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The Relationship Between Anxiety and Grief

It’s no surprise that levels of anxiety are surging right now. Repeated waves of COVID-19, and the lockdowns they bring in their wake, make this an incredibly difficult time for our mental health. There are many contributing factors to anxiety – with our lifestyle, environment, genetics, and even hormonal imbalances all having their part to play.

What’s not always acknowledged for its role in anxiety, however, is grief.

Discussions about grief tend to focus on the feelings of sadness, loss and desolation that can follow the death of a loved one. What they rarely touch upon is how anxiety and grief are intrinsically bound up with one another. Even someone who has previously enjoyed low-levels of anxiety can be hit with a sudden unexpected tsunami of worry as they come to terms with their loss. In fact, many grief counsellors suggest that anxiety should be included as one of the stages of grief that we all have to go through.

Why do anxiety and grief so often go hand in hand? There are many reasons behind this, of course, and it’s impossible to cover them all, but the following points are some of the most important.

Bereavement is the most stressful event we will ever experience. Anxiety is exacerbated by stressful life events. These can be any number of things, with both marriage and divorce scoring highly as a potential stressor. Beating them all on the Holmes-Rahe Life Stress Inventory is the death of a spouse, with the death of a close family member a little further behind.

The death of a loved one reminds us that we are mortal. When we lose someone we love, we’re reminded just how little control we have over our lives. We’re all going to die at some point, and this realisation hits particularly hard after our first significant bereavement. How we come to terms with the fact of our own mortality will play a key role in the future quality of our lives.

Credit: Sandy Millar

We fear more loss. As well as bringing our own mortality into focus, grief reminds us that we may lose other people who are close to us. If we lose one parent, we may then be excessively anxious about losing the other. Intense anxiety may make it difficult to enjoy what time we have left with those we love.

Trauma teaches us to be anxious. Traumatic events can lead to what’s known as classical conditioning. If the news of our loved one’s death came in a phone call, then every time the phone rings we may fear the worst.

We may be anxious about our ability to cope. How will we manage without our loved one? We may fear that we won’t be able to take care of the practical and emotional challenges that we may face now that we’re on our own. In a particularly challenging year like 2020, these worries become even more pressing.

Credit: Thomas Bormans

You fear the intensity of emotions that grief can bring. Grief is a deeply unpleasant state to be in, and it can be overwhelming. Going through it, however, is vital if we’re to move forward in life. Many people, particularly if it’s their first experience of grief, work hard to push it away and move on. This creates anxiety around their own emotional responses.

You begin to overestimate the risk of negative life events. Before a significant loss, you might have had a generally benevolent view of life. Bereavement, particularly when you’ve lost someone who was relatively young or who died in tragic circumstances, can radically unsettle that world view. You may now overcompensate by overestimating the risk of accidents, serious illness or early death, leading to increased levels of anxiety.

Grief, whenever it comes, is a complex and, to a degree, mysterious state. It’s unavoidable for most of us, and how we respond to it can determine the future course of our lives as the pain starts to heal. Understanding the role our anxiety plays can be a valuable part of the grieving process. It can help us to accept, then begin to move through the painful emotions we are experiencing.

CALL FOR SUBMISSIONS! (First Time Ever)

Have you ever wanted to use a taser on your own leg? Or, name your baby “Apple,” or another crispy fruit? Or, get published to State of Anxiety?

Well, your anxious, wayward dinghy has come in.

For the first time ever, we’re interested in reppin’ and showcasing other voices.

**(1) Are we lazy? (2) Guilt-ridden for years of ignoring unsolicited submission requests? (3) Or, do we want to incubate rising literary stars?**

Does it matter?! You get to flex your creative angst here. And, we’re the poster ~~child~~ site for dysfunction. So, if not here, where? It’s rhetorical. There is no better forum young/old, anxious Fitzgerald.

(**Also, hint: It’s #1, #2, and #3 above.)

Send your best 3 – 5 pitches (with summaries) to [email protected], and you might be featured here.

Comp is bylines only. Unless you’re so good or reputable that we have to get our Accounts Payable Dept. involved.

This is for budding or established writers, and PR agencies only. Absolutely no commercial entities looking to seed backlinks to the ethersphere.

Target word count is 700 – 1,000 words. Humor is so encouraged, it’s almost mandatory. If you’re not funny, accept your fate and distract us with mind-blowing prose.

-SoA

Is that a Pachyderm On Your Chest?

We Are the Unhappiest We’ve Been in 50 Years…

Many of us are one wobbly-wheeled grocery cart encounter away from arm-barring someone’s maskless, selfish face. Especially here in California, where heat, wildfires, high Covid rates, and a hyper-contentious looming election add further anxiety, anarchy, and possibly more monster truck rallies into our collective future.

Like you, I’m facing notable levels of grief and apathy – as indicated by my 2 am binge-watching of Cobra Kai, eating weed gummies, and hitting snooze until lunchtime. Then taking a nap around 4:00. I even lack the energy to thumb scroll and judge people on social media. I’m filled with a general malaise where I can’t focus on anything beyond licking a stamp or overeating.

With over a month of West Coast wildfires, leaving the house means chewing through the chowder thick, carcinogenic air. It has even crept into the house where I have to regularly rinse my eyes with cold water. There is no escape beyond driving hundreds of miles east. Which I’m too apathetic to do. I often find myself standing in a window searching for the glowing orange orb of a sun through the claustrophobic haze. When I find it, I stare too long.

With all the adverse events unfolding, I’ve traded the great outdoors for brief, masked interactions at Trader Joe’s or Petco. My hikes replaced by long, boring spin bike rides and carpet push-ups.

I’m hearing a common theme about not just a general malaise, but something more concerning: An overall feeling of hopelessness. It’s not normal for so many Americans to feel this anxious or depressed.

A third of Americans are now showing signs of clinical anxiety or depression.

For every 100 American adults, 34 show symptoms of anxiety, depression … or, both. The data is directly from a Census study titled, Measuring Household Experiences during the Coronavirus (COVID-19) Pandemic.

Here’s the drop-kicker: Deep within that 20-minute survey, savvy U.S. officials included four questions taken from a form used by physicians to screen patients for depression and anxiety. The responses provide an alarming view into the country’s mental health after months of distress, seclusion, unemployment, and doubt.

The Census Bureau finding supports the mounting evidence of an increasing mental health crisis among Americans. Sadly, experts say that without intervention, the nation will experience a rise in suicides, substance abuse and overdose deaths.

And, what is our government’s response to this looming mental health catastrophe? Zero f#cks given. When asked how they would follow-up with respondents to the Census Bureau survey, the CDC said in an emailed statement:

“It is not feasible, nor would it be appropriate, to provide any health advice to respondents on the basis of their responses.”

