Tag Archives: mental health

will we all be ourselves again in 2021?

Ben and I are back in Canada again. We put in our 14 days in self-isolation before moving over to my sister and her husband’s multigenerational home. We were welcomed with open arms after our two weeks in the AirBNB we returned to for this second quarantine, a few minutes away. However, unlike the last time we were here, this lockdown took place during American Thanksgiving. I took the part of the spirit of the holiday to heart, and opted to catch up with friends and family. And even in conversations that might have otherwise been awkward, given how many years have gone by, this year there is no shortage of material, because in 2020, we have COVID-19. Even for my friends and family who have not had direct experience with the disease, the impact of the pandemic on society is the common denominator for everyone I know.

I tell the same stories repeatedly with regard to the pandemic, all of which end with “…and we were so lucky.”. We were lucky that neither Paul nor I ever got sick. We were lucky that no one we knew who had the disease actually died from it (although we do have friends who sustained serious lung damage.) We were lucky that neither of us lost our jobs. We were lucky that I was able to work from home at a time when Ben needed me. We were lucky that Ben was in middle school and able to manage remote learning (mostly) by himself after the first few months. We were lucky in that we had almost no direct, personal losses from this horror show.

And most, if not all, of the people that I talked to last weekend have similar stories. In Vancouver, the lockdowns and closures have been similar to Toronto and New York for the past few months, even if the infection and death rates are lower. All of us, in our major cities, have all transitioned to outdoor activities and social distancing. Coming from New York, I have a slightly more extreme story, from the first few months of illness, when the numbers skyrocketed and it felt like an apocalyptic event. I can tell the story of that shared city-wide trauma when we all helplessly watched the hospitals fill with the most vulnerable and committed New Yorkers. As an individual though, my story is still one of privilege.

Still, this shared event has impacted us all. And in the US, we had the pandemic coupled with the presidential election, a season of stress and fear that the very fabric of democratic society was going to tear out from under us. Canadians watched the election with only a small amount of emotional distance, fearing an overflow of white nationalism or the economic and cultural impact of seeing the United States tear itself apart. And so, the twin fears of the pandemic and the end of democracy loomed over all of us this fall to some extent, as we all struggled to keep ourselves going with our day to day. I feel as if everyone has been in their own personal struggle, together and yet alone, knowing we were all impacted, yet being unable to pull back from our own individual degrees of madness.

Now, we’re seeing the first rounds of vaccine coming out, and have hope that after a very long winter there may be a suggestion of normalcy on the horizon. The election is settled and we are almost at the end of the lawsuits that the outgoing president seems determined to inflict on the country as part of his final grift before leaving. And once these two terrifying crises are over, will we all be able to be ourselves again? How do we go back to the people we were before everything fell apart?

For most of 2020, I don’t feel I’ve been myself. I had to narrow my field of vision, keeping myself focused on just getting through each day, unable to look up or around for fear of being completely overwhelmed by just how much of a dumpster fire America has been. For four years, we’ve gone about our daily lives, all the while with the vertical shadow of Trumpism over us, a giant sun blocker set up exclusively for the personal profit of its enactor:

If there was a way for the president to profit from it, I’m pretty sure this would have happened IRL

Then, we had the horizontal landscape domination of COVID, which took over every aspect of our lives. We’re still watching our city slowly falling apart under the strain, with so much of what makes New York wonderful cancelled in order to save the lives of more New Yorkers. The impact of COVID is overwhelming when I look outside my own little family. This is why I feel like I’ve been wearing horse blinders for the past nine months. Seeing too much of the world would have kept me from going forward.

Blinkers (horse tack) - Wikipedia
We all needed some sort of blinders in 2020

So as we wrap up this year, and as I talk to friends, I have to wonder whether we will go back to being ourselves in 2021. Who are we without these two huge, overshadowing disasters? Who were we in the fall of 2016, before nationalism put a would-be oligarch in office? Who were we even in February of this year, before we began to live under the impact of COVID-19? Can we go back to being ourselves in 2021 and if so, what will we even talk about without these all-encompassing disasters?

the flattening of 2020

There is a flat aspect to life right now that we are just not used to in 21st century urban America. The world seems like it lacks dimension, like everything has been reduced down to the flat line we’re all traveling on to get to the other side of this crisis. We are so used to lives with so many wonderful aspects, that to be lacking in experiences, whether those are shared or not, renders life strange and devoid of color.

