[HN Gopher] She built a toy empire while hiding a lifetime of ex...
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       She built a toy empire while hiding a lifetime of existential
       depression
        
       Author : robg
       Score  : 76 points
       Date   : 2021-05-01 13:42 UTC (9 hours ago)
        
 (HTM) web link (www.washingtonpost.com)
 (TXT) w3m dump (www.washingtonpost.com)
        
       | RcouF1uZ4gsC wrote:
       | > But when she did Bernstein was able to stop hiding -- and
       | hating -- so much of herself. "My therapy has been in accepting
       | the paradox that light doesn't come without dark and highs don't
       | come without lows," she says. "That if I want to be creative to
       | the extent I am, then it's going to have a dark side. And it
       | does."
       | 
       | I think the big danger in trying to put a medical diagnosis on
       | everything is that it gives a false sense of what is normal and
       | abnormal. When I hear statements like xx% of people have issues
       | with depression, one thought is, what if depression isn't an
       | illness, but just a variant of normal.
       | 
       | Throughout history many, many of the great people, especially
       | creatives struggled with depression. The Greeks actually had
       | melancholy as one of the 4 humors and accepted that a certain
       | percentage of people would be melancholic.
       | 
       | Modern psychiatry and psychology seems to have a norm in mind and
       | people who don't fit that norm have an illness. See for example
       | back when the DSM classified same sex attraction as a mental
       | illness. Now we realize that it is just a normal variant of human
       | sexuality and not an illness to be treated. Similar thing with
       | ADHD. We are seeing 3 and 4 year olds put on medication. If you
       | look at the life of Thomas Edison it seems he may have had what
       | we would today call ADHD. If he had been medicated to be
       | "normal", would he have been able to do all those prodigious
       | accomplishments?
       | 
       | Sometimes, there can be great benefit in seeing something not as
       | a disease but just a variant of normal with some advantages and
       | disadvantages compared to the typical, and accepting it.
        
         | guerrilla wrote:
         | > Modern psychiatry and psychology seems to have a norm in mind
         | and people who don't fit that norm have an illness.
         | 
         | This isn't it. The diagnoses usually have criteria for the
         | symptoms being a problem for the persons functioning. People
         | don't seek help because they're a bit diffeent but because
         | they're suffering to the point of having difficulty living.
        
         | JoeAltmaier wrote:
         | That's putting lipstick on a pig. Chronic depression is
         | debilitating. A person without depression functions better than
         | a person with depression.
        
           | RcouF1uZ4gsC wrote:
           | But Melissa in the article clearly isn't debilitated. She
           | functions better than 99.9% of all the people out there. In
           | fact her depression, may actually contribute to what makes
           | her so successful.
        
             | obsequiosity wrote:
             | Here's a radical idea: except for drugs with a high abuse-
             | liability, all psychoactive medications could be allowed
             | "behind the counter" like pseudoephedrine. The
             | psychiatrist's role becomes strictly advisory (coupled with
             | medical malpractice waivers), and the patient is free to
             | experiment with whatever substance they like so as to find
             | their best fit. People already "self-medicate" for focus
             | and arousal with xanthines in coffee and chocolate, and for
             | anxiety with anxiolytics like gabanergic ethanol in alcohol
             | and partial serotonin agonist cannabidiol in cannabis. This
             | is just opening the floodgates a bit more for those who
             | aren't afraid to learn about psychopharmacology and work
             | closely with their doctor in managing their mood and
             | attention.
             | 
             | If this sounds crazy or spurious, then you'll probably
             | agree that fixing abnormal psychology is actually as
             | complicated as debugging the world's most complex software
             | system.
        
             | nr2x wrote:
             | From a standpoint of value in a capitalist society she's
             | not debilitated if she makes money. From a standpoint of
             | living a life where one is fulfilled and has peace of mind,
             | money isn't the relevant metric.
        
