Re:Helping someone with depression
16 March 2010 11:55
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There is one obvious thing about true depression - people who haven't suffered from it do not understand it. Therefore all logic goes out the window. thats the first step to understanding it.
99.9% of people I know have no clue about my history of mental illness, my years on prozac etc.
However I've never once in my life taken a single day off work for it, even when it was very bad. Because I know that the worst thing (for me) is to NOT be busy. you end up thinking about things and that makes you worse. Therefore you HAVE to do things to take your mind off of it.
Here is the first key, IMO, to understanding depression and why it isn't logic. As a human, you rationalise things in your brain. Logic dictates that you are in the western world, you may not be financially that badly off compared to many in the world, you may have a roof over your head, clothes, shelter etc. Compared to many in the world, you are very lucky. Therefore logic dictates that you shouldn't really be depressed. Consequently, the battle in the depressive's mind is one that struggles with this, it is circular. "Why am I depressed? Life could be a lot worse, there are people dying of cancer, people starving in the world." You then take that logic, and because it doesn't actually help you be non-depressed, it makes you MORE depressed. "I shouldn't be depressed, yet I am." Thus it is a viscious cycle and circle that increases your depression.
This is furthered by people who do not understand true depression who will come across with comments like "cheer up, could be worse" or "there are people far worse off in the world, you should be grateful for what you have" and "just smile and everything is better" and "if you are negative negative things will happen" etc, etc. Those things make the depressive ultimately MORE depressed, usually.
True depression (suicidal thoughts that are serious, thoughts of self harm, feeling at times of just bursting into tears for no reason, having no enjoyment of anything in life, etc, etc) is an actual condition usually with altered chemicals in the brain different to normal. To say someone with true depression should just "man up" is like saying the heroin user to just "give up heroin" just like that - like anyone can do it and they are lazy and weak. Or even like the diabetic to just "start producing your own insulin." You cannot change your serotonin and other neurotransmitter levels just like that (and there is VERY strong evidence that proper depression have serious deficiencies in these areas). To think that you can "just shake that off" just shows a lack of understanding of the disease.
Having said that, the people that are most vocal about their depression, take the most time off of work, are usually the ones NOT depressed, just being low, feeling sorry for themselves, and using it as an excuse to be somewhat lazy. Not always, but often. IME, its the quiet ones, the ones that never use it as an excuse (eg if it is really bad and they are really down at work just say they have a migraine or similar). Most depressives don't want others to treat them differently etc, or even for others to know - partly because they don't think others will understand (which mostly they don't - its hard to understand unless you've had it, for the logic reasons I've given above - its an illogical condition).
Even though I believe the above to be true generally for most true depressives, there are varying forms of depression (some brough on by circumstances and even these can bring changes in your brain), some run in the family (runs in mine) and is linked genetically to a degree of susceptibility, and other times its just periods of being low. One thing I find for most cases though, that routine, and keeping active and busy is the best remedy for it all - it occupies the mind away from being logical about an illogic condition and from thinking about things that make one more depressed.
I would say just make sure the person knows you are there for them, but don't treat them differently, don't give them that "I feel so sorry for you look," try to have a laugh with them, don't mention the depression much but do show a genuine care and concern for them at the same time. Suggest things to do, tell them you want to do these things with them and so never make it look like you are doing it because you feel obliged to etc. And never use the "things could be worse" or "there are people worse off than you" lines!
mcl