Walking through Manhattan today, I thought about how one of the major impacts of this shutdown is the removal of choice. Being out of the house, walking around a city, my instinct is to be able to take a break in a cafe or restaurant, to be able to go inside a landmark or museum, or to be able to shop if I see an interesting store. All of those choices are gone right now. There is no choice to duck into a store, nor is there an option to sit in a Starbucks and doodle in my journal. At night, the bars and clubs are closed, and there will be no goth club events for the foreseeable future. These small, everyday choices are effectively negated by the pandemic, as all “third places” have been rendered closed until further notice. For a city like New York, which depends on those third places to give its citizens space outside their tiny apartments, this adds a further sense of confinement to the already narrowing world.

The second shared impact is temporal dysphoria effect of the shutdown. The pandemic has created a shutdown state in which we are all reduced to the same daily routines, in the same space, without any of the movement or change that delineated days, weeks or even months. It isn’t just an issue on weekdays, when the workday ends and we lack the transition to home lives. It is the weekends, in which we remain in the same space, often doing the same tasks on a Saturday as we might have on a Monday. It has been the months in which we have not been able to gather for holidays, or attend the events we associate with spring, or engage in any of the societal milestones that usually mark time. Time has lost meaning for many of us, as our spatially based routines have been interrupted and eliminated. Our lives have lost those temporal dimensions.

With the flattening of our experiences though, and the compressing of our sense of time, there is also a shared sense of loss for these strange months. We all feel as if our lives are passing us by. There is a lethargy and a despair that is beginning to set in among New Yorkers, as we go into our twelfth week of quarantine without a real end date in sight. There is a lack of hope setting in, coupled and connected to a deep fear of negative change. We are unable to hope without a timeline for when hope might be practical, yet we are absolutely able to fear the future without a set schedule of when it might arrive. We lack the hope of being able to look forward to all of the things we loved about the city, which leaves us all without a counterbalance to the deep sense of foreboding and dread as to what the city will look like when we are on the much anticipated other side of this pandemic.

Fear without hope means that even this flattened existence feels unstable. The one-dimensional existence we all feel we occupy right now still manages to feel as if it has a deep dread underneath it, as if we are all on a sheet of ice over unfathomable dark waters. Every day we hear new stories of loss, of possibilities being extinguished, either by the disease or by the economics of the situation. It is the only thing that moves time forward, the litany of news that seems to remind us every day that there is a disease threatening the most vulnerable among us, that the urban way of life may be a victim of the disease, and that there is a madman in charge of the country who offers no support or compassion to any victim.

I am hopeful that these will, however, be the darkest days of the pandemic. I am hopeful that we can open up NYC without putting the people at risk who already need more support just to survive, provided we are mindful of that risk as we do so. I am hopeful that experiences and choices will expand, slowly, to give us all back the connection to the city, to each other and to our lives’ experiences we miss so very much. Until then though, we will all have to rely on our sense of empathy and compassion to get through this.

out of hibernation

I am a big fan of the Thursday Next series, the alternate reality, extremely British series by Jasper Fforde. Last year, I read his new, even more insane book, “Early Riser“:

“Bonkers” is a very good word to describe this one

The basic premise of “Early Riser” is that everyone hibernates, like bears, through the winter. Society is therefore structured around the hibernation season: eating more leading up to winter, surviving the winter without starving to death, and shutting down everything that isn’t absolutely essential during the winter season. For those of us with seasonal depression, this actually sounds like a fantastic idea as it would relieve 100% of the pressure on us to function during the winter months.

Unfortunately, we do not live in a society structured around winter hibernation, and as a result, I have to keep functioning until the time change and vernal equinox in March. With depression though, I have to expend twice as much energy to accomplish what feels like half as much work. It is difficult to start an activity or action, and I do not feel any sort of joy or sense of reward from completing it. With the commitment level that I have in my life, I then feel stress, anxiety and guilt for not having completed the tasks that I owe to other people, whether that is at my paying job, my volunteer work, or to my family. The resulting pressure mounts up over the next few months and by March, I’ve usually hit a wall:

Cycle of depression and anxiety

This year, however, I’ve been blessed in that spring seems to have come early to the Northeast. The weather this weekend has been sunny and brisk, but not freezing. The world is filled with light and early blooming spring flowers. I feel like I am waking up, like my hibernation is over, like it is mentally safe to emerge and take back on my usual day to day existence without having to fear that I won’t be able to honor or complete my commitments. We may be doomed to changing weather patterns in the Anthropocene, but at least the 2020 weather patterns are benefiting me personally!

