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why do men suffer depression in silence?

When Kevin Braddock hit rockbottom, he had every intention of killing himself. He recounts what happened next and reveals why so few men ask for help

It was a Monday when Robin Williams killed himself three years ago Monday 11 August 2014. His death was shocking even if in hindsight it shouldnt have been a surprise that the worlds funniest man might also be the most sorrowful, too a person despairing to the point of ending it all.

Its a date I remember well, because Id spent the previous day trying to do the same thing. I was in the psychiatric ward of the Berlin hospital which Id been manhandled into by friends the day before, and I was waiting to see the doctor whod asked me to promise that I wouldnt kill myself.

In her consultation room Id thought about it for a while; Id already told her all I could about what led me to try to die. Id described the methods looping ceaselessly through my mind as I was slumped on the pavement near Berlins TV Tower: the gun, the noose, the blade, the pills, the bottle. The gun, the noose the mantra that would not stop. Since the only thing to hand was the nearby sptkauf (off-licence), Id resolved to drink my way to unreality.

Id told the doctor my history of depression, anxiety, panic attacks, drink, drugs, meds, love and fear, my crises of faith and existential dread, and all the other things that seem to go with being human in the 21st century. I had few words left in me, but mumbling through endless tears with my hands in my lap, Id mouthed the words to her: I promise.

I hadnt gone through with the act, but God knows Id wanted to wanted to end it all and wanted it all to end. I was outpatiented for a while, and friends and loved ones looked after for me. Three years later, they still do.

How had things got so bad? In 2009, fed up with London, I bought a one-way ticket to Tegel with vague plans to hang out for a couple of months and run the Berlin marathon. Two months turned into six, then a year and eventually half a decade in that beautifully confused city. In the teeth of this current crisis, Id been struggling to hold things and myself together at the magazine where I was working. Id begun, falteringly, to deal with the dependencies that had got a grip on me (Id long been a heavy, problematic drinker, and Berlin is an easy city in which to hedonise, although by the standards of Berghain regulars, I was a total lightweight).

Meanwhile, depression and anxiety, old adversaries which Id suffered incapacitating episodes with at 21 and 30, had begun ranging back on to my neurological horizons. Id also caught glandular fever, fallen in love, and turned 42 which, as readers of Douglas Adams know, is the meaning of life. I was perpetually stressed, exhausted and despairing at work and it didnt take much for the cascade to begin: yet another work problem, a row, some piece of bad news.

Looking back, Im surprised at how fast I unravelled, how the energyless fog of depression condensed into an electric psychosis, how despair became madness. One day, one of my editors had asked if I was all right. I said: No, Im not, and started listing conflicts and confusions. (I was also surprised that she asked: I mean, its generally not the way that bosses look out for their employees.) A few days later I was in hospital.

Madness comes at you fast, to paraphrase the social media clich.

None of this is to equate my life or story with Robin Williamss in any way, apart from to say that I made it through what the doctor wrote down as a schwere (major) depressive episode, whereas Williams didnt, and Im thankful that one of us is around to talk about this stuff. Above all, Im grateful I found the courage to ask for help.

Facebook gets a lot of stick these days, but in one sense it kept me alive, because Facebook was where I asked for help in a status update that Sunday afternoon which read: Im at the bottom now, can a German speaker come to St Hedwigs with me, I need help, along with my phone number.

I dont know how long Id been there, or how many bottles of Augustiner beer to the worse I was. But I do remember an alternative thought forming from the cognitive murk: I could ask for help. Sure, everyone would see what a pitiful, drunken, helpless, tearful state I was the opposite of what Id prefer to project, yet also the truth. But the thought came: theres another way. I couldnt speak, I seemed to have been silenced, but there was my phone I could test the limits of this thing which helps people (and I quote) connect with friends, family and other people you know.

Keep talking: Tom Chapmans Lions Barber Collective is turning a network of barber shops into safe spaces for men to open up in.

After a few minutes the phone went red hot, bleeping, flashing and ringing. I was hardly in a suitable frame of mind to process these messages, but looking at them a few days later, they said things like: Youll get through this; Stay positive; You are loved; and simply Love you. Some friends offered places in which to recuperate, others offered to come over. Not only was I ashamed at the alarm Id caused, I was also shocked at the volume of support that came through. There turned out to be more in the world than blank nothingness after all.

Help came, and rapidly. Friends took me to the hospital, and my life began to change.

Whether its an effect of social media or not, recently theres been a wave of men admitting to anxiety, depression or addiction, or of having attempted to kill themselves, or knowing someone whos seen the act through, problems which respect neither class, race, age or status and which, statistically and anecdotally, seem to be on the rise.

