“At this point in my existence, I cannot imagine leading a normal life without both taking lithium and having had the benefits of psychotherapy. Lithium prevents my seductive but disastrous highs, diminishes my depressions, clears out the wool and webbing from my disordered thinking, slows me down, gentles me out, keeps me from ruining my career and relationships, keeps me out of a hospital, alive, and makes psychotherapy possible. But, ineffably, psychotherapy heals. It makes some sense of the confusion, reins in the terrifying thoughts and feelings, returns some control and hope and possibility of learning from it all. Pills cannot, do not, ease one back into reality; they only bring one back headlong, careening, and faster than can be endured at times. Psychotherapy is a sanctuary; it is a battleground; it is a place I have been psychotic, neurotic, elated, confused, and despairing beyond belief. But, always, it is where I have believed–or have learned to believe–that I might someday be able to contend with all of this. No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions. I need both. It is an odd thing, owing life to pills, one’s own quirks and tenacities, and this unique, strange, and ultimately profound relationship called psychotherapy.”
Kay Redfield Jamison on psychotherapy in An Unquiet Mind
the flip side of the coin and evolution
“ I felt no sense that I carried a handicap that would render my efforts futile should I again face deep trouble. In fact, I felt a heightened sense of agency. Anything and everything I did to improve my own environment and experience—every intervention I ran on myself, as it were—would have a magnified effect. In that light, my short/short allele now seems to me less like a trapdoor through which I might fall than like a springboard—slippery and somewhat fragile, perhaps, but a springboard all the same.”
-David Dobbs in The Atlantic on the “orchid hypothesis” in which a genetic vulnerability for depression under stress also encompasses an exceptionally positive response to environmental nurturing.
Findings from The Longevity Project in The Atlantic: "It may not directly sicken or shorten the life of the person experiencing the unhappiness. But it apparently can be toxic for people who have to live with that unhappy person.“
Megan Frauenhoffer
“If the brooding, solitary Andie played by Ringwald in "Pretty in Pink” were in high school in 2009, it’s hard to imagine she wouldn’t be a candidate for anti-depression therapy. Likewise, if “The Breakfast Club,” which is about five teens serving time in Saturday detention, took place in a post-Prozac, post-Columbine America, Ally Sheedy’s mostly mute, kleptomaniac misfit would have undoubtedly been medicated, and Anthony Michael Hall’s character would have received a lot more than detention for bringing a flare gun to school. As for Ferris Bueller, the kid obviously needed Ritalin. I’m not suggesting that any of us were better off when legitimate disorders went unrecognized and untreated. But in a culture in which diagnoses sometimes seem to get handed out like conservation-awareness fliers in front of the supermarket, it’s worth asking ourselves if old-fashioned eccentricity – of the teen or adult variety – can too easily be supplanted by the ease of assigning a code from the Diagnostic and Statistical Manual.“
I long ago abandoned the notion of a life without storms, or a world without dry and killing seasons. Life is too complicated, too constantly changing, to be anything but what it is. And I am, by nature, too mercurial to be anything but deeply wary of the grave unnaturalness involved in any attempt to exert too much control over essentially uncontrollable forces. There will always be propelling, disturbing elements, and they will be there until, as Lowell put it, the watch is taken from the wrist. It is, at the end of the day, the individual moments of restlessness, of bleakness, of strong persuasions and maddened enthusiasms, that inform one’s life, change the nature and direction of one’s work, and give final meaning and color to one’s loves and friendships.
Kay Redfield Jamison in An Unquiet Mind
even more on procrastination:
the importance of goofing off at work in The New Yorker
“The basic insight—that giving people some respite from difficult tasks, along with the chance to let their minds wander, will make them more productive- remains true.”