How to connect with depressed friends Bill Bernat

The one conversation that uplifted me
more than any other in my life

was with a woman who told me

how, a few days earlier,

she drove her Jeep Wrangler
to the edge of the Grand Canyon

and sat there, revving the engine,

thinking about driving over.

Even though I had severe social anxiety,

in that conversation,
I was totally at ease.

(Laughter)

She told me what was going on in her life

in the days and months leading up,

what her thoughts were
at that exact moment,

why she wanted to die,

and why she didn’t do it.

We nodded and half-smiled,

and then it was my turn
to talk about my journey

to a dining table
in the hygienic community area

of the mental health wing
of a mountain-town hospital.

I took too many sleeping pills,

and after they treated me for that,

they were like, “Hey, we would love it
if you would be our guest

in the psych ward.”

(Laughter)

We joked that her suicide
would have made a way better postcard.

(Laughter)

We talked shop.

(Laughter)

She allowed me to be deeply depressed

and have a genuine connection
to another person, simultaneously.

For the first time,

I identified as somebody
living with depression,

and I felt good about it –

like I wasn’t a bad person for it.

Now imagine one of the people
at that table was a member of your family

or a close friend.

Would you be comfortable talking to them?

What if instead of the hospital,

they were at your kitchen table

and told you they were really depressed?

The World Health Organization

says that depression is the leading cause
of ill health and disability worldwide,

affecting 350 million people.

The National Institute of Mental Health

reports seven percent of Americans
experiencing depression in a year.

So depression is super common,

yet in my experience,

most folks don’t want
to talk to depressed people

unless we pretend to be happy.

A cheerful facade is appropriate
for casual interactions.

A depressed person can ask for extra syrup
in their pumpkin spice latte

without explaining that they need it

because they’re trapped
in the infinite darkness of their soul

and they’ve lost all hope of escape –

(Laughter)

again.

(Laughter)

Depression doesn’t diminish
a person’s desire

to connect with other people,

just their ability.

So in spite of what you might think,

talking to friends and family
living with depression

can be really easy and maybe even fun.

Not, like, Facebook-selfie-with-Lady-Gaga-
at-an-underground-party fun –

I’m talking about the kind of fun

where people enjoy
each other’s company effortlessly.

Nobody feels awkward,

and no one accuses the sad person
of ruining the holidays.

Why does this chasm even exist?

On the one side,

you have people living with depression

who may act in off-putting
or confusing ways

because they’re fighting
a war in their head

that nobody else can see.

On the other side,

the vast majority of people
look across the chasm

and shake their heads,

like, “Why you gotta be so depressed?”

You may recognize
a divide like this in your life.

Do you want to build a bridge across it?

You may not want to build a bridge –

and that’s a totally valid choice.

Or maybe you’d like to build
a stronger connection,

but you have a lot
of questions and concerns.

You’re what I might call “bridge curious.”

(Laughter)

Here are some possible reasons

why some of you
may avoid depressed people.

You might be afraid

that if you talk to somebody
while they’re depressed,

you’re suddenly responsible
for their well-being.

You’re not expected to be Dr. Phil.

Just be friendly –

more like Ellen.

(Laughter)

You may worry that you won’t
know what to say,

and every attempt
at conversation will be awkward,

and the only time you’ll feel comfortable

is when you both just give up on talking

and stare at your phones.

Words are not the most important
thing to focus on.

You might fear seeing your shadow.

Hey, if you have been
successfully outrunning

your personal emotional demons,

that’s awesome.

May the wind be at your back.

(Laughter)

You can be the least
woo-woo person in the world

and still connect with depressed people.

Maybe you’ve heard
that depression is contagious,

and you’re afraid of catching it.

Bring some hand sanitizer.

(Laughter)

You’re much more likely to catch
the joy of human bonding.

Maybe you see
depressed people differently.

You think of them as flawed or defective.

Multiple university studies have shown

that A students are more likely
to have bipolar condition.

Our brains aren’t broken or damaged,

they just work differently.

I spent a lot of years thinking
happy people just don’t get it.

(Laughter)

I did eventually stop
discriminating against happy people –

(Laughter)

I began battling depression
when I was eight,

and decades later, to my surprise,

I started winning.

I shifted from being miserable
much of the time

to enjoying life.

