Posted by fxckfeelings on April 30, 2020
As with addiction, admitting you’re depressed is merely the first step to management and recovery. After that comes the work of fighting your depressive thoughts so they no longer make you doubt yourself, your work, and your right to live. So if, as with our reader from earlier, your grief and/or depression are making your life impossible, here are five ways to prevent those depressive thoughts from becoming assumed beliefs.
1) Ignore Your Emotions
Depression is like having your own personal garbage internet messageboard in your head; it will tell you you’re bad at your job, have lost the respect of those you work with and for, and should just crawl in a hole and die. In truth, you’re probably doing a good job, given the way that you feel, so the first step is the most obvious one; learning to push back when your brain floods you with negative feedback. Just because you feel bad doesn’t mean you’re doing everything badly, so don’t let your sadness taint your impression of your performance, self, worth, etc.
2) Be Your Own Best Friend
One quick way to refute your internal negativity is to ask yourself whether you’d say something similar to someone you care about. Ask yourself what standards you would expect this friend to meet given their situation/illness, and what language and tone would be appropriate, both in terms of being kind and motivating. You’d probably conclude rather quickly that you would never been that harsh to a friend because it’d be far more hurtful than helpful, and if you wouldn’t say it to a friend you shouldn’t say it to yourself.
3) Find the Facts
The best way to combat the misinformation coming from your brain is through research into your illness, because knowing exactly how depression works, and how little you are to blame for being afflicted by it, will make the thoughts easier to ignore. You will find that illness happens and people often have very little ability to prevent it. And even when they know they didn’t cause it they find ways to blame themselves for not eating healthy or sleeping enough, even though the major causes of depression are usually bad genes or bad luck. You will also find that depression is common, can be triggered by grief, and that you can lose focus and motivation regardless of how well you take care of yourself or how motivated you are to do your work. Once you know that your illness isn’t your fault, it’s easier to take its insults less personally and be less ashamed for being afflicted.
4) Stand Up To Stigma
Even after admitting to yourself that you’re depressed, it can be hard to admit it to others, especially outside of your inner circle. On the one hand, you’re entitled to keep your personal information private. But if your depression is imparing your ability to do your job—if it makes you look angry or withdrawn, or less eager to volunteer to do your part, or harder to focus and do your job well—then calmly stating to your colleagues what you’re going through won’t just explain your poor job performance but will also probably make them more understanding, patient, and eager to help going forward. Don’t ask for help apologetically, as if you’ve messed up and need forgiveness. Instead, let people know you’re having a tough time with symptoms, but you’re still trying very hard to do a good job and take care of your problem.
5) Out of Hiding, Seek Help
Your depression may tell you that it’s not worth getting help, or that looking is too hard, or that you’ll just end up pumped full of drugs and even more miserable. But this, of course, is yet more bullshit. Fighting the negativity of depression is hard, but a cognitive therapist can help you identify and challenge those negative thoughts and prevent them from becoming accepted. Medication may also help, although it takes at least several weeks to work and often requires multiple trials before an effective one can be found. Mostly, finding outside help will give you the support to face your illness. It will give you an outside opinion to remind you that you’re not a bad person, that bad symptoms happen to sane people, and that you’re not alone. Respect your work ethic while you prepare to fight a serious illness and give yourself the support and treatment you need.
Posted by fxckfeelings on April 16, 2020
People worship self-esteem and confidence as if they signify success and are as much of a job requirement as being able to learn fast and use Excel. In reality, although skill and experience will certainly make you feel more confident, and while confidence is a useful trait, there are lots of random, uncontrollable conditions that can deflate your feelings of self-worth, like illness, depression, and loss, and they have a way of combining and reinforcing one another and making work, and life, impossible. So if you’ve built up real skill and experience and know you’re good at what you do, it shouldn’t matter if you feel terrible. Indeed, if you can feel lousy and still do a good enough job, you’re qualified to do almost anything.
-Dr. Lastname
It has been almost a year since I’ve lost my father. Aside from trying relentlessly to deal with the grief, I’ve also turned into a less confident, socially awkward person at the worst possible moment. I’m in my residency where confidence and interaction with people is highly scrutinized, along with the intelligence and capacity to handle extremely sick people. Stress is at an all time high, and I struggle everyday to remember how proud my dad was of me for achieving my goals. But now that I’m so close to completing my goals…I feel myself letting them slip through my fingers because I don’t have the will or energy to do the work. My goal is to learn how to get a grip and to not lose track of my life goals.
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If dealing with loss and stress weren’t depressing enough, you now have actual depression to make you feel even worse. A stupid/simply as it may sound, it’s really depressing to be depressed, particularly when it interferes with your energy, performance, and ability to achieve your bigger life goals.
Unfortunately, severe depression often affects those parts of your brain that control drive, concentration and social interaction, and grief is often indistinguishable from depression, so your father’s death has, in effect, triggered a disabling illness. Then your feelings of failure about your disability are causing more depression, which makes his absence feel even more painful, and it keeps feeding itself until your career, ability to get out of bed, and will to live are completely gone.
But don’t believe for a moment that your current disability is any more significant than one caused by a stroke or concussion. Your poor performance is not a measure of laziness or incompetence, simply of temporary brain dysfunction and bad luck. Depression will tell you otherwise because it is notorious for creating intensely negative self-judgments and ruminations, but depression is also a notorious liar. So it’s important for you to confront the vicious cycle of depressive symptoms, fake news of failure, and more depression.
