To my favorite group of humans on the planet, this blog post is a little different because it exists just to tell you about my new favorite thing I’ve made: The Fuckit Bucket™.

Tee hee hee.

The Fuckit Bucket™ was born out of sheer delight. A friend of mine, embroiled in the world of C list celebrity and a nasty split from her baby daddy, was talking about how her life was so screwy that she was running out of fucks to give. I suggested that she put all the fucks in a bucket for rationing. A “Bucket ‘o Fucks” we called it. I even made a prototype:

I thought, everyone should have their own bucket. For two years, the Bucket ‘o Fucks noodled in my mind. I giggled every time I thought about it, and wanted to make a talisman of sorts to keep me giggling day to day. And then, sometime between 2016 and 2018, I heard the phrase, “Chuck it in the fuck it bucket and move on.” Fuck it bucket had a better ring to it, so I stored the phrase away. I would know when it was time.

In 2019, I caught a headline about how the Supreme Court deemed that swear words were, in fact, a form of free speech. The US Trademark and Patent Office would no longer be allowed to reject applications with swearing or immoral words or symbols. I searched “Fuck it bucket” on the USPTO website, and found that the phrase had not been trademarked. It was time to create.

As a former small business owner and small business lover, I did not want to produce the bucket overseas, even in exchange for a lower bottom line. After designing my little bucket, I found a smelter in upstate New York to cast the product. While he was pouring molten metal into my design, I went to work on trademarking. I figured that best case scenario, people would get a giggle out of the Fuckit Bucket™ like I do and snag them up on Etsy. Worst case, I wouldn’t sell a single bucket but I’d never have to buy anyone a Christmas or birthday present again.

Turns out, people love it. I launched the Fuckit Bucket™ just last week, as a response to the train wreck presidential debate. This year continues to pound down, and I decided it was time to bring a little levity back to the dog & pony show that is 2020. And given that we still have two more debates, an election, and the holidays coming up…well, everyone is going to need their own Fuckit Bucket™.

Buckets are available on a necklace, keychain, or as a stand-alone charm.

We’ll be back to our regularly scheduled programming soon, folks. After so many years of depression, I am basking in the fact that I can find so much joy in creating a silly little bucket. This is why we do the work. Because when we clear out all the emotional crap, we make room for creation and laughter to come in, which results in both art and delight!

Before you go…

After 15 years of depression and antidepressants, my mission is to help people find hope in the name of healing. My memoir on the subject, MAY CAUSE SIDE EFFECTS, publishes in August 2022.

Pre-order it now.

For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL, a weekly newsletter devoted to helping people heal from depression.

Signup Now

More articles from the blog

see all articles

July 9, 2025

How World War II, cigarette companies, and an obscure 1937 law determine what you put in your mouth today: A Short History of the Sad, Modern American Diet.

read the article

July 2, 2025

“What do all fat, sick, unhealthy people have in common? At least this: they all eat.: An introduction to a new series about diet, psychiatric drug withdrawal, and performance.

read the article

June 25, 2025

 Bad Medicine, Antidepressant Withdrawal, and the Incalculable Costs of Medicating Normal: My full talk at the University of Nevada, Reno Medical School

read the article

June 18, 2025

Smart things other people said, Part II: A big two weeks in the world of bad science, bad journalism, and why it’s good news for us.

read the article

Happiness Is A Skill was created as an outlet for me to reach the kind of people who email me every day. Ever since my Washington Post Article, “I spent half my life on antidepressants. Today, I’m off the medication and feel all right” became the #1 read piece on WaPo National the day it was published, my inbox likes to fill up with people who are struggling to get off their antidepressants or benzodiazepines. I respond to every person who contacts me, and often that correspondence leads to a longer conversation.

About 12 weeks ago, after one of these conversations melted two hours away from my day, it occurred to me that I was spending a lot of time saying similar things to lots of different people. Why not take all that information and distill it down into a digest that could reach lots of people at once? And so Happiness Is A Skill was born. There are two overarching themes of these emails. First, people are desperate to find relief from the pain of withdrawal, all while trying to process the anger they have for prescribed drugs and doctors that were supposed to help them. Second, they are looking for someone, anyone, who understands. Psychiatric drug withdrawal is an excruciatingly long and lonely process that you simply cannot relate to unless you have experienced it. It’s rare to encounter another person going through withdrawal in the wild because people in severe withdrawal probably aren’t leaving their house. (And those who are experiencing mild or moderate withdrawal are likely so irritable that they aren’t exactly projecting warm fuzzies.)

Until recently, antidepressant withdrawal was swept under the rug by psychiatrists and doctors, largely due to a lack of substantial research surrounding long-term use and tapering. (Antidepressants and benzos are designed, studied, and tested for short term use, i.e., weeks. There is not a single study on the effects of long-term antidepressant use, and yet 1 in 4 people on antidepressants have been taking them for more than 10 years.)

But in 2019, a group of American and British psychiatrists came together and urged national withdrawal guidelines to be updated after they “discovered” what many patients already knew: it is a hell of a lot easier to start taking antidepressants than it is to get off of them. In a systematic review of existing research, the authors determined that “nearly half of those experiencing withdrawal (46%) report it as severe, and that reports of symptoms lasting several months are common in many recent studies.”

The authors go on to say that their evidence directly contradicts the position of the UK’s National Institute for Health and Care Excellence (NICE) guidelines, which state that “[withdrawal] symptoms are usually mild and self-limiting over about 1 week.” In short, this research shows that half of all antidepressant users will likely experience withdrawal of a substantially longer duration and severity than current guidelines recognize. Shockingly (to this American, anyway), the NICE guidelines were updated to reflect these findings, giving suffering withdrawal patients a smidgeon of validation. All this to say that the tides are changing. My article and others like it are finding space in mainstream media and a new cohort of psychiatrists and researchers are starting to take our claims seriously. But arguably the biggest contribution to bringing this issue to light is the new documentary, Medicating Normal. I had the pleasure of watching a screening a few days ago, and it both broke my heart and fed the fire within me.

