The last thing you want to do is talk about it
This week everybody is talking about depression. Or so it seems.
Giles Andrae has had major clinical depression, and has written about it for the Times. It resulted in a leader column not only praising his description of the “blank, blinking screen” which is all that remains when the brain shuts down, but a call to be more respectful of the condition. The chairman of HBOS has it too.
I think it’d be excellent if we could treat depression as a serious condition. I’ve met people who say “Oh, I’ve been a bit depressed.” They have no conception of what depression is and think it’s being “a bit sad”. The NHS website and every single leaflet, pamphlet or even book I’ve read on the subject doesn’t help.
It’s this description of “feeling low” or “having persistent feelings of sadness or low self-worth.” Everybody feels a bit low from time to time. But depression is different. Severe clinical depression is like being dead, but you’re still walking around for some reason, as though your body wasn’t informed that it was all over. Andrae’s description is accurate.
It strikes without warning, it can destroy your life, as it has tried to do this year to me, and it is often physically painful. It’s invisible, except when in certain exceptional situations it becomes obvious. “Feeling low”, whatever the persistence, isn’t depression. Depression can mean memory loss or the simple inability to do anything about anything. The reasoning for this, some apparent expert has suggested, is that you’re so preoccupied by negative thinking that you don’t remember things.
That isn’t true. You don’t remember because your brain isn’t working. You can’t make simple straightforward decisions about what to have for breakfast, so the brain just freezes up if anything bigger happens. Your life doesn’t fall apart necessarily because you believe you’re worthless or you deserve it, but simply because you have lost the cognitive capacity to do anything about it. Imagine being in a house that’s burning down, and you’re chained inside. You cannot get out, and no matter how aware you are of the danger, there is no escape.
I don’t want to be around people when I’m depressed. That’s not because I dislike cheerfulness or people living their lives. It’s just easier. I’d rather be quiet than have to put up with the “d’you want to talk about it?”, the sad-looking faces as people desperately hope you see them as sympathetic. When I showed up to see my friend and she said, “So if I tell you to pull your socks up, that won’t help?” as a joke, I was relieved. The last thing I wanted was to look at another tragic face nodding with excessive sympathy.
It doesn’t help, talking about it. A friend on Twitter remarked (and my mother agreed) that CBT works but only to a certain level of intelligence. I don’t want to talk about “it”. I don’t know what the “it” is. I have to live with it, 24 hours a day, so the last thing I want to do is discuss it. Being able to leave it alone, to be normal with somebody else, is all a person really wants. You need them to know that you’re fragile, but you don’t want them to rake out the cotton wool and treat you as infinitely breakable.
It would be great if people could treat depression as they treat a broken leg. Instead of pep talks about “getting it together” (would you say anything like that to somebody who had, say, developed cancer or broken their neck?) or this fawning “professional pity” as Pema Chodron calls it, just normal things like being taken out and not laughed at if you pick exactly the same food at every meal because otherwise the endless choice would be impossible, or respected if you need time alone.
And there lies what we need most. Respect. They give you crutches to help you walk if you break your leg. If your mind breaks you have to keep trying to think on your own. I feel guilty telling somebody that I haven’t done something because apart from my mother’s visit, I’ve been unable to get out of bed. People ask where I’ve been, or what I’m up to, and I can’t just say “I have depression” like I could say “I’ve had flu.” It’s a shame. I don’t want to talk about it, I don’t want excessive displays of dramatic sympathy. I just smile every time I meet somebody who just treats it like a normal thing, and me as a normal person.



