Everyone feels sad from time to time. Its only natural. Most people go through blue days
or normal periods of feeling down, especially after they experience a loss. But what specialists
call clinical depression is different from just being down in the dumps. The main
difference is that the sad or empty mood does not go away after a couple of weeks and
everyday activities like eating, sleeping, socializing, or working can be affected.
Estimates indicate that perhaps one in five adults in the general population experiences a
depressive disorder (e.g., major depression, bipolar disorder, dysthymia, post-partum depression,
or seasonal affective disorder) at some point in their lives. In any given year, over one in
20 people will have a depressive episode. For each person suffering directly from depression,
three or four times that number (relatives, friends, associates) will also be affected to some
degree. It is impossible to obtain exact figures because so many people try to live with this
condition without looking for help. Recent studies strongly suggest that this condition is on
the rise, especially among single women, women in poverty, single men, and adolescents. National
tragedies or natural disasters can also generate depressive symptoms for large parts of a population.
A depressive disorder can change a persons moods, thoughts, and feelings. Without appropriate
treatment, this condition can go on for a very long timeweeks, months, or years. Even
among those suffering from depression, most do not know they have a treatable condition. Most
blame themselves or may be blamed by others. This leads to the alienation of family and friends
who, if they knew of the illness, would likely offer support and help find effective treatment.
Although this is one of our most devastating emotional disorders, treatment can bring relief
to over eighty percent of those who experience depression.
Several causes of depression have been identified. For example, the illness has been seen to
run in families, suggesting that some people may have a genetic predisposition to depression,
which may show itself particularly during times of stress. However, it is important to note
that just because you have a family member with depression, you are not necessarily going to
suffer from this condition yourself.
Sometimes a major change in a persons life patterns can trigger a depressive episode.
These changes may be due to serious illness, a period of financial difficulties, stressful relationships,
or a severe loss (such as the death of a loved one, divorce, or the loss of a job). Researchers
find that people who are easily overwhelmed by stressful events, tend to worry, have low self-esteem,
and see the world in a pessimistic way are more prone to depression than other people.
Types of Depressive Disorder
Not all depressions are alike. The nature of ones depression depends on the cause and
on each persons individual adaptation to this disorder. Here are several generally recognized
forms of depression.
A major depression is different from a state of normal sadness. People who experience depression
describe it as agonizing pain that cannot be shaken and seems to have no end in sight. They
feel trapped and often talk about having a dark empty pit in their chest or stomach that cannot
be filled. Some depressed people contemplate suicide. Virtually all people with depression complain
about reduced energy, reduced concentration, and the inability to complete projects. About eighty
percent of depressed people say they have trouble sleeping, with frequent nighttime awakening
during which they worry about their problems. Many people with depression oversleep during the
daytime. Many people with this disorder report that they have had either an increase or a decrease
in their appetite, sometimes accompanied by weight gain or loss. About fifty percent of people
with depression say that their symptoms are worse in the morning and that they feel a bit better
by evening. Half of all people with depression report only one severe episode within their lifetimes,
but the remainder may have this happen twice, or repeatedly, during their lives.
Here are some symptoms of major depression
- Diminished ability to enjoy oneself
- Loss of energy and interest
- Difficulty concentrating; slowed or fuzzy thinking; indecision
- Magnified feelings of hopelessness, sadness, or anxiety
- Decreased or increased sleep and/or appetite
- Feelings of worthlessness or inappropriate guilt
- Recurring thoughts of death
Another common form of depressive disorder is called dysthymia. This involves having chronic,
long-lasting symptoms of depression, which are not disabling, but prevent a person from functioning
at top capacity or from feeling good. Women experience dysthymia about twice as often as men,
and it is also found in those who lack a relationship and in those who are young or with few
resources (such as a low income or few social contacts). The primary symptoms of dysthymia (which
means bad humored) include a depressed mood, a feeling of being down in the dumps,
and a lack of interest in usual activities for at least two years. People with dysthymia can
experience any of the symptoms of major depression, but usually not to the severe degree that
may be found in a full-blown depression. Dysthymic people, though, are vulnerable to moving
into a major depression during times of stress or crisis. Dysthymia often leads to a life without
much pleasure, and many people with this condition feel that it is simply a part of their personality
so that they never seek treatment.
Symptoms of dysthymia include
- Poor appetite or overeating
- Insomnia (lack of sleep) or hypersomnia (oversleeping)
- Low self-esteem
- Poor concentration or difficulty making decisions
- Feelings of hopelessness
- Fatigue or low energy
A third type of depressive disorder is bipolar disorder or manic-depressive illness. This disorder,
which is much less common than major depression, is characterized by a pattern of cycling between
periods of depression and elation. These cycles, or mood swings, can be rapid, but
most often occur gradually over time. When in the depressed part of the cycle, the person can
experience any of the symptoms of depression. When the person moves into the manic or elated
phase, however, he or she can experience irritability, severe insomnia, inappropriate social
behavior (like going on spending sprees), talking rapidly with disconnected thoughts, increased
energy, poor judgment, and increased sexual desire.
