Archive for: Depression

Am I Depressed? What is Depression?

Many people experiencing depression do not realize that they are depressed. This is unfortunate. Because depression is a treatable condition. In fact, treatment outcomes for depression in many cases are quite good. People who have recovered from depression, with medication, therapy, or a combination of both, describe a transformative experience. Their world seems to change. People often use visual analogies to describe the experience. The world transforms from a place dull, grey, and full of shadows to a place full of light and color, a place of brightness.

Depression is difficult to talk about. People are often ashamed. Shame drives depression, feeds it.

Here’s the criteria used by a doctor, psychologist, or therapist to diagnose depression:

  • Feelings of sadness or emptiness most of the time, most days.
  • Decreased interest in or pleasure from most activities, most days.
  • Significant weight loss or loss of appetite.
  • Feel like sleeping all the time, or unable to sleep when tired.
  • Fatigue, feeling little or no energy.
  • Feelings of worthlessness or persistent guilt.
  • Inability to concentrate, make decisions, most days.
  • Thoughts of death, suicide.

Mental health experts look for five or more of the above criteria experienced over a two-month period.

Depression is a treatable condition, covered by most forms of health insurance.

Gratitude

Gratitude has been proven by research to significantly decrease anxiety and depression. Individuals who spend time thinking  about the positive elements of their lives report feeling happier and more motivated. So, as the Thanksgiving season  approaches, what can you be thankful for? Be sure to look around at not only the significant relationships and events in your life, but also the little details that actually do make a difference, even if they may seem insignificant. We all have things to be grateful for, even if it’s just the gift of waking up every day and experiencing life. Sometimes, we just have to shift our focus in  order to see it.

Writing a list or keeping a journal of daily events that cause you to be grateful is a helpful exercise. Additionally, be sure to tell your friends, family, coworkers and others what you appreciate about them. Don’t forget, you can be grateful for yourself as well! Express gratitude towards yourself for who you are and things that you have accomplished. Each of these exercises will more than likely serve to lighten your mood and increase your hope about the future.

Anxiety and Depression

With the holiday season behind us and as we settle into the winter months, feelings and symptoms of depression will often surface or increase. Feeling “down in the dumps” or “blah”, sad, discouraged, hopeless, irritable and cranky, or easily frustrated are typical symptoms of depression. Also feeling withdrawn, a loss of interest or pleasure, changes in appetite, sleep, energy, difficulty concentrating and making decisions are commonly reported. A sense of feeling worthless or excessive guilt may be experienced. Some of these feelings may intensify and actually interfere with our relationships, school, job, social activities or even day to day functioning. If you experience a few or most of these symptoms, it is wise to pay attention to them and take care of yourself.

Make sure there is not a physical or medical explanation for your depression. If your body isn’t feeling “right”, talk to a professional counselor or licensed clinical social worker or your doctor. Treat your body the way it deserves and needs to be treated by eating healthy and getting enough rest and exercise. Taking a few moments to focus on your breathing is an easy and effective way to help your mind and body to relax, and can be done anywhere. Pull yourself into the present and take in the gifts that are around you now. Notice the sunshine, a beautiful bird, a cloud, or other gifts of nature. Listen to music or sounds that you “connect” with. A walk or a change of scenery can bring newness into your surroundings. If possible, do something nice for another person, even if it is only to smile or greet them. Sometimes the simple, small steps we take will make a big difference.

Often people minimize or don’t understand depression and the possible effects of going untreated. Working with a mental health professional can help you understand depression and learn multiple ways to manage its symptoms. Regardless of the season, feeling bettter means living better!

Steps to a Depression-free Mind

Can you imagine living in a society that was virtually free of depression? Certain societies such as the Kaluli people of Papua New Guinea and the American Amish populations both essentially have zero depression rates. Depression has become a byproduct of our modernized, industrialized, and urbanized lives. While we have become accustomed to a highly technologically evolved society with the gadgets, gizmos, and comforts we love, we are also seemingly on a never-ending treadmill of overworking, under-sleeping, and hyper-stressing in order to live the “American Dream”.

