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As I sit here on this gloomy spring morning, the tentacles of a migraine still latched onto the left side of my head, I am reminded of the phrase, “Do as much as necessary and as little as possible.”

wooden doll building wooden wall and text overlay

I first heard this phrased used around physical training. Think of an Olympian, for example, who has a finely tuned workout schedule designed to create gold-medal worthy results. She can’t back off and do less, otherwise, she risks her performance. She also shouldn’t do more, even if she’s capable of it, because doing more interferes with the rest and recovery necessary to perform at a high level. She doing both as much as necessary and as little as possible to reach her goals.

The idea is that doing more for the sake of doing more isn’t beneficial. That extra energy has to go somewhere, and if you’re not careful, that untamed energy leads to overuse and destruction.

Case in point: a Sunday night migraine that bleeds over to Monday because you broke your “no work on Saturday, under any circumstances, because you need to force yourself to rest so you don’t get sick” rule.

“Do as much as necessary and as little as possible” is tricky, though. Not only does it go against the “hustle harder” mantra that has so dominated our culture over the last decade, but it also gives those without much…shall we say, gumption, a route to laziness.

Take parenting, for example. I know one couple who, in all likelihood, will push their kid to take the SATs twice (and the ACTs twice, for good measure), even if the first go around yields scores strong enough to get the kid into her school of choice. I also know another couple whose neuro-typical seven year old can’t read or write his own name, but because they feed the kid and plop him in front of Zoom school for an hour a day, they’ve rationalized that they’re doing what is “necessary” to keep CPS off their back.

Both scenarios are recipes for different types of destruction. The SAT kid doesn’t need to expend more energy when the goal has already been met. Doing so will only lead to unnecessary, and prolonged anxiety, self-doubt, and shame. Meanwhile, the illiterate seven year old doesn’t even have a shot because of his parent’s fundamental disregard over what constitutes “necessary” parenting.

Ultimately, what is “necessary” is subjective and meaningless without clear goals or expectations. Get clear on what you want and what it takes to get there, but stop once you cross that line. Any effort beyond what is required is a liability.


Need a little giggle? Order one of my Fuckit Buckets™.

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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 on May 10, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL.

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

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The struggle to kill the serotonin theory of depression in a world of political nonsense

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Newborn Babies Go Through Antidepressant Withdrawal

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As I was taking my car to get serviced at 7:30 this morning, I pulled onto the highway and was met with a line of cars backed up for miles. I cursed myself for a moment, annoyed that I chose to take the highway at peak rush hour instead of taking the back roads. Whether or not the back roads were faster was irrelevant. My irritation revolved around getting caught in traffic in the first place, as if the thousands of other people on the road were out and driving stupidly just to piss off those of us who had very important places to be!

And then, a thought ran through my head: You aren’t in traffic. You are the traffic.

I think people have a deeply ingrained refusal to acknowledge their role in life’s frustrations. Every issue is turned outward. It’s always someone or something else who creates our problem, an uncontrollable and unpredictable force that befalls us without consent. But how often do we acknowledge that we are actually the willing participant in our issues? What role do we play in our problems?

I would argue that we have significant personal responsibility for 99% of our troubles. Honestly, I can’t think of a single problem in my current life that can’t be traced back to a choice I’ve made or actions I continue to take.

But it’s not just about blame. It’s about recognizing that you are the traffic. When you understand your role, you can harness your power. Do you want to take an exit? Or do you want to chug along, at a snail’s pace, yes, but without the accompanying rage? Next time, maybe you’ll take the back roads instead. Who knows what you’ll find there. Maybe that back road will be closed due to construction caused by drivers like you and cars like yours that day after day, break down the asphalt.

You contribute to the problems in the world. You contribute to the problems in your own life. These are absolute truths that apply to every beating heart.

So ask yourself this: Are you stuck in chaos? Or are you the chaos?


Need a little giggle? Order one of my Fuckit Buckets™.

three images of the fuckit bucket collection

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 on May 10, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL.

may cause side effects a memoir book picture and author brooke siem

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

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I find myself writing to you today from a rather odd place. There is pressure surrounding a particular issue in my personal life, and I can feel my inner world preparing for the earth to crack open. This isn’t unexpected, and the details don’t matter. But it renders a newsletter about happiness as a skill rather paradoxical, or so I first thought.

