10 Ways to Manage Your Depression

Adapted from New Life Ministries

1. Do not expect too much from yourself too soon, as this will only accentuate feelings of failure. Avoid setting difficult goals or taking on ambitious new responsibilities until you’ve solidly begun a structured treatment process.

2. Break large tasks into small ones, set some priorities, and do what can be done, as it can be done.

3. Recognize patterns in your mood. Like many people with depression, the worst part of the day for you may be the morning. Try to arrange your schedule accordingly so that the demands are the least in the morning. For example, you may want to shift your meetings to midday or the afternoon.

4. Participate in activities that may make you feel better. Try exercising, going to a movie or a ball game, or participating in church or social activities. At a minimum, such activities may distract you from the way you feel and allow the day to pass more quickly.

5. You may feel like spending all day in bed, but do not. While a change in the duration, quality and timing of sleep is a core feature of depression, a reversal in sleep cycle (such as sleeping during daytime hours and staying awake at night) can prolong recovery. Give others permission to wake you up in the morning. Schedule “appointments” that force you to get out of the house before 11 a.m. Do this scheduling the night before; waiting until the morning to decide what you will be doing ensures you will do nothing.

6. Don’t get upset if your mood is not greatly improved right away. Feeling better takes time. Do not feel crushed if after you start getting better, you find yourself backsliding. Sometimes the road to recovery is like a roller coaster ride.

7. People around you may notice improvement in you before you do. You may still feel just as depressed inside, but some of the outward manifestations of depression may be receding.

8. Try not to make major life decisions (such as changing jobs or getting married or divorced) without consulting others who know you well and who have a more objective view of your situation.

9. Do not expect to snap out of your depression on your own by an exercise of will power. This rarely happens. Many churches and communities have depression support groups. Connect with people who understand depression and the recovery process.

10. Remind yourself that your negative thinking is part of the depression and will disappear as the depression responds to treatment.

From New Life Ministries. Used with permission. More from New Life Ministries

 

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The Oblivious Find His Mercy

sshot4f7069193810fI have had a strange life. 

There were times in one of the mental hospitals, where I was very much disconnected from the real world.  I went through weeks of “not understanding,” I wasn’t able to mesh with the routine around me.  I sincerely thought I did, and I wanted to very much.  But the ‘gears’ wouldn’t come into alignment. Mental illness made me a stranger to what was real.

Struggling with mental illness will very often take you into places you have never, ever dreamed of.  As a matter of plain fact, you’ll hardly will grasp what is real.  And that is when you sink into insanity.  (At this juncture, only God can restore you.)

My heart goes out to those who are lost in their own minds. 

But certainly also to those ‘loved ones’ who are completely muddled. They so want to explain what is happening.  Those of us, ‘on-the-slide’ down, must realize that we are affecting all those lives of those who are nearest to us.  This is not a guilt-trip, but a simple acknowledgement of what ‘falls-out’ on the recipients of our twisted confusion.

“My mind is a neighborhood I try not to go into alone.” 
— Anne Lamott

The point of this is we must accept that there are places in our minds which are “no man’s zones” where logically none can go safely.  Those of us start to transgress that ‘zone’ and we become casualties.

Destruction rules in us, and we are undone.  All you want to do is to escape from what is hurting you.  Maybe that is why abusing alcohol and drugs is so prevalent among hurting people.

I do want to encourage you who are waiting for a dear one, a loved one to emerge from their confusion.  They are lost, and have disappeared into the fog.  It’s hard to see them anymore. Your heart breaks because of their condition.  But you must trust in the Grace of the Father.  You really have no other options.

“We are workers together with God, so we beg you: Do not let the grace that you received from God be for nothing.”

2 Corinthians 14:1

ybic, Bryan

 

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A Day in the Life of a Mental Hospital Patient

6:30 am. “Rise and shine,” but this is debatable– you simply just breathe and walk, in this kind of a desperate mental fog,  (Simply put, ‘there will be no sunshine for you today.’) But, this only just seems to really matter to us, who have no hope.  You exchange brief greetings with your roommate, which only just seems proper, even at this level.  We are given “ratty” old surgical scrubs to wear through out the day.

