Category:

Depression

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Negative Self Talk

by Heather Loeb
written by Heather Loeb
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It starts with something seemingly simple, like telling yourself you’re stupid for making a mistake. Or maybe you begin comparing yourself to others because they have a better body, car, job, etc.

These kind of thoughts, called negative self talk, are extremely dangerous when it comes to your self-esteem and self-worth.

I have no problem admitting this is one of my weaknesses. I catch myself saying things like:
“You’re ugly.
You’re fat.
Everyone thinks you’re a loser.
You’re a terrible mom.”

Just to name a few.

I do my very best to correct these insults as soon as I think them, so I won’t feel worse about myself, but it’s very difficult some days.

That’s the problem with negative self talk — once it enters your brain, it’s very hard to get them out. And once they’re there, they can burrow in deep, making you not just dissatisfied with yourself but dissatisfied with your life in general. It can take a toll on your confidence, increase shame and limit personal growth, according to Psychology Today.

Your thoughts — negative or positive — turn into actions and that’s why you have to be diligent in stopping negative thoughts in their tracks and fostering healthy, happy thoughts, especially if you have depression.

I know that if I let unhealthy thoughts play out, I’ll enter into a depressive episode and practice unhealthy behaviors.

The best way (for me) to think about it is that I have to do some things on a daily basis to maintain my mood and keep depression at bay. For example, exercising. Interrupting my inner critic is no different — just an exercise my mind must do to be healthy, too.

And for me, it’s not enough that I stop the thoughts in their tracks. I find it more helpful to correct my unruly thinking by saying something positive about myself. Like, “I’m a good writer. My kids love me. I’m a kind, generous person,” etc.

It also helps to name your inner critic — this helps separate the negative voice from your own. And at first, I thought I needed to get rid of my inner critic but my therapist has taught me that the inner critic is a part of me and that I need to love her. I initially named my inner critic Ursula, because I thought of a fat, ugly sea witch, but I know now that inner voice needs nurturing, protecting and loving. It may sound weird and I’m not proposing you embrace the mean things your critic tells you but that voice is there for a reason. Maybe it started off trying to keep you safe before it turned negative, I don’t know. But I renamed my inner critic Ann, my grandmother’s name.

I believe I must come to terms with Ann in order to love myself fully. I’m not an expert, but I do challenge you to do the same.

Another thing that helps me with negative self talk is to phrase things to myself the way I speak to my kids (a best friend works, too) when they need comforting. I would never tell them they’re stupid or say something else ugly — never — so why is it OK for me to talk to myself that way?

If you catch yourself thinking mean and hateful things (and can’t change the negative to positive), I highly recommend trying cognitive behavioral therapy. I love therapy and it has helped me grow so much.

For more ways to stop negative thinking, read this Psychology Today article.

Stay in the light.

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In a Nutshell: My Week in Review

by Heather Loeb
written by Heather Loeb

This past week was a good week, even though it started off with an ECT. For some reason, that treatment was rougher than usual. I had a lot of confusion and memory loss but maybe that’s a good sign? I don’t know. I’m going to start tracking how long the seizures are and compare it to my subsequent behavior to see if there’s a pattern.

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This past week, I was told that the mental health series I wrote for the local paper would be published on Monday (tomorrow) and I’ve very excited about that. I have six pieces, so they’ll run every Monday for six weeks.

I also was asked to be the main speaker at a suicide prevention symposium, which is being held by my state representative. I’m nervous but very excited about that.

Yesterday, David and I went to the new house we’re building, and they are almost done — thank God! It’s been two years, so I’m very anxious to move in. I started ordering the kids bedroom furniture, and that just got me more excited. I really can’t wait. But now, I have to start to pack, lol.

That’s pretty much it. I hope you guys have a great week. Thanks for reading.

Stay in the light, friends.

