What If I Am Not Happy With My Treatment
If you are not happy with your treatment you can:
- talk to your doctor to see if they can suggest changes,
- get an advocate to help you speak your doctor,
- ask for a second opinion if you feel it would help,
- contact Patient Advice and Liaison Service and see whether they can help, or
- make a complaint.
There is more information about these options below.
Advocacy
An advocate is independent from the NHS. They are free to use. They can be useful if you find it difficult to get your views heard.
There are different types of advocates available. Community advocates can support you to get a health professional to listen to your concerns. And help you to get the treatment that you would like. They arent available in all areas.
You can ask an advocate to help you make a complaint. Advocates that do this are called NHS complaints advocates. They are free to use and don t work for the NHS. They re available in all areas.
You can search online to search for a local advocacy service. If you cant find a service you can call our advice service 0808 801 0525 . You can email us too at . We will look for you.
Second opinion
Talk to your doctor about your treatment to see if you can resolve the problem with them first. If you dont agree with their decisions about diagnosis or treatment, you could ask for a second opinion. You are not legally entitled to a second opinion, but your doctor might agree to it if it would help with treatment options.
‘PALS’
Complaints
- Advocacy by clicking here.
Dealing With Depression And Loneliness
No matter how many people are around you or in your life, depression can still bring loneliness. Try these tips to reconnect and break free of the isolation of depression.
Everyone feels lonely from time to time, but for some, loneliness comes far too often. Feeling lonely can plague many people including the elderly, people who are isolated, and those with depression with symptoms such as sadness, isolation, and withdrawal. Loneliness can strike a person who lives alone or someone who lives in a house filled with people. Loneliness is subjective, says Louise Hawkley, PhD, a research associate in the psychology department at the University of Chicago. You cant argue with someone who says theyre lonely.
Although depression doesnt always lead to loneliness, feeling lonely is often a predictor of depression one year or even two years later, and it certainly leads to sadness, Dr. Hawkley says. Freeing yourself of feelings like being isolated by depression is part of the healing process.
How to Fight Depression and Loneliness
Feelings of loneliness dont have to be constant to call for action, but you will need to give yourself a push to get back into the thick of life and re-engage with others to start feeling better. These strategies for fighting depression and loneliness can help:
Feeling Depressed What To Do When You Feel Depressed
Knowing what to do when you’re depressed can mean the difference between slipping into a serious depression or turning things around early. When you’re feeling depressed it can be difficult to take positive steps, but even the most depressed person can find even tiny steps useful.
Professional help should always be sought for any serious depression or any depression that lasts more than two weeks. However, even while getting professional help, there are things you can do to stop feeling depressed.
Note: Any feelings that you may harm yourself or others should be dealt with by a mental health professional immediately.
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Increased Fatigue And Sleep Problems
Part of the reason you might stop doing things you enjoy is because you feel very tired. Depression often comes with a lack of energy and an overwhelming feeling of fatigue, which can be among the most debilitating symptoms of depression. This could lead to excessive sleeping.
Depression is also linked with insomnia, as one might lead to the other and vice versa. They can also make each other worse. The lack of quality, restful sleep can also lead to anxiety.
Depression can affect the sexes differently. Research shows that men with depression may have symptoms such as irritability, escapist or risky behavior, substance abuse, or misplaced anger.
Men are also less likely than women to recognize depression or seek treatment for it.
Understanding How Much Depression Impacts Lives
There are varying degrees of depression. Certain people experience depression in lapses, while others are ongoingly depressed. Some people experience depression after certain events, while others have chronic depression that affects their careers, health, activities, and family life. Nevertheless, depression literally has the capability to impact every aspect of an individual’s life. In many cases, depression doesn’t simply wear off or subside. This is why it’s so very problematic when depressed individuals are told to simply shake it off or “get over it.” Depression literally does not work this way.
Mental Impacts
It goes without saying that depression has a very real impact on people’s mental state. Depression quite literally changes brain chemistry and the manner in which individuals see the world. Someone who is going through depression may feel anxious, habitually empty, and they may also experience thoughts of suicide. It’s not uncommon for people with depression to struggle with even getting out of bed in the morning, getting enough sleep, or doing things that are considered basic by most people. It’s important to remember that just because the mental impacts are not able to be seen with the naked eye , this does not make them any less real.
Emotional Impacts
Physical Impacts
Also Check: How To Motivate Someone Who Is Depressed
Why You May Not Know You’re Depressed
There are several possible explanations for being depressed and not knowing it. Depression might not be on your radar, either due to denial or stigma, or you may dismiss your symptoms because you’ve been experiencing them for so long. You may even be mistaking the symptoms of depression for something else.
