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Tag: depression

Rock Bottom May Be Too Late — Do Something!

Photo by lunamom58 (Creative Commons License)

Photo by lunamom58 (Creative Commons License)

A commonly heard phrase is that you have to let someone hit “rock bottom” before they will be willing to accept help, seek help for themselves, or make positive life changes.

The problem with “rock bottom” is that for many people, “rock bottom” is death (or in some cases, irreparable harm to health, relationships, and career). Substance abuse, remaining in abusive relationships, mental illness, dementia, gambling addiction, untreated chronic health conditions, and many other life circumstances can lead to a grisly end and premature death. In many cases, an early intervention by family, friends, and/or the state can preserve and improve quality of life for a person for many years.

The “rock bottom” trope is a convenient rationalization for friends and family members who (for many valid reasons) do not want to jump headfirst into the messy, unpredictable, time-consuming, expensive, grueling, no-results-guaranteed process of trying to help someone whose life is going off the rails. I have personally made good use of this rationalization at several points in my life.

I’m in the process of helping out someone I’m close to, who is not in a good way. I’m part of a team helping this person. It’s not the first time. It’s stressful, it takes up time, there are serious opportunity costs, but it’s worth it.

It’s almost always worth it. When you don’t help, when you turn away and cut someone off entirely, you’re killing part of yourself (and not always a small part). This post is about how you can help effectively, and protect (and possibly even enhance) your sanity in the process.

Summary: For friends and family suffering from illness or addiction issues, “rock bottom” can mean death or irreparable harm. It’s better to do something to help, rather than taking a “hands off” approach.

Some General Observations

After struggling for many years with the question of “when, and how much, should I help?”, I’ve come to some of the following conclusions:

  • Some (but not all) forms of “helping” are counterproductive. While it can be an act of kindness to bail out a friend or family member and protect them from harsh consequences, doing so over and over again enables the behavior that is getting them into trouble. This cycle is called codependence. The other extreme is total disengagement: cutting someone off entirely. Some “in-between” alternative are offering support, being part of a support team, and in some cases being part of an intervention.
  • You can’t control other people, and trying to do so leads to anxiety and despair, or abuse/coercion. What you can do is try to persuade them to get help and/or change their behavior, using both soft and hard tactics (intervention).
  • Helping someone has real, tangible costs (time, money, emotional strain), and if you overextend yourself you risk losing your own health, sanity, means of supporting yourself, and important relationships.
  • You may put in a great deal of effort, at great personal cost, and still not succeed in helping someone.
  • Helping someone also has real, tangible benefits (the person might get better, you may feel like you are doing the right/moral thing, other people may consider you to be a good person, or even heroic).
  • You might feel resentful if you overextend yourself. You might feel guilty if you don’t help enough. You might feel both emotions; regardless of how much you help you offer.
  • You have to decide for yourself if you want to get involved, and how much. You may be negatively judged (and even suffer tangible consequences) for your decision to help or not help, depending on the social norms and values of your peers and family. There is no “right” decision; you have to figure it out for yourself.

Nobody is exempt from these decisions. At some point every person will have to make a decision about helping a family member or close friend who is in very poor shape. This is a choice 100% of us face, at some point in our lives.

Summary: There are benefits and costs to helping someone. There is no “right” decision in terms of how much you should help.

Do Something!

There is almost always something you can do to help a person in trouble. Some of the items below may seem “small,” but never underestimate the possible impact of making a “small” gesture to help someone. They may remember the act of kindness for the rest of their lives, and what seems “small” to you might actually be a huge turning point for the person you are helping.

  • Learn about the condition, so you’re not flying blind.
  • Tell the person that you love them and care about them (frequently).
  • Acknowledge that the problem they are facing is difficult, and commend them on any positive steps they take (no matter how small).
  • Research social services and programs that might be available to help the person in question.
  • Let the person know about social services that are available to help them (support groups, treatment programs, healthcare, assisted living, etc.)
  • Encourage the person to take advantage of any support resources that are available.
  • If the person is resistant to accepting help or seeking treatment, keep suggesting it (but don’t threaten or cajole or bully; it needs to be their decision). You might get stonewalled at the first suggestion, and by the fifth they are happy to go along with whatever you suggest.
  • Offer temporary assistance in the form of basic necessities (food, paying utilities, rides, etc.). This kind of helping is not necessarily codependent, especially if the person is in the process of trying to get better. Don’t offer more than you can afford (see below).

Summary: There is always something you can do to help that is within your means and abilities.

