OCD

Hope and Being Better

About two years ago I stopped participating in mental health themed panels at conventions. The last one I was on, was focused on helping writers understand details of what it is like to live with depression, anxiety, bipolar, OCD, etc so that they could portray the conditions well in their writing. The audience was great, my co-panelists were great, I was just so raw and worn out from living with the difficulties that the conversation sent me sideways. I was sitting in front of a room of people, filled with anxiety. Every time I spoke up, I was flooded with doubt that my contribution was useful and a simultaneous fear that I’d said too much, that I’d exposed my life and my loved ones to scrutiny in ways I should not have. And then, from the shape of the conversations it was clear that some of the audience was also seeking affirmation, validation, or hope along with writerly education. That was what stabbed me to my core, because I wanted to say “yes this is hard, but it gets better.” Only I couldn’t. Me and my family were still in the middle of hard and better wasn’t even a glimpse on the horizon. It was too hard to sit there describing the hard without having hope. So I stopped volunteering for those panels.

Today I had a contrasting experience. A friend of a friend called me because they are seeking help for their son and they wondered about a program that my son has participated in. As I listened to her, I knew exactly the emotional path she is traveling. I was able to validate and sympathize. And as I spoke describing where my son is now in comparison to where he was, I saw so clearly that “better” is all around me.

I’m still not certain I’m ready to start volunteering to talk about mental health on panels again. In part that is because I’m going through a period of self doubt in relation to teaching at conventions and events. But it is also because I’m braced for “better” to vanish again. It was so hard for so long. And every advance seemed to be followed by a disastrous crash. So part of me expects everything to fall apart again, reverting to what the emotional / mental health chaos that was our normal for six years.

Except I don’t think things can revert. We’ve all changed shape so that we can’t fit back into the old patterns. Things could fall apart in new and exciting ways, but I don’t think we get to go back. For which I am exceedingly grateful. I’m also truly grateful that this time when I was giving someone useful information, I was also able to heap on a serving of hope to go along with it.

Small Triumphs and Sadnesses Swirled Together

Our shirt Kickstarter closed yesterday. It did better than I’d expected, which helps plug a financial gap between the last book release and the next one. The vast majority of the money will go straight into printing shirts and shipping them. However the sliver that is left will pay our bills for a month or two, so that’s significant.

My 20yo has settled into his school and last night he figured out how to order pizza using his own money and have it delivered to him. It seems like a small thing, but it is hugely empowering to him to have an income and to be able to summon food that he likes instead of being at the complete whim of the cafeteria.

I spent a few minutes talking to one of my nephews who is the same age as my 15yo and who will be attending the same high school next year. My nephew energetically described his class schedule for next year, which he picked so he could be with his friends. It is full of honors classes, AP classes, and probable after school activities. Planning my son’s schedule was all about managing stresses and trying to tune things so he could function without being overwhelmed. The contrast was stark and I’ve cried a bit about the life limitations my son has to deal with.

My 17yo is far more stable than she was last year at this time, but there have still been absences for mental health days. I looked at her grades and realized that the absences have spawned missed assignments and tests. There are a couple of grades to rescue, and the thought makes me tired. We are always rescuing grades either for this kid or for the 15yo. It makes me weary.

Weather has warmed up and we’re starting to have spring flowers. I love spring flowers, they make me happy.

On Monday I had an enormous and multi-faceted To Do list. I plowed through almost everything on it. Yesterday was less effective, but already this morning I’ve gone through several tasks. The difference is in part because I’ve semi-abandoned the task app on my phone because it simply wasn’t helping me organize and plan in ways that work for my brain. I’ve reverted to hand-written task lists in my notebook. Amazing how much productivity goes up when I stop trying to use a broken tool.

Last night Howard and I had a deadline readjustment conversation. As self employed people we are somewhat in charge of setting our own deadlines. There is always the external deadline of “let’s not run out of money” but meeting that requirement can be done in numerous different ways. Sometimes we make a plan, but then need to shift the plan based on progress and realistic assessments of work yet to be done. The next two Schlock books will now be released after GenCon instead of before. Also Howard loosened his own deadline for wrapping up the current Schlock book because he realized that he needs to give the story the space it needs instead of trying to finish it on a specific (and unnecessary) schedule. The result of this conversation is shifting some priorities on the task list, also feeling less stress in the immediate future.