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I’m Not for Everyone

by Heather Loeb
written by Heather Loeb

In the not-so-distant past I’ve had trouble with is that I want everybody to love me, and because of this, I don’t think I’ve been my most authentic self around people. I was a people pleaser. I sought the approval of people who really shouldn’t shape my behavior (family, friends, acquaintances I met at the kids’ school). Usually people pleasers have low self-esteem and self-worth. It’s just not realistic for everyone to like me.

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The only person I should care about liking me is me. And maybe my husband.

I’m tired of thinking, “Oh, is this person mad at me? Did I do something wrong? Do I need to apologize?”

I would actually go through my texts or social media posts to see if I posted something offensive or controversial. That’s nuts, and it’s no way to live. I don’t want the responsibility for how others feel anymore. Rejection, if that’s what it is, is OK.

I’m a good person — a nice person. I’m kind, generous and I love hard. If someone doesn’t like me, fine. I think I’m great. It just took me a really long time to get here.

I look back and think of some of my therapy appointments. It was really hard admitting that I’m a good person, and it was unbelievably hard saying something nice about myself or even discussing the good things happening in my life.

I’m tired of that, though. I’m tired of overanalyzing my behaviors and social media posts. I’m also tired of freaking out when I think someone is mad. Just because they’re mad doesn’t mean I did anything wrong. It makes me avoid conflict, and that’s not healthy either.

I’m not for everybody. And that’s OK. I just want to be me — an advocate for mental health, lover of the F word, a “bleeding heart” liberal, an anxious (and sometimes very depressed) person, a kind hearted person who sings no matter where she goes, someone who will admit when she’s wrong, someone I cherish for all these reasons and more.

It’s a long road to love yourself, and I’m no means close to the finish line on that, but I feel it starts with letting go of the idea that you have to please everybody.

I’m an amazing person for so many reasons, but one think I’m not that I need to remind myself of is — I’m not for everyone. I’m for me.

My tips on how to stop people pleasing:

  1. Be OK with saying “No”
  2. Accept who you are, with no exceptions
  3. Know that it’s OK if not everybody likes you
  4. Practice self-care
  5. Don’t place more importance others’ opinions than yours
  6. Set priorities and only do things that will advance those priorities
  7. Ditch toxic personalities

Download my Self-Care Checklist below:

Self-Care-Checklist-2Download
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Suicide

6 Myths About Suicide

by Heather Loeb
written by Heather Loeb
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Suicide is widely misunderstood, which makes sense because it’s considered a taboo subject in most every culture and just isn’t talked about enough. I get why some people don’t want to talk about it, but suicide rates are increasing in the U.S. I believe they will increase even more now that we’re dealing with a pandemic.

There will be lasting effects of coronavirus, and it’s undoubtedly going to wreak havoc on mental health in this country, not to mention, the rest of the world.

If we could normalize talk of suicide, I truly believe we could save lives, even – and especially – during times of crisis.   

It’s important to note that suicide is the 10th leading cause of death in the U.S., so this isn’t an uncommon problem.

Below you’ll find some of the most common myths relating to suicide.