The government actually has a responsibility to address the problems revealed by the survey. “If you measure a problem, presumably it’s because you want to do something about it,” said Maria A. Oquendo, former president of the American Psychiatric Association (APA). Doctors don’t diagnose patients with cancer only to send them back into the asbestos mine.

So, why should you feel hopeful?

Go easy on yourself. It would be weird for you to not feel jacked-up over all that’s happening. Current events are heavy and creating an unavoidable wake of despair for the majority.

Sonja Lyubomirsky, psychology professor at the University of California, Riverside, says that re-imagining happiness is almost hard-wired into Americans’ DNA. “Human beings are remarkably resilient. There’s lots and lots of evidence that we adapt to everything. We move forward.”

Source the humor! It’s always there. As Erma Bombeck once said, “There is a thin line that separates laughter and pain, comedy and tragedy, humor and hurt.” It seems personally blasphemous to laugh at our current misfortunes. But sourcing the humor is precisely what we need to do in order to cope. When you are overwhelmed by tragic events, humor is a useful defense mechanism. Time may not enable us to laugh at everything. But, tragedies and humor go together like cashiers and plastic sneeze guards.

When facing adversity such as illness or even death, humor serves as a buffer. In fact, people who think about death are actually funnier. The notion is appropriately called Terror Management Theory. Studies suggest that humor functions as a natural and often effective means of down-regulating stressful or traumatic experiences

Humor is embedded in tragedy, pain and struggle in ways we cannot grasp. And possibly, humor is also what will save us in all this mess. If not, NASA said there’s a 1 in 240 chance that an asteroid the size of a small car will hit Earth the night before the election

**Anxiety Disclaimer: Don’t worry. Asteroids of this size burn-up in the atmosphere long before they hit our ground. This won’t be the thing that does us in.

There is No “New Normal” Because There Was Never a “Normal.”

If you were to ask the general public what specific outbreak might wreak mayhem within our lifetimes, you’d likely hear Flu, locusts, boils, frogs, politicians or something similar from social media prophetics or the Book of Revelations.

Even when news of another coronavirus hit, it was in a far away land impacting only “other peoples.” It would seem hyperbole that cruise ships would become the vector ferrying tiny, spiky, murder spheres to our own shores.

Our sole defense was keeping the potentially contagious temporarily adrift on floating petri dishes, while enjoying 24-hour buffets and sequined ABBA and NSYNC cover bands.

But we’d soon be worried over parents, grandparents, and ourselves as we came face-to-face with our vulnerability and the inter-connectedness of our Planet. Moreover, we realized that nothing was ever “under control” – an illusion we had believed and subscribed to for a generation. And we became angry at the thin veil through which life was sewn.

Didn’t Someone’s God assure us we’d never be given more than we can handle?

Actually, no. This guarantee isn’t in the Bible, Quran, Torah, Guru Granth Sahib, Vedas, Tripitaka, or Kojiki. It’s a motivational quip we like to keep next to those Live, Love, Laugh prints from Bed, Bath & Beyond.

The problem with living such a comfortable existence for so long, is the depth of the fall to a life of discomfort.

Thankfully, we’re buoyed by the frontline workers in healthcare, at nursing homes, behind badges, delivery personnel, pharmacists, grocery employees, and perhaps the most unexpected superheroes: undocumented agriculture workers – without whom we’d lose a vital tier of the food pyramid.

Mid 2020 has seen the indoctrination of millions of newcomers into the anxiety and depression clubs – the steep dues paid with inner chill and peace of mind. Though many of us (i.e., the anxious) have been mentally prepping for a lifetime, we too found ourselves ill-equipped for an epidemic. You can’t train for a contagion that exists only in one’s mind (another reason why worry is a useless endeavor). But suddenly it’s not so weird to clean an apple with a bleach wipe.

Find the humor, find the cure.

It’s always there. This might not be the best time to ponder Dostoyevsky’s Poor Folk or The House of the Dead – though I’m a huge proponent of the man otherwise. A pandemic calls for some light and cheery reading to facilitate levity and laughs. Consider anything from Dave Barry or Augustin Burroughs. And don’t overlook works by other great contributors like Erma Bombeck and Dorothy Parker.

Mark Twain knew it best: “The secret source of humor itself is not joy but sorrow.” Studies confirm that laughter lowers blood pressure and releases beta-endorphins, a chemical in the brain that creates a sense of joy. Moreover, humor is clinically validated to reduce stress long-term by improving the immune system through the release of neuropeptides, relieving pain, increasing personal satisfaction, and lessening depression and anxiety. The simple act of smiling causes the brain to release dopamine, which in turn makes us feel happy. But don’t worry about the science. Just YouTube “Sebastian Maniscalco” or “cat videos” and away you go.

Humor = Calamity + Time.

Humor will change your relationship to the problem of stress, worry, or anxiety. It reduces stigma, promotes wellbeing, helps you to cope with difficult situations, reduces tension, discomfort and stress; and strengthens your immune system. It’s pretty much a miracle elixir.

Austrian neurologist, psychiatrist and Holocaust survivor, Viktor Frankl, sourced and used humor as one tactic to survive German concentration camps, and he highlighted humor as ‘another of the soul’s weapons in the fight for self-preservation.’ “The attempt to develop a sense of humor and to see things in a humorous light is some kind of a trick learned while mastering the art of living,” cited Frankl.

Humor produces endorphins that soothe the body and allows a responsive brain to take charge – like a legal massage somewhere with no blacked-out windows.

There cannot be a “normal” in an unpredictable world. We use terms like “new normal” to instill an element of control over things. Control is an illusion.

But radically accepting the randomness of life, while staying mindful in the present is damn liberating. We don’t like to admit that we actually have little control over anything – especially our own fates – yet we do things that impact our longevity. You can now observe the rampant OCD taking place nearly everywhere by those not accustomed to proper OCD’ing. For example, shaking hands during Flu season (or otherwise) has always been an archaic practice in the transmission of filth. Have you seen what you do with your hands?! Despite lacking opposable thumbs, even dogs know that sniffing butts is a more hygienic “hello.”

And consider a University of Arizona study revealing that cellphones carry 10 times more bacteria than most toilet seats. Yet we don’t hesitate to pinch zoom a pic when someone hands us their toilet phone.

And, how many times have you eaten birthday cake blown on by someone you didn’t like or barely knew? Well, you might as well have them blow directly into your open mouth. A study in the Journal of Food Research determined that blowing out candles over that sweet, sticky icing resulted in 1,400% more bacteria compared to icing spared the puff (The study was aptly titled “Bacterial Transfer Associated with Blowing Out Candles on a Birthday Cake”).

Black-light most any hotel room and it will look like a Jackson Pollock painting.

