Using creative arts to combat depression

If you follow my Facebook page, you might have noticed that I posted this article the other day. It’s an NPR story about a photographer named Tara Wray who used photography to combat her depression. Said Wray:

“Just forcing myself to get out of my head and using the camera to do that is, in a way, a therapeutic tool. It’s like exercise: You don’t want to do it, you have to make yourself do it, and you feel better after you do.”

According to the story, this effort resulted in Wray launching the Too Tired Project, which bills itself as, “a photo initiative and traveling slideshow series that aims to help those struggling with depression by offering a platform for collective creative expression and community.”

Creative arts have been used to fight depression throughout history; indeed, creative arts and depression are often linked. Many of history’s greatest artists have struggled with their own demons.

So, why is it that creative arts can help people with depression?

Well, I think the quote above is at least a piece of the answer. Engaging into some other hobby – getting into a sense of flow, if you will – can get you out of your head. I firmly believe that escaping yourself is a key part of beating depression. Even if it’s for a little bit, you can trick your brain into thinking you are somewhere else, and when you “return,” things just don’t seem as bad.

Wray also notes that the arts can provide an incredible sense of relief and accomplishment: “When I’ve made what I think is a good picture, I can feel it, and everything else momentarily falls away.”

I’ll add two personal experiences. Redemption started for me during a very down period. I was struggling at work (for those of you who follow Pennsylvania politics, it was 2015 and we were just starting a rather infamous budget impasse which was very stressful). My wife had just started at a new school and she was struggling as well. As a result, I needed an escape. And thus, Redemption was born.

Second is the simple fact that it gives you an alternative perspective that is still within you – one that you can still apply to your normal life. Redemption has a few plot threads going on, but it’s core is a twenty year old named Ash, trying to deal with his inner demons, beat his depression and live his life (and save the world but that’s a whole other story!). The book features a cast of characters who help him cope.

This may be an obvious point but for the purposes of this discussion I have to make it: I wrote all of the characters. They are all my voice, my perspective and my experience. But there was something deeply therapeutic about putting that level of advice and support into another character. It reminded me, in a sense, that all the hope, words and inspiration I need are inside of me to begin with.

Creative arts – writing, drawing, photography, whatever – I think they allow you to expunge and make sense of everything ugly inside of you. They force you to think of a perspective outside of yourself. And in that sense, they can help save you.

If you have any other thoughts or experiences, I’d love to hear them.

Coping Strategy: Do Something

I was down a few weeks ago when this particular memory bounced into my head.  I was sitting in my therapists office, discussing something – what, I don’t remember.  I think I mentioned to him how I had gone to the gym (unrelated, but hey, exercise can really help depression), despite the fact that I had been really depressed at that moment and didn’t feel like it at all.  And I remember he said that was good, because that moment when you are most down is exactly when you should get up and do something.

It wasn’t meant to be particularly profound.  But it’s one of those things that REALLY stuck with me.  My wife calls it faking it till you make it.  I referred to it as “pushing through,” but that struck me as simplistic, as if you can just willpower your way through depression (sometimes you can; often you can’t).

Imagine yourself as depressed as you have been.  What do you want to do?  The answer there is obvious: Absolutely, positively nothing, aside from this:

depressed on couch

That, as far as I am concerned, is the worst thing you can do.

Please keep in mind I’m only speaking from my personal experience and this isn’t medical advise, but I’ve always found that lying down and swimming in depression leads to one thing and one thing only: More depression.  And guilt.  “I SHOULD be doing my chores.  I SHOULD be hanging out with my kids.”

Is that guilt warranted?  Of course not.  Everyone deserves time to lounge around and do nothing – yes, you too, depressed person. But – and again, this is just my personal experience talking here – sitting around when depressed just leads to feelings of self-loathing and guilt.

This would be my advice to you, dear reader: Just…try doing something.  Anything that’s actually active and engages your mind, body or both.  It may be reading a book.  It may be going for a walk or heading to the gym.  Write.  Play a game.  Do jumping jacks.  Hell, I really don’t care.

What I do know is that, based on my own experience, is that sitting there, doing nothing, in the long-term, can equal a surrender. As best you are capable, get up, get moving. Will it make you feel better? Hopefully.  Maybe.  But doing nothing will certainly continue to sap your hope away, and anything is better than that.

Any specific strategies you want to share? Leave them below!

You probably need an escape

The more I think about it, the more convinced I’ve become of this idea: If I didn’t have an escape, I’d go absolutely, positively out of my mind.

