The Noonday Demon

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“Grief is depression in proportion to circumstance; depression is grief out of proportion to circumstance.” 

― Andrew Solomon, The Noonday Demon: An Atlas of Depression

Andrew Solomon is one of the best writers I have ever encountered.

He also took the time to reply to the message I wrote him after reading, “The Noonday Demon". I thanked him for the care that he took in writing about depression, and for his honesty in disclosing his personal fight to the public. So he gets major brownie points for that.

Mr. Solomon’s honesty inspired me to open up about my history of depression and suicide attempts. If I never read his book, I do not believe that I would have had the courage to talk so openly about my life with mental illness.

His openness helped me understand my illness better, and I hope my writing and videos are doing the same for someone else.

If you do not understand depression and how callous a taskmaster it is, I highly recommend picking up a copy of “The Noonday Demon". You will finish the book a far more compassionate person that when you started. Even if you do not live with a mental illness, you will better understand what a loved one is going through, and how to be there for that person.

"The opposite of depression is not happiness, but vitality, and it was vitality that seemed to seep away from me in that moment." In a talk equal parts eloquent and devastating, writer Andrew Solomon takes you to the darkest corners of his mind during the years he battled depression.

The Mental Dictator

Consider the following by Thanatologist, Dr. Sneidman

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Every single instance of suicide is an action by the dictator or emperor in your mind. But in every case of suicide, the person is getting bad advice from a part of that mind, the inner chamber of councilors, who are temporarily in a panicked state and in no position to serve in the person’s best long-range interests.

Then it is time to reach outside your own imperial head and seek more qualified and measured advice from other voices, who out of their loyalty to your larger social self, will throw in on the side of life, and - to use a Japanese image - will urge the chrysanthemum, not the sword.

- Edwin Shneidman

I cannot stress enough how important it is for me to externalize my depression. It is incredibly difficult to fight yourself AND depression. Imagine sparring yourself while depression wraps around your body and taunts you like Venom.

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The whole time you can’t hit yourself because you know yourself too well, and the depression just laughs and laughs.

It’s exhausting, infuriating, and, despite the massive amount of energy you put into fighting, ultimately ineffective.

As Shneidman alludes to, I consider my depression a unique entity within my mind. Something that may be a part of me, but is definitely separate from what I consider to be ME.

This mindset lets me attack thoughts and feelings that arise from my mental dictator. What depressives have in common is our relative inability to recognize when our dictator is taking greater control over territory within our mind.

Fortunately, all great generals have advisors. AND that is where I missed the mark for so many years.

When I was younger I did not consider that others might notice the hostile takeover of my mental dictator before I did. So I modified the advice of Sun Tzu:

Be extremely subtle, even to the point of formlessness. Be extremely mysterious, even to the point of soundlessness. Thereby you can be the director of the opponent's fate.

My enemy is within me. It knows what I know. It feels what I feel. It has one hell of an advantage over me, but it only has that advantage over me. Because of this, it is incredibly weak to my family, friends, therapists, and coworkers.

I cannot recognize that I am about to be depressed due to my depression. It’s a weird blind spot. I only realize it when I am much deeper in the hole than I care to be. So I outsourced identifying the problem to the people that care about me.

Here’s what I do when the dictator begins a new attack:

  1. I say less and less (very subtle, often displays as never answering my phone).

  2. I stop shaving.

  3. I start showing up to things later and later.

  4. When asked, “how are you?” I reply: “I’m okay”, or “I’m alright”.

  5. I decline plans at the last minute.

There are other behaviors, sure. But these are the ones that are more easily identified by other people.

So, if you see me exhibit one or more of these behaviors - do me a favor, and ask me if I’m really doing okay.

Mind Hack: More Vitamin D

I am naturally Vitamin D deficient. Which means I have to find ways to increase the amount of Vitamin D my body can produce. Some of that is with supplements, waking up to a UVB blue light, and driving without my sunglasses. Watch the video to learn more.

Vitamin D Deficiency in Adults: When to Test and How to Treat

Vitamin D: The “sunshine” vitamin

Vitamin D and Depression: Where is all the Sunshine?

Treatment of vitamin D deficiency with UV light in patients with malabsorption syndromes: a case series

Philips goLITE BLU Therapy Device - At $275, it’s pricey, but it makes waking up so much easier for me. Just to note, I’m not a paid spokesman for Philips. I’ve used several light devices and this one has worked the best for me.

Neurostimulation

ECT was first used in 1938 when an Italian psychiatrist, Ugo Cerletti, observed pigs in a Rome slaughterhouse being anesthetized with electroshock before being butchered.  His first human patient begged Cerletti, “Non una seconda! Mortifierel” (“Not another one! It will kill me!”).

