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Mental Health

The danger of high-functioning depression as told by a college student

Overachievers can struggle with mental health issues, too.

The danger of high-functioning depression as told by a college student


I first saw a psychiatrist for my anxiety and depression as a junior in high school.

During her evaluation, she asked about my coursework. I told her that I had a 4.0 GPA and had filled my schedule with pre-AP and AP classes. A puzzled look crossed her face. She asked about my involvement in extracurricular activities. As I rattled off the long list of groups and organizations I was a part of, her frown creased further.


Finally, she set down her pen and looked at me, saying something along the lines of "You seem to be pretty high-functioning, but your anxiety and depression seem pretty severe. Actually, it's teens like you who scare me a lot."


Now I was confused. What was scary about my condition? From the outside, I was functioning like a perfectly "normal" teenager. In fact, I was somewhat of an overachiever.

I was working through my mental illnesses and I was succeeding, so what was the problem?

I left that appointment with a prescription for Lexapro and a question that I would continue to think about for years. The answer didn't hit me all at once.

Instead, it came to me every time I heard a suicide story on the news saying, "By all accounts, they were living the perfect life."

It came to me as I crumbled under pressure over and over again, doing the bare minimum I could to still meet my definition of success.

It came to me as I began to share my story and my illness with others, and I was met with reactions of "I had no idea" and "I never would have known." It's easy to put depression into a box of symptoms.

lighted candles on man's hand lying on the floorPhoto by Fernando @cferdophotography on Unsplash

Even though we're often told that mental illness comes in all shapes and sizes, I think we're still stuck with certain "stock images" of mental health in our heads.

When we see depression and anxiety in adolescents, we see teens struggling to get by in their day-to-day lives. We see grades dropping, and we see involvement replaced by isolation. But it doesn't always look like this.

And when we limit our idea of mental illness, at-risk people slip through the cracks.

We don't see the student with the 4.0 GPA or the student who's active in choir and theater or a member of the National Honor Society or the ambitious teen who takes on leadership roles in a religious youth group.

person holding white printer paperPhoto by Sydney Sims on Unsplash

No matter how many times we are reminded that mental illness doesn't discriminate, we revert back to a narrow idea of how it should manifest, and that is dangerous.

Recognizing this danger is what helped me find the answer to my question.

Watching person after person — myself included — slip under the radar of the "depression detector" made me realize where that fear comes from. My psychiatrist knew the list of symptoms, and she knew I didn't necessarily fit them. She understood it was the reason that, though my struggles with mental illness began at age 12, I didn't come to see her until I was 16.

If we keep allowing our perception of what mental illness looks like to dictate how we go about recognizing and treating it, we will continue to overlook people who don't fit the mold.

We cannot keep forgetting that there are people out there who, though they may not be able to check off every symptom on the list, are heavily and negatively affected by their mental illness. If we forget, we allow their struggle to continue unnoticed, and that is pretty scary.


This article was written by Amanda Leventhal and originally appeared on 06.03.16













Health

She was 15 when men threw acid in her face. They told her she’d be ashamed forever.

ReSurge International helped Muskan Khatun reconstruct her body, and now she’s using her voice to advocate for burn and gender-based violence survivors.

ReSurge International

Muskan Khatun was only 15 when she survived an acid attack in Nepal.

True

When Muskan Khatun was 15 years old, a group of young men started teasing her on her way to school in Nepal. She found it disturbing and uncomfortable, but they wouldn’t stop.

“I finally told my family,” Muskan says. “My dad confronted them, scolded them, and even slapped one of them. After that, they stopped bothering me for about three months.

“Then, one day, when I was heading to school, I saw them again. This time, they had a jug of acid. They tried to make me drink it, but I refused. In anger, they threw the acid on my face, hands, and chest.”

The attackers were arrested, and good samaritans nearby got Muskan to Kirtipur Hospital, where she was treated by local ReSurge surgeon and Country Director, Dr. Shankar Man Rai and his team. Resurge International is a non-profit organization that provides free reconstructive surgical care and trains surgical teams in low-income countries around the world to increase access to care for people who need it, like Muskan. ReSurge’s team in Nepal has treated 141 intentional burn attacks like Muskan’s over the last seven years.

