My issues with the apparent over-eagerness of the clinical world to diagnose pretty much anything that leads to a steady income stream should be well-known to most of my friends. It very much resembles, to me, the utter inability of those inside the Capitol Beltway to recognize that those outside same don't give a crap about all the little petty machinations that go on inside. The more you know about a vague syndrome with vague symptoms, the easier it is to find matches. Viz (from the ever-infallible Wikipedia, see above unfocused rant):
*
Feelings of overwhelming sadness and/or fear, or the seeming inability to feel emotion (emptiness). Check, although not really sadness. Who never feels this? Who never feels any of these?
*
A decrease in the amount of interest or pleasure in all, or almost all, activities of the day, nearly every day. Welcome to Modern America, my friend. Welcome to the way the brain works, welcome to the chemical character of the threshold potential.
*
Changing appetite and marked weight gain or loss. Um. Really? How marked is "marked", exactly?
*
Disturbed sleep patterns, such as insomnia, loss of REM sleep, or excessive sleep (Hypersomnia). Yeah. So?
*
Psychomotor agitation or retardation nearly every day. What? UPDATE:
HA HA HA!
*
Fatigue, mental or physical, also loss of energy. Again, who never feels this? Stop eating fucking poptarts, you loon! Stop drinking so much coffee while you pretend to be working!
*
Intense feelings of guilt, helplessness, hopelessness, worthlessness, isolation/loneliness and/or anxiety. See second point above. Do you get the sense these are repeating? That's probably your lack of focus and memory, or possibly your change in perception of time talking...
*
Trouble concentrating or making decisions or a generalized slowing and obtunding (to dull or blunt, especially sensation or pain) of cognition, including memory. I'm certain this has nothing to do with the general meaninglessness of most people's made-up jobs, nor the sameness of popular "art", etc., etc. Nope!
*
Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. Well, OK, this one I don't have, but that's because I am a Big Giant Atheist, which tends to put a really effective kibosh on thoughts of suicide, because while I don't seem to be able to not fuck stuff up, I am pretty certain that I stand less of a chance of fixing anything if I am nourishing soil organisms.
*
Feeling and/or fear of being abandoned by those close to one. It was just that one time at the mall... actually, I don't feel this, really, but that's mostly because I've thought a lot about what sort of stresses and obligations those close to me are under. I would imagine that this one would be really really easy if I were, say, an incredibly selfish bastard, which I suspect is why it's so easy for so many other people.
*
Self-loathing. Oh god yes. What kind of asshole doesn't loathe him/herself on occasion? I figure, go with your strengths.
*
A decrease in self-esteem. Not bloody likely. But who can tell when your self-esteem is based on a continuous hard look at yourself? If you'd like to focus on my blog, you may see this, but if you are also someone who would have to think a minute before deciding whether I'm arrogant or not, then you can see the imprecision of this particular symptom.
*
Inattention to personal hygiene. Uh, my excuse this morning is that I was sort of hungover, and didn't shave so well. My excuse in general is that since I make fun of the guys at work that spend half their salary on shirts, and since I have no money, I'll be damned if I'm going to look spiffy when there's no reason to.
*
Sensitivity to noise. Hey, things are loud. People are annoying. Frankly, I don't want to listen to them, or look at them. I'm fairly certain that's more a symptom for them than for me.
*
Physical aches and pains, and the belief these may be signs of serious illness. When you smack things hard and don't remember it when the bruise appears, when you ignore illness or injury and occasionally idly wonder if you shouldn't, why wouldn't you assume from time to time that your sinus headache is either a tumor or a burgeoning aneurysm?
*
Fear of 'going mad'. Ha! Already there, man.
*
Change in perception of time. Well, when I have a head cold, I feel like everything's going really fast. Does that count? Again, does anyone NEVER feel this?
*
Periods of sobbing. OK, not this one either. Tragic story, my tear ducts were chewed out by rats during my last period of sobbing while living under a bridge in Newark. Tragic, and also a lie. NEXT!
*
Possible behavioral changes, such as aggression and/or irritability. Um. Shit. No dodging this one. Gonna go ahead and blame it on the coffee cycle.
So, what, I meet something like 95% of the criteria for clinical depression? Awesome.
Before someone posts some sanctimonious comment about how their cousin (the one with the nest of baby spiders in her face, maybe) or aunt or daughter or sister suffers from debilitating clinical depression, and how can I be so insensitive, bla, bla, let me just say: I know they do. I'm not saying depression isn't real, I'm saying that people that are depressed because the chemicals in their brain are wonky and their feedback loops get out of whack are NOT the same as people that are depressed because Drone B got the promotion to manager and they didn't. The latter may live depressing lives, but so do most people. Get over it. Ask yourself if you'd rather have a job you love or enough money to pay for cable to watch TV that doesn't suck (all the time) and shut the fuck up. According to that same infallible Wikipedia entry, 16% of Americans are clinically depressed. That's 1/6th of the country. Is every sixth person you know clinically depressed? Or does your shrink just have a much nicer yacht than you do?
Those of you that are actually depressed, get well soon, and try to avoid going on medication that will suppress the symptoms and feedback loops without teaching you how to recognize them, and how to short-circuit them.
Up next: Alcoholism and Adult ADD! Or not! We'll see what the comments look like!