- Kenneth Castleman, PhD

When people think about electroconvulsive therapy, an image of someone strapped to a table with electrodes on their temples comes to mind. Just like the image on the left of Jack Nicholson’s character, Randle Patrick McMurphy, from One Flew Over the Cuckoo’s Nest. But really, the image on the right more accurately shows what neurostimulation is today.

Nicholson

Nicholson

Corsetti

Corsetti

Wait, what’s the difference between neurostimulation, electroconvulsive therapy, and electroshock therapy? Mainly, the words used.

Electroconvulsive therapy (ECT), formerly known as electroshock therapy, and often referred to as shock treatment, is a psychiatric treatment in which seizures are electrically induced in patients to provide relief from mental disorders.[1] The ECT procedure was first conducted in 1938[2] and is the only currently used form of shock therapy in psychiatry. ECT is often used with informed consent[3] as a last line of intervention for major depressive disordermania, and catatonia.[4]

https://en.wikipedia.org/wiki/Electroconvulsive_therapy

I kind of like the term electroshock therapy. Makes me feel like more of a badass strapping my electrodes on in the morning. But, it sounds scary so electroconvulsive therapy became the term du jour.

Now we’re onto neurostimulation, which, to be fair, covers more than running an electric current through a patient’s brain.

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Neurostimulation is the purposeful modulation of the nervous system's activity using invasive (e.g. microelectrodes) or non-invasive means (e.g. transcranial magnetic stimulation or transcranial electric stimulation, tES, such as tDCS or transcranial alternating current stimulation, tACS). Neurostimulation usually refers to the electromagnetic approaches to neuromodulation.

https://en.wikipedia.org/wiki/Neurostimulation

Make no mistake, I am shocking my brain with electricity. Not with 180-460 volts, but with 0.5-2.0 milliamps. That’s 0.00000434782% the maximal voltage for ECT. Prevention, as it turns out, is often less severe than the cure.

And ECT isn’t necessarily a cure! We still don’t know exactly why creating a strong electric field inside a person’s skull helps with certain mental illnesses. We know it sometimes works for some people where medications and other therapies have fallen short. Why exactly, we’re still trying to figure out.

I’m always looking for new tools to add to my toolkit. Personal neurostimulation is great for me when I’m traveling, new environments are scary, or when I feel my meds aren’t quite cutting it for my anxiety symptoms.

Like any tool, it’s not a panacea, but when used in conjunction with my other tools, the whole is greater than the sum of its parts.

The Origin and Meaning of "Suicide"

The word, suicide, is one of the most taboo words in the English language.

It is rarely discussed, and often referred to obliquely: “There was an accident,” or outright denied: “She didn’t jump, she fell.”

Suicide, as a word, feel heavy. Those that have practice lifting it, professionals and anyone with lived experience, are the ones who can most readily talk about suicide.

The actual word is a noun, and is described well in the Online Etymology Dictionary:

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Suicide (n.)

"Deliberate killing of oneself," 1650s, from Modern Latin suicidium "suicide," from Latin sui "of oneself" (genitive of se "self"), from PIE *s(u)w-o- "one's own," from root *s(w)e- (see idiom) + -cidium "a killing," from caedere "to slay" (from PIE root *kae-id- "to strike").

The meaning "person who kills himself deliberately" is from 1728. In Anglo-Latin, the term for "one who commits suicide" was felo-de-se, literally "one guilty concerning himself."

Even in 1749, in the full blaze of the philosophic movement, we find a suicide named Portier dragged through the streets of Paris with his face to the ground, hung from a gallows by his feet, and then thrown into the sewers; and the laws were not abrogated till the Revolution, which, having founded so many other forms of freedom, accorded the liberty of death. [W.E.H. Lecky, "History of European Morals," 1869]

In England, suicides were legally criminal if of age and sane, but not if judged to have been mentally deranged. The criminal ones were mutilated by stake and given degrading burial in highways until 1823.

Less than 275 years ago, the body of someone who died by suicide was defiled, mutilated, and discarded. Which is incredible considering the terrific amount of respect we human beings give to our dead. Respect given except when a human being willingly dies by their own hand. I will explore why I think that is in future posts.

It is only until very recently that organizations (both national and grass-roots) have begun celebrating the lives of those that died in the hopes that those struggling with suicidal thoughts don’t feel more isolated than they already feel they are. I’m proud to work with these organizations.

On Contemplating Suicide

Robert Lowell

Robert Lowell

If there were some little switch in the arm which one could press in order to die immediately and without pain, then everyone would sooner or later commit suicide.

- Robert Lowell

As human beings, we can contemplate our mortality. We learn about death. We see it as children after a pet is put down, or a family member passes and we’re stuffed into suits or dresses and forced to be quiet for reasons we’re not completely sure about. But we know those reasons are serious.

