Tag: Major depressive disorder

A Failure to Understand [An Excerpt]

cropped-depressionmeds1.jpg

Excerpt from “A Firm Place to Stand”

BY MARJA BERGEN

I’m disappointed when friends and family who know me well say things that reveal a gross misunderstanding of depression and how it affects those of us who suffer from it. One person close to me thought depression was something we bring on when we feel sorry for ourselves. Perhaps she thought we liked the attention.

Sufferers of depression would do anything to feel happy and vibrant again. When I’m depressed, many friends keep me at arm’s length. I don’t blame them. It’s not pleasant to be around me when I can’t find anything to talk about except my pain. Depression does that to you: It turns your thinking inward; all you can wrap your mind around is the misery you feel. You end up feeling very alone.

Another person complained to me about an acquaintance with depression who couldn’t manage to do anything more than lie on the sofa. “Couldn’t he just try and make himself do something?” she asked. Nothing I said could convince her that this was an illness that, like other illnesses, couldn’t be helped by simple willpower. Those who have never experienced depression find it difficult to understand how profoundly a brain disorder can affect the entire body.

A long time ago, when I was bordering on psychosis, my doctor put me in a seniors’ care facility for a few days to give me relief from the stress I faced at home. I called a close family member to let her know where I was. She advised me, “You’ve got to pull yourself together and be strong. You have to try harder.” That was insensitive. I was at the facility because I was doing my best to recover – I wasn’t living with eighty and ninety-year-olds for fun. She should have known I always try my best. When I’m trapped in this state, extricating myself is extremely hard. I need time and medication to recover. If I sound angry and hurt, yes, I was.

A person I worked with recommended strongly that I get counseling. “You don’t need those pills you’re taking. All you need is to talk to someone at my church.” She knew nothing about mental disorders like mine. She had no idea what I was dealing with. Again, I seethed, remembering how psychotic I was when I was first admitted to hospital. I could become sick like that again if I didn’t take the medication my mental stability depended on. Would this person tell a diabetic to stop taking insulin?

Christian psychiatrist and author, Dwight L. Carlson, writes, “There are legions of God-fearing Christians who – to the best of their ability – are walking according to the Scriptures and yet are suffering from emotional symptoms. Many of them have been judged for their condition and given half-truths and clichés by well-meaning but ill-informed fellow believers. ‘Pray for God’s forgiveness,’ some are told. ‘A person who is right with the Lord can’t have a nervous breakdown.’”

Fortunately, I have not been treated in this way. The church congregations I’ve belonged to were understanding, yet the stigma continues. It hurts me deeply that Christians who should be compassionate are often judgmental. Church communities need to learn the medical basis for mental disorders and how that differs from the spiritual. They are in the best position to help those in crisis. But when they don’t understand, they are in danger of doing a lot of damage. For Christians, there is nothing worse than to be told our emotional problems are our own fault, the result of unconfessed sin. We suffer so much already. Having to shoulder blame multiplies our mental anguish.

 

flourishx

1 Dwight L. Carlson, Why do Christians Shoot Their Wounded? Helping (Not Hurting) Those With Emotional Difficulties,(InterVarsity Press, 1994)

Marja Bergen has lived with bipolar disorder for over forty years. Her mission is to dispel the lingering stigma attached to mental health conditions and to encourage people to lovingly welcome the sufferers into congregations by understanding them better and supporting them in practical ways.

She is the author of Riding the Roller Coaster (Northstone, 1999) and A Firm Place to Stand: Finding Meaning in a Life with Bipolar Disorder (Word Alive). Marja is the founder of the growing faith-based support group ministry, Living Room.  Visit her website and her blog.

 

cropped-christiangraffiti1 (3)

The Numbers Don’t Lie: Mental Illness in America

giving-up2

~Mental Illness in America, 2016

Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1

When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1

In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1

In the U.S., mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-V).4

Mood Disorders

Mood disorders include major depressive disorder, dysthymic disorder, and bipolar disorder.

