Depression (Mental)

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      Closing the Political Divide: Compromise, Don’t Demonize

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      More from our inbox:Defending GiulianiAntidepressants on Shirts: Don’t Trivialize Mental Illness Illustration by The New York Times. Photographs by Getty ImagesTo the Editor:Re “My Fellow Republicans Need to Grow Up,” by Bob Inglis (Opinion guest essay, Oct. 3):We are divided not by ideology but by a deep lack of willingness to consider ideas before party alliances.I wasn’t paying attention to politics until 2015. But Donald Trump was so outrageous I was shocked into political activism. I speak out often because silence is not an option.The MAGA followers I encounter on internet political sites call me Communist, Marxist, treasonous and fascist. I find their attitudes loathsome. I blame Mr. Trump’s constant attacks on anyone who speaks out against him — his most virulent and nasty attacks being against Democrats. We have become deeply divided because Mr. Trump models divisive behavior. I fear for our Republic.But, if I am honest, it is Mr. Trump who has taught me something vital. I must be careful of rejecting someone just because they are on the other side. At least I must be able to define our differences and find our similarities. As a result I may expand my point of view to be richer, more inclusive and balanced. And that is what our system of debate and compromise demands.Jo TraffordPortland, MaineTo the Editor:I appreciate Bob Inglis’s call for Republicans to stop with the mindless vilifying of their Democratic colleagues (and with them the millions of Americans who voted for them), and start engaging on substantive issues that really matter.Elected Republicans prioritize demonizing and scapegoating and temper tantrums over concern for the challenges of the lived lives of their constituents. Those challenges are shared, to varying degrees, by most Americans. Look for legislative common ground there.When elected Republicans at all levels of government start noticing the specifics of their constituents’ suffering, and then start using their offices to do something about it — that’s when we’ll know they’ve really grown up.Jeri ZederLexington, Mass.Defending GiulianiRudolph W. Giuliani’s drinking was long whispered about by former City Hall aides, White House advisers and political socialites. Now it has become a factor in one of the federal cases against former President Donald J. Trump. Erin Schaff for The New York TimesTo the Editor:In “Giuliani’s Drinking Is Subplot in Trump Inquiry” (front page, Oct. 5), I was quoted as saying:“It’s no secret, nor do I do him any favors if I don’t mention that problem, because he has it. … It’s actually one of the saddest things I can think about in politics.”While I don’t deny the quote — Rudy Giuliani had a drinking problem that he has dealt with, and I believe he is no longer drinking — I also said a lot of good things about Rudy.He was one of our greatest mayors. He cleaned New York City up and made it livable. He was a national hero during 9/11, when the country needed leadership. He was “America’s Mayor” and beloved by many.We should also not forget that he was a great U.S. attorney for the Southern District and prosecuted many people who committed heinous crimes.I have the greatest respect and empathy for this man, who did so much good.Andrew SteinNew YorkThe writer is a former president of the New York City Council.Antidepressants on Shirts: Don’t Trivialize Mental IllnessTo the Editor:Re “Prozac Nation, Meet Lexapro Sweatshirts” (Style, nytimes.com, Oct. 2):I cringed when I read this article about using the names of antidepressants on shirts. I personally think it trivializes the seriousness of depression. Having suffered from manic depression for 50 years now, I don’t see that as reducing the stigma of mental illness. It reflects privilege if anything.Too many moan about being depressed or anxious, but some of us are battling a chronic illness. And we see no point in publicizing our conditions. We are too busy taking care of ourselves.Nancy C. Langwiser-KearWellesley, Mass. More

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      John Fetterman, Hoodie and All, Is Adjusting to Life in the Senate

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      In an interview with The New York Times, the Pennsylvania senator spoke about the dysfunction in Congress, his health challenges and why he hasn’t traded his loungewear for a business suit.It has been an unusual first six months in Congress for Senator John Fetterman, the 6-foot-8, tattooed Democrat from Pennsylvania, who moved to Washington in January after suffering a near-fatal stroke on the campaign trail last year and going on to win one of the most competitive seats in the midterm elections.Mr. Fetterman arrived on Capitol Hill, signature hoodie and all, as a figure of fascination. For months, though, he kept colleagues and reporters at an arm’s length as he labored to cope with auditory processing issues that are a side effect of his stroke and a debilitating bout of depression that he now says prompted him to consider harming himself.He