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Basic InformationMore InformationA Discussion of Psychotherapy A Discussion of Self HatredAging and DepressionAn Interview with Daniel Strunk, Ph.D., on Cognitive Therapy for DepressionAntidepressants No Better Than Placebo Says A New Study, But It's Really More Complicated Than That... Blunt InstrumentsBrain Neuroplasticity and Treatment Resistant DepressionComing Out of the Depression ClosetCosmo Magic to Cyclothymic: Highs, Lows and States of FlowDepression and CancerDepression and DiabetesDepression and Heart DiseaseDepression and HIV/AIDSDepression and ParkinsonsDepression and Relationships: The Good News About Feeling BadDepression and StrokeDepression and the Elusiveness of Pleasure Depression and WomenDepression, ADHD, Psychotherapy and MedicationDepression, Anxiety and PetsDepression? Stress? How Sweet they Are? A Dissertation on Dark ChocolateDo You Like Me? Setting LimitsDysthymic Disorder SymptomsElliott Smith and the gift of Vulnerability MusicExistential Crisis?Feeling Good, It's Not Just In the BrainGoing Postal: The Road to Depression and SalvationGuest Editorial: Celeb Feud Brought Up Critical IssuesHelping Children Understand and Cope with Parental DepressionListening to Readers on Prozac, Depression & the Medical System: Part IListening to Readers on Prozac, Depression & the Medical System: Part IIMajor Depression SymptomsMen and DepressionMen, Face It, There is Male Post Partum DepressionNational Depression Screening Day, Thursday October 8, 2009Of Troubled Marriages, Sexual Compulsions and DepressionOlder Adults: Depression and Suicide FactsOrganizationsPost Partum Adoption DepressionPost Partum Depression and The Importance of SleepPsychological Impact of Protracted UnemploymentReader Feedback on the Depression SeriesRunning On FiftyScore Another One for Cognitive TherapySelf CompassionSensory Defensiveness or Sensory OverloadSt. John's Wort FAQStudents and College, A Stressful Time of Life: Parents and Students BewareSurgery, Depression, and AnxietySymptoms of Depressive DisordersThe Best Anti Depressant is Free!The Biochemical - Psychosexual Revolution: Getting Up and Close while Being Down and OutThe Existential Crisis, Depression, Anxiety and MortalityThe Five SensesThe Liberating and Entangling Webs of Technology, Depression and ProzacThe Long Term Effects of BullyingThe Physical Symptoms of DepressionTop Twelve Tips for Beating (Mostly) Moderate Chronic Clinical DepressionTreatmentTreatment 1 of 2Treatment 2 of 2Unmasking Mental IllnessWebsitesWhat about the "milder" depression: Dysthymic disorder?Why People Might Use Anxiety to Avoid Depression: Part 2Why People Might Use Anxiety to Avoid Depression: What We Can Learn From a Wartime ExperienceWise Counsel Interview Transcript: An Interview with James Gordon MD on Mind Body Medicine and His Book 'Unstuck'Wise Counsel Interview Transcript: An Interview with with Ronald Dworkin, MD, Ph.D. on Artificial HappinessWoe Is Me, The Self Fulfilling Prophecy TestsLatest NewsReview: Exercise Indeed Beneficial for Major DepressionAdult Children of Substance Abusers More Prone to DepressionDepression May Boost Stroke Risk in Middle-Aged Women, TooAnti-Gay Bullying Tied to Teen Depression, SuicideDaily Gene Rhythms May Be Off in Depressed PeopleDepression Overdiagnosed, Overtreated in the CommunitySome Antidepressants May Raise Risk for Gastro InfectionAntidepressants May Hasten Bypass Recovery, Study FindsSome Antidepressants Linked to Bleeding Risk With SurgeryFish Oil Has No Effect on Depression in PregnancyFormer College Athletes Don't Have Increased Depression RiskCollege Sports Could Raise Players' Risk for Depression, Study FindsAnother Danger of Depression?Study: Antidepressant Use in Pregnancy May Not Affect Baby's GrowthAnxiety, Depression May Triple Risk of Death for Heart Patients: StudyAbout 14 Percent of Moms Face Postpartum DepressionChildhood Depression May Be Tied to Later Heart Risk: StudySmall Benefit of Adjunctive Antipsychotics for DepressionVision Loss, Depression May Be Linked, Study FindsImproving Eating Habits Cuts Depression in DementiaHealth Tip: When Grief Becomes DepressionLow-Intensity Interventions Beneficial in Severe DepressionDepressed Patients May Gain From Self-Help Books, WebsitesDepression Affects Efficacy of Herpes Zoster VaccineExercise May Stave Off Depression in Severely ObeseMilitary Women Exposed to Combat After Childbirth Face DepressionUntreated Depression May Cut Shingles Vaccine EffectivenessECT + SSRI Better for Major Depression Than Either AloneMaternal Depression, Violence at Home May Raise Child's ADHD RiskElectrical Brain Stimulation Plus Drug Fights Depression: StudyAntidepressants Celexa, Lexapro Tied to Irregular Heartbeat: StudyHealth Tip: Avoid the Winter BluesJaw Pain Disorder Tied to Anxiety, DepressionDepressive Symptoms Tied to Doubled Risk for Crohn'sDepressed Stroke Survivors May Face Higher Early Death RiskHealth Tip: You May Have Seasonal Affective DisorderDiet Drinks Tied to Depression Risk in Older Adults: StudyData Suggest Depression Doesn't Precede Impaired CognitionDementia, Late-Life Depression