Conquer Depression Before You Try To Work On Your Marriage
Depression can wreak major havoc in your marriage. You may be tempted to fix what seem like smaller issues before tackling the illness head-on . Its reasonable to ask your spouse to help all he or she can around the house, to be responsible and treat you well, Walfish says. But looking for major changes while your spouse is under the influence of depression may simply create more frustration. Focus on lifting depression first.
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What Questions Should I Ask
Living with mental health challenges can be difficult and confusing. Free depression hotlines can help you successfully navigate this period in your life by answering questions that you may not even realize you needed answered.
Here are some questions to consider asking when you call a depression hotline:
- What are some common symptoms of depression?
- Do I actually have depression, or am I just sad?
- Will I feel like this for the rest of my life?
- Is it possible to have more than one mental illness at a time?
- What can I do to start feeling better?
- What should I expect when I seek treatment?
- What levels of treatment are there for depression?
- What type of therapy or medication can help me resolve my depression?
- Will I have to be on medication for the rest of my life?
- Will insurance cover the cost of treatment?
- If I dont have insurance, how much will treatment cost? Are there any free or low-cost resources in my community?
- What should I do next?
Watching a loved one struggle with depression can be just as difficult and frustrating as experiencing it firsthand. Family members may feel helpless or even give up trying to help their loved one. It is important for family and friends to know that resources are available for them as well.
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.
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National Alliance On Mental Illness
The National Alliance on Mental Health is a national organization dedicated to improving the lives of people living with mental illness. They provide information, support, and referrals to people with mental illness and their families. You can contact them through their website or by calling 800-950-NAMI or texting NAMI to 741741.
You Cant Just Snap Out Of Depression
Well-meaning friends or family members may try to tell someone with depression to snap out of it, just be positive, or you can be happier if you just try harder. But depression is not a sign of a persons weakness or a character flaw. The truth is that most people who experience depression need treatment to get better.
If you are a friend or family member of a woman with depression, you can offer emotional support, understanding, patience, and encouragement. But never dismiss her feelings. Encourage her to talk to her health care provider, and remind her that, with time and treatment, she can feel better.
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Volunteer To Help Others And Yourself
For a moment let us shift our mental focus from our needs and sad thoughts to the needs of others . Building a social connection is definitely one of the best things to do when you feel lonely and topping it with acts of giving back to your community just makes it even better. Just by doing something selfless on its own is a great way to deal with loneliness.
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What Are The Signs And Symptoms Of Depression
Common symptoms of depression include:
- Persistent sad, anxious, or empty mood
- Feelings of hopelessness or pessimism
- Feelings of irritability, frustration or restlessness
- Feelings of guilt, worthlessness, or helplessness
- Loss of interest or pleasure in hobbies or activities
- Difficulty concentrating, remembering, or making decisions
- Difficulty sleeping, early morning awakening, or oversleeping
- Changes in appetite or unplanned weight changes
- Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and that do not ease even with treatment
- Suicide attempts or thoughts of death or suicide
If you or someone you know is in immediate distress or is thinking about hurting themselves, call the National Suicide Prevention Lifeline toll-free at 1-800-273-TALK . You also can text the Crisis Text Line or use the Lifeline Chat on the National Suicide Prevention Lifeline website.
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Does Depression Look The Same In Everyone
Depression can affect people differently, depending on their age.
Children with depression may be anxious, cranky, pretend to be sick, refuse to go to school, cling to a parent, or worry that a parent may die.
Older children and teens with depression may get into trouble at school, sulk, be easily frustrated feel restless, or have low self-esteem. They also may have other disorders, such as anxiety and eating disorders, attention-deficit hyperactivity disorder, or substance use disorder. Older children and teens are more likely to experience excessive sleepiness and increased appetite . In adolescence, females begin to experience depression more often than males, likely due to the biological, life cycle, and hormonal factors unique to women.
Younger adults with depression are more likely to be irritable, complain of weight gain and hypersomnia, and have a negative view of life and the future. They often have other disorders, such as generalized anxiety disorder, social phobia, panic disorder, and substance use disorders.
Middle-aged adults with depression may have more depressive episodes, decreased libido, middle-of-the-night insomnia, or early morning awakening. They also may more frequently report having gastrointestinal symptoms such as diarrhea or constipation.