“Combining cinema verité and investigative journalism, Medicating Normal follows the journeys of a newly married couple, a female combat veteran, a waitress and a teenager whose doctors prescribed psychiatric drugs for stress, mild depression, sleeplessness, focus and trauma. Our subjects struggle with serious physical and mental side effects as well as neurological damage which resulted from taking the drugs as prescribed and also from attempting to withdraw. Says one psychiatrist, ’There’s not a chemical on the planet, to my knowledge, that can require years to taper — not Oxycontin, not crack cocaine, not heroin, and not alcohol. But psychiatric medications, any tapered patient will tell you, can take sometimes years if possible, at all.’ … [Medicating Normal] is the untold story of what happens when profit-driven medicine intersects with human beings in distress.”

Statistically, a good chunk of Happiness Is A Skill readers are taking some form of antidepressant or anti-anxiety/benzodiazepines like Xanex or Ativan. For those people, none of this is meant to scare you or bully you into getting off the drugs. You do you. However, if you ever do want to get off these drugs, I implore you to do your research and work with your doctor to create a slow, deliberate tapering plan. Doctors are not required to give patients informed consent when it comes to psychiatric drugs, nor are they well versed in safe withdrawal. It’s not their fault. The medical system simply doesn’t teach them how to take people off these medications. It is possible to wean off psychiatric drugs safely and with few side effects, but the techniques for doing so are being developed at a grassroots level by people who have experienced it, like me. For more information on safe withdrawal, check out SurvivingAntidepressants.org, Mad In America, and the Inner Compass Initiative. You can also email me directly. Lastly, Medicating Normal is being screened virtually at several film festivals and hosted events. I would recommend it to anyone who is taking antidepressants or benzos, but I believe it should be required watching for all practicing psychiatrists and doctors. You can find tickets and upcoming screenings here.

Coming September 6, 2022

May Cause Side Effects

Brooke’s memoir is now available for preorder wherever books are sold.

This is a heart-rending and tender memoir that will start conversations we urgently need to have. It’s moving and important.

Johann Hari, author of New York Times bestseller Chasing the Scream and international bestseller 
Lost Connections: Uncovering the Real Causes of Depression—and the Unexpected Solutions

Get the Book Now

More articles from the blog

see all articles

July 9, 2025

How World War II, cigarette companies, and an obscure 1937 law determine what you put in your mouth today: A Short History of the Sad, Modern American Diet.

read the article

July 2, 2025

“What do all fat, sick, unhealthy people have in common? At least this: they all eat.: An introduction to a new series about diet, psychiatric drug withdrawal, and performance.

read the article

June 25, 2025

 Bad Medicine, Antidepressant Withdrawal, and the Incalculable Costs of Medicating Normal: My full talk at the University of Nevada, Reno Medical School

read the article

June 18, 2025

Smart things other people said, Part II: A big two weeks in the world of bad science, bad journalism, and why it’s good news for us.

read the article

Over the past six months, I have watched a curious trend develop amongst the people in my circle. Faced with a clear threat —COVID-19- two courses have emerged. First is the group that follows whatever rules and precautions that exist where they live but who also generally accept that COVID is a part of life. These are the people who went back to the gym when it opened, socialize within their bubble, and go to restaurants. Life is normal (ish).

The second group follows strict, often self-imposed rules. One thirtysomething friend of mine hasn’t left his house since March. Another makes sure never to miss the nightly news, so she can stay informed on the latest numbers. Still, another barricaded herself in the attic to keep distance from the family. They put these practices in place to keep themselves safe. They are running from the threat. And it’s been working. Until now.

The thirtysomething friend came down with a fever and a deep, dry cough. Coronavirus or otherwise, he asked himself, “How the hell did I catch something when I haven’t left the house?” The friend watching the nightly news experienced so much anxiety that she gave herself raging ulcers that ate through her stomach lining. And the acquaintance in the attic? She developed a lung infection unrelated to COVID but refused to go to the hospital because she was worried about catching COVID. The lung collapsed. She was hospitalized and left with a much bigger problem than the initial infection.

It is a most human act to focus on an outside predator, convincing ourselves that if we just get stronger or run faster, we will evade danger. But the process of protecting ourselves from an obvious beast can skew our perception. Fixated on a single threat, we lose our peripheral vision and are blindsided by an unexpected blow…even though signs were there all along.

At its core, this tendency stems from the brain’s inability to truly conceptualize its death. That’s all we’re doing right? Telling ourselves that if we stay inside, watch the news, and keep away from other people we will not die. Death is a scenario that will befall other people. But not us. Because we are in control.

Except, we will die. Yes, even you. Fixating on this one particular method of death is futile. Avoiding it does not eliminate the end result. It simply shifts the target.

Easier said than done, of course. Your psychology, risk tolerance, physical health, and life experience will dictate how you handle a crisis with so many unknowns. But no matter your particular brand of peccadilloes, it’s worth asking, what exactly are you running from? And what is happening around you, when you’re blinded by the chase?

Before you go…

After 15 years of depression and antidepressants, my mission is to help people find hope in the name of healing. My memoir on the subject, MAY CAUSE SIDE EFFECTS, publishes in August 2022.

Pre-order it now.

For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL, a weekly newsletter devoted to helping people heal from depression.

Signup Now

More articles from the blog

see all articles

July 9, 2025

How World War II, cigarette companies, and an obscure 1937 law determine what you put in your mouth today: A Short History of the Sad, Modern American Diet.

read the article

July 2, 2025

“What do all fat, sick, unhealthy people have in common? At least this: they all eat.: An introduction to a new series about diet, psychiatric drug withdrawal, and performance.

read the article

June 25, 2025

 Bad Medicine, Antidepressant Withdrawal, and the Incalculable Costs of Medicating Normal: My full talk at the University of Nevada, Reno Medical School

read the article

June 18, 2025

Smart things other people said, Part II: A big two weeks in the world of bad science, bad journalism, and why it’s good news for us.

read the article

Happiness Is A Skill is 10 weeks old today! Such a wee milestone in the grand scheme of life, but in internet years, HIAS is entering its awkward teenage years. I’ve been at it just long enough to know it needs some tweaks, but not so long that I know what those tweaks are.

