A few weeks ago, I
woke up to news of another suicide from Kota, the coaching hub for entrance
exams. The news took me back to my own memories of entrance exam preparations,
and how horrid those days seemed in general. While we did put up brave faces despite
negative scores on mock tests, and had our share of fun at school, a lot of us
felt our confidence had eroded and some of us were deeply disturbed by the
intense pressure. As I mulled over the lack of psychological support provided
in India, and read stories of celebrities like Biswa Kalyan, or watched with
horror the popular series 13 Reasons Why, I realized that depression is even
more common in adults, who had never been taught to deal with the struggles of
life that often put dents in our souls. In fact, I know of more people who are
going through depression in their mid-20s, and that many more are fighting it
silently.
In spite of depression
being such a common condition, it is only recently that people have started
talking about it, and opening up to their loved ones. However, a lot of us don’t
fully understand the reasons behind a friend’s depression, and often don’t know
how to support them. Wanting to do something about it, I rolled out a survey on
Facebook. The survey was short and anonymous, the major questions being:
1. Age Group
2. Broad reason for depression
3. Did you overcome
it, and how?
4. What could be done
to help people with depression?
Sure enough, the
sample space was very limited, but I got 26 responses in 2-3 days. The number doesn’t
seem a lot, but it also means that there are at least 26 people in my friends
list who are going through or have suffered depression. It was also heartening
to see them open up, and put themselves in a vulnerable position by giving
fairly detailed responses, just so that people become more aware about this
condition. I truly appreciate them for their courage, and with this article, I
hope to bring their voices to the world by talking about the broad themes from
the survey.
The age of depression
About 92% of the
respondents to my survey were in the age group of 19-30 years, which is
understandable since most of my acquaintances on Facebook fall in this age
group. But the majority of these respondents were depressed during their early
20s, the time most of us start living away from home. About 73% said that they
were depressed when they were between 19 and 24 years of age. Some 15% said
that they were suffering during adolescence, at the rebellious and complicated
age of 13-18 years. About 12% respondents said they were going through a tough
time during the time they were 25-35 years of age. Keeping aside the inherent
bias in the sample space, there clearly is a lot of unsaid struggle involved in
growing up, and this struggle is manifesting itself in unpleasant ways. So what
is it about growing up that is affecting us so much?
The culprits behind depression
I was surprised to
find that the top contributor to depression was romantic relationships. It was
closely followed by peer pressure/identity crisis and career related pressures,
which were actually my top suspects. As I thought about these results, and read
some of the responses, I came up with certain theories about why these are the
top culprits behind depression.
1. Romantic
Relationships
We often dismiss
romantic relationships, especially during adolescence or early 20s, as unnecessary
distractions, as this is the age when we are supposed to “find ourselves”, “make
a career”, or “live freely”. But it is the most important thing on our minds,
at least for a significant fraction of our time. And while we tend to ascribe
it to growing sexual attraction, the need for romantic
relationships is often deeper than that. Of course, attraction is an essential
aspect of a romantic relationship, but the validation that comes from it goes a
long way in giving one a confidence boost. Yes, I know, we don’t need no
validation, but did we know that when we were freckled teenagers dealing with
body image issues? And the need for this validation goes beyond the physical.
Adolescence, and early 20s is usually when we are either rebelling or trying to
fit in, and either way we are lost. It helps to have a companion in all this
confusion, someone who is going through something similar circumstances, and is accepting you
with your imperfections.