Stay Sane

When someone you love is in bad shape, you’re going to have a bad time. There’s no way around it. But there are ways to mitigate the bad feelings, to manage your stress, to preserve your sanity, and to protect your life and well-being. Here are some suggestions:

  • Don’t go it alone. Build (or join) a support team, focused on help the person in trouble. If the people you ask first aren’t willing or able to provide much help, keep expanding the circle until you feel like “we’re in it together.”
  • Don’t put your life on hold. Keep doing the things you love, keep meeting your responsibilities. Never go “all in” trying to help someone; you’ll just quickly deplete yourself and end up needing help yourself.
  • Don’t put yourself in physical danger. Leave dangerous and highly volatile situations to the police. If you feel physically threatened, get out.
  • Don’t expect a quick fix or resolution. The healing (or dying) process can take years. Provide support at a level that you can sustain, and think long-term.
  • Experience and constructively express your own emotions. Don’t bottle it up; talk about it. At the same time, don’t fixate on emotions, or endlessly process your feelings with everyone you encounter to the extent that you become tedious and a downer.
  • Understand and use your stress. Stress is a physical response to 1) provide energy to deal with a situation (adrenaline) and 2) seek emotional support (oxytocin). Acute stress does not have negative health consequences, especially when that stress leads to constructive action. Watch the video below for more information (there are some “association vs. causation” issues, but valuable information nonetheless).

Summary: You’re no use to anyone unless you maintain your own sanity and well-being. It’s not selfish to continue living and enjoying your own life; it’s common sense. Also — stress isn’t necessarily bad for your health.

A Final Thought

Helping someone is not an all-or-nothing question. There is always something you can do to be helpful, something that is within your means and abilities. When someone you love is in trouble, figure out what that thing is, and do it (and keep doing it).

Please feel free to share your own perspectives and experiences below.

Brain Renewal Protocol

Winston Churchill’s nicknamed depression “his black dog.”

A week ago I woke up in a black mood. Instead of feeling excited about my day, I saw a series of dreary tasks ahead of me. Looking into the future, I felt despair instead of hopefulness. Things that usually bring me great pleasure (making music, time with my family and friends, drinking coffee) seemed a little less bright.

Quality of Consciousness

It’s about the quality.

Three personal values, or metaprograms:

  1. Maintain a high quality of consciousness.
  2. Take radical responsibility for every aspect of your life.
  3. Design and implement a system of functional vitality.

The three are interdependent and intertwined, but this post focuses on the first.

Everything we do, we do to alter our state of mind. The motivation behind every external gain (both selfish and altruistic) is the feeling we expect to get from the result. We do things because we expect the result to be happiness, satisfaction, cessation of pain, euphoria, contentment, peace, or some other desirable sensation, emotion, or state of mind.

I call this the psychedelic realization. It’s what Timothy Leary was getting at when he said “tune in, turn on, and drop out.” You don’t have to follow society’s implicit and explicit “live this way” rules (ie. the “rat race”) in order to receive the feel-good rewards of high-status, wealth, etc. Instead, you can engage your neural circuitry more directly. In Leary’s own words (from Flashbacks):

‘Turn on’ meant go within to activate your neural and genetic equipment. Become sensitive to the many and various levels of consciousness and the specific triggers that engage them. Drugs were one way to accomplish this end. ‘Tune in’ meant interact harmoniously with the world around you – externalize, materialize, express your new internal perspectives. ‘Drop out’ suggested an elective, selective, graceful process of detachment from involuntary or unconscious commitments. ‘Drop Out’ meant self-reliance, a discovery of one’s singularity, a commitment to mobility, choice, and change. Unhappily my explanations of this sequence of personal development were often misinterpreted to mean ‘Get stoned and abandon all constructive activity’.

So how do we maintain a high quality of consciousness? How do we feel good (and fully awake, aware, and alive), directly and immediately?

Like Leary, I don’t think that taking consciousness as the primary consideration necessarily leads to navel-gazing, inactivity, self-obsession, substance abuse, or disengagement. If we really take our own state of mind seriously, then the more likely result is proactive behavior, including getting stuff done, taking charge of our lives, planning, being more engaged with the world, being conscious in our relationships, and generally being more real, alive, intelligent, aware, and powerful.

In regards to mind-altering substances, there’s a fine line between better-living-through-chemistry, and numbing out. If we’re experiencing negative fall-out (hangovers, sleeplessness, difficulty concentrating, mood swings, etc.) from any chemicals we’re using, then what we’re getting is crappy-living-through-chemistry. I like my coffee, but I don’t want to be the caffeine spider.

Web spinning – no drugs vs. caffeine.

For what it’s worth, here my own list of how to maintain a high quality of consciousness. Despite my total atheism, this list cribs heavily from religious texts and teachings (mostly Buddhism, Christianity, and Judaism — the three traditions I’m somewhat familiar with). None of the concepts are complicated or secretive, but they’re all difficult to implement consistently. That’s why I have a list in the first place.