ReSurge helped Muskan take her life back. But that was only the beginning of her story.

ReSurge International

One teen’s perseverance created historic change in the law.

“As I learned more about the laws in my country, I realized the justice system didn’t provide enough protection or punishment for such crimes,” Muskan says.” It felt like a bigger hurt than the acid attack itself. That’s when I decided to raise my voice and work towards changing the laws to ensure justice for others like me.”

Muskan wrote to the Prime Minister just days after her attack, but got no response. So she took her voice to the public. For two years, she courageously shared her story and advocated for better laws.

Finally, the Prime Minister invited her to his residence. He listened to her experiences and legal ideas, and in just 15 days, he passed a law specifically targeting acid attacks. The law also passed in Nepal’s parliament in record time.

“This was the first time in Nepal that a law was passed so swiftly,” Muskan says. “The new law was very strict, including a life sentence for offenders, marking the most severe punishment in Nepal for such crimes.” In 2021 Muskan was awarded the prestigious International Women of Courage (IWOC) Award by the U.S. Secretary of State for her work to end acid attacks.

Muskan Khutan's awardsMuskan has won multiple awards for her advocacy work.Resurge International

Muskan is not alone. Acid attack survivors around the world have raised their voices to get laws changed—but that’s not the only battle they’re fighting.

Constructing laws is one thing. Reconstructing your burned body is another.

Chemical burns leave survivors with painful scar contractures that restrict movement over the affected areas, forcing them to also relive their trauma every time they look in the mirror or field questions from people about what happened to them. However, burn scars require specialized surgical care, which often isn’t readily available or affordable in most low-income countries.

That’s where ReSurge International comes in.

With a conservative estimate of 10,000 acid attacks each year (many countries don’t keep official records of acid attacks and an estimated 40% of attacks go unreported, according to Acid Survivors Trust International), the surgical needs just for intentional burn victims is significant. Additionally, with 80% of acid attack survivors being women, the gender-based violence aspect of the issue cannot be ignored.

But there’s a gap in surgery accessibility between people in high-income nations, where plastic surgery is often viewed as elective and cosmetic, and those in low-income countries, where it more often addresses critical medical needs.

One way ReSurge is closing that gap is by training the next generation of reconstructive surgeons across Africa, Asia and Latin America, in countries where acid attacks are high. Rather than only sending in surgeons from the outside, ReSurge trains and funds local surgeons, anesthesiologists, nurses, and occupational therapists, focusing on capacity building and prioritizing locally-led solutions with an extra emphasis on training women to close the gender gap in medicine and surgery. Just last year, ReSurge transformed the lives of over 25,000 patients and trained more than 5,000 medical professionals, with 85% of their surgeries being conducted by local partners.

Raising awareness is another way ReSurge is working to ‘close the gap.’

Seeing a potential for a powerful partnership, Resurge orchestrated the first face-to-face meeting between Muskan and fellow acid attack survivor and Woman of Courage Award Winner, Natalia Ponce de León from Colombia, in June of 2024. Like Muskan, Natalia has worked tirelessly to advocate for survivors’ rights and successfully inspired change to her country’s laws. She currently runs a foundation to ensure survivors of chemical attacks get the medical, psychological and legal care they need and deserve. Through the power of mentorship and mutual support, these two remarkable women will be able to increase their reach and amplify the impact of the incredible work they’re already doing.

Muskan Khutan and Natalia Ponce de Le\u00f3nMuskan and Natalia are working together to advocate for acid attack survivors.ReSurge International

Preventing more attacks like the ones that changed Muskan and Natalia’s lives requires a multi-faceted approach, as does care for survivors who are living with the aftermath of such violence. Survivor advocates and organizations like ReSurge International working together to ensure that care is accessible for all is a reminder of what humans can do when we set our sights on solutions and keep striving to implement them in the most effective way possible.


