Never once, during any of my bouts of depression, had I been inclined or able to pick up a telephone and ask a friend for help. It wasn't in me.
Kay Redfield JamisonRead
But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.
Interpretation
Spending money during manic episodes often leads to regret and financial loss, which can worsen feelings of depression afterward.
In this quote, Kay Redfield Jamison highlights the unfortunate reality that expenditures made during manic episodes are not recognized as legitimate medical expenses or business losses by the IRS. This situation can exacerbate feelings of despair in the aftermath of mania, as individuals may find themselves facing significant financial strain, which compounds their already fragile emotional state.
In practice
This quote can be used in a discussion about mental health awareness at a seminar.
Never once, during any of my bouts of depression, had I been inclined or able to pick up a telephone and ask a friend for help. It wasn't in me.
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
Mood disorders are terribly painful illnesses, and they are isolating illnesses. And they make people feel terrible about themselves when, in fact, they can be treated.
When people are suicidal, their thinking is paralyzed, their options appear spare or nonexistent, their mood is despairing, and hopelessness permeates their entire mental domain. The future cannot be separated from the present, and the present is painful beyond solace. ‘This is my last experiment,’ wrote a young chemist in his suicide note. ‘If there is any eternal torment worse than mine I’ll have to be shown.
When public figures remain silent about depression, there is a cost to the rest of society. Silence contributes to the misperception that successful people do not get depressed, and it keeps the public from seeing that treatment allows many individuals to return to competitive professional lives.
Because I teach and write about depression and bipolar illness, I am often asked what is the most important factor in treating bipolar disorder. My answer is competence. Empathy is important, but competence is essential.
You know how most illnesses have symptoms you can recognize? Like fever, upset stomach, chills, whatever. Well, with manic depression, it's sexual promiscuity, excessive spending, and substance abuse - and that just sounds like a fantastic weekend in Vegas to me!
Depression begins with disappointment. When disappointment festers in our soul, it leads to discouragement.
For me, depression is very much tied to my feeling that so much is being asked of me. I have to 'perform' rather than necessarily be myself. I have to perform a perfect Margo Jefferson, at an impossibly high level.
Now, bipolar disorder, it goes on a spectrum. There's very severe conditions of it and there are milder ones. I'm lucky enough that it's reasonably mild in my case.
When I was coming out of depression, I made one random video. It wasn't funny or anything, but just the idea that people I didn't know were watching it made me feel less alone than I'd felt in a long time.
[However], the sufferer from depression has no option, and therefore finds himself, like a walking casualty of war, thrust into the most intolerable social and family situations. There he must ... present a face approximating the one associated with ordinary events and companionship. He must try to utter small talk and be responsive to questions, and knowingly nod, and frown and, God help him, even smile.
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