It’s Tuesday, the “two day” of January of 2024 AD and the “two day” of the year.  That little, rather forced play on words is about as much good as I can say about the day.

I’m at the train station, soon to be headed in to the office for the day, but I did not go in yesterday, though the office was open.  If I had been feeling healthy, I suppose I might have gone in even though I resented the fact that the office was open.  I’m weird that way.  It’s not as though I had anything better to do with my time, had I been feeling healthy.

But, of course, I felt sick, still, albeit not nearly as bad as I did on Friday or even Saturday, or even Sunday.  By that progression, you may be able to deduce that my physical health was gradually improving, and though I am not fully back to usual (let alone optimal) health, I did at least get some rest.  There were quite a few annoyances related to the other people in the house, who had a huge New Year family get-together of some some kind, and were up waaaay past midnight, including some young children who were‒as sleep deprived children tend to be‒evidently quite grumpy and vociferous.

As for my mental health, well, despite my brief rest, it’s still rotten.  I don’t think there’s any reason for anyone to imagine that it would have improved.  I got enough rest that I even had a few dreams this morning, which is unusual‒I almost never have any remembered dreams‒but they were just weird, irritating dreams involving a B-list Hollywood star about whom I know almost nothing.  I have no idea how that person infiltrated my subconscious.

The holidays are over now, of course, and even though I had no cause for celebration in the first place, there is still a bit of melancholy involved in their passing.  There’s nothing even nominally to celebrate for months to come, frankly, and precious little cause for major joy in the world.  But of course, my main problems are internal; my hardware and software are dysfunctional.

I sometimes may give the impression that I’m some form of purely philosophical pro-mortalist or nihilist, that my sense of the pointlessness and worthlessness of my life are simply reasoned conclusions, arrived at logically, quite convincing.  That probably makes some people feel that there really is no point in trying to do or say anything to change my outlook.  I make impressive sounding arguments in favor of nihilism and despair and pointlessness at times.  But that’s really just the left side of my brain acting as an attorney, arguing the case and providing “justifications” for the products of my dysfunctional mood and sensory and motivational systems.

It’s all sophistry.  My depression‒as with any other, preexisting neurodevelopmental and possible neurohormonal issues I have‒is a disease, a malfunction; my dysthymia is in a way a real disability, at least by some definitions.  These diseases are killing me, and it’s not a good death, nor even a mediocre or middling death.  It’s a bad, slow, drawn-out, miserable, torturous death.  Just consider the fact that I often wish I would develop cancer, because that would probably be a better way to die; certainly there would be more support and sympathy involved.  And I’m a medical doctor.  I’ve treated many people who have cancer, and I’ve lost loved ones to cancer; I know what it is and what it entails.

I’m trying to say that I really could use actual help.  I’m not able to do self-care well at all.  I’m very smart and creative and capable in some ways, but I cannot save myself nor even take very good care of myself, not with only myself as my motivation.  I find the upkeep involved in having and using a bicycle daunting and awful, let alone other ordinary tasks of personal and general maintenance.

I am eroding and decaying and rotting, both metaphorically and literally, in various ways.

I do not want to feel depressed.  I do not like being depressed‒that would be frankly contradictory‒and I do not like feeling horrible anxiety and hostility and confusion.  I do not like not having anyone with whom to do anything.  I don’t like hating my own presence and company.  I would like to like myself and to like my life and to feel that I deserved something, anything, good to happen to me.

Robert Sapolsky has pointed out that one cannot simply will oneself to have a stronger will.  Similarly, one cannot simply stop being depressed by choosing to be optimistic and to love oneself.  One cannot simply choose to be able to integrate into the human world effortlessly and seamlessly when one simply does not feel human.

One cannot eliminate anxiety just by saying that there’s nothing to fear.  And, of course, one cannot simply choose not to be in pain, if one is in pain.  Nature does not select for that capability.  If one could simply deactivate one’s pain and one’s fear, then one would probably do so; pain and fear are, by nature, unpleasant.  But then one would not flee danger or avoid injury.

Anyway, that’s my New Year’s message about me, I guess:  I’m depressed and despairing, not by choice, and I cannot simply snap out of it, nor can I save my life on my own.  And I don’t know of anyone else out there who has the wherewithal to help me, so I don’t expect my life to be saved.  I expect it to be lost, and soon; frankly, I expected it to be gone, already.  I’m amazed and rather appalled that I’m still alive to write this.  I don’t consider it an accomplishment.

Oh, yeah, by the way:  Happy New Year.