               | RcouF1uZ4gsC wrote:
               | It is not just value in a capitalist society.
               | 
               | Form the article, it seems she has a happy relationship
               | with her husband and 6 children.
               | 
               | She is able to do something that she truly loves and is
               | good it (designing toys, which the article mentions gives
               | her euphoria).
               | 
               | She has brought joy to thousands ( if not millions) of
               | children through her work.
               | 
               | Herb toys are actually beneficial to children in terms of
               | stimulating their imagination and creativity unlike a lot
               | of other things that are marketed to children.
               | 
               | Even apart from the money, she has had a good life. And
               | it seems, from the article, that she has embraced the way
               | she is (both the good and the bad) and has found peace
               | with it.
        
               | watwut wrote:
               | She called it dark side. And by the sound of it, she
               | would happily do without dark side. Which is why she
               | finally went to therapy.
               | 
               | > She battled eating disorders, exercise addiction,
               | obsessive-compulsive tendencies, a nagging sense of
               | worthlessness, doubts that life had any meaning or
               | purpose, and the routine emergence of suicidal thoughts.
               | [...] By junior high she'd learned how to starve herself.
               | [...] suffered a mental breakdown and seriously
               | considered suicide
               | 
               | That happy marriage and kids were heavily affected too.
               | Yes she loved them. Read this:
               | 
               | > It was imperative for them to be the very best
               | athletes, brightest students and most popular of their
               | peer group to ensure my sense of wholeness," she writes,
               | rather than -- as she puts it -- "choosing to be
               | average."
               | 
               | She was not happy nor in peace with herself. She was
               | deeply unhappy, using activity and perfectionism to
               | prevent mental descent into darkness.
        
               | staticman2 wrote:
               | I don't think fulfillment and peace of mind are
               | psychiatric diagnostic criteria.
        
         | tediousdemise wrote:
         | There is also the consideration whether the abnormality causes
         | distress to the patient.
         | 
         |  _As an example_ , the average gay person may not be distressed
         | about being gay. However, the average trans person may feel
         | uneasy about their physical body. This is why the DSM-V
         | describes gender dysphoria, previously known as gender identity
         | disorder. [1]
         | 
         | Feelings be damned, I think that _anything_ that causes a
         | person to feel bad, particularly bad feelings that stem from
         | internal causes, should be considered a disorder. This is not a
         | bad thing, since recognizing a problem is usually the first
         | step to fixing it.
         | 
         | [1] https://en.wikipedia.org/wiki/Gender_dysphoria
        
           | pmoriarty wrote:
           | _" I think that anything that causes a person to feel bad,
           | particularly bad feelings that stem from internal causes,
           | should be considered a disorder"_
           | 
           | What if someone feels bad when they hurt someone else?
           | 
           | Should that be considered a disorder?
           | 
           | This is not just a theoretical question, as I've read that
           | the military has been funding research in to whether drugs
           | can be used to assuage feelings of guilt and distress some of
           | their trained killers suffer from when they hurt/kill other
           | people.
           | 
           | The military wants their soldiers to be more efficient
           | killers and pesky feelings of guilt or suffering when they
           | hurt/kill others gets in the way of that.
           | 
           | So should every source of negative feelings be extinguished,
           | and should we all try to live life with a smile on our faces
           | even when we engage in unethical or hurtful actions?
        
           | staticman2 wrote:
           | I listened to a lecture on psychology by The Great Courses
           | and the lecturer said historically they stopped labeling gay
           | people as having a mental illness because the patients did
           | not respond to treatment, so the logic at the time was not
           | whether the patients were not suffering.
           | 
           | The lecturer pointed out this made no sense because in other
           | contexts doctors would not say if they can't treat it, it's
           | not a disease.
           | 
           | I'm guessing the patients thought they were going to hell, or
           | thought society was going to abuse them, or they wanted to be
           | heterosexual so they could have kids or whatever and said
           | "please make me not gay, doc". So they _were_ suffering.
           | 
           | If "treating the gay" worked it might still be considered an
           | illness today I guess.
           | 
           | My point is only the disease labels are arbitrary. And
           | there's a downside to labeling things, especially thing you
           | cannot effectively treat. Also, trusting Doctors without a
           | dose of skepticism can be a mistake.
        