Interested in helping? This giving season, ReSurge is matching every gift for twice the impact. To make a gift to support patients like Muskan, read their stories, and learn more about how ReSurge International is closing the gap to reconstructive surgery, visit resurge.org/closing-the-gap

.

Her delight at finding a snack she liked has people in stitches.

In the age of Amazon and other online retailers, delivery drivers have become an integral part of our lives. But most of us rarely interact with the people who drop packages at our door via UPS or FedEx or USPS, and if we do, it's usually only for a few seconds. We might manage a friendly "Good afternoon!" or quick "Thanks a bunch!" as they hustle to and from their vehicle, always rushing to fulfil their quota as efficiently as possible.

Delivery folks work hard. They're on their feet much of the day, traipsing up hundreds of front walks a week, through all kinds of inclement weather. Yes, it's their job and they're paid to do it, but it's always nice to have your work seen and appreciated, which is one reason a video of UPS driver discovering a sweet treat on a customer's front porch is going viral.

Another reason is that it's just hilariously adorable.

A doorbell camera caught a UPS driver wearing a holiday bauble headband walking up to the door and dropping off a package as she talks to herself. After she takes a photo of the delivery, she sees that the customer had left a little tray of drinks and snacks, and her "Oooh, do I see honey bunny?" is a sign of the hilarity to come.

Watch her reaction and the way she joyfully make her way back to the truck.

Unsurprisingly, people are in love with the driver and her giddy goofiness.

"I literally laughed out loud at her crazy walk back to the truck. I need more people like her in my life."

"I have a friend like that, he just makes my day every time we see each other. 😂"

"That is way adorable! Simple act that makes the day of a random person <3."

"I don’t know anything else about her but she’s my new fave human."

"OMG she reminds me of our mail carrier so much. We leave her cookies at Christmas and she always does a little happy dance that day."

Delivery drivers and former delivery drivers shared that these kinds of gestures really do mean a lot.

"As a former delivery driver, i want you to know that if you leave snacks and drinks out for us, we love you to the moon and back. 💜"

"Driving for Amazon paid my rent for 10 months. Not exaggerating when I say that it was a dark time in my life. Snacks made me smile. every. single. time."

"I mean... I literally took something from every house that had stuff out. I worked 10-12hrs+ during the holidays... I needed every calorie I could get walking 20-30miles a day."

"Even when I didn't take them I appreciate them. it's like seeing a sign that says we love delivery drivers."

"I'll tell you what, the people who leave food got me through my holidays as a postal carrier. Nothing slaps harder than an ice cold redbull and bag of pretzels and ice cold bottle of water that was left in a cooler. I had a lady who asked me what I liked and then had sperate bags labeled "Mail carrier USPS" and "UPS GUY" and "FED EX GUY" with our preferred snacks. She asked me what my favorite ice cream was and she knew my mile long loop and knew when I parked, I'd be done in 15mins, so, she'd be waiting at the truck every day all summer with an ice cream and a napkin.

There are some people who just f---ing make the day feel worth it, if you are one of these people, you are what makes delivering mail worth it. We do notice the nice things you do for us, THANK YOU."

"I do this during the summer. I'm in Texas so it's routinely over 100°F. I'm always trying to make sure there are cold drinks for our postal workers and delivery people."

"I do it during Australian Christmas. 40c/100f plus on a December day. Coke water and Gatorade always gone by lunch."

It's a good reminder that it doesn't take a lot to show appreciation and make someone's day. These kinds of positive interactions, even when asynchronous and not directly face-to-face, are an important part of building the kind of world we all want to live in.

Mom's bond with 'cat she didn't want' is ridiculously cute

Everyone knows that cats are distributed by some unknown force in the universe aptly named the Cat Distribution System, CDS for short. Is this a real thing? Probably not but you can't tell most cat owners that. Even if your cat didn't arrive via CDS by showing up in your garage and refusing to leave, the stealth big cat impersonators still choose who they prefer whether that person likes them or not.