And so I ask, what do you want to see? Tell me how I can help you.

If you prefer actionable issues like last week’s How To Neuter Your Social Media for Optimal Mental Health over more thought-provoking issues like Awakening to the Work of a Human Being, tell me. If you want fewer things to read and more product recommendations, tell me. If you want more of a psychiatry focus, tell me. More philosophy, tell me!

If I am asking, it means I want your input. In fact, I need your input to make this work the best it can possibly be. That is why we ask for help — to get the information we don’t have in order to make our lives and projects better.

And yet, few people ask for what they need, and even fewer ask for what they want. Instead, they sit and wait for someone else to intuit the answer and take action, which never happens.

It took me 31 years to understand the power of asking. For most of my life, I operated in a paradigm of radical competency. Asking for anything, help or otherwise, was not part of my vocabulary thanks to a healthy fear of looking stupid and of appearing “high maintenance.” My strategy, instead, was to keep my mouth shut and — when smartphones entered the lexicon — excuse myself and Google answers in the bathroom.

The problem with this strategy is that it does not expand knowledge or possibility. At best, you get a quick answer. At worst, you get no answer. It does not offer any room for discussion and actually stops us from engaging in the deeply human urge to help each other.

Research (and common sense) tells us that doing good in the world not only makes us feel better but that it is good for us. This holds true for actions big and small and is not confined to altruism or volunteering. Simple actions, like giving someone directions or showing your support for someone who is suffering, benefit you too. These actions, defined as prosocial behavior, create heightened empathy and responsibility toward others, which in turn bring a sense of meaning and purpose to the helper. By refusing to ask for help, you cut off the opportunity for someone else to engage in prosocial behavior that benefits both of you.

I realized the power of asking somewhere in the Portuguese countryside, back in 2017. I was leaving a restaurant with a group of friends, unopened bottles of wine in hand. As we boarded the van, someone realized that we didn’t have a corkscrew. Because there was an element of drinking to the day, this was a clear problem. While a group of us tried to (poorly) communicate with the driver to see if we could make a stop somewhere to buy a corkscrew, a woman named Michelle rolled her eyes and said, “I’m just going to ask the restaurant to give me one.” She bounded off the bus and back into the establishment.

I couldn’t believe the audacity. She was going to ask a restaurant to give her a corkscrew for free? How…rude?

Michelle returned a few minutes later, waving the corkscrew above her head.

“They just gave it to you?” someone yelled from the back of the van.

“Yeah?” she shrugged, befuddled at our bewilderment. “It wasn’t a big deal. People will do anything if you just ask for what you want.”

And it’s true. After the corkscrew moment, I began testing the asking waters. Here’s a shortlist of things I’ve received over the past few years just because I asked:

Of course, it’s important to recognize the difference between asking for what you want and taking advantage. Asking a restaurant to take back a salad because the chicken is burned to a crisp is different than eating most of the salad, sending it back, ordering a steak instead, and then expecting the steak to be comped on the house.

Tone and wording are important, too, which is where the idea of prosocial behavior comes back into play. Asking for what you want — and getting it — hinges on reciprocity. Someone else has to do something for you, and the best way to make that happen is for the other person to benefit, too.

When dealing with a medical bill, for example, asking “Can I have a discount?” sends a very different message than, “Is there anything you can do to help me?” The former is self-serving, whereas the latter asks the other person to be the hero. And people like to be the hero because it makes them feel good.

Asking doesn’t always guarantee a “yes,” but the more “no” you get, the less each one stings. It all becomes second nature after a while, and the universe flows a little easier.

So I ask, what do you want to see? How can I help you? Respond to this email and I promise, I’ll get back to you!

Amanda Palmer: The art of asking | TED Talk — www.ted.com

Amanda Palmer is a controversial singer and artist who garnered media attention—and a good chunk of revenue—when she walked away from her big music label and started giving away her music for free. Her strategy? Ask people for support and give them meaningful work in return. They will always come through.

7 Effective Ways to Ask for Help (and Get It) | Psychology Today Canada — www.psychologytoday.com

You know you should ask for help…but how? This article breaks down seven different strategies.

Selfless acts: How Americans are helping each other through the coronavirus | TheHill — thehill.com

The news only shows the doom and gloom, but all over the wold, people are stepping up and helping each other.

Before you go…

After 15 years of depression and antidepressants, my mission is to help people find hope in the name of healing. My memoir on the subject, MAY CAUSE SIDE EFFECTS, publishes in August 2022.

Pre-order it now.

For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL, a weekly newsletter devoted to helping people heal from depression.

Signup Now

More articles from the blog

see all articles

July 9, 2025

How World War II, cigarette companies, and an obscure 1937 law determine what you put in your mouth today: A Short History of the Sad, Modern American Diet.

read the article

July 2, 2025

“What do all fat, sick, unhealthy people have in common? At least this: they all eat.: An introduction to a new series about diet, psychiatric drug withdrawal, and performance.

read the article

June 25, 2025

 Bad Medicine, Antidepressant Withdrawal, and the Incalculable Costs of Medicating Normal: My full talk at the University of Nevada, Reno Medical School

read the article

June 18, 2025

Smart things other people said, Part II: A big two weeks in the world of bad science, bad journalism, and why it’s good news for us.

read the article

Gratitude. Oh how I loathed that word for so many years. Throughout the depths of my depression, gratitude taunted me like a schoolyard bully sniggering at the poor kid’s hand-me-downs. What was there to be grateful for when my world was nothing but darkness and pain? Why be grateful for the basics of life — food, water, shelter, breath — when I didn’t want to live in the first place? How could I create a practice around something I didn’t feel?