When I woke up this morning, I wondered what I could say to you when there is a distinct layer of fear and anxiety draped over my own life. I thought about sharing a TED talk, or a poem, or an excerpt from one of the many books I’ve read over the years. I wanted to default to the wisdom of someone else in hopes that they could offer guidance. For both of us.

pinteres blue orange image with text overlay

But as I forced myself into a short meditation this morning, for no reason other than when I want to meditate the least is exactly when I need it most, it occurred to me that although there is a blanket of tension pulled over my heart, underneath it all still beats the pulse of overwhelming gratitude. I get to feel all of this, the good and the bad and the scary and the magnificent.

This has happened, in this capacity, once before. Back in February, I rescued a six-year-old mutt, Bella, from a not-so-great situation in Sacramento. That first bitter cold night, I took her out for a quick walk before bed. She was skiddish and insecure, her little tail like Velcro against her soft belly. Just fifty feet from my front door, a male neighbor came out of his house, clearly drunk and/or high. Bella barked, and the neighbor came toward me. There was another bark, a pull at the leash, then slack. When I looked down, all that was left of Bella was an empty collar. I searched for her until my hands went numb, but she was part of the darkness.

She had only been with me for four hours.

When I got into bed that night, I thought about how my house is surrounded by the Nevada desert. In all likelihood, she was somewhere in those hills. If a coyote didn’t get her, the cold sure would.

The pain and guilt of it all left me in a state of shock, and still, I wrapped the covers around me and thought if something like this had to happen, I’m so grateful I at least have a warm bed to feel it in. Whenever my mind circled back to the thought of my scared little dog, alone in a strange place, I forced myself back to a place of gratitude. A soft bed. A house I love. A mom who drove across town, at midnight, to help me look for Bella.

I awoke at 3am, a faint sound of barking rousing me from sleep. Dumbfounded, I went to the front door. A winter wind pushed the door open and a flash of white and tan scurried past my feet. Somehow, despite being lost for hours in a place she’d never been, Bella found her way back home.

And now here I am again. The waves of life crashing in, steady gratitude providing the foundation underneath.

This, to me, is why we do the work. It’s why we practice happiness as a skill, every day in a million little ways. But the catch-22 is that in the midst of preparation, you can’t know what you’re preparing for. You have to trust that because you’ve put in the emotional work, that because you practice happiness when the seas are calm, you will be able to handle tsunamis. Because the waves of life will always come.

And if you’re lucky, you’ll realize what a gift it is to get to experience it all.

Need a little giggle? Order one of my Fuckit Buckets™.

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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 on September 6, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL.

may cause side effects a memoir book picture and author brooke siem

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

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Newborn Babies Go Through Antidepressant Withdrawal

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This week, I wanted to draw attention to the work of Andrew Huberman, an American neuroscientist and tenured professor in the Department of Neurobiology at the Stanford University School of Medicine.

Huberman specializes in the visual system and how it affects brain development, neuroplasticity, and neural regeneration and repair. Our eyes, as it turns out, have two functions. In addition to helping us read, see colors, and identify objects, our eyes are one of two primary systems (respiration is the other) that help tell our brain whether to be relaxed or alert.

The most obvious example of this is how we use our eyes to communicate the time of day. Our eyes perceive changes in light and therefore, our brain tells our body to awaken or become sleepy through an “aggregation of neurons” that dictate things like metabolism (are you hungry?) and movement (do you want to be lying down?) This is why sleep experts recommend shutting off harsh lights and avoiding screens toward the end of the day. When your eyes perceive the light, it triggers wakefulness in the body instead of sleepiness.

pinteres image with text overlay

The eyes also have a direct impact on our inner state. Our pupils contract when we’re relaxed and dialate when we’re focused or under any kind of stress, good or bad. For example, when you’re staring out over a beautiful coast or vista, your pupils get smaller in order to let you take in the breadth of your surroundings. This panoramic vision opens our window to the world, literally making it look bigger, which leads to stress reduction. This is one of the reasons why we feel so good in nature.

Conversely, our pupils dilate when we’re focused or stressed. Now we see the world through straws, the peripheral fields of our vision narrowed. When the visual field shrinks, according to Huberman, it triggers an increase in alertness. In a negative experience, that alertness is called stress, anxiety, or fear. In a positive experience, it might be called flow, excitement, or infatuation.

Like breathing, this is usually autonomic. Or rather, we don’t have to think about how our pupils adjust to see, just like we don’t have to think about breathing to stay alive. But just like we can hijack respiration and use breathing to our advantage, either because we’re blowing up balloons or because we’re practicing breathwork techniques in order to manage stress, we can also direct our gaze to influence our state of mind.

When we’re in a state of anxiety or negative stress, we can cue our brain to calm down by forcing ourselves to expand our field of view, to literally see the bigger picture.