Still. I wouldn’t mind a hibernation period every winter. I would love it if nothing was expected of me every winter for about three months, while I slept and allowed my brain to rest and heal itself. Perhaps someday I’ll be in a position where I can align my life with the seasons, allow myself not to fight and struggle as hard as I can against the constraints of depression every winter. Perhaps I am made to hibernate. Between the idea of hibernation, and the concept of literature as a driving force of society, Fforde is onto a lot of alternate reality ideas I would be happy to get behind.

four days of unemployment flow state

I’m actually unemployed for the next four days.  I haven’t been out of work since moving to NYC so I’m kind of in shock at this.  This isn’t like taking a vacation because I literally cannot work.  Merkle has cut off my IT access so I can no longer work on anything for them.  I have not yet started at OMD.  There is literally nothing for me to do in terms of actual paying work.

I cannot work, so I have the extreme luxury of spending my week engaged in my own personal projects and self-development.  Which, today, means a Cave Day.  This is enforced focus time, in which phones are confiscated and participants are encouraged to work on singular projects to encourage “deep work”.  I chose instead to work on my backlog of email and Scout related tasks, which doesn’t quiet my monkey mind, but does make me feel like I’m making headway on my always overflowing inbox.  Despite not having sunk completely into the “flow state” that often soothes my brain,  I  was able to action, reply, and file over a hundred emails in a couple hours and identify new projects and opportunities to be of service to the community in the process.  Feeling like I am supporting my people, my community, is valuable, even if I’m doing it one small task at a time.

For this afternoon, I’ve chosen to write blog posts for the sheer experience of being back in a “flow state”.  This means that this isn’t going to be a terribly entertaining post.  (Although, really,  have my posts been that entertaining since I stopped chronicling the Adventures of Being In My Mid-20s In Los Angeles?  PROBABLY NOT.)  It is, however, a chance for me to get my own thoughts under control and to assess my priorities in a slightly more public forum.  When I’m not working an actual paying job, what is it that I choose to do and why?  And what long term effects do I hope to get from only four days of such chosen activities?

Let’s start with the challenge of being in a flow state.  This does require one to focus on a singular project or task.  No checking emails, no checking Facebook, no responding to notifications. However, there is a school of thought that believes that the state of flow is one of the most critical factors to happiness:

https://embed.ted.com/talks/lang/en/mihaly_csikszentmihalyi_on_flow

The inverse of flow state is what I have most recently heard referred to as acedia, a state of despair resulting from apathy and a disregard for life.  This term was originally coined to refer to monks who did not pray sufficiently, a condition that later became a sub-category of sloth.  I tend to think of it as inertia, an inability to move forward or to regain the energy for life that keeps me in perpetual motion.  The cause, however, seems to be ultimately a lack of flow state activity.  A brain without flow state activity, be it a monk unable to focus on meditation or prayer, or a secular individual not engaging in deep work, seems to be a disconcerted and unbalanced brain.  Add to this our American Puritan notion of work & the value we place on ourselves as related to our accomplishments, and you have a tremendous recipe for mental illness from both shame and misery.

To combat some of this, I’m focusing more on activities that bring my brain into a flow state.  Blogging is one of those; I spend an average of an hour on a blog post, from concept to writing to editing.  I drop into a flow state sometimes when I’m sketching out concepts for work, drawing out slides for a presentation.  Give me headphones and Excel and I’ll drop into flow state while I tease out data for the story of a presentation. I can spend a half hour drifting along on the piano, noodling on scraps of pop songs.  And when I’m biking in traffic, with my whole brain occupied with movement and not dying, I’m really in a flow state.

Still, writing is the best and most reliable way to enter that brain state, so I am trying to change how I look at it.  Instead of writing for fun as being what I do when I have finished my other work, I am trying to look at it as what I do to train my brain back into being able to do deep work.  Ultimately, by doing so, I’ll also quell my monkey mind, capture a state of deep work and satisfaction, and make my brain a little calmer and happier.