  1. You shouldn’t bring it up – Don’t be afraid to broach the subject with someone who may have suicidal thoughts. Experts agree that by bringing it up, you’re not making it worse or giving anyone ideas. When you start the conversation, you are allowing someone to vent, and maybe by talking openly with you, your loved one might feel less overwhelmed by their feelings. And as I mentioned earlier, the more we talk about suicide, the more we reduce its stigma.
  2. Someone who’s suicidal truly wants to die – I speak from personal experience when I say this: when I have been suicidal, and there have been many instances, and experiencing suicidal thoughts, I’m doing so because I am overwhelmed with pain and just want it to stop. I don’t necessarily want to die, but when you’re in that much pain, all you can think about is it stopping. It’s understandable to me why people do die by suicide because of that.
  3. Someone who doesn’t have depression won’t die by suicide – While depression does increase the likelihood of dying by suicide, it does not need to be present in a loved one for them to be suicidal. Financial and work stress can contribute to someone feeling suicidal. Drug and alcohol substance and/or abuse also can contribute.
  4. Someone who is suicidal or who has attempted suicide is seeking attention or being dramatic – This is a dangerous assumption. Please treat every threat of suicide as a dire crisis, because it is. Even if you think they’re “being dramatic,” it’s easier to take a friend to the emergency room than a morgue. Anyone who is struggling with suicidal thoughts should be considered as in crisis mode and you should act appropriately. Call the National Suicide Prevention Lifeline at 1-800-273-8255 or use text the Crisis Text line by texting HOME to 741741.
  5. Giving someone a crisis hotline phone number is enough – While I have found the National Suicide Prevention Lifeline to be extremely helpful in my times of crisis, sometimes it’s better to talk face-to-face with a friend or take your loved one to the hospital to ensure they are safe. Help your loved one come up with a Safety Plan, a simple guide of who to call and coping skills to use if in crisis. View an example of a safety plan here.
  6. People who die by suicide are selfish or taking the “easy way out” – I hate when I hear this. There’s nothing easy about being mentally ill or having suicidal thoughts. You don’t choose to have them, and all you want is to stop them. That’s not easy or selfish. Be compassionate and realize that if someone is seriously thinking about ending their life, it must be for good reason. Be a friend and leave judgement at the door.  

The best thing you can do as a friend is research ways to help your loved one, refrain from using judgement, sit with them if they are suicidal and take them to the hospital if they are in immediate danger of hurting themselves. DO NOT leave them alone, even if they ask you to leave. Stay with them to keep them safe.

Don’t be afraid to be direct and ask things, such as “Are you suicidal? Do you have a plan? Have you attempted before? Do you have a gun in your house?” and more. It might be uncomfortable, but it’s the best way to help.

Again, I just want to mention that there’s a 24-hour hotline, the National Suicide Prevention Lifeline that you can call at 1-800-273-8255. And the Crisis Text Line, just text HOME to 741741.

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Self-care

Self Destruct Mode: OFF

by Heather Loeb
written by Heather Loeb
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I’ve been feeling pretty great lately, which is a bit unusual, but hey, I’ll certainly take it. When I feel this good I tend to treat myself better, I’m more productive and generally in a good mood.

But I’ve noticed, even with these good moods, there’s still a part, albeit a small part, of me that looks for ways to be unhealthy. For example, I’ll get the urge to overeat, even when I’m not hungry. I’ll think, “What pills can I take to feel good?” even though I have no such pills. Images of cutting myself will appear, even though I surely don’t want to do that.

I’m aware that it’s happening and I know it’s 100-percent my lying ass brain spreading more lies. It’s just a malfunction. It’s not really real, but emotions are energy in motion, and I can’t let these awful thoughts fester in my head.

If I do, unhealthy behaviors take control and with them come intrusive, unhealthy thoughts. My control over these thoughts and behaviors loosens, and just like that, I’m in a dark, ugly place that I can’t find my way out of. It’s like being in a deep hole and my depression is just too heavy, weighing me down and preventing me from climbing out.

It’s a slippery slope, a dangerous one for me, given that I can become suicidal very quickly.

I have to take inventory of my emotions constantly to prevent this. I have to be fully aware of how I feel and avoid switching to autopilot where I might miss something. I have to be so diligent so I can avoid that hole. And honestly, it’s exhausting and feels like sometimes it’s too much or not worth doing. Before I’d try to figure out why I was having these thoughts and ask what it meant, but like I said, it’s just a malfunction. I need to stop wasting time wondering why and just dismiss the thoughts. They’re not worth thinking.

I must release the energy that fuels these damaging thoughts and refocus if in a productive way, channeling it into exercise and writing, etc.

