Depression

Kiera

steddyeddy wrote: »

I wouldnt say thats nessacerily depression but narsicisstic rage maybe as a result of a narscisstic wound. maybe they were hurt before and its a defense mechanisim.

No its 100% part of their depression.

steddyeddy

Kiera wrote: »

No its 100% part of their depression.

well I dont get clinically depressed but I cant vouch for everyone but the people I know who are clinically depressed are not all like that but i take your point some are.

Kiera

Kiera wrote: »

I have a question:

Why do depressed people only pick up on the negative part of a conversation or turn something that may not be negative into something negative?

It could be because it's hard to focus on the positive when all that is running through your head is negative.

alias141282

Kiera wrote: »

I have a question:

Why do depressed people only pick up on the negative part of a conversation or turn something that may not be negative into something negative?

Because they feel absolutely terrible. They are exhausted and everything seems black and pointless. When you are in this frame of mind the positives are filtered out and you can only see the negatives. It is central to being depressed.

Earthhorse

Your best bet is probably to do a bit of reading in the area, Kiera. You could do worse than the Wikipedia articles. From there you'll find lots of links to stuff like this, http://en.wikipedia.org/wiki/Cognitive_distortions, which may answer your question.

Aware also have a literature section which can be found here: http://www.aware.ie/help/literature/. There is a document there that deals specifically with supporting a loved one.

C_Dawg

pheasant tail wrote: »

Can i just ask someone,what are the effects of anxiety for someone that is suffering depression,or how is it seen,or does it over-lap or what....???

I've had anxiety for years now. My psychiatrist says it's just a symptom of depression itself in my case.

Odysseus

Can I ask why people are using the term clinical depression as a diagnosis, there are different types of depression but "clinical" is not one of them. A disorders are clinical disorders

Odysseus

pheasant tail wrote: »

Can i just ask someone,what are the effects of anxiety for someone that is suffering depression,or how is it seen,or does it over-lap or what....???

There is a disorder called mixed anxiety and depressive disorder maybe that is what you are talking about. Though a vertain amount of anxiety is common in most depressive presentations.

Odysseus

yahoo_moe wrote: »

Support, not advice. Big difference. Our volunteers don't have medical training and so don't offer medical advice. But what they are trained to do is give people support and try to encourage them to get the help they need. Whether that ends up being medical treatment, counselling, CBT or anything else is for themselves and others to decide but a bit of support through the tough times can count for a lot.

For the almost 200 people in this thread who are suffering from depression with no help, please please please talk to someone. You don't have to suffer alone - sure you can see already in this thread that others are going through similar situations right now. So please talk to a friend or loved one or (even better) check in with your doctor and let him/her know how you're feeling.

You can recover from this, as shown by plenty of people in this thread. So please give yourself the best chance by getting support from anywhere you can.

As you said support is different, but I work in clinics where "support" workers cross the line without even know it, and these are highly trained support workers. To be fair it can in some cases but difficult to state where that line is, but I work be against any type of internet support group, I just see too many people damaged or my work undermined with face to face support work.

If it happened here, I would see the mods having a very difficult job. I think the best you will get here is the depressed/anxiety thread in long term illness.

I would rather people speak to professionals, just my opinion but its based upon over a decade of clinical work. I'm not knocking the work you do personally, but I get to see it when it goes wrong, sometimes very badly. I'm visiting a client tomorrow would is now in a psych unit after friends from a support group adviced him to come off him meds. The result was an addmission to a psych unit, it's a strong example but this things happen. It worked for me so it will work for you attitude.

Dues Bellator

if you go to doctors nowadays saying your depressed , your almost always given an anti depressant , without the doctor asking you that many questions . personally i feel there given out like smarties , plus theres a shed load of them on the market , not all are effective . alot take 6 weeks to work , so when in 6 weeks your mood could have lifted by its self your inclined to think its the anti-depressants thats doing it for you . then your on anti-depressant for how ever how long . with all the somtimes nasty side-effects.
the point im trying to make here is , people who suddenly feel depressed, should give it a couple of weeks before you go down the pill popping route.
just talking from personal exp.

Sardonicat

Odysseus wrote: »

Can I ask why people are using the term clinical depression as a diagnosis, there are different types of depression but "clinical" is not one of them. A disorders are clinical disorders

I think people are using that term here to signify that they have, at some point, had a diagnosis of depression, as opposed to assuming that what they are or have experinced at some point was depression.

as a number of people have pointed out, it is a word thrown around lightly these days.

Of course, this doesn't mean to say those who haven't been diagnosed wouldn't satisfy the criteria for a diagnosis. Only a dr can decide that.

C_Dawg

Odysseus wrote: »

Can I ask why people are using the term clinical depression as a diagnosis, there are different types of depression but "clinical" is not one of them. A disorders are clinical disorders

To be fair people can only say what they've been told by the doctor. If the self-diagnosed are saying it then fair enough in what you're saying. I was never really told what I have exactly apart from the fact I just have "depression" but the psychiatrist did mention what I have now used to be called endogenous depression.