I also want my brain to be practiced in how to do deep work as I transition to a new job.  The value of a knowledge worker like myself is in her ability to do work that no one else can do.  That is deep work, the work I pull out of myself, the observations I create and act on, the goals and vision I work towards.  I will be looked to for my ability to deliver unique work, and only by really focusing and delving deep into my brain will I be able to do so.  I have to practice putting my brain in that state so I can deliver on that promise to my new team, my new agency, my new clients.  Whether it is the distraction-free peer-pressure focus of a Cave Day, or an hour spent framing up a blog post, I must work my brain just like I work my quads and hamstrings in a spin class until I can beat my own time over the Brooklyn Bridge.

It is with the end in mind, or rather my mind in mind, that I therefore planned out my “week” of unemployment.  I could have spent a month doing this, easily, and I actually considered taking more time off to do so.  However, I also have to have healthcare benefits for my little family, so four days it is, and I’ll be grateful for the time I do have.  With that said, I’ve chosen to spend today trying more to monotask, at a morning Cave and then spending the afternoon in the same physical space, albeit without the facilitator (meaning I get to keep my phone).   After this, I’ll go to the gym, lift some weights, do a spin class to stay in my bike commute shape, and then go to a GTD meetup so I can revisit my productivity ninja skills before going to a new job.

The rest of the week, I’ve opted to alternate productivity practice with “staycation”.  I plan to spend Tuesday at the spa on 57th, getting a good old fashioned Korean skin scrub to fix my itchy, itchy winter skin and then I intend to loiter extensively in their hot tubs and saunas for the day before going to meet friends for drinks.  Wednesday, I have another morning Cave, followed by the (sigh) next stage of my right side dental implant and then I’ll be home to celebrate my husband’s birthday for the one hour between when he gets home and when he has a co-op shift.  Thursday, I have no agenda, and I may  choose to spend at least part of the day at one of the museums (the Morgan, the Met Bruer) that I really would have liked to have gone to by now .   I’ll also prioritize re-establishing some of the habits I fell out of while in my own state of acedia the last few months that benefit my mental health so much, such as my love of intense cardio (spin classes!), and my piano practice.

Four days isn’t anywhere near enough to engage in the kind of re-development, habit building and brain-training I’d like to be able to engage in but it is something.  It’s like four days of gifts in a row, the free time and ability to refocus my energy on something that isn’t agency work, a license to engage my brain on projects that are easier to launch myself into and stay engaged in.  Of course I will obsessively plan the time five times over and realized I still won’t have time for everything I wanted to do, but that’s also okay.  It’s four days of learning and focus.  It’s four days where my only job is to not have a job.

optimizing my brain

It has become fashionable, the past few years, to attempt to “hack” one’s brain.  This is an attempt to get one’s brain to run better, faster, smarter.  It is also a great way to sell something called “nootropics“, a futuristic, Orphan Black-esque term for a new wave of vitamins (mostly amino acids and vitamin B derivatives) that are supposed to aid with such “hacking”.

Image result for brain hacking

This is your brain…ON THE FUTURE

I believe, to an extent, that there is some brain “hacking” that can be done, although I do not love the term.  To me, it smacks of Silicon Valley bro-ness, the kind of toxic masculinity that has made the tech industry deeply awful for women.  I prefer to think of it as brain optimization, rather than hacking, as optimizing my brain is really about understanding the 2+ pounds of electricity and protein that lives inside my skull, that contains everything I am.  If I can better understand the mechanisms that govern the electrical impulses that make up my thoughts, then can I get a better grip on the efficiency of those thoughts?

I recently read Stealing Fire, a book on the use of substances or other methods of altering one’s brain for extraordinary results.  While it does focus extensively on the use of mind-altering drugs, it counts everyday substances in that category, everything from coffee to prescription medications. We may not all be using ketamine for out of body experiences, but most of us are using some form of chemical to alter our brains.  It was an interesting perspective, much more on the metaphysical plane, putting the quest for brain control and mind altering more into the realm of philosophy (“I think, therefore I am” sort of meta-ness), telling a universal human story rather than limiting the results to th emore prosaic productivity boost that “brain hacking” promises.  “Stealing Fire” was a more grandiose picture of mankind’s ongoing quest to lift up our mental and spiritual energy through physical substance (see also: Half Asleep in Frog Pajamas), and it contextualized the “brain hacking” trend as really just being a small corner of that quest.