When Stormzy or Prince Harry admit that they, too, have feelings, struggles and doubts, these confessions challenge the Strength Myth which men have long laboured under. They also represent a tacit plea for help, a kind of Save me from what Im supposed to be, which usually means autonomous, successful, potent, dominant, along with all the other clichs of whats been termed hegemonic masculinity.

And when another male celebrity Ant McPartlin being the latest checks into rehab, you sense that the work being done by organisations such as the Campaign Against Living Miserably (which aims to raise awareness of mental illness and prevent suicide in men) or Tom Chapmans Lions Barber Collective (which is turning a worldwide network of barber shops into safe spaces for men to open up in) is vital.

People are opening up more instead of hiding; things are getting better, says Chapman from his salon in Torquay. Men are starting to feel comfortable talking to one another about their worries, problems and self-doubts, or going to see a GP or a health professional. Chapman decided to set up the Lions Barber Collective as a charity engaged with mens mental health awareness after a friend killed himself. Theres something about the relationship between a barber and their client where theres complete trust, he says.

The Campaign Against living Miserably cites figures from the Office for National Statistics that suicide currently stands as the biggest single killer of men aged under 45 in the UK. In 2014, there were 6,109 suicides in the UK, of which 76% were male. The ratio of male to female suicide has shown a sustained rise over the past 30 years. In 1981, men accounted for 62% of suicides, with the figure rising to 70% in 1988, 75% in 1995 and 78% in 2013.

All of which is why its heartening that in recent years the conversation on the meaning of masculinity has been growing in volume, running parallel to a wider openness on mental illness and health in society today.

The Royal Foundations Heads Together charity harnesses Princes William and Harry and the Duchess of Cambridge to a mission encouraging people to open up about these problems. At a speech given on World Mental Health Day in October 2016, Prince Harry said: Too often we think mental health problems are things that happen to other people, not us. But we will all experience pressure on our mental health at some point during our lives. The more we accept that, the better we can help each other. Catching it and recognising it early saves lives. Its time we ended the shame around mental health the fear of judgment that stops people talking or getting help.

When Stormzy admits he, too, has struggles, it challenges the Strength Myth which men have long laboured under. Photograph: Shirlaine Forrest/WireImage

A few months after my breakdown I returned to the UK and spent a deep, grey winter with my tirelessly patient parents, in the room where I grew up. News arrived one day of a family friend whod taken an overdose thankfully she survived. And on a train one evening I fell into an initially sheepish conversation with a woman in her 50s, each of us cryptically tiptoeing around what we both guessed was going on in each of us.

Well, Ive been ill, I told her, rather euphemistically.

Me, too, she said. Er mind if I ask what kind of ill?

It took some gentle work to overcome a barrier of shame between us, but once we had, the talk became extraordinarily candid and affirming. Shed been visiting her support group. She recounted details of her own psychotic episodes and an attempt to kill herself, then handed me an A4 pamphlet simply entitled My Story, which was heartbreaking along with being one of the bravest, most honest stories Id ever read. We made friends and resolved to stay in touch.

My own story developed, too. I spent a year living monastically in a friends boxroom in Bristol, discovering that recovery is a process rather than a destination, a project of constant modifications and setbacks with modestly miraculous breakthroughs that convince you that life is worth living. Things that have helped me include: learning, sobriety, therapy, meds, volunteering, tai chi, vitamin B, walking, talking, working and much more.

Something else helped. A few days after being taken to hospital, someone I hadnt seen for a decade read my Facebook message and wrote to say: From now on, Kev, be completely honest and open about this stuff. Confront it all head on. And seeing as youre a writer, write it all down. I was consoled by his concern, but also perplexed as to why he was so adamant about this tactic. It turns out his sister had taken her own life.

Recently I was back in Berlin to share the story I wrote down with the people who picked me up and kept me going. It turned into a book I made with my friend Enver, called Torchlight: a Publication About Asking for Help, which details my experiences of breakdown and recovery.

If that sounds like a rather crass sales pitch at the end of a story of common human dysfunction, Id counter that by saying that while we are overwhelmed by digital technologies these days, theres a striking lack of social technologies to assist people in asking for help, talking about their experiences, or sharing the methods they use to deal with the darkness. Facebook offered me the chance to ask for help, but any recovering Ive been fortunate enough to do has been social in the original sense of the word: person-to-person, with friends, family, therapists, study groups, recovery fellowships, sympathetic employers and colleagues, with people I met randomly on trains or in rooms, always in collaboration with others. Recovery is a social exercise that can be assisted but never replaced by digital technologies.

