This post was inspired by an email conversation with a friend earlier. It's about the misunderstood condition of depression. So if you don't like medical discussions, skip this one.
Part of why my marriage broke up, other than my disapproval of my ex's girlfriends, was that he (Steve) said that he didn't know how to handle my depression. Had never heard that term at that time, but I had cried for no reason at all since the age of at least 5, maybe younger. Also being molested by a parent as a child probably doesn't help either. My parents were the type that would have died, literally, before consulting psychiatrists.
There are forms of depression that respond to espisodes, such as a death in the family. Then there's a more ongoing kind of various strengths. The ongoing types are caused by an imbalance among three brain chemicals/hormones: seratonin, norepinephrine and dopamine. There are other chemicals involved, these are just the Big Three. And issues in these chemicals tend to run in families. No one has figured out exactly why yet.
Because the amounts of the hormones involved are extremely low, modern technology can't measure them. The only way to know which chemical is out of balance is to put the patient on a medication, wait three months (that's how long it takes for this stuff to build up to an effective level in your body), and see if there is an effect.
The reactions you can have to the med range from: feel no difference, feel angry for no reason, stop eating, or feel not as rotten. That last one is what you want. These are not happy pills, they just raise the threshold of how easy it is to 'get you down'. The right one makes a MAJOR difference.
The unfortunate tendency is for people to regard depression/dysthymia as mental illnesses.
THEY ARE NOT MENTAL ILLNESSES!! at least in my humble view. They are physical illnesses that manifest themselves in behaviour, partly, but also in eating, activity levels, sleeping, ability to concentrate....let's put it this way, are diabetics regarded as 'nut jobs'? I didn't think so. How about people who are deficient in other chemicals/hormones such as Human Growth Hormone? Are they nut jobs? No, didn't think so either.
And on top of this, depression/dysthymia are rampant in society. The National Institutes of Mental Health (see link below) estimate that 9.5% of the U.S. population suffer from it (18.8 million people, and 2 million are over 65). The World Health Organization (WHO) predicts that by 2020
major depression will be second only to heart disease as the leading cause of disability worldwide (see second link from the bottom). It is very common for women to be on anti-depressants, especially the one I take, Paxil. Females have higher rates of major depression than males by a ratio of 2:1 (again see second link).
I do not see this as society's attempt to control women, I see it as women being more assertive in taking care of their health, and more directly in touch with their feelings than men tend to be (OK OK it's a generality and not always true). Depression is as common as the cold according to my pharmacist and knowledge of my friends' pharmaceutical histories. And even more prevalent among the elderly.
Why? Think about it. Aging involves betrayal by the body, and often enough, the brain. Serious illnesses that senior bear frequently have depression as a side effect. The loss of friends to death (or worse debilitating diseases) including spouses. Financial worries. Should-I-stay-in-my-home worries. Inability to exercise as a means of stress reduction. Loss of freedom and independence (e.g. driving). And too, usually the elderly suffering from depression are women. Why? Simple survival statistics.
So leaving gender considerations out of it, I have a few questions for you:
If you had a broken leg, wouldn't you get it set properly?
If you were bleeding profusely, wouldn't you get it bandaged?
If you:
-change eating habits (eating much more or much less--your clothes will tell you)
-no longer do things that used to give you enjoyment
-avoid or withdraw from friends and family
-change sleeping habits (sleeping much more or much less than before)
then it's time to see a doctor. FAST.
Because of the three months to see if the meds work time phase, it took me 8 years to finally find what worked. I think that doctors are smarter than that now and can diagnose what's needed more easily. There is a side benefit to the one I take: Paxil. It eliminates hot flashes. Yay.
The violence that one hears about from time to time (e.g. mothers killing their children) I believe have more to do with hormone interplay with depression. They (I am quoting from a doctor here) wind up believing that the world is so bad that they don't want their kids to grow up in it. Now before someone gets to this point, wouldn't the symptoms have been extremely obvious??? But we'll leave the moralizing for another day. Again it could be the shame thing.
The bottom line is that sufferers with other supplement-dependent conditions are not regarded as having shameful conditions. Think about diabetics/insulin. People without sufficient Human Growth Hormone. Seratonin, norepinephrine and dopamine are no different. Well OK they affect different parts of the body, the brain. But the point is that there are so many hormones, chemicals in our bodies, so many systems, that can and do go haywire, why single out one for derision?
I have this pet theory that a lot of drug abuse, alcoholism and other compulsive behaviours such as over indulgence in gambling, sex, shopping, eating, and work all have a common purpose: to make the pain go away. Usually a depression-related pain, I'm guessing. I do know that the 'gambling school' in Ottawa (I attended to support someone else) explained it this way. And that this is why meds alone can't cure a compulsive illness. Meds
AND talk therapy are needed.
Why do you need talk therapy as well as meds? Well, the meds take away the physical discomfort (and that's a MILD term for it) associated with depression/dysthymia. The confusion, the lack of energy, the diarrhea, the constant nausea, the trembling...there are so many physical symptoms we don't have room for them here. But they are many and FIERCE. It's hard to think with all that going on at the same time. And ALL those things happen at once. OK the meds eliminate them or control them. Now your body is at peace. You can sleep, a normal amount. Now is the time to think over the experience you're having. What the causes were, how you'd do things differently, what your options are. That's where talk therapy helps. A neutral and trained observer who's seen this before is an invaluable guide.
Meds and therapy can be short term, or if the situation is truly hormone-only caused, well, it's like diabetes (you're on the meds for a very long time with occasional check-ins with the doctor). There are other forms of therapy possible, including self-help (see second link from the bottom). But there are worse fates. Like being depressed! I'd never ever go back there again. Way too lonely and painful.
Here are some helpful links to people/places far more educated than I am on this subject, in case you're interested:
http://www.depression.com/http://www.nimh.nih.gov/publicat/depression.cfmhttp://www.dbsalliance.org/And here's a test-yourself site
http://www.med.nyu.edu/psych/screens/depres.htmlHere is a Canadian link that has a lot of info on treatment
http://www.mooddisorderscanada.ca/depression/who.htmHope this helped a bit, and thanks Friend (you know who you are) for inspiring this!
Bridg