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Coping with
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MOTIVATION
Winter 2017 • $6.95
FINDING THAT GET-UP-AND-GO hopetocope.com
 The fraternal twins of mood disorders
anxiety
Anxiety is a normal reaction to stress. It helps one deal
with a tense situation. But when it becomes an excessive,
depression
irrational dread of everyday situations, it has become a
disabling disorder.
Who is affected?
Anxiety disorders affect approximately 12% of adults in a
given year.
Types of anxiety disorders
Generalized Anxiety Disorder (GAD): chronic anxiety,
exaggerated worry, and tension, even when there is little
or nothing to provoke it.
Obsessive-Compulsive Disorder (OCD): recurrent,
unwanted thoughts and/or repetitive behaviors.
Panic Disorder: unexpected and repeated episodes of
intense fear.
Post-Traumatic Stress Disorder (PTSD): persistent
frightening thoughts and memories of a terrifying ordeal.
Social Phobia, or Social Anxiety Disorder: overwhelming
anxiety and excessive self-consciousness in everyday social
situations.
Signs and symptoms
All symptoms cluster around excessive, irrational fear and
dread, but each disorder has different symptoms.
GAD: worries accompanied by fatigue, headaches,
muscle tension, or other physical symptoms.
OCD: persistent, unwelcome thoughts or images, or the
urgent need to engage in certain rituals.
Panic Disorder: feelings of terror that strike suddenly
and repeatedly without warning. Frequently accompanied
by a pounding heart, sweatiness, weakness, faintness
and dizziness.
PTSD: emotional numbness and detachment, sleep
problems, and a tendency to be easily startled.
Social Phobia: a persistent, intense, and chronic
fear of being watched and judged by others and being
embarrassed or humiliated. Often accompanied by
blushing, profuse sweating, and other physical symptoms.
Treatment
Anxiety disorders are generally treated with a combination
of medication and cognitive-behavioral therapy (CBT) with
effective results. Many people with anxiety disorders
also benefit from support groups, family counseling and
educational resources.
Depression is a serious medical illness. It’s more than just feeling
“down in the dumps” or “blue” for a few days. It’s feeling “down”
and “low” and “hopeless” for weeks at a time.
Who is affected?
Depression is a common condition that affects about 8% of adults
every year.
Types of depression
Major Depressive Disorder, or Major Depression: a combination
of symptoms that interfere with a person’s ability to work, sleep, study,
eat, and enjoy once-pleasurable activities.
Persistent Depressive Disorder (formerly known as Dysthymia):
long-term (two years or longer) but less severe symptoms that may
not disable a person but can prevent one from functioning normally or
feeling well.
Some forms of depressive disorders exhibit slightly different characteristics
than those described above. They include:
Psychotic Depression: When a severe depressive illness is accompanied
by some form of psychosis, such as a break with reality, hallucinations,
and delusions.
Postpartum Depression: Diagnosed if a new mother develops a
major depressive episode within one month after delivery.
Seasonal Affective Disorder (SAD): The onset of a depressive illness
during winter, when there is less natural sunlight. The depression
generally lifts during spring and summer.
Bipolar Disorder, also called Manic-Depressive Illness: Cycling
mood changes from extreme highs (mania) to extreme lows (depression).
Signs and symptoms
These include: Emotional Physical
X Persistent sad, anxious, X Chest pain
or “empty” feelings
X Digestive problems
X Feelings of hopelessness XFatigue / exhaustion
and/or pessimism
XHeadaches
X Feelings of guilt, worthlessness,
and/or helplessness XPain (back, joint
and/or muscle)
X Irritability, restlessness
XWeight loss or gain
X Loss of interest in once-pleasurable
hobbies or activities, including sex
Treatment
Depression is the most treatable of mental illnesses. Most people
who suffer from depression are helped by their treatment plans which
usually include medication and/or psychological counseling. Support
from trusted family members, friends and self-help groups are also
key to recovery.