was treated for clinical depression at Walter Reed National Military Medical Center earlier this year, and his six-week stay there placed him at the center of a national conversation about mental health, a role he wasn’t always certain he wanted to fill.But in recent weeks, Mr. Fetterman has been adjusting to a more normal life for a lawmaker. Using a tablet that transcribes voice to text, he has started taking questions from reporters in the hallways, a staple of a senator’s life in Washington, and has begun inviting reporters into his office for informal off-the-record chats. He won approval last week of his first legislative proposal, an amendment to the annual military policy bill, which he wrote with Senator Ted Cruz, Republican of Texas, to ban the sale of strategic petroleum reserves to foreign adversaries.Mr. Fetterman questioned the chairman of the Federal Reserve during a hearing last month.T.J. Kirkpatrick for The New York TimesThis week, he sat down for an interview with The New York Times in which he spoke candidly (and sometimes profanely) about an array of topics, including his view that Congress is fixated on pointless fights, stumbling at times over his words — and noting that his political opponents were likely to attack him for it. He also spoke emotionally about the toll his new job has taken on his family.The interview has been lightly edited and condensed for clarity.You’ve now been in Congress for just over six months. What is your overall impression of how the place functions?There’s a fixation on a lot of dumb shit. Bad performance art is really what it gets down to. The debt ceiling — there should have been no drama with any of that. The fact that we’re playing with something like that is antithetical to the stability of our democracy. It really is. Everything is turning into a culture war. Not everything has to be a think piece, you know.Does all of that political posturing make you cynical about Washington?Everyone here is cynical, of course. But we can fight for things that are meaningful. That we should have no hungry. Hanger. Hangry. Hanger. Hangry.[Chuckles.]Fox News will go crazy if that makes your story.We’re fighting for women’s reproductive freedom, making sure we have resources and support our unions. I’m going to fight for what’s really important.You’ve introduced legislation to expand access to contraception, with more than a dozen Democratic co-sponsors. Is there any Republican support for that in the Senate?It’s going to be very hard. Somebody needs to tell Republicans, like in a memo, “You won on abortion. You won. Why not have a serious conversation about birth control? That’s less abortions and unwanted children.” I wish we could have an honest conversation with conservatives and Republicans that birth control is the answer for both sides. But there wouldn’t be 60 votes in the Senate for that. I still really want to keep pushing it. I want to have that conversation.Mr. Fetterman with President Biden in Philadelphia last month.Pete Marovich for The New York TimesPennsylvania is going to be critical in the 2024 presidential election. You’ll be seeing a lot of President Biden. Are you at all concerned about his age?I’m not concerned about his age. And even if I was, who cares? There’s nothing you can do about his age. I’ve spent enough time around him. He’s sharp, he’s aware, he is absolutely up to the task. I’ll be doing whatever his campaign asks of me. I know Pennsylvania, I’ve won Pennsylvania. I’ll be helping with whatever he asks.Is it difficult to keep talking about your own struggles with mental health, or do you enjoy the responsibility of that new role?It’s a burden, but a privilege, too, to talk about it. It’s also an opportunity to be very bipartisan. Red or blue, if you have depression, get help, please. Don’t ever, ever, ever harm yourself. Do not leave behind a blueprint of that.In my own situation, in my very lowest, I started thinking about that. And I realized that if I do harm myself, I will leave behind for my children a blueprint that, if something happens with you, that’s the answer. I can’t do that to anyone.Even before you checked yourself into Walter Reed for treatment for depression, you were a figure of fascination on Capitol Hill. Other senators would even stop you for selfies. Why is there so much interest in you?I don’t know; it doesn’t make any sense to me at all. I don’t get it. I’ll never understand it. I don’t know why my wife married me. In the movie “Groundhog Day,” Bill Murray’s character says something like, “You think I’m arrogant? No, I don’t even like me.” That’s me. I don’t even like me. That’s the truth.You’re living alone in Washington, separated for most of the week from your three kids and your wife, who still live in Braddock, Pa.It’s awful. In the last week or two, I came across a quote by Kevin Costner talking about his divorce. He said it hits you that you’re going to be spending 50 percent less time with the people you love the most.You realize when you become a senator, you’re going to be spending 50 percent less time with the people that you love. That breaks my heart. I get emotional thinking about it. FaceTime is much better than just a phone call, but