What Can We Do To Improve Young Adult Mental Health?

My first year writing students are 18-19 years-old. Here’s the prompt for their first paper:

     Irvine argues that people often lack a “grand goal of living” and a coherent philosophy of life because our culture doesn’t encourage thinking about specific reasons for living; instead it provides them with an endless stream of distractions. He contends you’ll most likely squander your life without a guiding philosophy. He adds that even if you have a “grand goal in living” and can explain its importance, it’s unlikely you will attain those things in life you take to be of greatest value if you lack an effective strategy that specifies what you must do as you go about your daily activities. Explain why you agree or disagree with Irvine’s assertions. Also, explain a few things you want out of life and why.

Irvine proposes an updated version of Stoicism as a guiding philosophy. Most of my writers find meaning in some stoic concepts, like the trichotomy of control, but generally aren’t down with Irvine’s thesis that they need a “grand goal of living”. Most argue they’re too young to have formulated very specific life goals, let alone one “grand” one. Often, they thoughtfully point out that a highly detailed roadmap doesn’t make sense given life’s unpredictability.

When it comes to what they want out of life, an increasing number want improved mental health. It’s difficult to overstate the extent of young adults’ anxiety today. When I listen to them describe their anxiety and depression in class and read about it in their papers I have two reactions. Overwhelming empathy and curiosity as to what the hell is going on.

The third episode of the Happiness Lab podcast with Laurie Santos, “The Silver Lining”, might provide a clue. It’s about our tendency to compare ourselves to others who we perceive to be the most well liked, the most social, the most wealthy, the most together, the seemingly most happy. The episode’s title comes from research into Olympic athletes that suggests bronze medal winners are much happier with their medals than silver medal winners because silver medal winners are focused on not having won gold while bronze medal winners are focused on everyone that didn’t medal at all. This concept, “point of reference”, partially explains why happiness can be so illusive.

A Cornell psychologist in the episode contends social media compounds this problem because everyone carefully curates their online image to appear artificially happy. Among other remedies, Stoics advocate for internal goals to counter our self-sabotaging “point of reference” tendencies.

The gravity of the situation has me convinced that there’s no one explanation to “what’s going on”. Another factor could be the pressure my (admittedly selective) students feel to have their adult lives figured out just as they’re beginning them—whether to go to college, how selective a one, how to pay for it, what to study, what internships and other resume building activities to pursue, whether to go to graduate school, which career path, which grand goal for shits sake.

Parents, intensely worried about the vagaries of the economy, and desperate for a return on their considerable college investment, think that if their young adult children just pick the right thing to study—nursing, engineering, and other pre-professional fields—and develop a detailed plan, their college graduate sons and daughters won’t end up living in their basements.

This was what I was thinking about when struck by a related idea during a recent run. This time of the year, in North Olympia, Washington, it’s pitch black when running before work. Most of the streets are not lit, sometimes there’s fog. My uber-headlamp provides about 20-25 yards of visibility.

North Oly roads roll with a constantly changing mix of gentle ups and downs. Picture ocean swells, the Palouse in Eastern Washington, or the Norwegian countryside. Normally, I realized during the run, seeing roads ahead tilt upwards plays with my mind. At least a little. “Here it comes,” I think, “this is gonna take a little more effort.” And then, “Okay, almost topping out, hang in.”

But on this pitch black, foggy, autumn run, there was no such internal dialogue because I COULDN’T SEE AHEAD. The only way I knew I was starting a climb was my breathing became more labored. “Oh, okay, climbing now.” Because I couldn’t see the road tilting upwards ahead of time, my mind was free of that small, subtle nagging dread of having to work harder. As someone whose prone to look too far down the road of life, I was digging running in the moment. Don’t tell me what’s ahead, let me just be present.

Freed of anticipatory dread, my mind turned to my students. They lament how their teachers, beginning in middle school, ask about their life plans. And how it continues through high school. And how their parents too often pressure them to have a plan.

Some of them end up crafting faux-plans just to stop the insanity. As a placeholder of sorts. Some, like a previous writing student, declare nursing upon entering college only to realize in the middle of our first semester seminar that they didn’t really like science.

Maybe we should give our high school graduates headlamps and encourage them to focus at most on the year ahead especially since life is fragile and no one is guaranteed a long life.

What if our message was this.

In the next year, while working, traveling, or going to college; focus on improving your health; nourishing your spirit; investing in new friendships; finding one way to make others’ lives better. Don’t worry unnecessarily about the mountains and valleys that lie ahead in the distant future. You’ll be okay. And if not, let me know how I can help.

Young adults’ mental health might improve.

