The poorly integrated person is thus volatile and directionless—and this is only the beginning. Sufficient volatility and lack of direction can rapidly conspire to produce the helplessness and depression characteristic of prolonged futility. This is not merely a psychological state. The physical consequences of depression, often preceded by excess secretion of the stress hormone cortisol, are essentially indistinguishable from rapid aging (weight gain, cardiovascular problems, diabetes, cancer, and Alzheimer’s).1