HOW TO GET HELP

TALK to someone you trust with
experience in mental health—for
example, a doctor, nurse, social worker,
or religious counselor. Ask their advice
on where to seek treatment.
CONTACT
REACH OUT to local mental health If you are thinking about suicide, get help
organizations through: immediately. CALL 911 or visit your local
CANADA: emergency room or nearest hospital.
Canadian Mental Health
Association • cmha.ca
Mood Disorders Society of Canada
mooddisorderscanada.ca For inspirational articles go to:

CANADA:
Canadian Association for Suicide
Prevention • suicideprevention.ca
UNITED STATES:
The National Suicide Prevention
Lifeline • Call (800) 273-TALK.
esperanza
UNITED STATES: HOPETOCOPE.COM
Depression & Bipolar Support
Alliance • dbsalliance.org
National Alliance on Mental Illness
nami.org
Mental Health America hope to cope with anxiety and depression
mentalhealthamerica.net
 WINTER 2017 VOLUME 9 ISSUE 2 HOPETOCOPE.COM

Features Columns
14 Coping with work woes 13 VIEWPOINT
by Diana Louise Carter Aging and my second act
When job stress eats away at your by Michael Rafferty
equilibrium, a few simple strategies
help safeguard your well-being.
38 VIEWPOINT
Adjusting to an empty nest
20 Coming clean by Susan Reinhardt
by Matthew Solan 41 ASK THE DOCTOR

14 Eating unprocessed foods is a

great way to improve your diet,
but proponents say it can also
Pick your professional
by J. Raymond
Work it out do great things for your outlook. DePaulo, Jr., MD

43 ASK THE THERAPIST

26 The kindness cure Your comfort zone
by Robin L. Flanigan by Deborah Serani, PsyD
Tend to be your own worst critic?
Soften your inner judge with the 45 LIFE LESSONS
practice of self-compassion. When I don't want to
by Margaret Lanning
32 Solution oriented
by Stephanie Stephens
Polish up your problem-solving
skills to get a better handle on In every issue
26
stress and conflict—plus a clearer
path to the future you want. 3 UP FRONT

Learning self-love 36 Everyday Heroes:

4 MAILBAG

Making strides 7 THIS IS ME:

Photos: Unless otherwise noted, photos/illustrations from iStockphoto.com or provided courtesy of subject.

MEET MICHELLE
by Lori Hile
Ever since a running injury shook 8 HEADLINES
up CHRIS MARTIN's routines, the
businessman has been finding
10 RESEARCH
new paths to well-being. 39 THE TALK

46 Back Chat with 44 TIME TO REVIVE

Kay Warren
Personal tragedy spurred
a movement to make
church a safe place for
the whole person—body,
mind and spirit.

32
20 Untangling
Eating naturally life's problems
publisher/founder JOANNE M. DOAN editor ELIZABETH FORBES connections associate SHANE FURGAL
art director BEATRICE LAUREY articles editor NICOLE PERADOTTO contributors MARGARET LANNING
MICHAEL RAFFERTY
graphic designer DENNISE LITTLE news editor PAUL FORSYTH
SUSAN REINHARDT
finance manager COLIN PETT proofreader LINDA MANSON DEBORAH SERANI, PSYD

hope to cope with anxiety and depression 2XUPLVVLRQLVWRHPSRZHUSHRSOHZLWKKRSHKHOSIXOWRROVDQGRQJRLQJVXSSRUW²

VRWKH\ZLOOIHHOLQIRUPHGHTXLSSHGDQGPRWLYDWHGWRPHHWWKHLUFKDOOHQJHVDQGOLYHSURGXFWLYHIXOILOOLQJOLYHV

advisory board editorial panel

ALLEN DOEDERLEIN: President, Depression and Bipolar Support Alliance RICHARD D’AMATO: Peer Advocate Specialist, Depression and Bipolar Alliance
(DBSA), Chicago, IL of Western New York, Buffalo, NY

KATRINA GAY: Director of Communications, National Alliance on Mental Illness DAVID CARMICHAEL, BED: Public Speaker on Mental Health, Canadian Mental
(NAMI), Arlington, VA Health Association, Niagara Region, ON

GUSTAVO KINRYS, MD: Director, Mood and Anxiety Disorders Research STEVEN L. DUBOVSKY, MD: Professor and Chair, Department of Psychiatry,
Program, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA State University of New York at Buffalo, NY

