Mocha-Vodka-Xanax and Learned Mental Helplessness

Larry Good

Larry Good is the owner of NW Training & Consulting, LLC in Kelso Washington. He has had a 30 plus year career in military intelligence, information technology & specializes in cyber security with a sideline in physical security & public safety training.

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25 Responses

  1. Oscar Gordon says:

    Another of the problems of the internet & social media – things that were never meant to be taken seriously suddenly are.Report

  2. Pinky says:

    PJ O’Rourke once made a comment about Washington DC workaholics, that when you can’t measure your output, it makes you obsessed with your input. I think in the internet era it’s no longer possible to measure a person’s effort (at least in a lot of cases), so we attempt to quantify it in terms of percentage of total endurable effort. If I can convince others and myself that I’m at my breaking point, I can’t be accused of slacking.

    Of course, the way we use our time these days also maximizes stress. If we’re sitting still for 30 seconds we have to check our social status and conduct hand/eye coordination drills.Report

  3. DensityDuck says:

    I think you’re reading an awful lot into a sarcastic joke, here.Report

  4. j r says:

    Great read. I think you’re right. There is a whole culture of dealing with anxiety that doesn’t actually promote getting to the root of your anxiety and working past your issues, but rather cultivating that anxiety and turning into some kind of coddled lapdog that you tote around with you and feed expensive snacks. This won’t end well.

    As to causes, I think that there are a couple of big ones. One, we live in an increasingly bureaucratized society in which people require all sorts of special permissions and carveouts to function outside of the standardized norms. Think about the number of kids who have medical diagnoses to allow them extra time on tests. Likewise, we have an environment where if the median person engages in some benign venting about life, they run the risk of being called our for their privilege or being told to “read the room.” One way to avoid that, is to give yourself a recognized condition that makes it OK for you to feel bad about things.

    The other thing is that social media algorithms reward certain kinds of interactions. Merely being OK, just generally happy and competently dealing with life’s ups and downs won’t get you much attention. So, if you want the clicks, you need to either present yourself as being ether “#SuperHustleGoHardNoSleepCan’tStopWon’tStop” or “OMG! Life… Wine? Sure just one… bottle.”

    The internet truly has no chill.

    It’s OK to not be OK, but it’s also OK to be OK. The catch is that you yourself have got to be OK with being OK, and not need the external validation. If you can do that, you’ll be… OK.Report

    • Oscar Gordon in reply to j r says:

      It’s one thing to have anxiety or ADD/ADHD and need a bit of consideration, it’s something else to have such things, know that you have such things, and be blase about it. Get help, get an actual diagnosis, get some meds if you can. And recognize you have to own it.

      My kid has ADD, and while the meds make things easier for him, when we forget to give him a dose, we don’t let him off the hook for bad behavior.Report

      • j r in reply to Oscar Gordon says:

        I am a big proponent of consideration. So much so that I think getting some shouldn’t require the production of a medical billing code. But for the most part, we are stuck in systems that lack the flexibility to make those kinds of ad hoc calls. Until that changes, I expect that people will continue responding to the present set of incentives.Report

    • Kazzy in reply to j r says:

      “As to causes, I think that there are a couple of big ones. One, we live in an increasingly bureaucratized society in which people require all sorts of special permissions and carveouts to function outside of the standardized norms.”

      Slightly tangential, years ago I was sitting in an airport waiting for a Southwest flight. If you aren’t familiar with Southwest, they don’t assign seats in advance and instead folks are grouped based on a variety of factors and seats are then on a first come, first served basis. I watched as a dad traveling with his partner two young children approached the gate to ask if he could be given priority boarding status so they could sit together. For whatever reason, this wasn’t an automatic give… I think because they had two parents so theoretically each kid could sit with one parent and be presumed to be fine. The dad was trying to explain why he thought it best they sit together and the woman kept telling him that unless he could identify a hardship, she couldn’t grant his request. She was trying to signal to him that he should just insist on a hardship and she’d grant the request but until he said the magic words, she couldn’t do it. He wasn’t getting the clue (he was a parent of young children in an airport, afterall… the brain frazzles quickly in those scenarios) and was getting increasingly upset. Finally, the attendant took him away from the counter and quietly but firmly told him, “Just say you have a hardship and we’re good to go.”

