On making "the unhappy" happy - Part 1/2

One thing that took me a while to understand when I was younger is that “love”, or having a romantic relationship, doesn’t cure everything. In fairy tales, people fall in love and love rids you of physical “ugliness”, of having an evil heart, of disease and death, of financial poverty, of social oppression, of emotional and physical abuse, of low self-esteem, of disability, and of every negative thing that can happen to a human being. And don’t get me wrong, I like those stories as much as anyone else, and I'm also aware they are often metaphors for what love can actually achieve. Essentially love, being in love, being loved, loving, discovering love, etc. has the effect of giving human beings courage to believe in their own strength and to take risks. The greatest motivator for positive change and the strength to bring about that change is love. Love can conquer all…

The second most difficult thing for a human being to do is to bring about change in this world. The single most difficult thing in this life for us to do is to bring about change in ourselves. Love is supposed to make all things possible, right? That’s what the fairy tales tell us. That is what we have learnt personally from life. I still believe this is true. But there is one scenario unique to human beings I find particularly interesting when considering all that love can do.

Depression and post-traumatic stress disorder (PTSD) result in unique states of mind where the “enemy” and the “villain” that we fight everyday lives exclusively within our hearts and minds. He may have been created by exposure to psychologically trauma or neurobiochemical imbalances or social oppression and abuse, or any of a myriad of negative human experiences. Yet the outcome of these situations are so common that someone has been able to make lists of the cognitive effects that result. They are described commonly in books and medical and scientific literature and classified into categories that receive the names of “mood disorders”. Depression, anxiety, and PTSD are very common diagnoses given to the people who suffer the effects of having these internal enemies to fight; the low mood, the lack of self-esteem, the sense of worthlessness, the compulsion to self-harm, the feelings of inability to better one’s own situation, and the inability to envision a future different to the inner world they seem trapped in.

I have seen many patients with PTSD, mainly war veterans, but all survivors of some sort of abuse or extremes of human experience. These people have lived through horrible things – and survived! If anybody can be called strong and honorable, it is them. Yet, they often are the first to believe they don’t deserve to be alive or to have good things in life. Bullets kill many soldiers in combat; depression and PTSD kills way too many survivors. People don’t choose to suffer depression, anxiety, or PTSD, the same way none of us choose to voluntarily suffer. And the worst part is that with these psychiatric complaints, you also can’t choose to “just snap out of it”. The goals of treatment in these disorders are not aimed at cure, but at managing symptoms, learning new ways to process information to help stop triggering these inner beasts, and minimizing the number of exacerbations. Of course, there are many ways we go about doing this (medication, psychotherapy, self-directed education, meditation, etc.), but generally there’s no way to completely cure these problems.

But wait, what about love? Doesn’t love “conquer ALL? Doesn’t love give you strength, courage, motivation, hope, etc. to achieve anything in life – even to change the world? The thing with depression, PTSD, and other psychiatric complaints is that the thing to conquer lies within. But love should be able to help you achieve even that, right? Isn’t love also able to change a human being? I used to believe just that.