There is strong evidence that bipolar disorder is largely an inherited condition, and many
people with this disorder respond well to medication.
Some symptoms of bipolar disorder are
- High energy with a decreased need for sleep
- Extreme irritability
- Rapid and unpredictable mood changes
- An exaggerated belief in ones abilities
- Impulsive actions with damaging consequences (e.g., charging up credit cards, sudden love
Two other forms of depression
Post-Partum Depression is linked to hormonal changes following the birth of a child.
This can be a serious form of depression, sometimes with psychotic features, but most sufferers
respond well to treatment.
Seasonal Affective Disorder or SAD is found among those who are sensitive to
the shorter days of winter, especially those who live at northern latitudes. Many people with
SAD respond to daily exposure to full-spectrum lighting.
A depressive disorder is a serious condition which affects virtually every aspect of a persons
everyday life experiences. It is not a sign of personal weakness, although many depressed people
feel guilty about not being stronger and tend to blame themselves. It is not possible just to
pull yourself up by the bootstraps in order to get better. The sufferer should find
the help of a trained professional. A depression is a time for introspection and reflection,
a time to discover what has gone wrong and what can be made better. A trained professional can
help the person with depression begin to see things in a more positive light.
Many people respond to psychotherapy alone in their treatment for depression. Others are helped
by a combination of therapy, exercise, and an antidepressant medication. Medications can facilitate
the healing process. People also benefit by acquiring the life tools that are learned in psychotherapy.
Recent studies have indicated that medication alone without psychotherapy doesnt work
in the long run as well as psychotherapy alone or psychotherapy used in conjunction with medication.
What is most encouraging about this devastating condition is that so many people do get better
when they find the appropriate treatment!
Things You Can Do to Deal with Depression
- Give yourself permission to feel depressed. Dont expect too much from yourself, since
this will only lead to feelings of failure and this in turn perpetuates the depressive
pattern. Dont fight the depression so hard. Giving in to it may alleviate the depressed
feelings. (However, if you have suicidal thoughts, you are advised never to give in to these
and to consult a professional immediately.)
- Try not to set difficult goals for yourself or to take on more responsibilities than you
can realistically handle. Break large tasks into smaller ones. Set priorities and take things
one at a time. Learn to comfort yourself when you feel depressed.
- Realize that you may have negative thoughts and that they are a symptom of the depression.
One thing you may focus on in therapy is turning negative thoughts into positive ones.
- Postpone important life decisions until your depression is brought under control. If you must
make major decisions, consult others who can be trusted and can take an objective view of the
- It is important during a depression to avoid the use of alcohol or drugs. While you may feel
a temporary high, this can lead to a dangerous pattern of highs and lows which can
ultimately create a negative spiral that is very difficult to get out of.
- Try to spend as much time as you can around other people. While this may seem impossible,
it is better than being alone. It is important not to overdo it, however. Feeling better takes
- Recognize that there are certain times of the day when you feel better. Use these times to
While it may seem impossible, try to get some exercise. Pumping up your heart for even half
an hour every other day does wonders for your mood, and you can do this by taking a walk.
Dont blame yourself, though, if you cannot accomplish as much as you think you should.
- Treat yourself, everyday if possible, to some activity that makes you feel better. Take a
walk in a park or enjoy a bubble bath. Read an interesting article, listen to some music you
like, or attend a social or religious function.
A Depression Checklist
If you check at least half of the following items, you may benefit from a consultation with
a trained professional who can help you in working through a depression.
____ It is hard for me to concentrate on reading or watching TV.
____ My future seems hopeless.
____ I do things slowly.
____ Pleasure and joy have gone out of my life.
____ I feel sad, blue and unhappy.
____ I have lost interest in things that used to be important to me.
____ I have difficulty making decisions.
____ I feel that I am guilty and deserve to be punished.
____ It takes a great effort to do even simple things.
____ I feel fatigued.
____ I have had thoughts about hurting myself.
____ My sleep is disturbed too little, too much, or broken sleep.
____ Without trying to diet, I have lost (or gained) weight.
____ I feel depressed even when good things happen.
____ I have negative thoughts much of the time.
It is my hope that if you are dealing with depression that you learn as much about it as possible.
Sometimes just learning how to live, accept, and feel comfortable with depression is helpful!
My best to you,
Copyright Simmonds Publications
"Feel free to get in touch today!" -- Donna Bellafiore
(561) 685-3933 or send e-mail to: firstname.lastname@example.org
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