One would argue
that friends can do the same for you, but this is where Bollywood/Hollywood driven social
conditioning kicks in. From a very tender age, we have been seeing stories of
people who found a perfect partner, for whom one could say, like Tom Cruise, “You
complete me”. And as we start looking for a loyal companion, we hold on to that
ideal, even though the reality may be very different from our expectations. And
let’s not forget, even our significant others are going through a confusing
period in their lives. At this point, it is helpful to remember what Kate
Winslet says in this scene from the movie “Eternal Sunshine of the Spotless
Mind”: https://www.youtube.com/watch?v=3lvNGhBXTU0
2. Peer pressure /
Identity crisis
As I mentioned
earlier, late teens to early 20s are the time when most of us are trying to
find ourselves. And more often than not, we find ourselves trying to fit in
within a group. There are a lot of internal conflicts going on. As we step out
of the comfort zone of our families, we are often face to face with a culture
shock, and it takes time to understand what our core values really are. Am I an
extrovert, or an introvert? Do I like taking risks and experiment, or do I like
making the comfortable choice?
We also meet some
people that we look up to, and often change ourselves to like them. Our friend
circles also keep on changing, which is natural as people change. But these
relationships become all too important at the time, and indirectly affect how
confident we feel about ourselves. We see the filtered lives of our friends on social
media, and sometimes that also adversely affects how we see our own lives. And
while all of this is a part of growing up, there’s no outlet for teenagers and
young adults to share these insecurities. There are no guidance counsellors in
Indian schools, and not all families talk about feelings as much. I also
understand when more experienced adults say that you eventually get over it,
but clearly, these struggles affect some people more than others. And that is
enough for us to sit up and take notice.
3. Career related
pressures
We are all too
familiar with the professional expectations set in India – getting into the
best college (where the cut-off is sometimes even 99% marks), getting a
professional degree, getting a job that pays well and having a fancy title. In
the quest for all of this, there is hardly time to understand what your own
skill set and aspiration is. Of course, a lot has been said about it, and
beautifully captured in books and movies like 3 Idiots and Tamasha, but sadly
not much has been done about it.
A contradictory
narrative is also building up these days – that of following your passion, and
doing what you love. This narrative judges you for doing a boring, corporate
job, and accuses you of being materialistic with no zest for life. While my
experience with people in the corporate world has been completely opposite, there’s an increasing
pressure to be “unique”. But where does this leave people who have not yet
found their passion? Or those for whom a certain lifestyle or income is
important?
At the crux of this
conflict between a conventional career, and the road less traveled, are two
things – the definition of professional success, usually measured by the money
earned, and the lack of career counselling provided in schools. While there is
a lot of focus on certain subjects (read mathematics and science), and the
careers that they lead to (engineering and medicine), there is not enough focus
on others. The theory of multiple intelligences, by Howard Gardner, says there
are eight modalities of intelligence – then why do we work only on one? This
undue spotlight ends up burning students out, and often leads to depression.
4. Others
I had a host of
other reasons listed, including parental or marital issues. But one reason that
I missed out was “Health”, and seeing it in one of the responses stumped me,
because I, myself had gone through a brief period of medication-related depression.
Because somehow, we still haven’t started thinking of depression as a health
disorder. Diseases like PCOD and hypothyroidism often have depression as a
symptom. Medication for conditions like blood pressure, cholesterol, menopause
and even birth control list depression as a possible side-effect. We tend to forget
that our minds are also a part of our body, and depression is a mental illness,
not necessarily driven by external factors.
Overcoming the Demon
I was happy to
learn that most of the respondents had learn to conquer, or at least keep at
bay, the demon of depression. About 77% respondents said they had gotten over
depression, while 11% said there while it was a recurring phenomenon, they had
learnt to tackle it. Some 12% said they were still depressed, and I would urge
them to keep believing in themselves, and take help if you need.
In the survey, I
had also asked what helped people tame depression. Here are some of the
responses:
1. Life, or time: While we all face
our share of insecurities and vulnerabilities during teenage or early 20s, with
time we become more adept at handling them, and more comfortable in our own
skin. So, if identity crisis is what you are facing, just hang in there, my
friend, for things do get better.
2. Acceptance: The first step to
solving a problem is acknowledging there is one. It is a difficult task, for people
generally dismiss depression as boredom, or laziness. But constant feelings of
dejection could also be clinical depression, and recognizing that the feeling
is persisting for a long time is vital.