My own quest falls somewhere in between the metaphysical and the mundane, as it’s directly related to the mental and spiritual effects of having a chronic depressive condition.  For the decade plus that I took Wellbutrin, from 2005 until, well, six weeks ago, I grappled with its effects on my actual being.  Was being on this substance altering who I was, in any way?  My ultimate answer to that question was that not only did that particular non-SSRI antidepressant not change who I was, it actually allowed me to be the person I was meant to be.  It was a substance that unlocked my brain.  The Wellbutrin reduced the paralyzing depression that had previously impacted my ability to live my life on a consistent basis.   Problem solved, I thought, at the time, as I went on to build my life, meeting my husband, building my career, moving to Brooklyn, building the Scout organization, building my friend circle – my life is extensive, expansive, and has few limits on how much I can do in it.

Reducing the impact of the biological condition of depression actually brought forth who I am as a person, allowing me to explore my own mental and spiritual state without the intervening detriment of poor mental health.

The problem is that the substance I relied on to make me, well, me, wasn’t consistent.  My depression flare-ups became longer and increased in frequency over time.  When I changed my body’s response to food by switching to a Paleo food lifestyle in 2013 , the condition improved again.  And over time, rather than change my dosage, I began to try to identify more and more ways that weren’t the Wellbutrin that would net similar results to the antidepressant: cardio or HIIT exercise, being in sunlight, not drinking, avoiding grains and dairy, avoiding sugar, getting a good night’s sleep, meditation, journaling, etc.  Some of the tools made more difference than others, but overall, I began to understand what had an impact on my brain, and began to understand the links between the mental, the physical, and the spiritual.

All these physical, mental and spiritual factors are interconnected, and we cannot separate them if we wish to be whole and happy.

And then I finally faced reality.  The antidepressants I had been taking weren’t working.  They likely hadn’t worked for some time.  In fact, in November, my brain wouldn’t recognize the anti-depressants or the caffeine I added to them each day,   I thought I had Lyme disease, I was so exhausted, until I finally cut back on caffeine, added some nootropics, and felt better for a while.  I made it through the winter, and then as soon as we hit the March equinox, I went off the substance I had been using for thirteen years to alter my brain chemistry.

Needless to say, it was unpleasant.  The first few weeks, I could only stay awake until 2pm.  Twenty-five years of caffeine reliance plus thirteen years of using a stimulant as a basic part of my brain chemistry did not allow me to remain at one 8oz cup of coffee per day.  Instead, I felt like a puppet whose strings had been cut, drooping and looking for the system that had pulled me through my life.  I started eating for energy, as working from home gives me endless access to snacks, many of them of the higher carbohydrate variety from Ben’s snack assortment.  I could barely drag myself to the gym or through workouts, I was so tired, yet I couldn’t sleep at night. It was a textbook withdrawal.

Two weeks of this and I was almost in tears at the lack of productivity and the lost time.  A month in, and I sprained my ankle and had to weigh in at the doctor on my visit and realize, it wasn’t just that I’d lost time, I’d gained almost ten pounds of weight that would have to come back off if I was to fit in my client visit suit or my tick-proof camp pants ever again.  This isn’t just about vanity or societal pressure, but about not having to replace my utilitarian clothing in a larger size.

So now I have to not only hack my brain to run without antidepressants, but also have to “hack” my own EXTREMELY STUBBORN biology to lose the weight.  Which is a whole other entry as well.

Image result for plump as a partridge lose weight

Yep, this about sums it up.  Thanks @lacomtessejamie

And I have to recognize that despite all this “hacking” or “optimization”, or whatever I wish to call it, there are going to be days when I just…can’t.  Last night, I had a rough day “at” work, in that I made a major misunderstanding on one of my new accounts in how I interpreted an agenda topic as related to the client’s business.  I also failed to move outside the house, choosing instead to rest my ankle.  I was also tired by 4pm as a result, and I just felt hopeless.  How am I supposed to live my life, I thought, if I can’t stay awake until 4pm even with a good night’s sleep, if I have an ankle that will seemingly NEVER HEAL, if I can’t even understand the job I am supposed to be good at

There are always going to be days in which I feel like I can’t.  And it’s going to be hard to change that and say, I can, without having a stimulant to get me all hyped up and enthusiastic.