      It was corporate bureaucracy at its finest: it wasn’t enough for the guy to just make his situation know and ask for consideration; he had to use the proper magic words.Report

  5. Burt Likko says:

    I’ve gotten to know a lot of people who say they have anxiety issues and come very close to someone whose anxiety issues were from time to time really a stumbling block in life. Wound up having to break off my relationship with that otherwise-quite-enjoyable person because of the way the anxiety got handled.

    I don’t know if claiming anxiety problems is somehow fashionable, or if it’s becoming a convenient excuse for some other thing. I now know that the reality of one is not a status symbol, it’s a serious stumbling block. I’m so happy for our author to have found a way through it.Report

  6. North says:

    Freddie has commented on the proliferation of this mental disability as a marketable/celebratable characteristic on the internet a lot lately too. It’s a strange and interesting phenomena.Report

    • Chris in reply to North says:

      It is odd, really, that mental illness went from still being pretty heavily stigmatized just a few years ago, to being almost faddish.

      Mostly people are just trying to understand their own lives, and this is the way that young people know how to do it right now, but more than that, even if there were a few down sides, it’s so much better than mental illness being stigmatized that it’s hard for me to be bothered by it.Report

      • North in reply to Chris says:

        Agreed, I can’t exactly find it in me to hate the current phenomena considering the alternatives.Report

        • InMD in reply to North says:

          To the extent there is reason for ambivalence I would say it has to do with a combination of gaming the system where a diagnosis provides an academic advantage (untimed testing for example), and the fact that the better healthcare systems in the world tend to be much more restrained about diagnosing (or at least medicating) some of these issues in younger people. Being in healthcare tech I have heard of a number of pharmaceutical manufacturer backed concepts that are deployed in the US but not in Europe for the simple reason that the culture is different about medicating children and the lack of ‘fee for service’ model is a lot less conducive to the ‘we have a pill for that’ model of medicine.

          That said all of this needs to be balanced against the benefits that I’m sure many people receive. I also sense a lot of the chatter online is really more ironic/sarcastic and shouldn’t be taken overly seriously.Report

          • North in reply to InMD says:

            Yeah I doubt all the people on Tiktok pretending to have dissociative disorder are actually on anything except their own supply.

            The rest of the world has kind of a sweet deal vis a vis America’s medical industry in that it pumps out mountains of products to foist on America and then the rest of the developed worlds medical systems cherry pick the most efficacious and useful of those products for their own systems.Report

            • Pinky in reply to North says:

              I think most of them just don’t understand that normal thought patterns involve tension, that perception of one’s identity changes in different situations, et cetera. Ironically, they don’t understand that sexual passions can be unpredictable, too.Report

      • Oscar Gordon in reply to Chris says:

        As I mentioned up-thread, as long as it’s not an excuse to misbehave or treat others poorly, I’m all for people owning their mental illness.

        Example, the ex-husband of a friend was recently diagnosed bi-polar. He knows he is, he has meds, but he still treats the people around him like crap and then blames his mental illness. I mean, there is a reason he’s divorced.Report

        • Kazzy in reply to Oscar Gordon says:

          There’s having a mental illness and there is being a jerk.

          Sometimes, the manifestations of a mental illness may make a person seem jerk-ish when they’re really not. Hopefully those people are given space, support, and empathy when such moments arise.

          Sometimes, people are just jerks.

          Sometimes, people who have a mental illness may be a jerk for reasons wholly unrelated to their mental illness. In such situations, no one is served by excusing the bad behavior… not the person themself, not the people around them, and perhaps least of all, other folks with mental illness whose acceptance may suffer because of the person being a jerk and trying to excuse it.

          And, sometimes, I do think folks may be sincerely confused about where the line is between a mental illness and bad behavior, thinking that the latter is unavoidable because of the former, when in reality that probably isn’t the case. These are usually the hardest situations to navigate as it is a challenging balance offering support, understanding, and empathy while also holding the person appropriately accountable and not infantilizing them because of their illness.

          Beyond any of this, I fully cosign with Chris that the alternative is worse. Better people attribute too much to mental illness than feel too stigmatized to even make it known.Report

      • j r in reply to Chris says:

        “… it’s so much better than mental illness being stigmatized that it’s hard for me to be bothered by it.”

        My issue is that I don’t think mental illness has really become less stigmatized. It’s still not cool to be a homeless schizophrenic.

