Nursing & Depression - page 31
While visiting in the lounge one day, we discovered that every nurse there was on an anti-depressant. I have had 'Treatment Resistant Depression' for about 20 years--as long as I've been a nurse. ... Read More
Nov 20, '02Thanks for your comments, sphynx.
I think that one of the negative aspects of computerized communication is just exactly what you said; it is one sided and lacks the verbal and visual clues that we're used to in face to face conversations. The interpretation is left to the reader and is often misunderstood.
I also agree that it gives one a sense of freedom and allows the release of thoughts that otherwise would not be verbalized. I think it may take the place of writing in a diary or daily journal, which has been shown to offer a release to some people.
One thing that I enjoy about allnurses is being able to "talk" with other nurses since I work outside of the hospital and I don't have daily contact with my peers. It gives me a sense of belonging again.
Thanks for the feedback.
Nov 22, '02originally posted by youda
karenkidrn, welcome to this wierd group!
just out of curiosity, would you say you had a long line of problems similar to the one you described at work? maybe not as serious, but that made you feel that way?
not really and especially not at work. been doing this for going on 26 years and never had a work related problem before i always manged to leave my personal problems at the front door and not take them into work with me. relationships outside of work are a whole other story.....
i'm convinced that when they get around to mapping out every little thing about the human dna, they're going to find exactly what makes us susceptible to depression. i have an old merck manual that i bought when i first started nursing some 28 years ago. back then, the two diagnoses for depressions were either "depressive neurosis" or "psychotic depression." of course if you were a women, you got "involutional melancholia" which and i quote "the patient will often have exhibited such traits as intolerance, stubbornness, oversensitivity, avoidance of pleasure, worrying, apprehension and insecurity." betcha a women didn't write that!
is it any wonder that depression still carries this stigma when a mere 30 years ago "melancholia" could stick you in the state psych house for some male interpreted "avoidance of pleasure?" what is so sad is that the medical profession, of all people, should get some continuing education! i can forgive anyone if they don't keep up on topics outside their area of practice. but, to be 30 years behind? and these stigmas still perpetuated in nursing ?
yeah, i'm with you, karen. i'll keep my business, my business.
maybe in future generations that will change with all the evidence we now have from brain imaging studies, but i am not holding my breath that i will see a massive amount of acceptance and understanding in my lifetime.Last edit by KarenKidsRN on Nov 22, '02
Nov 22, '02I apologise for reacting in an oversensitive manner about the advice giving...and I appreciate all the comments....a big welcome to our newcomers...this is both a fun and serious thread and I enjoy it. It is good 'therapy' for me to write my feelings down too.
I remember 20 some years ago studying 'melancholia' too.....and 'agitated depression'...among other terms...also learned some very negative attitudes about depressives in unfortunately...and had some baggage of my own to deal with so my psych rotation was ...um..interesting.
My mother was one of these 'melancholia' women and as I grew into adulthood, I recognize my father's nonsupportive ways accelerated her depression.....she withdrew from him because he refused to care about her feelings. Much of it revolved around not being able to handle 4 kids...he was Catholic and refused to consider any form of birth control...so she worked herself to death around the house, miscarried a 5th child then blamed herself for the miscarriage the rest of her life. (because she wanted to miscarry) My siblings and I didn't know til we were grown we had another brother.
My childhood memories are of my mother drinking, drugging, and 3-4 times a year hospitalized for ECT's and to 'come off cold turkey' some drug or another. I could not talk to her until I was out of the house and married...and could finally gain some perspective on how her life felt to her. My father left me (as the oldest) in charge of my three siblings...while he chose to go out to the bars with his buddies....my Mom didn't drive and didn't have access to any $$$...didn't have any family or friends to confide in....my Dad controlled everything. And he treated me like a 'surrogate spouse' and turned me against my own Mother. I cry when I think of how isolated she became...agarophobic, fearful of people, conflict, making decisions, etc. Poor sweet woman. She was a gentle sweet naive thing who was just overwhelmed with ZERO support. There was no real help for her back in the 60's other than drugging and shocking her....<sigh> she was seen as weak, out of control, etc. and this is how her children saw her because my Father planted this in our brains too...
They're both gone now...I did make my peace with both of them before they died and I am glad...I apologised to my Mom and confronted my Dad and did see some heartfelt regret as we talked about my childhood days.
In retrospect, they both probably did the best they could which is all any of us can do really....in this crazy stressed world.
Thanks for reading my rambling thoughts this am...and (((HUGS))) to all here.
Nov 22, '02There are good and bad in every proffession out there but I have found that the more rewarding the job is the more stress there is with it. How do mortal men deal with being Prez??..not enough antiacids or antiulcer medication in the Northern Hemisphere for me to think about that kind of pressure!
Back to depression, it is a chemical imbalance in cahoots with improper/inadequate coping skills, and the way most of us were raised(by ourselves) did not give us the correct skills do deal with the chemical imbalance. This is a theory I have and one I have found repeated many times over by many different people(including myself). It is easy to call it weakness but the truth of the matter is that we, as human beings, need each other, not to tear one another a new one but to lift one another to heights we didn't know we could achieve ourselves. Some can do it by playing golf, ridding horseback, or working out, others need a more chemical approach. Neither approach is wrong, this is a highly individual disease process and it takes an individual approach to treat it effectively.
Nov 22, '02been gone for awhile.....
ya know that thing called life....
think of you guys often........
be well all.......
this thread is great, although I have not kept current of late....
back to the ??? of the holidays and any change in depression.....
if I work that is all right by me.......
holidays are bittersweet for me.....and the materialism of the season....has also blown me apart.........
of course that comes from the portion of the theory that depression is partially environmental, along with learned behavior.........
and I also know and know.....that there is a biochemical/physical component to depression.......
plus I make double time by working the holidays...........
luv to all,
Nov 22, '02Hello all, well I finally saw my psychiatrist, and managed to tell him *everything* that has been going on with me of late. He feels, esp after I told him of my bad mood swings last week, that I *definately* have Bipolar disorder. This has been bandied around in the past, but I never had any well defined manic episodes. But he says that the moods swings I described are the clincher. So he added Lamictal to my other meds.....to taper up slowly, hopefully to avoid the rash side effect that apparently you can get by increasing too fast (?? have to admit, I don't know a whole lot about this one). I see him again in 3 weeks.
Just thought ya'll might be interested.
Nov 22, '02i totally feel the same way. I can give you a perfect example to this. My nurse manager always ask how the night went every morning he comes in. One night while working, one of my patient fainted infront of me. I tried to assist him to the floor as softly as I can. (He was 6ft tall and was 173lbs, and I'm 5'3" and 105lbs) I fell on my knees first and then the patient fell, so you can imagin how my knee was feeling. First thing when my manager came in one of my co-worker told him about the incident. He didn't even ask her if I was ok. He didn't even come up to me and asked if I was ok. I know he was stressed about the Joint Commission being in the hospital, but he could of at least ask if I was ok. I was soooo disgusted. I'm really starting to hate working as a nurse. You're so busy that you just become a machine.
Oh by the way, I've been a nurse for about 4 months. Its really discouraging that I already feel this way.
Nov 23, '02This is really interesting...speaking of brain chemistry...