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8 Things People with High-Functioning Depression Want You to Know

SOURCE:  Meagan Drillinger/healthline.com

Even though it might not be obvious, getting through the day is exhausting.

It can be difficult to spot the signs of someone with high-functioning depression. That’s because, on the outside, they often appear completely fine. They go to work, accomplish their tasks, and keep up relationships. And as they’re going through the motions to maintain their day-to-day life, inside they’re screaming.

“Everyone talks about depression and anxiety, and it means different things to different people,” says Dr. Carol A. Bernstein, professor of psychiatry and neurology at NYU Langone Health.

“High-functioning depression isn’t a diagnostic category from a medical standpoint. People can feel depressed, but the question with depression is for how long, and how much does it interfere with our capacity to go on with [our] life?”

There’s no difference between depression and high-functioning depression. Depression ranges from mild to moderate to severe. In 2016, about 16.2 million Americans had at least one episode of major depression.

“Some people with depression can’t go to work or school, or their performance suffers significantly because of it,” says Ashley C. Smith, a licensed clinical social worker. “That’s not the case for people with high-functioning depression. They can still function in life, for the most part.”

But being able to get through the day doesn’t mean it’s easy. Here are what seven people had to say about what it’s like to live and work with high-functioning depression.

1. You feel like you’re constantly “faking it”

“We hear a lot now about imposter syndrome, where people feel that they are just ‘faking it’ and aren’t as together as people think. There’s a form of this for those who deal with major depression and other forms of mental illness. You become quite adept at ‘playing yourself,’ acting the role of the self that people around you expect to see and experience.”

— Daniel, publicist, Maryland

2. You have to prove that you’re struggling and need help

“Living with high-functioning depression is very hard. Even though you can go through work and life and mostly get things done, you’re not getting them done to your full potential.

“Beyond that, no one really believes you’re struggling because your life isn’t falling apart yet. I was suicidal and close to ending it all in university and no one would believe me because I wasn’t failing out of school or dressing like a complete mess. At work, it’s the same. We need to believe people when they ask for support.

“Lastly, a lot of mental health services have needs-based requirements, where you have to appear a certain amount of depressed to get support. Even if my mood is really low and I am constantly considering suicide, I have to lie about my functioning to be able to access services.”

— Alicia, mental health speaker/writer, Toronto

3. The good days are relatively “normal”

“A good day is me being able to get up before or right at my alarm, shower, and put on my face. I can push through being around people, as my job as a software trainer calls me to. I’m not crabby or anxiety-ridden. I can push through the evening and have conversations with co-workers without feeling total despair. On a good day, I have focus and mental clarity. I feel like a capable, productive person.”

— Christian, software trainer, Dallas

4. But the bad days are unbearable

“Now for a bad day… I fight with myself to wake up and have to truly shame myself into showering and getting myself together. I put on makeup [so I don’t] alert people about my internal issues. I don’t want to talk or be bothered by anyone. I fake being personable, as I have rent to pay and don’t want to complicate my life any more than it is.

“After work, I just want to go to my hotel room and mindlessly scroll on Instagram or YouTube. I’ll eat junk food, and feel like a loser and demean myself.

“I have more bad days than good, but I’ve gotten good at faking it so my clients think I’m a great employee. I’m often sent kudos for my performance. But inside, I know that I didn’t deliver at the level I know I could.”

— Christian

5. Getting through the bad days requires an enormous amount of energy

“It’s extremely exhausting to get through a bad day. I do get work done, but it’s not my best. It takes much longer to accomplish tasks. There’s a lot of staring off into space, trying to regain control of my mind.

“I find myself getting easily frustrated with my co-workers, even though I know there’s no way they know I’m having a hard day. On bad days, I’m extremely self-critical and tend to not want to show my boss any of my work because I fear that he’ll think that I’m incompetent.

“One of the most helpful things I do on bad days is to prioritize my tasks. I know the harder I push myself, the more likely I am to crumble, so I make sure I do the harder things when I have the most energy.”

— Courtney, marketing specialist, North Carolina

6. You can struggle to focus, and feel like you’re not performing to the best of your ability

“Sometimes, nothing gets done. I can be in a long drawn out daze all day, or it takes all day to complete a few things. Since I’m in public relations and I work with individuals and companies that champion a great cause, which often pull at people’s heartstrings, my work can take me into an even deeper depression.

