I’m going to take the time to dive into the chemical imbalance theory of depression, and why it’s a big ‘o pile of crap. I’m taking the time to do this because 80% of people believe that depression is caused by a chemical imbalance, despite overwhelming evidence otherwise. Today I will focus on the history and discovery of antidepressants and the chemical imbalance theory.

The first antidepressant was discovered by accident.

In 1952, a drug designed to treat tuberculosis, iproniazid, had a surprising side effect: patients in the sanatorium became euphoric when treated with this drug.

Researchers experimented with the mood-altering effects of iproniazid for five years, ultimately discovering that it worked by inhibiting the monoamine oxidase (MAOI) enzyme, which breaks down serotonin and dopamine—two of the neurotransmitters involved in pleasurable emotions. But in 1957, after treating 400,000 depressed patients with the drug, researchers noticed that when patients ate cheese, chocolate, or alcohol, their blood pressure skyrocketed to dangerous levels. As it turns out, iproniazid didn’t just affect serotonin and dopamine, but norepinephrine as well. A release of norepinephrine constricts blood vessels, which leads to elevated blood pressure. Known as “the cheese reaction,” the use of iproniazid was quickly stopped.

But around the same time, researchers were studying a plant known as Rauwolfia serpentina, which had been used medicinally in India for everything from calming babies to insomnia to high blood pressure. Chemists extracted the active compound, called it reserpine, and began testing it on animals.

Resperine was found to lower serotonin, norepinephrine, and dopamine, all of which lead to a period of near-catatonic inactivity in the animals. It was concluded that low serotonin, norepinephrine, and dopamine levels create a depressed state, and the “chemical imbalance theory” was born.

But there’s a catch: First, resperine was also used as an antipsychotic (rather, a tranquilizer) for schizophrenia and Huntington’s disease. Despite high doses and long-term use, only 6% percent of patients developed clinical depression, and all 6% had a history of depression to begin with. Bafflingly, in 1955, resperine was also the first compound shown to be an effective antidepressant, despite actually reducing levels of serotonin, norepinephrine, and dopamine.

Still, the discovery of iproniazid and resperine gave rise to the theory that different chemicals in the brain create different states of mind. Researchers and patients, it seemed, desperately wanted it to be true. Who wouldn’t want to distill their melancholy into a neat little bow that can be explained by a simple unbalance of a handful of chemicals?

But as early as 1965, the American Journal of Psychiatry put out a paper by Harvard neuropsychopharmacologist Joseph Schildkraut, who said the chemical imbalance theory was “at best a reductionistic oversimplification of a very complex biological state” and that there was no evidence to support or disprove the theory.

Schildkraut’s declaration inspired a generation of researchers to prove him wrong. But over and over again, they failed to find the link between statistically different levels of neurotransmitters between depressed patients and happy ones.

As the Council for Evidence-Based Psychiatry says, “Although scientists have been testing the chemical imbalance theory’s validity for over 40 years–and despite literally thousands of studies–there is still not one piece of direct evidence proving the theory correct. The chemical imbalance theory, in relation to any mental health disorder is thus unsubstantiated, yet a societal belief in chemical imbalances, largely owing to effective pharmaceutical marketing, remains prevalent today.”

In next blog post, I’ll explore the fatal flaws of the chemical imbalance theory, followed by the influence marketing has had on keeping this myth alive. Meanwhile, I’m keeping the links light today. There’s plenty to dig through in the issue itself.

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

Get the Book Now

More articles from the blog

see all articles

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

read the article

October 21, 2022

Last Times

read the article

October 14, 2022

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?

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.

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

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.

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.

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

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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.

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.

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.

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:

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:

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.”

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

When I started Happiness Is A Skill, I did it for two reasons. First, I wanted to have an outlet to talk about mental/emotional health and antidepressant withdrawal without enmeshing myself in social media. The topography of those niches on Twitter is a nightmare, and I couldn’t bring myself to swim around in that muck.

Second, I had just landed a literary agent and we were prepping to send my memoir on antidepressant withdrawal out to publishers. I hoped that by starting a dedicated newsletter, I could keep my writing mind from getting rusty while also creating an outlet for my book’s key audience.

Well, I’m thrilled to announce that my memoir, MAY CAUSE SIDE EFFECTS, will be published by Central Recovery Press in September 6, 2022! (And I didn’t even have to go on Twitter to make it happen!)

I’d be doing a happy dance over here, but frankly, I’m pooped. The news came through a few weeks ago, and because we chose to aggressively push for a Spring 2022 release, it’s been a whole lot of stress and frenzy in a short period of time.

I thought I was handling it all relatively well until I got struck down by an ocular migraine on Saturday night. Migraines, for me, are always a sign that I am wound too tight with the sort of existential tension that only seems to get worse when you “relax.” The solution isn’t necessarily to do less, but to change the fundamental process.

And so, Happiness Is A Skill is going to go in for a facelift. As much as I’ve enjoyed what I’ve created so far, it’s time for it to evolve so it can better support the book and the withdrawal/depression recovery community without taking added energy out of me.

The newsletter may look a little sparse over the next few weeks, but rest assured that it’s because I’m tinkering away in the background, getting ready to bring Happiness Is A Skill to a bigger audience. HIAS is going to be an integral part of my book’s release, so it’s not going anywhere.

To everyone who actually reads this every week, thank you. Artists need audiences in order to justify continuing their craft. I couldn’t have gotten this far without knowing real eyeballs were looking at what I was creating. And while my newsletter is child’s play compared to my book, both in scope and polish, it has been such a safe place for me to explore over the past year and a half.

Thank you for being a part of it so far, and thanks for sticking with me through this period of readjustment and growth.

I can’t wait for you to see what I have planned.

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.

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

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

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

Get the Book Now

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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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

Get the Book Now

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

A parable, borrowed from the religious but relevant for the atheists: A man is alone in his home when the storm comes. The local news channel tells him to evacuate, to move to higher ground, but instead, he shakes his head and says, “I will pray to my God and he is going to save me. I have faith” The rain beats down and the wind picks up. The streets start to flood and just as the water begins to rise over the man’s driveway, a knock comes at the door. A local policeman, with a rowboat, says it’s time to go, but the man shakes his head and says, “My God will save me. I have faith.” The wind wails and the water rushes in. It rises to the man’s ankles, knees, then hips. He climbs the stairs to his second floor, where it is dry. He waits there, for hours, and when a break in the storm comes he spots someone in a motorboat. “Come with me!” the floating figure yells, “The storm is only half over!” But the man shakes his head and says, “My God will save me. I have faith.” The eye of the storm gives way to more rain, more thunder. Water tickles the man’s toes, and he climbs the ladder to his attic. The wind rips the roof off his house, but when the man looks up, a rope is falling from a helicopter. “Grab on!” the pilot shouts, but the man shakes his head and says, “My God will save me, I have faith.” Reluctantly, the pilot recoils the rope and flies away. The man waits for his God to save him. But the house begins to crumble and soon the water is rising rising rising. It splashes over his legs and his torso and soon it is at his shoulders, his neck, his chin. The last thing the man notices is how the water shimmers on the tip of his nose. When the man reaches the heavens, he finds his God. “I had faith in you,” the man says, “I prayed to you. I believed in you. And you didn’t save me. You let me drown!” To this, the man’s God replies, “I sent you a warning, a rowboat, a motorboat, and a helicopter. What more could you ask for?”

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

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

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

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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

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

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.

More articles from the blog

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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

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Last Times

read the article

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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.”

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