Break The Ice Gently Yet Firmly
If you suspect your partner is depressed, dont blurt out a laypersons: Youre depressed! or announce: You better get help! In order to begin the process of healing, approach your spouse with concern and with an action plan, Walfish says. You might say, Im concerned about how feeling tired and losing your appetite are affecting you. You deserve to feel better. Our doctor may be able to help you, and Id like to arrange a time when we can meet with him. Next week, I can go on Wednesday or Friday. Whats good for you?
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Psychotherapy For Depression Treatment
If there is no underlying medical cause for your symptoms of depression, talk therapy can be an extremely effective treatment. What you learn in therapy gives you skills and insight to feel better and help prevent depression from coming back.
There are many types of therapy available. Three of the more common methods used in depression treatment include cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. Often, a blended approach is used.
Some types of therapy teach you practical techniques on how to reframe negative thinking and employ behavioral skills in combating depression. Therapy can also help you work through the root of your depression, helping you understand why you feel a certain way, what your triggers are for depression, and what you can do to stay healthy.
National Suicide Prevention Lifeline: 800
The National Suicide Prevention Hotline offers free and confidential support to those in immediate emotional distress. The hotline provides suicide prevention resources as well as access to local crisis centers.
You dont have to be actively thinking about suicide to use this service anyone in emotional distress can call and use their services.
Lifeline Chat is an online chat that provides a direct connection to counselors for support.
For hearing impaired services, call 800-273-8255 or use the chat services.
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Most Common Depression Diagnosis Scales
Some of the most popular scales used to help clinicians diagnose depression include:
- Beck Depression Inventory
- Clinically Useful Depression Outcome Scale
- Geriatric Depression Scale
- Patient Health Questionnaire-9 and adolescent PHQ-9
- Plutchik-Van Praag Self-Report Depression Scale
- Quick Inventory of Depressive Symptomatology
- Rome Depression Inventory
- Zung Self-Rating Depression Scales
Some scales, such as the Beck Depression Inventory, are copyright protected and not available outside of a doctors office or mental health clinic . There are inventories, scales, and questionnaires that are in the public domain and, therefore, more accessible.
The PHQ, for example, is available for free online and in over 30 languages. It can be downloaded as a PDF or accessed as an interactive quiz on several reputable mental health websites.
Can Depression Be Prevented
You can help prevent depression by getting enough sleep, eating a healthy diet and practicing regular self-care activities such as exercise, meditation and yoga.
If youve had depression before, you may be more likely to experience it again. If you have depression symptoms, get help. Care can help you feel better sooner.
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Symptoms And Causes Of Depression
Symptoms of depression can be very different from person to person. However, as a general rule, if you are depressed you feel hopeless, sad and lacking interest in things that used to make you feel happy.
Depression symptoms are bad enough to interfere with work, social life and family life, and can persist for weeks or months.
Doctors describe depression in one of three ways, depending on how serious it is:
- mild depression it has some impact on daily life
- moderate depression it has a significant impact on your daily life
- severe depression this makes it nearly impossible to get through your life day to day
A few people with severe depression may have symptoms of psychotic depression.
Below is a list of depression symptoms it’s unlikely that one person would have all of them.
Need Someone To Talk To Stop Feeling Isolated
Do you need to talk to someone right now? Do you feel alone and lost?
Some of us literally have no one to vent to, but feeling alone isnt defined by how many people are physically surrounding you. You can feel isolated at a party, at work, or even out with friends.
Sometimes it feels like you dont have anyone you can talk to without judgement, and that just compounds your feelings of loneliness and inadequacy. When everyone else seems to have an outlet, you desperately need to find yours.
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Where Can I Find Clinical Trials For Depression
Clinical trials are research studies that look at new ways to prevent, detect, or treat diseases and conditions. Although individuals may benefit from being part of a clinical trial, participants should be aware that the primary purpose of a clinical trial is to gain new scientific knowledge so others may receive better help in the future.
Researchers at the National Institute of Mental Health and around the country conduct many studies with patients and healthy volunteers. Talk to your health care provider about clinical trials, their benefits and risks, and whether one is right for you. For more information, visit NIMH’s clinical trials information.