So now, what I have to work on, is getting up every day and saying, “I can,” and pushing myself through the work that will optimize my brain to replace the load of stimulants that I cranked through it since I was a twentysomething junior digital media buyer living in Venice Beach.  I am a different person now: I acquired several additional layers of person along the way, including a husband and son.  I built a life in which many people rely on me: my friends, my colleagues, my community.  I built that life using a brain I used a commercial antidepressant to optimize.  Now I have to achieve the same results without that medication.

Most of the time, I feel like this is a story where the moral is that the Wellbutrin didn’t actually work, and therefore was really only a “magic rock” kind of thing: I did this all by myself and the antidepressant was believing in myself all along!  And then I’m tired at 4pm or can’t sleep CLOWN’LL EAT ME and think, why did I give up the stimulants that gave me the energy to push through this, even if they weren’t actually fixing the problem I took them to fix?

The answer is, because those antidepressants, while they worked great to correct my perception of my condition, weren’t fixing the actual problem that causes my depression.  I have a genetic biological condition that alters my brain chemistry enough to impact my mental state.  The NRI was just pushing me through that condition by effectively overriding it.  The most recent research on depression suggests it is more akin to a flare up of a biological condition than just a matter of “being sad”.  Taking a stimulant every single day may have forced my brain to remain in an upbeat state by altering my brain chemistry and increasing the amount of norepinephrine floating around in it, but it doesn’t fix the underlying physical flare-up that caused that mental state to occur in the first place.

And that physical aspect of the condition – that I can optimize.  For that, I can take physical, real-space actions to reduce the impact on my mental health.  That’s where all this brain “hacking”, optimization, whatever one wants to call it – that’s where it comes in.  It’s a quest for the “true self” on a higher level, but on a day to day basis, it’s “what actions can I take to keep my brain in a healthy state where it will crank out client presentations and not sink into a state of despair?

And that – that is another entry, for another day.  Probably tomorrow.  Because one of the bright sides to being benched with the ankle this week, is that I have extra commute time to re-invest in writing blog posts – one of the other many things I’ve identified that makes my brain a little happier.  A few days of writing, a return to a solid meditation practice, it’ll all help optimize my brain.

simulated caffeine withdrawal

Last Friday, I hit a wall.  I ran out of energy.  I thought it was a depressive episode at first, triggered by hormones, a unique facet of depression that only biological females have to contend with.  Then it stretched out for a week of exhaustion, of headaches and dizziness, of a slightly elevated pulse, of a need to constantly nap or rest.  Now I’m not sure what it is, if it’s depression that has extended itself into physical symptoms or a physical condition that’s causing me to be exhausted and subsequently depressed.  Given that cardio – either running or cycling or HIIT – is a key part of my self-care and depression maintenance, it may just be that my inability to muster the energy for exercise is making the mental condition worse, feeding into the cycle.
Whatever it is, I would like it to stop so I can have my life back.  It feels like I’m in caffeine withdrawal, like someone has swapped my two cups of high octane organic coffee with decaf.  It feels like the norepinephrine and dopamine that my antidepressants are supposed to keep in my brain are missing again.  It feels like any and all stimulants, whether from the antidepressants or from caffeine, are simply missing, leaving me in a state of withdrawal and misery and exhaustion.  It feels like my batteries are drained.  Maybe I’m sick, maybe I’m depressed – I have too many x– factors to be able to tell.
I thought it was enough that I already spent hours every week trying to hack my brain and correct the chemical imbalance I was born with.  I have a problem with my brain’s wiring, an inherited depressive condition that causes a complete lack of motivation.  Superficial research indicates that this is a problem with the receptors in my brain: I do not get any sort of positive reward for tasks accomplished or for actions that should give me joy.  Hence, a sort of Eeyore-ish response of “why bother?” to every possible action.  Why accomplish anything?  Why even get out of bed if there are no positive emotions to be had for it?
This is not the best way to live my life right now.  I’d like to have my normal existence back now please.  Perhaps there is a physical reason I feel this way.  I hope it’s something I can figure out, fix, and get back to my normal existence