RAYMOND W. LAM, MD, FRCPC: Professor and Head, Division of Clinical
Neuroscience, Department of Psychiatry, University of British Columbia; Medical
Director, Mood Disorders Centre of Excellence, UBC Hospital, Vancouver, BC
DANIEL J. REIDENBERG, PSYD: Chair and Fellow of the American
Psychotherapy Association’s Advisory Board, and Executive Director of Suicide
Awareness Voices of Education (SAVE), Bloomington, MN
JERILYN ROSS, MA, LICSW: President and CEO of the Anxiety Disorders
Association of America (ADAA) and Director of the Ross Center for Anxiety &
Related Disorders, Washington, DC
JULIE TOTTEN: President and Founder of Families for Depression Awareness,
Waltham, MA
SUE GESCHWENDER: Parenting Volunteer, Buffalo, NY
TEDD R. HABBERFIELD, PHD: Licensed Clinical Psychologist, Williamsville, NY;
Assistant Professor, State University of New York at Buffalo, NY
ROXANNE LIBBEY: Peer Support Worker, Canadian Mental Health Association,
Niagara Branch, St. Catharines, ON
PATRICIA A. SAMSON: Parent Advocate, Mental Health Association of Erie
County, Buffalo, NY
COLLEEN SHEEHAN: Certified Psychiatric Rehabilitation Practitioner, Buffalo, NY
EILEEN TRIGOBOFF, RN, DNS: Research Coordinator, Buffalo Psychiatric
Center, Buffalo, NY

MADHUKAR TRIVEDI, MD: Director of Mood Disorders Research Program esperanza is published four times a year.
and Clinic, University of Texas Southwestern Medical Center at Dallas, TX
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member of:
 CONTRIBUTORS EDITOR'S NOTE | UP FRONT

How do you try to be Coping

kinder to yourself? cornucopia
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Location: Denver, CO • Occupation: Advocacy Coordinator for Colorado Cross-Disability Coalition

Age: 59 • Year Diagnosed: 2000 • Diagnosis: Major Depressive Disorder, Post-Traumatic Stress Disorder
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 JOB STRESS | FEATURE

Coping with
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Taking steps to strengthen your
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BY DIANA LOUISE CARTER

AFTER A REALLY STRESSFUL DAY AT WORK,

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in her car.
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16 esperanza winter 2017
SWITCH
GEARS
It’s important to leave work
and all its worries behind
once you get home. Creating a
destressing ritual can help you
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simple as changing into more
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a cup of tea while reviewing
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resilience can handle. That’s when but
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says Mayer.

DOLLARS & SENSE

If it’s not addressed, chronic work stress can have a negative
impact on physical health, family relationships, and life sat-
isfaction. It can tip vulnerable individuals into depression or
anxiety, or trigger those already dealing with mental health
challenges.
Quite apart from the personal toll, there’s a financial back-
lash for businesses. One widely quoted statistic puts the
annual cost of job stress to the American economy at $300
billion.
That includes the estimated burden of accidents due to
fatigue and inability to concentrate, employee turnover, and
loss of productivity due to absenteeism and “presenteeism”
—in attendance bodily but unable to work at normal capacity.
According to the Harvard Business Review, studies
show that presenteeism due to chronic illnesses—including
conditions like allergies and arthritis—costs employers two
to three times more than direct medical care.
Looking specifically at depression in the workplace, the
advocacy organization Mental Health America cites a figure
of $51 billion annually in indirect costs to the U.S. economy.
In Canada, more than 30 percent of disability claims and
70 percent of disability costs can be traced to mental health
issues, according to the Mental Health Commission of
Canada. However, such payouts may yield a rich payback.
A 2009 survey of 3,000 Alberta workers found that 255
people (or nearly 10 percent) confirmed they’d had a depres-
sive episode in the year before they were interviewed. Those
who had received treatment were significantly more likely to
report being able to function at a highly productive level at
work compared to those who had not sought help.