that’s the worst part of the job.Mr. Fetterman entered the House chamber before President Biden’s State of the Union address in February.Haiyun Jiang/The New York TimesSix years is a long term. Would you consider moving your family to Washington for a sustainable work-life balance?No, that would be disrupting their lives. I can’t do that to them. It hurts. For example, my wife texted me about an hour ago that our three kids got great checkups. It’s parenting by text. I miss them a lot.Do you think David McCormick, the businessman who lost the Republican nomination to Dr. Oz in your Senate race, will run against Senator Bob Casey of Pennsylvania next year?If he was serious, he would have gotten in last January. And now it’s just really late. And there’s no anger focusing on Bob Casey. I’m supremely confident that Bob Casey is going to win. He is a buzz saw for some Republican who thinks they can hotdog it. He just keeps getting re-elected.Do you think the multiple indictments of former President Donald J. Trump will hurt him politically in your state?It doesn’t matter. I’m a senator, and I’m not sure how many times he’s been indicted. He’s been impeached twice. Has that changed anything? You’re still seeing Trump signs everywhere in Pennsylvania. You have to respect his strength in all of that. Trump would be very competitive in Pennsylvania. But Trump has to perform above his ceiling. I think there’s a hard ceiling in Pennsylvania he can’t get past.Ever think about dropping the sweatshirt-and-shorts uniform and just wearing a suit in Congress?You want to talk about joy? It was a eureka moment when I figured out I don’t have to be in a suit to stand at the threshold of the Senate chamber, going “yea” or “nay,” and it was amazing. I’ve been able to reduce my suit time by about 75 percent.Mr. Fetterman speaking to a reporter last month at the Capitol.Haiyun Jiang for The New York Times More

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      Shining a Light on Postpartum Depression

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      More from our inbox:How Climate Change Feeds ‘Eco-Anxiety’Domestic ViolenceTrump’s Strategy: StallMaking a Minyan to Mourn Together Travis Dove for The New York TimesTo the Editor:Re “A Look at Life in the Throes of Postpartum Depression” (news article, July 6):Thank you for bringing attention to postpartum depression. Unfortunately, it is estimated that up to half of women with it never get screened and identified. And fewer get effective and adequate treatment.Because so many of its symptoms, such as lack of energy and trouble concentrating, overlap with what normally occurs after delivery, it may not be suspected.But when these symptoms coexist with a predominantly depressed mood that is present all day, when there is a loss of interest and a lack of pleasure, and when the symptoms last for at least two weeks, that is not a normal consequence of childbirth. And it needs to be evaluated and treated.Without treatment, depression can last for months or years. In addition to the personal suffering, the depression can interfere with the mother’s ability to connect and interact with her baby, which can negatively affect the child’s development.Deciding between the two types of treatment mentioned in your article, psychotherapy and medication, need not always be an either/or choice. As with many other forms of depression, a combination of the two may be most effective.Monica N. StarkmanAnn Arbor, Mich.The writer is an active emerita professor of psychiatry at the University of Michigan.To the Editor:As the mom of a 6-week-old (she is asleep in my arms as I write this), I appreciate the increased coverage of postpartum depression and anxiety that I’ve noticed lately in this newspaper and other sources.Since giving birth, I’ve been screened for those conditions more times than I can count — in the hospital, at my OB-GYN’s office and at my daughter’s pediatrician visits.However, in my household, there are two moms: me (the birthing parent) and my wife. Though she may not be experiencing the same shifting hormones or bodily changes and demands as I am, my wife is certainly undergoing the radical life transformations associated with new parenthood.Despite that, she has never been screened for postpartum depression or anxiety, though she currently suffers from the latter to the point that she can hardly sleep.We should be screening all parents — birthing and non-birthing, regardless of gender or biological affiliation with the child — for postpartum depression and anxiety. And we should be including discussion about those individuals in publications such as this one to increase awareness.Andrea B. ScottAustin, TexasHow Climate Change Feeds ‘Eco-Anxiety’A search and rescue worker in Cambridge, Vt. Officials said access to some communities remained almost completely cut off.Hilary Swift for The New York TimesTo the Editor:Re “Urgent Call in Vermont for Better Preparedness” (news article, July 13):Vermont’s catastrophic flooding, and the flooding, fires, tornadoes and severe heat currently engulfing much of the nation, are obvious byproducts of climate change. Our growing fears over these destructive events are less