“I can be working on a story, and while I’m typing I have tears streaming down my face. That may actually work to the advantage of my client because I have so much heart and passion around meaningful stories, but it’s pretty scary because the emotions run so deep.

— Tonya, publicist, California

7. Living with high-functioning depression is exhausting

“In my experience, living with high-functioning depression is absolutely exhausting. It’s spending the day smiling and forcing laughter when you are plagued by the feeling that the people you interact with only just tolerate you and your existence in the world.

“It’s knowing that you’re useless and a waste of oxygen… and doing everything in your power to prove that wrong by being the best student, best daughter, best employee you can be. It’s going above and beyond all day every day in the hopes that you can actually make someone feel that you’re worth their time, because you don’t feel like you are.”

— Meaghan, law student, New York

8. Asking for help is the strongest thing you can do

“Asking for help does not make you a weak person. In fact, it makes you the exact opposite. My depression manifested itself through a serious uptake in drinking. So serious, in fact, I spent six weeks in rehab in 2017. I’m just shy of 17 months of sobriety.

“Everyone can have their own opinion, but all three sides of the triangle of my mental health — stopping drinking, talk therapy, and medication — have been crucial. Most specifically, the medication helps me maintain a level state on a daily basis and has been an intricate part of my getting better.”

— Kate, travel agent, New York

“If the depression is greatly impacting your quality of life, if you think that you should be feeling better, then seek out help. See your primary care doctor about it — many are trained in dealing with depression — and seek a referral for a therapist.

“While there’s still considerable stigma attached to having mental illness, I would say that we are starting, slowly, to see that stigma abate. There’s nothing wrong with admitting you have an issue and could use some help.”

— Daniel

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Clinging to Truth: A Battle to Fight

SOURCE:  John Eldredge, from Wild at Heart 

Hanging on to the Truth

In any hand-to-hand combat, there’s a constant back-and-forth of blows, dodges, blocks, counterattacks, and so forth. That’s exactly what is going on in the unseen around us. Only it takes place, initially, at the level of our thoughts. When we are under attack, we’ve got to hang on to the truth. Dodge the blow, block it with a stubborn refusal, slash back with what is true. This is how Christ answered Satan — He didn’t get into an argument with him, try to reason his way out. He simply stood on the truth. He answered with Scripture and we’ve got to do the same. This will not be easy, especially when all hell is breaking loose around you. It will feel like holding on to a rope while you’re being dragged behind a truck, like keeping your balance in a hurricane. Satan doesn’t just throw a thought at us; he throws feelings too. Walk into a dark house late at night and suddenly fear sweeps over you; or just stand in a grocery line with all those tabloids shouting sex at you and suddenly a sense of corruption is yours.

But this is where your strength is revealed and even increased — through exercise.

Stand on what is true and do not let go. Period.

The traitor within the castle will try to lower the drawbridge, but don’t let him. When Proverbs 4:23 tells us to guard our hearts, it’s not saying, “Lock them up because they’re really criminal to the core”; it’s saying, “Defend them like a castle, the seat of your strength you do not want to give away.” As Thomas à Kempis says, “Yet we must be watchful, especially in the beginning of the temptation; for the enemy is then more easily overcome, if he is not suffered to enter the door of our hearts, but is resisted without the gate at his first knock.”

Remember the scene in Braveheart where Robert the Bruce’s evil father is whispering lies to him about treason and compromise? He says to Robert what the Enemy says to us in a thousand ways: “All men betray; all men lose heart.” How does Robert answer? He yells back, I don’t want to lose heart! I want to believe, like [Wallace] does. I will never be on the wrong side again.

That is the turning point in his life . . . and in ours. The battle shifts to a new level.

God Is With Us

Be strong and courageous, because you will lead these people to inherit the land I swore to their forefathers to give them. Be strong and very courageous . . . Have I not commanded you? Be strong and courageous. Do not be terrified; do not be discouraged, for the LORD your God will be with you wherever you go. — Joshua 1:6-7, Joshua 1:9

Joshua knew what it was to be afraid. For years he had been second in command, Moses’ right-hand man. But now it was his turn to lead. The children of Israel weren’t just going to waltz in and pick up the promised land like a quart of milk; they were going to have to fight for it. And Moses was not going with them. If Joshua was completely confident about the situation, why would God have to tell him over and over and over again not to be afraid? In fact, God gives him a special word of encouragement:

As I was with Moses, so I will be with you; I will never leave you nor forsake you. — Joshua 1:5

How was God “with Moses”? As a mighty warrior. Remember the plagues? Remember all those Egyptian soldiers drowned with their horses and chariots out there in the Red Sea? It was after that display of God’s strength that the people of Israel sang,

The LORD is a warrior; the LORD is His Name. — Exodus 15:3

God fought for Moses and for Israel; then He covenanted to Joshua to do the same and they took down Jericho and every other enemy.

