By Margaret Denise Brauns, MS, LMFT
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February 25, 2021
Clinical depression, like any health condition, will manifest itself differently in every individual. Symptoms, duration, intensity and experience of a depressive episode is unique to each person. Appropriate and effective treatment for sufferers of depression will vary. It is normal to question or feel worried about how long we will be depressed. Many wonder "will I ever feel normal again". Other thoughts include, “I don’t feel like myself” or “I’m afraid I will never be myself again”. Depressive episodes and symptoms can be frightening. Symptoms may include fatigue, reduced motivation, detachment, lack of joy and hopelessness. These feelings exacerbate fears about our future and recovery. Many report feeling that a “dark cloud” is lingering or experience feeling detached from work and loved ones. Others feel unable to experience pleasure from activities that were previously enjoyable. Each of these aspects of depression can create a block to believing that life or one's emotional state will return to what we once knew. Further exacerbating worries about recovering from depression include a misconception that depression is a choice or a state of mind. While moods, or reactions to emotions can be manipulated by thoughts or controlled responses, clinical depression is a health condition that impacts individuals both physically and mentally. While mental health conditions do affect the mind and thinking process, this does not suggest that diagnosable mental health conditions are elected or influenced by one’s will power. Misconceptions about depression and other mental health conditions can exacerbate symptoms, leaving one feeling that if they were stronger or had more self-control, they would not be depressed. It is important to understand that clinical depression is a health condition: it can be as disabling as any other health condition, even life-threatening. Further, clinical depression is a physical health condition as much as it is a mental health condition. Physical symptoms of depression include fatigue, joint pain, loss of appetite or insomnia. Equally as real and disabling are the mental symptoms including deep sadness, irritability, disorganized thinking or hopelessness. Symptoms of clinical depression include the following: reduced interest in activities that are normally pleasurable insomnia or increased need for sleep lack of appetite or an increased need to eat, leading to either weight loss or gain restlessness, irritability, or lack of energy and fatigue trouble concentrating and attending to usual tasks poor self-image suicidal thoughts It is helpful to understand that recovering from depression is similar to recovering from any other health condition. Imagine that you are recovering from a knee surgery or pneumonia: would the expectation about work productivity or participating at home be the same? Could you accept a doctor's or therapist's response that recovery time will vary and agree not to rush back into stressful routines? With mental health conditions, we tend to judge ourselves for negative feelings or not coping better. Further confusing, loved ones often try to help with statements such as “cheer up” or “what do you have to be depressed about…? You have a good life”. While these statements may be intended to be helpful, they frequently have the opposite impact. Remarks such as these can reinforce that the depression is a choice or elected mood. Patience and simple supportive statements such as “I’m sorry you are feeling so badly,” or” let me know if there is anything I can do to help” are more helpful. The best path to recover from episodes of depression include medical and social support, rest, healthy diet, adequate sleep, and minimizing stress; when you are ready, slowly add activities back into your life. These recommendations are similar to many comprehensive suggestions for recovering from other health conditions such as the flu, surgery, or traumatic life events. Nearly every individual experiences at least one major depressive episode in their lifetime. Understanding and having empathy for yourself or others during times of vulnerability is essential to recovery. With ample information about depression and treatment available, seeking help from supportive family members and professionals can assist in the recovery process. With rest, treatment and support many patients committed to recovery find themselves feeling better in six weeks to three months. However, depending on your diagnosis, individual circumstances, and the type or severity of your depression, your recovery time will vary. If you or a family member is suffering from clinical depression, it is important that you seek medical help . You can expect a physician or mental health professional to be supportive and provide you with valuable information. While depression can be situational and improve independently of outside support, it is critical to seek help when there is interference with one's daily life, thought patterns, or functionality. Clinical depression can be life threatening. Untreated, depression can contribute to additional health conditions related to neglected self-care or substance abuse. Be proactive and persistent when seeking support for clinical depression. Rarely one regrets asking for help; delaying or not seeking needed mental health treatment is the regret. Today, accept the help you need with mental health conditions and allow yourself adequate time to recover.