We head down ‘en mass’ to the cafeteria.  I see the servers on the line, I notice that they avert their eyes from us as we form a hungry queue.  Sometimes, they will give us choices: “bacon or sausage?”  To a mental patient, this can be a Gordian Knot of complexity.  So the line moves slowly, as we try to sort out this conundrum.

There is no coffee for us, as patients.  It has been two weeks for me, and I dream of a cup of hot coffee, with cream.  Some of the attendants drink Pepsi, although it is done hiddenly, but we all know it.  We resent their liberty, especially when we have none.  There is a question of equity, with us, which has been violated.

8:40 am.  We are all race to be the first in line for our morning meds.  It almost seems we are afraid they are suddenly going to run out.  I get my Seroquil, my lithium, my Zoloft.  Additionally, because I am ‘post-op’ brain tumor, I am given a mild stimulant called Provigil to help me think clearly.  I have no idea if it works, or not. (I rather have a cup of coffee.)

We then gather into a day room full of clunky and ugly furniture.  It is big, and the chairs encircle a grimy tile floor to make a large open space.  This is not an orderly place, as people are wandering about, some stare at the wall or at a fake plant in the corner.  It is noisy, some even shout.  Others just “rock” back and forth to a song that only they can hear.  A few of us lie in “fetal position” of hiddenness, just wanting to disappear.

The thought occurred to me one day, of a ‘giant aquarium.’  It was constantly moving, swirling about.  If you stopped moving, it meant that you were dead.  Everyone was moving, and oblivious to the others who were also moving.  This seems to explain much.  (You will need to accept the ‘aquarium’ idea if you really want to process the moment.)

On one of my stays, weeks went by before I realized that this particular meeting actually existed, but I was very confused and seriously beyond any correction.  I was really struggling with clinical depression, so meals and meds was all I could manage.  When I finally figured this out, I quickly joined the fish bowl.  It was both good and bad.  But mostly good. Finally as bleak as it was, I started accepting reality.

11:00 am.  One thing you do notice is a lot of disjointed conversations.  You would speak to someone and 10 minutes later they would answer.  And for the most part, conversations would be muted, whispered to people.  As if there was a conspiracy involved, and a certain appropriateness must be taken. We were a paranoid bunch.

Sometimes an attendant would turn on the TV.  I can remember watching cartoons and just maybe I would think that they were communicating to me in code.  We did have a VCR for movies, but because one guy urinated into the machine, it shorted it out.  So, alas, no more movies.

During one stay (and there were several) I was suicidal.  The staff watched me like a hawk, sitting at my door out in the hallway. But I was desperate to cut my wrists, so I stood up in a chair.  I took down a clock and wrapped it in a blanket, to muffle the sound of breaking glass.  I managed to slash my wrists deeply and often, before the nurse came in my room.  For a moment, I brought an excitement to the staff.  And perhaps a certain meaning to me.

When you’re in a psych ward your days are beyond tedious.  One day is like the next.  The psychiatrist comes to see you for 10 minutes, and it is a high point of your day.  You discover that any new explanations, or treatment plans are done solely by the doctor.  That is one of the first cardinal rules on the ward.  Ask a nurse or an aide, and they invariably dodge.  But the psychiatrist “rules the roost.” Everyone follows his decision. This is useful to know.

1:00 pm.   Suddenly a young teen girl with schizophrenia, screaming and pounding her head against the wall has now becomes the focus.  Every couple of days this happens, and in a twisted way punctuates the drabness of the day.  She is artfully restrained by the staff and taken to “the padded cell.”  We are all told it is for her own protection,  but we as patients, we all rally behind her fight.  When she makes a break from the nurses we all cheer her effort and want her to escape.