       | throwaway481048 wrote:
       | I know mental health is not HN's primary focus, but the lack of
       | attention to this story is (in my opinion) reflective of the
       | state of mental health stigma in the US.
       | 
       | Even with Bernstein achieving the ever-elusive "American dream",
       | conversation surrounding this particular article's topic is
       | wearisome to some and even warrantless to others.
       | 
       | We need to do better. Publishing and discussing stories like this
       | is just a start.
       | 
       | Mental health is real, and if you are struggling, please know
       | that you are not alone, never will be, and should seek help to
       | make you as happy as you deserve. There is nothing wrong with
       | this, just like the maintenance necessary for anything utilized
       | routinely.
        
         | okareaman wrote:
         | I have bipolar disorder and I would generally tend to agree
         | with you, but this article reads more like a PR piece for her
         | toy company. "Existential Depression" is more of a pop
         | diagnosis. If you google it you'll see a lot of articles about
         | gifted people and existential depression - it's the depression
         | you can feel good about because it implies you are gifted.
        
       | blantonl wrote:
       | There is no way a 5 year old wrote this poem:
       | 
       |  _The burden of myself_
       | 
       |  _Has grown impossible to bear_
       | 
       |  _Although rather than slip further_
       | 
       |  _Down this mountain of despair_
       | 
       |  _I will simply cry for help_
       | 
       |  _And hope an angel hears my plea_
       | 
       |  _Or I'll not survive much longer_
       | 
       |  _And succumb to misery._
        
         | tediousdemise wrote:
         | I had the same reaction, but then I remembered that child
         | prodigies _do_ exist.
         | 
         | https://en.wikipedia.org/wiki/List_of_child_prodigies
        
           | wizzard wrote:
           | It's not strictly impossible, but it's highly improbable. If
           | she was capable of writing that at 5 her whole life would
           | have been on a different trajectory.
        
             | imoverclocked wrote:
             | Not necessarily. Bright people are often
             | unhappy/depressed/etc and then lack the appropriate
             | resources to succeed.
        
         | MeinBlutIstBlau wrote:
         | I agree a noticed that too. Even excellent kids in kindergarten
         | with me could barely read and write, let alone make something
         | of that quality.
        
         | hchz wrote:
         | Sylvia Plath was publishing complex poetry at 8 and was already
         | showing the intense and dark themes she's become an icon for at
         | 14.
         | 
         | If you haven't dealt with what Plath or this woman has, or are
         | some credentialed authority on early childhood development of
         | exceptional children (or poetry), I can't understand why your
         | speculation on this is worth listening to.
        
           | brandonmenc wrote:
           | 8 and 14 are not 5, and I'm also skeptical, but also not an
           | expert in any of these areas.
           | 
           | For comparison, here is the "complex poetry" Plath had
           | published at age 8 (titled simply, "Poem"):
           | 
           | "Hear the crickets chirping
           | 
           | In the dewy grass.
           | 
           | Bright little fireflies
           | 
           | Twinkle as they pass."
        
       | anoncake wrote:
       | https://archive.is/HkkhU
        
       | tamade wrote:
       | I'm sympathetic and glad she's better now, but the WaPo article
       | reads like a puff piece with a heavy PR imprint
       | 
       | https://homesoftherich.net/2012/01/toy-entrepreneurs-and-the...
        
         | moonshinefe wrote:
         | what's the point of the link exactly?
        
           | elteto wrote:
           | She owns a mansion, obviously she can't suffer from mental
           | illness!
           | 
           | /s
        
             | pmoriarty wrote:
             | I don't agree with that sarcastic statement, but I have
             | been noticing lately that most of the really popular
             | accounts of depression tend to come from really successful
             | people, and I do wonder if their narratives might be
             | distorting what depression is like for the rest of us...
             | and particularly for those who are very far from being
             | CEO's, famous actors/actresses, bestselling authors, etc.
        
           | meepmorp wrote:
           | Make sure you don't empathize with her, because there's no
           | possible reason to discuss her mental illness in public
           | except for PR purposes. You can tell, cause she's rich.
        