I’ve been making small adjustments in my days in keeping with my January resolution to build a life that is less driven by anxiety. If I want my life to be different, then my days need to be different. So I’ve been including more reading, more handicrafts, more shared experiences like games or movies on our big screen, less Netflix on a small screen with ear buds. I do better some days than others, but small changes make a significant course correction over time.

And now it is time to get to work doing all the things.

On the Stairs

It was six pm and I was standing on the stairs watching my daughter on the floor of the landing while she had a panic attack. Life was too much. She could never do it all. She was failing at everything.

Every time I’m faced with one of these meltdowns, whether it be a panic attack, depressive episode, or OCD freak out, I have to choose. Do I use this moment as a learning opportunity, carefully nudging the person in front of me toward realizations? Most of the time I can so clearly see the choices they made that directly contributed to the meltdown. However, mentioning those choices often leads to lecture mode and the person shutting me out. Do I recognize the actual suffering in front of me and sit down with them in sympathy? This is more comfortable to me than confrontation, and thus I risk setting a pattern of meltdown and rescue. Except we all need rescue sometimes. Do I ignore both the sympathy and education paths to focus on management skills where they learn to set emotion aside and get stuff done anyway? Sometimes a little coaxing gets them moving, and motion makes things better. Other times, my push makes the meltdown worse, harder to pull out of. No choice is obviously right or wrong. The road is never clear.

Mostly as I stood there, leaning on the wall, I thought about how tired I was. How I’d spent several hours of afternoon helping another kid with his home school, and forcing us both to confront the fact that he is, once again, failing some of his in-school classes. That made me tired, discouraged. Because I’d thought things were going well. I’d thought he was stepping up and handling things. But he wasn’t. And we had to negotiate a carrot-and-stick agreement which hopefully will provide him with the necessary motivation to actually do the work and turn it in. I have an ongoing part in the motivational plan, a reoccurring task set, and I have to be willing to actually apply the agreed upon consequences. Even if the result is an unpleasant experience for everyone.

I also thought about how the other son has been in the depths of depression for days, completely unwilling to talk to me about it. He doesn’t want my answers. He rejects my experiences of depression and the tool set that I offer for dealing with it. He is absolutely sure that my answers won’t work for him. It is the same impasse we’ve had to varying degrees for several years now. A change is coming with the new year. It’ll be a big shift. It might finally offer him a way forward. It might be his path to a brighter and happier life. Or it might make everything much harder and darker. We have a long stretch of weeks before I can find out how the change goes. And that makes me tired too. Waiting is exhausting. Particularly when I have to watch him being miserable while I wait.

This all presses on me as I look at my daughter on the floor. The largest thought in my brain is that I really don’t want to help manage yet another emotional tangle. I was weary. In that moment, and many moments like it, I was irritated to have to deal with the excess of emotion. It was late in the day, I wanted to be unwinding and relaxing, not trading work effort for parenting effort. And I felt bad for these selfish thoughts and emotions. Maybe the right answer would have been for me to walk away. To let her figure it out for herself. I considered doing it, but I have to be completely convinced that leaving the person alone is the right course, and even then I’ll spend the time in a state of anxiety, actively preventing myself from going to them and trying to make it better. Walking away is as exhausting as staying.

So I stayed near and made exploratory statements down each possible path to see which one got a positive response. The solution turned out to be a blend: covering her with a weighted blanket and leaving her alone while I sorted a few jumbles of things in her room. Then she centered herself enough to request a reprieve from some home school assignments, which I granted. We made a plan for her to get math help the next day, and she pulled out her psychology homework. She ended up showering and heading to bed rather than completing the work, but she’ll likely be able to do it tomorrow without difficulty. We hope.

After all is sorted and calmed, I sit by myself with my computer. This wasn’t actually all that difficult a day. Not compared to days from the last several years. The ongoing struggles are real, but all of the kids are far better able to articulate what is going on inside their heads. They’re able to discuss problems and solutions with me in ways that they could not before. They’re able to listen when I explain why a situation is frustrating to me, instead of the faintest hint of my frustration turning them into curled up balls of stress panic. I can clearly see how much better off we all are than we were.
I’ll take that.
Tomorrow.
When I’ve had some time to rest.