Eventually we learn that everything alive will die. Quickly followed by the realization that we are alive and, as such, are not exempt from this rule.

Since we can imagine our own death we can also imagine taking our own lives, and I wager that every person who lives long enough to imagine dying also thinks, maybe just once, about killing themselves. Sure it may not be as detailed as, “I will slit my wrists and bleed out,” but along the lines of, “The world would be better off without me,” or, “I hope the plane I’m on will crash.”

We’re all human. We’ve read enough, heard enough, and seen enough about the inevitability of death. And each of us has likely had a passing thought about not being among the living anymore. It’s normal. It means you are alive enough to devote a few brain cells to contemplate how you will leave this world. Despite Mr. Lowell’s quote, human beings have an innate fear of death and a strong inclination to delay its arrival. 

We are alive because our ancestors fought to survive in environments more dangerous than anything we could possibly imagine. Survival is in our genes, and bypassing that instinct is terribly difficult.

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But now, I am on the difficult tightrope of NOT romanticizing suicide. Because it is difficult to do, managing to do it could be considered an accomplishment to a distorted mind. It certainly was for me. Romantic ideas are why people consider jumping off the Golden Gate Bridge. As Dr. Thomas Joiner writes in Why People Die By Suicide:

Why does it matter that one’s location of death be beautiful? One possibility is the merging of needs for nurturance and death that occurs in the suicidal mind.

For me, it was the desire for order.  Since I felt that I lacked control over any aspect of my life, there was a romantic idea that I could make the end of my life entirely the way I wanted. Ideas turned into fantasies, fantasies into obsessions, and obsessions into plans. 

Thoughts, by themselves are harmless. I can think about jumping off something really high without consequence, but if I start figuring out the details, that is when the danger starts. It’s the same as any goal a person thinks about. I can think about becoming say, an electrician, but if I don’t do anything to make those thoughts manifest in reality then I’m just thinking and there is very little chance that I’m going to stumble into the profession without any work.

The big difference between thinking about suicide and thinking about starting a career as an electrician is that most people will hide the former and pronounce the later. 

If I say to my friends: “I’m thinking about starting a new career as an electrician,” and they say “Whoa, okay cool. What’re you doing to make that happen?” If I don’t have an answer I’m probably not that serious about it.

Same with if I say to my friends: “I don’t want to be here anymore,”  and they say “What do you mean? Do you have a plan to hurt yourself?”

I might say: “I wouldn’t go that far; I’m just really sad and tired all the time.” 

Or I might say: “Kinda, I mean I’ve been looking up hotels downtown with luxury balcony suites, but I’m not doing anything.”

The former is a feeling, an idea, a concept.

The latter is the first concrete proof of a plan. Both need to be addressed, but the tact will be different.


Learn more about the warning signs of suicide and resources available to family and friends with concerns at:

https://afsp.org/about-suicide/risk-factors-and-warning-signs/

Donate to my Team “This Too Shall Pass” for the AFSP Out of the Darkness Walk in Baltimore on 11/3 at

https://afsp.donordrive.com/participant/Gordon-Corsetti


When It's All Too Much

If you explored my site you’ll find many references to Dante’s Inferno. The English translation, which I am quite partial to, places the Wood of the Suicides on the seventh shelf, or circle, of Hell. The other url of my site is www.7shelf.com for this reason.

On this shelf are the condemned that committed violence against others, violence against themselves, and violence against God and Nature. I read Dante’s Inferno every year, and I am always struck by how fair he described hell. Those that sin receive their sin reflected upon them in equal measure to their behavior while still bound to their mortal coil.

Even without Dante’s visceral descriptions, the dogma of most major religions is that those who die by their own hand live out eternity in hell. But with Dante, an entire Western culture absorbed a powerfully disgusting story of the horrors that await sinners, the limitations of logic, and the ultimate saving grace of God.

What still keeps me up at night is the thought of why, after The Inferno approached near-canonical status, people still killed themselves. We don’t appreciate that.

Imagine you’re a German peasant in say, the 17th century. The Inferno is accepted lore that reinforces the primary religion of Christianity in your country. The prevailing wisdom of the time is that life is hard and contains much suffering, because at that time, life was hard and contained much suffering. But, if you died as a Christian, you were assured eternity in paradise. The suffering had to mean something for the system to function.

Truly though, your life as a peasant in a feudal system was hard work in awful conditions, on land you didn’t own, with sickness and disease rampant, and, if your lord went to war, you were automatically conscripted to fight and probably die. And that was just for the men!

Women were essentially property; worth their capacity to have children plus a dowry and they stood a good chance of dying in childbirth. Medically-trained practitioners did not start attending to births until the 1730s. Records of dying in childbirth were not recorded until the late 18th century, and they started at 25 deaths for every 1,000 births!