Hotels will charge $250 for smoking in your room, but you can leave a bodily bio-hazard at no charge. This serves to heighten my perception of hotels as wildly filthy. And do you think the card keys ever get cleaned? I question the entire arrangement altogether. Most of us make that room as cozy as our own, in full denial that few people tip the maids upon checkout.

Hotels are where people go to cut their toenails, trim body hair, or bleed. The mattresses are literal smut sponges. But we gladly pay for the privilege of rubbing our faces into the pillows and bleach-infused towels.

Humor is ever present. You just gotta peek through the dank mental hues of your angst. Sourcing the lighter side of your emotions is vital – particularly when a third of Americans are now showing signs of clinical anxiety or depression.

Covid created a massive wake of anxiety and depression across the globe, along with budding terms like “immunity privileged” and “vaccine nationalism.”

Understandably, as most of us had not incurred a life disruption of this magnitude prior. During the initial stages of the pandemic, I spent most of my time hiding from humanity to avoid the contagion. My sole activity was sterilizing everything I ordered via Instacart and Amazon with disinfectant wipes. I wondered if anyone else was using hospital grade wipes on their organic lettuce.

There are a handful of things I’ve done to maintain internal peace and manage my anxiety during the quarantines and isolation. One of the most vital was distraction afforded by Netflix binges, naturally. But I also read a lot. At any given time during the pandemic, I’ve been concurrently reading five to six books depending on mood.

I also attend live or archived online church and devotional sessions to feel grounded. This is where I learned specific scriptures that also helped carry me through the salty times. Isaiah 41:10-13, Isaiah 53, Psalm 23, Psalm 40:1-3, Psalm 91, and particularly Philippians 4:6-8 were pivotal in smoothing the frays. Memorizing scripture is also a form of meditation. And it helps train the brain for other things – like remembering to brush your teeth or what day it is.

A good chunk of my Covid coping time was spent on building an in-home gym since my fitness center closed. This was exceptionally challenging as millions had the same idea, and every dumbbell, kettlebell, and old-school cement-filled, vinyl prison weight was sold-out everywhere.

Over weeks, I slowly accrued a Frankenstein gym of mismatched heavy things.

I converted my living room into a carpeted fitness studio where I performed calisthenic and plyometric feats of athleticism, such as 3,000 burpees and push-ups per month. I also fast-walked like a soccer mom late to A.A. 25 miles per week. Sadly, my ”nothing succeeds like excess” mindset and compromised shoulders reminded me why my body was made for writing in an ergonomic chair. I was soon too injured from one of the physical endeavors to do anything else, and I had to take two months off. But my anxiety did not.

Anxiety and depression can pique in the absence of coping skills. When we assign value or validity to intrusive thoughts and fears, it’s like mental Miracle-Gro. Talking to a therapist via phone or teletherapy is a measurably effective adjunct tool during stressful times.

There is a little-known dichotomy about mental health issues that makes seeking treatment difficult:

When you’re feeling anxious or depressed, it’s often hard to do what’s best for your welfare – this includes seeking help. My anxiety doesn’t want me to pay bills until I’m getting hate mail from creditors, fold laundry until I have no room on my bed to sleep, get groceries until I’m down to ramen and a jar of crusted mayo, or wash my car until stranger’s spell profanities on the windows.

There are two incidences when you should seek out a professional.

If you are in danger of hurting yourself or others, or if you are having passive thoughts about hurting yourself or others (even if you don’t have a plan or any real intent to follow through with these thoughts).
If your symptoms are starting to interfere with your daily life. Such symptoms could include suddenly not getting along with friends or family, difficulty with sleep, problems eating, doing poorly in school or work, or starting to use alcohol or drugs to cope or feel better.

How to choose a therapist

There are many different types of talk therapies available, and many types of therapists to choose from. So which therapy and therapist is right for you? When it comes to treating all mental health issues, especially anxiety or depression, you want to make sure you chose a therapist that uses an approach that is evidence based or empirically validated. This means that they say and do things to treat your symptoms that have been proven by research to be effective. It doesn’t mean watching episodes of Dr. Phil or Dr. Oz.

Client: “What should I do?”
Therapist: “What do you think you should do?”
Client: “Alright then, keep your secrets.”

When choosing a therapist, there’s an array of therapy degrees that include psychiatrists (M.D.), psychologists (PsyD.), and masters level therapists (LCSW, MCSW, etc.). Don’t get hung-up on the pedigree. Just make sure the person is licensed – meaning s/he went to a school that was accredited, received training that was accredited, and have passed both a national and state licensing examination to prove they know what they are talking about.

Equally important, you want to see someone that you like. If you’re going to see a therapist, the type of degree is less important than making sure they are licensed, using techniques that are supported by research, and are someone you can trust and get along with. I personally know some smart but ~~asshole~~ jerk psychologists that shouldn’t be advising anyone on anything, despite their diplomas. Remember who’s paying whom, and hire/fire accordingly.

How long will you need to attend therapy?

The duration of therapy needed is unique for everyone. Many people experience improvement within only a few sessions, while others reap benefits through months or even years of seeing a professional. There’s no commitment required. The goal is simply helping you achieve measurable improvement.

You can also access the “Managing Covid-19 Anxiety” resource page by the reputable Anxiety & Depression Association of America (ADAA).

Just come away from this knowing that you never need to white-knuckle things alone. Your state-of-mind can make it hard to reach-out, which is precisely when you should.

Quarantine and Chill: Keeping Calm in the Age of Pandemic Porn

Covid-19 is the newest, baddest boogeyman we’ve collectively (not) known. And this one is especially surly because it decimates 401k’s while punching grandmas in the lungs.

As a professional worrier with a black-belt in anxiety, a pandemic was far down my “List of Greatest Anxieties;” falling below an incoming asteroid, Celine Dion, or a “Frozen 5” release. The Covid-19 anxiety trigger caught me so off-guard that I was cerebrally stymied – not by the virus – rather people’s reactions to news of the virus. I found myself on the anxiety sidelines watching the Country run amok depleting supermarket shelves then retreating into doomsday bunkers, while I did nothing. Why? Because the world is not going to implode. Even if irresponsible headlines suggest otherwise.

Symptoms of Coronavirus:

Dry cough
Fever
Trouble breathing
Sudden urge to believe the media’s bullshit

We’re familiar with pneumonia and other afflictions like K-pop and the Kardashians, but most of us haven’t had Covid-19. Therein lies our angst. Anxiety is rooted in a fear of the unknown. This pandemic is exacerbated by a “looming vulnerability” as it creeps closer to our own doorstep, while we have no idea to what severity it might afflict us personally – if at all.