Huberman said in a recent podcast, “If you look forward and you expand your field of view, so you kind of relax your eyes so that you can see as much of your environment around you as possible to the point where you can see yourself in that environment, what you are doing is turning off the attentional and, believe it or not, the stress mechanisms that drive your internal state towards stress.”

In short, to help keep stress levels down throughout the day, look around. Take breaks from staring at your computer to look out a window or check out the patterns in your ceiling. And if you’re having a bout of anxiety, force yourself to see a literal, bigger world.

Need a little giggle? Order one of my Fuckit Buckets™.

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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 on September 6, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL.

may cause side effects a memoir book picture and author brooke siem

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

One of the pitfalls of depression is that because it tends to come in waves, the habits we gather while we’re feeling okay often fall by the wayside when we’re feeling rough. And while I’m a huge advocate of forcing yourself to maintain those habits during times of darkness, I know that sometimes, it’s just not possible.

Luckily, we live in a time where technology is literally at our fingertips. There’s a lot of junk in that app store, but there are also a handful of stellar apps that can help hold your hand through the waves. Here are a few of my favorites.

Created by game designer Jane McGonigal, SuperBetter is an app that builds resilience. Born after a traumatic brain injury left McGonigal suicidal, SuperBetter brings the concepts of gaming into real life. For McGonigal, this meant accomplishing Power-Ups like putting on socks and establishing Allies with friends and family to help her achieve her Quest of returning to a normal life.

The game is fully customizable. If you are battling Depression as your Bad Guy, accomplishing little tasks like drinking a glass of water, walking the dog, or getting up off the chair and moving around all generate points that count toward your win. Over time, these accomplishments create change on a neural level, leading to an overall more positive state.

screen shot of superbetter application home screen

MoodMeter is an aesthetically pleasing, data-driven app designed to help you track and shift your day-to-day mood. This can be especially helpful for those suffering from depression because depression is the great manipulator. One dark day can feel like it erases ten days of progress, but if you have visual data that proves you are ultimately on the upswing, it can be easier to manage those dark days.

screen shot of mood meterapplication home screen

Drawing on 40+ years of research and clinical experience by psychiatrist Dr. David Spiegel, Reveri is a digital hypnosis app designed to create immediate relief from pain, stress, anxiety, sleep problems, and more.

Hypnosis is a tricky word often associated with quack therapists or stage shows. But in this context, it’s more of an imagination tool that helps kick the mind and body into a state of active rest. It is a state of highly focused attention, where distracting thoughts are decreased and the mind becomes more open to new ideas and perspectives.

Each exercise takes about 10 minutes and can be treated like a daily meditation. The one caveat is that because the app is new, it can be a little buggy. But given the team of people behind it, including neuroscientist Andrew Huberman and technologist Ariel Poler, it’s likely these issues will sort out over time.

screen shot of reveri application home screen

Need a little giggle? Order one of my Fuckit Buckets™.

gold the fuckit bucket charm

may cause side effects a memoir book picture and author brooke siem

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 on September 6, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL.

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

For most of my life, I struggled with the assumption that people with letters after their name were not only smarter, more powerful, and more successful than me, but that the research they create is gospel. I’m not sure when or how this seed was planted, but it’s lead to a lifelong feeling of inadequacy—especially throughout my twenties. Doctors and scientists were busy saving lives and stumbling across eureka. Meanwhile, I made silly cupcakes for a living and couldn’t afford health insurance.

Assuming that all doctors and research belonged on a pedestal is also part of why I so easily accepted their mental health diagnosis. I knew I was depressed, but what did I know about how to fix it? A doctor told me that my brain was broken and that the pills I was taking did not have any major side effects. Who was I to question someone who spent 12 years learning how to identify and treat my exact problem? It is only since getting off the antidepressants that I’ve begun to understand how complicated, political, and often corrupt the medical and research system actually is. And this isn’t conspiracy. Bad science exists in every discipline—The Guardian even has an entire vertical dedicated to it.

While researchers are adept at sorting out bad science from the good, regular folk rarely know the difference, which can lead to a plethora of misinformation and ill-informed opinion. But I’ve learned a few basic strategies to help us plebians suss out the good from bad when it comes to mental health research. This is by no means a foolproof or comprehensive list, but it’s a start.

Where to find research papers:

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PubMed is a free search engine that primarily accesses the MEDLINE (Medical Literature Analysis and Retrieval System Online) database of research on life science and medical topics. It allows you to sort by a variety of matches, including author, publication date, and journal. It also has a nifty search feature that will only give you results that include free full text. Unfortunately, the full text of many research papers are hidden behind paywalls, which leaves the average person stuck with nothing but abstracts.