I find it unrealistic to believe that someone with a life that fraught with hardship would not consider suicide at some point, but I find it even more astonishing that people still killed themselves! They knew, to their core, that death by their own hand would result in being flung into hell where they would agonizingly grow into a tree. They would be ripped and broken apart by harpies until Judgment Day. At which point, their former bodies will be hung from their bleeding branches for the rest of time because God decreed that “it is not just that a man be given what he throws away” (Canto XIII, Circle 7, Round 2: 105).

The thing is, while the collective lives of almost everyone in an industrialized country today is immeasurably better compared to that of a feudal serf, we’re still human. Times and circumstances change, but sometimes, some things are just too much, and we want it all to stop.

Some, like myself, considered suicide as a solution. I don’t claim that thinking about suicide is a rational thought. It is merely one of many thoughts a human can have, and we have plenty of irrational ones too. But, for those of you who have never had a thought to want to end your life and can’t imagine why anyone else would, imagine being in so much present agony that the possibility of spending an eternity in hell is worth ending the pain you experience now.

Then you will have a glimpse of why a person can be driven to that awful thought when it’s all too much.

Treat Your Thoughts as Honored Guests

I read this poem in the waiting room of a yoga studio in San Antonio, TX. I was fortunate that the hotel hosting a NASO Officiating Conference was located by a quality studio and a tremendous food truck park.

I was struck by Rumi’s idea of treating every thought as an honored guest. Happy, bad, good, evil, inspiring, depressing - the thought does not matter according to Rumi. What matters is your reaction to the thought.

This is not an easy idea to accept, and it is an even harder one to put into daily practice. I don’t think this way all the time, but I am getting better at recognizing my reaction to the thoughts that arrive at my mind’s door. And I try to be a good host.

This being human is a guest house.

Every morning a new arrival.

A joy, a depression, a meanness,

some momentary awareness comes

as an unexpected visitor.

Welcome and entertain them all!

Even if they are a crowd of sorrows,

who violently sweep your house

empty of its furniture,

still, treat each guest honorably.

He may be clearing you out

for some new delight.

The dark thought, the shame, the malice.

meet them at the door laughing and invite them in.

Be grateful for whatever comes.

because each has been sent

as a guide from beyond.

Jalal al-Din Rumi,

translation by Coleman Barks

Suicide Unpacked

Suicides fall into two categories: successful and failed attempts.

A successful suicide is when a person kills him or herself through their method of choice.

Failed attempts are further divided into how the attempt failed. Either:

  • A person is discovered in the attempt and is stopped.

  • The person chooses not to go through with the attempt.

  • The person tries to kill themselves but instead injures themselves.

That is how we talk about suicide. A person succeeds by dying. Attempted, aborted, or failed suicides are when a person lives. What a horrible way to categorize a still living person.

Suicide attempt survivors are indirectly told: “Congratulations! You lived and you failed!” It must not be this way.

Those that live should not be sidelined or marginalized. They should not be regarded as broken. They should be cared for. Reminded that they are not alone, and that despite their best efforts - they succeeded in failing.

I failed in more things in my life than I can count, and the failures I am most happy about are my “failed suicides.” I did not fail to kill myself. I succeeded in staying alive. 

I want this blog to flip the script on suicide.

I want to praise those that don’t kill themselves; those that succeed in living because someone found them, or because they had the strength to not see it through, or they were fortunate enough that their attempt didn’t work.

In the aftermath of my attempts, I felt a deep shame and a level of personal loathing so severe, that the only course of action I thought was acceptable was to try suicide again.

I was stuck in a brutal cycle that reinforced the worst messages that I could tell myself. This is the cycle I aim to break with this blog because there are far better messages to say loudly and often to oneself and to others.

I hope you’ll join me.

Please visit this new site created by my friend, Bill York, to celebrate the legacy of his son who died by suicide earlier this year.

http://www.joshuayorkfoundation.org/

Stillness

Feel your emotions. Live true your passions. Keep still your mind.
- Geoffrey Gluckman

Among my stillness was a pounding heart.
- Shannon Thompson

Time passes so fast. Make time to be still.
- Lailah Akita

Listen to the murmur of the water and you'll hear Mother Nature.
Listen to the stillness beneath,
And there you'll find God.
- Donald Hicks

Only your surface is disturbed;
in your deepness there is stillness and total tranquility.
- Bryant McGill

Movement is freedom of the body; stillness, of the mind.
- Marty Rubin

Aspire to be like Mt. Fuji, with such a broad and solid foundation that the strongest earthquake cannot move you, and so tall that the greatest enterprises of common men seem insignificant from your lofty perspective. With your mind as high as Mt. Fuji you can see all things clearly. And you can see all the forces that shape events; not just the things happening near to you.
- Miyamoto Musashi