Book Review of Untangled: Guiding Teenage Girls Through the Seven Transitions into Adulthood

I read a lot of articles online, but when I read an excerpt from Lisa Damour’s Untangled, I knew I wanted to read the rest of the book. I approached it cautiously. I’ve picked up so many parenting / therapy / self-help books and been disappointed in them. Sometimes these books irritate me by assuming things about me or my child that do not apply. Other times they accurately describe my problem, but then try to prescribe fixes for me that simply would not work in my house. Most often they simply have little new information to offer. I end up skimming through pages and pages to find a single idea that I can apply in my life. So I checked Damour’s book out of the library expecting to skim and glean some useful information. By the end of chapter two, I’d ordered a copy for myself because I want to be able to re-read it and write notes in the margins.

Right in the introduction Damour stated that she did not seek to be prescriptive, she just wanted to describe the natural emotional / intellectual development of teenage girls and let readers come to their own conclusions or solutions. (The same development happens in boys, but it manifests a bit differently and Damour chose to focus on teen girls.) She does offer suggestions here and there, but they’re almost always a list of “some have found this works” or “you might want to try this.” I can tell you the exact paragraph where I fell in love with Damour as a writer / psychologist / mother. She was describing a study that has been done about the correlation between teens doing well socially and academically and them eating dinner with their parents more than three times per week. I already knew about that study. I’ve read it. I’ve felt guilty about it and resolved to do better at making family dinner happen. Then I’ve watched the efforts fade away so I felt guilty again. After describing the study, Damour says this in a parenthetical:

Here are some questions I’m hoping further research will address. Must the meal be hot? Must it last more than ten minutes to achieve its magical benefits? And how often can I freak out about table manners and still have a positive influence on my daughters? Obviously, important work waits to be done.

At that moment I knew that Damour gets it. She understands that every thing we do for our kids, for our work, for or ourselves comes at the expense of some other good thing we could be doing. Time, energy, and willpower are limited resources and we all have to make choices about how to spend them. After that parenthetical I was very willing to read more of what she had to say. She didn’t disappoint.

The other reason I was afraid to read the book was because of where I was emotionally. I was in the middle of a grief I wasn’t sure I’d ever be able to get rid of. I was actively grieving the normal teenagerhoods that it seemed my kids would never be able to have because of their combinations of mental health and developmental issues. I was very afraid that this book would just make me cry because it would describe a teenage experience that was out of reach for my family. It did the opposite. This book shifted the way I think about my teens (the boys as well as the girl) and healed much of the grief I had been feeling.

Damour’s book describes specific developmental drives that happen in teenage brains. She talks about how those drives can manifest differently in different teens and different parent child relationships. Then at the end of each chapter she outlines some things to watch for which might indicate that your child has a problem which isn’t covered by “normal teenage development.” Reading Damour’s descriptions, I was finally able to see how much of my teen’s behaviors are actually normal rather than driven by their issues. It can be really hard to tell with teens because normal teenage behavior would be disordered behavior if done by an adult. Damour’s descriptions have finally provided me with the tool to sift through the things my teens do and say. Knowing which behaviors are normal means I am better able to sit back and let them learn through struggling instead of jumping to their rescue. I’m also able to look at which developmental drives are being interrupted or hampered by the mental health issues. I can see ways to help that I hadn’t seen before. All of this is subtle, but very significant.

I think Damour’s Untangled is going to be like Gift of Fear by Gavin DeBecker, a book that I recommend over and over again to people who are struggling. It certainly feels like a personal paradigm shift, like when I first read the article about The Power and Peril of Praising Your Kids. That article changed how I parented forever. I’m still absorbing information from Damour’s book and letting it settle into my brain. Yet, I’ve already been less stressed and anxious. I’ve changed small decisions every single day based on what I’ve learned. Instead of jumping in with concern (thus communicating that the experience is not normal and is an emergency) I’ve been able to stay back and express confidence that my kid can handle it. And they have. And everyone was happier and more confident for it.

So if you have a teenager, are going to have a teenager, or know teenagers you want to understand better, I recommend Lisa Damour’s Untangled.

Packing Along Ways to Cope

In the near future I am taking my family on a cruise. It is a big trip that I’ve spent quite a lot of time planning and saving for. It is the sort of trip where people are supposed to leave behind all the trappings of regular life and go have adventures. We’re not going to do that. Adventures, yes. Leave everything behind, no. There isn’t a member of my family who doesn’t have some sort of mental health issue. Some of the management techniques for these issues involved coping strategies and controlling our environments. If you remove us from our regular environments and coping mechanisms, we melt down in fairly spectacular fashion. Howard and I discovered this last year when we went on a cruise. It turns out that both he and I function much better as human beings when we have an internet connection. When we wander through our usual internet rounds, we show our brain that everything is okay, predictable, normal. If internet makes the cruise enjoyable, then buying the internet package seems like a no brainer.