I live pretty well
with my bipolar condition,

and I’ve overcome some other
mental health conditions

like overeating, addiction
and social anxiety.

So I live on both sides of this chasm.

And I’m offering some guidance

based on my experience

to help you build a bridge across it

if you want to.

It’s not hard science,

but I worked with a lot people
I know who’ve lived with depression

to refine these suggestions.

First up, some things
you might want to avoid –

some “don’ts.”

One of the most off-putting
things you can say is,

“Just get over it.”

Great idea – love it,

it’s just we already thought of that.

(Laughter)

The absence of the ability
to just get over it is depression.

(Laughter)

(Applause)

We feel it in our bodies –

it’s a physical thing for us.

And medically it’s no different

from telling someone
with a broken ankle or cancer,

“just get over it.”

Don’t be hell-bent on fixing us.

Like, thank you, but …

the pressure can make us depressed people
feel like we’re disappointing you.

Also, things that make
some people feel better

may not work for us.

You can’t cure clinical depression
by getting ice cream …

which is unfortunate, because
that would be living the dream.

(Laughter)

Don’t take a negative response personally.

So, I have a friend who, about a year ago,

messaged me that he was really
isolated and depressed.

And I suggested some things for him to do,

and he was like, “No, no and no.”

And I got mad,

like, how dare he not embrace
my brilliant wisdom?

(Laughter)

And then I remembered
times I’ve been depressed,

and how I thought I was doomed
in all possible futures,

or everybody suddenly hated me,
and things like that.

It didn’t matter how many people
told me otherwise –

I didn’t believe them.

So I let my friend know I cared,

and I didn’t take it personally.

Don’t let a lack of bubbly
happiness freak you out.

It’s not a shark attack.

“Call the coast guard, my friend is sad!”

(Laughter)

We can be sad and OK at the same time.

I’m going to say that again,

because in our society,
we’re taught the opposite,

and so it’s counterintuitive.

People can be sad and OK at the same time.

So some of these things may apply
to you personally, some may not.

Take what’s useful.

And remember, you don’t have to connect.

If you want to,

here are some suggestions that may help –

some “dos.”

Talk to us in your natural voice, right?

(Laughter)

You don’t need to put on a sad voice
because we’re depressed –

you don’t sneeze when you’re talking
to somebody with a cold.

(Laughter)

It’s not rude to be upbeat.

You can be you, OK?

If you make an offer to be there for us,

clearly state what you can and can’t do.

I have told people,
“Hey, call or text any time,

but I might not be able
to get back to you that same day.”

It’s totally cool to not make an offer,

or to make a narrow offer
with really clear boundaries around it.

Give us a sense of control.

Like, get our consent.

I have a friend who, a while back,

when I was having a depressive episode,

reached out and said,
“Hey, I want to check in with you.

Can I call you every day?

Maybe text you every day
and call later in the week?

What works for you?”

By getting my permission,
she earned my complete confidence

and remains one of my best friends today.

And my last suggestion is:

interact about not depression,

aka, normal stuff.

I have a friend who,
when people were worried about him,

they would call and ask
if he wanted to go shopping

or help them clean out their garage.

Your depressed friends
could be a good source of free labor –

(Laughter)

What I’m really getting at is,

invite them to contribute
to your life in some way,

even if it’s as small
as asking you to go see a movie

that you wanted to see in the theater.

So that’s a lot
of dos and don’ts and maybes,

and it’s not by any means
a definitive list.

The thing to remember
is that they’re all grounded

in one guiding principle.

It’s what allowed the woman
in the Jeep Wrangler

to start me on the path to recovery
without even trying.

She talked to me like I belonged

and contributed exactly as I was
at that moment.

If you talk to a depressed person
as if their life is just as valuable,

intense and beautiful as yours,

then there’s no need
to build a bridge between you,

because you’ve closed the chasm.

Focus on that instead of your words,

and it may be the most uplifting
conversation of their life.

What could that do
for somebody you care about?

What could it do for you?

Thank you.