1. Open Heart

What does it mean to keep your heart open? It means that you’re vulnerable to pain and hurt, as well and pleasure and joy. Opening your heart means increasing your emotional bandwidth. You can’t have a symphony of feeling if only one note is available to you.

Living with an open heart is an emotional force multiplier. By practicing compassion, forgiveness, gratitude, and courage, we remove roadblocks to our own energy, vitality, motivation, love of life, and power.

Living with an open heart also means we’re more vulnerable emotionally. When we increase the bandwidth, we also let in anger, fear, disappointment, loss, grief, shame, envy, and all the “bad stuff.”

These “negative” emotions are debugging tools for our brain. If we don’t let them in, we have no idea what’s wrong inside. It’s better to fully experience and process your emotions than to be numb. Numbness (narrow bandwidth) results in a dull affect, no joy, and inertia when it comes to action. Emotional repression can also lead to muscle pain (John Sarno’s theory is that repressed emotions leads to chronic muscle tension which leads to reduced blood flow which leads to chronic pain — I’ve personally experienced major pain relief from simply allowing myself to feel my own feelings).

Emotional processing can mean talking it out, doing therapy, journal writing, and the like, but it can also mean taking action in the world. How can you fight injustice if you can’t experience anger? How can you be a better person if you can’t allow yourself to feel shame for your past wrongs?

2. Mind Like Water

Having a tranquil mind doesn’t mean being sleepy or spaced out. It means effectively controlling your attention, keeping your conscience clear, managing distractions, and processing information effectively.

David Lynch compares meditation to tooth-brushing. If I’m willing to dedicate a few minutes each day to keeping my teeth clean, why not do the same thing for my mind? Mental hygiene.

Another part of “mind like water” is having and consistently using an organizational system that fits your personality. There’s no one-size-fits-all, but David Allen’s Getting Things Done is a great starting point.

Reams have been written about managing distractions. Some are people are capable of truly simultaneous multi-tasking, but most of us are just deluding ourselves. In practice, for myself, managing distractions means 1) picking just a few priority items to get done each each day, 2) thinking ahead in terms of childcare and other family obligations, and 3) using LeechBlock to make sure I don’t fall down the social media sinkhole.

Is my conscience clear? Never perfectly. There’s always some crappy thing I’ve done, some way I could have treated someone better. But for the most part I try to be decent to other people, and to apologize and make it right when I do mess up. When my conscience is mostly clear is when I’m most effective and focused.

What else? Non-attachment. My peace of mind shouldn’t depend on external conditions or outcomes. I can’t control everything (nor would I want to — a single agent game would be boring). I can’t totally control other people’s perceptions, feelings, or actions (unless I use coercion, which is too costly in almost all cases). So in some cases I surrender to things I can’t control. This isn’t passivity or fatalism — it’s just realism and picking my battles. We aren’t gods and puppet-masters, we are limited agents with limited powers. To attempt total control is pathological.

3. Empowerment

Most people vastly underestimate their own capacity to determine their own lives and to change the world. Most of us are eager to give up our power to others. This is reasonable. It requires tremendous effort to actually visualize a better life for yourself, and a better world. There are too many variables. It hurts the brain. Inertia is much easier!

Still, empowerment is a crucial part of quality of consciousness. Even if our striving comes to nothing, the neurogenesis is worth it.

You could call it radical self reliance. You could call it living your best possible life. Not settling for what others are willing to give you, but instead creating exactly what you think is worth creating. Not coasting through with what you already know, but straining to learn (and use) new knowledge and new skills. It takes enormous effort, it involves multiple failures, and there’s no guarantee of any success whatsoever.

Is self-empowerment worth it? Is it too much bother?

It’s worth it because it keeps your brain fresh. It’s worth it because it gives you something to push against, and to know you’re there in the world.

Take Away

I don’t think just deciding to be happy works very well. We might just end up with forced cheeriness, which is creepy. And if we’re depressed, meditation or a to-do list system isn’t going to instantly snap us out of it (there are many effective approaches to treating depression — personally I like the “become more paleolithic” method).

But I do think we can decide to prioritize quality of consciousness, and take both internal and external actions to do so. It’s not necessarily the path to happiness (that has more to do with friendships, community, and marriage — in other words happiness is almost entirely about social interaction [TED talk]). But if we focus on quality of consciousness, our relationships (both personal and community) will improve, quickly and radically.

Unrelated News

In other news, my group Momu has a new album out. It’s only available on Beatport at the moment, which is a little pricey. If you like the music but can’t afford the Beatport price, the general release date is August 15. The iTunes version will be cheaper, and it will be available on Spotify as well (free).

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