For the past week I’ve been watching my kids and evaluating which coping things we need to bring with us. I’m bringing DVDs of familiar shows, because several of us use shows as a form of emotional regulation. We’ll be bringing hand held video games for the same reason. I’m contemplating packing along one of our weighted blankets despite what that will do to the weight of our luggage. We’ve got travel speakers so that people can have their night time music. All of us will bring phones with an international texting plan so that we can find each other in anxious moments. Even with all of that, I expect there to be moments where one or another of us gets melty and just wants to be back at home. It is possible that someone will flip out and I’ll have to spend a portion of my trip actively helping that person make it through. But I don’t think so. I think that of the big family trips we could take, this cruise is going to fit into a relatively comfortable place for most of us. The travel days with multiple plane flights will be the hardest part.

I sometimes wonder what it would be like to not have to do this level of planning for emotional management. I also wonder if we actually need this level of planning, or if it is all just a manifestation of my anxiety. Whatever it is, the planning is mostly done, which is good.

All the things in my head

Colloquially it is called “Getting up on the wrong side of the bed.” The fact that there is a colloquialism about it, shows that the experience of waking up in an unpleasant emotional state is a common and normal experience. Yet it feels to me that there is a fundamental difference between waking up a little grouchy or sad, and waking up feeling as sad as if someone you love just died. It is the difference between tripping because you misjudged the last step and falling into a pit. Yet the wrong side of the bed terminology might serve as a bridge to help those who haven’t had this experience understand those who have.

It wasn’t a pit this morning, but after two nights of insomnia, I woke into a day that just feels a little sad. I looked at my list of things to do and it felt like I’d already failed at most of it, which isn’t a great feeling to have at 8am on a Monday morning. I’m used to feeling a little overwhelmed at the tasks of the week. I’m often afraid that I will fail if I don’t get moving. But this morning I had the sense that I had already failed before I’d even attempted to do anything. Logically I knew it wasn’t true. This week has great potential for success. I just needed to get moving and do the things. Yet pushing against that feeling of failure is like walking in waist deep water with a current trying to send me in a direction I don’t want to go. It is a gentle current, one I can counter, but pushing against it is tiring. Push I did, and by afternoon things felt better.

It is possible that the morning emotion was in part due to thoughts I had yesterday. I was thinking about how I’ve written very little about the kids on my blog lately. This is not because they haven’t provided material, it is just that with teenagers it is more complicated to navigate which parts of the stories are mine to tell. Since January Gleek has become more clearly OCD. I’m not sure if that is because we’re now seeing the behaviors for what they’ve always been, or if the “volume” has been turned up on those behaviors. It is hard for me to judge because it all feels like daily life to me. Yet when I use objective measures, such as participation in girl’s camp, I have to acknowledge something is different. Last year she was able to stay all week. This year she had to come home early because being there was too hard on her and on her leaders. There are specific incidents that both Gleek and I find fascinating (Why does her brain do that?) but writing them up feels vulnerable and my first loyalty must be to my daughter not to any audience.

None of the other mental health issues have vanished either. While Patch hasn’t had a full on panic attack since school started, he hasn’t exactly been going out into the world doing adventurous things. He’s demonstrated some more self awareness than he had before, but he still locks up in a way that is like the panic attacks, but with less adrenaline. Link, Howard, and I are still working to figure out what adulthood will look like for him. Being connected to resources for autistic adults has really helped, but much of what I’m hearing is “give him extra time to develop and room to learn from the mistakes he makes.” Patience is a thing I’m tired of having to carry around all the time. Kiki’s struggles are improved and not mine to tell.

I still wrestle with my own thoughts, wondering if I am culpable in the quantities of mental health issues of my children and deciding, yet again, that genetics have a stronger influence than nurture in this case. (Family history from both sides which include: Autism, anxiety disorders, depression, bi-polar disorder, ADHD, and a host of other things.) I think about work, money, packages, and projects. I look ahead to the advent of school and to Gen Con and to the cruise at the end of September. I plan for these things. My thoughts keep circling over the same ground and it all feels like repeats. I don’t really want to blog repeats. That gets boring for me as much as anyone else. I need to do some things to break me out of my cycle of thoughts. I need to take the kids out of the house and get out myself. There are plans to do that on Wednesday. And GenCon will take me far outside my usual stomping grounds. Hopefully getting outside the box will help me shake loose some new thoughts that are interesting to write.