This Looming Vulnerability Model – a perception of a growing, rapidly approaching threat – is traced to our evolutionary past. But it’s a dysfunctional perception that affects our thought processing, functioning, emotions, and behavior. It’s what leads us to thinking that to survive, we must stockpile guns, ammo, and ramen. But this isn’t “The Purge: Anarchy” movie. Even the inept powers-that-be know we will continue to need food and provisions.

Price gouging, panic porn, conspiracy theories, and sensationalist media coverage of the outbreak is fueling existing fears, to include a deliberate pandering to xenophobic stereotypes and click-bait exaggerations. Don’t worry – the Stafford Act does not give the president the authority to declare a nationwide lock-down. We should absolutely self-quarantine and follow distancing protocols. But you will continue to have access to the things you need at Trader Joe’s. You won’t be holed-up like Bin Laden in a fortified dugout of couscous and wives.

Predictions of impending apocalypse have been suggested since the first millennium CE. And even Columbus claimed that the world would last only 7000 years as he whipped-up the first batch of candied yams. And, remember when the world was ending at 12:00 am on January 1^st, 2000? In the fallout of these foiled dates, we endure. Because hope spreads faster than contagion.

You want to hear a coronavirus joke?
You probably won’t get it.

Like many, my own parents are in the highest-risk group for the virus. My mom has a rare stage-4 cancer and is in the hospital almost weekly. While my dad is a stubborn 80-year old facing down the virus like it was a tiny insurgent blocking his entrance to Costco. I’m quite worried for them both. But I strive to consistently source the humor of this salty new frontier to keep my wits.

Hoarding toilet paper won’t help. This isn’t cholera. Panic buying begets panic buying. But we are not powerless. We actually have a choice in all of this: We can choose to find the upside. It’s actually everywhere if you look closely.

SOME UPSIDES TO ALL THE DOWN…

You can poop at home on weekdays.
The antivaxxers are unusually quiet.
The world is actually cleaner than it’s ever been. Never before did so many scrub so much so often.
You have a newfound appreciation of delivery personnel, pet shelter volunteers, therapists, baristas, and nurses.
You’ve discovered forms of exercise outside of filthy gyms.
FaceTime quarantini happy hours.
You’ve learned how to touch your face less with your foul little germ-sticks
Marriages will grow stronger as people practice the “for better or worse, in sickness and in health” thing.
We now see how small and interconnected we are as a planet.
Working remotely will be recognized for its efficiencies, as companies must face the archaic practice of caging people in fabric-lined cubes and feeding them microwaved popcorn.
If you’re an introvert, then this is like any other time.
You’re going to save on haircuts, mani-pedi’s, and bars because … you’re not going. You will also save on dry-cleaning and laundry since you’re donning the same yoga pants and sweats for days.
You’ve stopped worrying about whatever it was you worried about before all of this.

The emerging heroes in the fracas are the supermarket employees who non-judgmentally stock and tally our anxious hoarding; the veterinarians who care for our beloved pets; the pharmacists who fill our prescriptions throughout 24-hour drugstores across America; and the relentless truckers who don’t stop providing a crazed populace food and adult baby wipes. Americans are at their best in times of crisis. And history will reveal that it was the blue collars and blue scrubs that kept the world turning throughout the most anxious time of our lives.

In the meantime, there are some things you can do to harvest your chill.

QUARANTINE “TO-DO” LIST:

Order a bidet from Amazon.
If you smoke or vape, quit. The last thing you want during a respiratory pandemic are tarry lungs.
Start the book you bought 7 years ago.
Learn a new Tik Tok dance. Here are 10 to get you started.
Catch up on your favorite Netflix series.
Learn to be still. This new lifestyle is intended to slow us down for our own good. It’s uncomfortable to not be in control. HINT: We were never in control.
Memorize Psalm 23 or Psalm 46.
Wash your hands like you’re lathering your biggest crush, and their life depended on your thoroughness.
Write thank you emails or letters to people who’ve been kind towards you. Ever.
Be an exemplary human. Check-in on those more vulnerable. It might be your own grandparent, or it might be one you’ll adopt.
Sing along to “We Are the Champions” by Queen, “Firework” by Katy Perry, “Let it Go” from Disney’s “Frozen,” or “I Will Survive” by Gloria Gaynor, or “Ain’t No Mountain High Enough” by Diana Ross, or that famous brain worm “I Get Knocked Down” by Tubthumping.
Watch this soothing, live jelly cam or any of these other amazing live cams at the Monterey Bay Aquarium.
Shelters around the globe are in urgent need of help due to the COVID-19 crisis. Donate any amount to the ASPCA. PS: Do NOT pet your animals after using hand sanitizer. It’s toxic for all animals.
Access the “Managing Covid-19 Anxiety” resource page by the Anxiety & Depression Association of America (ADAA).
The endless great outdoors are perfectly safe and available for your exercise and enjoyment. Continuing with the soothing nautical theme, consider this live Channel Islands kelp cam. or this Yosemite Falls live cam, or the Georgia Aquarium live piranha cam (a fan favorite). *Don’t forget to maximize your screen for this eye candy.*
Sadly, we cannot trust news outlets to stop exploiting our fears. So, get the information you need quickly from trusted sources and move on.

The oldest and strongest emotion of mankind is fear, and the oldest and strongest kind of fear is fear of the unknown. –H.P. Lovecraft

This is Why Your Airline Boarding Process is a Pop-Up Circus…

In few other affairs is your life-status so publicly displayed than during the airline boarding process. This is by design. Airlines revel in publicly grading you by airport megaphone. It’s their preferred grandstand to reward or demean customers based on how much you spend with them.

The stress of traveling and the battle cry for the arm rest and window shade begin long before you’re seated. It starts with trying to determine what time to leave for the airport, followed by the wildly inconsistent process of “security” screening. Next is procuring one’s $9 bottle of municipal water to allay the low humidity, desiccating journey. Finally, you face the fire-sale of airline boarding.

All airlines all do the same thing – move people from one place to another via the troposphere. The way in which they begin their process, however, can greatly vary and is most evident in the boarding process.

As soon as the gate attendant blows into a hot mic, people leap to their feet into pole position, blocking all pathways to the jetway ready to blitz the ticket scanner.

There are notable reasons we act like Billy goats during the boarding process, to include the following:

Mob Mentality. Research scientists have found that the actions of as few as five people can influence a crowd of 100 to follow suit. Trust your inner oracle and initiate ‘active observer’ status.
Competition. We want to be first on and the first off the plane. It often becomes every passenger for him/herself, as if airports and planes are netherworlds where common sense and courtesies don’t apply.
Impatience. People crowd the gate under the illusion of getting to their destination faster. The plane doesn’t leave until everyone is on-board. A superior use of time is to find nearby space and do some birthing squats and leg stretches to avoid the onset of DVT.
Baggage fees. Ever since the airlines started charging for checked baggage, the boarding process has been more like a Walmart Black Friday than a process conducted by grownups. Planes almost always have enough overhead bin space for every passenger. In fact, newer planes have increased bin space. But they still don’t want you using it.

