Category: despondancy

What Not to Say to a Depressed Person

by Therese J Brochard

I’m always on the lookout for articles that touch on ways to communicate to a friend or family member who is depressed. It’s a delicate issue and one that deserves some serious attention.  What follows is what you should, and should not say to a loved one struggling with depression. — Bryan

 1. Snap out of it!

Your loved one hasn’t left the house in what seems like days. Should you tell him to pull himself up by his bootstraps and just snap out of it?

Don’t say it.

You may be tempted to tell someone who’s depressed to stop moping around and just shake it off. But depression is not something patients can turn on and off, and they’re not able to respond to such pleas. Instead, tell your loved one that you’re available to help them in any way you can.

 

2. What do you have to be depressed about?

In a world full of wars, hunger, poverty, abuse, and other ills, you may feel impatient when someone you love feels depressed. So do you remind him how lucky he is?

Don’t say it.

You can’t argue someone out of feeling depressed, but you can help by acknowledging that you’re aware of his pain. Try saying something like “I’m sorry that you’re feeling so bad.”

 

3. Why don’t you go for a nice walk?

Exercise is a known way to lift your mood. Is it a good idea to suggest that your loved one with depression go out and enjoy some fresh air and activity?

Say it — but with a caveat.

By definition, depression keeps you from wanting to engage in everyday activities. But you can show your support by offering to take a walk, go to a movie, or do some other activity with your loved one. How about: “I know you don’t feel like going out, but let’s go together.”

 

4. It’s all in your head.

Some people believe that depression is an imaginary disease and that it’s possible to think yourself into feeling depressed and down. Should you tell your loved one that depression is just a state of mind — and if she really wanted to, she could lift her mood with positive thoughts?

Don’t say it.

Suggesting that depression is imagined is neither constructive nor accurate. Although depression can’t be “seen” from the outside, it is a real medical condition and can’t be thought or wished away. Try saying instead: “I know that you have a real illness that’s causing you to feel this way.”

 

5. Seeing a therapist is probably a good idea.

You think your loved one could benefit from talking to a mental health professional. Should you say so?

Say it. And say it again.

Reinforcing the benefits of treatment is important. Encourage the idea of getting professional help if that step hasn’t yet been taken. This is especially important if your loved one has withdrawn so much that she is not saying anything. Try telling her, “You will get better with the right help.” Suggest alternatives if you don’t see any improvement from the initial treatment in about six to eight weeks.

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For other suggestions on what to say and what not to say, check out Everyday Health’s post.

Also, see Psych Central’s our list of the worst things to say to someone who’s depressed.

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Coming Apart at the Seams, [S.A.D.]

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Seasonal Affective Disorder is real

If you notice periods of depression that seem to accompany seasonal changes during the year, you may suffer from seasonal affective disorder (SAD). This condition is characterized by recurrent episodes of depression – usually in late fall and winter – alternating with periods of normal or high mood the rest of the year.

Most people with SAD are women whose illness typically begins in their twenties, although men also report SAD of similar severity and have increasingly sought treatment. SAD can also occur in children and adolescents, in which case the syndrome is first suspected by parents and teachers. Many people with SAD report at least one close relative with a psychiatric condition, most frequently a severe depressive disorder (55 percent) or alcohol abuse (34 percent).

What are the patterns of SAD? Symptoms of “winter SAD” usually begin in October or November and subside in March or April. Some patients begin to slump as early as August, while others remain well until January. Regardless of the time of onset, most patients don’t feel fully back to normal until early May.

Their depressions are usually mild to moderate, but they can be severe. Very few patients with SAD have required hospitalization, and even fewer have been treated with electroconvulsive therapy.

The usual characteristics of recurrent winter depression include:

  • oversleeping,
  • daytime fatigue,
  • carbohydrate craving
  • and weight gain, although a patient does not necessarily show these symptoms.

Additionally, there are the usual features of depression, especially decreased sexual interest, lethargy, hopelessness, suicidal thoughts, lack of interest in normal activities, and social withdrawal.

Treating your SAD

Light therapy is now considered the first-line treatment intervention, and if properly dosed can produce relief within days. Antidepressants may also help, and if necessary can be used in conjunction with light. In about 1/10th of cases, annual relapse occurs in the summer rather than winter, possibly in response to high heat and humidity. During that period, the depression is more likely to be characterized by insomnia, decreased appetite, weight loss, and agitation or anxiety.

Interestingly, patients with such “reverse SAD” often find relief with summer trips to cooler climates in the north. Generally, normal air conditioning is not sufficient to relieve this depression, and an antidepressant may be needed. In still fewer cases, a patient may experience both winter and summer depressions, while feeling fine each fall and spring, around the equinoxes. The most common characteristic of people with winter SAD is their reaction to changes in environmental light.