Google Scholar is…well, the Google of research. Whether you’re looking for research on antidepressants or conifer trees, Google Scholar is the grand poobah of scientific information. However, because Google Scholar is a search engine and not a subject-dedicated database (like PubMed), Google Scholar strives to include as many journals as possible, including junk journals and predatory journals. These predatory journals are known for exploiting the academic publishing business model, not checking journal articles for quality, and pushing agenda even in clear cases of fraudulent science.

All this to say that before a paper is read, the reader needs to do a bit of due diligence to make sure that what they’re reading is legitimate. Even then, we can’t be 100% sure. Case in point: Andrew Wakefield’s fraudulent research claiming that vaccines cause autism.

I know, I know. The number one rule in research is: don’t use Wikipedia as a source. Any old geezer (including you) can log on to Wikipedia and change an entry (any entry) to say anything and everything, which means that Wikipedia is riddled with errors and should not be referenced as truth in a research paper or reported article. But since we’re not reporting for the New York Times, Wikipedia is a good place to start because of the references listed at the bottom of each Wikipedia entry. The Wikipedia page on Antidepressant Discontinuation Syndrome, for example, links directly to 27 different sources on the topic.

But sourcing research is only the first step. With so much junk science out in the world, it’s imperative to learn how to identify the good from the bad. Here’s how:

Check the Citations

Google Scholar is one of my favorite ways to source research, but because Google Scholar is a search engine and not a curated database, articles published in known predatory journals may pop up in your search results.

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The quickest way to determine if the article is legit is to check the “Cited by” number at the bottom of the search. If an article has multiple citations, it means other researchers are referring to the research in their own articles, which indicates legitimacy. It’s rare that articles are cited thousands of times like Eugene Paykel’s excellent study “Life and Depression: A Controlled Study.” With 1495 citations, Paykel’s study is the research equivalent of a New York Times bestselling book. But according to academics, even mid-single digits are enough to assume the research isn’t bunk.

Journal Ranking

While citations are a great place to start, they benefit from time in the system. Paykel’s article has been around since 1976, which means it has nearly half a century of research built upon it. New research won’t come with shiny citations, so you need to look at the journal it’s published in to see if it’s legitimate.

Academic journals are ranked for impact and quality by a system known as the H-Index. The H-Index is determined by the number of publications and citations. Higher H-Index indicates a higher ranking. However, note that the H-Index is not standardized across subject areas, so you can’t cross-compare across disciplines.

Find journal rankings by googling the name of the journal and the word “ranking.” The Scimago Journal & Country Rank (SJR) should be one of the first Google results, and that will show you the H-Index of the journal in question.

For layman’s purposes, the H-Index doesn’t matter too much. Think of it like the college system. Harvard isn’t the same as Iowa State, but that doesn’t mean that Iowa State isn’t capable of producing good citizens (and we all know question marks who graduated from top-tier universities.) The top journals produce great work, but there is still plenty of meaningful work to be found in smaller journals. A low ranking isn’t necessarily a problem, but no ranking is a problem. Junk publications and predatory journals won’t have an H-Index, so if a publication you’re reading doesn’t have a rating, run far far away.

Crosscheck Beall’s List

If the journal article doesn’t appear on the SJR, your predatory journal spidey sense should go off. Cross-reference the journal against Beall’s List, an archive of predatory journals created by librarian Jeffrey Beall. The sheer number of journals listed on Beall’s List is astounding, and it’s easy to see how naive readers could be duped.

Need a little giggle? Order one of my Fuckit Buckets™.

gold the fuckit bucket charm

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 on September 6, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL

may cause side effects a memoir book picture and author brooke siem

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

Healing Depression through Factual Optimism

How do we find happiness when we are still depressed or in antidepressant withdrawal? We don’t. At least, we don’t aim for big changes. Instead, we go for getting it right 51% of the time. If we quantify happiness onto a scale that ranges from 0% happy to 100% happy, every decision we make alters our position on the scale. If we can get our life to a 51% Lifetime Happiness Average, our choices are validated by default.

The goal isn’t to reach 100%. On some days, 80% can seem like a stretch. Fifty-one percent, though, is almost always doable. And at 51%, we’re winning.

Little Changes Bring Big Results

Quantifying emotions helps us remain grounded and make decisions rooted in reality, as opposed to the reality created by the chatter in our heads.

If we have one “good” day a week, we are at 14% happiness. By making small changes to bring us to two good days, our happiness average rises to 28%. To hit 51%, we need to have average 3.6 “good” days per week.