With the help of a friend, coach, or therapist, get help in restoring your perspective. Then let others know about your illness and its symptoms. Your colleagues and supervisors will be relieved to know why you’re not performing as well as usual and they will expect that, with time, help, and recovery, you’ll eventually get back to yourself. Meanwhile, they should be willing to give you the same support as if you were recovering from any illness.
Friends will also be relieved to know why you’ve been antisocial lately. Just as depression makes you feel like a failure, they’ve been thinking that you no longer value them as friends; your taking depression personally leads them to take your depression personally. When you let them know what’s really happening, you also block that infectious distortion, let them know you care and allow them to be helpful.
As a doctor you know that illness just happens and that it can be disabling, so use your professional experience to accept your depression as just an illness like any other. Learn to fight the feelings of failure and set up procedures and a group of helpers that will speed your recovery.
Depression hurts and disables, but it can’t do nearly as much damage as the false thoughts it creates if you start to believe them. So remember who you are and use your experience to reject false thoughts. Eventually, they’ve been so trivial and inconsequential that you’ll be able to move on in your career and from the pain of your father’s death without depression getting in your way.
STATEMENT:
“I may be performing poorly, but I know I’m impaired by depression and grief. As a matter of fact, for someone who’s as impaired as I am, I’m doing an impressive job just showing up and trying hard to get a tough job done. I can feel nothing but self-criticism, but I have good reason to be proud. I need to take good care of myself and let others know what’s happening, so they can help me get through this tough time.”
Posted by fxckfeelings on May 16, 2019
When your life is particularly unstructured and chaotic, it can be hard to restore order, especially if you’ve usually relied on outside sources—like your family, school or job—to provide structure and discipline for you in the past. So when you can’t find a tiger mom or drill sergeant to whip you into shape, here are five ways to be your own disciplinarian.
1) Prepare a List of Your Priorities
Even if your whole life is up in the air, there are certain fundamental needs that keep us all grounded, like money, food, shelter, and health care. There are probably things in life you think you need, from a romantic relationship to a drink, but it’s worth sitting down and differentiating between your needs and wants, then making a plan to fulfill those needs in a way that doesn’t violate one of your other major priorities; being a decent person, despite the shitshow that you’re currently living through.
2) Don’t Give in to Distraction
If you’re someone who tends to put the needs of others first—either because you’re just programmed that way, or because experience, like military training, has done the programming for you—then you have to learn to supress that instinct. The common analogy in times of personal crisis is to think of airline safety instructions; you need to put your oxygen mask on first before you can help anybody else. For veterans in particular, the instinct to find good people to protect and bad people to attack will be strong, but your job right now is to protect yourself. Otherwise, you’re useless to help the people you care about.
3) Reflect on Your Resources
No matter how resourceless you may feel, and no matter how many obstacles may be in your way, from health to legal issues, you always have time and abilities you’ve accrued over the course of your life. If you’ve had military training or just waited tables, or have a rich uncle or just know someone who knows someone who’s hiring, you have abilities or connections that can help you get through.
4) Set up a Schedule
After you settle on a list of priorities, make a daily schedule with blocks of time dedicated to each item on your list. If can get some idea of how much time you’ll need to accomplish each goal, that will make you schedule even more useful in terms of dividing your time more wisely and prioritizing tasks even further. Then set alerts on your phone, set up a rewards system for yourself, whatever it takes to keep your new structure intact.
5) Build a Team
Since phone alerts are rarely enough support, don’t be too proud or shy to get your friends and family, or even a professional, like a therapist, to help you stay focused. Assemble a team that’s willing to help you monitor your progress by discussing your planning, reviewing your schedule and priorities, and talking with you regularly about your execution of your plan. Remember, you’re supposed to lean on their shoulders, not cry on them; if you unload on them with your feelings of helplessness or disappointment, it will make them feel helpless and likely to abandon the mission. Keep focused on what you’re trying to do, and they’ll help keep you focused on your goals in return. Then they’ll be more motivated to give you what you need, you’ll be more motivated to do what you need, and you’ll have a structure that will support you and your plans going forward.
Posted by fxckfeelings on May 2, 2019
People often complain about having to deal with an overbearing boss or teacher, but they usually don’t complain when they see the results; tough-but-fair authority figures also give people well-defined goals, keep them busy and organized, and push them to maintain good habits. They’re demanding, but they’re also in demand, which is why we pay high tuitions for good schools, commute long distances to work for well-run companies, and, occasionally, flounder when a tough boss or strong structure is no longer in our lives. Living in chaos can make it easy to lose energy, confidence, and momentum, but you can implement your own sense of order by accessing the values that you care about most, limiting bad habits and developing the behaviors and plans that will make you not just your own boss, but a boss, period.
-Dr. Lastname
I’m a combat veteran who served in the middle east. I got out a few years ago, but after coming home, getting a job, going to school, and generally doing well, I’ve hit sort of a rough patch. I broke up with this girl that I was dating and I legit broke the fuck down (probably because it was my first serious relationship). I was then able to hold everything together for a bit, but over the last year I’ve lost my job, failed out of school, and have no idea what the fuck is going on. I feel as though I have lost the discipline I gained while in the military. I went to see a therapist but he was more interested in learning how to treat veterans then actually helping me figure out my specific problems. Oh, and my parents are going through a divorce right now, but that does not bother me that much as neither of them is dying or anything (but if figured this is pertinent as every head headshrinker I have ever seen in the movies always tries to blame it on your parents). Plus I was coping for a while by drinking way too much and have been smoking weed way too much, although I’ve been sober for a month or so now. My goal is to get over this hump and force myself to do the things that I know I need to do to achieve the goals that I am certain I am capable of.
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