May Be LinkedPrenatal Antidepressants Don't Raise Fetal, Infant Death Risk: StudyLow Insulin Secretion Tied to Depressive Symptoms in WomenWinter Depression May Require Treatment PlanBlood Protein Linked to Depression, Study FindsStress, Depression Linked to Raised Stroke Risk in SeniorsNovel GLYX-13 Antidepressant Compound Holds PromiseExperimental Antidepressant Appears Quick-Acting, SafeEmerging Risk Factors ID'd for Postpartum DepressionWhen Antidepressants Don't Work, Give Counseling a TryFDA Pulls One Generic Form of Wellbutrin Off the MarketDepression a Key Factor in Health of Parkinson's Patients: Study Questions and AnswersSexual Abuse, What Should I do Now?Bipolar or Depressed or Neither?DepressionFeel Like Something's WrongToo Much SorrowVery EmptyReally Desperate..Please HelpMy Health?DepressionBipolar, Depression, Grief & AnxietyIs This a Flashback?Help Us With Our Son!No Clue What To Do. Help?Am I Going Crazy?Do I Suffer From Depression?Why Is He Doing This To Me?Am I Commitment-Phobic?I Don't Care For Anything, I Feel as Though I'm Wasting my Life.Anxiety Has Taken Over My Life...Not Able to be Happy With my HusbandHow Do I Get My 24 Year Old Son To A CounselorBipolar TeenI Have This IssueAm I Depressed?Fear of ChokingHelpIn Love With a Man Who Does Not Love MeI Think I Have a Mental Disorder?Stress and Loss of Feeling or Emotional DeadnessPlease Help MeOCD or Not OCD, That's The QuestionHow Can I Move Past This- A Question for StaffDoes Romance Lead to Aggression?Am I Depressed?Depressed, Anxious and Dead Inside...Please Help!BrokenWhy do I Feel Like Everyone is Trying to Upset me?My Husbands Roller Coaster of Proper Hygiene: Is it Depression?I Feel Like a Complete Waste of a Human LifeAm I Always Going to Feel Like This?Is He Changed???I Can't Stop CryingHopelessAnxious and Depressed SonIs There Any Hope For Me, or am I Destined to be Damaged?Falling ApartIs There Such a Thing as Happiness? 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Running On FiftyMark Gorkin, LICSWThe Stress Doc, continuing his post-Big 5-OH reflections, muses on how stress and unexpected loss can drain one's energy and vitality. When you are a stress consultant at the USPS there may be a natural progression - from going Postal to taking Prozac. Going Postal:The Road to Depression and Salvation In a recent column, I reflected on turning fifty and being energized by the ebb and flow between professional maturity and playing in the fountain of absurdity. However, a challenging life can be double-edged: the youthful spirit burns bright and it can, with shooting star alacrity, burn itself out. Regaining luster and vitality may take more than psychotherapy, especially if the stress has been chronic and there's genetic vulnerability. "In the Belly of the Beast" Let me trace my mind-body descent and deliver us to the point of no return (to the outmoded denial of the past). Almost five years ago, a year's stint as a 2-3 day/week stress and violence prevention consultant for the US Postal Service was taking a toll. At a 6,000 person, 24 hour a day, three tour Processing & Distribution Plant, management and labor had devised a unique concept: I would be the friendly stress expert/social worker walking the beat - three workfloors each probably three times the size of a football field. Mine was to be a visible presence; didn't have an office. The hope was that employees and supervisors would talk to me informally if they were feeling stressed or if there was decided tension between a supervisor and an employee or friction within a work team or section. Prevention and, when necessary, intervention was the modus operandi. Believe me, trust did not come easily. Initially, most folks thought I was a postal inspector or a narcotics agent gathering data on the postal peons. I'll never forget the powerful turning point encounter. It occurred while addressing about seventy-five folks working the LSM (Letter Sorting Machines). Basically, I was trying to convey my background and why I was walking about. Now I need to provide some context to this scene. This plant was in the Baltimore inner city. Probably 3/4s of the employees were African-American. There definitely was racial division captured in the terminology and demographics between the workspaces: "The Tower" housed a disproportionate number of white (and not just collar) execs, while "The Workfloor" was predominantly blue collar and people of color. The place wasn't called "The Postal Plantation" for nothing. In reality, it was a tremendous pressure cooker for all parties. The damn mail never stops coming. And you think you have a problem with junk mail! The Colorful Confrontation Anyway...as I'm addressing the LSM staff, a tall, hard-edged African-American guy suddenly blurts out with attitude, "What makes you think you can relate to all these people of color?" Whew! He got my attention and my adrenalin going. I remember clenching my fists reflexively. But it wasn't till after the confrontation did I realize how hard; the muscles in my arms were actually strained. While these encounters are stressful, fortunately, they tend to focus and energize my thinking