Home from Camp

Just came back from picking up my 15 year old from a church girls camp. 3 days early. It turns out that the stresses of camp pushed her mental health issues into a state that the camp staff were not equipped to manage. So she comes home because it is the best of the options available. Some days are hard and not what anyone wants.

Unplanned Upgrades and OCD

I was standing in the kitchen when I became aware that someone was talking upstairs. At first I thought that my college daughter and my teenage daughter were having a conversation, but then the sound turned angry. Parental ears are very attuned to picking up when the children sound distressed or angry. I went upstairs to see what was going on and the words became clear
“What?! No! Why did you do that!”
My teenage daughter was yelling at her tablet computer in full tearful meltdown. She was barely coherent and ready to shout at me. Her hands were shaking. It took me three minutes to get her calm enough to tell me what was going on. It turns out that Microsoft tricked her into upgrading to Windows 10. It was not something she wanted to do. She just mis-clicked a single button and then was unable to cancel the upgrade. The only option she was offered was to reschedule. Not knowing what else to do, she let the upgrade proceed.

My daughter has OCD. She has a doctor who prescribes medicine and a therapist who helps her with cognitive techniques to manage her issues. Among her coping strategies, she uses her tablet as a tool for emotional regulation. It contains music designed to be soothing and to help her with meditation. She uses the device for distraction when the intensity of her anxiety gets too high. Any time other people touch her device she gets stressed because she depends on it daily and the thought of not having it sends her into a panic attack. She has those too, full-on curl-into-a-ball panic attacks.

The upgrade had changed the functionality of everything she wanted the machine to do. She was in a panic because she couldn’t find her music that she relies on, couldn’t find Internet Explorer or her favorites list, all her app buttons had been shuffled and re-organized. Instead of having everything categorized and on separate screens, everything was all on the main desktop, which felt terribly unorganized to her. She was terrified that her coping tool was permanently broken. She was furious that Microsoft would do this to her without giving her a way to opt out. The thing that was supposed to assist her with anxiety was causing massive anxiety.

I sat next to her and tried to talk with her, but she was unable to be rational. This is one of the core manifestations of my daughter’s OCD. When the obsessions and compulsions are triggered, her brain is less able to be logical about anything. This upgrade was an invasion of her ability to control her environment, the worst thing I could do would be to take the device away, fix it, and give it back. She had to be angry and figure it out for herself. All that Howard (he heard and came too) and I could do was sit nearby and give suggestions for how to reconfigure. Our suggestions were met with an angry shout of “I know that!” or “I’ve already tried that!” Half the time she would then follow our suggestions and bring her device closer to functioning the way that she is familiar with.

Ninety minutes of active distress got the device into a configuration where she felt it was usable. By that time she and I had missed the first part of church. She was not in a state suitable for public, so we turned on a show that she loves and let her be distracted for awhile. Then she lay down and slept for two hours, completely worn out from the emotional upheaval.

I was worn out too. This is the third time this week that her OCD has been triggered in a way that took multiple hours to help her get herself right side up again. It breaks my heart a bit to see how hard she works for emotional equilibrium that other kids just have without effort. She is amazing and strong every single day. She has to be. I know that life isn’t fair, but this week I saw the unfairness more clearly than usual. It made me sad and tired. Here’s hoping that the coming week is less eventful than the week just passed.

Incoming Appointments

I should not have taunted the medical appointment spirits. Over night one of my kids spiked a fever, an OCD therapist got back to me which means I’ll soon be adding a weekly appointment to my schedule, and I’m now researching whether occupational therapy is covered by our insurance because that would be helpful for a different kid. Have I mentioned I get tired of appointments? Even when I know they’re important and helpful to my people.

