Don't know....

Kevin Breel is 19 years old, a standup comedian, and depressed.

Three adjectives, or maybe—he might say—two adjectives and a stigma. Because that’s what mental illness is, he argues in his TED talk—there’s still a lot of shame and blame about being sick in that part of your body behind the eyes….

Well, as someone who swallows 20 mg. of Lexapro and 15 mg. of Remeron daily, I was more than prepared to listen. Also to consider the question: has anything good ever come for me from my long years of depression?

Change a life—I had never known those many, many dark days when it was only habit and custom that got me out of bed. I never sat in those toilet stalls at Wal-Mart weeping silently, never canceled classes and sat in my classroom and stared at the walls, trying to banish the thought, “I want to kill myself,” which had become the mantra echoing through my mind. I woke up every morning, felt happy, and went about my business.

In short, the forty years of depression never happened—they felt as good as I feel today.

First reaction?

God, do I wish!

Breel argues that one of the benefits of depression is that it allows you to see the bright side of life, and that you have to know the valley to appreciate the mountain. Yeah? I’m not sure; would I appreciate walking more if I had spent time wheelchair bound? Don’t think so….

The depression may have made me more sensitive to others—that’s true, I think. It also gave me a certain strength—if I survived those years, I’ll probably get through today.

And yes, I’ve read Thomas Moore’s books and I think they’re good—and I don’t buy in. Sure, if you’re going through a divorce, or a significant loss, or a major life change—you may experience the dark night of the soul. But there is one hell of a difference between a major life event and a major depression.

Consider it—I was in a stable, long-term relationship; I had a job, a home, pets, and a loving family. I was also excruciatingly depressed. Yeah, you could argue that the job wasn’t the right one, that a creative side of myself was unexpressed. But no matter how hard I tried, I couldn’t shake the depression. The only answer was medication.

Sorry—but to say anything else is just more stigmatization, another way of saying, “oh just buck up and adopt a positive attitude.” And so, by the way, is the recent spate of articles saying that antidepressants don’t work.

Yeah? Let me tell you what doesn’t work—exercise, music, writing, time spent in contemplation, meditation, talking with friends. How do I know? ‘Cause I do all of these things on a regular basis, and guess what? If I miss two days of Remeron, I start to feel shaky and anxious. That happened to me two weeks ago, but I was smart enough to go to the pharmacy, explain that I had run out of the pills two days before, and that I had an appointment with my doctor in a couple of days.

They know me, nodded, and got me the pills. I took the Remeron immediately, though my hands were shaking so hard I could barely hold the glass. And I felt perfectly fine forty minutes later.

I feel now that I’m spinning my wheels—that I need to write something and I don’t know what and it’s scary. I’m not undisciplined, I’m not a coward—but something is blocking me. So I may do the dark night of the soul—why not?—and sit down and confront myself. But trust me—no depressed person could do that. That takes every molecule of mental health—a depressed person doesn’t have the strength even to think of it.

That said—I wonder if there really is a stigma today about depression or admitting to a mental illness. Part of it is having come out as a gay man—after you do that, admitting to depression is a sort of snore. But it may be true—for many years I could not get help, and it took a screaming brother and a panicky husband to drive into the arms of a psychiatrist.

“I want to die,” I once told a student, who popped back with, “that just means you’re not listening to God.”

The fury that surged through my body was liberating—perhaps nothing she could have said was more beneficial. And so we come to the theory that depression is simply rage or some other negative emotion suppressed.

Maybe—but can we just do whoever-it-is theorem? Remember—the idea that when there are two or more competing explanations, go with the simplest? Here it is, then.

We’re gonna have to go back to the idea that there are two major types of depression—one situational and reactive, the other biochemical. And we absolutely have to get through our heads—asking anyone with a biochemical depression to do anything except take medicine is like asking a diabetic to adjust his blood sugar without insulin.

The other thing we need to do? Interventions—because a depressed person cannot get help by himself. I robbed myself of forty years because I couldn’t reach out and couldn’t get to a shrink. Until the crisis came, I was stuck. So it’s simple—we ask everyone close to us if they’re depressed. If the answer is yes, we call a shrink, make an appointment, and tell the person, “I’ve made an appointment for you, and I’ll go with you.” It’s the only way to do it.

Was it really 40 years? Were there really no good times, happy days, smiles, light moments?

Yes and no. Of course there were good times. But depression is a psychic pair of sunglasses that seem to get brighter and darker on different days, but never seem to be taken off. Change the metaphor—depression is the movie in black and white, when all the rest of world is watching in color.

And if the medium is the message? In other words, was I watching a different movie because I was seeing it black and white?

Don’t know.

Think so. 

Don’t know….