Depressed, or just "Life?" - page 3
I'd like some feedback from my fellow Nurses on this topic. Sociology question/debate.This IS NOT, I repeat NOT in any way shape or form a flame against ppl who have depression issues, so please... Read More
Mar 17, '12RN 58186, your response completely resonates with me. I have been struggling with my own depression for years. The onset was about 2001 and I started taking meds in 2002. You appreciate how it terribly cyclical it is, even with the best intervention. I've enjoyed my years of remissions and have been devastated by it's unexpected recurrence. Its more than just feeling bad for a couple of days or weeks. Actually, some people with depression don't even feel sad or bad at all, they just lack energy and drive that they used to have. The fact of the matter is that the World Health Organization, which concerns itself largely with helping poor indigent people, is very concerned about depression, which some people may claim is a wealthy person's disease.
Just like patients who are s/p CABG off or on pump, using mammillary vs. saphenous grafts, every person dealing with depression is completely different. It's a MEDICAL condition. In some cases it can be as lethal than any s/p CABG can be and I've worked my share on ICU's and telemetry to know what I'm talking about.
There is a big difference between people like your friend on disability and people with debilitating depression. Real depression is like an invisible cage that traps you inside. If I had a choice between chronic depression and chronic paraplegia I would choose paraplegia. Being stuck in a mental cage is far worse than being stuck in a physical cage.
Mar 17, '12I think the nursing answer would be:
If a patient presented with Chest Pain, I would respond appropriate and implement the necessary interventions. I don't care if they are faking it or not, I'd rather not take the risk and it is not my place to judge.
If a patient presented with depression and stated that life was unbearable and overwhelming, I would respond appropriately and implement the necessary interventions. Again, I'm not going to take a risk and judge otherwise.
There is nothing like a patient suicide to make you rethink your ability and effectiveness as a nurse. It's worse than a patient falling on your watch, I presume.
Mar 17, '12I agree with your observation. I just spent one year working as the Heath Services Administrator in a medium sized jail and noticed the overwhelming amount of inmates on antidepressants and anxiolytic's. If they were not currently on those medications they were eagerly seeking them. I personally felt it was a lack of coping skills because the parents of this population never taught their children how to cope with difficult situations and how to take ownership of one's own life. I don't think that life has gotten more boring or more difficult to live because of technology. I personally think technology is a wonderful thing but when it replaces human contact and the human experience that is where the problem comes in. A good example is a child taking care of a virtual pet on their ipod or tablet versus having a real pet. I also suspect all the chemicals we ingest daily as part of our wonderful western diet could have an impact on chemical imbalances in the brain leading to an increase in those diagnosed with depression or anxiety. Of course, this is only my humble opinion.
Mar 17, '12depression is subjective to some degree however we have not been taught how to deal with lifes challenges. although I suspect that we are allowed to verbally express our feelings instead of keeping them bottled up inside as days of old we were taught to do. However life does not always turned out like you planned and you may not have brought a parachute or a plan b or plan b gets busted. life is full of suprises there are no guarantees and sometimes we feel helpless or powerless to change things, thats why a wise person wrote the serenity prayer. sometimes you wonder why but we are affected by the choices that we have made and we must live with them the conseqences can be staggering you just never know one way or the other. we must be taught to deal with stressors or always try to deal better when things dont go as planned we can turn to Jesus, drugs or anything we feel will alleviate that void
Mar 17, '12I believe people can be disabled by the kind of depression that is a response to terrible things happening, just as much as they can be disabled by chemical-imbalance-in-the-brain depression. If we see those two on a continuum from situational to chemical, there's a spot where they probably overlap, and it's difficult to see exactly where that spot is. I also believe situational depression can trigger chemical depression. Sometimes medications can help situational depression when it's unclear if it's all situational or not.
Depression is what the person says it is. It's not helpful to say someone with situational depression is suffering less than someone with chemical depression. It's still suffering. Both types can range from just-a-little to GOOD-GRIEF!!!
Some people respond to stress differently than others too. Some fall apart, some become hard, and some work to change the stress. We're all just different in personality. It's good to have coping skills and to develop the ones we have as well as to learn new ones. Until we have them, though, sometimes we suffer immensely...