To set ourselves up for more good days in a week, we apply the 51% theory to individual decisions.

pinteret graphic for blog post the fifty one percent, or, factual optimism

As long as each singular decision falls at 51% or higher, it puts us closer to our overall 51% Lifetime Happiness Average.

Decisions are based not on logic, but on how they make us feel. When we are faced with a situation, take a moment and simply ask, “Where does this decision fall on the scale? How do I feel when I think about it?

If the decision feels like it will bring 51% Happiness, go with it, even in the absence of logic or practicality. If we don’t know the answer, wait and gather more information. Patience is often the difference between 49% and 51%.

The beauty of the 51% Theory is that all decisions become easy decisions. Even difficult decisions are easy decisions. They may still carry immense consequence, but once the 51% threshold is crossed, nothing else matters. At 51%, we are already ahead. Make the decision and go.

It only takes a 1% shift to create momentum that can change your life. At 49%, we’re still struggling against the current. At 51%, we’re moving with the river.

When in doubt, make a graph!

The 51% Theory is not finite. If, over too many days, a particular decision that started off at 51% or higher begins to fall, something needs to change. If a situation falls to 40% or so, that’s the time to get curious. Is the drop tied to your emotions or external logistics? Did the situation change or did you change? Is the effort involved in getting it back to 51% worth your time?

When you don’t know the answer, focus on a situation’s effect on the overall average. Since the goal is to hit 51% over the course of your life, a situation that sits around 45% for a few weeks only incrementally lowers your overall average, whereas a situation that sits at 5% for a few days can be intense enough to bring the whole average down. The lower the situation on the Happiness Scale, the higher its priority. If I have you nail in your foot, don’t focus your energy on the splinter in your finger. Even if you have 10 splinters in your finger, it’s the single nail is causing the bigger issue. But over and over again, people focus on the splinters while ignoring the giant, rusted nail in between their metatarsals.

In years of implementing factual optimism, my life has changed dramatically. I wanted to see a visual representation, so I made a graph:

chart presenting happines average in 2016

This isn’t a true lifetime representation, of course. My father died in July 2001, when I was 15. Anything before that seems arbitrary since my childhood definition of “happiness” was whether or not my mom packed an Oreo in my lunchbox.

I was a typical teenager until my father passed, so I give 2001 a 35%. The “peak” in 2008 was thanks to a debauchery filled final semester of college that was quickly squashed with the reality and uncertainty of moving to Manhattan on my own. Overall, I estimated around 2.75 good days per week in 2008. I opened my bakery in 2011 but by 2013, I was lucky to get one good day per week. I implemented the 51% Theory in 2014, and by 2015, my day to day massively improved.

The Lifetime Happiness Average only tells a broad story. It’s more interesting to break down by year:

chart presenting lifetime happiness average

As you can see, 2016 was an emotional mess. In February, I made a decision based on the 51% Theory to leave my life in New York City travel around the world. Because one life altering decision apparently wasn’t enough, I also decided to get off the cocktail of anti-depressants and anti-anxiety pills that I’d been taking since my father passed away. Both of these decisions barely squeaked in at 51%, and I ended up creating a perfect storm of logistical and emotional hell that was extremely painful and even more expensive.

Even though the immediate consequences of these two 51% decisions created five of the worst months of my entire life, the after effects are proving to be worth as high as 86%. That’s six good days per week — the highest I’ve ever averaged.

In the depths of those five months, I reminded myself (and was reminded by others) that I made those decisions because of that 1%. Even though 49% and 51% feels similar in the moment, that 1% is the tipping point that creates momentum for positive change. At 49%, you’re still struggling against the current. At 51%, you’re moving with the river. And at the end of our life, however many days away, we can look back and say to ourselves, “It was all worth it. Fifty-one percent of the time, everything was beautiful.”


Need a little giggle? Order one of my Fuckit Buckets™.

three images of the fuckit bcket collection

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 on September 6, 2022. Pre-order it on Barnes & Nobles, Amazon, or wherever books are sold. For the most up-to-date announcements, subscribe to my newsletter HAPPINESS IS A SKILL.

may cause side effects a memoir book picture and author brooke siem

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

In a day and age when information travels at warp speed and lives can be irrevocably changed by one photo or a single tweet, there was something poetic about the speed of the 2020 federal election. All the bandwidth and technology in the world couldn’t move it along any faster than it was going to go. The outcome was too precarious and the stakes were too high for anyone to make an honest call. And so we waited, and waited, for more information to come in.