The felines tend to worm themselves into even the coldest of hearts and there's no other explanation than magic. You mostly see this inexplicable phenomenon with parents who either don't like cats or didn't want a cat but were committed to making their child happy. It's not the child who begged and pleaded for the pet that is bestowed the honor of cat parent, nope. In these instances the cat usually makes it their mission for the begrudging adult to be their cuddle buddy.

In a recently shared video by a young woman, you can see her gray short-haired cat has clearly traded her in for the woman's mother. The same mother who supposedly did not want the cat, but this cat is absolutely smitten with the elder woman as the younger one records the betrayal. It's obvious that the cat cares not about the woman holding the phone because the person she chose to be her mom is making her a sari.

a gray cat laying on the floor next to a wooden chair Photo by Folco Masi on Unsplash

A sari is a traditional Indian garment women wear that is made of a long beautifully detailed, colorful fabric that is draped around the woman's body. This sweet cat baby was enamored with the process of getting her very own traditional garb. Well, technically it wasn't hers but that didn't stop the woman from wrapping the cat like a colorful burrito. The cat just laid there perfectly still with her pupils so dilated that she looks like she should have cartoon hearts coming from them.

It didn't stop with the sari, the mom pre-ordered tiny bangle bracelets to fit on the cat's arms and completed the outfit with a bindi in the middle of her furry little forehead. Sure, mom didn't want the cat but it's absolutely her cat and their love for each other is adorable. People could not get enough of the ridiculously sweet interaction and shared love between the two.


@mostpyaari and now she’s turning her into a little indian burrito. the baby bangles suit her so well 💀 #catsoftiktok #cats #cat #kitten #catmom #catlovers #pets ♬ original sound - mostpyaari

One person cries, "someone please make a cat sari and send it to them."

The cat enjoys the bracelets, "At first she was skeptical but then you could see when the bangles came out she felt pretty!"

"You can't tell me that cat's face didn't light up when she saw the bracelets," someone else adds.

"Did I go searching for a cat being dressed up in a sari and bangles? No. am I glad the fyp knows me better than I know myself? Yes," one person writes.


@mostpyaari On this series of “mom who said she didn’t want a cat.” (Also someone translate for me pls urdu is hard 🥲) #cats #kitty #funnyanimals #cutekittens #catsviral #inverted ♬ original sound - mostpyaari

This isn't the first time the cat has worn traditional Indian clothing. In another video from April the cat is dressed in a red and gold outfit with a fake nose ring and a veil. In different video the cat is wearing a dress with cheetah print looking very bonita. The little kitty has a larger wardrobe than some grown women and the internet can't get enough. Each video racks up millions of views and the sari video is no different with 33.6 million views on TikTok alone.

Popular

Couple in their 30s live permanently on cruise ships for a little over $10K a year

“I’m not a millionaire ... I just live full-time on cruise ships.”

A magnificent cruise ship on the ocean.

Giving it all up and retiring to live on a cruise ship at 32 seems like a lifestyle choice only available to the ultra-wealthy. However, two financially savvy retired school teachers from Tennessee have managed to do just that, spending under $10,000 for the first eight months at sea.

Monica Brzoska, 32, and Jorrell Conley, 36, met in 2015 while teaching in Memphis, Tennessee. The following year, they booked a week-long cruise to Mexico, Belize, and Grand Cayman. After that, they were hooked on cruising together.

Eight years later, in March 2023, they booked a week-long Caribbean cruise. When it was over, instead of returning home to Memphis, they had a wild idea: Why not continue to book consecutive cruises? So, they did just that.

Monica was inspired to start living the life she always wanted after her father fell ill and her mother told her: "Don't wait for retirement. Follow your dreams."



The couple crunched the numbers and found that if they chose the cheapest cabins and used the deals they’ve received from Carnival Cruises, they could book the first 8 months for just under $10,000. “It sounds mad, but the numbers made sense. Accommodation, food and entertainment would be included – we’d only need spending money,” Brzoska told The Sun. “And because we’d been on so many Carnival cruises, we’d earned access to some amazing offers.”