       | tediousdemise wrote:
       | I don't know this lady or her struggles, but the article paints a
       | very clear picture of someone with childhood-onset bipolar
       | disorder who has gone from manically creative highs to depressing
       | lows.
       | 
       | Strangely, there was no mention of it, aside from "relentless
       | anxiety and depression, eating disorders, exercise addiction,
       | obsessive-compulsive tendencies." All of these are common
       | comorbidities in bipolar individuals.
        
         | ludamad wrote:
         | What's the advantage of labelled baskets of symptoms vs
         | treating symptoms from first principles? Honest question
        
           | bosie wrote:
           | do you mind expanding on what 'treating symptoms from first
           | principles' means? I have a hard time visualising how that
           | works in medicine
        
             | [deleted]
        
             | ludamad wrote:
             | I guess first principles here just meant whatever you might
             | do without the other symptoms in consideration
        
           | LatteLazy wrote:
           | The theory has been that if you could find a single
           | underlying cause, you could just treat that, and then all the
           | symptoms would disappear in one go. This would also let you
           | treat symptoms that can't be treated directly (you can
           | tranquilise away anxiety, you can't do much about hearing
           | voices).
           | 
           | That theory has largely failed as we can't even really agree
           | which groups of symptoms make which diseases. Hence the
           | constant changes to systems like the DSM.
           | 
           | Full disclosure, I may be bias and I'm also an example: I
           | have Major Mood Disorder. I used to have Severe Clinical
           | Depression. Before that, I had Treatment Resistant
           | Depression. Before that it was just Clinical Monopolar
           | Depression (It's still called monopolar sometimes to
           | differentiate it from Bipolar). My symptoms haven't changed.
           | Nor has the treatments offered. But in the last 10y we've
           | repeatedly renamed, recategorised, reshuffled etc just common
           | depression. God knows what it's like in more complex, less
           | common symptom sets...
           | 
           | The BBCs Life Scientific podcast discusses this very question
           | in this episode if you're interested:
           | 
           | https://www.bbc.co.uk/programmes/m000sj7c
           | 
           | The wider series is also very good imho.
        
             | hpoe wrote:
             | This kind of constant relabeling and recategorizing along
             | with everyone I know who works in mental health fields
             | constantly diagnosing everyone around them is why I am
             | skeptical of the entire field of psychology/psychiatry.
        
               | tediousdemise wrote:
               | Look at it this way. Turbulence is an observable
               | phenomenon that you may have experienced while riding an
               | airplane.
               | 
               | Modern fluid dynamics cannot adequately explain
               | turbulence. Richard Feynman has described turbulence as
               | the most important unsolved problem in classical
               | physics.[1] We don't dismiss fluid dynamics because
               | turbulence is ill-defined, and we also don't deny that
               | turbulence exists just because we lack a thorough
               | mathematical understanding of it.
               | 
               | This is analogous to psychology/psychiatry and mental
               | illnesses. If we had magical brain oscilloscopes that we
               | could hook up to visualize every mental disorder, we'd
               | use them. Until those exist, we must rely on qualitative
               | and statistical approaches to provide treatment.
               | 
               | [1] https://en.wikipedia.org/wiki/Turbulence
        
             | tediousdemise wrote:
             | It amazes me how complex the brain is. We are barely
             | equipped with the tools to understand its complexity. An
             | article I read earlier today on HN stated that the brain
             | contains up to 11-dimensional neural networks. [1]
             | 
             | I think we've been incredibly lucky to have the fields of
             | psychology and psychiatry to fill the medical role,
             | especially when the quantitative gaps in our understanding
             | of the brain seem to be widening.
             | 
             | [1] https://bigthink.com/paul-ratner/our-brains-think-
             | in-11-dime...
        
           | tediousdemise wrote:
           | Misdiagnosing bipolar disorder as a purely depressive
           | disorder can have disastrous consequences, especially if
           | prescribed antidepressants instead of mood stabilizers. [1]
           | 
           | [1] https://www.webmd.com/bipolar-
           | disorder/news/20100601/bipolar...
        