It is moments like this that pierced through my own fourth wall and grabbed me tight around the chin, forcing me to face the greater collective storyline and apply it to my own. While the United States idled at a crossroads that led us toward two very different futures, I also stood at a major junction. There were two choices, and I needed to choose one. Each somehow felt both beautiful and awful, and yet the rest of my life hinged on this choice.

It was too close to call.

But life imitates life. For all the faults of that election and the missteps of all the people involved, there was one thing huge lesson to learn from it: when a decision remains unclear, it is because all the information has not yet arrived.

We have conditioned ourselves to think that when we are presented with a choice, our only options are to pick one or the other and to do it fast. But there is an ever-present third choice that often holds the most power — the choice to wait.

Waiting is itchy. It prickles at you like a stiff wool sweater on a frozen winter night. But to rip it off too soon is to expose yourself to the elements without having first found shelter. If only you could wait until dawn when the sun rises to light the way. Life might look a little different then, the two paths now illuminated, obstacles in clearer view.

So we waited. And I waited, itchy and squeamish, for the information to come in. Because the outcome was too precarious. The stakes were too high.

It was too close to call.

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

More articles from the blog

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January 3, 2023

On Living and Breathing Grief

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October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

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October 21, 2022

Last Times

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October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

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I went for a walk this morning like I almost always do when I’m home in Nevada. My house is tucked up against the rolling desert, with trails zig zagging through the sagebrush. A small creek flows through the valley, prompting cattail to grow in the damp soil and mountain bluebirds to sing in the early morning sun. Cottontail rabbits and the occasional coyote bound through the hills, and there is no better chance of a good day than to begin it with a walk through the landscape I was born into.

I put on my coat and slipped my socked feet into a pair of stiff new boots, bought just a few days ago to get me through the winter. The half hour walk would double as an opportunity to break in the shoes in incremental bits. It will take dozens of these walks, I know, for the leather to soften and relax against my toes.

I locked my door and began to walk through the rows of neighboring townhouses and onto the trailhead. Not three minutes into the trail, I felt the unmistakable sting of a blister at the back of my left heel. Strange, I thought to myself, sure that there was no sign of the blister on yesterday’s walk.

I plopped down on a rock and pried my foot out of the stiff shoe. Sure enough, the blister was right there, pink and exposed. I considered turning around, but the birds were calling with gusto. In just over a week I go back to Vancouver, where I will be forced to quarantine in a one bedroom apartment for 14 days. But today I have the birds and the desert and the open sky, I thought to myself. I need to take it all in now, while I can.

Besides, the shoes needed a break in too.

So I kept walking, heel stinging. A few minutes passed when I saw a clump of teal colored plastic on the trail up ahead, a bag of dog shit that wasn’t there yesterday. I told myself that someone must be out on a run with their dog and that they left the bag of poop on the side of the trail for pickup on the way back…right? Because what kind of person kindly bags up their dog’s crap and then dumps plastic into the wilderness?

Giving the phantom dog owner benefit of the doubt, I left the teal bag and walked another thirty feet, heel screaming. Immediately, my eye caught a second bag of dog shit, black this time, and clearly from a different dog. Without thinking about what I was doing, I knelt down and picked it up. Then I turned around and went to the teal bag and picked that up too. I held up both bags and looked at them, suddenly aware that I was now saddled with a raw heel and two bags of shit excreted from dogs I don’t own. There was no point in walking on, so I limped back toward home.

For a moment, I considered getting angry. I could feel the choice to be angry. The jerks who left the bags of shit certainly deserved it, as did the boots that were growing sticky from the pool of my own blood. Both of these things took away my ritual, my solitude, the purpose of my morning.

But what good would come of the anger? Who would I have yelled at? Other than the tawny bunny hopping across the trail, not a heartbeat other than mine as far as the eye could see. Anger, in this situation, served no purpose. There was nothing left to but accept that today, the purpose of my walk was not to spend a little time in nature and break in my boots. It was to pick up other people’s shit.

It’s an apt and obvious metaphor—not every task is pleasant, things don’t always go your way, and there’s a lot of cleaning up the mistakes that other people make.

But hey, at least it’s garbage day. The bags of shit will only be in my world for a few more hours. And tomorrow, I’ll try again.

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

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

Back during my days of deep depression, one of my unconscious coping techniques was to put down the little things that brought other people joy. The phrase “that’s stupid” fell out of my mouth like a tick. Nothing and no one was safe. The ALS Ice Bucket Challenge? Stupid. Just donate money without the attention. Disneyland? Stupid. The most miserable place on earth. Hobbyist birding? Stupid. Who cares about random birds?