Odysseus

C_Dawg wrote: »

To be fair people can only say what they've been told by the doctor. If the self-diagnosed are saying it then fair enough in what you're saying. I was never really told what I have exactly apart from the fact I just have "depression" but the psychiatrist did mention what I have now used to be called endogenous depression.

Yeah that's a fair point, which is why I'm asking the question, they used to make the distinction between endogenous and reactive but it is a tad out dated.

steddyeddy

Odysseus wrote: »

Yeah that's a fair point, which is why I'm asking the question, they used to make the distinction between endogenous and reactive but it is a tad out dated.

Is the term unipolar depression ever used?

foxinsox

Odysseus wrote: »

Yeah that's a fair point, which is why I'm asking the question, they used to make the distinction between endogenous and reactive but it is a tad out dated.

Would you maybe have a decent/reputable link to show different types of depression?

I have looked but there seems to be so many different sites and different names for it I wouldn't want to link to an out of date site.

Susannahmia

pheasant tail wrote: »

Can i just ask someone,what are the effects of anxiety for someone that is suffering depression,or how is it seen,or does it over-lap or what....???

Ok, just imagine the feeling you would get if you for example just realized you had a vitally important exam in two hours and you haven't studied for it.

Now multiply that by two and imagine having that feeling constantly for no logical or discernible reason along with feeling miserable and being completely unable to do or enjoy anything.

That's how it was for me at my worst point anyway.

Anxiety was the worst symptom for me, (I was diagnosed with clinical depression with generalized anxiety symptoms.)

Just curious about the diagnoses of depression by a doctor. Is this done on one lone visit or is it something that is diagnosed after multiple visits?

yahoo_moe

Odysseus wrote: »

I would rather people speak to professionals, just my opinion but its based upon over a decade of clinical work. I'm not knocking the work you do personally, but I get to see it when it goes wrong, sometimes very badly. I'm visiting a client tomorrow would is now in a psych unit after friends from a support group adviced him to come off him meds.

I think you'd be hard pushed to find anyone with a bit of experience in the area to endorse that approach though. I mean, we both know it's hard to see where the support/advice line is but people with no medical training giving advice on medication like that is clearly a situation where the line has been crossed (and how).

@ almanu (and others): finding the right balance between medication and 'talking therapies' for each individual (it does vary) is vital. While the endogenous/reactive distinction might be somewhat outdated, depression varies hugely from each person to the next so there can't just be one treatment for everyone. I've heard many say that GPs are too ready to auto-prescribe but likewise, it can be damaging to leave depression untreated.

The Irish Times had an article the other day entitled Are drugs replacing care in our mental health facilities? which you might find interesting. The key is working with each person to find what works for them.

Odysseus

Deleted User wrote: »

Just curious about the diagnoses of depression by a doctor. Is this done on one lone visit or is it something that is diagnosed after multiple visits?

If diagnosed through the ICD-10 criteria, google it, it can be done in one session. The criteria is simple enough. That does not mean there is no need for follow ups and reviews.

Sardonicat

Odysseus wrote: »

Yeah that's a fair point, which is why I'm asking the question, they used to make the distinction between endogenous and reactive but it is a tad out dated.

Having depression, or any other mi, is not dependent on a dr telling you what is is wrong with you. I know of two people who were both diagnosed with bi-polar and both of these diagnoses were refuted by different psychiatrists .

Did those people have bi-polar when one dr said they did and not when the other said they didn't?. Their symptoms remained unchanged. One went from a diagnosis of bi-polar disorder to depression and the other to borderline personality disorder. Presumably, if they went back to their origional psychs, they'd be reclassed as bi-polar.

Of course, one or both psychs could have been wrong but at the end of the day all a diagnosis is is a label given to a set of symptoms which helps the professionals to group these symptoms into categories to assist them to treat an ill person.

I had a diagnosed episode of depression. Did I fit the criteria? Oh, most certainly! Do I think i was cognitively disordered? My brain chemistry gone awry? No. I think I was in extreme distress and incapable of dealing with it. Did I need help at the time, most certainly. But the best help came from neither meds nor drs. (With no disrespect intended to anyone from the profession)

My point being, that overtime the different labels for different sets of symptoms will continue to evolve and change. I'm guessing that Depression will be grouped into more and more subsets and some people who are diagnosed with depression now would, if presenting with the same set of symptoms in 30 years time, be diagnosed with something completely different again.

Odysseus

yahoo_moe wrote: »

I think you'd be hard pushed to find anyone with a bit of experience in the area to endorse that approach though. I mean, we both know it's hard to see where the support/advice line is but people with no medical training giving advice on medication like that is clearly a situation where the line has been crossed (and how).

In that case it was a support group, where member would have no training. Most support groups do not have professionals such as AA etc. Other groups would have a facilitator I think aware may work that why who would have some training.

Princess Peach

Deleted User wrote: »

Just curious about the diagnoses of depression by a doctor. Is this done on one lone visit or is it something that is diagnosed after multiple visits?