The following are some reasons why you may not realize that you are depressed:
What’s The Difference Between Low Mood And Depression
A general low mood can include:
However, a low mood will tend to lift after a few days or weeks.
Making some small changes in your life, such as resolving a difficult situation, talking about your problems or getting more sleep, can usually improve your mood.
A low mood that doesn’t go away can be a sign of depression. Symptoms of depression can include the following:
- low mood lasting two weeks or more
- not getting any enjoyment out of life
- feeling hopeless
- feeling tired or lacking energy
- not being able to concentrate on everyday things like reading the paper or watching television
- comfort eating or losing your appetite
- sleeping more than usual or being unable to sleep
Read more about the symptoms of depression.
Depression can also come on at specific points in your life, such as the winter months and after the birth of a child .
Also Check: What Is A Depressive Episode Like
No Interest Or Pleasure In Activities
Some people with depression lose interest in things or activities that they used to enjoy. These can include sports, hobbies, going out with friends, music, or sexual activity. They may turn down offers to do activities or be with others, and they may not want to do things they used to like doing.
This inability to feel pleasure during previously pleasurable activities is also known as anhedonia.
Severities Of Clinical Depression
Clinical depression can often come on gradually. So it can be difficult to notice when something is wrong. You might try to cope with the symptoms without realising you’re unwell. It can sometimes take a friend or family member to suggest something is wrong.
The severity of clinical depression depends on how much impact it has on your daily life:
- mild clinical depression has some impact
- moderate clinical depression has a significant impact
- severe clinical depression almost impossible to get through daily life
You can have clinical depression and other mental health disorders. For example, anxiety, psychosis or other difficulties.
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Symptoms Of Severe Depression
What are the symptoms of severe depression?
- Loss of interest in activities that used to be enjoyable
- Persistent thoughts of something bad happening
- Thoughts of death or suicide or suicide attempts
- In very severe cases, psychotic symptoms
- Inability to take care of oneself, such as eating, bathing, or fulfilling family or work responsibilities
Although you might feel that there’s no hope, talk to your doctor about treatment options. Even severe depression symptoms can be treated.
Some Common Causes Of Depression
Some factors that contribute to depression include:
- Brain chemistry: The “chemistry” of depression is not well understood, but researchers do know that an imbalance of brain chemicals called neurotransmitters can happen in anyone, even in the absence of an obvious “trigger.
- Non-modifiable risk factors: Some influences, such as brain structure, genetic predisposition, and environmental exposures, are not something a person can control.
- Modifiable risk factors: Risk factors that fall under the category of lifestyle choices are considered modifiable, but the extent to which an individual can do so will depend on their own ability and how much support they have.
Depression can make it much more challenging to address factors that might be contributing to depression, such as substance use or diet. As much as it is a mental illness, depression can also be physical. Symptoms like chronic pain and fatigue can make it difficult for people to take on lifestyle modifications, such as exercise, even if they want to and believe they could help.
To make these changes people need to have the right tools and a good deal of support. To get treatment, a person with depression needs to feel safe talking about how they are feeling.
A person who believes they are depressed for no reason may not feel they deserve to ask for or get help. Thats why its important to focus less on the reason for depression and instead think about the causes.
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Depression And Suicide Risk
Depression is a major risk factor for suicide. Deep despair and hopelessness can make suicide feel like the only way to escape the pain. If you have a loved one with depression, take any suicidal talk or behavior seriously and watch for the warning signs:
- Talking about killing or harming ones self.
- Expressing strong feelings of hopelessness or being trapped.
- An unusual preoccupation with death or dying.
- Acting recklessly, as if they have a death wish .
- Getting affairs in order .
- Saying things like Everyone would be better off without me, or I want out.
- A sudden switch from being extremely down to acting calm and happy.
If you think a friend or family member is considering suicide, express your concern and seek help immediately. Talking openly about suicidal thoughts and feelings can save a life.
If you are feeling suicidal
When youre feeling suicidal, your problems dont seem temporarythey seem overwhelming and permanent. But with time, you will feel better, especially if you get help. There are many people who want to support you during this difficult time, so please reach out!
ReadSuicide Help, call 988 in the U.S., or visit IASP or Suicide.org to find a helpline in your country.
Risk Factors For Suicide
Not all people with risk factors will be suicidal. In addition to depression or other mental illness, risk factors for suicide include:
- Current or past history of substance abuse
- Past history of suicide attempt
- Family history of suicide
- Family history of mental illness or substance abuse
- Firearms in the home
- Feelings of hopelessness
Read Also: What Medication To Take For Anxiety And Depression
How Can Cognitive Behavioural Therapy Help With Depression
Cognitive Behavioural Therapy or CBT is one of the most effective psychological treatments for depression. CBT uses cognitive and behavioural strategies to help target the thoughts, feelings and behaviours associated with depression. All of our online programs use CBT strategies.