(Applause)

与我一生

中最让我振奋的一次谈话是与一位女士的谈话,她告诉我

几天前,

她如何将吉普牧马人开
到大峡谷的边缘

并坐在那里,转动引擎,

考虑开车 超过。

尽管我有严重的社交焦虑,但

在那次谈话中,
我完全放松了。

(笑声)

她告诉我在接下来

的几天和几个月里她的生活发生了

什么,她在那一刻的想法是什么,她

为什么想死,

以及为什么她不死。

我们点点头,似笑非笑,

然后轮到我
谈谈我

在山城医院心理健康翼卫生社区区的餐桌上的旅程

我服用了太多安眠药

,在他们为我治疗后,

他们就像,“嘿,
如果你能成为我们精神病院的客人,我们会很高兴的

。”

(笑声)

我们开玩笑说她的自杀
会成为一张更好的明信片。

(笑声)

我们谈了商店。

(笑声)

她让我在极度沮丧的同时

与另一个人建立了真正的联系

第一次,

我认定自己是一个
患有抑郁症的人

,我对此感觉很好——

就像我不是一个坏人一样。

现在想象
那张桌子上的一个人是你的家人

或密友。

你愿意和他们交谈吗?

如果他们不是在医院,

而是在你的餐桌旁

告诉你他们真的很沮丧怎么办?

世界卫生组织

表示,抑郁症是
全球健康状况不佳和残疾的主要原因,

影响了 3.5 亿人。

美国国家心理健康研究所

报告称,每年有 7% 的美国人
经历过抑郁症。

所以抑郁症非常普遍,

但根据我的经验,

大多数人
不想和抑郁症的人交谈,

除非我们假装快乐。

欢快的外观
适合休闲互动。

一个抑郁的人可以
在他们的南瓜香料拿铁中要求额外的糖浆

而不解释他们需要它,

因为他们被困
在他们灵魂的无限黑暗中

,他们已经失去了逃脱的所有希望——

(笑声)

再次。

(笑声)

抑郁不会削弱
一个人与他人联系的愿望

只会削弱他们的能力。

所以不管你怎么想,

与患有抑郁症的朋友和家人交谈

真的很容易,甚至可能很有趣。

不像 Facebook 自拍与 Lady-Gaga
在地下派对上的乐趣——

我说的是

人们
毫不费力地享受彼此陪伴的那种乐趣。

没有人感到尴尬,

也没有人指责伤心的
人破坏了假期。

为什么这个鸿沟甚至存在?

一方面

,患有抑郁症的

人可能会以令人反感
或令人困惑的方式行事,

因为他们正在
头脑

中打一场别人看不到的战争。

另一边

,绝大多数人
看着鸿沟

,摇摇头

,“你为什么要这么沮丧?”

你可能会
在你的生活中认识到这样的鸿沟。

你想架起一座跨越它的桥吗?

你可能不想建一座桥

——这是一个完全有效的选择。

或者,也许您想建立
更牢固的联系,

但您有
很多问题和疑虑。

你就是我所谓的“桥好奇”。

(笑声)

这里有一些可能的原因,为什么你们中的一些人

可能会避开抑郁的人。

您可能会担心

,如果您在某人
沮丧时与他们交谈,

您会突然
对他们的幸福负责。

你不应该是菲尔博士。

友好一点——

更像艾伦。

(笑声)

你可能会担心自己不
知道该说什么

,每次
尝试交谈都会很尴尬,

而唯一让你感到舒服

的时候就是双方都放弃说话

,盯着手机看。

文字不是最重要
的重点。

你可能害怕看到你的影子。

嘿,如果你已经
成功地战胜了

你的个人情感恶魔,

那就太棒了。

愿风在你身后。

(笑声)

你可以成为世界上最
不爱说话的人,但

仍然与抑郁的人保持联系。

也许您
听说抑郁症具有传染性,

并且您害怕感染它。

带一些洗手液。

(笑声)

你更有可能抓住
人际关系的乐趣。

也许你对
抑郁的人有不同的看法。

你认为它们有缺陷或有缺陷。

多项大学研究表明

,A 学生更
容易患双相情感障碍。

我们的大脑没有损坏或损坏,

它们只是工作方式不同。

我花了很多年时间认为
快乐的人就是不明白。

(笑声)

我终于不再
歧视快乐的人了——

(笑声)

