What causes depression?
September 23rd 2010
Ever since I heard the expression “Depression is anger turned inward” I have wondered what actually causes depression because that statement seems not only simplistic to me, but it also does not apply to my situation. Finally, I asked my very experienced psychiatrist what he thought, and he listed three major causes of depression: Loss, Genes, and Anger.*
Loss
Look around you and think about how much you could lose and how you would feel if you did. You could lose your loved ones (e.g., death, divorce), your money, your house, your job, your self-esteem, your dreams, etc. You could lose your material items. My grandparents’ house burned to the ground when I was a child, and they lost almost everything—except their photo scrapbooks. When I touched the albums’ charred edges, I understood why my grandfather grabbed them at the last minute despite the smoke that must have been choking his lungs. In that moment, I fell in love with photography because even if you lose a loved one, the camera captures their images and preserves your memories. If our home suddenly went up in flames, I would save the three P’s—people, pets, and pictures—in that order.
Genes
Unfortunately, we have no control over our genes, and our genetic makeup can determine our predisposition to mental illnesses such as depression; schizophrenia; and bipolar, personality and anxiety disorders (to name a few). Sometimes, I feel like I could throw a dart at the DSM-IV, hit a diagnosis, and name someone in my mother’s family. However, many people never develop any mental issues despite their DNA. In some cases though, people who appear to have perfect lives (e.g., no losses) may still develop a mental disorder due to a chemical imbalance in their brains. I am not saying people are not responsible for their behavior, but understanding the cause is crucial to treating the problem especially since our society often self-medicates in order to feel better. (Hope you’re listening, Miss Lohan!)
Anger
Ahh … anger … the cause of depression that I don’t fully comprehend. Sure, I feel angry sometimes, but I don’t walk around hating myself. I may not be perfect, but neither is anyone else. I don’t always make the best decisions. I am often too blunt (you wouldn’t believe how much I really restrain myself), but overall, I possess a good heart. If I care about you, I love you with such depth that if I tried to explain it, I fear my emotion would scare you. However, that pendulum of intense passion swings both directions. Don’t piss me off because I don’t get mad at myself. I focus my anger on the person who upsets me so I didn’t get the whole “Depression is anger turned inward” concept until I witnessed it a few weeks ago.
In a support group that I occasionally attend, a man whom I’ll call Richard has to be the most self-loathing individual I have ever met in my entire life. On an intellectual level, Richard understands his depression, that anger causes it, and the source of his anger. However, he still believes the cure to his self-hatred is the right woman’s love. Now I’m sure his numerous therapists and psychiatrists have explained to him that no one will love him until he loves himself. Richard has attended support groups and self-help meetings for years. By all appearances, he participates in his “recovery.” Although he did give one female shrink an ultimatum that if she didn’t love him, he would leave her. Guess what happened?
I have only met Richard twice; yet, I know more about his personal life than I should because Richard dominates the group. He twists every topic back to his desperate search for love. When I offered that people often meet someone when they are not looking, but there is nothing wrong with trying, he made a snarky comment about me being married. After gritting my teeth and chewing my lip at the last meeting, I realized I had to find another group. If I ever see Richard again and hear him whine about how a woman will fix him, I know the devil in me will say, “Go jump off a bridge already, will ya? I hear no one survives the Golden Gate. I’ll even drive you there.” Terrible, I know, but at least I direct my anger toward the person who deserves it.
I cannot empathize with Richard, but I should sympathize with him. However, my inability to do so reminds me of the many people who don’t understand the cause of my depression. I cannot count how many times I’ve heard “Get over it” or I’ve seen those unspoken words reflected in someone’s eyes when I cry over my sister Adrienne. Nine years? Seems like yesterday to me, asshole.
I won’t return to that particular support group. I mean, who needs chipped teeth and chapped lips? But seriously, I don’t want to be one of those people who says something horrible to Richard. I wonder though, if I angered him, if he could stop being mad at himself—if only for a moment.
AWW — XoXo
P.S. The photo of the house on fire is not my grandparents’ home, but it closely resembles it.
*These causes of depression are my psychiatrist’s experience, and he listed them in this order of common occurrence: Loss, Anger, and Genes. After some research, I discovered that physical factors (e.g., hormonal changes) can also cause depression. For more information, visit Web MD Depression and the Mayo Clinic.


















