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Depression and Nursing

Posted

Has 2 years experience.

Hello all,

Just wanted some insight on a topic that I am sure others are struggling with at times. I have depression and I feel like it is getting worse lately. My anti-depressant was just switched and I have been feeling worse so I am sure my body is trying to adjust. My doctors also think I may be hyperthyroid so that makes it difficult as well. On top of that, I have just started a new job and trying to adjust to the new setting is stressful. Starting a new job can be hard and can intensify my anxiety and depression.

I just feel like I have a lot going on and it is positive and good things as far as nursing goes....But I just wanted to talk to people on self management of depression and anxiety while being a nurse.

How do you all deal with stress and anxiety?

Any helpful self management techniques?

Just wanted some guidance from others in the nursing field that may be having the same issue as I am.

Rose_Queen, BSN, MSN, RN

Specializes in OR, education. Has 16 years experience.

Me time. All work and no play as the saying goes. I take time for myself, whether it's reading a book just for fun or going out somewhere with my camera in hand or visiting family. Health care professions seem to be notorious for taking care of others while neglecting to take care of ourselves. We really need to get better at that.

anewsns

Specializes in Neurosciences, stepdown, acute rehab, LTC. Has 8 years experience.

I have bipolar and am going through a lot of depression with a new job right now too... I was gonna say the same as the above poster... Some days you just need to push everything back so you can do something nice for yourself ... It doesn't really clear the depression , but it makes everything more bearable.. I need a lot of exercise too.

VivaLasViejas, ASN, RN

Specializes in LTC, assisted living, med-surg, psych. Has 20 years experience.

Is it possible that you could have some seasonal component to your depression and anxiety? This time of year is notorious for throwing people into a depressive state. Like anewsns, I'm bipolar and predictably fall into depression when the days grow shorter and darker (and mania hits me in the spring/summer). Fortunately the combination of meds I take and a light box help me a lot. You need to speak to your doctor about your depression and anxiety---there are many things that can be done, and if one med doesn't help there are plenty of others that might. Therapy is also useful in the treatment of these conditions.

I hope you find a resolution to your problems soon. Please keep us posted.

Some of the self management techniques I use:

Personal connection - talk to someone who makes you laugh or feel loved; I have a cousin who lights up my day

Validation - do something that makes you feel good for accomplishing it - for me, it's dishes, 'cause I hate doing dishes

Encouragement - I think about how far I've come from being a depressed/anxious mess and tell myself that I am doing a good job

De-stress - I use exercise, meditation, and jumping my husband; I also do mood lifters like watching funny/happy movies, playing/snuggling with my pets, cuddling with the hubs and watching TV; I also read books with a light tone or that are based around a loving dynamic

Avoidance - I stay away from people/situations that I know are going to make me feel worse

Gifts - I will buy a little trinket if I see one that makes me smile - I like the cute stuff in the hospital gift shop or little blingy pendants/bracelets

Food therapy - I make sure to eat healthy and give myself a small treat when I feel myself dipping low

anewsns

Specializes in Neurosciences, stepdown, acute rehab, LTC. Has 8 years experience.

Yea viva, true, October does sink you. Right now ive been needing daily light box , daily Xanax , daily run , along with my normal med.. I usually find some good relief at night .. My family / friends always say theyre impressed with my ability to keep changing my treatment to try and pull out of episodes. Stuff doesn't always work but im always looking for a new combo of things to keep me happy.. I know it's easier said than done when you don't even want to get out of bed. I've been doing this for 20 years (I'm 30.) the best advice I can give is just keep trying to figure out what's going to work, everyone has different stuff that helps.. But in the same breath, go easy on yourself and don't overdo or place blame on yourself for not being 100%. A new job is a lot on your plate as it is.

Listen to uplifting music on the way to work. I take medication for depression and anxiety. Do something to further your career. Switch to ICU, procedures, get your CCRN, go back to grad school. USe this job as an opportunity to learn as much as you can before leaving to your next job. If its just at work maybe start looking for another job.

Farawyn

Has 25 years experience.