obvious, since they are often left out of the conversation over climate change, even with the devastation left in our communities and the loss of lives that almost always follows these tragic events.An unanticipated consequence of deadly climate change is “eco-anxiety,” the chronic fear of environmental collapse and community destruction. As therapists, we see more and more patients struggling with overwhelming feelings ranging from terror, disgust and rage to grief, sadness and despair.A study of eco-anxiety published in The Lancet showed that 46 percent of young adults in the U.S., and 56 percent globally, believe we are all doomed by climate change, especially with young people experiencing greater anxiety over their futures.Fighting climate change requires science and action. It also requires integrating climate-aware therapy into the equation. We must provide mental resilience for our minds so that we can sustain the fight to repair climate change.Barbara EasterlinLeslie DavenportSan FranciscoThe writers lead the California Institute of Integral Studies’ climate psychology certificate program.Domestic Violence Illustration by Shoshana Schultz/The New York Times; photographs by Michael Ochs Archives and Adam Gault/Getty ImagesTo the Editor:Re “Another Threat to Domestic Abuse Survivors,” by Kathy Hochul (Opinion guest essay, July 12):Firearms and domestic violence are a deadly mix. Every day on average three women are killed by a current or former partner. When a male abuser has access to a gun, the risk he will kill a female partner increases by 1,000 percent. Abusers also use guns to wound, threaten, intimidate and terrorize victims.Governor Hochul is right to be concerned for the safety of domestic violence survivors. The Fifth Circuit Court of Appeals ruling in United States v. Rahimi was dangerous and callously put millions of survivors and their children at risk. It also recklessly disposed of a law effective in reducing intimate partner homicides.Dangerous abusers and others intent on harm should not have access to firearms. The National Network to End Domestic Violence urges the U.S. Supreme Court to put survivor safety front and center and overturn the Fifth Circuit’s misguided decision. Lives are at stake.Melina MilazzoWashingtonThe writer is deputy director of public policy, National Network to End Domestic Violence.Trump’s Strategy: Stall Jordan Gale for The New York TimesTo the Editor:Re “Trump Bid to Delay Florida Trial Poses Key Early Test for Judge” (front page, July 12):Donald Trump’s legal strategy is now clear: Delay, delay, delay until after the 2024 presidential election and do everything possible, legal or otherwise, to win that election, so that he will be able to either pardon himself or install a puppet attorney general who will dismiss all charges.It may not be constitutional for him to pardon himself, but that would ultimately likely be decided by the Supreme Court, with its six-member right-wing supermajority, half of which was appointed by him.It follows that for there to be any hope of justice being done, Mr. Trump can’t be allowed to use his presidential candidacy as an excuse to stall prosecution and can’t be allowed to regain the White House and use the power of the presidency to escape justice.Eric B. LippsStaten IslandMaking a Minyan to Mourn Together Illustration by Shoshana Schultz/The New York Times; photograph by Jeff Swensen/GettyTo the Editor:Re “By Killing 11 Jews, He Killed Something Else, Too,” by Mark Oppenheimer (Opinion guest essay, July 1):Mr. Oppenheimer writes that the massacre of 11 Jews at the Tree of Life synagogue in Pittsburgh (the city where I was born and raised) not only tragically took the lives of these individuals but also has made it difficult for the synagogue to make a minyan, the quorum of 10 Jews required to recite the Mourner’s Kaddish, among other prayers.The reality is that making a minyan has been a problem for synagogues in this country long before the most recent wave of antisemitic events. As the ritual vice president for a Conservative synagogue in a heavily Jewish suburb of Chicago, I see this problem firsthand.We constantly struggle to get a full minyan at our weeknight services, potentially depriving those in mourning or observing a yahrzeit (anniversary of a death) the opportunity to recite Kaddish.The requirement of a minyan reinforces a central value of Judaism: that we do not mourn alone, but as part of a supportive community. It’s incumbent on synagogues to convey this message to their congregations and preserve this age-old tradition.Josh CharlsonDeerfield, Ill. More

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      The Mental Health Toll of Trump-Era Politics