Latitudes effect attitudes
Latitudes effect attitudes

Patients living at different latitudes note that their winter depressions are longer and more profound the farther north they live. Patients with SAD also report that their depression worsens or reappears whenever the weather is overcast at any time of the year, or if their indoor lighting is decreased. SAD is often misdiagnosed as hypothyroidism, hypoglycemia, infectious mononucleosis, and other viral infections.

http://www.ncpamd.com/seasonal.htm

http://www.mayoclinic.com/health/seasonal-affective-disorder/DS00195

http://www.alaskanorthernlights.com/

 

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Related articles

Hope for the Hopeless [Joy]

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12 “Rejoice in hope, be patient in tribulation, be constant in prayer.”

Romans 12:12

Three things are critical for the New Testament believer:

  1. To rejoice out of a real hope,
  2. a deliberate endurance,
  3. and a prayer life that is unceasing.

These three are vital for us if we want to be authentic saints. These three aspects must become foremost in our discipleship.

Of the three, the first is to rejoice out of a real hope is the most important. It seems like I take the most “hits” over this one. There is a constant erosion  over my joy and my hope. I encounter the false belief that I will be one of the damned. A variation is that I’m ‘cursed’ by God and my life from this point is always going to be hellish and miserable. Frozen like a mosquito in ancient amber.

For me, my mental illness is a sin– the sin of despair. I don’t insist on the right terminology or of definitions. Some believe these issues are demonic. Some wonder about the use of meds, or the value of seeing a psychiatrist or going into therapy. These are all valid, but it seems like polishing the brass rails as the Titanic is seeking.

I won’t try to give answers, because there isn’t a single one to be found. There’s a complexity about the human heart, and God’s sovereign plan that I can’t venture anything. I will only suggest we give room for our own misunderstandings. Perhaps it’s the presence of Jesus we can agree on.

“Rejoice in hope,” goes a long ways to combat the enemy, our own fallenness and our own sin of despair. A ‘song to the Lord’ breaks our souls free and is the brokenbelievers true hope is the best antidepressant. But I vote we keep singing out of our cells (Acts 16:25).

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The Sinning Servant

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God responds to our personal falterings in an amazing way. The prophet Elijah had experienced considerable fireworks in his ministry. One could easily dismiss an incident when he failed big time.

“Ahab told Jezebel all that Elijah had done, and how he had killed all the prophets with the sword. 2 Then Jezebel sent a messenger to Elijah, saying, “So may the gods do to me and more also, if I do not make your life as the life of one of them by this time tomorrow.” 3 Then he was afraid, and he arose and ran for his life and came to Beersheba, which belongs to Judah, and left his servant there.”

1 Kings 19:1-3, ESV

Up to this time:

  1. Elijah was coming off Mt. Carmel having witnessed fire from heaven.
  2. The 450 prophets of Baal had been executed.
  3. Rain was coming through his prayer, the long drought was ending.

Things seemed right on track for a nationwide revival. Life was good for Elijah, and for the Kingdom of Israel. “Laissez les bons temps rouler.”

But Queen Jezebel wasn’t about to give up her stranglehold on the kingdom. She threatens Elijah. A messenger is dispatched to him; and Elijah is completely intimidated. He reacts by running as fast as he can to get away. The prophet known for boldness and miracles flees for his life into the wilderness.

What was it about Jezebel that caused such a frantic and irrational move? Why didn’t Elijah’s faith stand this test? He had been in stickier places.

“But he himself went a day’s journey into the wilderness and came and sat down under a broom tree. And he asked that he might die, saying, “It is enough; now, O Lord, take away my life, for I am no better than my fathers.”

1 Kings 19:4

Fear and fatigue were working on Elijah’s mind. This is a fact, if you’re acting unscripturally you will behave irrationally.

God ministers to his sinning servant with a powerful and formidable gentleness. It takes awhile for Elijah to react to this tenderness. But there is a no condemnation, no recrimination, no words of rebuke; all we hear is God’s still small voice. God doesn’t chide, but quietly asks his prophet to consider. All Elijah does is accept a certain grace. That’s it.

“And when Elijah heard it, he wrapped his face in his cloak and went out and stood at the entrance of the cave. And behold, there came a voice to him and said, “What are you doing here, Elijah?” 

1 Kings 19:13

Fear, defeat, and self-pity were real issues for Elijah (the man of God). Scripture tells us that, “Elijah was a man with a nature like ours” (James 5:17). We are not machines, but mere men who falter and trip. That is good to remember.

In 2 Corinthians 12:10 Paul comments, “For when I am weak, then I am strong.” The Gospel is predicated on human weakness and flaws. It reaches us consistently where we need it most. The God of Elijah still whispers to broken hearts.

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