  • Approximately 20.9 million American adults, or about 9.5 percent of the U.S. population age 18 and older in a given year, have a mood disorder.1,2
  • The median age of onset for mood disorders is 30 years.5
  • Depressive disorders often co-occur with anxiety disorders and substance abuse.5

Major Depressive Disorder

  • Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
  • Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
  • While major depressive disorder can develop at any age, the median age at onset is 32.5
  • Major depressive disorder is more prevalent in women than in men.6

Dysthymic Disorder

  • Symptoms of dysthymic disorder (chronic, mild depression) must persist for at least two years in adults (one year in children) to meet criteria for the diagnosis. Dysthymic disorder affects approximately 1.5 percent of the U.S. population age 18 and older in a given year.1, This figure translates to about 3.3 million American adults.2
  • The median age of onset of dysthymic disorder is 31.1

Bipolar Disorder

  • Bipolar disorder affects approximately 5.7 million American adults, or about 2.6 percent of the U.S. population age 18 and older in a given year.1, 2
  • The median age of onset for bipolar disorders is 25 years.5

Suicide

  • In 2006, 33,300 (approximately 11 per 100,000) people died by suicide in the U.S.7
  • More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder.8
  • The highest suicide rates in the U.S. are found in white men over age 85.9
  • Four times as many men as women die by suicide9; however, women attempt suicide two to three times as often as men.10

Schizophrenia

  • Approximately 2.4 million American adults, or about 1.1 percent of the population age 18 and older in a given year,11, 2 have schizophrenia.
  • Schizophrenia affects men and women with equal frequency.12
  • Schizophrenia often first appears in men in their late teens or early twenties. In contrast, women are generally affected in their twenties or early thirties.12

Anxiety Disorders

Anxiety disorders include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias (social phobia, agoraphobia, and specific phobia).

  • Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.1,2
  • Anxiety disorders frequently co-occur with depressive disorders or substance abuse.1
  • Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.5 5

Panic Disorder

  • Approximately 6 million American adults ages 18 and older, or about 2.7 percent of people in this age group in a given year, have panic disorder.1, 2
  • Panic disorder typically develops in early adulthood (median age of onset is 24), but the age of onset extends throughout adulthood.5
  • About one in three people with panic disorder develops agoraphobia, a condition in which the individual becomes afraid of being in any place or situation where escape might be difficult or help unavailable in the event of a panic attack.12

Obsessive-Compulsive Disorder (OCD)

  • Approximately 2.2 million American adults age 18 and older, or about 1.0 percent of people in this age group in a given year, have OCD.1, 2
  • The first symptoms of OCD often begin during childhood or adolescence, however, the median age of onset is 19.5

Post-Traumatic Stress Disorder (PTSD)

  • Approximately 7.7 million American adults age 18 and older, or about 3.5 percent of people in this age group in a given year, have PTSD.1, 2
  • PTSD can develop at any age, including childhood, but research shows that the median age of onset is 23 years.5
  • About 19 percent of Vietnam veterans experienced PTSD at some point after the war.13 The disorder also frequently occurs after violent personal assaults such as rape, mugging, or domestic violence; terrorism; natural or human-caused disasters; and accidents.

Generalized Anxiety Disorder (GAD)

  • Approximately 6.8 million American adults, or about 3.1 percent of people age 18 and over, have GAD in a given year.1, 2
  • GAD can begin across the life cycle, though the median age of onset is 31 years old.5
To finish reading this article, you will need to go to its source at:

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml  

 

cropped-christiangraffiti1 (1)

Related articles

Q & A: Will I need to stay on my depression meds forever?

Asked by Ally, Washington

“I am 26 years old and have had four major depressive episodes. I did not seek treatment until the last (and worst) episode and have since been taking two different antidepressants.

My question is this: Will I ever get off these meds?

To be honest, my last episode was so bad that I am not too keen on the idea of going without. However, I am aware that the more episodes of depression a person has makes the person that much more likely to have another one and that the severity of the depression gets progressively worse with each episode. I shudder to think what a worse episode would be but at the same time do not want to take medications that I do not need.

Expert Bio PictureMental Health Expert
Dr. Charles Raison Psychiatrist,
Emory University Medical School

Expert answer

Dear Ally, let me start by applauding your very accurate understanding of depression, terrible illness that it is. Your question is an interesting one because, of course, you could get off the medications any time you like simply by ceasing to take them. But what you mean, of course, is whether you will ever be able to stop taking the medications and not have to worry about falling back into another depressive episode.