Something else I know now is that we fall apart, alone and in private, but we heal together, with others, the ones who arent shocked or scared by what they see when the mask of shame is removed.

At torchlightsystem.com you can buy Kevins book Torchlight, watch his short film and purchase Practice Cards which offer hints for daily living when suffering from depression and anxiety. The Samaritans can be contacted on 116 123, and Mind on 0300 123 3393

Read more: https://www.theguardian.com/society/2017/aug/13/why-do-men-suffer-depression-in-silence


Popular social media sites ‘harm young people’s mental health’

Poll of 14- to 24-year-olds shows Instagram, Facebook, Snapchat and Twitter increased feelings of inadequacy and anxiety

Four of the five most popular forms of social media harm young peoples mental health, with Instagram the most damaging, according to research by two health organisations.

Instagram has the most negative impact on young peoples mental wellbeing, a survey of almost 1,500 14- to 24-year-olds found, and the health groups accused it of deepening young peoples feelings of inadequacy and anxiety.

The survey, published on Friday, concluded that Snapchat, Facebook and Twitter are also harmful. Among the five only YouTube was judged to have a positive impact.

The four platforms have a negative effect because they can exacerbate childrens and young peoples body image worries, and worsen bullying, sleep problems and feelings of anxiety, depression and loneliness, the participants said.

The findings follow growing concern among politicians, health bodies, doctors, charities and parents about young people suffering harm as a result of sexting, cyberbullying and social media reinforcing feelings of self-loathing and even the risk of them committing suicide.

Its interesting to see Instagram and Snapchat ranking as the worst for mental health and wellbeing. Both platforms are very image-focused and it appears that they may be driving feelings of inadequacy and anxiety in young people, said Shirley Cramer, chief executive of the Royal Society for Public Health, which undertook the survey with the Young Health Movement.

She demanded tough measures to make social media less of a wild west when it comes to young peoples mental health and wellbeing. Social media firms should bring in a pop-up image to warn young people that they have been using it a lot, while Instagram and similar platforms should alert users when photographs of people have been digitally manipulated, Cramer said.

The 1,479 young people surveyed were asked to rate the impact of the five forms of social media on 14 different criteria of health and wellbeing, including their effect on sleep, anxiety, depression, loneliness, self-identity, bullying, body image and the fear of missing out.

Instagram emerged with the most negative score. It rated badly for seven of the 14 measures, particularly its impact on sleep, body image and fear of missing out and also for bullying and feelings of anxiety, depression and loneliness. However, young people cited its upsides too, including self-expression, self-identity and emotional support.

YouTube scored very badly for its impact on sleep but positively in nine of the 14 categories, notably awareness and understanding of other peoples health experience, self-expression, loneliness, depression and emotional support.

However, the leader of the UKs psychiatrists said the findings were too simplistic and unfairly blamed social media for the complex reasons why the mental health of so many young people is suffering.

Prof Sir Simon Wessely, president of the Royal College of Psychiatrists, said: I am sure that social media plays a role in unhappiness, but it has as many benefits as it does negatives.. We need to teach children how to cope with all aspects of social media good and bad to prepare them for an increasingly digitised world. There is real danger in blaming the medium for the message.

Young Minds, the charity which Theresa May visited last week on a campaign stop, backed the call for Instagram and other platforms to take further steps to protect young users.

Tom Madders, its director of campaigns and communications, said: Prompting young people about heavy usage and signposting to support they may need, on a platform that they identify with, could help many young people.

However, he also urged caution in how content accessed by young people on social media is perceived. Its also important to recognise that simply protecting young people from particular content types can never be the whole solution. We need to support young people so they understand the risks of how they behave online, and are empowered to make sense of and know how to respond to harmful content that slips through filters.

Parents and mental health experts fear that platforms such as Instagram can make young users feel worried and inadequate by facilitating hostile comments about their appearance or reminding them that they have not been invited to, for example, a party many of their peers are attending.

May, who has made childrens mental health one of her priorities, highlighted social medias damaging effects in her shared society speech in January, saying: We know that the use of social media brings additional concerns and challenges. In 2014, just over one in 10 young people said that they had experienced cyberbullying by phone or over the internet.

In February, Jeremy Hunt, the health secretary, warned social media and technology firms that they could face sanctions, including through legislation, unless they did more to tackle sexting, cyberbullying and the trolling of young users.

Read more: https://www.theguardian.com/society/2017/may/19/popular-social-media-sites-harm-young-peoples-mental-health