Click below to see if our online CBT program can help you tackle your depression to improve the way you feel.
Cognitive strategies to help with depression
Cognitive Strategies
People who are depressed generally have a negative thinking style. They often think of themselves as worthless and that the world is bad or unfair, and they have little hope that their lives will improve in the future.
When something bad happens, people with depression often blame themselves, but when good things happen, they tell themselves they are just lucky. They are also less likely to recognise and appreciate positive events when they happen, and instead are more tuned into the bad things in their lives and brood over those events.
The cognitive strategies in CBT can help people identify and correct this biased way of thinking. These strategies identify and challenge sometimes hidden assumptions and beliefs, and can reframe the way they think about life.
When people with depression are able to reframe their thoughts, they are able to recover from failures more effectively and recognise and take credit for the good things in their lives. Having these skills has been shown to reduce relapse and a recurrence of depression.
Diagnosing And Treating Depression
There’s no physical test for depression.
If you experience depression symptoms most of the day, every day, for more than two weeks, you should visit your GP. This is especially important if:
- you have symptoms of depression that aren’t getting any better
- you have thoughts of self-harm or suicide
- your work, relationships with friends and family, or interests are affected by your mood
It can be hard for people with depression to imagine that anything can help them but the sooner you seek help, the sooner the symptoms start to get better.
Your GP may examine you and perform blood or urine tests to make sure there isn’t another condition causing your depression symptoms, like an underactive thyroid.
When you see your GP, they’ll try to find out if you have depression by asking you questions. These are likely to be about your health, how you’re feeling, and how that is affecting you mentally and physically.
Telling your doctor your symptoms and the affect they are having on you will help your GP to tell if you have depression, and how severe the condition is. It’s important to be as open as possible.
Your conversation with your GP will be confidential. This rule can only be broken if your GP thinks there is a significant risk of harm to you or others, and that telling a family member or carer would make that risk lower.
Also Check: Coping Skills For Depression Worksheet
Overeating And Weight Gain
Conversely, some people with depression may eat more than usual. For some individuals, food can be a comfort mechanism for negative feelings and a way to deal with boredom or loneliness.
Depression can make it difficult for people to feel motivated to get outside or exercise. Combined with an increase in food intake, this can cause weight gain.
Do I Need Health Insurance To Receive This Service
The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.
Recommended Reading: Best Treatment For Clinical Depression
Where Do I Go From Here
In addition to talking to your family doctor, check out the resources below for more information on mood disorders:
Mood Disorders Association of BCVisit www.mdabc.net or call 604-873-0103 or 1-855-282-7979 for resources and information on mood disorders. Youll also find more information on support groups around the province.
BC Partners for Mental Health and Substance Use InformationVisit www.heretohelp.bc.ca for info sheets and personal stories about . Youll also find more information, tips and self-tests to help you understand many different mental health problems.
Canadian Mental Health Associations BC DivisionVisit www.cmha.bc.ca or call 1-800-555-8222 or 604-688-3234 for information and community resources on mental health or any mental illness.
1-800-SUICIDEIf you are in distress or are worried about someone in distress who may hurt themselves, call 1-800-SUICIDE 24 hours a day to connect to a BC crisis line, without a wait or busy signal. Thats 1-800-784-2433.
Resources available in many languages:*For the service below, if English is not your first language, say the name of your preferred language in English to be connected to an interpreter. More than 100 languages are available.
About the author
The Canadian Mental Health Association promotes the mental health of all and supports the resilience and recovery of people experiencing a mental illness through public education, community-based research, advocacy, and direct services. Visit www.cmha.bc.ca.
Spend Time With Friends & Family
Get out and socialize. Many times, depression leaves us with the desire to stay isolated, cutting ourselves off from the rest of the world, but thats all the more reason to reconnect with friends and family. Those closest to you can provide loving support during your toughest times. Simply talking to them can help alleviate many of the symptoms you feel when depressed.
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Socialize With Friends And Family
Even if you are experiencing mild depression or a funk, you might find yourself drawing away from others, avoiding social situations, or not wanting to burden people with your feelings. One of the hardest but most helpful things you can do to see yourself through depression is to find that strong support circle and spend time with the people you love.
Schedule times to visit with family and friends or plan to grab lunch with a coworker so you have a specific time and place where you can lean on others when youre feeling blue. You might also find that some of these people have experienced depression themselves and they might be able to relate with you on the subject and share ideas of what has helped them in the past or just lend an open ear.