 

 

 

 

Weekend Assorted Links

1. The Quick Therapy That Actually Works. Referred to as “microtherapy”.

“Effective solutions are crucial because Americans—stressed out, lonely, and ghosted by Tinder dates—are in desperate need of someone to talk to. The data suggest that most of the Americans who have a mental illness aren’t receiving treatment. About 30 percent of psychotherapists don’t take insurance. Quick interventions offer ‘something, when the alternative is nothing.'”

Research findings are hopeful, but skepticism is understandable.

“Lynn Bufka, a psychologist with the American Psychological Association, says that these types of brief interventions could be just a first step toward the treatment of various mental-health woes. They might be enough for some people, while others go on to get more intensive therapy. But. . . for more severe issues, such as bipolar disorder and major depression, a quick dose of therapy is unlikely to be enough. ‘These kinds of interventions are probably more likely to be beneficial before full-blown symptoms or disorders have developed.'”

2. An Echo Dot in Every Dorm Room.

“If students can’t or don’t want to spend money on their own smart speaker, Saint Louis University’s Echo Dots offer a way to bring voice assistants into the dorm without any added cost to the student, since the project went through the capital funding process and wasn’t funded by tuition increases.”

I’m calling bullshit on this. There is an opportunity cost. Money that is being directed to Echo Dots is money not being spent on something else like physical plant maintenance and that money for physical plant maintenance will come from students. I’m also very wary of the wholesale adoption of any technology. Maybe my thinking will change, but right now, if I were an SLU student, I would not want an Echo Dot.

3. The worrying future of Greece’s most Instagrammable island.

A Greek-American who has lived in Santorini for 12 years laments:

“‘People treat churches like selfie studios. There’s one in front of my house and people used to ring the bell every three minutes or climb up on the roof for their fake wedding shoots. I’d get woken up at 6am by people traipsing across my terrace.” His frustration at the crowds has led him to start hanging ‘respect’ signs around Oia that state ‘it’s your holiday… but it’s our home’.”

As if that’s not enough.

“The constant building and flood of tourists create tons of rubbish, which is all dumped illegally. Santorini still has no proper waste-management facilities, so all the empty water bottles, coffee cups and restaurant leftovers go into a huge dump which doesn’t meet EUregulations. Leakage is free to infect the surrounding earth, water and air.”

Alexa, find me someplace free of deranged photographers.

4. The Mistrust of Opposite-Sex Friendships.

The headline is misleading since the focus is on opposite-sex best friends.

This makes sense to me:

“Alexandra Solomon, an assistant psychology professor at Northwestern University and the instructor of the university’s Marriage 101 course. . . wonders whether the correlation between negative attitudes toward opposite-sex friendships and negative or violent expressions of jealousy could be due to participants’ personal beliefs about gender roles.

It speaks to a bit of a rigid, dichotomous way of thinking—I suspect there’s a layer in there about how much [the subjects] endorse traditional gender roles. . . . A woman with more traditional ideas about gender might feel threatened by her boyfriend’s female best friend because. . . ‘she may have this idea that I ought to be your one and only, and I ought to be able to meet all your needsIf you love me, then you’ll only turn to me.‘ A man with similarly rigid or traditional ideas about gender roles, she added, might feel territorial or possessive, as though his female partner belongs to him and only him.”

The more important, relevant question is about the potential for opposite-sex friendship more generally. I’ve long been intrigued by the tendency of friends to congregate in same sex circles at social gatherings. Even opposite-sex friendships of multiple decades seem relatively superficial. Opposite-sex friends seem to bump up against an invisible wall as if friendship is a zero-sum game. It’s that wall that intrigues me the most. More specifically, why the wall?

5. Waze Hijacked L.A. in the Name of Convenience. Can Anyone Put the Genie Back in the Bottle?

This was a hard read. Seemingly, my favorite app has no regard for the common good.

6. Elizabeth Warren Is Attracting More Supporters and More Media Attention.

An easy read. :)

Weekend Assorted Links

1. Tour du Rwanda? Click on the “continue reading” link to be transported to Central Africa.

2. My mom, who died four years ago today, liked to say, “Variety is the spice of life.” Apparently, not everyone agrees. Related, dad was a serious PB&J guy.

3. As Students Struggle With Stress and Depression, Colleges Act as Counselors. One reason tuition continues to rise much faster than inflation.

4. Is this the answer to my terrible, no good, awful commute?

5. I know some Specific Northwest Pressing Pausers who make regular trips to the Swamp. Instead of exacerbating climate change, maybe they should consider this.