Jeremiah knew what it meant to have God “with him” as well. “But the LORD is with me like a mighty warrior,” he sang.  “so my persecutors will stumble and not prevail” (Jer. 20:11). Even Jesus walked in this promise when He battled for us here on earth:

You know what has happened throughout Judea, beginning in Galilee after the baptism that John preached — how God anointed Jesus of Nazareth with the Holy Spirit and power, and how he went around doing good and healing all who were under the power of the devil, because God was with him. — Acts 10:37-38, emphasis added

How did Jesus win the battle against Satan? God was with him. This really opens up the riches of the promise Christ gives us when he pledges, “I am with you always, even to the end of the age” and “I will never leave you nor forsake you” (Matthew 28:20; Hebrews 13:5 NKJV). That doesn’t simply mean that He’ll be around, or even that He’ll comfort us in our afflictions. It means He will fight for us, with us, just as He has fought for His people all through the ages.

So long as we walk with Christ, stay in Him, we haven’t a thing to fear.

Satan is trying to appeal to the traitor’s commitment to self-preservation when he uses fear and intimidation. So long as we are back in the old story of saving our skin, looking out for Number One, those tactics will work. We’ll shrink back. But the opposite is also true. When a man resolves to become a warrior, when his life is given over to a transcendent cause, then he can’t be cowed by the Big Bad Wolf threatening to blow his house down. After Revelation describes that war in Heaven between the angels and Satan’s downfall to the earth, it tells how the saints overcame him:

They overcame him by the blood of the Lamb and by the word of their testimony; they did not love their lives so much as to shrink from death. — Revelation 12:11

The most dangerous man on earth is the man who has reckoned with his own death.

All men die; few men ever really live.

Sure, you can create a safe life for yourself… and end your days in a rest home babbling on about some forgotten misfortune. I’d rather go down swinging. Besides, the less we are trying to “save ourselves,” the more effective as warriors we will be.

Listen to G. K. Chesterton on courage:

Courage is almost a contradiction in terms. It means a strong desire to live taking the form of a readiness to die. “He that will lose his life, the same shall save it,” is not a piece of mysticism for saints and heroes. It is a piece of everyday advice for sailors or mountaineers. It might be printed in an Alpine guide or a drill book. The paradox is the whole principle of courage; even of quite earthly or quite brutal courage. A man cut off by the sea may save his life if he will risk it on the precipice. He can only get away from death by continually stepping within an inch of it. A soldier surrounded by enemies, if he is to cut his way out, needs to combine a strong desire for living with a strange carelessness about dying. He must not merely cling to life, for then he will be a coward, and will not escape. He must not merely wait for death, for then he will be a suicide, and will not escape. He must seek his life in a spirit of furious indifference to it; he must desire life like water and yet drink death like wine.

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5 Ways to Help Someone Struggling With Mental Illness

Research shows that approximately 1 in 5 adults suffers from a mental health disorder, and only 44% of those individuals seek some form of treatment.¹ With this being the case, there is a great chance you know someone who is currently struggling with a mental health disorder of some kind.

Taking the time to acknowledge and talk about the daily battle a friend or family member is having with mental illness is a great way to create a safe space. It allows them to open up about what they are going through and reminds them that they don’t have to fight alone. The more we continue to have these conversations about mental health in our everyday lives, the more we will eradicate the stigma that surrounds mental health and develop a healthier approach to treating and caring for mental health disorders.

Here are 5 ways you can help someone struggling with mental illness.

1.) Recognize that mental illness is unique to each individual.
There are a wide variety of mental health disorders. Some are mild while others are severe, and they affect people in different ways. Treatments that work for one person may not necessarily work for another, so be patient. Take the time to understand your loved one’s individual situation, which is often as simple as having an open, honest conversation. It doesn’t have to be uncomfortable; just let them know you care about them and you’re available to support them.

