This is the memoir of an ordinary woman—a mother, a daughter, a psychologist, a wife—who tells the tale of her spiraling descent into a severe, debilitating depression. Undercurrents pioneers a new literature about women and depression that offers a vision of action instead of victimhood, hope instead of despair. "A brilliant combination of wit, irony, and despair...."Undercurrents "is absolutely as good as it gets."--"Los Angeles Times""Full of unexpected delights...honest, hilarious, full of hope."--"Dallas Morning News""Humor, candor, and a respect for the power of image and metaphor to heal."--"Philadelphia Inquirer""A moving and engaging journal....I found myself laughing out loud."--"Washington Post""A convincing testament to the inexorable cruelty of depression and a frightening reminder of its unprejudiced choice of victims."--"New York Times Book Review""An absolutely absorbing read."--"USA Today" This is the memoir of an ordinary woman—a mother, a daughter, a psychologist, a wife—who tells the tale of her spiraling descent into a severe, debilitating depression. Undercurrents pioneers a new literature about women and depression that offers a vision of action instead of victimhood, hope instead of despair. Martha Manning, Ph.D., is a writer, clinical psychologist, and former professor of psychology at George Mason University. She is the author of Undercurrents: A Life Beneath the Surface; Chasing Grace: Reflections of a Catholic Girl, Grown Up; and All Seasons Pass: Grieving Miscarriage. Manning has been recognized by the National Institutes of Mental Health for her work in education and advocacy and was awarded the American Psychiatric Association 1996 Presidential Award for Patient Advocacy. Her work has appeared in numerous publications, including the New York Times Book Review, the Washington Post, Ladies' Home Journal, and New Woman. She has been featured on Dateline NBC, Good Morning America, C-SPAN, The Early Show, NPR's "Voice of America," and other radio and television programs. "A moving and engaging journal....I found myself laughing out loud." Chapter OneRing the bells that still can ring. Forget your perffect offering. There is a crack in everything. That's how the light gets in. Leonard Cohen, "Anthem" January 5, 1990 My nine-year-old patient Stephanie and I sit on the floor of my office playing Sorry. Sorry is one of those wonderful games that is easy even for young children to master, but often difficult for the most mature of adults to tolerate. You can be so close to Home, and be bumped so precipitously by your opponent all the way back to Start. Positions shift quickly. The sure winner loses and the loser triumphs. Stephanie whoops loudly as she beats me for the third time. Each time she bumps one of my pieces back to Start, she croons "Sooorrryyy" with considerably more delight than remorse. I glance at the clock and let her know that we are close to being out of time. We pack up the box and she places it back on the shelf. I stand up. Without warning, my slip drops to the floor and lands on my shoes. We both stare at it, stunned. I stammer, "Oh my goodness!" Stephanie, a rather solemn child, is seized with paroxysms of laughter, which become contagious. I step out of my slip and stuff it into my briefcase. Stephanie tries to catch her breath and exclaims, "My perfect Dr. Manning is coming apart!" She bursts into the crowded waiting room and graphically describes the scene to her parents. It is clear that the entire waiting room enjoys this story. I can see them smiling and smirking behind their Ladies Home Journals and National Geographics . My friend Ed passes me in the hall between our offices and asks casually, "That wouldn't be your Freudian slip, would it?" January 8, 1990 My desk is littered with too many things that are getting too little attention. Papers wait passively in the "to do" pile. They've been there so long they are beginning to discolor. Four Diet Coke bottles sit half-filled with warm flat brown liquid. A crusty coffee cup holds the remnants of old candy bars, abandoned midway in fits of guilt. The phone bill is two months overdue and three Medicare forms are screaming for attention. I've been so busy lately, I've started a "to read" pile for the mail I have yet to open. Each evening I leave the office with the magical thought that the night will bring order to the chaos and transform it all by morning. But that is like shoving the box of aluminum foil back into the haphazardly organized closet and closing the door quickly, before it can slide back out. I always hope that time will somehow settle the contents of the closet, and I'm always surprised the next time I open the door when the package slides right back out and smacks me in the head. I picture a woman who has it all together. She processes things completely the first time they cross her desk. She is up-to-date with bills, Pap smears, and teeth cleanings. She knows that h
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