It’s not that I didn’t try. For a while, I scribbled in a gratitude journal. Or as I referred to it, a fucking gratitude journal. When that didn’t work, I tried a gratitude jar, but all I wanted to do was shatter the thing against the wall. Then I tried reading some Stoic philosophy. And listening to Oprah. Nothing stuck. Gratitude, I determined, was for suckers or the anointed. I was neither.

Color me surprised when, in January of 2017, I stood in front of a lopsided fir tree growing just off the highway in Prague and felt a surge of gratitude so great, it warmed me down to my frozen toes. It’s like its needles reached into my heart and jolted me awake with the force of a defibrillator. I stopped cold in the middle of the sidewalk, turned, and stared like it was the first tree I’d ever seen. They grey highway and the grey sidewalks and the grey sky melted away, leaving nothing but the deep green tree swaying in the breeze. A sort of tingle twitched between my shoulder blades that flooded through my body — gratitude for life itself.

I went back to the tree nearly every day during my four weeks in Prague, trying to encode the flush of gratitude into my cellular memory. I worried that the tree was a beacon I might never find again, like I would leave the city and lose the signal. If I could only hold onto it and recognize it, I figured, maybe it would find me again.

And it did. Slowly but surely, it did.

When it comes to living a happy life, gratitude sits at the center of almost every teaching, philosophy, and religion. The Bible says, “Give thanks in all circumstances; for this is the will of God in Christ Jesus for you.” (1 Thessalonians 5:18.) The Buddha said, according to Kataññu Suttas scriptures, “A person of integrity is grateful and thankful. This gratitude, this thankfulness, is advocated by civil people. It is entirely on the level of people of integrity.” The Stoic philosopher Marcus Aurelius coined the phrase, “the attitude of gratitude” and the modern spiritual teacher, Ekhart Tolle, says that “It is through gratitude for the present moment that the spiritual dimension of life opens up.”

But for years, no matter what I tried, I couldn’t access it. Why?

Two things are at work here. First, gratitude is a feeling, not a reasoning. In my experience, it is impossible to access gratitude through the intellect alone, which is why my attempts at gratitude jars and journals failed. The practice was there but the embodiment was not, and without the physical and emotional connection, the reasoning was futile. This is the same reason why it’s useless to tell kids to clean their plates because there are starving children in Africa. Knowing that people are starving is at odds with the fact that the kid feels full, and the lesson does not sink in.

Second, gratitude is no match for grief, loss, or the untrodden path of phenomenal change. It is simply too delicate, too nuanced. The image of a flower tossed into the base of a waterfall comes to mind. Beauty and wonder crumble under thousands of pounds of force.

The waterfall could not thin and let gratitude shine through until I began to stabilize from antidepressant withdrawal and work through the grief — and subsequent depression — of losing my father. But once I finally felt gratitude, I learned to recognize it when it randomly showed up. After recognizing it a few dozen times, a practice allowed me to access gratitude on command. Only now does that gratitude journal serve its purpose.

Think of it as software. Until the software is downloaded onto the hard drive, the computer cannot access it. But you must format the hard drive to remove any corrupt data before the software can be downloaded, otherwise, the software will also corrupt. But once the hard drive is formatted and software is downloaded, the computer can run the program. It runs best when the hard drive is clear of viruses and clutter, but as long as you clean up the hard drive now and again and don’t let malware seep into the system, the software can run forever.

This is gratitude. It must first be felt before it can be regularly accessed, but it cannot be felt until the corrupt energy is cleared away.

Thus, the first step to healing and happiness is not “be grateful.” It’s to start clearing the corrupt files, one byte at a time.

From Productivity to Psychedelics: Tim Ferriss Has Changed His Mind About Success | GQ — www.gq.com

I find few interviews to be truly worth reading, but this interview with Tim Ferriss is packed with useful nuggets about managing the mind and overcoming yourself. A quote: “The inescapable fact that if, at best, you tolerate yourself, and more often berate, hate, or criticize yourself, how can you possibly fully engage with others, accept and love them, and find peace of mind and life?”

The secret to happiness is simple: live like a Stoic for a week | The Independent — www.independent.co.uk

What have the Romans ever done for us? Well, obviously the roads – the roads go without saying. How about guidance for how to live in the 21st century? That seems less likely, but in fact the last few years have seen a flurry of interest in the work of three Roman Stoic philosophers who offered just that.

Why you can smell rain — theconversation.com

The smell of rain, or petrichor, is one of the few sensory experiences that instantly transports me into a state of gratefulness. But why does that smell happen? This 2 minute read explains why.

More articles from the blog

see all articles

July 9, 2025

How World War II, cigarette companies, and an obscure 1937 law determine what you put in your mouth today: A Short History of the Sad, Modern American Diet.

read the article

July 2, 2025

“What do all fat, sick, unhealthy people have in common? At least this: they all eat.: An introduction to a new series about diet, psychiatric drug withdrawal, and performance.

read the article

June 25, 2025

 Bad Medicine, Antidepressant Withdrawal, and the Incalculable Costs of Medicating Normal: My full talk at the University of Nevada, Reno Medical School

read the article

June 18, 2025

Smart things other people said, Part II: A big two weeks in the world of bad science, bad journalism, and why it’s good news for us.

read the article

My mother always told me that I was born to do something big. This idea sprouted just a few months after I was born, when my parents took me to an astrologist my father had been working with for years. According to the planets and the stars, the astrologer said, it would never be enough for me to help just one person. I would want to help the whole lot of them.

While this prophecy motivated me to take risks and aim high, it also set me up to equate recognition with my own definition of success. And not just any recognition. The right recognition. It’s not enough for friends, family, or some no-name publication to tell me that I write pretty or cook well. If it’s not big and obvious, I see it as meaningless.