             | captainredbeard wrote:
             | > disastrous consequences, especially if prescribed
             | antidepressants
             | 
             | Viewed differently, this speaks to the extreme dangers of
             | psychiatric drugs. They should be a tool (vital!) of last
             | resort but are often used as a frontline therapy.
        
               | tediousdemise wrote:
               | I agree. It should go without saying that you only get
               | one brain.
               | 
               | Fundamentally, anything that modulates the brain should
               | be used with extreme caution. Although the brain is
               | remarkably resilient, sometimes drug-induced changes or
               | side effects can be permanent.
               | 
               | For some, this may come as relief, yet for others, they
               | may find that the solution was worse than the problem. As
               | they say, caveat emptor.
        
             | treeman79 wrote:
             | Everything is depression.
             | 
             | Had major brain fog problems. But was generally happy and
             | good natured.
             | 
             | Spent years seeking help, at every stage was told it was
             | depression.
             | 
             | Turned out it was a horrible disease that was slowing
             | killing me.
             | 
             | I imagine a lot of "depressed" people have an underlying
             | chronic condition that isn't being addressed.
        
               | anonymouse008 wrote:
               | Mind sharing how one could go about testing for this
               | condition? (This sounds a bit familiar)
        
               | treeman79 wrote:
               | Genetic testing for clotting. Autoimmune work up. Spinal
               | tap for pressure.
               | 
               | Make a list every symptom, and what affects your
               | symptoms. Take it to every kind of specialist. Then keep
               | repeating. Take an advocate. I would explain stuff, could
               | see they had mentally written me off. The wife would
               | start bawling. This would wake them up, and they would
               | dig further.
               | 
               | A neuro-ophthalmologist was reading my list. Looked up
               | and declared I had Sjogrens. He was right. Now he missed
               | the clotting disorder.
               | 
               | Then have a clot in your lungs. Then you get taken
               | seriously. That's when they found factor 5 Leiden.
               | 
               | So between the two my body and mind were trashed.
        
           | cpach wrote:
           | Good question.
           | 
           | A unipolar depression is very different from a bipolar
           | depression in many regards. E.g. likeliness to eat less vs.
           | likeliness to eat more.
           | 
           | And a unipolar depression can possibly be treated and then be
           | gone. (If the treatment works out.) If one has bipolar
           | disorder, it won't go away. One has to live with it the the
           | whole life.
        
           | whalesalad wrote:
           | I wish more people thought like this. Treating from first
           | principles should be the way - but lately it is not.
        
         | watwut wrote:
         | If there is no official diagnosis, would it be ok for
         | journalist to amateur diagnose her? Afaik, that is not
         | considered acceptable.
        
         | mola wrote:
         | That maybe important for a practioiner. But otherwise these
         | labels don't have much meaning. Obviously her situation is
         | unique. Although it may fall under the umbrella of some DSM
         | definition, but the meaning there is only for a medical
         | perspective and not "a human perspective". We cannot be reduced
         | to some statistical artefact. We may statistically
         | significantly share some common traits with other people, but
         | it doesn't make us the set of these common traits.
         | 
         | The model is not reality especially so for the DSM, which was
         | built in a medically theraputic context. And should be taken as
         | such.
        
           | pmoriarty wrote:
           | Many therapists use the DSM only for insurance purposes, as
           | insurance companies demand an official diagnosis before
           | covering treatment. The DSM's role in therapy itself is
           | highly questionable.
        
           | guerrilla wrote:
           | > But otherwise these labels don't have much meaning.
           | 
           | Hard disagree, the experience of somone with bipolar is a lot
           | different than somone who's schizophrenic or only has major
           | depression or generalized anxiety. Mania and the specific
           | difficulties it causes for psychosis are radically different
           | than what the others have to deal with and so is the general
           | unpredictability of life (for planning and commitment
           | purposes) and especially the types of effects it has on
           | relationships. Each of the disorders have totally different
           | profiles subjectively and objectively and different things
           | they have to deal with. It's definitely not just a
           | "statistical artefact" dispite the possibility of multiple
           | diseases causing the same symptom clusters.
        
       | [deleted]
        
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       (page generated 2021-05-01 23:02 UTC)