3. Medication/Therapy:
The
testimonials I received in my survey emphasized greatly the importance of talking
to a counsellor. And it makes sense, right, having an impartial person, with no
personal role in your situation, listen to your problems and help you solve it?
Even if one is not clinically depressed, it is worth talking to a professional
about what is bothering you.
4. Friends &
Family: We tend to underestimate how
much our friends and family care for us, especially when we are trying to deal with
our insecurities. The truth is, all of us are involved in our own personal
struggle, and often fail to recognize what our near ones are going
through. If you are feeling depressed, as much as it angers you to be the one
who approaches, you have to sit your people down and tell them what you are
feeling. Your friends and family may really surprise you.
5. Self-work: Unfortunately, most
of the fight is to be fought alone, and needs working on yourself, and your
self-esteem. A lot of respondents talked about taking up a new job, or moving
to a new place, or taking up a new challenge – basically moving out of the
comfort zone. They also talked about watching or reading inspirational content,
and working on that one thing that makes you feel accomplished.
What could be done?
So what could one
do to help a friend in need, or just the cause of mental health awareness? The
survey asked the same question, and here are some suggestions:
1. Be nice, and don’t judge.
As
someone who has judged others, and been judged myself, I can say with
conviction that the entire process adds no value - zilch, nada. And while one
is often tempted to judge others, it is worthwhile to take at least a moment to empathize with them, for everyone is fighting their own battle. And maybe if
we knew of their problems, we would gladly accept ours and cherish them.
2. Do not gaslight. Putting someone
down to feel better about oneself is the way most of us deal with our own
insecurities, but it can end up hurting someone far deeper than we thought it
would.
3. Help your friends
or family find things that they love, or that make them happy –
hobbies, passions or a change in scenery. A friend once confessed that the only
reason she didn’t consider suicide when she was depressed was because the 7th
part of Harry Potter hadn’t come out yet, and she wanted to read it before she
died. While this is a slightly frightening example, it still shows that life is
in the simpler things, which sometimes is all you need to deal with the bigger
challenges.
4. Listen to them. Don’t preach. Don’t
console. Don’t pity. Share your own experiences, if any, but with an intent to
help and not brag. A person who talks to you about their depression is putting
all their vulnerabilities in front of you, and it’s essential to respect that.
5. Encourage them to
see a psychologist, without any stigma. Sometimes, it helps to have a
third-party listen to your problem without any vested interest. A lot of the
correspondents recommended this, and there is no reason why you shouldn’t recommend
it to your friend – you want to see them happy after all.
6. Stay loyal to them. There goes a
saying that a person is the sum of the five people they spend the most time
with. But in practicing that, we tend to ignore friends who have now become
pessimistic, or cynical or anxious without understanding the reason why. It
just may be that these are the people who need your help, and who hang out with
you because YOU bring positive energy. Life is full of ups and downs, and
sometimes, it is as important to embrace negativity, as it is to be optimistic.
7. Raise awareness. There is a lack
of infrastructure to tackle mental health issues in India. Neither are we
taught how to deal with such issues at school, nor are there enough specialty
clinics with professional psychologists to help the depressed. When you are
depressed, you are deeply concerned about privacy and anonymity, and there aren’t
many channels that offer this. So it is up to us to talk about the need for
such platforms, contribute to making them happen. There are companies that
offer counselling to employees of different firms that are in contract with
them – try to get your firm associated with them. If you are a parent, demand that the school organize sessions by experts to help your children understand and
tackle these pressures. And speak up to remove the taboo around seeing a
therapist.
8. Change the
narrative. Let’s start to redefine what success and failure are, reimagine who is
desirable and who is not. Let’s re-evaluate the ideal that we are striving
towards, that makes so many of us feel inadequate or incompetent. And let’s
learnt to accept our differences. If nothing else, always be willing to share
your chocolate – it may ward off somebody else’s dementors, well, at least temporarily.