Obviously, this isn’t a great way to live. And like all stories we tell ourselves, life has a way of taking our bullshit narratives and making us repeat them over and over again until we learn. Case in point: my memoir about antidepressant withdrawal has now been rejected by 16 presses, most of whom work under the umbrella of major publishing houses like Penguin/Random House and Harper Collins. The rejections are fabulous. The editors that read my work are over the moon with the quality and power of my writing, but for whatever reason, they “have to pass but can’t wait to see where it ends up.” These are the gatekeepers with the money and status to take a book about hiking the Pacific Crest Trail and turn it into the mega-bestseller and blockbuster movie, Wild. They are my definition of big. And they are falling out of my reach.

Watching the window close to the major publishers is devastating. I quite literally ripped the shirt off my own back and tore it into tatters after I received my last rejection. That’s how much this matters to me. But after weeks of mourning and an uncomfortable amount of anger, 16 repeats of the same pattern is enough to get me to start reevaluating. And so I’m asking myself, what does it really mean to be big?

Dr. Ignaz Semmelweis, for example, comes to mind. Semmelweis died in a Viennese insane asylum in 1865 after his life work, The Etiology, Concept, and Prophylaxis of Childbed Fevers, was rejected by a panel of German physicians and pathologists. Semmelweis’s thesis? Disease is caused by a lack of cleanliness, and that postpartum mortality decreases by tenfold if doctors wash their hands before delivering a baby.

It would be another 20 years after Semmelweis’s death before Louis Pasteur’s work on germ theory led to an acceptance of Semmelweis’s claims and practices. Today, of course, washing hands to prevent disease may as well be a global sport. But Semmelweis would never know about his big contribution to the world. His work, through the lens of his own existence, did not make a dent.

I wonder how Semmelweis felt about his work. During his early stages of madness, did he regret all the time spent on a life that amounted to ridicule? Was the fact that he saved a few hundred women from dying of infection enough to offset the knowledge that countless more would die because other doctors rejected his thesis? Or was it the weight of perceived failure that drove him to despair?

***

Do you know of any other ordinary figures whose little known work changed the world? Please send them my way!

Are You Downplaying Luck’s Role in Your Life? – Facts So Romantic – Nautilus — nautil.us

Think blood, sweat, and tears are the reason for your success? Think again, says Robert Frank, a professor of economics at Cornell University. Luck, he says, is the invisible hand.

Ridding Happiness Contaminants 1: Ego Anxiety | Psychology Today Canada — www.psychologytoday.com

Russell Grieger Ph.D., breaks down the concept of Ego Anxiety, a never ending cycle consisting of the desire to always do well and be approved, followed by the idea that failure = worthlessness, which in turn furthers the need to always do well and be approved.

Ignaz Semmelweis, “father of infection control,” pioneered hand-washing but died before many took his advice – The Washington Post — www.washingtonpost.com

If only Semmelweis could see how his contribution changed the world…

More articles from the blog

see all articles

July 9, 2025

How World War II, cigarette companies, and an obscure 1937 law determine what you put in your mouth today: A Short History of the Sad, Modern American Diet.

read the article

July 2, 2025

“What do all fat, sick, unhealthy people have in common? At least this: they all eat.: An introduction to a new series about diet, psychiatric drug withdrawal, and performance.

read the article

June 25, 2025

 Bad Medicine, Antidepressant Withdrawal, and the Incalculable Costs of Medicating Normal: My full talk at the University of Nevada, Reno Medical School

read the article

June 18, 2025

Smart things other people said, Part II: A big two weeks in the world of bad science, bad journalism, and why it’s good news for us.

read the article

After three months of closure, my gym in Vancouver re-opened on June 1st. Even though I’ve been a gym rat since 2013, the pandemic took a huge toll on my physical performance. Six weeks later, my workout capacity hovers around 40% of what it once was.

I see this deficit most clearly on an indoor rowing machine. The treadmill of canoes, rowing machines produce resistance thanks to air flowing through a flywheel. The wheel connects to a chain, and the combination of pushing with your legs and pulling the chain handle spins the flywheel. The faster you row, the faster the flywheel spins and the more resistance it creates. The amount of power you produce — measured in meters, calories, or watts — is displayed on a small screen, giving you instant feedback on each stroke.

Two ways to get the flywheel moving: brute strength or proper technique. In the past, I could muscle my way through at a reasonably respectable pace for someone built for ballet, not rowing. But thanks to a combination of three months off, nagging injuries, mid-thirties hormones, elevated base level stress, and extra glasses of pandemic wine, I have been forced to adjust my strategy. Pulling the handle like all hell just doesn’t work anymore.

Like most things that seem simple, rowing technique is complicated. Arms straight. Head neutral. Shins vertical. Heels lift. Push through the legs, then extend through the hips, then pull the chain. Legs, hips, pull, release, hips, legs. Don’t let the chain slack. Don’t hunch. Don’t lead with the back. Don’t bend the arms too early. Legs, hips, pull, release, hips, legs. Breathe. Legs, hips, pull, release, hips, legs. Repeat.

My goal is not to become a professional rower. It’s to get through the rowing portion of my afternoon workout so I can move onto the next movement. Focusing on every aspect of my rowing technique would be a waste of my time. Instead, I focus on one thing I can do to increase my efficiency: get the handle to the proper starting position, every stroke, every time. Focusing on the handle’s placement guarantees that 1) my stroke length will be as long as possible, which increases speed; 2) positions my back and legs to fire in the right order at the right time, which increases power; 3) keeps my mind zeroed in on one thing rather than 100 things, and 4) distracts me from how awful rowing is.

Why is this relevant to happiness? Because by focusing on one aspect of rowing technique, my power and speed are guaranteed to increase, thereby improving my overall performance. I don’t need to be great everywhere all the time. I just need to be a little bit better, repeatedly. Over time, this will translate into more strength and stamina…without breaking my spirit.

The same theory applies to happiness. It’s not about making sweeping changes and overwhelming the system with hundreds of new processes, only to beat ourselves up for failure. It’s about taking stock of your life and focusing on doing one thing right, every time that will set a stronger foundation for each process that follows.