hopetocope.com esperanza 17
 ANTITOXINS
Sometimes job stress doesn’t come from the work itself but from the
people you work with. In her book Mastering Civility: A Manifesto for the
Workplace, Christine Porath, PhD, chronicles the toll that a toxic workplace
can take on employees and employers.
Productivity tends to decrease and work absences tend to increase. If
workers burn out and leave, businesses face the expense of replacing them.
People are likely to carry workplace stress home at the end of the day, with
poisonous effects on their health and relationships.
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Whether a single bout of yelling or constant “micro-aggressions” by a
health challenges, and a lot depends on
difficult supervisor, the effects “can stick with people for decades,” Porath
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says. “It takes a cognitive toll even if you just observe it.”
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Minimizing face-to-face contact can be a legitimate strategy, such
as steering clear of committee work with a co-worker who pushes your *HQHOOD 0DFLQW\UH RI %UDQGRQ
buttons. Some other recommendations: 0DQLWREDFRDFKHVLQGLYLGXDOVRQPDQ
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• For a reality check, discreetly ask co-workers whether they’re having
similar problems. Try to evaluate where there’s an objective issue affect- KRZ WR HVWDEOLVK ³SV\FKRORJLFDOO\ VDIH´
ing everyone, like unreasonable deadlines or constant disrespect, or ZRUNSODFHVWKURXJKKHUFRQVXOWLQJ¿UP
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that are making you feel stressed. Some may welcome the feedback, OLQH EHQH¿WV RI UHGXFLQJ EXUQRXW VKH
others may react negatively. acknowledges that ignorance and stig
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up the chain of command or turning to the human resources depart- ³3HRSOH XQGHUVWDQG LI \RX KDYH D
ment or a union representative. FDVW RQ \RXU OHJ EXW LI \RX¶UH VWUHVVHG
• If unclear job expectations are creating stress, ask to work with your SHRSOH VWLOO WKLQN LW¶V D FKDUDFWHU ÀDZ´
supervisor on developing written guidelines you can both agree upon. says Macintyre, who has dealt with
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going to keep the paycheck,” notes
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gist in Portland, Oregon, who specializes
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18 esperanza winter 2017


People understand
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industry partners.
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a law school in New York City
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The National Network of Depression
Centers (NNDC) is a nonproit research
consortium dedicated to improving the
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DIANA LOUISE CARTER IS A LONGTIME
knowledge
JOURNALIST IN UPSTATE NEW YORK.
Develop evidence-based
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The Mayo Clinic lists these
signs of job burnout:
• Have you become cynical Reduce stigma through
or critical at work?
• Do you drag yourself to work education and outreach
and have trouble getting
started once you arrive?
• Have you become irritable or
impatient with co-workers,
customers or clients? NNDC Member Centers
• Do you lack the energy to
be consistently productive?
• Do you lack satisfaction
from your achievements?
• Do you feel disillusioned
about your job?
• Are you using food, drugs,
or alcohol to feel better or
to simply not feel?
• Have your sleep habits or
appetite changed?
• Center of Excellence
• Associate Member Center
• Are you troubled by
unexplained headaches, To learn more about our Member Centers or
backaches or other physical to support the NNDC mission, visit nndc.org
complaints? or ind us on social media.
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 « Clean eating encourages
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22 esperanza winter 2017

 WE’RE TALKING ABOUT MENTAL HEALTH.
ARE YOU?

BRANDON MICHAEL WAYNE BEN

MARSHALL ANGELAKOS BRADY SCRIVENS

To join the conversation,

visit BringChange2Mind.org.
We Are #StrongerThanStigma

© 2016 Bring Change 2 Mind


« Clean eating is more
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 SELF-COMPASSION | RESILIENCE

