PRN

There is no "should be over it by now."

Your dad died a year ago and you still pull up his number in your phone sometimes. Your buddy passed and you still expect to see him at the bar. The divorce was final months ago and it still hits you at random moments, like getting gut-punched by a memory.

That's normal. Grief doesn't have an expiration date, and the people who tell you to "move on" have either never lost anything important or they're doing the same thing you are and just hiding it better.

The problem isn't that you're still grieving. The problem is when grief goes underground and starts coming out as insomnia, anger, drinking, or a depression you can't name. That's unprocessed grief, and it's patient enough to wait but heavy enough to sink you.

If something's been off since the loss, it might be time to talk to someone.

A panic attack feels like dying. Your heart races. You can't breathe. Your vision tunnels. Every cell in your body is screaming that something catastrophic is happening right now.

It's not. Your fight-or-flight system just went off at full blast with no actual threat present. Your brain hit the emergency button and your body responded: adrenaline dump, blood pressure spike, rapid breathing, the works. All the things your body does when a bear is chasing you. Except there's no bear. You're at Target buying paper towels.

Panic attacks peak in about 10 minutes and they always end. You've survived every single one you've ever had. A 100% survival rate.

The best thing you can do during one is nothing heroic. Don't fight it. Just notice it: "This is a panic attack. I've had them before. They end. This one will too."

Treatment for panic disorder works really well. You don't have to live like this.

Coming to a psychiatrist doesn't mean you're broken. It means something in your brain isn't working the way it should, and you're smart enough to address it instead of pretending it'll fix itself.

You go to a mechanic when your car makes a weird noise. You go to a dentist when your tooth hurts. You see a psychiatrist when your brain is giving you trouble. It's the same thing. Maintenance on a complex system.

The guys who come to LiveWell aren't the weak ones. They're the ones who got tired of white-knuckling through life and decided to do something about it. That takes more guts than pretending everything's fine for another decade.

Your brain is an organ. Sometimes organs need help. That's not weakness. That's biology.

"I should be grateful." "Other people have it worse." "I have no right to feel this way."

That's not gratitude. That's guilt pretending to be perspective. And it's keeping you from getting help.

Depression doesn't check your bank account before it shows up. It doesn't care that your kids are healthy or that you have a nice house. It's a medical condition, not a character assessment.

Telling a depressed person to be more grateful is like telling a diabetic to be more thankful they have a pancreas. Technically true. Medically useless. And a little bit cruel.

If you're depressed and feeling guilty about being depressed, that's not two problems. It's one problem wearing a disguise.

A short half-life GABA agonist sold to make you fall asleep, which mostly works, except for the part where some people stay awake and do their taxes and don’t remember.

Depression in men often doesn't look like sadness. It looks like being pissed off all the time for no clear reason.

Short fuse. Snapping at your kids. Road rage. Blowing up over the Wi-Fi being slow. Everyone walking on eggshells around you.

That's not an anger problem. That's a depleted brain that doesn't have enough resources to absorb the normal frustrations of daily life. Everything feels like too much because your emotional bandwidth is running on empty.

Most depression screening tools don't even ask about irritability. They ask about sadness and crying. So men get missed. Over and over and over.

If you've been angry for months and you don't know why, it might not be anger at all.