2.) Remind them that they are not their diagnosis.
Anyone who has lived with a mental health disorder knows that they can feel isolating and all-consuming. There is still a negative stigma of shame surrounding mental illness in our society, and that makes things even more difficult. Take the time to remind them that they are more than their diagnosis without minimizing the seriousness of their condition. Letting them know that you accept them for who they are is a great way to show your support

3.) Show compassion. You don’t have to “understand” what they are going through to be there for them.
You don’t need to have personal experience with a mental health disorder to be a sounding board for someone who does. You also don’t need to feel as though you need to solve all of their problems. Sometimes the best way to show that you are there for them is to listen to them without judgement, and to show compassion for what they are going through.

4.) Let them know that treatment is available. They don’t have to suffer in silence.
So often people don’t seek professional treatment for mental health disorders for a variety of reasons. Sometimes all it takes is the support of someone who cares about them to remind them of the resources and treatment options that are available to them.

5.) Take care of your mental health.
While supporting someone with a mental health disorder is important, you also want to make sure that you are taking the time to care for your own physical, emotional, and mental well-being. It is easy to get caught up in the lives of others, but you need to remember that your own self-care is crucial to how good you can be for others.

  1. Any Mental Illness (AMI) Among Adults, National Institute of Mental Health, https://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml

feinbergconsulting.com · May 30, 2017

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Which Type Of Emotionally Neglectful Parents Raised You? 17 Signs to Look For

SOURCE:  Dr. Jonice Webb

What kind of parents fail to notice their child’s feelings?

Since this type of parental failure (Childhood Emotional Neglect or CEN) causes significant harm to the child, people naturally assume that emotionally neglectful parents must also be abusive or mean in some way. And it is true that many are.

But one of the most surprising things about Childhood Emotional Neglect is that emotionally neglectful parents are usually not bad people or unloving parents. Many are indeed trying their best to raise their children well.

Type 1: Well-Meaning-But-Neglected-Themselves Parents (WMBNT)

  • Permissive
  • Workaholic
  • Achievement/Perfection 

There are a variety of different ways that well-meaning parents can accidentally neutralize their children’s emotions. They can fail to set enough limits or deliver enough consequences (Permissive), they can work long hours, inadvertently viewing material wealth as a form of parental love (Workaholic), or they can overemphasize their child’s accomplishment and success at the cost of his happiness (Achievement/Perfection).

What makes these parents qualify for Well-Meaning Category 1 status? They think that they are doing what’s best for their children. They are acting out of love, not out of self-interest. Most are simply raising their children the way they themselves were raised. They were raised by parents who were blind to their emotions, so they grew up with the same emotional blind spot that their own parents had. Blind to their children’s emotions, they pass the neglect down, completely unaware that they are doing so.

Children of WMBNT parents generally grow into adulthood with heavy doses of three things: all the symptoms of CEN, a great deal of confusion about where those symptoms came from, and a wagonload of self-blame and guilt. That’s because when, as an adult, you look back at your childhood for an explanation for your problems, you often see a benign-looking one. Everything you can remember may seem absolutely normal and fine. You remember what your well-meaning parents gave you, but you cannot recall what your parents failed to give you.

“It must be me. I’m flawed,” you decide. You blame yourself for what is not right in your adult life. You feel guilty for the seemingly irrational anger that you sometimes have at your well-meaning parents. You also struggle with a lack of emotion skills, unless you have taught them to yourself throughout your life since you had no opportunity to learn them in childhood.

6 Signs To Look For

  • You love your parents and are surprised by the inexplicable anger you sometimes have toward them.
  • You feel confused about your feelings about your parents.
  • You feel guilty for being angry at them.
  • Being with your parents is boring.
  • Your parents don’t see or know the real you, as you are today.
  • You know that your parents love you, but you don’t necessarily feel it.

Type 2: Struggling Parents

  • Caring for a Special Needs Family Member
  • Bereaved, Divorced or Widowed
  • Child as Parent
  • Depressed

Struggling parents emotionally neglect their child because they are so taken up with coping that there is little time, attention or energy left over to notice what their child is feeling or struggling with. Whether bereaved, hurting, depressed or ill, these parents would likely parent much more attentively if only they had the bandwidth to do so.