As I’ve said before, I’m an elected official. It’s not a low-stress job.  No matter what anyone tells you, by and large, it’s a pretty grueling gig: Long hours, lots of stress, important decisions, and often a sense of helplessness that is not conducive to people with depression.  Now, just to be clear: I love it.  It gives me a change to change lives and advocate for the issues that I care about.  I knew what I was getting into when I got this job, and I am not complaining, because this job is absolutely amazing.

But, loving a job and having it drive you nuts at the same time can certainly occur at the same time, and my experiences operates as proof.

So, going back to the challenges of my job: I know I’m not alone.  No matter who you are, and no matter what you do, odds are decent that you get stressed out at work, life or with your family.  For people who are more likely to get depressed or anxious, this goes double, and we know that chronic stress can lead to depression.

And that, of course, is why you need an escape.

It doesn’t have to be a literal, physical escape.  For physical, emotional, job-related or financial reasons, a physical escape is often impossible.  Between my family, job and trying to pay off student loans, a regular vacation isn’t an option for me, and I suspect this is the case for the vast majority of you as well.

So, that brings me to my central question: What is your escape?  Where can you go to lose yourself, even if it’s only for a few hours?

Personally, I have two answers to that question.  The first is the one that sort of inspired me to create this blog in the first place: My writing.  I have found tremendous peace in my writing, and a sense of purpose as well.  As I’ve noted before, I have a Young Adult Dystopian thriller coming out, one which features a main character that also battles depression and anxiety.  At moments where my job feels fruitless, I can find solace and inspiration in the idea that this book can potentially do the same things I seek to do every day in public policy: Improve people’s lives.

Second, my not so guilty pleasure: Video games.  We just bought a Switch and I have been obsessed with Mario Odyssey.  I also just, finally, downloaded Civilization VI and am intrigued, to say the least.

Video games, of course, are easier than writing, which requires more work but a bigger payoff.

Anyway, my main point is this: You need an escape.  A mental place where you can go – a hobby where you can lose yourself and hit that perfect state of flow – if only to recharge.  Remember, an escape isn’t really an escape.  The word “reprieve” may make more sense here – or perhaps “recharge.”  Make sure you can find a place that you can go and get your bearings again.  It’s an invaluable part of self-care.

4 ways to stop an anxiety attack

I’ve had a particularly interesting internal debate – well, interesting to me, anyway – about which is worse, depression or anxiety.  I’ve repeatedly come to the conclusion that, at least with the way I have both, I’d rather have depression than anxiety.  Don’t get me wrong – both suck something fierce.  That being said, with depression, if it isn’t too severe, you can still function.  Anxiety, and particularly anxiety attacks makes doing basic tasks next to impossible.

College was the worst for me in that regards.  I would have periodic anxiety attacks, usually brought on by a particular situation.  I developed fears of set events – travelling in buses or planes, for example – that caused me to avoid travelling in general.  Therapy and medication helped get me through, but I still remember how traumatic those events were.  I remember not being able to travel on a bus with my coworkers because I was so, so scared of having an anxiety attack.  Or having a major one while traveling for work that almost caused me to run off of a plane.

Learning how to control my anxiety is what got me through those dark times, and learning how to stop an anxiety attack before it started – or at least how to stop one once it was underway – was immeasurably helpful.  Learning these skills gave me the confidence that I needed to believe that I could survive the worst anxiety attack, and that taught me how to live again.

With that, here’s a few techniques that I’ve successfully used in order to try and head off an anxiety attack before it started, and cool one down when it began.

Oh, and standard disclaimer: I’m not a Doctor or professional. I’m a guy with a blog.  Don’t let my random thoughts stop you from seeking professional, medical advice!

1) Pick a number.  Count to seven.  And keep going.  One of the things I found when I was at my worst was that the brain desperately needed a distraction.  I believe it was a therapist who first made this suggestion to me: Pick a task and run with it.  Pick a random number – 136.  Add 7.  And keep going.  This will, hopefully, distract your brain enough to stop the anxiety attack in its tracks.

2) Breathing Exercises.  There are a ton of variations on this, and there is also ample evidence that anxiety and depression can be ameliorated in the long run with proper breathing techniques.  When I was younger, I found this to be particularly effective, particularly when I first started suffering from anxiety attacks.  I would literally sit there in 8th grade homeroom and say to myself, “There is nothing else but your breath.  Take a deep breath.  Fill your chest as much as possible.  In through your nose and out through your mouth.”