The airlines have mastered the manipulative art of anxiety seed-planting so you’ll pay a little more to check your bag or opt for earlier boarding. They depend on such fees to remain profitable. The U.S. Department of Transportation’s annual airline baggage fee report found that domestic carriers collected nearly $5 billion in baggage fees in 2018, up from $4.5 billion in 2017 and $1.1 billion a decade ago. They’ll do whatever it takes to scare you into dropping coin.

When you pay that $30 to check a bag or $25 to move up a boarding group, the fees go straight to the airline’s profit margin. While base ticket prices cover only operating costs (i.e., fuel, salaries, maintenance, etc. After making you feel lucky to get on their plane at all, airlines will ease your angst by selling an Economy ticket holder Priority Boarding for $15 and up. How selfless.

To maximize profits, airlines create the illusion of grossly limited bin space, while continuing to splice boarding groups into thinner stratifications. You board according to your value to the airline, with the last group boarding at a bargain price in exchange for a willingness to be degraded.

You must only consider the 10 tiers of the Delta Airlines boarding process as a depiction of the psychological game you’ve entered:

1. Pre-Boarding.

Reverence to this esteemed group for their sacrifices – whether in battle with enemies overseas, with unruly toddlers on the home front, or because they’ve been injured or debilitated along life’s way. No one can hate on a pre-boarder. Unless, they’re faking it to avoid the stigma of #9 below.

2. Delta One®

Like most of the groups in this boarding sequence, it’s unclear what these terms even mean – but, if you have to ask, you can’t afford it. Delta One® is the Illuminati of boarding groups. The only way into this stratum is to kill and assume the traveling victim’s identity.

3 & 4. First Class – OR – Delta Premium Select

Ah, a group where you may know someone who knows someone. It’s fancy like the others. But, it’s an extravagance that only the 1% or some lucky voyager of an oversold flight can aspire to.

5. Delta Comfort+®

It’s true, the birthright of comfort has been filched from us and monetized. “If you want to travel humanely, you’re going to pay.” Sincerely, The Airlines.

6. Sky Priority®

This subset of marquee member designees is a “who’s who” cadre of worldly movers and shakers. If you can’t be one, kindly step aside so they can crush your toes with their carry-on and confidence. If you’re lucky, they’ll apologize like you’re some sort of equal.

7. Main Cabin 1

A bougie collection of explorers who like sitting on the plane longer than others, and later scorn you for kindly asking if that window seat in their row is available, as if you’ve broken into their home to sit on their lap in a recliner. They’re the last lot of semi-elites before the fuselage filler-fruit of overhead bin peckers come nipping at their totes.

8. Main Cabin 2

The fodder of nameless, faceless passengers now trudge toward lap tray nirvana. These are hapless folk who roll onto the jet bridge like the end credits of a sad movie. Airline personnel avoid making eye contact as if they know you barely chipped-in for gas.

9. Main Cabin 3

This is Delta crypto-code for “you’ll be punished for your frugality once the cabin door closes.” Maybe sooner.

10. Basic Economy

These are my people – the pauper class. You can identify us by the panicked craning of necks toward airport windows to see if the plane is still there. We our further flagged to all by repeated announcements of “Lastly, BASIC ECONOMY and anyone without status or esteem may board.” The terminal feels empty. Our muted shame is palpable.

In order to increase your anxiety and subtly pressure you to pay for priority, the airlines apply these divisions while trading longer boarding times for additional revenue. United boards in six groups, while American and Delta each have 10.

However, because they’ve created so many layers, many early boarding groups are sparsely populated. In the seeming cataclysmic event no bin space is available, your bag will be gate-checked for free, and will likely appear before you do at the other end of the destination airport.

I’m a bag-checker. I like to travel nimble at the risk of landing in Bismarck while my bag lands in Biscayne. It has yet to happen, and I stride onto every flight with only a backpack of books, snacks, Sani-wipes, and the accoutrements to enhance an aerial penance. Truth is, I’ve flown Basic Economy on Delta countless times, on fully-booked flights, and sometimes with a carry-on. I had no issues. The illusion of a gate bag-check is worse than the reality, even if your bag ends-up in a bin rows behind you.

In the future, airlines could be under any array of boarding procedures – to include removing the seats altogether and tethering each passenger to a standing pole.

Airlines have razor thin margins, and they’re crafty at separating us from our money. Which is why they invented turbulence and baggage fees. One thing’s for sure: They will remain profitable, and we will remain uncomfortable.

Now, enjoy THIS parody of the aforementioned.

What to Do If Your Ex Contacts You After You’ve Said Goodbye

Ignoring your ex
How to handle an ex you want to keep in the past when they want to be in your present.

As you read this, there are millions of people across the world suffering from a love-rift somewhere while sending ill-fated texts. Studies show that to the brain, quitting love and heroin are the same. Our brains cannot differentiate another human from smack.

The initial stage of a breakup often includes regular and methodical text diatribes (aka, “terror texting”), along with emails and beguiling emojis in vain attempts to recon the defector, each time, vowing not to send another – only to do so within days … or, hours. This phase is rife with the fuzzy logic that there is just the right mix of words and pleading to get you to reconsider.

Why does My Ex Keep Contacting Me?

In short? Denial and the hope for a different outcome. Denial is a coping mechanism that gives us time to adjust to distressing situations. Being in denial gives your mind the opportunity to unconsciously absorb shocking or distressing information at a pace that won’t send you into a psychological tailspin (Mayo Clinic, Denial: When it helps, when it hurts, 2011). When the reality hits that you’ve been dumped, denial is a great tool; as in “If I don’t think about it, then it’s not happening,” or “I can totally fix this, I just need another shot.” A less obvious way denial presents could be as a denial of inner strength: “I can’t handle this sh#t!” The issue with denial as a coping mechanism is that it’s not a long-term solution. Remaining in denial is not healthy, and it’s unnerving to onlookers.

The agony following a broken relationship is an evolutionary adaptation that ensures the maintenance of close social ties. Rejection hurts so that we are hesitant to enter social situations in which rejection is likely. It’s also why hot people are crazy. It’s a deterrent for our own safety. But, breakups often include record-setting pleading; a deluge of one-way, restraining-order-level communications; panic that borders on neurosis; and trying to resuscitate the relationship pulse through text and social media.

Exes usually continue to talk because they miss having someone around. It’s old habit to say “goodnight,” or sext on a random weeknight to someone who won’t call the cops.