By incorporating several simple lifestyle changes into your everyday living can help you minimize the effects of stress and depression. Common variables practiced by the Kaluli and Amish people include: eating an omega-3 rich diet, getting ample sleep every night, regular daily exercise, getting plenty of natural sunlight, being involved in some type of social activity with social connections, and practicing meaningful tasks all help these populations divert attention from your own negative thought processes that can lead to depression.

Tips for Combating Depression

According to statistics, one out of ten adults reported experiencing at least one episode of depression in their life. Many people report a single episode while others described their depression as chronic and ongoing. Depression is a mental illness that can be costly and debilitating to sufferers. It can adversely affect the course and outcome of common chronic conditions, such as arthritis, asthma, cardiovascular disease, cancer, diabetes, and obesity. Depression also can result in increased work absenteeism, short-term disability, and decreased productivity. In an age where we tend to rely on a pill to make our symptoms disappear, incorporating some of these tips can be effective in managing depression.

Talk about your feelings and situations
Eat healthy
Get moving
Don’t drink too much
Get enough rest and sleep
Take a break with some “me” time
Accept yourself-give yourself positive affirmations
Keep a journal
Caring for others-including pets
Work
Humor
Spend time outdoors
Enjoy sunlight
Socialize-avoid associating with negative people
Become aware of your thoughts-you are what you think
Enjoy entertainment
Listen or play music
Seek professional help to help manage your depression

Feel Better, Live Better

We all have many “wants” in life – but most of us share one simple “want” in common: Happiness.

It’s a lifetime quest for many, especially here in the United States. Americans, ironically, number among the most anxious people in the world. We tend to view happiness as an art, the result of luck or sheer willpower. Meanwhile, many of us live with an angry lion perched right outside our door.

Anxiety may be easier to spot in others. When it comes to ourselves, we may chock it up to insomnia, irritability or poor health. But it’s important to know that about 1 in every 35 people in the United States experiences generalized anxiety, according to annual diagnosis rates.

That’s a lot of unnecessary suffering, and it’s also important to know that there is nothing wrong with you if you do live with anxiety.

Anxiety is a normal, primal human response. It’s an instinct that kept our ancestors safe from predators and empowered them as they protected the most vulnerable members of their families.

We’ve come a long way since then, but our brains and our bodies don’t know the difference. Modern-day life can leave you feeling as if that angry lion is perpetually ready to pounce.  Today, we may not experience that as conscious fear. We’re more likely to describe it as stress, nervousness, embarrassment, poor planning skills, emotional pain, obsessive thoughts, pounding heart, headaches, sweating, difficulty swallowing, muscle tension, persistent worry, an inability to relax or trouble sleeping.

Few people experience all of the above. But for many of us, the lion is just outside the door when it comes to work, health, finances, marriage or our children.

While we know the ancient origins of anxiety, the reasons we experience it today are very individualistic but rather straightforward. Genetics, childhood experiences and traumatic events can each lead to anxiety – in the moment – or later in life. For some people, one factor is enough to trigger anxiety. For others, it may be all three.

Of course, we all know people who are seemingly immune to anxiety, regardless of life circumstances. We admire their emotional strength and society holds them up as heroes. Because of that, many of us who live with anxiety instead deny it even to ourselves – or live with it in shame and in secret.

There is an option: Anxiety is highly treatable. Among the first steps are to recognize it, stop resisting it and accept it – to accept ourselves.

You are not to blame for how you feel. Our lives truly are increasingly chaotic and demanding, with Americans working longer hours than ever in competitive atmospheres that can destroy confidence.  Do you have family members who deal with nervousness and anxiety? That could be an indication of a family history. And of course, if you experienced trauma and did not have the opportunity to deal with it, it may be dealing with you.

Research has found that therapy is the most effective solution to anxiety because it goes beyond treating the symptoms and identifies the causes. It is tailored to the individual and comes with lifelong benefits: building coping and problem-solving skills, finding balance, developing relaxation techniques – and it is achieved in a supportive and accepting environment.