A self care check list is helpful to have so I can stay on top of the things I need to do to prevent self destruction. Just thinking about all the work I have to do to stay healthy is daunting and tiring. But I have to do it if I want to be happy. This past week has made me realize how much I’ve missed being happy — singing at the top of my lungs in the car and shower, truly enjoying spending time with my kids, reading for pleasure, writing my ass off and exercising. Medicine, ECT and therapy just aren’t enough to maintain my good mood and healthy behaviors. I have to put in the work at it, just like anything else. Sometimes it bothers me that other people don’t have to work as hard at life.

But I don’t do happy-go-lucky — I physically can’t. Happiness, for me, is hard work. It’s sticking to a strict schedule, taking an assortment of pills daily, going to therapy, keeping a close eye on my emotions and lots of prayer. There’s nothing lucky about it. 

I do have to work hard, but the payout is so, so good and that’s what I need to remember. What is the point in having an amazing life if you can’t enjoy it? Why do I spend so much time self-sabotaging? Again, with the “why?”

I’m going to work at my life like it’s my damn job and like it pays, because it is and it does.

It pays so much.

This is the Self Care Checklist that I created. It’s super simple; feel free to download:

Self-Care-ChecklistDownload

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In a Nutshell: My Week in Review

by Heather Loeb
written by Heather Loeb
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This week was great.

One morning, while reading the newspaper online, I saw a story about suicide and there was a disclaimer at the end stating the newspaper doesn’t usually report on suicides but this was an exception.

I wrote a Letter to the Editor about how they should be reporting on suicide and talking about it more, otherwise it’s fueling the stigma. You can read that Letter to the Editor here.

I got to thinking that maybe I should pitch a column on mental health, since I send in lots of letters and forum pieces anyway. I had a meeting with the Editor and they agreed to let me write 5 column-style pieces. They’re going to run it as a limited series! I’m so excited. So many good things are happening to me, and it’s hard not to think about when the shoe is going to drop, but I’m grateful. So, so grateful.

I did a good job at eating healthier and following my Self Care Checklist this week. I’m proud of myself, but I need to improve on some things, such as drinking more water, going to sleep on time and snacking.

On another note, I rewarded myself for getting the gig at the paper with a new tattoo — a typewriter with a bird on top. I love it.

Anyway, that’s all for me this week. I hope this coming week goes well for y’all. Thanks for reading.

Stay in the light.

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In a Nutshell: My Week in Review

by Heather Loeb
written by Heather Loeb

This week was a busy one, with Isla’s birthday on Friday then her party Saturday. On Friday, my parents drove down to Corpus Christi to surprise her, and I think she was most excited about that.

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I was worried about her party on Saturday. Not a lot of people RSVP’ed and I rented a snow cone truck (so cool!) to set up in our drive way, but a lot of people came. That made me so happy. I get party anxiety (that’s a thing, right?) because a couple years ago, hardly anyone showed up for her birthday at Chuck E. Cheese, but honestly, she didn’t even notice. I need to chill with that, I know.

Some people just drove by and others stayed for snow cones and to play in the yard. Isla had so much fun, and so did Eli.

I was focused on her party all week, but I also managed to get 20,000 words written of my book in less than a week. I plan to turn my blogs into a collection of essays, and I’m super pumped about it. It’s always been a dream of mine to write a book, so this big step in that direction.

I feel like things are happening for me and that I’m making them happen (along with God). I want to help people with these blogs and the book and help people to realize they’re not alone in suffering with depression and anxiety. I think that’s so important to hear.

My “mental breakdown” only helped me rebuild myself stronger. I’m mentally tough, I’m resilient, and I no longer feel shame about a disease I can’t control. I’m grateful for all the pain I went through, because it spurred my awakening.

And you can’t be mad at that.

This week, I’m going to focus on my self care checklist again — I didn’t do a great job of that last week — and making healthier choices.

I hope y’all have a great week.

Stay in the light, friends.

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My anxiety worsened after having babies.
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Anxiety and Depression

by Heather Loeb
written by Heather Loeb

My anxiety worsened after having babies.

I talk a lot about depression, and while that’s important, my anxiety can be just as debilitating, if not more. And if you’re (un)lucky like me, they go hand-in-hand.