I was pretty much diagnosed my first visit. We did blood tests to make sure there was no other cause for my symptoms, and when they came back clear, we talked about treatment. Same for a friend of mine.

Sardonicat

Odysseus wrote: »

If diagnosed through the ICD-10 criteria, google it, it can be done in one session. The criteria is simple enough. That does not mean there is no need for follow ups and reviews.

One session and a label that will haunt you for life!

Crazy that such a complex illness that has symptoms that overlap in other complex illnesses and can be caused by certain meds is diagnosed so rapidly!

See my last post for an example

C_Dawg

Deleted User wrote: »

Just curious about the diagnoses of depression by a doctor. Is this done on one lone visit or is it something that is diagnosed after multiple visits?

Well I started seeing the psychiatrist back in 2005 about the anxiety. Had two or three visits with him and was referred onto a psychologist (not sure if that's the correct title) for CBT. It wasn't until I broke down in 2009 that I was told I was depressed.

yahoo_moe wrote: »

finding the right balance between medication and 'talking therapies' for each individual (it does vary) is vital. While the endogenous/reactive distinction might be somewhat outdated, depression varies hugely from each person to the next so there can't just be one treatment for everyone. I've heard many say that GPs are too ready to auto-prescribe but likewise, it can be damaging to leave depression untreated.

I went to see a counsellor paid for by work. I happened to mention it in passing the next time I was seeing the psychiatrist and he was against it from the point of view of treating the cause of the depression but said it could help with coping with it, if that makes sense. Like I wasn't abused or anything traumatic to cause it so there would be nothing to talk about in that regard.

Susannahmia

Deleted User wrote: »

Just curious about the diagnoses of depression by a doctor. Is this done on one lone visit or is it something that is diagnosed after multiple visits?

When I first started feeling down I went to a psychologist but tbh it didn't really work for me.

Then when it got really bad I went to my gp first, she wasn't actually there that day so the doctor filling in for her diagnosed me with depression, and prescribed me antidepressants.

I went back another day as I wasn't really happy with the quick diagnosis etc. My gp immediately referred me to a psychiatrist. She also checked me for other causes such as thyroid deficiency etc (another thing the other doctor didn't bother to do:rolleyes:)

The psychiatrist confirmed the diagnosis and became in charge of meds etc.

I thought it was very scary that the first gp would just dole out meds without even referring me to an expert. I'm very glad I have a good gp and a family who are familiar with "the system". You really have to learn to be your own advocate.

Odysseus

Sardonicat wrote: »

One session and a label that will haunt you for life!

Crazy that such a complex illness that has symptoms that overlap in other complex illnesses and can be caused by certain meds is diagnosed so rapidly!

See my last post for an example

A good assessment would not just be looking for one thing it would be ruling out others too. Then as I said follow up and review, I don't get you about it haunting you for life though.

Sardonicat

C_Dawg wrote: »

Well I started seeing the psychiatrist back in 2005 about the anxiety. Had two or three visits with him and was referred onto a psychologist (not sure if that's the correct title) for CBT. It wasn't until I broke down in 2009 that I was told I was depressed.



I went to see a counsellor paid for by work. I happened to mention it in passing the next time I was seeing the psychiatrist and he was against it from the point of view of treating the cause of the depression but said it could help with coping with it, if that makes sense. Like I wasn't abused or anything traumatic to cause it so there would be nothing to talk about in that regard.

Again we have an example here of the unchallanged "bio-chemical" cause of depression. As wibbs has pointede out, there has in fact been no conclusive evidence for this. They still do not know the exact way ssris work!

Please don't get me wrong. I'm not saying that there aren't people who have a bio-chemical imbalance. But everyone who presents with these symptoms? Come on?

upandcumming

Silly place to have a thread like this. I don't doubt that this is an important issue and what have you, but if you come to After Hours for information, depression isn't your only problem.

Odysseus

C_Dawg wrote: »

I went to see a counsellor paid for by work. I happened to mention it in passing the next time I was seeing the psychiatrist and he was against it from the point of view of treating the cause of the depression but said it could help with coping with it, if that makes sense. Like I wasn't abused or anything traumatic to cause it so there would be nothing to talk about in that regard.

He sounds like a dinosaur to me, you don't that to have experienced a trauma like abuse to be in therapy, therapy is talking about your life putting words on your experiences. Making sense of your personal journey through life. Most psych's today suggest some form of talking therapy.

Susannahmia

Sardonicat wrote: »

Again we have an example here of the unchallanged "bio-chemical" cause of depression. As wibbs has pointede out, there has in fact been no conclusive evidence for this. They still do not know the exact way ssris work!

Please don't get me wrong. I'm not saying that there aren't people who have a bio-chemical imbalance. But everyone who presents with these symptoms? Come on?

I honestly think that in my case, because of the strong family history etc it was mostly bio chemical. I believe that an initial stresser at the wrong time can trigger all sort of reactions in the brain.

However I agree this is not the only cause of depression, just one of many.