Hopping from ship to ship isn’t difficult for the couple because many disembark from the same ports. But they sometimes have to fly when they can’t walk to the next ocean liner.

The couple then quit their jobs, sold their possessions, and started a new life on the high seas. They rent out their 3-bedroom home in Memphis to maintain steady cash flow. The average 3-bedroom home in the area rents somewhere between $1200 to $1900 a month.



Over the first year of their new life, the couple completed 36 consecutive cruises. They have already visited countless destinations across the globe, but they can’t choose a favorite. "For a cultural experience, we loved Japan," Brzoska told a Carnival Cruise director on Instagram. The couple also loved Greece for its “history” and Iceland because it was the "closest to being on Mars."

One of the most incredible benefits of loving on a cruise ship is that so many things are taken care of for you. The couple never has to cook any meals, do any laundry or drive. Every night, there is something to do, whether it’s checking out a comedy show or enjoying drinks and dancing in the nightclub.



Plus, on cruises, just about all the costs are covered, so you rarely have to open your wallet. It’s a stress-free, all-inclusive lifestyle. Brzoska says that when you remove the everyday stresses from life, it’s great for your marriage. “Without the daily stresses of life, we rarely argued, but always told each other if we needed space or more time together,” she said.

The couple also makes sure to have one date night a week, during which they dress up and have a nice meal together.

Most people may be unable to give it all up and live their lives hopping from ocean liner to ocean liner. But there’s a great lesson in the story of Brzoska and Conley: You never know how much time you have left, so don’t wait for retirement to live the life of your dreams.

Upworthy has reached out to Brzoska for comment and is still awaiting a response.



This article originally appeared in August.

Family

Doctor has a super simple tip to keep "default parenting" from happening

It might seem like overkill, but can actually be very helpful.

Sometimes what seems like over-communication is actually just normal communication.

We’ve pretty much all heard about default parenting at this point. But very few conversations deal with how to prevent it. Sure, we hear plenty of stories of fed-up moms finally drawing a line in the sand after those obligatory responsibilities take their toll, but how to keep it from happening in the first place?

This can be a struggle for all couples, because without constant effort and communication, it’s so easy to go into default mode. But pediatrician Dr. Em (@dr.emzieees) has a tip that can really help. It’s advice she learned when first becoming a doctor, that she now shares with parents during their first appointment—assuming that the child is in fact being raised by two parents, and those parents are one mome and one dad, that is.

The advice is this: “If either parent is leaving the room, they need to tell the other parent.”

Now, this might seem rudimentary, but as Dr. Em explains, we don’t often see an even dynamic between moms and dads here. Painting the picture, she said, “When both parents are in the room, if mom needs to leave the room — if she needs to go to the bathroom, if she needs to change her clothes — she tells her partner.”

Meanwhile fathers “will oftentimes just get up and leave the room because they know that mom is there.”



Even this seemingly innocent habit is a problem, because if only one partner, (i.e., “dad”) “can get up and leave at any time and not say anything,” that sends the message that there’s only one parent that HAS to be available at all times. And that parent is, you guessed it, mom.

“It’s something a lot of men don’t realize unless you tell them. If mom doesn’t know when her duties are going to start and end she’s just always on duty for the baby,” Dr. Em reiterated.

If there was any doubt that this is, in fact, a common occurrence for women, read the comments below:

“I had this exact argument with my husband when our daughter was young. I wa sSO MAD that he could just come and go as he pleased, and I couldn't

“Hubby and I had this argument when our youngest was a baby. Sometimes he’ led the house without saying anything. 6 years down the round and he would NEVER. Our kiddo is safer d/t this rule.”

“Thank you for this! I’ve been trying to explain to my husband why I get upset that he just leaves and he hasn't quite got it from how I’m explaining it- but I showed him this and he said it makes sense and now he understands.”

Then again, a lot of couples seemed to have found their way into this healthy habit naturally.

“My husband and I have always told each other we’re leaving the room. I never realized this wasn't the norm,” one person wrote.