For me, that one thing is staying off social media. Maintaining that boundary gives me greater emotional and psychological resilience, which means I am able to consume more meaningful information, brush off minor irritations, and more quickly bounce back from major roadblocks.

For my sleep-challenged partner, Justin, that one thing is making sure that he dims the lights in the apartment at least an hour before getting in bed. Keeping the lights down and the candles lit sets him up for a better night’s sleep, which means every aspect of the next day gets easier.

For my mother, that one thing is keeping the house clean. But instead of doing a big clean up once a week and then getting irritated as the week moves on and the mess piles up, she commits to tidying up two things every time she walks in a room. The result? The house is always well kept — in no time at all.

What is one thing in your life, when done right every time, that makes your day easier and lighter? Find it. Focus on it. Do it right. Every time.

How to Be Great? Just Be Good, Repeatably — blog.stephsmith.io

To create something great, we are told to take baby steps, put one foot in front of other, and take it one day at a time. We’ve heard these platitudes our entire life, but in the moment it can be hard to see how small changes add up to something bigger. We want to be great, now. In this piece, Steph Smith shows us that greatness is a myth. To be great, she argues, just be good enough…over and over and over again.

Jim Collins – Concepts – The Flywheel Effect

Jim Collins is a researcher focused on business management and sustainability. This excerpt, from his book Good to Great, highlights “the flywheel effect,” which states that in any great creation, there is no single defining action that leads to success. Instead, it is about making relentless, incremental progress until the flywheel gains enough momentum to turn on its own.

The secret to giving a compliment that makes people glow | — ideas.ted.com

Struggling to find that one thing to do right each day? Try giving one person per day a heartfelt compliment. Educator and TEDx speaker, Cheryl Ferguson, shares how.

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Summer months in Vancouver mean endless hours of daylight. At its peak, light emerges around 4 am and does not wane until well past 10 pm. Earplugs, sleep masks, and blackout shades are the only defense against a bungled circadian rhythm, and some mornings—like this morning—it’s particularly hard to get moving.

I stumbled out of bed before 7am, a sliver of sunlight streaming through our northern facing apartment. I sat in silence for 11 minutes, my usual meditation, and found myself on the edge of dozing off. The gong signaling the end of my mediation sounded, and I wrapped myself in a blanket and took a morning snooze on the couch.

When I mustered the will to peel myself off the cushions, fuel myself with tea, and transform the bedroom from my sleeping place to my coronavirus office space, I opened up The Daily Stoic to read the day’s entry:

“On those mornings you struggle with getting up, keep this thought in mind—I am awakening to the work of a human being. Why then am I annoyed that I am going to do what I’m made for, the very things for which I was put into this world? Or was I made for this, to snuggle under the covers and keep warm? It’s so pleasurable. Where you then made for pleasure? In short, to be coddled or to exert yourself?”

-Marcus Aurelius, Meditations, 5.1

I am awakening to the work of a human being. Aurelius seemed to interpret this awakening literally. He was a Roman emperor, and the demands of the job required the occasional morning pump up. I imagine that woven silk sheets of the imperial palace were significantly more pleasurable than managing 1st century Rome, but as Aurelius said, he was put on Earth to run Roman empire, not whittle the day away in bed. What choice did he have?

But in July of 2020, I am awakening to the work of a human being takes on a whole new meaning. To simply be human is the work. It is all there is and all there ever will be. Six months ago our work was our career, our success, our routine. But when it was all taken away, the real human work remained. The job, the schedule, the life—it’s nothing but a thin coat of paint.

What is the real human work that you were born to do? If you have trouble answering, look issues that have roared their ugly head over the past few months. What makes you angry? What are your patterns? What challenges has the pandemic revealed? And what gifts has it given you? What changes will you take with you?

Get clear on the work ahead, and know that it will not be easy. Deep work never is. But you will be doing the work you were made to for, the very thing for which you were put into this world. Are going to remain coddled? Or wake up, face the day, and get going?

If You Want to Change the World, Start Off by Making Your Bed – William McRaven, US Navy Admiral — www.youtube.com

I first watched this speech around 2010, after nearly 25 years of refusing to make a bed that I figured I was destined to mess up that night. Since I first watched it, not a day has passed where I haven’t made the bed. Why? Little things matter. And starting the day with one completed task, sets you up to complete the rest.

BBC – Travel – The unexpected philosophy Icelanders live by — www.bbc.com

Icelandic people know they are not in control; their world is made up of volcanos, bitter cold, and endless nights. Living with the force of nature dwarfs wee human life, leading to the Icelandic phrase,‘þetta reddast’, which roughly translates to the idea that everything will work out all right in the end.

The Biggest Psychological Experiment in History Is Running Now – Scientific American — www.scientificamerican.com

DISCLAIMER: If you’re exhausted from covid content and/or someone who is easily riled up from covid content, skip this article. But if you’ve got the capacity, glaze over the usual covid terribleness and read this piece through the lens of ‘real human work.’ One line that stands out: “People who believe they can cope do, in fact, tend to cope better.”

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Yesterday, I was listening to a podcast with renowned couple’s therapist Esther Perel. She was talking about how couples were coping with the pandemic and said, “You can’t be feeling great in this moment. You can feel relieved. You can feel thankful. You can feel appreciative for what you have. You can feel humble. You can feel thankful to things, but you can’t feel great in this moment, because if you’re feeling great in this moment, you’re detached, you’re disconnected.”

The episode was recorded sometime in late March/early April, about three weeks into lockdown. Had I listened to it at the time, I likely would have agreed. How could someone feel great when the world was but an ominous shell of itself, with an air of fear and uncertainty thick enough to choke even the healthiest of lungs?

But in listening to Perel’s comment now, three months later, my thoughts on the matter are different. Why can’t we strive to feel great in this moment? And why are we encouraged to exchange our own well-being in order to stay plugged in to global suffering?