When I think back, I can remember having anxiety as young as 12 years old. I can remember having intrusive thoughts about my family dying and I would be obsessively praying they wouldn’t. I also watched The Weather Channel around the clock because I had developed a phobia of storms. I’d watch even if it was good weather. When it would storm, I would get a stomachache and pray over and over.

My anxiety went largely untreated until after I had kids. After my first child, my anxiety manifested itself in weird ways, and if you would’ve asked my then if I had anxiety, I would’ve told you it was just fine. But I wasn’t. When Isla was born I freaked out about the temperature of every room in the house. I had read an article about the “ideal temperature” for babies and couldn’t help but worry about it. I bought little thermometers for each room the baby would be in at any point in the day and adjusted the air/heat accordingly.

I also obsessed over breastfeeding. I kept a detailed log on when I fed Isla and which breast I used and for how long. I kept it for the entire eight months I breastfed. I logged her diapers, too whether it was wet or poopy and how many times throughout the day. I did that for an entire year. That embarrasses me now but anxiety will do what anxiety does — makes you obsessed, worrying about things that aren’t always worth worrying about. But the thing is you can’t stop.

I obsessed over the baby monitor, watching it until I couldn’t stay away any longer. I worried about how loud or quiet the sound machine was and if David and I were too loud downstairs. You’d think as my kids got older I would relax a little but you’d be wrong.

Loud noises would freak me out and it’s still a trigger to this day. I don’t really obsess about those little things anymore but my anxiety is still here and at an all-time high because of the coronavirus. I have panic attacks, some that work me into a complete frenzy. I still feel panic and dread on Sunday nights, like when I was a kid. Sometimes I create problems in my head that aren’t real problems — like someone is mad at me and I worry about thinks I did or said to make them feel that way. My imagination runs away from me and I usually let it.

My anxiety gets really bad around the time of an ECT treatment. It stresses me out to think about going under general anesthesia and I have to talk myself down beforehand. My anxiety hasn’t gotten any better, even after having about 20 treatments.

I take meds for my anxiety and I try to employ coping skills that I’ve picked up in therapy but sometimes it still gets to me. Little things like taking a shower stress me out but I have no idea why. I think that’s what bothers me most — there’s no rhyme or reason to it and it’s hard to control.

A couple of weeks ago I had an anxiety attack at the dentist (which has never happened before). I was supposed to get some fillings replaced but before they could get started I panicked as they put the nitrous gas mask over my nose. It was embarrassing how much I cried but I couldn’t do anything about it.

A lot of people experience anxiety. According to the National Alliance on Mental Illness, more than 40 million Americans have an anxiety disorder. There are different types, such as Generalized Anxiety Disorder, Social Anxiety Disorder, Panic Disorder and Phobias. Anxiety disorders are the most common mental illness in the U.S. Half of people with depression are also diagnosed with anxiety.

I’m lucky to have a great therapist and psychiatrist who help me deal but only one-third of those suffering with anxiety are treated. Medication and talk therapy can help manage anxiety. I depend a lot on my medication but they only do so much. I have a list of coping skills I use, read more about that here. It’s also important for me to keep a schedule/routine. Interruptions can be a huge trigger, which is why it’s so hard right now with coronavirus. It’s also crucial that I question my thinking when I get caught in a cycle of negative thinking. I ask myself if my thoughts are true and if I’m being realistic or catastrophizing.

Aside from that my other triggers include interrupted/not enough sleep, socializing, traveling and loud noises. When I’m triggered by these things, an attack can feel like someone sitting on my chest. I sweat, shake and can even work myself up to being hysterical if it’s really bad. At times, I feel like throwing up and that I have a million butterflies in my stomach.