6. Why some parents pay bribes to get their kids into more selective colleges.

Weekend Assorted Links

1. Exercise May Help to Fend Off Depression. I would state it more definitively.

2. The Economic Gains of a Liberal Arts Education.

3. Two hundred years of health and medical care.

4. John Gruber’s 2018 Apple Report Card.

5. How Muggsy Bogues saved his brother’s life, and found the meaning of his own. Dig the pictures.

One Surefire Way to Improve Mental Health

Jean M. Twenge, a San Diego State University psychology professor, argues that smart phones are contributing to Millennial’s worsening mental health. The data is concerning.

Here’s her Atlantic essay (hyperbolically) titled “Have Smartphones Ruined a Generation” and here’s an interview with her from yesterday’s PBS NewsHour.

In summary, the less tethered young people are to their phones, the better their mental health.

Haim is Contributing to the Greater Good

I lent my iPod to Alison once.

She ended up sharing its contents with my sissy who got a big kick out of my fondness for female artists of a folky/pop/R&B persuasion. I’m secure enough in my maleness to say I dig me some Karen Carpenter, Jill Scott, Abigail Washburn, Emmylou Harris, Stevie Nicks, Tracy Chapman, Sade. I pity the faux-macho who are too insecure to embrace the beauty of female voices.

Which brings us to Haim, who I just learned about as a result of this lengthy review of their second album, Something to Tell You. Learning of my discovery on her visit home last week, Alison has been helping me catch up. Their voices are excellent, but I’m even more enamored by their stage presence.

Carl Wilson, Slate’s music reviewer, follows the music scene much, much more closely than me. As a result, I had to read Wilson’s review a couple of times to make sense of it. From the odd opening reference to Haim as “the smart set’s favorite white pop band”, I alternately really liked and disliked his analysis.

I liked his description of their newest vid.

“This emphasis on musicianship rebukes the stubborn stereotype of the “girl band” as an artificially assembled group of sexy singers. Haim (pronounced “Hi-um”)* doesn’t have to dress up and do choreographed dance routines. The sisters are not ornaments—they’re the music makers. (Of course, it’s the music business, so they’re still conventionally attractive. Though that also reinforces that they’re making a choice.) So, in the video, they move only when they feel the music, sing only when it seems expressive. Got it.”

I disliked his thesis.

“Every pop moment is embedded in history, and history is embedded in every pop moment. Thinking through Something to Tell You, I’m puzzled by how Haim has gotten better but seems worse than in 2013–14. The reason has to be that in the late Obama era, when pop-chart populism still seemed democratizing and progress was on the upswing, Haim’s sisterhood variation on the theme felt liberating. That populism now feels double-edged, so the songs don’t quite stick. At the tail of the “Want You Back” video, the dance routine falls apart, and the trio wanders off laughing as the camera pulls away. The cathartic feeling dwindles back to mere charm, a shrugging amiability. It works as a reclamation of the band’s autonomy from pop imperatives, but it’s also like what happened here didn’t matter. It’s just another perfect day in carefree, privileged L.A.”

Mere charm, a shrugging amiability, what happened here didn’t matter, it’s just another perfect day in carefree, privileged L.A. That last phrase strikes me as especially odd. What makes L.A. carefree and privileged, the fact that they closed Van Nuys Boulevard for the shoot? And why is Haim responsible for, or even complicit in, L.A.’s supposed carefree, privilege?

Maybe Wilson is too deep for me, but the way I interpret his “mere charm, a shrugging amiability, what happened here didn’t matter” sentence is that art must be political today. Meaning Haim has to take some sort of a stand on pressing issues of the day. I beg to differ because I interact regularly with a lot of young women who are extremely self conscious, sometimes to the point of being intensely anxious and/or clinically depressed.

When I watch the “Want You Back” vid and this one,

the Haim sisters come across as joyfully unencumbered. Carefree is absolutely right. Given some young women’s mental health challenges today, that is gift enough.

Every one of us struggles, to varying degrees, with being self-conscious. The less self conscious among us inspire us to be more authentic, to make art, to dress, to write, to live, however we feel.

I’ll take more unencumbered joy with my art than policy pronouncements any day.

* I LOVE hate it when I am right and Alison is wrong. DIG the hypen Al, two syllables!** Let your friends down easily.

** Exclamation point = Millennial flourish.

What Distinguishes Our Species

This NY Times opinion piece is going to be very widely read and much discussed. Of the many interesting points:

While most people tend to be optimistic, those suffering from depression and anxiety have a bleak view of the future — and that in fact seems to be the chief cause of their problems, not their past traumas nor their view of the present. While traumas do have a lasting impact, most people actually emerge stronger afterward. Others continue struggling because they over-predict failure and rejection. Studies have shown depressed people are distinguished from the norm by their tendency to imagine fewer positive scenarios while overestimating future risks.