So often in healthy partnerships—especially those that involve raising a human together—rely on excellent communication. It might feel like overkill at first, but it’s a subtle-yet-effective way to consistently stay on the same page. None of us might be born with these skills, but we can all get better through practice.

Pop Culture

'Wicked' author reveals how one line in 'The Wizard of Oz' inspired Elphaba and Glinda's story

Gregory Maguire says he "fell down to the ground" laughing when the idea hit him.

Public domain

Gregory Maguire was inspired by a line in the original 1939 film "The Wizard of Oz."

Have you ever watched a movie or read a book or listened to a piece of music and wondered, "How did they come up with that idea?" The creative process is so enigmatic even artists themselves don't always know where their ideas come from, so It's a treat when we get to hear the genesis of a brilliant idea straight from the horse's mouth. If you've watched "Wicked" and wondered where the idea for the friendship between Elphaba (the Wicked Witch) and Glinda (the Good Witch) came from, the author of the book has shared the precise moment it came to him.

The hit movie "Wicked" is based off the 20-year-old hit stage musical, which is based off the novel "Wicked: The Life and Times of the Wicked Witch of the West" written by Gregory Maguire. While the musical is a simplified version of the 1995 book, the basic storyline—the origins of the two witches from "The Wizard of Oz"—lies at the heart of both. In an interview with BBC, Maguire explained how Elphaba and Glinda's friendship popped into his head.

Maguire was visiting Beatrix Potter's farm in Cumbria, England, and thinking about "The Wizard of Oz," which he had loved as a child and thought could be an interesting basis for a story about evil.

"I thought 'alright, what do we know about 'The Wizard of Oz' from our memories,'" he said. "We have the house falling on the witch. What do we know about that witch? All we know about that witch is that she has feet. So I began to think about Glinda and the Wicked Witch of the West…

"There is one scene in the 1939 film where Billie Burke comes down looking all pink and fluffy, and Margaret Hamilton is all crawed and crabbed and she says something like, 'I might have known you'd be behind this, Glinda!' This was my memory, and I thought, now why is she using Glinda's first name? They have known each other. Maybe they've known each other for a long time. Maybe they went to college together. And I fell down onto the ground in the Lake District laughing at the thought that they had gone to college together."

In "Wicked," Glinda and the Wicked Witch, Elphaba, meet as students at Shiz University, a school of wizardry. They get placed as roommates, loathe each other at first, but eventually become best friends. The story grows a lot more complicated from there (and the novel goes darker than the stage play), but it's the character development of the two witches and their relationship with one another that force us to examine our ideas about good and evil.


- YouTubeyoutu.be

Maguire also shared with the Denver Center for Performing Arts what had inspired him to use the "Wizard of Oz" characters in the first place.

"I was living in London in the early 1990’s during the start of the Gulf War. I was interested to see how my own blood temperature chilled at reading a headline in the usually cautious British newspaper, the Times of London: 'Sadaam Hussein: The New Hitler?' I caught myself ready to have a fully formed political opinion about the Gulf War and the necessity of action against Sadaam Hussein on the basis of how that headline made me feel. The use of the word Hitler – what a word! What it evokes! When a few months later several young schoolboys kidnapped and killed a toddler, the British press paid much attention to the nature of the crime. I became interested in the nature of evil, and whether one really could be born bad. I considered briefly writing a novel about Hitler but discarded the notion due to my general discomfort with the reality of those times. But when I realized that nobody had ever written about the second most evil character in our collective American subconscious, the Wicked Witch of the West, I thought I had experienced a small moment of inspiration. Everybody in America knows who the Wicked Witch of the West is, but nobody really knows anything about her. There is more to her than meets the eye."

Authors and artists—and their ideas—help hold a mirror up to humanity for us to see and reflect on who we are, and "Wicked" is one of those stories that makes us take a hard look at what we're seeing in that mirror. Thanks, Gregory Maguire, for launching us on a collective journey that not only entertains but has the potential to change how we see one another.