Because it’s important to stay informed. Because ignorance is dangerous. Because a good person cares about other people. Because it’s selfish to look out for number one. Because the world doesn’t revolve around you. Because people are dying. Because. Because. Because.

Happiness is a most rebellious act. To be happy, especially when others are not, is to break an unspoken human rule that equates thriving with selfishness. The Australians call this Tall Poppy Syndrome, referring to the expectation that a field of poppies should grow together. If one grows too tall, it needs to be cut down. In human terms, this means we celebrate the downfall of high achievers and shun those with enviable qualities. Poppies that stand out for doing well don’t fare much better than those that stand out for doing poorly.

But I feel guilty for being happy when so many people are hurting.

To tear down others for perceived happiness is a fundamental misunderstanding of happiness in the first place. It assumes that happy is a destination rather than a state of existence, and that choosing personal happiness is a callous blow to collective suffering. It is the guilt, not happiness, that emerges as the most selfish act. Guilt is what happens when we take someone else’s pain and make it about ourselves. It does nothing subtract pain, and instead doubles its existence while taking focus away from the issue at hand.

Think about it. How do you feel after a day when you’ve been wracked by guilt or have spent too many hours following the latest on infection rates or political incompetence or unrest? Are you left with the emotional capacity to answer the phone when a distressed friend wants to talk? How do you respond when your kid knocks over an heirloom and shatters it on the floor? What vice to you choose to numb the pain you just witnessed? How does any of this help you and the people around you?

But by pushing guilt aside and allowing ourselves to learn happiness—or strive for greatness—even in a time of anguish, we actually expand our capacity to help others who are suffering. We are able to more freely move between contentment and action, without getting tangled up in a collective web of pain.

So grow tall, break the rules, rebel with happiness. The world may not understand you, but now more than ever, it needs you.

Viktor Frankl on the Human Search for Meaning — www.brainpickings.org

The Australian psychiatrist and Holocaust survivor said of his experience in Auschwitz: “Everything can be taken from a man but one thing: the last of the human freedoms — to choose one’s attitude in any given set of circumstances, to choose one’s own way.”

Consciousness Isn’t Self-Centered – Issue 82: Panpsychism – Nautilus — nautil.us

Humanity has convinced itself that consciousness is an inherently human trait. But what if it isn’t? This is a fascinating read that focuses on the scientific search to determine all things—plants, stones, a fork—have consciousness.

Dealing with the guilt of privilege — www.rappler.com

I love the last line from this excerpt:

“The guilt that many have begun experiencing in this pandemic may be attributed to increased self-awareness of their advantaged position. As with any emotion, the feeling of guilt is valid and normal in light of a realization like this, but it is just as important to realize that being privileged, in itself, is not wrong. Privilege is often something that is given, not something that is chosen. However, what can be chosen is what to do with privilege.”

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The following was originally published in my newsletter, Happiness Is A Skill, Issue #01. 

—

The past few months have gifted us with an opportunity for deep reflection. While the world changes at a breakneck pace, we’ve all been stuck inside, left with nothing but the life we’ve created for ourselves and the emotions that come with facing it.

Turning inward has forced me to take a hard look at how I want to move forward, both in my personal life and public one. Between winning Chopped and having an impactful mental-health piece published in the Washington Post, I’ve turned into the world’s most wee public figure. With my memoir on antidepressant withdrawal now out for submission (which means publishers are considering whether or not they want to buy the manuscript and publish the book), I put myself under considerable pressure to produce on social media in order to tantalize publishers.

The problem, though, is that social media is notoriously awful for mental and emotional health. After four years of doing the deep work to get myself off of antidepressants and out of a decade and a half of depression, three weeks of Twitter sent me back into psychological hell. About 10 days ago, I broke. Social media is simply filled with more pain than I am currently able to carry on my shoulders, and I made the choice to step away. The apps are off my phone, blocked on my computer, and I’m turning to print (gasp!) for news.

Our society is filled with all sorts of viruses. Biological, political, racial, cultural, systematic—they all seep into our cells, etching themselves into our physical and emotional makeup. Unplugging from social media may seem nuclear, but consciously and constantly exposing myself to other people’s pain—which I can neither fix nor control—is the emotional equivalent of licking a bathroom stall at LAX. Why do that to myself? Who benefits from making myself sick? Not me. Not you. Not my community.

I believe that happiness is a skill that must be learned, practiced, and maintained. We aren’t born with it any more than we’re born with the ability to run a marathon or complete a PhD. Some of us may come in with runner’s legs or photographic memories, but the mere presence of aptitude does not guarantee success. The work is the work. In continuing to put myself in the line of social media fire, I was consciously working against the happiness practice I built. And I refuse to do it any longer.

Instead, I am funneling my former social media efforts into a new newsletter dedicated to helping people who want to wean off their antidepressants, recover from depression, and learn the skill of happiness. You can expect everything from relevant articles to inspiring figures to actionable practices to musings on Stoic philosophy. Some weeks may make you laugh, others may make you think. All of it is designed for people who are ready to do the work.

So many of you have stuck with me for so long. Know that I appreciate you, and I hope that each week it brings a little extra value to your life…without the toxicity that comes with so much of the internet. In this space, you won’t find any ads for toenail fungus cream, political bloodbaths, or cruelty. Just little morsels of strength and light in an otherwise dark world.

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It’s hard to celebrate anything right now. Yesterday, after a much needed few days entirely off the grid, I came back to a digital shitstorm. The specifics are irrelevant, but what was important was that in the middle of getting real mad and doing a whole hell of a lot of ugly crying, I realized I was having a moment of clarity. After months of fighting to get my work heard, I’d finally hit the end of my rope. I was done.

The exact words out of my mouth were, “I don’t know what this means moving forward, but I refuse to keep doing this to myself.”

