Sam

Sam (age 23) was raised in a religious family. His symptoms started with his loss of faith at age 14. After inpatient treatment, he dropped out of college and therapy to pay the debt, but still uses what he has learned to control his symptoms.

Sam has been living with depressed feelings on and off since age eight. Early on, he had no words for depression or mental illness, but spent many nights lying awake in bed feeling this kind of gnawing emotional pain without an overly identifiable cause. Raised in a conservative religious family, Sam thought about his angst primarily in religious terms … that I was not pleasing God or God was not happy with me. Throughout early childhood Sam tamped down these feelings. Sam credits his religious upbringing for instilling in him that my fundamental purpose was to make other people happy and thus made him a significantly less angry and abrasive person. His first bout of severe depression occurred at age 14 when he decided, I no longer believed in the tenets of the religion I was raised in. He was living with this nagging fear of what if I’m wrong, what if I go to hell’? He also realized he had been sacrificing too much of myself in order to meet the needs of other people. These repressed feelings anger, fear insecurity combined to spark a very long depression that lasted a couple of years in high school. Sam now sees the experience as an important step in my maturing and being able to empathize with others.

Sam entered the university and began studying theater, but says he had not begun to deal with the issues that had driven me to feel depressed before. His first romantic relationship that started in high school was marked by codependence on both of our parts, and it became clearly unsustainable when his girlfriend threatened suicide toward during his first year of college. He ended up dropping all of my classes that quarter and spending hours a day in my room, sometimes never leaving my room. Sam had been seeing a counselor with the university for most of that year. At first, they discussed very surface matters; later, during a series of emergency visits, he felt this sense of being overwhelmed was overwhelming. At that point, he was referred to an in-patient psychiatric hospital. He says his entry was somewhat disingenuous on the grounds that, I was deemed a danger to myself and others. But he credits that the therapy combine with Prozac, really forced me to take stock with my life and to kind of delve into the issues of my past that have led me to this point. But stresses from the expense of the unexpected hospital stay took a toll very quickly, Sam says, and created a sense of shame and stigma. That, compounded by further bills, sent me into kind of the same spiral that I had been in when I was 15 ‚and processing my deconvergence from Christianity. Sam decided that, come hell or high water, he would earn the money to pay his debt and resume his studies.

Sam is now on leave from the university to earn enough to pay his debts, he. He can no longer afford therapy session or his Prozac. To sustain his mental health does artistic work in theater, and continues to study things he enjoys. He is also drawing on his experience and personal resources to control his depression. He says from therapy, I gained a vocabulary in which to engage with ideas about what it is I’m experiencing and why I experience it and how to navigate it. Further his access to education about my symptoms has allowed him to develop plans and methods for dealing with them. Sam acknowledges that he been privileged by various mitigating factors. He appreciates that depression is taken seriously more than most other mental illnesses, and that he has been in a supportive environment. Finally, he values having close friendships that allowed me to work through my symptoms in a healthy way. For all of these reasons, Sam says he is now happy with the person that I am today.

Because his parents favored religious over psychological counseling, Sam’s depression wasn’t diagnosed until after he’d moved away from home.

Age at interview 23

Gender Male

Age at diagnosis 19

Separating from his parent’s faith posed challenges for Sam in retaining his sense of self-worth.

Age at interview 23

Gender Male

Age at diagnosis 19

As Sam and his friends matured, they were better able to support each other to cope with depression in healthy ways.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says his depression has not disappeared, but he has learned from books, other people and therapists some useful ways of dealing with his symptoms.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam has learned that depression can always be made better by using one of several specific coping mechanisms.

Age at interview 23

Gender Male

Age at diagnosis 19

When Sam began to question his parent’s religion, he grew more distant from them while also struggling with growing fears about what the future might bring.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says he stopped taking his medications because he did not have a way to pay for them.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam was not looking for in-patient treatment, but found it very helpful when his outpatient program forced him to go.

Age at interview 23

Gender Male

Age at diagnosis 19

Hospital treatment had many positive aspects for Sam: it gave him access to useful intensive therapies, and made him feel both less alone and more empathic.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says compassion, contribution, and connection to others helps him organize his thoughts about what it means to be a valuable human being.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says that during bad periods of depression, his experience of being overwhelmed is itself overwhelming.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says he will probably have symptoms of depression his whole life, but is learning to process them better with time.

Age at interview 23

Gender Male

Age at diagnosis 19

Having a partner struggling with mental health issues worsened Sam’s negativity about himself.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says depression enables him to engage with art on an emotional level.

Age at interview 23

Gender Male

Age at diagnosis 19

Sam says his depression began at age 8, and that he first thought his emotional pain meant God was not happy with him.

Age at interview 23

Gender Male

Age at diagnosis 19