For a more formal exercise, click here.

3) Pick an object.  Any object.  This is related to the first technique.  Getting yourself out of an anxiety attack often means changing the way that you are thinking in order to stop yourself from cycling through panic.  To that end, find an object.  It can be simple or complex.  Stare at that object.  Get lost in it’s texture and colors.  How does it look?  What does it do?  Is it moving?  What are it’s colors?  Rough or smooth? Ask yourself simple questions, and then allow those questions to become more complex.  Remember, the goal here is to get your mind to concentrate on anything other than the panic.

For me, when I was at my worst, the challenge with this was trying to get myself to concentrate on an object, because starting too long at something could make me feel worse.  If that’s the case for you, no problem!  If one object doesn’t work, try picking a different one.  Or, allow yourself to look away for a moment before coming back to the object in question, and starting the cycle over.

4) Call someone.  I found that conversations with others – people I trusted, who wouldn’t judge – could be helpful.  If you allow yourself to get lost in your own mind, you can get yourself into trouble.  To that end, talk to someone you trust and love.  Talk about the anxiety attack.  Talk about the weather.  Do whatever works for you, but just make sure that you can get out of your own head.

As always, these are just suggestions, just my thoughts.  Have better ones?  Let us know in the comments!

Things you CAN do to fight depression and anxiety

I think that one of the worst things that I’ve found in dealing with depression is the hopelessness that comes with it.  One minute you’re fine, and the next, you’re…not.  Medication and therapy help, but depression is a chronic condition.  It comes back.  And while you can limit it, manage it…it still comes back, and sometimes worse than others.

I’ve said it a million times and I’ll say it again: Professional guidance, and a controlled regimen of therapy and medication, can make all the difference in the world.  When it comes to chronic mental illness, the evidence is clear: Treatment works.

But, treatment doesn’t just mean that you rely on medication and/or therapy to get better.  To some extent, and I’ve certainly found this in my own life, you have to take control of your own illness.  Yes, you may be a victim of a bad roll of the dice, but no one need be depression’s victim.  There are things you can do, on your own, to help keep depression away (again, please note, NOT advocating any of the below in place of therapy, medication or any other professional advice that a licensed medical professional gives you…can’t emphasize that enough).  Here are a few tips that worked for me, and can hopefully work for you.

Exercise

Here’s a good one with a ton of benefits: Exercise can make a huge, positive difference when it comes to depression.  According to the Mayo Clinic, it does so by releasing “feel-good” chemicals, reducing immune system chemicals that can make depression worse and by increasing your body temperature.  Better yet, any physical activity can be helpful, so fear not!  You don’t have to launch yourself into a massive weight lifting program.

On a personal level, I’ve found the gym to be a savior.  Not only does it help you get in shape, feel better and look better, but it makes you feel like you are accomplishing something.  All too often, when you are depressed, you want to just lie around and Netflix & Sad.  You become depression’s bitch, and that is exactly the time to get up and force yourself to move around.  It takes a lot of hard work to overcome this natural inclination to slug-out on the couch, but it is well, well worth it.

Meditation

The evidence is clear: Meditation can help to ease the symptoms of depression, anxiety and stress.  It doesn’t have to be long – the article I link to says 2.5 hours a week – but, a bit of meditation goes a long way.  What I found somewhat interesting here was that most articles relating to depression and meditation don’t just discuss meditation, but a specific type of meditation – mindfullness meditation.  This specific type of meditation is defined as “a technique of meditation in which distracting thoughts and feelings are not ignored but are rather acknowledged and observed nonjudgmentally as they arise to create a detachment from them and gain insight and awareness.”

What is remarkable is that at least one study found that meditation “helped prevent depression recurrence as effectively as maintenance antidepressant medication did.”

Okay, I’ve resisted this all my life.  Not “resisted,” really…just, haven’t allowed myself to do it. I’ve come up with excuses, I’ve done it for a few days, I’ve stopped and started and just haven’t been able to sit down and meditate.  This blog entry has convinced me…again…of how important meditation can be for depression!  Must.  Do.  It.

Also, try the app Headspace.  I’ve used it a couple of times and it seems interesting.