        Instead, what we have is a trendy coalescence around certain kinds of high-functioning neurodiversity and anxiety. It’s cool for a high school kid to talk about how his ADHD or mild ASD are a superpower, but let them so much as doodle a knife in the margins of their notebook and the school resource officer will have him in a chokehold. It’s cool for a wine mom to post memes about needing xanax, but let her start showing actual symptoms of psychosis. The other moms in the sub-division won’t think it’s so charming at all.Report

        • Kazzy in reply to j r says:

          This is a really good and interesting point and I think helps illustrate the false dichotomy between stigmatization and celebration that we often see to juggle between. I remember a conversation with my brother — who has some mental health issues that he was just beginning to make sense of at the time — and he was adamant that I not consider any sort of mental health issue/illness as a weakness. And I really struggled to wrap my head around that because it seemed to push the pendulum too far to one side and, I worried, might actually be counterproductive. There’s got to be space between completely shunning and stigmatizing people who have a real issue that is beyond their choice to have and celebrating every form of mental illness as a super power that should be warmly embraced as some sort of gift.

          But I’m also someone who has been fortunate enough to never really struggle with mental health issues so that could be my own naivete and/or privilege speaking.Report

          • Chris in reply to Kazzy says:

            I haven’t seen the numbers, but I’d be willing to bet that the number of people seeking mental health treatment for pretty much all disorders is up, and for some at least, way up. Sure, there are a lot of people who talk about their anxiety or depression who do not really have pathological/clinically significant levels of anxiety or depression, but another thing that has become significantly less stigmatized over the last few years is mental healthcare.Report

            • Kazzy in reply to Chris says:

              In the circles I swim in, there is undoubtedly a warm embrace of mental healthcare (e.g., therapy) as a general form of personal upkeep as opposed to something you only pursue when there’s a “problem.”

              To clarify my point a bit, I think everyone should be embraced fully regardless of their mental health. But I would stop short of telling everyone with a mental health issue or illness that they should embrace and celebrate the gift they were given because for many folks, it can really be a struggle and source of challenge and frustration, which ought to also be an acceptable way for folks to feel about their experiences.Report

              • Chris in reply to Kazzy says:

                Oh yeah. I think the celebration is more of the person with the mental illness than the mental illness itself. I’ve never met a person who’s experienced major depression and would celebrate it, and while people with anxiety disorders will often claim the anxiety actually helps them, that predates the wide acceptance of anxiety disorders, and is less a celebration than a failure to understand what life could be like without high levels of anxiety.Report

        • Chris in reply to j r says:

          I think even less common, and perhaps we might say more extreme, mental illnesses, like bipolar and schizophrenia, really have become significantly less stigmatized. The issue is a.) they were significantly more stigmatized than depression or anxiety to begin with, so they had further to go, and b.) some of common effects of having those mental illnesses (e.g., economic instability generally, and housing instability in particular) are still stigmatized, independent of the mental illnesses themselves. In particular, people who are experiencing homelessness remain the one group of people that both conservatives and liberals alike feel OK discriminating against or generally treating like sh*t.

          But really, the change even for extreme mental illnesses are incredible over the last few years. With bipolar, it’s almost as great as it is with more common illnesses like generalized anxiety disorder. Schizophrenia is tougher, because it’s rarer, and therefore hasn’t become faddish, but I’ve seen up close how different people treat schizophrenia (outside of the context of homelessness, in which people who’ve never experienced homelessness tend to be complete ghouls towards those who are currently doing so).Report

          • Pinky in reply to Chris says:

            There are mainly two types of negative responses to mental illness. If the hearer can relate to the problem, like a mood disorder or addiction, the response can be belittling. Oh, you just need to learn to focus more. Sure, we all have bad days. Don’t make such a big deal out of it.

            If the hearer can’t related to it, then the response is more likely to be fearful. No one likes to be told that human brains can be that at odds with reality.

            Now, sometimes the casual “get over it” kind of advice isn’t terrible, if the person is experiencing a mild form, or if part of the treatment involves putting in an effort. And sometimes there are legitimate reasons to be afraid of a person with a severe mental illness, but that’s due to the state the person is in, more than the condition itself. So it’s complicated.Report

            • Chris in reply to Pinky says:

              Mentally ill people are very rarely violent. There’s very little to fear someone unless they are being violent or threatening to be so, and this goes for non-mentally ill people as well.

              The fear of mental illness has been a part of the stigma forever, of course, but it’s exacerbated by using mental illness to explain mass shootings. It is a truly disturbing countertrend.Report

    • DensityDuck in reply to North says:

      It used to be that “she’s not autistic, she just says she is to excuse how she’s a total shit to everyone in her life” was a jokeReport