Depression

I went to a barbecue. Everyone was patient and well disposed towards the silent, depressed, two-toed sloth in their midst. The eye contact told me that I was included in the conversation but it was also understood that I need not contribute. They comprehended and they sympathised. If I didn’t want to, there was no need to go into it or explain. Or indeed to say anything. I sat a little apart from the nest of outdoor furniture and the circle of conviviality revolving around it, puffing on my new vaping contraption, emitting long plumes and billows of white, ‘fresh mint’-flavoured steam. Present were five adults and a child. The

When I was depressed 20 years ago, the (then) new antidepressant drug Prozac sorted it easily. It took six weeks for it to lift me up and I stopped taking it after four months. I experienced no side effects and lived happily ever after, believing that the episode was a one-off. Marvellous. Back in January, just before my 60th birthday, the black dog came back and I was again in front of a doctor, depressed but phlegmatic, confidant that a few months worth of selective serotonin reuptake inhibitors would get me back on the dance floor with all my comfortable illusions restored. A friend had recommended I ask for Venlafaxine

Dr Ivan Mindlin was the in-house casino doctor at the Stardust in Las Vegas in the early 1970s. Mention any of the main characters in Nick Pileggi’s true-crime classic Casino: the Rise and Fall of the Mob in Las Vegas and the Doc knew them well, including the central characters Lefty and Geri Rosenthal. The mob monster Tony ‘the Ant’ Spilotro he didn’t know personally. He went out of his way to avoid him in fact, he says. But he and Spilotro shared a maid who was forever complaining about the mess Spilotro and his Hole in the Wall gang made when they were relaxing at home. Doc took me

‘If life is a race, I feel that I’m not even at the starting line,’ I said to the doctor in French. (I’d composed, polished and rehearsed the sentence in the waiting room beforehand.) She was a sexy piece in her early fifties with a husky voice. She listened to my halting effort to describe my depression with a smile playing lightly over her scarlet lips as though I were relating an amusing anecdote with a witty punchline lurking just around the corner. I further explained in French that I had been properly but briefly depressed once before, about 15 years ago. Here my tenses let me down badly, and

Still depressed, or, as Matthew Arnold put it, ‘the foot less prompt to meet the morning dew’, I got out of bed one afternoon and exchanged the soggy Devon hills for the tower blocks of Canary Wharf. I went at the invitation of Dr Ivan Mindlin, orthopaedic surgeon, Las Vegas casino house doctor during the mob-run era of ‘Lefty’ Rosenthal and Tony ‘the Ant’ Spilotro, and one of the most successful sports bettors in US history. He kindly put me up in an ‘executive’ room at a hotel round the corner from his 18th-floor apartment. The first night we went for dinner at a Chinese restaurant. We went there on

On the Monday before Christmas, the black dog came around again and I couldn’t get out of bed. I lay all day staring at the wall. Depression has little to do with sadness, I think. It’s blankness. The same thing happened to me about 15 years ago. I was like a prize gonk for the four or five weeks it took for the Prozac to work, which it did, and since then I’ve managed to foster and sustain all the illusions I need to keep me buoyant. I couldn’t get out of bed on the Tuesday either. I was adrift in outer space. But I knew I must pick up

In 1999 I went to the doctor about the impotence. Don’t worry, he said. I have good news for you. He prescribed a new drug called Viagra to get me over the psychological hump. It worked; spectacularly. In 2001 I went to the doctor mumbling about depression. Don’t worry, he said. I have good news for you. He prescribed a new drug called Prozac to lift me out of it. Within three months I was back on the poop deck of this ship of fools with the wind in my hair and salt spray on my face. In 2013 I went to the doctor because I couldn’t pee. A blood

Monty Don, the television gardening presenter, always comes across on screen as irrepressibly cheerful and enthusiastic, but this is a misleading impression. In fact, he gets black moods. ‘It’s no secret that for many years I’ve suffered from depression,’ he said last week at the Cheltenham Literary Festival. He had tried Prozac and cognitive behavioural therapy, but the only treatment that had worked for him was provided by his dog. ‘If you are unwell, physically or mentally, a dog is a huge comfort,’ he said. ‘Dogs heal. There is plenty of evidence to show that.’ I was glad to hear this praise at a time when the word dog is