Sometimes anxiety attacks can feel like something else, so here’s a list of symptoms you could possibly experience:

  • a feeling of impending doom
  • a feeling you are in danger
  • dizziness
  • heart palpitations
  • trembling/shaking
  • chest pressure

Anxiety is so difficult to manage. I’ve been dealing with it since I was a kid, so I get that it’s not easy. Nothing is easy when it comes to mental illness. But I think the best thing to do is talk about it. I mean, 40 million Americans have it but it’s not widely understood and doctors don’t always screen for it and some don’t even accurately diagnose it. We need to keep the conversation going until it’s normalized — and that goes for all mental illness.

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Misconceptions About Depression

by Heather Loeb
written by Heather Loeb

A few years ago I posted an Instagram photo with me crying and a caption that said, “This is the face of depression. Be kind to others because you don’t know what they’re going through.” That photo upset some of my friends because I hadn’t really discussed my depression before in such an open way. To them I was happy and a goof ball. What most didn’t see was I was moody, miserable and even suicidal at times.

Though I was diagnosed with depression 17 years ago, it was after my babies were born that it really got bad — and scary. I had dealt with postpartum and post-weaning depression but had inadequate psychiatric care.

On the outside I was posting pics of my kids in cute outfits and everything online told a completely different story.

Many people mask their pain for different reasons. I had the idea that depression wasn’t talked about, that having depression makes you weak. That it was a matter of willpower. I didn’t want to be the depressed mom, I wanted to be the mom that does it all, which is a dangerous and unrealistic expectation for anyone. That stigma that I was buying into keeps a lot of people silent about their struggle. It can be especially hard in certain cultures, such as Asian cultures (read more about that here.)

There are definitely common misconceptions about what depression looks like. In my case, I’m not sad every minute of everyday. There are good and bad days, just like anyone else. Sometimes my depression manifests in other ways, such as overeating or binge eating; sleeping too much; having a short fuse; or partaking in other unhealthy behavior.

I was freed of the heavy weight depression holds when I admitted to all my friends and family that I went to a psychiatric hospital in 2019. I even wrote a forum piece about my experience for the local paper. It was not easy, in fact it was a little terrifying knowing that essentially the whole city knew my secret, but like I said, it set me free. I just didn’t care about anyone’s opinion anymore. I know it can be annoying when I plug my blogs or pieces in the paper but I’m hoping they will reach someone who needs to hear what I’m saying — that it’s OK having depression and there is no shame in it. Those who I’ve met who struggle with depression are the strongest people I know. We are fighters. We are survivors.

Ideally, everyone should be able to talk about their mental illness but I understand why people don’t. It’s terrifying being vulnerable, especially when there’s a chance someone will react negatively. But I urge everyone to reach out, even if it’s to one person. You’d be surprised how free it makes you feel, and by telling a friend or family member, you’re lightening your load. Your support system can help you carry that load, and you should take help where you can get it.

If you can’t reach out to someone, please know there are several online resources that can help. To learn more about depression or find resources visit the Substance Abuse and Mental Health Services Administration. They have a 24-hour helpline.

Other Misconceptions About Depression:

  1. “It’s all in your head.” – Depression is a psychological and biological disease. You have no control over it, so if someone tells you to “buck up” just know that the problem is not with you — it’s with them and their lack of understanding. You don’t have to pretend or fake it, just do you.
  2. Depression = being really sad. – Sure, you get sad when you’re depressed but someone equating it to “just being sad” is trivializing your feelings and your disease.
  3. Depression means you’re weak – I already touched on this but it’s worth repeating — I think people with depression are so strong. Depression can wreak havoc in all areas of your life. Some people deal with suicidal ideation daily and others have to tap into a reserve of strength and energy just to take a shower (me!) or go to work. Often that reserve is depleted.
  4. Depression is not treatable – There are a variety of medications that are safe and effective in treating depression. There might be side effects and it might take a while before finding the right combination, but (most of) patients feel better. There are also therapies you can try, such as talk therapy, TMS (Transcranial Magnetic Stimulation), ketamine infusion therapy, and my favorite, ECT (electroconvulsive therapy). Please consult your doctor before trying any medication or other treatments.

