“The atypically depressed are more likely to be the walking wounded, people like me who are quite functional, whose lives proceed almost as usual, except that their depressed all the time, almost constantly embroiled in thoughts of suicide even as they go through their paces. Atypical depression is not just a mild malaise...but one that is quite severe and yet still somehow allows an appearance of normalcy because it becomes, over time, a part of life. The trouble is that as the years pass, if untreated, atypical depression gets worse and worse, and its sufferers are likely to commit suicide out of sheer frustration with living a life that is simultaneously productive and clouded by constant despair. It is the cognitive dissonance that is deadly. Because atypical depression doesn’t have a peak- or, more accurately, a nadir, like normal depression, because it follows no logical curve but instead accumulates over time, it an drive its victim to dismal despair so suddenly that one might not have bothered to attend to treatment until the patient has already, and seemingly very abruptly, committed suicide.”

“A simile committing suicide is always a depressing spectacle.”

“The terrible truth about depression, and the part of its nature that terrifies me the most, is that it appears to operate beyond reason; feelings happen to you for no apparent cause. Or rather, there is usually an initial cause, a 'trigger'as they say in therapeutic circles, but in severe depression the feelings of sadness, grief, loneliness and despair continue long after the situation has resolved itself. It is as if depression has a life of its own, which is perhaps why so many sufferers refer to it as a living thing, as some sort of demon or beast.”

“They thought depression was like bieng 'depressed'. They thought it was like being in a bad mood, only worse. Therefore, they tried to get him to snap out of it.”

“The horror of profound depression, and the hopelessness that usually accompanies it, are hard to imagine for those who have not experienced them. Because the despair is private, it is resistant to clear and compelling description. Novelist William Styron, however, in recounting his struggle with suicidal depression, captures vividly the heavy, inescapable pain that can lead to suicide: What I had begun to discover is that, mysteriously and in ways that are totally remote from normal experience, the gray drizzle of horror induced by depression takes on the quality of physical pain. But it is not an immediately identifiable pain, like that of a broken limb. It may be more accurate to say that despair, owing to some evil trick played upon the sick brain by the inhabiting psyche, comes to resemble the diabolical discomfort of being imprisoned in a fiercely overheated room. And because no breeze stirs this cauldron, because there is no escape from this smothering confinement, it is entirely natural that the victim begins to think ceaselessly of oblivion.”

“Usually I try to suppress any emotions that savor of regret, because they are invariably aperitifs to a main course of depression, and for the long-lived, that’s a recipe for suicide. But that doesn’t mean they can’t sneak up on me sometimes. And, like, gang-tackle me.”