Some of the self management techniques I use:

Personal connection - talk to someone who makes you laugh or feel loved; I have a cousin who lights up my day

Validation - do something that makes you feel good for accomplishing it - for me, it's dishes, 'cause I hate doing dishes

Encouragement - I think about how far I've come from being a depressed/anxious mess and tell myself that I am doing a good job

De-stress - I use exercise, meditation, and jumping my husband; I also do mood lifters like watching funny/happy movies, playing/snuggling with my pets, cuddling with the hubs and watching TV; I also read books with a light tone or that are based around a loving dynamic

Avoidance - I stay away from people/situations that I know are going to make me feel worse

Gifts - I will buy a little trinket if I see one that makes me smile - I like the cute stuff in the hospital gift shop or little blingy pendants/bracelets

Food therapy - I make sure to eat healthy and give myself a small treat when I feel myself dipping low

This this this!

Someone else mentioned SAD. I'm going to get one of those lamps- has anyone used one?

Tenebrae, BSN, RN

Specializes in Mental Health, Gerontology, Palliative. Has 9 years experience.

Sometimes on the way home from work I play my 'random' playlist really loudly. It has everything from linkin park, U2, bastille, James Blunt etc its enough that by the time I get home I'm feeling loads better.

Also, self care very important. for me its having random net surfing time. Hanging out on AN, playing stupid as facebook games, card making, paper craft. Those things are unique to each person.

A very wise person told me once "if you dont take care of yourself no other b*****d will"

But also, at times like now when its all falling in on me is engaging with mental health services and ensure that i am effectively managing my illness.

If the anxiety gets really bad, I'll even resort to taking really low dose PRN anti anxiety meds, I take quetiapine (funny story, once got accused to faking it to drug seek and when I asked for quetiapine it sort of took the wind out of the persons sails) so dont need to worry about it popping on a work drug screen

Some of the self management techniques I use:

Personal connection - talk to someone who makes you laugh or feel loved; I have a cousin who lights up my day

Validation - do something that makes you feel good for accomplishing it - for me, it's dishes, 'cause I hate doing dishes

Encouragement - I think about how far I've come from being a depressed/anxious mess and tell myself that I am doing a good job

De-stress - I use exercise, meditation, and jumping my husband; I also do mood lifters like watching funny/happy movies, playing/snuggling with my pets, cuddling with the hubs and watching TV; I also read books with a light tone or that are based around a loving dynamic

Avoidance - I stay away from people/situations that I know are going to make me feel worse

Gifts - I will buy a little trinket if I see one that makes me smile - I like the cute stuff in the hospital gift shop or little blingy pendants/bracelets

Food therapy - I make sure to eat healthy and give myself a small treat when I feel myself dipping low

I'm going to add my "yes, yes, yes" to this as well.

I hit a low point last year and have been seeing a counselor specializing in cognitive therapy off and on. I also quit one job and that has helped a lot.

Right now, I'm not going to try anti-depressants due to being on seizure meds already.

Exercise of any sort - even just a walk - helps me. I have to get out of the house!

I have a cognitive workbook on depression that was recommended by a friend.

The Cognitive Behavioral Workbook for Depression: A Step-by-Step Program: Dr. William J Knaus EdD, Albert Ellis PhD: 9781608823802: Amazon.com: Books

German Karsten

Has 25 years experience.

Hi there,

it´s me, Karsten from Germany. I´m a head teacher of a nursing school / university in Germany and I´m a teacher of psychiatric care and lots more.

I´m a expert in depression and do a lot of training for teachers how to handle with ill students.

I think a lot of nurses are psycho-ill. Is that true in the US too?

Here in Germany the psycho-diagnosis are rising fast.

Thank you for answering.

karsten.hartdegen@onlinehome.de

German Karsten

Has 25 years experience.

Hi there,

it´s me, Karsten from Germany. I´m a head teacher of a nursing school / university in Germany and I´m a teacher of psychiatric care and lots more.

I´m a expert in depression and do a lot of training for teachers how to handle with ill students.

I think a lot of nurses are psycho-ill. Is that true in the US too?

Here in Germany the psycho-diagnosis are rising fast.

Thank you for answering.

karsten.hartdegen@onlinehome.de