This reaction, of course, came from a most selfish place. I couldn’t find joy in anything, and it pissed me off that delight seemed so easy for others. I never stopped to think that maybe they took responsibility for their own happiness and worked for their joy. It never occurred to me that maybe they had pain too, but that they didn’t let suffering define them as a person.

The ability to experience a glimmer of joy is a litmus test for your psychological state. When I work with clients in antidepressant withdrawal, one of the first things I ask them to do is to start noticing little flickers of creativity, joy, or clarity that tend to come up as the drugs leave their system. These nanoglimmers of light may be barely perceptible at first, as simple as a deep inhale of freshly ground coffee or noticing how your eyes linger on the details of a flower. For people working through depression and getting off antidepressants, these nanoglimmers signal the mind’s innate ability to stop the mental loops and detach from the physical weight of depression—even just for a moment.

In my experience, as the nanoglimmers grew from fleeting seconds into longer chunks of time, the use of the phrase “that’s stupid” faded from my vocabulary and gave rise to curiosity and spontaneity. Birding might never be my lifelong passion, but what did it matter if other people enjoyed it? Who was I to put it down when it had no impact on my life?

To let others do their thing without making it about you is a hallmark of healing. They are on their path. You are on yours. It may take weeks or months or years of hard work to grow one nanoglimmer into a life filled with joy, but noting the existence of a single nanoglimmer proves that it is possible. What you can do one, you can do again. With time, one can always become two.

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

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

No fate is worse for those with anxiety than the act of doing nothing. But there is one tool you were born with that can help calm your mind and body when the weight of a situation becomes too much: your breath.

I am an XPT certified breathwork coach. Often, with my clients going through antidepressant withdrawal, I use my training to teach them how to breathe through the unpleasant side effects. But the techniques are relevant to anyone who suffers from anxiety, and yet little attention is paid to our breath.

Though breath is the single most important life-force on the planet, studies suggest that breathing dysfunction occurs in up to 83% of anxiety sufferers. Breathing dysfunction can negatively impact the body in a number of ways, including reduced blood flow to the brain, and sleep apnea, and higher instances of stress and anxiety.

Anxiety is the body’s way of alerting you to potential danger. It’s that “fight or flight” response that historically, motivated our ancestors to get scared and run away from a hungry tiger. But these days, most people aren’t being chased by a tiger (or its metaphorical equivalent.) Instead, anxiety is created in our minds.

Just because anxiety is created in the mind doesn’t mean it isn’t real. Physiologically, the body doesn’t know the difference between anxiety created because of a physical source and one created in our head. Think of a nightmare, for example. Even though we are safe in our beds without any physical threats, the situation created in our mind can shoot us up out of bed, drenched in sweat, and panting as if the dream was as real as the mattress underneath us.

The breath is like a remote control for the mind, and learning how to harness its power can mitigate the body’s stress response. Several studies have shown that deep breathing, specifically belly breathing that activates the vagus nerve, significantly reduces the stress response in the body. The vagus nerve runs from your brain all the way down to the belly, with branches that extend into your throat, heart, and lungs. When properly stimulated through deep breathing, the nerve regulates the nervous system’s response by turning down the intensity of stress and anxiety.

By breathing with intention, each of us has the power to operate our internal remote control, thereby gaining some authority over the anxiety. With an undetermined future ahead, there’s no better time to gather tools to manage our new uncertain world. You’re going to need every edge we can get, so let’s start with the one you were born with: your breath.

Morning breathwork, to set a calm foundation for the day:

Cadence Breath

Designed to keep you mindful of your breath while also helping your body to kick into a parasympathetic (calm) state, cadence breathing is an ideal breath pattern to ground yourself first thing in the morning.

To begin, sit in a comfortable upright position, either crossed-legged or in a chair. Take a moment to become aware of your breath. Actually look at it. Can you see your belly going out and in? Or maybe your chest moves up and down? Are your lips parted, allowing you to take in air through your mouth? Or is your jaw clamped down tight?

No matter how you typically breathe, commit to spending the next 10–15 minutes breathing only in and out through your nose and into your belly. Keep one hand on your stomach for a tactile reminder, and feel that hand rising and falling with each breath.

Begin with a cadence tempo of 2:2:4:2. That means you’ll inhale through your nose for an honest count of two (one one thousand, two one thousand…), hold your breath for a count of two, exhale through your nose for a count of four, and hold your breath at the bottom of the exhale for two. The crux of cadence breathing is to keep your exhale twice as long as your inhale, so if you’re comfortable at 2:2:4:2, increase the tempo to 3:3:6:3 or even 4:4:8:4. The slower and deeper your breath, the more the vagus nerve is stimulated to lower overall stress.