Mar 17, '12I guess I find this question very interesting because I've been dx'd as clinically depressed (and anxious and anorexic and eventually borderline) since I was 12 or 13. And I was, like, actually clinically depressed spent-most-of-my-teenaged-years-in-psych-hospitals crazah.
I am currently very unhappy with many of my life choices. Marriage. Job. etc.
I personally think that divorcing the two sources of my depression has been the hardest thing that I've ever done. But it is possible.
Mar 17, '12Totally don't understand it, when so many people, especially women need so many lets say medication to help them cope with "LIFE" .... don't get me wrong, I'm not talking about those who actually have a psychological or physical imbalance/condition!!..There are too many volunteering positions or even causes that need human hands to participate or lend a hand to..so to speak....I don't get it....give me a break....if they would just stop focusing on themselves, they would get out of this rut....exercise as simple as walking is excellent too, and you can't wait for the desire for these feelings to occur, you have to push yourself outside to the local high school track or your neighborhood or even the sidewalk in your own neighborhood....it just requires pushing yourself.....lets say its a start....
Mar 20, '12Well, if you do try meds for depression and you don't notice any change... one thing I'd say, if they help just a tiny bit, maybe just enough to get you up another rung of that ladder you are climbing to get out of the "pit of hell", go for it.
I think it takes a lot of things to get out of a depression, and if meds help great. Some people make to much a big deal of it all. It's just a pill. There I said it. You can do a lot worse to "harm" yourself IMHO. Relax, see if it works.
Mar 20, '12I think that going through life can cause people to lose perception. My "aha" moment was a couple months after my mom died about 12 years ago (my dad and biggest hero died when I was 16, so death wasn't a stranger to me), i had quit my job and found no happiness at any turn. My husband would come home everyday to find me asleep in the closet after I had cried myself to sleep. He sent me to the doctor, I came home with meds and days became blurs. I woke up one day, six months into the medication haze and decided I would rather experience highs and lows than experience nothing at all. Ever since, I have made myself goals to accomplish. When one goal is met, I make another one, or two. Was this clinical depression? or situational depression? Personally I don't care what you call it, I call it "I need to stay busy to stay happy". A pill couldn't give me the goal driven happiness i feel right now. Let me say that I am a new graduate, so overwhelmed I may feel in the next couple of weeks but nonetheless I am penciling out my next set of goals (first of which is to find me an excellent mentor in the hospital I just became employed with).
Life isn't fair, isn't perfect, and the sun doesn't shine every day, we need the rain to grow. That being said, I think if you are truly depressed, you don't even feel like complaining, cause really what good does it do, is anything or anyone going to change? Those are the ones I fear are really suffering. If you have the energy to complain, then try using that energy to change.
Don't flame me, it is just my opinion, take it for what it is.
Mar 20, '12I kinda think some of the stigma r/t mental illnesses has faded & people are more open & willing to talk about their problems. Choices for antidepressants have improved & with less side effects. This is an interesting thread, thanks for posting.
Mar 20, '12Quote from netglowi have to tell you netglow, i disagree with you.I think it takes a lot of things to get out of a depression, and if meds help great. Some people make to much a big deal of it all. It's just a pill. There I said it. You can do a lot worse to "harm" yourself IMHO. Relax, see if it works.
let me say that i have absolutely no problems with one taking meds, if the situation warrants it, and you are being monitored by a competent professional.
but speaking from personal experience and a knowledge base, those seemingly innocuous pills, carry plenty of power and punch.
most, if not all, antidepressants carry a warning of potential suicidal ideations, along with a dozen of other (potential) se's.
these meds can truly, precipitate ravaging effects on one's mind.
that is why i am against them being used for relatively benign depression...
and should be prescribed selectively and judiciously.
major depression is a devastating illness that impacts all who are close to the person.
given appropriately, antidepressants can be literal lifesavers...no doubt about it.
but "just a pill", can also be wreak excruciating havoc, if chemically incompatible.
you are 100% spot on when stating that it takes a lot to climb out of depression...
and that meds are only a small part of the solution.
i also really liked the poster who stated that if you have the energy to complain, then use this energy constructively.
being productive help with one's depression...often feeling rewarding.
this thread has been enlightening in so many ways.
thanks to all who have contributed.