Now the breakupee stares thunderstruck at a silent phone, willing it to ding with a text from you, while feeling a dreadful void from losing that regular communiqué. If you reply to your late pursuer with anything less than F-bombs and the threat of legal action, it feels great to them. But it’s akin to another hit of heroin for a recovering addict. It will satiate the cravings for a bit, but you’re only resetting their recovery clock while adding to your own stress to keep them from teetering over an imperceptible edge.

What Does the Research Say?

Per a study published in the journal Review of General Psychology, just like the brain is hardwired to fall in love, it also has a mechanism that helps us fall out of love and move along. This is easier for some than others, however. Stalking is not cute, romantic, or funny. And, oftentimes it’s more than, “I was just bored and curious…” Conversely, an “I miss you” doesn’t equal “I want to get back together and adopt Russian toddlers.”

Take solace knowing that your ex’s love longings are quite normal – to an extent. Research eludes to a physiological basis to cravings for an ex. Lucy Brown, Ph.D., Professor in the Department of Neurology at Albert Einstein College of Medicine and her colleagues used functional magnetic resonance imaging (fMRI) to record the brain activity of adults who had experienced a recent unwanted breakup, and who reported still feeling love for their ex. “Upon viewing brain photographs of their former partners, there was activity in the areas associated with reward and motivation, specifically, the release of dopamine that is also seen in drug addiction. Therefore, people may experience cravings for their ex-partner similarly to the way addicts crave a drug they are withdrawing from.”

So, What Can You do About the Uninvited Contact?

In the throes of pain, the shortest route to ending heartache is seemingly with the source. It’s not. It is within us and not with our defector. Consequently, it is not your responsibility to ferry your ex to healing shores. Your takeaway is first to have empathy, followed by impenetrable boundaries and a steadfast “no contact” rule to the benefit of you both. Fully unplug from your ex – including from their social media. Until there’s a methadone for breakups, any reply keeps the dynamic going and prevents you both from moving on with your lives. It also exposes you to further distress, while hindering their emotional recovery and increasing their longing for reconciliation.

Required Steps for Managing an Ex Who Won’t Stop Contacting You:

Stop communicating with your ex unless you share custody of a mini human(s).
Repeat.

If for some reason you cannot block them – like maybe you’re keeping a tally of texts/calls for a judge, or you want your labradoodle back – then change their name in your phone to “Caution,” “Beelzebub,” or “Do Not Answer.” This is not a game; it’s not about punishment or revenge, or to make your ex mad while feeding your own ego. It’s self-care.

Do it for them. Do it for you.

Not everyone loves you enough to leave you alone. If you’re ever going to be friends, it will happen later. Or, never.

Breaking-Up Badly: 11 Tips to Avoid Self-Imploding Following A Breakup

“I’m sorry I annoyed you with my unconditional love.”

The early phase of a breakup is marred by feelings of inner turmoil, all-consuming grief, anxiety, low self-esteem, jealousy, lack of food or sleep and an indifference to personal hygiene, all peppered with moments of irrationality.

The exhausted brain loops re-enactments of the severed bond piece-by-piece in some macabre relationship forensics. You painstakingly dissect past conversations, events and nuances of the bond while cerebrally clawing towards a personal salvage strategy.

You become a pariah to friends and family who look upon you with pursed lips of empathy, while avoiding sustained eye contact or dialogue at the risk of triggering an emotional flare. People make tired comments like, “There are plenty of fish in the sea,” “You’re better off,” or “How long were you together?” so they can quickly determine if the number justifies your level of distress.

How long will the pain last? What is considered acceptable by friends … or society? Is the recovery period half the time you were together? No. There is no mystical breakup algorithm to yield your fixed emotional penance. It takes what it takes. And for everyone this is different. Everything you need to heal is already within you. Therein lies your freedom.

The pain of rejection is exacerbated by how we view and treat ourselves after it occurs. But rejection also causes physiological pain with an evolutionary purpose. Back in early times, being rejected by your people meant lone survival and imminent death. Now we have Netflix and DoorDash, and being alone for a period is an underutilized indulgence that too few learn to sit with and relish. Once we do, we glean how truly self-sufficient we are.

But, what does the research say?

Studies suggest that women experience more emotional anguish in the aftermath of a breakup, but it takes men longer to recover. A woman deals with a breakup head-on. By the time a woman is on the backside of a breakup, her ex-boyfriend is just coming to terms with what went down.

And contrary to widely held beliefs, closure is not necessary. Countless people never gain closure yet still move forward and heal. When we are broken-up with, our ability to reconcile who we are is upheaved. But you’re still in there … somewhere. You are whole. And you are grand. Despite what you might be thinking, you never need to know why your ex did anything they did. Your ex was never the reason you thrived.

Soulmate is what Satan puts in his coffee.

From an evolutionary perspective, if we were meant to be with only one person on Earth, society would collapse. You did not lose your soulmate. You can look for one of your other soulmates later. For now, any search for external breakup remedies and relief is rooted in a desire to short-circuit the recovery process. If evolution didn’t insert some physiological checks and balances in the form of heartache, we’d hook-up with the next thing in an Armani suit or Lululemon’s.

For those lacking breakup survival skills, the symptoms and manifestations associated with a breakup are measurably more self-defeating. So, here are some proven tactics to hasten your heal:

1. Don’t press “rewind” when you should hit “delete.”

Do not sleep with him/her one more time in the hope it will usher you back to better times. Delete your ex’s number from your phone — even if you have it memorized. Of all the things we lose during a breakup, keeping the locus of control is the most important and often ignored. The easiest way to control your current moods and keep your power is to not contact your ex.

2. Therapist? You mean bartender?

A breakup can lead to depression, isolation, self-accusation, or worse. You don’t always need to make grief clinical, but it’s imperative to know when to seek outside professional help. The easiest index to use is if your emotions are starting to interfere with daily life functioning — including sleep.

3. Only the strong forgive.

Forgiveness is simply giving up the hope for a different past. They may not deserve your forgiveness; but you deserve peace. It’s about letting go of the outcome, rather than condoning any actions by someone whom inflicted the pain. Forgiveness takes only one person: You.

4. The power of three gratitudes.

Not only does gratitude increase how much positive emotion we feel, it just as importantly deprives the negative energy that is the driving force of why we feel so badly. There is omnipotence in gratitude. Focus on three gratitudes daily, no matter how small.

5. Exorcise all relationship mementos.

Emails, toothbrushes, photos, texts, his Apple Watch, etc. and change all venues you frequented together, such as bars, cafes, Urban Outfitters, etc. You could use the change of scenery, while avoiding needless reminders of his love for salmon shorts and craft brews.

