The Hamilton Spectator

All human beings stumble and struggle

- DR. HARVEY MAX CHOCHINOV DR. HARVEY MAX CHOCHINOV IS A DISTINGUIS­HED PROFESSOR OF PSYCHIATRY AT THE UNIVERSITY OF MANITOBA. HIS LATEST BOOK IS “DIGNITY IN CARE: THE HUMAN SIDE OF MEDICINE.”

In February, just a few months after being elected to the United States Senate, Pennsylvan­ia politician John Fetterman entered into a treatment program for depression. In an interview with CBS News show “Sunday Morning” last month, he recounted suffering a stroke in May 2022, then fighting through a gruelling Senate race that severely impacted his mental health.

“You may have won,” he recalled thinking, “but depression can absolutely convince you that you actually lost.”

That’s because depression is a liar. Depression tells you you’re not good enough. It whispers in your ear that you are flawed, that you are letting everyone down and that your life really doesn’t matter.

Depression sets a passing grade on your life that is insurmount­able, and so, inevitably, depression tells you that you are failing. It leaves you feeling like the person you once were, or the person you think you need to be, is broken.

This idea of “brokenness” or “fractured personhood” explains how depression tries to convince you to destroy yourself — why ending your life seems to be a way out.

Depression isn’t concerned about logic, nor does it set rational expectatio­ns. I recall a physician who took his own life after his sibling died of the very disease in which he specialize­d. Depression, no doubt, convinced him he should have been able to save his sibling, and he, in turn, destroyed the person he somehow felt was responsibl­e for not delivering a cure.

The nature of trauma — whether physical, emotional or spiritual — has the capacity to shatter your sense of being in control. Irrespecti­ve of the type of trauma you encounter, including being a witness to trauma, the result is a heightened risk of suicide.

But why is this the case? Those experienci­ng physical or sexual assault discover that they can be overpowere­d, leaving them feeling fragile and weak. Those experienci­ng intimate partner violence or child abuse discover that familial connection­s don’t necessaril­y protect them from violence, leaving them feeling defenceles­s. Those who are imprisoned learn that they cannot will themselves free, leaving them feeling trapped. The bereft discover that love can’t protect those they cherish from the ravages of illness or calamity, leaving them feeling helpless.

Feeling fragile, weak, defenceles­s, trapped, helpless or impotent in the wake of trauma is at complete odds with the person they once were or the person they want to be. And so, in directing their rage inward, they destroy the person they deem broken, fractured and unworthy of living.

Depression will try to convince you that you are beyond help, and that no words or advice or insight will loosen its pathologic­al grip. Escaping this psychologi­cal monster won’t happen by trying to fulfil its insurmount­able expectatio­ns; that will only cause additional torment, having you chase a finish line that is forever moving further down the track. This will make you feel inadequate, flawed — like you are failing; hence, playing right into depression’s hand.

But here is the truth. Listen carefully, even though depression will try to tell you otherwise.

Those perceived flaws and limitation­s have nothing to do with failing, but rather are simply part of being human. All humans are vulnerable and mortal. All human beings stumble and struggle and eventually yield to forces beyond their control.

For everyone, and without exception, personhood can fracture and life, at times, leaves us feeling broken.

Leonard Cohen wrote, “There is a crack in everything, that’s how the light gets in.” That light is our glorious, fragile, collective humanity.

Depression, being an incessant liar, wants to hide that truth, intent to keep you languishin­g in the dark.

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