These myths are damaging, but again, please reach out if you are struggling. It gets better.

If you are suicidal, please call the National Suicide Prevention Lifeline at 1-800-273-8255 or visit their site for chat support.

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Mental Illness on the Front Lines

by Heather Loeb
written by Heather Loeb

A dear friend texted me the other day, and after chatting a bit, I asked how she was doing. She’s an ER nurse in Florida, so I was concerned. Florida, if you don’t already know, is a hotspot for coronavirus and the governor is incompetent, in my opinion. This was her reply: 

It’s bizarre and sad. The first wave was mainly elderly folks from nursing homes mixed with regular people; some very sick, some not. In the beginning we had a tent outside where we tested people with minor symptoms, when it declined they took it down. The numbers we saw in the beginning don’t even compare to now. Every room with a door has a COVID patient. Four units have been converted and they’re full. Our governor was actually at the hospital today talking about how everything is fine. It’s not fine. This new wave is younger, mainly Hispanic; people who are low income and work either illegally or in cramped factories, they live in multi generation homes, so they all get sick. I feel relatively safe though, we have enough PPE. It’s just crazy. The saddest part is nursing home patients; they literally haven’t seen their families for months, even if they don’t have it, if they come from somewhere that has people who are positive, no visitors. I try to find beauty and love in tragedy when I can. 

Her response broke my heart. I’ve read that it’s bad but to have my sweet friend recount the chaos and horror just shook me. Can you imagine what first responders, nurses and doctors feel being bombarded with sick patients who can’t see their family and those who die? A local friend who is a doctor said her friends cry in their cars after working a shift because there are so many codes. 

Unfortunately, there is no where you can go to escape the pandemic, the divisiveness that’s occurring or the uncertainty. Corpus Christi is especially bad and has made national news, for all the wrong reasons. We have more cases than the larger cities (Dallas, Houston, Austin) per capita. Since March, 85 babies have tested positive for COVID-19. 

My Florida friend also told me that she had to start taking antidepressants because of stress and trauma of it all. Thankfully, the meds are helping and I’m so glad she reached out for help, but I couldn’t help but think of Dr. Lorna Breen, the ER doctor in New York who killed herself. She had no history of depression, other mental illness or suicidal ideation, according to her father. I can’t say for sure why she killed herself but I imagine the weight of so many people getting sick and dying was too heavy. Not only were people dying, but at that time, medical providers in New York struggled with a shortage of personal protective equipment. Dr. Breen also contracted the coronavirus before her death. 

The trauma of everything she faced every day could’ve changed her brain. Trauma has a way of doing that – just think about our vets who suffer with PTSD and depression. Trauma can also cause feelings of despair, and right now, who isn’t in despair? A 2013 study done by researchers at the University of Liverpool showed that traumatic life events are the single biggest cause of anxiety and depression, followed by a family history of mental illness and income and education levels.

It’s enough that our front lines workers have to worry about contracting coronavirus, but it can be just as bad developing depression (or other mental illness). Both diseases are ravaging and both can kill. I don’t really know what I can do to help these heroes other than bring awareness to mental health and the consequences of untreated mental illness. It’s overwhelming and I hope lawmakers will keep all of this in mind, because make no mistake, this will be a real problem — one that can’t be ignored. America’s supposed to be the greatest country in the world — so what does it say if we don’t take care of those who take care of us? It’s happened before.

After texting me about the chaos and death that surrounded my friend, she left me with this: “It’s so unfair that what should be an exciting time is tainted by all this but find the joy in it, too.” 

My friend is so strong and has such a good heart. She’s doing God’s work and she is more than worth protecting and taking care of.

G, if you’re reading, I love you and cherish our friendship. I’m so proud of you. Just keep swimming, my love.

If you know somebody struggling with mental illness or suicidal ideation, please direct them to the National Suicide Prevention Lifeline at 1-800-273-8255.

To learn more about depression, please visit the National Institute of Mental Health.

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