Why Robin Williams lost to depression
By Michael Friedman
updated 7:08 PM EDT, Wed August 13, 2014
Robin Williams was honored during this year's Emmy telecast with a tribute led by friend Billy Crystal, who hosted the "Comic Relief" benefits with Williams and Whoopi Goldberg (seen here in 1986). Williams died August 11 at age 63. Click through to see moments from the beloved actor's remarkable life.
Williams' peers regarded him as a brilliant actor and comedian. His friend David Letterman remembered him as "nothing we had ever seen before."
Williams first shot to stardom with Pam Dawber in the sitcom "Mork & Mindy" in September 1978.
Williams attends the Robin Williams Opening Party on April 11, 1979, at Studio 54 in New York City.
This 1982 file photo originally released by Warner Bros. Pictures shows Williams as T.S. Garp from the film "The World According to Garp."
Williams and his first wife, Valerie Velardi, join a huge number of photographers packed into singer Paul Simon's apartment to celebrate Simon's wedding to actress Carrie Fisher in New York City on August 16, 1983.
Williams, center, takes time out from rehearsal at NBC's "Saturday Night Live" with cast members Eddie Murphy, left, and Joe Piscopo on February 10, 1984. Williams would appear as guest host on the show.
Williams enjoys music through a headset in a scene from the film "Good Morning, Vietnam" in 1987.
Williams portrayed a teacher in the movie "Dead Poets Society" in 1989, one of his first mostly dramatic roles.
Williams went to all lengths to stay with his children in the 1993 movie "Mrs. Doubtfire."
From left, Bonnie Hunt, Bradley Pierce, Kirsten Dunst and Williams hold one another in a scene from the 1995 film "Jumanji."
Comedians and co-hosts, from left, Billy Crystal, Whoopi Goldberg and Williams sing and dance the 1940s-era opening number to "Comic Relief VII" on November 11, 1995, in Los Angeles.
Jay Leno laughs as Williams jokes around during a taping of "The Tonight Show with Jay Leno" on November 13, 1995, at the MGM Grand Hotel in Las Vegas.
Williams and Nathan Lane starred in the film "The Birdcage" in 1996.
Williams visits a sick child in a scene from the film "Patch Adams" in 1998.
Williams and his wife, Marsha, pose for photographers with their daughter, Zelda, as they arrive at the premiere of the film "Patch Adams" in December 1998 in New York City.
Williams wears a clown nose as he places his hands in concrete during a ceremony outside Mann's Chinese Theatre in Hollywood in 1998. In the critically acclaimed "Patch Adams," he played a doctor who used humor to help heal his patients
Actor-writers Matt Damon, left, and Ben Affleck, right, pose with Williams, holding the Oscars they won for "Good Will Hunting" at the 70th annual Academy Awards in 1998. Damon and Affleck won for best original screenplay, and Williams won for best supporting actor.
Williams donates blood at the Irwin Memorial Blood Center in San Francisco on September 11, 2001.
U.S. Postal Service team rider Lance Armstrong rides with Williams during training on a rest day of the 89th Tour de France cycling race in Vaison La Romaine on July 22, 2002.
Williams plays Rainbow Randolph in the 2002 black comedy "Death to Smoochy."
Williams and Oscar host Billy Crystal perform at the 76th Academy Awards show in 2004.
Williams poses for pictures with U.S. soldiers at the main U.S. base at Bagram, Afghanistan, on December 16, 2004.
Williams in 2007's "License to Wed."
Williams and Susan Schneider arrive at the premiere of "World's Greatest Dad" in Los Angeles on August 13, 2009.
Williams at the pre-premiere party for "Happy Feet Two" at the Grand Connaught Rooms in London on November 20, 2011.
Williams poses for photographs in Sydney, Australia, on December 5, 2011. He and Australian director George Miller were in Australia to promote "Happy Feet Two."
Williams' wife, Susan Schneider, said, "This morning, I lost my husband and my best friend, while the world lost one of its most beloved artists and beautiful human beings. I am utterly heartbroken."
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
Comedic actor Robin Williams dies
STORY HIGHLIGHTS
- Robin Williams, who was battling severe depression, committed suicide
- Michael Friedman: Depression does not discriminate and shows no mercy
- He says the stigma of depression needs to be overcome in our society
- Friedman: Integrating mental health screening in primary care would help
Editor's note: Michael Friedman is a clinical psychologist and a member of EHE International's Medical Advisory Board. Follow him on Twitter: @DrMikeFriedman. The opinions expressed in this commentary are solely those of the author.
(CNN) -- The tragic death of Robin Williams has once again taught us a bitter lesson: Depression does not discriminate, cannot be bargained with and shows no mercy.
Depression does not care how wonderful your life is or how many people you've touched. Williams seemed to have it all: He was adored by fans, loved by family and friends and had fame and fortune.
But it didn't matter, because someone suffering severe depression cannot feel the joy and satisfaction that comes with even the best things in life. As a society, we need to hear these collective cries for help and take depression seriously as a public health issue.
Robin Williams and the dark side of comedy
Michael Friedman
Williams is not the first and won't be the last celebrity to have struggled with depression or mental disorder. Jon Hamm, Winona Ryder, Owen Wilson and many others have all made the point that depression can hit anyone at any time for any reason. Kurt Cobain suffered from bipolar disorder before his suicide. L'Wren Scott was rumored to be depressed before she hung herself.
The World Health Organization estimates 350 million people worldwide suffer from some form of depression.
When mental illness affects your family
Depression is characterized by intense and prolonged sadness and/or anhedonia (loss of pleasure). Symptoms including low energy, loss of concentration, sleep and eating disturbance and feelings of guilt and worthlessness can accompany depression. It is not exclusively an adult disorder. It can begin in childhood or adolescence and last throughout life with possible relapses.
Some people can suffer major depression, others mild. There's also bipolar disorder, which is characterized by manic episodes and depressive episodes.
Opinion: Robin Williams and depression: We all wear a mask
The pain behind Robin Williams' punchlines
Robin Williams inner battles
Depression is one of the leading causes of loss of productivity and disability. It's devastating on relationships. Depressed individuals will often experience sadness and be unable to experience pleasure, making it difficult to feel or express love toward others. There is also evidence suggesting that depression may be linked to chronic diseases. The worse is that depression is one of the most consistent risk factors for suicide.
So what can be done?
The field is still evolving. In more severe or chronic cases, the combination of medication and psychotherapy has shown to be particularly potent. There are ways for treatment to be cost-effective.
But there are barriers that need to be overcome to adequately address depression. First and foremost, the stigma of depression is making us sicker. From an early age, children describe each other as "crazy" or "weird." This can often result in teasing and bullying for children with mental health issues, and social distancing from adults. As a result, individuals struggling with depression will often feel worse as a result of this mistreatment and be less likely to seek care.
Going public with depression
Eradicating the stigma of mental illness must be a public health priority. For years, groups such as the National Alliance for the Mentally Ill have fought to reduce stigma. Those on the front lines of working with people with mental illness should receive adequate education and support to manage bias.
Integrating mental health screening in primary care settings is another important step, as the U.S. Preventive Services Task Force has determined that this improves outcomes. Furthermore, the Affordable Care Act of 2013 expanded upon the Mental Health Parity and Addiction Equity Act of 2008, providing more possibility that mental health conditions will be covered at similar rates to physical health conditions.
Opinion: Suicide doesn't set you free
As we break down barriers and improve understanding of depression, we will hopefully reduce the number of tragedies. We shouldn't have to lose some of our brightest lights like Robin Williams.
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