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      In the last few years the hideous state of our politics has often kept me up at night, but until recently I thought I was an outlier. Even when I’ve written about political despair as a problem for Democrats, I assumed it was something that applied to activists and base voters, the sort of people who go through their days silently cursing Joe Manchin. But a striking new study from Kevin B. Smith, chair of the political science department at the University of Nebraska, Lincoln, suggests the universe of people who find our politics a torment might be much larger than I’d realized.“Politics is a pervasive and largely unavoidable source of chronic stress that exacted significant health costs for large numbers of American adults between 2017 and 2020,” writes Smith in “Politics Is Making Us Sick: The Negative Impact of Political Engagement on Public Health During the Trump Administration.” “The 2020 election did little to alleviate those effects and quite likely exacerbated them.”Around 40 percent of Americans, he found, “consistently identify politics as a significant source of stress in their lives.” Shockingly, about 5 percent have considered suicide in response to political developments. Smith told me he was skeptical of that figure when he first calculated it, and still isn’t wholly sure it isn’t a statistical fluke, but it’s remained fairly consistent in three surveys. (After publishing results from the first survey a few years ago, he said, he got a call from someone who worked at a suicide hotline who reported experiencing an uptick in calls after the 2016 election.)I’m fascinated by Smith’s work for a couple of reasons. The first is partisan. People from both parties reported that political stress during the Trump years has damaged their health, but Democrats have, unsurprisingly, had it worse. While Donald Trump was in office, they were able to turn their rage and fear into fuel, but I’m not sure how sustainable this is. The more politics becomes a pageant of infuriating Democratic impotence in the face of relentless right-wing spite, the more I fear people will disengage as a means of self-protection.But I’m also interested in the role politics plays in the disastrous state of American mental health, which is one of the overarching stories in the country right now. For all our division, there’s a pretty broad consensus that the country is, psychologically, in an awful place. According to a recent USA Today/Suffolk University poll, almost nine in 10 registered voters believe there’s a mental health crisis in the United States. The crisis expresses itself in all sorts of ways: in rising rates of youth suicide, record overdoses, random acts of street violence, monthslong waiting lists for children’s therapists, mask meltdowns, QAnon.I’ve long thought that widespread psychological distress — wildly intensified by the pandemic — contributes to the derangement of American politics. But maybe the causality works the other way, too, and the ugliness of American politics is taking a toll on the psyche of the citizenry.Smith first surveyed a sample of around 800 people about politics and mental health in March 2017. As he wrote in a 2019 paper, he found fairly high levels of affliction: Besides the 40 percent who said they were stressed out about politics, a fifth or more reported “losing sleep, being fatigued, or suffering depression because of politics.” As many as a quarter of respondents reported self-destructive or compulsive behaviors, including “saying and writing things they later regret,” “making bad decisions” and “ignoring other priorities.”At the time, he thought he might just be capturing the shock of Trump’s election. But his next two surveys, in October and November of 2020, showed similar or greater levels of misery. Now, those were also moments of febrile political activity; perhaps if Smith had surveyed people in 2018 or 2019, he’d have found less political angst. Nevertheless, his findings suggest that there are tens of millions of Americans who’ve felt themselves ground down by our political environment.In some ways, this is surprising. Most people aren’t political junkies. The majority of American adults aren’t on Twitter, which tends to drive political news microcycles. Even in an election year, more people watched the 30th season of “Dancing With the Stars” than the most successful prime-time shows on Fox News, the country’s most-watched cable news network. As the political scientists Yanna Krupnikov and John Barry Ryan wrote in The New York Times, most Americans — “upward of 80 percent to 85 percent — follow politics casually or not at all.”Smith doesn’t dispute this. But he speculates that even those who aren’t intensely interested in politics are still affected by the ambient climate of hatred, chaos and dysfunction. “What I think is going on is that politics is unavoidable,” he said. “It is essentially a permanent part of the background noise of our lives.”Of course, the last thing a political scientist — or, for that matter, a liberal columnist — would tell you is that you should totally tune that noise out. It is depressing to live in a dying empire whose sclerotic political institutions have largely ceased to function; this is a collective problem without individual solutions. There’s an awful dilemma here. Any way out of the gloom of our current political situation will almost certainly involve even more politics.If you are having thoughts of suicide, call the National Suicide Prevention Lifeline at 1-800-273-8255 (TALK). A list of additional resources is available at SpeakingOfSuicide.com/resources.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More