But these parents couldn’t, so they didn’t. They didn’t notice your feelings enough, and they didn’t respond to your feelings enough. Although the reasons for their failure are actually irrelevant, you have not yet realized this yet. You look back and see a struggling parent who loved you and tried hard, and you find it impossible to hold her accountable.

Children of struggling parents often grow up to be self-sufficient to the extreme and to blame themselves for their adult struggles.

4 Signs To Look For

  • You have great empathy toward your parents, and a strong wish to help or take care of them.
  • You are grateful for all your parents have done for you, and can’t understand why you sometimes feel an inexplicable anger toward them.
  • You have an excessive focus on taking care of other people’s needs, often to your own detriment.
  • Your parents are not harsh or emotionally injurious toward you.

Type 3: Self-Involved Parents

  • Narcissistic
  • Authoritarian
  • Addicted
  • Sociopathic

This category stands out from the other two for two important reasons. The first: self-involved parents are not necessarily motivated by what is best for their child. They are, instead, motivated to gain something for themselves. The second is that many parents in this category can be quite harsh in ways that do damage to the child on top of the Emotional Neglect.

The narcissistic parent wants his child to help him feel special. The authoritarian parent wants respect, at all costs. The addicted parent may not be selfish at heart, but due to her addiction, is driven by a need for her substance of choice. The sociopathic parent wants only two things: power and control. 

Not surprisingly, Category 3 is the most difficult one for most children to see or accept. No one wants to believe that his parents were, and are, out for themselves.

Being raised by Category 3 parents is only easier than the other two categories in one way: typically, you can see that something was (and is) wrong with your parents. You can remember their various mistreatments or harsh or controlling acts so you may be more understanding of the reasons you have problems in your adult life. You may be less prone to blame yourself.

7 Signs To Look For

  • You often feel anxious before seeing your parents.
  • You often find yourself hurt when you’re with your parents.
  • It’s not unusual for you to get physically sick right before, during, or after seeing your parents.
  • You have significant anger at your parents.
  • Your relationship with them feels false, or fake.
  • It’s hard to predict whether your parents will behave in a loving or rejecting way toward you from one moment to the next.
  • Sometimes your parents seem to be playing games with you or manipulating you, or maybe even trying to purposely hurt you.

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Porn: A FEW QUESTIONS BEFORE YOU CLICK

SOURCE:  Joe Dallas

This is a familiar scene to you: you’ve got some spare time, you know watching porn will deliver high impact and release, nobody will know, you’ll be forgiven by God as soon as you ask, then you can move on.

No big deal.

Which is, of course, the problem. Because it’s gotten to be a much bigger deal than you realize.

When something’s wrong but no longer shocking, it’s a lot easier to give into it. And since porn use it so common today, not to mention so convenient and easy to use, it’s lost a lot of its shock value. We have an epidemic which we’re not alarmed about. That’s alarming.

So today, if you’re one of the millions of believers who feel the enticement to use the stuff, you’ll be making a simple decision to either resist or indulge. Those of us in the Body of Christ who love you and are joined to you (much less your wife and family who need you in ways that can’t be measured) are counting on you to make the right decision when the urge hits, because believe me, the entire Body is weakened when you don’t. So to help yourself make the right one, would you please consider a few simple questions?

  1. Would you view this material, and stimulate yourself while viewing it, while sitting on the altar of your local church? Because if you wouldn’t think of doing such a thing inside an earthly building, why would you do it with your own body which is the literal temple of God?

  2. Do you think the woman in the video has feelings, dreams, loved ones, and parents? Because if she’s someone’s child, mother or even wife (and she is!) and if she has a heart, which she does, what do you think this film did to her and them, and why would you support that?

  3. How long will you enjoy this time of viewing the porn, in contrast to how long you’ll feel badly about it? Because if the length of time you enjoy is significantly less than the length of time you’ll regret it, isn’t that a rather stupid investment you’re about to make?

  4. God will surely forgive you if you view this, but does it matter to you whether or not you grieve Him and hurt His heart? Because if it does, is His grace something you really want to exploit, or something you want to appreciate by responding in obedience?

  5. Are you trying to give yourself something – comfort, relief, distraction – by viewing this porn? Because if you are, is it really so hard finding more legitimate ways to get what you’re looking for?

Know what you’re doing, and know you have a choice.

Then please – from all of us who need you – make the right one.