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Kristin Neff, PhD, a pioneering researcher into
resilience and self-compassion, describes it as
adopting the perspective of a sympathetic “other”
towards oneself.
That makes it different from self-esteem (which is
based on evaluating various traits), self-pity (which
is essentially egocentric) and self-indulgence (which
is giving yourself permission to do things that are
ultimately harmful to your health and well-being).
In order to cultivate a self-compassionate frame of
mind, Neff notes, there are certain attitudes to
recognize and resist:
Q Self-judgment.
Q Getting stuck in your own head.
Q Separating your experience from the norm.
Neff has developed a guided "self-compassion
break" that addresses all three barriers.
The first step: Call to mind some situation that is
difficult or stressful—but nothing too painful or
overwhelming if you’re a beginner. Create a full
picture of what’s going on, who said what, and
what might happen.
Now find some phrase that acknowledges your
distress. Some suggestions from Neff: “This is
really hard right now,” or, “I’m really struggling.”
Next, find comfortable language to remind yourself
that suffering is a part of being human. For example:
“It’s not abnormal to feel this way.” “Many others
have gone through something like this.”
Place your hands lovingly over your heart or
anywhere on your body that feels comforting. Say
something kind to yourself as if you were speaking
to a close friend: “I’m here for you.” “It’s going to
be OK.” “I care about you.”
To end the exercise, relax and observe how your
body feels in the moment, allowing yourself to be
just as you are without trying to change anything.

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 … you want that caring voice in your head
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going through, and who knows and
understands what’s going on,” he says.
in her book Give Yourself a Break:
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ROBIN L. FLANIGAN IS AN AWARD-
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US AIRWAYS MAGAZINE, AND OTHER
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thing to do, but you need to learn to 3. Reflect upon what may have contributed to that quality—your
notice your thoughts without reacting upbringing, genetic inheritance, life circumstances and other factors.
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4. Remind yourself that imperfection is the natural state of being human.
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5. Respectfully ask yourself what might help you change or cope with
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this aspect of who you are.
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30 esperanza winter 2017

 O
ENTED
Good problem-solving skills make it
easier to untangle conflict, manage
stress and make life changes
BY STEPHANIE STEPHENS
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put it into action.
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troubles, issues at work, or unsettling
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situation.
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social support, and reinterpreting the
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"Try to generate
ideas about how to
overcome, go through,
and around barriers.
That trains your brain
to do something
Stress. Conflict. Frustration.
Inevitable facts of life—
and notorious triggers for
depression and anxiety.
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the tensions that arise when sharing
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through the best way to proceed.
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she says.
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Massachusetts General Hospital noted
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can do about that.” In a larger sense, it
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are options.”
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with her husband, Arthur M. Nezu, PhD.
The couple run the Nezu Stress and Cop
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Along the way, participants should
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research into how resilient people cope
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sachusetts, knows the drill.
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strategy,” says Sheldon, 38.
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I basically really think things through,
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Christine Maguth Nezu, PhD, a co-founder of contemporary problem-solving
therapy, outlines these basic steps: break the problem down, define the goal, Sheldon notes that the process
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identify obstacles and barriers to achieving that goal, and develop creative
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solutions and ideas.
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you can figure out what works or whether to try something else. GDLO\ORJRILQFLGHQWVRIZKDWZRUNVDQG
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• Don't catastrophize or get trapped in your own thoughts. log as a tool with your therapist. Don’t
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Although working with a therapist can be especially fruitful, Nezu also IRFXVLQJRQWKHDQ[LHW\,UHPHPEHUWR
recommends Moving Forward: Overcoming Life's Challenges. This free online EUHDWKH RU IHHO WKH IDEULF RI P\ MHDQV
course is designed for military veterans and service members, but it's DQG VLOHQWO\ GHVFULEH WR P\VHOI WKH ZD\
"user-friendly" for everyone, she says.
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or zero progress toward things they de
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jor stress, says research psychologist
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We can’t get there in one big leap,
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where we want to be.”
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sadness, tension or worry.”
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ance isn’t the answer, she says. Neither
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barriers. That trains your brain to do
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thing she undertakes.
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‘OK, let’s step back and realize that I
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body don’t react to those thoughts.
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during a crisis.” e
STEPHANIE STEPHENS IS A FREELANCE
JOURNALIST AND AUDIO/VIDEO PRODUCER
BASED IN SOUTHERN CALIFORNIA WHO
SPECIALIZES IN HEALTH AND LIFESTYLE TOPICS.
hopetocope.com esperanza 35
EVERYDAY HEROES | CHRIS MARTIN
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A driven businessman and long-distance runner
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ny owns around the world, pounding out
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could sneak in.
36 esperanza winter 2017
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ication and therapy when he was
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2003, at age 25. He suspects the trigger
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own debilitating depression and sub
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what he lacked growing up. Although
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that depression.”
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entrepreneur,” with worldly success to
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cally, to recuperate.”
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LORI HILE IS A CHICAGO-BASED FREELANCE
WRITER AND THE AUTHOR OF NINE NON-
FICTION BOOKS FOR YOUNG ADULTS.
Chris Martin’s
coping tips
VEG OUT: Martin converted to
a plant-based, whole-food diet
several years ago, cutting out
processed products and sugar.
He says that's had a "dramatic
impact" on stabilizing his mood.
NATURAL HIGH: When he's not
running, Martin hits the rowing
machine or walks "to get those
endorphins going." His exercise
routine also builds his self-esteem,
he says: "You feel better about
yourself for being healthy."
DIAL IT BACK. Martin schedules
at least 30 minutes each day to
decompress—for example, by
listening to classical music on his
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SUSAN REINHARDT'S MOST RECENT HUMOR
B O O K I S CH I M ES FRO M A CRACKED
SOUTHERN BELLE. THE MOTHER OF TWO
LIVES IN ASHEVILLE, NORTH CAROLINA.
 MOODS, MORALE & MENTAL HEALTH | THE TALK