 

On Robin Williams and the End of Life

In reading people’s reflections on Robin Williams, I’m amazed at how many people met him in “real life”. Nearly everyone has a story. Case in point. In the summer of 1997, our family was walking across the UNC Chapel Hill campus when I saw a crowd gathering. It was Williams on a break from filming Patch Adams. It didn’t matter that there were only twenty of us, he was “on”. My infant daughters were unimpressed until I told them he was Aladdin. In a few years, Mrs. Doubtfire would loop in our house for months on end.

I propose we make t-shirts for the minority of people ripping Williams for being selfish. The shirts could say, “I’m clueless about mental illness in general and severe depression in particular.” Or “I struggle to listen and learn.” Or “I lack understanding and empathy.” That way we could side step them altogether. When you don’t understand something like suicide, it’s okay to admit it. In fact, it’s admirable. We’d all be better off if we demonstrated more curiosity and humility.

I’m far from a mental health expert, but I’m indebted to some of my first year college writing students for teaching me about depression. Other people, like Molly Pohlig, continue to teach me about it. I’ve learned, as sad as it is, some people get so depressed they think they’re doing their family and friends a favor by ending their life.

Journalists writing about Williams often reference recent suicide statistics which I find staggering. Especially for my peers, white men, 50-54, who have the highest rate of suicide. We have to get better at identifying and helping the most susceptible among us.

A positive thought. In part, Williams will live on through his incessant television and film work. That’s a cool aspect of being a successful artist. An easily accessible legacy. Today, in the U.S., I’m struck by how we ignore the elderly and quickly forget the deceased.

In thinking about Williams’s legacy, I’ve thought some about my own. Initially I thought, if anyone wanted to remember me, all they’d have is lots of academic publications including a lengthy doctoral dissertation. And no one loves me enough to revisit those! In all likelihood, not even the occasional newspaper or magazine essay, or this blog’s archive, will live on.

If I’m lucky, I suppose, some aspects of my kind and caring Mrs. Doubtfire loving daughters will remind people of me on occasion. Somewhere in Florida or Indiana my sister is saying to herself, “It’s not all about you.” Since she’s right, more than likely then, like most people, I’ll be forgotten in relatively short order.

Recommended.

Maybe Our Most Perfect Drug

Lots of people are seeing therapists and taking meds to combat anxiety disorders and depression. Stacy Horn suggests a much less expensive alternative, join a choir. She explains:

. . . as science works to explain what every singer already knows, no matter where you fall on the voice suckage scale—sing. I know of no other activity that gives so much and is this eminently affordable and accessible: Just show up for choir practice. Singing might be our most perfect drug; the ultimate mood regulator, lowering rates of anxiety, depression and loneliness, while at the same time amplifying happiness and joy, with no discernible, unpleasant side effects. The nerds and the church people had it right.

In high school, following the lead of some close friends, I sang in a large Lutheran youth choir. We toured for two weeks each summer, wowing Lutheran congregations all over the fruited plains. One summer at Indiana University in Bloomington, we even won a large national competition. But, as any Lord’s Joyful alum will tell you, no thanks to me. When you look up “voice suckage” in the urban dictionary, you see my larynx. Little known fact. Kool Herc, Kurtis Blow, and The Sugarhill Gang started rapping in the late 70s so that I’d have an alternative to singing.

Horn earns my enduring affection with this confession:

One of my main goals in our weekly rehearsals is not being heard. Over the years I’ve become a master in the art of voice camouflage, perfecting a cunning combination of seat choice, head tilt, and volume.

As they liked to say on The Wire, I feel you!

My alternative drugs of choice, by which I mean social activities that help me maintain some semblance of mental health, are swimming, cycling, and running with friends.

The GalPal and I recently enjoyed catching up with old friends from the state that just decided to stop paying teachers extra for Masters degrees. One whom struggled with depression recently. Her most perfect drug? Caring for and riding a horse. Almost daily. At first glance, this activity isn’t as social as the others, but in fact, our friend always looks forward to seeing the same few horse owners at the medium-sized, community-based barn. A couple of times a week, after grooming and riding their horses, they cross the street to a golf course restaurant where they eat and visit. Her mental health in tact for another day.

Reduce anxiety and depression without therapy or meds. Follow Horn’s advice and join a community choir. Or follow my lead and swim, cycle, run, hike, or walk with another person. Or if you can afford it, horse around with friends. You feel me?

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Me at my last concert performance