Andrew Solomon

Those who believe their suffering has been valuable love more readily than those who see no meaning in their pain. Suffering does not necessarily imply love, but love implies suffering

Travel is a set of corrective lenses that helps focus the planet's blurred reality.

If you banish the dragons, you banish the heroes...

There is so much pain in the world, and most of these people keep theirs secret, rolling through agonizing lives in invisible wheelchairs, dressed in invisible bodycasts.

I chose fat and functional over slender and miserable.

Mild depression is a gradual and sometimes permanent thing that undermines people the way rust weakens iron. It is too much grief at too slight a cause, pain that takes over from the other emotions and crowds them out. Such depression takes up bodily occupancy in the eyelids and in the muscles that keep the spine erect. It hurts your heart and lungs, making the contraction of involuntary muscles harder than it needs to be. Like physical pain that becomes chronic, it is miserable not so much because it is intolerable in the moment as because it is intolerable to have known it in the moments gone and to look forward only to knowing it in the moments to come. The present tense of mild depression envisages no alleviation because it feels like knowledge.

Life itself seemed so alarmingly exigent, to require so much of the self. It was too difficult to remember and think and express and understand - all things I needed to be able to do to talk. To keep my face animated at the same time was insult added to injury. It was like trying to cook and roller-skate and sing and type all at once.

The opposite of depression is not happiness, but vitality and my life, as I write this, is vital even when sad. I may wake up sometime next year without my mind again; it is not likely to stick around all the time. Meanwhile, however, I have discovered what I would have to call a soul, a part of myself I could never have imagined until one day, seven years ago, when hell came to pay me a surprise visit. It's a precious discovery.

If real experience has triggered your descent into depression, you have a human yen to understand it even when you have ceased to experience it; the limited of experience that is achieved with chemical pills is not tantamount to a cure.

There is a moment, if you trip or slip, before your hand shoots out to break your fall, when you feel the earth rushing up at you and you cannot help yourself, a passing, fraction-of-a-second terror. I felt that way hour after hour after hour. Being anxious at this extreme level is bizarre. You feel all the time that you want to do something, that there is some affect that is unavailable to you, that there__ a physical need of impossible urgency and discomfort for which there is no relief, as though you were constantly vomiting from your stomach but had no mouth.

I did not want to sit on the roof, though I was also aware that if I didn__ allow myself the relief of considering suicide, I would soon explode from within and commit suicide. I felt the fatal tentacles of this despair wrapping themselves around my arms and legs. Soon they would hold the fingers I would need to take the right pills or to pull the trigger, and when I had died, they would be the only motion left. I knew that the voice of reason (__or heaven__ sake, just go downstairs!_) was the voice of reason, but I also knew that by reason I would deny all the poison within me, and I felt already some strange despairing ecstasy at the thought of the end. If only I had been disposable like yesterday__ paper! I would have thrown myself away so quietly then and been glad of the absence, glad in the grave if that was the only place that could allow some gladness.

The opposite of depression is not happiness, but vitality and my life, as I write this, is vital even when sad. I may wake up sometime next year without my mind again; it is not likely to stick around all the time. Meanwhile, however, I have discovered what I would have to call a soul, a part of myself I could never have imagined until one day, seven years ago, when hell came to pay me a surprise visit. It's a precious discovery. Almost every day I feel momentary flashes of hopelessness and wonder every time whether I am slipping. For a petrifying instant here and there, a lightning-quick flash, I want a car to run me over...I hate these feelings but, but I know that they have driven me to look deeper at life, to find and cling to reasons for living, I cannot find it in me to regret entirely the course my life has taken. Every day, I choose, sometimes gamely, and sometimes against the moment's reason, to be alive. Is that not a rare joy?

People with family histories of alcoholism tend to have lower levels of endorphins- the endogenous morphine that is responsible for many of our pleasure responses- than do people genetically disinclined to alcoholism. Alcohol will slightly raise the endorphin level of people without the genetic basis for alcoholism; it will dramatically raise the endorphin level of people with that genetic basis. Specialists spend a lot of time formulating exotic hypotheses to account for substance abuse. Most experts point out, strong motivations for avoiding drugs; but there are also strong motivations for taking them. People who claim not to understand why anyone would get addicted to drugs are usually people who haven't tried them or who are genetically fairly invulnerable to them.

Since I am writing a book about depression, I am often asked in social situations to describe my own experiences, and I usually end by saying that I am on medication. __till?_ people ask. __ut you seem fine!_ To which I invariably reply that I seem fine because I am fine, and that I am fine in part because of medication. __o how long do you expect to go on taking this stuff?_ people ask. When I say that I will be on medication indefinitely, people who have dealt calmly and sympathetically with the news of suicide attempts, catatonia, missed years of work, significant loss of body weight, and so on stare at me with alarm. __ut it__ really bad to be on medicine that way,_ they say. __urely now you are strong enough to be able to phase out some of these drugs!_ If you say to them that this is like phasing the carburetor out of your car or the buttresses out of Notre Dame, they laugh. __o maybe you__l stay on a really low maintenance dose?_ They ask. You explain that the level of medication you take was chosen because it normalizes the systems that can go haywire, and that a low dose of medication would be like removing half of your carburetor. You add that you have experienced almost no side effects from the medication you are taking, and that there is no evidence of negative effects of long-term medication. You say that you really don__ want to get sick again. But wellness is still, in this area, associated not with achieving control of your problem, but with discontinuation of medication. __ell, I sure hope you get off it sometime soon,_ they say.

You are constantly told in depression that your judgment is compromised, but a part of depression is that it touches cognition. That you are having a breakdown does not mean that your life isn't a mess. If there are issues you have successfully skirted or avoided for years, they come cropping back up and stare you full in the face, and one aspect of depression is a deep knowledge that the comforting doctors who assure you that your judgment is bad are wrong. You are in touch with the real terribleness of your life. You can accept rationally that later, after the medication sets in, you will be better able to deal with the terribleness, but you will not be free of it. When you are depressed, the past and future are absorbed entirely by the present moment, as in the world of a three-year-old. You cannot remember a time when you felt better, at least not clearly; and you certainly cannot imagine a future time when you will feel better.

Depression is the flaw in love. To be creatures who love, we must be creatures who can despair at what we lose, and depression is the mechanism of that despair.

It is important not to suppress your feelings altogether when you are depressed. It is equally important to avoid terrible arguments or expressions of outrage. You should steer clear of emotionally damaging behavior. People forgive, but it is best not to stir things up to the point at which forgiveness is required. When you are depressed, you need the love of other people, and yet depression fosters actions that destroy that love. Depressed people often stick pins into their own life rafts. The conscious mind can intervene. One is not helpless.

I met people on college campuses who were defining themselves as genderqueer to express revolutionary feelings, or to communicate their individuality; they were gender fluid without being gender dysphoric. This phenomenon may be culturally significant, but it has only a little bit in common with the people who feel they can have no authentic self in their birth gender.