking the higher dosage and let y’all know how it goes.