It took an accident of an event for me to surrender, but understanding what was happening took a boatload of self-awareness. In order to recognize that I needed to make a change, I had to trust in myself to:

I didn’t develop any of these skills in the past 24 hours. They are all a result of hard, deep self-work I’ve put in over the past 4 years. Had I not spent those years actively cultivating these skills, I would have melted down yesterday without recognizing the value of the meltdown. Anger, tears, emotion—it’s all a bright flashing sign pointing to an issue that needs to be fixed. And yet we never teach people to recognize an emotion as such, and so we end up in a feedback loop of our own personal hell.

Happiness is not a given. Nor is it doled out to some but not others. It is something that must be cultivated and learned through trial and error. When you’re depressed or struggling though, it can be impossible to think you can help yourself. I know that during my 15 years of depression and year of antidepressant withdrawal, every time someone suggested a gratitude journal, I wanted to punch them in the face. Gratitude works when you want life. It mocks you when you want death.

My goal is to teach people the skills that I’ve learned so that they can take control of their own life. After yesterday’s moment of clarity, I’ve realized that I have to try a different strategy. What I was doing simply wasn’t working for me. It had me working against my own ethos, and that is a recipe for malcontent. The good of others is no good if it’s not good for me, too.

And so I move forward, my way, this time.

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“Iatrogenic comorbidity” is one of those jargon phrases that makes me want to run far far away from research.  To me, it’s code for this is an article for those who have letters after their name and if you don’t you’re too plebian to understand. For regular folk, it’s a term that’s difficult to remember, impossible to pronounce, and seems to have something to do with death.

It has nothing to do with death. In layman’s terms, iatrogenic comorbidity is illness or disease caused by medical treatment which results in two or more simultaneous conditions in a patient. It is also one of the most important (and overlooked) aspects of treating depression and prescribing antidepressants. If more patients understood what it meant, perhaps more doctors would be forced to take it into consideration.

Iatrogenic is an adjective that means, “relating to illness caused by medical treatment or examination.” For example, if a woman has heart surgery and the stitches get infected, the infection is an iatrogenic effect. If the stitches never existed, she wouldn’t have an infection.

Comorbidity means the “simultaneous presence of two or more chronic diseases or conditions in a patient.” For example, an elderly person could have osteoporosis (brittle, porous bones) and dementia at the same time.

Putting the two words together, iatrogenic comorbidity is what happens when medical treatment or examination causes two or more chronic diseases or conditions. In the case of our heart patient, let’s say that she was given antibiotics to fight against the iatrogenic effects of the infected stitches, but that she didn’t know she was allergic to the particular antibiotics. When she takes the drugs, she goes into anaphylaxis. Now, the heart issue, the infection, and the anaphylaxis are all comorbid conditions. A good physician needs to carefully understand what caused what issue in order to properly treat it, otherwise, he might misdiagnose and mistreat.

I am not a doctor, but I imagine it’s generally easier to trace iatrogenic comorbidity in physical illnesses. The heart surgery results in infected stitches which results in anaphylaxis. It’s an unpleasant outcome, but the progression is clear. Mental health, on the other hand, is inherently fuzzier. It is not uncommon for patients to present with comorbid conditions, like depression and anxiety. When medication is administered and more conditions show up, like suicidality, there’s no real way to know what caused what. Did the medication cause the patient to want to kill himself? Or would the urge have developed had the medication not been given? Was it the chicken? Or the egg?

There is a growing faction of psychiatrists and researchers who are calling for a drastic overhaul of the way we prescribe antidepressant and antianxiety drugs because of the risks of iatrogenic comorbidity. General practitioners, in particular, are being called out for defaulting to prescription antidepressants rather than recommending therapy. The argument, essentially, is that general practitioners are well…generalists. They are the traffic control of healthcare, designed to guide people down the appropriate specialist highway so oncologists don’t get bogged up with common colds. In theory, this means that GPs should refer someone suffering from depression to a psychologist for further evaluation. In practice, what often happens is that GPs prescribe an antidepressant (or multiple antidepressants) and send the patient on their way.

To put this practice in perspective, I lived in New York City for eight years and never once saw a psychiatrist for my Effexor XR and Wellbutrin XL. Furthermore, my GP only required that I see him once every 12 – 18 months, for a five-minute appointment. So over the course of nearly a decade, I got about thirty minutes of face time with the man who prescribed me daily psychiatric drugs. That’s fucking absurd.

So why is this happening? A general practitioner would never give a patient a script for chemotherapy, so why is it a widely accepted practice when it comes to depression and anxiety?

I would argue that a major factor is the fact that the iatrogenic comorbidity of chemotherapy is much more obvious and well-studied than it is with antidepressants. We know that chemo is a hell of a drug because it quickly makes most people vomit, turn grey, and lose all their hair. The iatrogenic effects of antidepressants though, do not develop in a common, linear way—if they develop at all. The same drug presented to four people with similar symptoms, background, and genetic makeup can produce four very different effects. One person may gain weight and develop insomnia. The second might sleep well but experience PSSD (post-SSRI-sexual-dysfunction.) The third may lose weight and have suicidal tendencies. The fourth may flourish for a few months, but show symptoms of bipolar disorder years later.

In all of these cases, when the patient goes back to their general practitioner because they’re not sleeping well or their weight has changed or they’re suddenly manic, what’s likely to happen? They get a sleeping pill or they’re put on a diet or they add a Lexapro back to their Celexa. Now they’ve got additional medication in the mix, which creates the potential for even more iatrogenic effects. And so on and so forth, until the patient is drugged up to their eyeballs and their system has gone haywire.

Does this happen every time? No. But it happens enough, and it’s avoidable if protocols are put in place to make it more difficult to prescribe antidepressants. I’m baffled by the fact that a course of some sort therapy is not considered a pre-requisite to prescribing antidepressants, especially given that research indicates that over the long term, therapy is just as, if not more, effective than antidepressants. Additionally, the positive effects are more likely to endure and there is little risk of iatrogenic comorbidity.

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June 25, 2025

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