This brings up a very important point about psychiatric disorders: Anything is possible. So anytime someone asks a question that starts with some variation of “Is it possible …?” the answer is always, “Yes.” Why? Because all psychiatric illnesses are probabilistic, not deterministic. Probabilistic means that although some things are a lot more common than others, nothing is certain and nothing is impossible.

I sometimes resort to physics as a metaphor to explain this idea. Isaac Newton used mathematics to paint the universe as an absolutely rigid machine in which causes always led to results in a predictable manner. In his view of the universe, if you knew what every particle in the universe was doing at this second, you’d be able to predict all future events flawlessly out to the end of time.

This way of thinking about things works very well for many practical things like firing cannon balls, sending rockets to the moon or building bridges, but it turns out that when you look really closely at matter, it only approximates the certainty that Newton described. This realization has become enshrined in a theory called quantum mechanics, which — in essence — says that no final certainties exist in the physical world, only various degrees of likelihood.

For example, although most of us think of atoms like little solar systems with the nucleus being like the sun and electrons swirling around it like planets, the physical reality is much weirder. In fact, an electron only tends to stay close to the atom of which it is a part. The further away you go from the atom the less likelihood there is for finding one of its electrons, but the chance isn’t zero, and it is possible that you might find an atom’s electron on the other side of the universe. It’s not impossible, just so unlikely that it might as well be impossible.

 

To get the rest of this article you will need to go to: http://www.cnn.com/2009/HEALTH/expert.q.a/12/08/

depression.medication.raison/index.html#cnnSTCText

 

cropped-christiangraffiti1 (3)

The Hours

When clinical depression is “on-the-clock” it can be sheer agony. It resists and lingers, sometimes for days and days. (It can last for months if untreated.) But it seems that it is these “hours” that are scarcely endurable. It’s truly all this “wasted” time that can seem most unbearable to the afflicted.

“I was mute and silent,
I refrained even from good,
And my sorrow grew worse.”

–Psalm 39:2, NASB

Depressed people tend to suffer in silence and isolate themselves from the outside world. When you’re depressed, you feel less motivated to go out, make contact, socialize or participate in activities, or doing anything at all. It’s all you can do just to get out of bed.

Days, even weeks can go by without wanting to see anyone or talk to anyone. This aggravates feelings of isolation. Often depressed people do not want to talk about their problem or simply feel misunderstood.

Similarly, prolonged and intense feelings of depression can lead to loneliness. Treating the symptoms of depression may help resolve the problem but it isn’t a sure thing. Finding good relationships can push you out of a depression. Loneliness often fuels my depression. Find understanding friends that you can talk with.

unbelieving-believersBeating depression or loneliness does not start with having more friends, or a relationship, although it can help. It really starts from within and is a process that takes time and care. We can be tempted to scrap friendships because they’re a lot of work. But they maybe one of the keys to healing. Experience has taught me that humans go through life in patterns. (We ‘ll do the same thing over and over again.) Even in different situations, these patterns will be repeated and simply generate the same results. A friend can be a new and strategic solution to breaking free.

It is a good thing to know that Jesus Christ sees and understands. 

But it’s also good to have someone with “skin on.”  Someone you can see and touch.  That’s precisely why we have the Church.  People who believe and touch each other deeply, helping each other up.  Depression does not do very well in the true Body of Christ.

“Brethren, even if anyone is caught in any trespass, you who are spiritual, restore such a one in a spirit of gentleness; each one looking to yourself, so that you too will not be tempted. Bear one another’s burdens, and thereby fulfill the law of Christ.”

Galatians 6:1-2

Dear broken believer, take solace in the people in the church. Learn to confide with those who understand. Sometimes I wonder if God has arranged my mental illness so that I will reach out to others. Perhaps He allows it to bless His Church?

“The church is not a select circle of the immaculate, but a home where the outcast may come in. It is not a palace with gate attendants and challenging sentinels along the entrance-ways holding off at arm’s-length the stranger, but rather a hospital where the broken-hearted may be healed, and where all the weary and troubled may find rest and take counsel together.” 

–James H. Aughey

aabryplain

 

cropped-christiangraffiti1-2

 

Related articles