As a therapist, I have treated anxiety for decades and have found that a genuine, warm, collaborative atmosphere results in a sense of empowerment, clarity and a path forward. It is a privilege to be invited into someone’s process of healing and change – and together – learn what anxiety is saying to us and what it has to teach us.

Don’t let that angry lion pace outside your door. You have the power to send it away and to live a productive, anxiety-free life – a life you can describe, quite simply, as “happy.”

 

Sharon Nelson, LCSW

Stress and the Brain

Stressful events such as the death of a loved one, divorce, loss of job or home, or serious/chronic illness can actually affect the grey matter in the prefrontal cortex of the brain.  This region of the brain is responsible for self-control, emotions and physiological functions such as proper glucose and insulin levels.  Stressors can affect our mood centers and skew our ability to regulate pleasure and reward.  Prolonged exposure to stress can actually shrink the brain.  Brain volumes in the mood centers are linked to depression and anxiety.  People who have brain shrinkage seem to be more vulnerable when faced with a life trauma or sudden adverse event as the effects are magnified and their ability to cope is compromised.

Brain-enhancing activities to combat stress and make our brains more resilient to stress are recommended to diffuse some of the potentially harmful effects stress can have on the brain.  Some valuable stress relievers include exercise, meditation, taking a daily dose of DHA (Docosahexaenoic acid-an Omega 3 fatty acid) and maintaining strong emotional relationships.

The Search for happiness

TED.com pioneered the digital presence of speakers on a world stage, to your own computer, tablet, or smartphone. Happiness and people’s perception of happiness is a hot topic of discussion today. How we each choose to pursue and believe in our own happiness is an ever-changing process of growth, introspection, and inspiration. Below are videos from TED Talks about three people’s very different views of happiness and how one can practice happiness daily.

#1: Matthieu Ricard – The Habits of Happiness
Ricard discusses navigating what some call “the dirty work of happiness” and how happiness is an attitude that can be found from within oneself, regardless of the outer experiences of life.
http://www.ted.com/talks/matthieu_ricard_on_the_habits_of_happiness.html?embed=true

#2: Neil Pasricha – The Three A’s of Awesome
Blogger of 1000awesomethings.com, dedicated to celebrating the simple things in life tells his personal journey with the three A’s of awesome: attitude, awareness, and authenticity.
http://www.ted.com/talks/neil_pasricha_the_3_a_s_of_awesome.html?embed=true

#3: Matt Killingsworth: Want to be happier? Stay in the moment
Killingsworth discusses his research into the mental state of everyday people and when they are happier. He talks about his findings that when a person’s mind wanders, people tend to be less happy.
http://www.ted.com/talks/matt_killingsworth_want_to_be_happier_stay_in_the_moment.html?embed=true

 

“May you be well. May you be happy. May you be free from suffering.”
–traditional Buddhist prayer

 

Erika McCaghren

Dealing with Change

Changes occur all day long.  An appointment gets cancelled, you encounter a detour on the way home, you were anticipating roast beef for dinner and you got chicken.  It’s what life is and while you might get a bit frustrated, you learn to roll with it.  But what about the big changes?  Job transfers, marriage, divorce, children, medical changes and the death of someone you love.  How do you learn to adapt with the changes that will affect the rest of your life?

Whether you’re leaving the community that you’ve built strong relations with or having to bury a loved one, you will feel anger because it wasn’t your choice for this to happen to you.  Healthy coping skills result in better emotional stability.  Poor coping skills result in anger and resentment.

First, it is helpful to recognize that you are in the midst of change and that change is part of you.  Instead of thinking about all the negative issues, try making a list of all the positive benefits of this change.  Visualize all the possibilities and write them down.  Make up a “to do” list if there are things you need to accomplish before the change happens.  Call a friend and discuss your fears and ask for their advice.  If you feel that you can’t get past your fear, anger and resentment you may need to talk to a professional.  In talking with a therapist you will get an unbiased opinion and they will be able to give you some insight and the coping tools so that you can move on and embrace your changes.

“Your life does not get better by chance, it gets better by change.” ~ Jim Rohn

 

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