"… PEOPLE WHO FREQUENTLY DO

SMALL, CREATIVE PROJECTS FEEL
MORE RELAXED AND HAPPIER IN
THEIR EVERYDAY LIVES."
—Spoon U blogger
"The poor have seen really Susanna Mostaghim, "[Technology has] made it easier
striking increases in the stress referring to a recent to live in our own cocoons. You
load index." study involving 658 have to fight those aspects of
—Diane Schanzenbach, PhD,
young adults. modern life that isolate us."
a senior fellow at the Brookings —Andrew Weil, MD, a leader in
Institution and co-author of a report integrative medicine, noting that
on the growing gap in health strong social connections are
measures between the well-off protective against depression.
and everyone else.

"The emergency department

"If we could coordinate care …
we can avoid shooting people."
—Kevin Mackey, MD, who oversees
a pilot program in central
California to have specially
athletes. Those who receive social
trained paramedics respond to
mental health crisis calls.
a German researcher whose team found
"The take-home message here
is that it's not just how much you
sleep, it's when you sleep."
—Judith Owens, MD, MPH, who
led a study showing that “night owls”
had a harder time with emotional
self-regulation regardless
of total sleep.
becomes the de facto
dumping ground for all
mental health patients."
—Gillian Schmitz, MD, an emergency
"The real problem is with young
medicine doctor whose concerns were
echoed by colleagues in a recent
support from parents and peers
American College of Emergency
experience much less stress than Physicians survey.
those who don't."
—Professor Jürgen Beckmann,
WKDW RQH LQ ¿YH MXQLRU DWKOHWHV VFRUHG
high on depression scales.
"With the continuous growth of our
population [in Singapore] … there
is a need to review the state of the
population's mental health."
"The goal of my network is to —Professor Chong Siow Ann of the
help pay back [our] debt and Singapore Institute of Mental Health,
get veterans back into society RQ D PDMRU QDWLRQDO VXUYH\ WR DVVHVV WKH
in a functioning way." impact of brain-based disorders.

—Billionaire Steven A. Cohen, who is

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health clinics for members of the
military and their families.

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WKDWLWZLOOEHIXQGHG,W¶VDQHFHVVDU\¿UVWVWHS´
—Ronald Honberg, national director of policy and legal affairs at the
U.S. National Alliance on Mental Illness, on provisions for mental health care
reform in the sweeping 21st Century Cures Act.

hopetocope.com esperanza 39
 THE TALK | MOODS, MORALE & MENTAL HEALTH

³2QHRIWKHWKLQJV>&DUULH)LVKHU@ZRXOGVD\WRUHDVVXUHWKRVH
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²%ULWLVKSRSFXOWXUHMRXUQDOLVWHannah Jane ParkinsonUHÀHFWLQJRQWKHODWHDFWUHVVDVERWKD
powerful mental health advocate and a personal inspiration for living with bipolar disorder.

"Shelley Duvall doesn't need Dr. Phil.