我八岁时就开始与抑郁症作斗争

几十年后,令我惊讶的是,

我开始赢了。

我从大部分时间的痛苦转变

为享受生活。

我的
双相情感障碍过得很好,

而且我已经克服了一些其他的
心理健康问题,

比如暴饮暴食、成瘾
和社交焦虑。

所以我生活在这个鸿沟的两边。

如果你愿意,

我会根据我的经验

提供一些指导,帮助你建立一座跨越它的桥梁

这不是硬科学,

但我与很多
我认识的患有抑郁症的人一起工作,

以完善这些建议。

首先,一些
你可能想要避免的事情——

一些“不应该做的事情”。

您可以说的最令人反感的
事情之一是,

“克服它。”

好主意——喜欢它,

只是我们已经想到了。

(笑声

) 没有能力
克服它就是抑郁症。

(笑声)

(掌声)

我们在我们的身体里感受到它——

对我们来说它是一种物质上的东西。

在医学上,这


告诉脚踝骨折或癌症的人

“克服它”没有什么不同。

不要一心想解决我们的问题。

就像,谢谢你,但是

……压力会让我们沮丧的人
觉得我们让你失望了。

此外,让
某些人感觉更好的事情

可能对我们不起作用。

你不能通过吃冰淇淋来治愈临床抑郁症
……

这是不幸的,因为
那将是实现梦想。

(笑声)

不要以个人的名义做出负面回应。

所以,我有一个朋友,大约一年前,

他给我发信息说他真的很
孤立和沮丧。

我建议他做一些事情

,他就像,“不,不,不。”

我生气了

,他怎么敢不接受
我的聪明智慧?

(笑声

) 然后我想起了
我曾经很沮丧的时候,

以及我是如何认为我
在所有可能的未来

都注定要失败的,或者每个人都突然讨厌我
,诸如此类。

不管有多少人
告诉我,

我都不相信他们。

所以我让我的朋友知道我在乎

,我没有把它当成个人。

不要让缺乏泡沫的
幸福吓坏了你。

这不是鲨鱼袭击。

“打电话给海岸警卫队,我的朋友很伤心!”

(笑声)

我们可以同时悲伤和正常。

我要再说一遍,

因为在我们的社会中,
我们被教导相反

,所以这是违反直觉的。

人们可以同时悲伤和好。

因此,有些事情可能适用
于您个人,有些可能不适用。

拿走有用的东西。

请记住,您不必连接。

如果您愿意,

这里有一些可能会有所帮助的建议——

一些“dos”。

用自然的声音与我们交谈,对吧?

(笑声)

你不需要
因为我们很沮丧而表现出悲伤的声音——

当你和
感冒的人交谈时你不会打喷嚏。

(笑声

) 乐观并不失礼。

你可以成为你,好吗?

如果您提出要为我们服务,请

明确说明您可以做什么和不可以做什么。

我告诉人们,
“嘿,随时打电话或发短信,

但我可能无法在
同一天回复你。”

不提出要约,

或者提出一个狭窄的要约
,周围有非常明确的界限,这完全是一件很酷的事情。

给我们一种控制感。

比如,征得我们的同意。

我有一个朋友,不久前,

当我患上抑郁症时,他

伸出手说:
“嘿,我想和你一起检查一下。

我可以每天给你打电话吗?也许每天给你发

短信,
然后再打电话给你 一周?

什么对你有用?

得到我的许可后,
她赢得了我的完全信任

,至今仍是我最好的朋友之一。

我的最后一个建议是:

互动不是抑郁症,

也就是正常的东西。

我有一个朋友,
当人们担心他时,

他们会打电话
询问他是否想去购物

或帮助他们清理车库。

你沮丧的朋友
可能是一个很好的免费劳动力来源——

(笑声)

我真正想说的是,

邀请他们
以某种方式为你的生活做出贡献,

即使
只是让你去看一场

电影 你想在剧院里看。

所以这是
很多注意事项和可能注意事项,

而且这绝不是
一个明确的清单。

要记住的
是,它们都

基于一个指导原则。

这就是让
吉普牧马人中的女人无需尝试

就开始让我走上康复之路的原因

她跟我说话的方式

就像我当时的归属感和贡献一样

如果你和一个抑郁的人交谈,
好像他们的生命和你的一样有价值、

激烈和美丽,

那么就没有必要
在你们之间架起一座桥梁,

因为你已经弥合了鸿沟。

专注于这一点而不是你的言语

,这可能是他们一生中最令人振奋的
谈话。


对你关心的人有什么好处?

它能为你做什么?

谢谢你。

(掌声)