Practice good sleep hygiene

Sleep hygiene?  It’s exactly what it sounds like – using healthy practices to help you get some real rest.  Sleep and depression have a complex relationship – a lack of sleep can lead to depression, and depression can lead to a lack of sleep, which makes getting a good night’s sleep all the more important.  Good sleep hygiene includes:

  • Limiting naps.
  • Not drinking caffeine too close to bed.
  • Limiting screen time too close to bed.
  • Having enough exposure to natural light (huh, didn’t know that).
  • Having a set sleep and wake-up routine.

During some of the particularly rough periods of my depression, I had a REAL hard time sleeping.  It was the canary in the coal mine of my symptoms – I couldn’t sleep, and suddenly, there I was again.  Sleep hygiene – particularly the routine and screen time part (which I still really need to work on!) – is vitally important, at least to me.

Video Games

I discussed this the other day, but felt it was worth repeating: Video games can help with depression.  First, the basics: There are studies which show that MMORPG and other social games can help reduce social anxiety, while puzzlers can reduce stress and anxiety levels.  Other apps and video games have also been found to reduce levels of depression.

Of course, video games can have serious negative drawbacks.  There is, unfortunately, ample evidence that some are not working and are instead playing video games, and there are real fears that mental health plays a role in this.  Video games provide an immersive escape, where there is no judgement, no consequences, and no real failure that cannot be eradicated by reloading the last save file.  This, of course, is dangerous when it comes to entering and remaining in the real world.

As I said earlier in the week, I’m a believer that video games can be great – if used in moderation.  They provide a nice retreat when necessary and can recharge your batteries – getting you ready to relaunch into the real world.

Anything you want to add?  What works best for you?  Let us know in the comments!

Video games and depression

One way I cope with depression is video games, which some studies have noted can help improve social anxiety, depression and stress levels.  I wanted to elaborate on this one a bit.

First: I love video games.  And I mean I loooooove video games.  I can tie most major periods of my life to some sort of video game.  I still remember playing Halo 3 on Xbox live before I went out on my first date with my wife (the guys I was playing with wished me luck when I said why I was leaving for the night).  I remember Final Fantasy X before college graduation.  Skyrim when my son was first born, too little to move and would curl up on my chest while I slayed dragons.  My kids are named Auron and Ayla…bonus points if you can figure out what games those names came from.

I still remember being almost five, coming home from Heather Cohen’s birthday party, and my Dad leading me into our basement, where he gave me the most magical birthday present every: A Nintendo Entertainment System.

Video games have a special place in my heart.  As I grew older and began my journey with depression and anxiety, they offered a safe place and a retreat from reality.  I can see myself playing Grand Theft Auto 3 when I was going through a rough patch with my girlfriend at the time.  During the worst of my anxiety in college, again, it was Final Fantasy X. I still remember being a lonely, awkward middle schooler and just being obsessed with Tie Fighter, because it made me feel good at something.  In the Star Wars universe, no one cared that your hair wasn’t stylish, or that your forehead resembled a pepperoni pizza more than any normal persons should.  You just shot at the bad guys.  End of story.

That being said – that concept of escaping into a video game – is it a good thing?

Personally, I’ve had some experience with MMORPGs, but not a ton.  As much as I love video games, I don’t have enough time to truly enjoy them.  I’ve played my share of them – Warcraft in particular – but, as a newcomer, always found them to be too intimidating to really get into.  However, there’s no question about it – some people get into video games at the expense of real life.

On one hand, there is research with shows that video games can be helpful in reducing stress, anxiety and depressive symptoms.  They provide a creative outlet and a safe place to retreat to when the real world can get overwhelming.  Of course, that retreat can be toxic, which leads to the concept of video game addiction.

Now, to be clear, though there is no shortage of media reports about video game addiction, it is not yet an officially recognized disorder by any major medical governing body.  On an anecdotal level, I suspect that many of us know people who are way, way too into fantasy worlds, but that doesn’t mean they are “addicted,” per se.

I also think it’s worth noting that video games have never been an area free of controversy, and the conversation about whether or not games are addictive have been going on since Space Invaders.  So, clearly, this is a conversation that has gone on for quite sometime.

Are video games good or bad for mental health?
Like the answers to most perplexing questions, this one is evolving.  Video games have positive benefits on depression and anxiety, as far as I am concerned.  I’ve found them to be a safe retreat and a chance to temporarily escape the pressures of the real world.  In my opinion…again, just my opinion, not any medical advice…they can be great, but no different than any other hobby.  You use them briefly to recharge and recalibrate before launching yourself back into the real world.  The challenge, of course, is acknowledging when enough is enough.  For some people, that can be more difficult than others.