³/LIHLVKDSS\VDGWUDJLF Shelley Duvall needs actual help from a
MR\IXO%XWWKDW¶VQRWZKDW team of medical professionals."
we’re taught, that’s not what our —Jezebel contributor Megan Reynolds,
responding to a controversial TV interview
culture pounds into our heads.” with psychologist Phil McGraw, PhD, which
showcased the famous actress’s delusions.
²)DVKLRQPRJXODQG¿OPPDNHUTom Ford,
who has lived with depression and anxiety
since boyhood, commenting on the “endless,
XQIXO¿OOLQJTXHVW´IRUKDSSLQHVV.
"We fear what we don't understand.…
I try to humanize mental illness and
addiction, so that fear can be
replaced with love."
³1RERG\FDQXQGHUVWDQGLW —Jason DeShaw, a Montana country musician
XQOHVV\RX¶YHEHHQWKHUH whose live show “Serenity in the Storm”
7KLQNRI\RXUYHU\ZRUVWGD\>V@ has been honored by the National Alliance
on Mental Illness.
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—Country star Naomi Judd, who discusses "Few people outside of trained
her struggle with severe depression in pastoral counselors understand how
her memoir 5LYHURI7LPH. depressions can really cause one to
question faith and feel faithless."
—Rev. Monica Coleman, a theologian
who has written about her own hopelessness
³7KLVLVVRPHWKLQJ during bipolar depressions.
>.DQ\H@ZLOOGHDOZLWKIRU
OLIHEXWKHFDQFRQTXHULW´
—A friend of Kanye West, speaking
"Let's ask boys and men alike how
anonymously to People magazine
about the rapper’s hospitalization they are feeling…. 'You'll be right' isn't
for “a mental breakdown.” enough anymore."
—Louis Hanson, in an op-ed essay about
the Australian culture of masculinity that keeps
men with depression suffering in silence.

Quotation Sources (top to bottom, left to right) Page 41: Washington Post (Dec 2016), USA Today (Nov 2016), NPR (Nov 2016), Kaiser Health News (Dec 2016), Spoon
University (Dec 2016), Guardian (Dec 2016), California Healthline (Dec 2016), EverydayHeath.com (Dec 2016), Kaiser Health News (Nov 2016), Straits Times (Oct 2016).
Page 42: theguardian.com (Dec 2016), Hollywood Reporter (Sep 2016), People (Dec 2016), people.com (Dec 2016), Jezebel (Nov 2016), Tri-City Herald (Nov 2016),
Indianapolis Recorder (Oct 2016), Guardian (Nov 2016). Photos (page 42 top to bottom): Nicogenin/Wikimedia Commons, Helga Esteb/Shutterstock.com, Tinseltown/
Shutterstock.com

40 esperanza winter 2017


Pick your professional
Where should I turn
for antidepressant
treatment?
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unable to sleep. Such signs indicate the
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junction with talk therapy. The longer
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wrong things to happen.
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J. RAYMOND DePAULO, JR., MD | ASK THE DOCTOR
J. RAYMOND DePAULO, JR., MD, is co-director of
the Mood Disorders Center at Johns Hopkins University
School of Medicine and is a University Distinguished
Service Professor in the psychiatry and behavioral
sciences department. He is current chair of the National
Network of Depression Centers, based in Ann Arbor,
Michigan, and has written two books for a popular
audience, Understanding Depression and How to
Cope with Depression.
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DEBORAH SERANI, PSYD | ASK THE THERAPIST
Deborah Serani, PsyD, is a licensed
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member at Adelphi University, and the author of
Living with Depression, Depression and Your
Child, and Depression in Later Life: An Essential
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BACK CHAT | KAY WARREN
KAY WARREN describes herself as a speaker, author,
advocate—and foremost, a pastor's wife. She and husband
Rick Warren founded Saddleback Church in California. The
evangelical "mega-church" has been influential in urging
faith communities to challenge stigma and normalize brain-
based disorders like depression. It's a mission informed by
their own family's struggles and sorrow.
Your five grandchildren live nearby.
What's your favorite thing to do
with them?
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ministry?
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46 esperanza winter 2017
Your family has kind of done that.
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son’s death by suicide and not hide it
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