Crystal

Crystal’s depression began in childhood. Her parents were reluctant to seek services, but she eventually got professional help through the school system. She has found therapy and the support of good friends helpful, though still struggles with depression. She does not take medication.

Crystal grew up in a low-income household. Abuse was part of her family’s home dynamic, as was the formation of some strong family bonds which remain central to her life’s purpose. Crystal’s depression began during early middle school when things began to feel very blank in her life. She also felt unfocused and unable to get excited about anything the way people around her could.

Crystal first began getting professional help for her depression after a couple of suicide attempts in high school. Her parents were not in favor of bringing in outside resources, but her school required that a therapist get involved. However, her family’s mixed feelings about getting help and limited financial resources combined to make that first effort unsuccessful. Therapy she got later, through the health service at her college, has been much more helpful.

Throughout high school and into college, Crystal has used hard work as a distraction from her depression, and as a way to stay focused on her longer-term goal of helping her family and being a role model for her sister. She excels at academic studies of all kinds. She engages in multiple campus activities at her university, volunteers for community organizations, and works at internships during the summer. Her depression continues to exist alongside this highly successful external life, leading her to feel like she has to navigate two personalities. During times of transition she often tries to start all over and is optimistic that she can overcome negative thought patterns, but finds that depression and thoughts of suicide return. She believes a focused effort to address her depression, perhaps in a hospital setting, might be useful but does not feel the right time for that process has yet arrived.

Friends, roommates and intimate partners are key supports for Crystal. She is comfortable with her bi-sexuality, and clear with romantic partners about what she can and cannot commit to at this stage in her life. On-going behavioral therapy has been helpful for generating short-term solutions for daily struggles, as have specific tools like journaling or setting discrete goals. She reminds other young adults that time is a really great resource in dealing with depression, so don’t be afraid to realize that life is going to be slower for you, you are going to operate at a different pace and that’s completely ok. She also believes it would be helpful to teach children in school about mental health issues so that there is a basic shared understanding and eventually more acceptance and compassion in society at large.

Crystal kept vowing to start over, but cycles of harder and easier persisted.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal found that many small goals help her manage day to day, and hopes they may also add up to a larger, healthier goal over time.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal says taking daily things like eating and chores one at a time slows things down to a level that is more appropriate for a depressed person than is the rush of modern life.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal knows she can turn to her roommate when she hits a low point, but would not expect help from friends who think of her as an extrovert.

Age at interview 20

Gender Female

Age at diagnosis 15

Taking care of her family gave Crystal motivation to keep going even in really bad times.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal discusses the complexity of mental illness and different treatment approaches including medication.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal talks about her therapist’s advice to listen and observe her depression

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal describes how she uses self talk to prevent suicide.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal found that putting her feelings in context and learning from those who’ve overcome stigma, gave her a healthy perspective on the stigma she faces.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal discusses the pressure she feels and how it relates to her suicidal thoughts.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal says that in the African American culture her family comes from there is no framework in which depression can easily fit. The attitude that sadness can just be dealt with has made depression more difficult for her.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal knows that for some people sexuality is a big part of depression, but she is among those who handles it fine.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal describes what it feels like to be unable to get out of bed.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal was reluctant to get professional help because of cultural/familial stigma about mental illness but eventually did through her college in a way that was both confidential and affordable.

Age at interview 20

Gender Female

Age at diagnosis 15

As a young student, Crystal describes how her functional self can help her concentrate, but she still struggles to navigate her two personalities.

Age at interview 20

Gender Female

Age at diagnosis 15

For Crystal, telling significant others about her depression is a sign of commitment.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal’s parents come from a culture that is averse to looking for help from outside; they thought she should learn to feel better on her own.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal managed her emotions about past abuse by using self-harm.

Age at interview 20

Gender Female

Age at diagnosis 15

Crystal says the world is going at a faster and faster pace, which creates struggles for people with a slower personal clock.

Age at interview 20

Gender Female

Age at diagnosis 15