Seizing Control of Depression

The Man at the Tiller 1892 | Theo van Rysselbergh

Posted by Simon Thomas

We know the symptoms of depression well. We read of them everywhere: sleeplessness, weight loss, reckless behaviour—and so on. Yet we tend to miss the fact that the foremost of these symptoms is deeply philosophical. 

The philosopher Tim Ruggerio defines depression, above all, as ‘the healthy suspicion that there may not be an aim or point to existence’. This broadly agrees with a symptom which stands at the top of many lists of symptoms: ‘Feelings of helplessness and hopelessness. A bleak outlook.’

Of course, depression does not exist purely on a philosophical plane. It is deeply felt. The symptoms one reads about do not begin to describe the darkness one feels in the throes of a depressive episode. It may be hard to see a way out when, frayed and tattered, one’s feelings start spiralling—and it seems no amount of positive talk can help.

Yet even then, there is one steady pole at the centre. My feelings belong to me. Only I can do something about them. This, too, is deeply philosophical. It is too easy to doubt or despair about something, without recognising that one is despairing over oneself. One needs to own it—and such ownership, in turn, forms the basis for a rational way forward.

The philosopher-theologian Paul Tillich wrote, ‘The acceptance of despair is in itself faith and on the boundary line of the courage to be ... The act of accepting meaninglessness in itself is a meaningful act.’ Here, then, is how this simple philosophical insight helps us further:

• When we recognise that we are dealing with a philosophical struggle, our orientation to the problem may change. The acceptance of depression as my own, far from acceptance in the sense of surrender, becomes the source of the resolve to face the real issue. It is about the search for an all-embracing meaning of life.

• When I see that depression is a philosophical problem, it stands to reason that I shall engage in activities which strengthen me philosophically—which enhance the mind and focus on the good.  Conversely, I shall as far as possible remove myself from the company of those who engage in negativity.

• When I understand that it is too easy to doubt or despair about something, without recognising that I am despairing over myself, I know to set aside some of those thoughts and activities which are merely avoidant, which serve to continue a once-removed despair.

• Knowing that the solution is philosophical, it stands to reason that it does not merely take a day off to apply it. It is a long-term process, and there are no quick fixes. One develops realistic expectations. Similarly, one does not let down one’s guard. Depression is a bit like the devil in Christian belief. It does not take time off. It is not the time for peace until one walks free.

• The ownership of depression represents an acceptance of one's own weakness. Socrates was an avid proponent of the dictum ‘Know thyself.’ To know one's weakness in times of distress is of great help, because if one knows what causes one to fall, one can take steps to stop the downward spiral of one’s mindset.

• Philosophy in all its fullness includes the spiritual and artistic aspects of our personality. Therefore it is valuable to have an appreciation for the spiritual and aesthetic inclinations of the human ‘soul’, and to exercise and expand on them.

Of course, prevention is always better than cure. ‘Guard your heart, for out of it comes the issues of life,’ wrote the wise King Solomon. Watch your life and be careful what and who you allow in your heart. We are always under the influence of something or someone, at some stage of our life. It is sensible to guard what one allows oneself to be influenced by.

This is not intended to diminish the help that medication gives, or wise counsel. Yet philosophy plays a central role in depression, and may present a definitive anchor for the soul, which enables us to find the way back to a place of reason and not to spiral into despair.