The second cardinal rule of the floor is that you don’t “stick out” in any way. Creating an issue is never tolerated, whatsoever.  Demanding more TV time, or coffee, or a newspaper will hardly ever go over well.  Just before Thanksgiving, 2003, I timed my meeting with the pdoc to raise an issue of a fresh cup of coffee.  There was a nurse present at our meeting, and she had to respond to the doctor’s order that I was to be given coffee on Thanksgiving morning.  The next morning the coffee was delivered, but the nurse insisted that she would set in a chair next to me until I finished.  Nevertheless, it was a glorious moment.

3:00 pm.  I soon developed auditory hallucinations.  First, I kept hearing a CB radio, squawking constantly.  A few days later, I started to hear a telegraph, “dit-dot-dash.”  They both were very loud and insisting that I pay attention.  Also, I would have 3 or 4 moments of seeing black and hairy spiders climbing at me.  They were so real, and even volitionally know they were not real, I still panicked.

4:30 pm.  They’re other issues as well.  I basically hated phone calls from family.  When they did come they always seemed intrusive and seemed to work against the thinking on the ward.  When a few friends did visit, I would be abrasive and rude.  Wishing they hadn’t made the effort.  I imagined their hearts processing me and my need to be there, and it disturbed me.  Since I lived about 300 miles from the hospital, it took effort on their part to try to see me.  Looking back though, I wish I had been nicer.

8:48  pm.  Getting ready for bed.  It seems that is what I have waited for this all day.  These are moments I have started to live for.  Sleep = oblivion.  I fade to black, and life is paused.  There isn’t any issues for me to figure out.  For eight hours, I find peace,  Sleep is a deep mercy, a gift given to us from the Father.  Those of us, who struggle hard against the dark, understand the “gift” of grace in the form of sleep.  Depressives very often crave sleep. We often want to hide into it, as if doing so would solve our problems and issues. For me, sleep was the only time I was free from the ward.

I want to sleep, to close my eyes and to be gone.  I suppose that is true, for all of us who want to “commit suicide by sleep.”  We seek oblivion, and long for the moment when we can “check out.”  We want to be forgotten and overlooked. We deeply want to be erased, and move directly into forgottenness.

When we have been committed to the ward as patients, we will probably be shaken to our core.  Our insertion into a diverse floor of mental illness, will always introduce us to deep desperation. We are jolted that there is a darkness that is pursing us far beyond what seems is right.  We must call out to Him who can save us.

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kyrie elesion, Bryan

 

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The Depression Epidemic

Why we’re more down than ever—and the crucial role churches play in healing.

Dan G. Blazer | originally posted 3/06/2009 at Christianity Today

crossredThe church is God’s hospital. It has always been full of people on the mend. Jesus himself made a point of inviting the lame, the blind, and the possessed to be healed and to accompany him in his ministry, an invitation often spurned by those who thought they were fine as is. We should not be surprised, then, that the depressed populate not only secular hospitals and clinics, but our churches as well. Yet depression remains both familiar and mysterious to pastors and lay church leaders, not to mention to those who share a pew with depressed persons.

Virtually everyone has experienced a “down” day, often for no clear reason. We might say we “woke up on the wrong side of the bed,” are “out of sorts,” or just “in a funk.” Such polite references are commonplace in America. Yet as familiar as melancholic periods are to us, the depths of a severe depression remain a mystery. We may grasp in part the distress of King David:

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King David putting pain in his Psalms

“Be merciful to me, O Lord, for I am in distress; my eyes grow weak with sorrow, my soul and my body with grief. My life is consumed by anguish and my years by groaning; my strength fails because of my affliction, and my bones grow weak”

(Ps. 31:9-10).

But most of us have no idea what David meant when he further lamented, “I am forgotten by them as though I were dead” (v.12). Severe depression is often beyond description. And when such deep and painful feelings cannot be explained, they cut to the heart of one’s spiritual being.

Humans are intricately complex creatures. When things go wrong in us, they do so in myriad and nuanced ways. If churches want to effectively minister to the whole of fallen humanity, they must reckon with this complexity. Depression indicates that something is amiss. But what? And what should churches be doing about it?

For the remainder of this article:  http://www.christianitytoday.com/ct/2009/march/15.22.html

 

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