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ItsAllSoTiresome

ItsAllSoTiresome

Member
Mar 7, 2024
35
Of all the tiresome societal tropes about depression, this is the one that grinds my gears the most. Speaking only from personal experience, of the few times in my life where I have been genuinely open with my friends or family about my depression and/or suicidal ideation, one of two things have happened:

The angry, outraged "how could you say those things?!" response

They burst into tears, react with raw anger and outrage, admonish me for how I could possibly say such things (having previously demanded to be told "what's wrong?"), and demand that I see a doctor or call a suicide hotline RIGHT NOW. On one occasion, my father dragged me to the doctor's office, where I saw a doctor who I had never met and had no idea of my mental history, who prescribed me some pills (medication has never, ever worked for me, but I imagine he felt the need to be seen to be doing something to appease my father) and gave me the details of two private therapists who charge hundreds of pounds an hour and whom I couldn't possibly afford, because "you won't be getting much help on the NHS I'm afraid". On one level, I appreciated the doctor for his honesty and frankness, but my being forced to see him for a rushed 10-minute appointment when I was at almost the lowest point in my life and could barely string a sentence together was ultimately of very little use and only worsened my mental turmoil.

On the subject of suicide hotlines, I appreciate they may be of use to some depressed/suicidal people, but as an autistic for whom phone calls cause a significant degree of anxiety, I have never felt like they would be helpful for me personally. You are also taking something of a gamble when calling one; while you might get lucky and talk with a caring, non-judgemental, empathetic person, you might end up with a poorly-trained, inexperienced call handler who can do nothing more than offer the same empty platitudes like "it gets better", "this too shall pass" and "there is light at the end of the tunnel" that I'm sure we have all heard a thousand times. There is also the possibility that your call might not even be answered at all due to high call volume and understaffing, meaning you only receive a recorded message telling you to "call back later".


They go into "problem solving" mode instead of empathizing with your struggles

Another response is for your friend to immediately go into "problem solving" mode and launch into a lecture about how to stop feeling depressed I need to dramatically and immediately change my life, telling me I need to go back to college, relocate to a new area, apply for a different job, go to the gym, take up jogging, stop drinking, improve my diet, take up meditation and practice yoga as the sun rises etc etc etc...you get the picture.

It seems the logic behind this kind of response seems to be "these are all the things that made me feel better, so they will make you feel better too". That's nice, but the difference here is that you are a mentally healthy person with a stable career, while I am a trainwreck long-term unemployed autistic alcoholic for whom merely getting out of bed and taking a shower feels like a major achievement, and you suddenly launching into "inspirational life coach giving the sad character in a movie an inspirational pep talk" achieves nothing other than making me feel even more useless and guilty that I cannot summon the energy to do these things that normal, healthy people are capable of. Also, on the subject of exercise, I am well aware that it generally improves your mental health, but I also resent the "just go to the gym bro" mentality that many people seem to have these days, as if the gym is a magic panacea that will solve all mental and physical problems. For overweight depressed women for example, they already feel deeply shitty about their bodies and hectoring them to go to a place where they have to wear tight revealing clothing and exercise around other people, with all the fear of judgement that entails, really isn't going to be a pleasant prospect for them. To me, if I can manage a simple walk in the park it feels like an achievement, I have no desire to to anything more rigorous than that.


In conclusion, I only feel comfortable expressing my depression and suicidality in forums such as this one, as this is the only place I feel like I can do so without being frogmarched to the doctors' office, being told that "this will pass" or that I should "just go to the gym bro". I suspect many others may feel the same, and this is why the forum's popularity has grown, as a response to the maddeningly simplistic and counter-productive "advice" depressed and/or suicidal people are so frequently given.
 
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Alexei_Kirillov

Alexei_Kirillov

More beast than man
Mar 9, 2024
1,192
Man, you articulated this so well that I even bookmarked it! I have also encountered these two kinds of responses after "opening up" and it has made me extremely wary of ever opening up again. I'd also a third kind of response, which we might call the "burst of empathy," where they actually have a good response right at the outset--they listen to you, they're attentive, they make sure you know that they care--but this only lasts for one or two conversations. They then start getting frustrated that you haven't gotten better yet, that you're still feeling the exact same way as when you first opened up. They're tired of hearing you repeat the same things over and over. And with the exhaustion of their patience comes the exhaustion of their empathy.
 