6. The quickest way over one is not under another.

Rebounding is a brief distractor that invariably turns into sound-boarding your ex’s name and shortcomings onto some naked app prey beside this woeful version of you. A rebound won’t help you with healthy, long-term objectives. What will? Work with being solo for a bit to achieve self-improvement, reflection, and a righteous comeback.

7. But, veggies taste like dirt and sadness.

To counter the melancholic feelings inherent to any breakup, it is imperative to spend time outside, get regular sleep, exercise, and eat right. Wean off the Pinot Gris and cookie dough and get some nutrients. Studies have shown that foods can directly influence the brain’s neurotransmitter systems that are related to mood. (Hopf, 2010).

8. Better than an FWB is a BuB.

“He’s only ignoring my texts because I haven’t sent enough.” Utilize the exceptionally helpful camaraderie of a Breakup Buddy (BuB) to remediate poor decisions when reacting from emotions. These are dangerous moments of relapse; hence, the importance of someone who will think for you until logic is reengaged. Refer to them often.

9. Tweak small behaviors to dramatically shift moods.

If you change small post-breakup behaviors, it will change your thoughts, feelings and emotions. This is paramount in helping you to feel less anxious, worried, depressed, or experiencing an intolerance of uncertainty following a split. For example, if you do the opposite of what your emotions are driving you to do — such as checking-out their social media or driving by their residence — your anxiety, worry, and pain will subside.

10. “Cowabunga, dude(tte)!”

Ride those thought waves. The technique of urge-surfing involves riding an emotional wave and not responding to any part of it, but letting it swell and then wane. This is an extremely helpful tactic to use in dealing with the impulsivity associated with a breakup, because you are observing your emotions, rather than acting on them. And this prevents regretful actions.

11. Cuddle the friendliest ghost of all.

“Just gonna send him a message … Aaaaaaaannnnnd I’m blocked.” Going ghost is one of the most sagacious devices for self-preservation. Most breakup sufferers greatly add to their angst by not following this one, basic tenet. If you’re going to be friends with your ex, it’ll happen organically and only when you’re long over them. If you must see your ex, keep it cool and make it fast. Otherwise, ignore them so hard they doubt their own existence.

“Frankie says, relapse.”

A final note: Breakup recovery isn’t linear, but more a game of Chutes ‘n Ladders. Reverting and plateauing are common throughout the entire process. Healing is rarely direct in movement, but setbacks are temporary and short-term. You may feel stuck at the same level of muck for two weeks, only to suddenly leap forward in your progress out of nowhere. Your adherence to tactics such as the aforementioned will accelerate your imminent return to baller status.

10 Ways to Support a Loved One with Cancer. From a Son In Remission … with a Mom in Remission.

I currently share the mixed blessing of being in cancer remission with my mom. It’s not genetic; I’m adopted.

I’m remarkably grateful to be in remission with her; but uncertain how as a former athlete I succumbed to a smoker’s cancer diagnosis on my actual birthday. Or, far worse, how my mom was hit with a rare stage IV breast cancer called Inflammatory Breast Cancer. I would take her illness on if that were ever an option in my regular fantasy where Hollywood or some omnipotent entity granted me the power to switch maladies.

Being in this unenvied position, I’ve learned that the only thing worse than your own pain is helplessly watching a loved one suffer. The first being mostly physical; the latter crushingly emotional. Yet it does not stop me from trying to will health or strength upon her.

A major stressor faced by many people in their lifetime is a cancer diagnosis. Sadly, cancer patients too commonly cite instances of people they know who never communicated emotional support regarding their illness. While studies show that people do better emotionally in a crisis when they have strong support from family members and friends. However, if one of your friends or loved ones has been diagnosed with cancer you might not know what to say or do to help.

According to a recent study by Katharine J. Head of the Department of Communication Studies at Indiana University-Purdue University “Although adult cancer survivors and their families face unique psychosocial and health-related challenges related to cancer, little is known about how the illness experience of cancer may positively transform their mental, physical, and social well-being following primary treatment.”

Cancer has a way of quickly re-prioritizing life, while teaching a valuable lesson in perspective not otherwise gleaned.

My cancer diagnosis served as the perfect opportunity to “clean house” regarding friends, work, and how I spent my time. Suddenly, I was face-to-face with the regret of how I had been spending my life thus far, and with whom. I quickly removed shallow friends, a girlfriend who drank too much, and even a few family members from my sphere of influence. And, I never looked back.

Actions to support someone recently diagnosed with cancer:

**1. Listen and give advice only when asked.**

We all want to ease the pain of those we care about. But, dispensing unsolicited advice is one of the worst things to do to those newly diagnosed with cancer. One of the best things you can do, however, is to offer the gift of listening with empathy. Exclaiming to someone that frankincense, CBD, or turmeric can cure their cancer deserves a punch to the larynx. Just don’t.

2. Support their cancer treatment decision.

We cannot impose our will on others, even in instances of record-level relevancy or as a shared decision-maker. The choice rests with the patient. And, if your loved one asks you to contact medical providers, be sure you have written consent. Privacy laws prohibit health professionals from speaking to relatives – including parents or adult children – without the patient’s permission. As I’ve learned firsthand, you can’t ‘parent your parents.’

3. Be present.

Even in silence, the mere presence of someone we care for during a difficult time has immediate and lasting benefits. Sit with your loved one during treatment or have lunch with them afterward. Even better if it falls within the oncologist’s dietary recommendations. Your loved one may love sugar – but so do cancer cells.

4. Learn about the cancer and specific treatment plan.

Cancer Care and other reputable organizations offer educational information and websites regarding cancer, respective treatments, and side effects. Be cautious of your sources or how much you read, however. It’s common to get overwhelmed and frantic – especially regarding prognosis percentages that are overgeneralized and unspecific to your loved one’s case. Internet research is an activity best kept in moderation.

5. Consider the caregiver.

Caregiver burnout and fatigue is a real thing. No matter the relation, this is an often-overlooked premise. Cancer caregivers take on many tasks, often including those formerly held by the recently diagnosed. The caregiver needs care too. Sometimes you need to call on backup in the form of additional family or friends. You can review and receive help at Cancer Caregivers, caregiver resources at the American Cancer Society, or from the National Cancer Institute caregiver support page.

6. Be steadfast.

Those with cancer often experience a discernible drop-off in support from friends and family after the initial diagnosis. Cancer is a long-term disease followed by a longer remission period. It requires more from supporters than a gratuitous slap on the back and “You’ll kick this, buddy!” flaccid approach. This ain’t the Flu. Prepare accordingly.

7. Keep the status quo.

For many people, being able to maintain life pre-cancer diagnosis can boost their sense of mastery over the illness and lessen the life-impact of the disease. Cancer is a silent narcissist best kept small.