Breathing for when the anxiety is too much and you need to calm down, now.

4:7:8

If you find yourself on the verge of panic and you don’t have 15 minutes to step away and collect yourself, the 4:7:8 breathing pattern can knock anxiety down in just a handful of breaths.

Simply breathe in the nose for four seconds, hold your breath at the top of the inhale for seven seconds, and exhale audibly out your mouth for eight seconds. This is one breath cycle.

Repeat the breath cycle three more times.

If you find the 4:7:8 too challenging, simply speed up your counting while keeping the inhale:hold: exhale ratio the same.

Breathing for bedtime, because insomnia and anxiety are inextricably linked.

Long exhale + humming

Though humming has long been a staple of yogic breathing and meditation, science has only recently revealed the potential reasons why. Our paranasal sinuses are the main producers of nitric oxide, a gas that plays an important role in vasoregulation (opening and closing our blood vessels) as well as neurotransmission, immune defense, and respiration. When we hum, our nasal passages produce nitric oxide up to fifteen-fold in comparison with quiet exhalation, which leads to lowered blood pressure, heart rate, reduced anxiety, and a grounding feeling of calm that can lull us off to sleep.

Know that there’s a high chance of falling asleep during this exercise, so make sure you’re ready for bed before you begin.

Lying on your back with your head in a comfortable position, simply close your eyes and inhale through your nose, taking in a big breath into your belly. When you’ve taken in a full breath, begin humming and slowly exhale out all your air. Keep the hum deep and low and long, with the vibration coming from the back of your throat rather than your head. Repeat the humming breath for 10 minutes, or until you fall asleep.

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

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article

“The calmer and quieter you breathe, the larger your blood vessels open, enabling better circulation and distribution of oxygen throughout the body, including the brain. Oxygenate the brain—breathe less.”

– Patrick McKeown, author of The Oxygen Advantage

In 2018, two years after I’d taken my last antidepressant, I found myself still struggling to remain steady in an unmedicated world. After fifteen years of relying on antidepressants and anti-anxiety drugs to do all the coping work for me, I didn’t have any sense of how to self-regulate my emotions or nervous system.

Around this same time, an acquaintance of mine, Taylor Somerville, became certified as an XPT Coach. Built on the researched-backed principles of managing stress response and wellbeing through breathwork, movement, and recovery, I went down the XPT rabbit hole and decided to get certified myself. Using Symmetry as a blueprint, my intention was to eventually use the XPT principles in my work with clients in antidepressant withdrawal.

Like most things in life, my plan strayed from reality. The majority of XPT’s methodology wasn’t a great fit for people in active withdrawal, but it was a perfect fit for where I was in my recovery. While Taylor went on to build Symmetry, a business dedicated to helping people regulate stress through breathwork and exposure therapy, I decided not to follow in his footsteps and instead, learn from him.

Two to three times per week, I pop into Taylor’s 45-minute, virtual breathwork sessions. Designed to combat dysfunctional breathing patterns and lower stress response, these sessions act as internal barometers, providing me with immediate feedback on my mental and emotional state.

You might be asking yourself, “How are breathing and stress connected? Doesn’t my body naturally know how to breathe?”

Take a look at this chart:

Carbon dioxide (CO2) is the metabolic stress messenger in the body. Suffocation, for example, occurs when oxygen levels go down and carbon dioxide levels rise to lethal levels. Although the body can survive without air for 4-6 minutes, most people will panic within the first 30 seconds due to increasing CO2 levels that create uncomfortable sensations throughout the body. These sensations release stress hormones into the body which increase heart rate, constrict blood vessels, and create a flustered state. Assuming we are not actually suffocating, all of this makes for a continual, negative feedback loop. Sustained over time, our CO2 tolerance goes down and our body remains in a constant stressed and anxious state.

The good news is that breathing is the only system in our body that acts on both a conscious and unconscious level. Because we have control over it, we have the power to change the level of oxygen and carbon dioxide in our blood. That’s where intentional breathwork comes in. By learning to manipulate our breathing, we can reverse dysfunctional breathing patterns and increase our tolerance to CO2, which leads to a lowered stress response.

I’m sharing all this with you today because Taylor is opening his virtual breathwork sessions up to a larger audience, and I figured someone out there in Happiness Is A Skill land needs to hear about it.

Come join me! Hit this link to sign up!

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

More articles from the blog

see all articles

January 3, 2023

On Living and Breathing Grief

read the article

October 28, 2022

The struggle to kill the serotonin theory of depression in a world of political nonsense

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

Newborn Babies Go Through Antidepressant Withdrawal

read the article