and communication. I pushed back my jacket sleeve, pointed to my arm and said, "You see this skin, it's not black, it's not brown, it's not red or yellow...it's white. And you're right...there's no way I'm going to be able to fully relate to most of you. But I'll say this. I'm a damn good listener. I'm not afraid of dealing with tough feelings, or with anger. And I've worked with all kinds of folks before. Recently, welfare mothers, the majority African-American, in a job prepatory program. The program had trainers of all color. But if you asked most of those women which trainer they worked best with, they would have said me." (I was tempted to add that I'm not into bs; I'm a straight shooter...but I didn't think that analogy was the best one for the postal service.) Anyway, the electric atmosphere - "High Noon at the OK Postal Corral - was defused. I would be allowed to pursue my mission. And soon enough, just about anywhere on the workfloors, you could hear, "Hey Doc. You got a minute. I'm having problems with my kid." Or, "Hey Doc. Man, we are being squashed by our supervisor. What can we do about it?" Downsized and Out It was an amazing year. More wonderful, dedicated folks than jerks. I definitely made a contribution. The pay was good. I was ready to reup despite the mental and physical toll. However, as my year's contract was expiring, there was a shakeup of plant management. And when the acting plant manager was permanently in place, there was no place for the Stress Doc, despite the pleas of the unions and the supervisory association. On a logical level, being displaced was a blessing. No more weekly 10pm -5am and back at noon tour of duty. My biological clock and body never did adjust to the rigors of the night shift. On a psychological level, however, being let go was a real emotional blow. It still felt like rejection after all the sweat and tears I had shed and shared. (I'm happy to report we had no bloodshed on my tour of duty. Of course, this plant and its satellite facilities were hardly postal paradise regained. For example, I had to counsel: a) a woman raped in the parking lot and also debrief her female colleagues, b) a carrier held up at knife point on a route, c) an employee receiving telephone death threats from a (suspected) jealous employee, d) and lead a group grief session for thirty folks after a popular employee died suddenly of a heart attack on the workfloor. Tour of duty is the right expression.) What Else! And just as I was starting to grieve the loss of my wandering with the working wounded Stress Doc role, I was blind-sided by another blow. An uncle with whom I was close, especially as a child, died suddenly of a heart attack in his early 60s on a racquetball court. (I have previously written a poignant piece about Uncle Dave. Email stressdoc@aol.com for the essay.) Now it was crisis time. Money was running down. Being self-employed, I would have to jump start a big new marketing campaign. And where in hell would I find the energy, confidence and willpower? I would do it somehow. I'd done it before. Absolutely grit my soul, steel and push my mind and body to near desperation and exhaustion and, eventually, blood would trickle, if not flow, from the proverbial stone. Or, at least, a new client or two would emerge on the marketing horizon. But playing this process in my mind's eye was only blackening my hole darker and deeper. So when my psychiatrist gently asked for the umpteenth time about starting a trial on Prozac...I no longer had the fortitude to fight her. And thus, at the bottom of my black pit, feeling most alone, ashamed and vanquished, I was finally ready to confront some resistances: to gut finally the realities of my family's history of mental illness, my own long-standing depression and fear of exploring medication. I was about to receive techno-spiritual revelation and rejuvenation. And next time, I'll document my Prozac trial - from blunders to wonders, including the rebirth of hope, energy and youthful spirit. Until then, of course...Practice Safe Stress! Special Announcements: - E-mail if you'd like to subscribe to my new, free newsletter,
- Leading a "Shrink Rap and Group Chat" for Digital City-Washington, the 2nd and 4th Mondays of every month, 9-10pm EDT. Field questions on stress, relationship issues, school/job problems, career transition, etc. Definitely a lively hour. Here's the link: Chat with the Stress Doc (AOL users only).
- Starting a Multi-Media Coaching for Consultants Program, especially (though not exclusively) for allied/mental health professionals, organizational trainers and consultants, counselors and educators. For info on the products and instructional services, including:
- one-on-one online consultation and group chat
- copywriting and humor writing; website design
- bulletin board access... E-mail me at StressDoc@aol.com.
Feedback Segment: How about sharing your thoughts on how you, friends or colleagues use humor in dealing with stress, conflict or moods, yours or others, in your personal life, at home or at work? HFTE will run the best stories and, of course, credit you. E-mail me at StressDoc@aol.com. |