8. Don’t be detached if you are long-distance.

Never underestimate the emotional support that comes from regular phone calls or texts. Since you might be too far to prepare food and bring it yourself, perhaps arrange to have meals delivered from a local restaurant or reputable and healthy meal service like Freshly or Hello Fresh. Or, consider ordering groceries online from a local supermarket that delivers. Use vacation time or a holiday weekend and visit with the ill person doing something enjoyable. For them.

9. If you have the means, offer financial assistance.

Cancer can strain finances to the point of financial ruin, and many people are too proud or ashamed to ask for monetary assistance. If you think it’s needed and are able to offer, raise the subject respectfully. Cancer is a selfish money pit. The Cancer Financial Assistance Coalition, Cancer Care, or the resources page via the American Cancer Society can also be of considerable help.

10. Pray.

I don’t care who you call your higher-power, this is the time to send some knee-mails. I regularly lean on prayer, daily gratitude’s, and striving to stay rooted in the moment. Helpful tactics I would not have learned sans cancer.

There is no education like struggle. Suffering is a conduit to empathy and awareness. Adversity yields purpose and refinement in life that can only come from life trials.

There is always an upside or takeaway to every hardship, though it often takes time and distance to source it. In my instance, I am much closer to my parents through our shared experience caring for mom. Adversity also gave me the incentive to leave a dead-end job and relegate my only toxic sibling to the “acquaintance” pool. Sometimes you get the best light from a burning bridge.

Hug your family and your hardships. They’re trying to tell you something.

How do You Know if You’re Depressed or Just Sad?

You might think you’re feeling lazy or unmotivated, but here are the signs that it’s something more serious

Is your two-day, Netflix binge of “Black Mirror” and “Stranger Things” a bout of laziness and apathy, a case of “the melancholies,” or … clinical depression?

Maybe you think you’re depressed, or you’re just using depression as an excuse to be lethargic – only to realize this itself might be a symptom of depression. It’s tough trying to figure-out your head with your own mind, right?

The brain is an organ that can malfunction like any organ. Mental illnesses are illnesses of that organ.

Brain scans show that there is a physical difference between a healthy brain and a sick brain. Telling someone with depression, “You don’t have an issue, it’s all in your head” is as inane as telling someone with diabetes, “You don’t have an issue, it’s all in your pancreas.” Any organ is susceptible to disease or disorder.

When you’re feeling down, it’s imperative to distinguish feelings of sadness versus depression because confusion can lead you to avoid evaluation and treatment of a serious condition. Alternatively, you might overreact to a normal emotional state of sadness.

“And, here’s why the distinction is crucial: If we (or a loved one) are depressed, it has huge implications for our long-term mental health, physical health, and longevity,” says NYC Psychologist and author Dr. Guy Winch. Sadness and apathy are normal emotions. “Sadness is usually triggered by a difficult, hurtful, challenging, or disappointing event, experience, or situation,” says Winch. This also means that when something shifts, or we’ve gotten over the hurt or event, the sadness also wanes.

“Whereas depression is an abnormal emotional state; a mental illness that affects our thinking, emotions, perceptions, and behaviors in pervasive and chronic ways,” says Winch. Depression can occur in absence of any of the triggers that cause sadness. Sadness is about something and depression is about … nothing.

Criteria for Depression

Depression is classified into different types using a book with diagnostic criteria for mental health disorders. Now in its fifth edition, the book is called the Diagnostic and Statistical Manual of Mental Health Disorders. But, everyone just calls it the DSM-5. Think of it as the owner’s manual for the brain but – like an iPhone user guide – you must make an appointment with an accredited genius to see one.

The DSM-5 outlines the following criterion to make a diagnosis of depression.

Note: These serve only as a guideline. You need to see a mental health professional for a conclusive diagnosis. The individual must be experiencing five or more of the following symptoms during the same 2-week period, and at least one of the symptoms should be either (1) depressed mood or (2) loss of interest or pleasure.

Depressed mood most of the day, nearly every day.
Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.
Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day.
A slowing down of thought and a reduction of physical movement (observable by others, not merely subjective feelings of restlessness or being slowed down).
Fatigue or loss of energy nearly every day.
Feelings of worthlessness or excessive or inappropriate guilt nearly every day.
Diminished ability to think or concentrate, or indecisiveness, nearly every day.
Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

To receive a diagnosis of depression, these symptoms must cause the individual clinically significant distress or impairment in social, occupational, or other important areas of functioning. The symptoms must also not be a result of substance abuse or another medical condition. Afterall, a bottomless mimosa brunch or afternoon of beers is enough to spur a days-long depressive spell, as booze and other substances are known depressants.

Anxiety and depression disorders are often interlinked.

“It’s very hard to find patients who are depressed who don’t also have anxiety. It’s equally hard to find people with anxiety that don’t have some depression,” says Charles Goodstein, MD, a professor of psychiatry at New York University School of Medicine. So, don’t berate yourself if you’re feeling anxiety on top of everything else. It’s more likely than not to occur. And though signs of depression, anxiety disorder, and even bipolar disorder have similarities, each requires different treatments right down to the therapy and medications used. This is why a professional diagnosis is so important to obtain the correct treatment regimen.

A Quick Lesson in Sourcing the “Why” in Your Life…

One of the most poignant examples of suffering and sadness is the story of Viktor Frankl, a physician and psychiatrist who survived four Nazi concentration and death camps, including the infamous Auschwitz. Frankl epitomized the words of Nietzsche: “He who has a Why to live for can bear almost any How.” As a prisoner, Frankl kept himself and his hopes alive by a desire to see his wife again and one day teach about man’s quest for meaning.

Sadly, Frankl’s parents, brother, and pregnant wife were killed; but he was able to cope, source the importance of it all, and move forward with a renewed life purpose to include writing one of the most moving and significant books of our time, Man’s Search for Meaning. Frankl teaches us that “if there is a meaning in life at all, there must be a meaning in suffering. Suffering is an eradicable part of life, even as fate and death. Without suffering and death human life cannot be complete.”

We all face the opportunity to achieve something through our own suffering. Our unique opportunity lies in the way we bear our burden, and in our attitude toward difficulty while pondering our meaning. Make no mistake; you have a decisive and purposeful meaning in this world. For many of us – myself included – it takes suffering and hardship to find it.

We are supposed to feel like we can’t handle things alone sometimes. That’s when we find the grace or help through others. In times when life becomes unmanageable, we must be willing to ask for help and support one another. It’s by design. We can be with one another amid suffering, helping each other bear the weight. Part of life is the realization that sometimes we can’t make it on our own. For some, a spiritual leader is a person to whom you can turn and say, “I have a burden that I cannot bear.” All it takes is walking into a local church, mosque, synagogue, or temple and asking for help.

Live to the point of tears. -Albert Camus