Tms Therapy For Depression
If youre suffering from major depression that has been resistant to therapy, medication, and self-help, then TMS therapy may be an option. Transcranial magnetic stimulation therapy is a noninvasive treatment that directs recurring magnetic energy pulses at the regions of the brain that are involved in mood. These magnetic pulses pass painlessly through the skull and stimulate brain cells which can improve communication between different parts of the brain and ease depression symptoms.
While TMS may be able to improve treatment-resistant depression, that doesnt mean its a cure for depression or that your symptoms wont return. However, it could provide sufficient improvements in your energy and drive to enable you to begin talk therapy or make the lifestyle changessuch as improving your diet, exercising, and building your support networkthat can help preserve your depression recovery in the long term.
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What To Do When You Feel Depressed
When feeling depressed, most people want to sit around the house and do nothing, but this can actually worsen depression. Knowing how to feel better when depressed involves learning about depression, knowing yourself and understanding what works for you.
The important thing to remember when trying to feel better is to make reasonable goals. Anything has the possibility of making you feel more depressed if you set an unrealistic goal. For example, exercising is positive, but setting the goal for yourself to run five miles a day might make you feel more depressed if thats not something youre able to accomplish. Small goals and small steps forward work best. You can always set bigger goals as you start to feel less depressed.
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What Your Physician Looks For
Your primary care physician can evaluate your physical health to help you understand your symptoms. Theres no lab test to diagnose depression, but physical exams and blood tests can help your doctor better understand whats causing your symptoms.
Your doctor will likely want to do several tests to rules out other causes of depressive feelings, such as:
- Hormonal changes
- Thyroid conditions
- Vitamin and mineral deficiencies
To treat your depression, your doctor may prescribe you medications to help or refer you to a licensed mental health professional, like a therapist, for more in-depth evaluation and treatment.
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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 1-800-273-TALK in the U.S., or visit IASP or Suicide.org to find a helpline in your country.
Whats The Difference Between Grief And Depression
Given that the primary symptom associated with depression is sadness, it can be easy to think of grief or bereavement as depression. But grief is a natural response to specific experiences, such as the end of a relationship or the death of a loved one. While you might feel regret or remorse, and you might withdraw from usual activities if you are experiencing grief, youre unlikely to feel the overwhelming sense of worthlessness, thoughts of self-harm or suicide, and other symptoms of depression. Another important difference is that in grief, painful feelings usually come in waves and are often mixed with positive memories.
American Family Physician
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Which Types Of Talk Therapy Work Best For Depression
- Behavioral activation therapy The aim of this type of therapy is to reverse the downward spiral of depression by encouraging you to seek out experiences and activities that give you joy.
- Cognitive behavioral therapy CBT focuses on changing specific negative thought patterns so that you are able to better respond to challenging and stressful situations.
- Interpersonal therapy This very structured, time-limited form of therapy focuses on identifying and improving problematic personal relationships and circumstances directly related to your current depressive mood.
- Problem-solving therapy This therapy is a form of CBT that teaches take-charge skills that help you solve real-life problems and stressors, big and small, that contribute to depression.
- Self-management/self-control therapy This type of behavioral therapy trains you to lessen your negative reactions to events and reduce your self-punishing behaviors and thoughts.
How Is Depression Treated
The first step to getting treatment is to see your GP. If your GP thinks you have depression, they will talk to you about the treatments they can offer.
What are talking therapies?
Talking therapy is a general term to describe any psychological therapy that involves talking. You may also hear the terms counselling or psychotherapy used to describe talking therapy.
Therapy should offer you a safe, confidential place to talk about your life and anything confusing, painful or uncomfortable. It allows you to talk with someone who is trained to listen attentively and to help you improve things.
Talking therapy often takes place face to face. But you may also be able to have therapy over the phone, by video call or online. There are different types of talking therapy that you might be offered. These include:
- cognitive-behavioural therapy,
- mindfulness based therapy, and
The type of therapy you are offered will depend on the cause of your symptoms and their severity. Therapies may also have different levels based on how long or intense the treatment is.
Ask your GP about therapy if you think it might help. Some of these therapies will be available in your area. Some areas offer a self-referral option for NHS talking therapies. Please refer to your local Improving Access to Psychological Therapies service to find out about this option.
You may also be able to access therapy privately or through your employer in an Employee Assistance Programme.
How can antidepressants help?
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