Disorders in Hiding

Sometimes autism doesn’t flap arms or drone on forever on the infinitesimal details of one particular topic. Sometimes Autism can look like a friendly kid who calls his friends over and is the instigator of group play. Autism can be wearing the exact same outfit every single day because your clothes are part of who you are and you don’t feel like yourself in different clothes. Often this means duplicates of clothes. Autism can be standing in a group full of people who are all talking and laughing, wanting to be part of it, but they only talk about things you don’t care about. Autism can be refusing to go into the lunch room because it is too loud and ending up sitting in a hallway off by yourself feeling lonely. Autism can be feeling certain that you made an agreement with another person only to discover that they understood what you said completely differently from how you meant it. Autism can be being unable to do an assignment because you can’t wrap your head around how to begin. Then everyone gets angry with you because it looks simple to them. Autism can look like stubbornness and laziness.

OCD does not always flip light switches, count posts, or line things up in rows. Sometimes OCD is becoming actively uncomfortable and antsy if someone else is sitting in the spot where you expected to sit. This discomfort may cause you to lash out in anger. Then you have to face the consequences of your angry outburst. OCD can be carrying all of your books and school papers in your arms because that is the only way you can constantly be sure you have everything. OCD can be not throwing away any school papers and carrying them all in the ever-growing stack because it would be terrible to not be prepared should the teacher ask students to pull out an old assignment from three months ago. OCD can be wrapping every thought with a cloud of tangential and descriptive information which obscures the thing you want to tell other people. Only you can’t skip any of the information because it is all connected. And if anyone tries to interrupt the thing you’re saying, you get angry, because you weren’t finished, and the thing you were saying is important and must be completed. OCD can be correcting the pronunciations of the people around you because if a word is said wrong, your brain can not let go of that word until it is spoken correctly. One of these things is a quirk. All of these things together is a disorder that affects pretty much every hour of every day and every relationship in your life. OCD can look like disobedient defiance, rudeness, and disrespect.

Anxiety does not always worry about things. Sometimes anxiety is a heart that races and palpitates even though there is nothing going on and the person feels calm. Anxiety can be feeling antsy and agitated, like post-adrenaline shakes, even though nothing happened. Anxiety can be imagining a dozen possible futures and making plans to be prepared for all of them. Anxiety can be hyper-organization that other people praise, and which is actually useful, except that it never allows rest, vacation, or breaks. Preparation that never switches off. Anxiety can be needing to leave an event because there are too many people moving around and talking, making you unable to track everything. And you have to track everything, because if something goes wrong, you must be ready for it. Anxiety can be skipping work opportunities because they require face-to-face interaction. Anxiety can be checking up on other people’s work until they get annoyed with you, but you can’t not check because you have to be prepared if they didn’t do their job. Anxiety can look like a nagging and controlling personality.

ADHD is not always easily distracted. ADHD can be so focused on a project that suddenly you realize that people are standing over you angry because they’ve been trying to get your attention. ADHD can be the sound of pencils scratching on paper overpowering the thoughts in your head. ADHD can be deciding that today you will REALLY pay attention and make sure you get all your assignments, only to realize that you missed hearing an assignment because you were busy planning how not to miss assignments. ADHD is being lost in the thoughts in your head. ADHD can mean always feeling lost or out of step because everyone else knows what is going on, but you haven’t any idea what the instructions were. ADHD can be a jittery leg, all your pencils chewed to bits, and fingers that twist and play with whatever they touch, all without you intending to do any of it. ADHD can be lost items and missed appointments because at the important moment your thoughts were on something else. ADHD can look like chronic disorganization, negligence, and a person who doesn’t care enough to get things done.

Depression does not always stay at home lying in bed feeling in a pit of despair. It is not always dramatic or suicidal. Depression can be doing all the tasks that are required of you, but enjoying none of them. Depression can be feeling like things will never be better than they are now. Depression can be binge watching television shows on Netflix, because then you don’t have to listen to your own thoughts. Depression can be playing endless games of solitaire to fill the spaces between required activities. Depression can be deciding to stay home rather than go out with friends because being social sounds too exhausting. Depression can be having friends drift away because you’re not the person you used to be and you don’t have emotional energy to maintain the friendships. Depression can be crying at seemingly random times over things which wouldn’t normally cause tears, like a happy song playing, or the store being out of the cereal you like. Depression can be a messy house because you only have so much energy to do things and laundry didn’t make the list this week. Depression can be not bothering to brush your hair or change clothes because it is too much work. Depression can look like a person who is standoffish, slovenly, and unfriendly.

So if you have to deal with a person and they are awkward, rude, nagging, standoffish,or negligent, pause a moment before you condemn them. It may be that they do have the character flaw you perceive in them. Or it may be that the person is fighting a daily battle you can’t see, and they need your compassion instead of your anger.