In third grade, I was always afraid classmates heard my teacher call me up so she could whisper “Smile.”
Mrs. Stone meant well. She must have monitored me at “seat work,” watched my brow knit or heard the diaphragm-deep sighs I haven’t yet learned to suppress. She probably noticed that, when the three R’s paused for recess, I was last to leave and first to request re-entry. I don’t remember—but have no trouble imagining—my third-grade self. I’m still that ruminative boy. When I’m not apprehensive about tasks ahead, I’m spent, world-weary.
Perhaps Mrs. Stone’s psychology class in teaching college alerted her to look out for Eeyores like me. She may have been on an investigative mission to detect the cause of depression in children. More likely though, she found my behavior baffling—because what does a third grader have to be depressed about? Or tiresome—maybe I was the itch that always needed scratching.
I bet I apologized. I often apologize for struggling to smile. Mrs. Stone probably couldn’t name my issue—it may not have had a name yet—but in the DSM-5 it’s called “Dysthymia,” or “Persistent Depressive Disorder.” It’s characterized by “Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least two years.” It’s often resistant to drug therapy. In children, diagnosis requires only a year.
The boy in my school photo from Mrs. Stone’s class isn’t smiling. He leans toward the camera with a persimmon-y look. His hair, parted severely, communicates distinct self-command and control.
I was a ten-year-old Eric Sevareid.
Mrs. Stone looked a lot like Leslie Ann Warren, a star back then because she played Cinderella in a “live version” of the Hammerstein’s musical that regularly reappeared on TV. Third-graders may not be capable of full-blooded crushes, but my appreciation of Mrs. Stone confused me enough to make her regard crucial. Picture a ten-year old summoned by a beautiful actress and asked what he had to be so unhappy about, what harm it would do to put on a happy face. Picture a beautiful actress summoning a ten-year to tell him what an old man he is.
Like a lot of clinical descriptions, the list of symptoms for dysthymia includes many not-clauses. Dysthymia needs to be the only diagnosis possible—it can’t be medical or drug-related or the result of a depressive episode. It can’t arise from schizophrenia or be better explained by cyclothymic disorder (manic depression). It can’t, in sum, be a major depressive disorder. As mental illnesses go, it’s pathetic. It will never merit a telethon.
Dysthymia’s key criteria are that it’s chronic and not necessarily debilitative. Someone suffering from mild to moderate dysthymia can get up and get to work. Work can be, in fact, a saving grace distracting a sufferer from symptoms like “poor appetite or overeating,” “insomnia or hypersomnia,” “low energy or fatigue,” “low self-esteem,” “poor concentration or difficulty making decisions,” and “feelings of hopelessness.”
I doubt I ever tried to explain myself to Mrs. Stone. If memory is (as I wrote last week) more emblematic than descriptive, then a few episodes morph into a something-not-worth-mentioning. Naming codifies, after all, and labels render the transient solid. Even now, I don’t state my illness much. It’s not admissible.
Two of Eeyore’s most underrated traits are his efforts not to burden those around him and his appreciation for any attention. I loved being invited to roller skating parties and asking someone to come over, but I never knew what to do then… and still don’t. Part of any persistent state is becoming inured to it, forgetting what its absence might be like. When my family, friends, and colleagues tease me for being so relentlessly under-enthusiastic, I laugh. I AM an Eeyore. I accept the label and embrace it. Like it or not, I am become him.
So, time machine obtained, I might stand with my younger self and tell Mrs. Stone, “Smiling is relief he wishes he could count on more. For reasons that elude him, he can’t step out of his mood as much as he’d like. This third-grader haunts the adult more than he’d like to admit, and, even now, he feels like apologizing for saying so.”