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H

Hotsackage

Enlightened
Mar 11, 2019
1,133
Ya that'll work
 
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ItsAllSoTiresome

ItsAllSoTiresome

Member
Mar 7, 2024
35
Man, you articulated this so well that I even bookmarked it! I have also encountered these two kinds of responses after "opening up" and it has made me extremely wary of ever opening up again. I'd also a third kind of response, which we might call the "burst of empathy," where they actually have a good response right at the outset--they listen to you, they're attentive, they make sure you know that they care--but this only lasts for one or two conversations. They then start getting frustrated that you haven't gotten better yet, that you're still feeling the exact same way as when you first opened up. They're tired of hearing you repeat the same things over and over. And with the exhaustion of their patience comes the exhaustion of their empathy.

Thanks man, I've also experienced the third kind of response you describe, I believe it's related to a phenomenon called "compassion fatigue". It's basically the concept that people have a finite amount of empathy, and once that empathy is exhausted they become unable to relate to other people's problems and respond with frustration , rudeness or exhaustion. Apparently it affects doctors and nurses a lot, as they spend long hours dealing with people in severe pain and/or distress all day and eventually become "burned out" by constantly having to empathise and aid people in need.
 
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Alexei_Kirillov

Alexei_Kirillov

More beast than man
Mar 9, 2024
1,192
Thanks man, I've also experienced the third kind of response you describe, I believe it's related to a phenomenon called "compassion fatigue". It's basically the concept that people have a finite amount of empathy, and once that empathy is exhausted they become unable to relate to other people's problems and respond with frustration , rudeness or exhaustion. Apparently it affects doctors and nurses a lot, as they spend long hours dealing with people in severe pain and/or distress all day and eventually become "burned out" by constantly having to empathise and aid people in need.
Yeah, and this one's a bit tougher to handle because you really can't blame them for feeling that way. But on the other hand, they shouldn't overpromise and exaggerate their capacity to "be there for you." In my case I need consistent, sustained, intensive attention, so if you can't offer me that, then you need to be honest about it.
 
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SilentSadness

SilentSadness

Dead inside
Feb 28, 2023
1,360
It honestly frustrates me when depression gets pathologised, as if it's not a reasonable and common reaction to extreme turmoil and suffering. Normal people reacting in that unhelpful way is predictable, but when health care "professionals" do it, it's pathetic. It's unacceptable for them to be paid tax-payer or depressed-person money only to give textbook unhelpful and factually incorrect advice.
 
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roommate

roommate

Not in the moment
Feb 14, 2025
415
This kind of topic reminds me of my friend telling me: It's all mindset, why don't people realize.
He is the guy who is not bothered by anything or anyone, kinda unfair -.-
 
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cme-dme

cme-dme

Ready to go to bed
Feb 1, 2025
447
Excellent post! It perfectly described why I rarely talk about suicidality.
I have two very understanding and caring friends. I rarely talk about my depression with them because I don't want them to worry about me but the times I have, one launches into problem solving mode and the other one more often empathizes with me. Although the problem solving one is nowhere near as pretencious about it because he is also mentally unwell and understands how it feels.
It makes me feel even worse though when he is like "So what are you going to do about [insert issue here]" and my first thought is just "I guess I'll die lol". Makes me feel very pathetic...which I am but yeah! I wish he wouldn't try to "save" me because I honestly don't want to be saved and I doubly don't want him worrying about me...I'm also worried about "compassion fatigue" as it was described here.
 
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LaVieEnRose

LaVieEnRose

Angelic
Jul 23, 2022
4,339
They want to have their cake and to eat it too. After the fact they'll bemoan not having been reached out to but while the person was alive they would not have been willing to entertain any conversations like that.
 
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lamy's sacred sleep

lamy's sacred sleep

Death is bliss.
Nov 22, 2024
590
I've saved this post because it's so informative.
They really do do these things when you try to open up.

You've written a great post.
 

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