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Picture of Anna Growing up as a twin, Keisha struggled to find her own identity and got into the habit of presenting a facade of perfection to hide her depressed feelings. She is starting to learn to open up a bit more to others... more > >


Also in "How Depression Works"... "I always remember feeling this intense hopelessness. Sometimes the way it would show was in always feeling tired. I would sleep a lot and that's still sometimes a problem today - sleeping a lot just because you feel you can't cope." Tonya

 

"Depression for me is also about an inability to concentrate on anything. You can't focus. You're not quite thinking. And even when you don't want to focus, there's a constant background of noise - like chatter - a lot of which is derogatory thoughts of yourself." Fayola

Students Against Depression
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Warning Signs

Depression affects people in different ways

There are a range of warning signs which may indicate depression is trying to move in on your life. Most of these can also be a normal part of the ups and downs of everyday life and most people will have experienced some of these signs at some time.

Can you see a trend of several of these signs?

If you can see a trend of several of these signs which have persisted over several weeks then take it seriously. Check whether depression may be affecting you (see next page) and take appropriate action (see tackling depression and getting support and help sections).

Persistently sad, anxious, empty or generally low mood

Everyone feels sad sometimes, has an anxious moment, or has a day when things feel a bit empty or low. However, when depression invades it seems to keep you feeling persistently sad, low, anxious or empty. Some people feel a combination of these four feelings. Others feel predominantly one of them.

Loss of interest

Do you find yourself saying "I can't be bothered," or “What's the point?” about things you used to find interesting or engaging? Depression thrives on cynical or 'bored' attitudes to life, and itself generates a sense of meaninglessness. This loss of interest can include loss of sexual interest, which can create strain in relationships, in turn allowing more room for depression.

Lethargy or decreased energy

Do you often feel unable to get up at the usual time? Or too lethargic to complete routine everyday tasks? Or do you generally find yourself less able to maintain your usual activity levels? Depression may be sapping your energy and taking root as you succumb to lethargy.

Irregular sleep or change in sleep pattern

It is very common for depression to have an effect on sleep, leading to insomnia and sleep disruptions like early waking. Sometimes there is a pattern of excessive sleep. Regular, sound sleep is essential for healthy functioning and sleep disruption is a particularly debilitating weapon in the depression arsenal.

Appetite or weight changes

Regular healthy eating is essential for general wellbeing. Loss of appetite and weight loss, or sometimes overeating and weight gain, can be a sign that depression is interfering with the healthy eating habits essential for maintenance of healthy mood levels.

Increased tearfulness

Crying serves a very useful purpose - stress hormones are released through tears. However, if you find yourself crying much more than usual for no clear reasons it may be a sign that depression is at work.

Restlessness

Do you find it hard to settle down to a task, or to sit still for any length of time? Some people are naturally energetic, but depression can bring a troubling sense of restlessness and inability to focus. Being constantly keyed up and over-alert in this way is very draining, in turn decreasing resistance to depression.

Poor concentration and difficulty making decisions

Depression is often said to be a problem of disordered thinking, with "automatic negative thoughts" crowding the mind. Poor concentration and/or difficulty making decisions can be due to 'blanking things out' or may indicate the need to address the thinking habits which are allowing depression a foothold.

Hopelessness and pessimism:

Having a generally pessimistic outlook can feel like the "safe" approach in an uncertain world - "Well, at least that way I won"t be disappointed". However, depression thrives on this negative attitude, increasingly robbing you of hope and leaving its characteristic "empty" feeling instead.

Feelings of helplessness

There are many uncertainties in life and things that cannot be controlled, yet many cultures emphasise the importance of individuals having "control" over their lives. Having bad things happen and not being able to prevent them can then leave someone vulnerable to the generalised feeling of helplessness that depression feeds on and perpetuates.

Feelings of worthlessness or guilt

Depression thrives on opportunities to promote over-harsh self-judgement and feelings of worthlessness and being of low value. It causes people to inappropriately blame themselves for experiences such as being badly treated or failing to meet unrealistic standards. This can lead to corrosive and unhelpful guilt.

Thoughts of death or suicide

Death is said to be the most profound issue facing humankind, and it is natural that it should be contemplated on occasion. However, the excessive negativity caused by depression can lead to repetitive, unhelpful dwelling on death. Depression also reduces problem-solving ability and causes increasing 'tunnel vision', falsely making suicide seem like a solution to problems.

Repeatedly thinking about suicide can be very risky. It should be taken seriously and dealt with promptly.

Worried?

Check whether depression may be affecting you. Make an appointment to see a doctor or counsellor to discuss your concerns.

Next:

  is depression affecting me?  > >

Links

More about how depression is diagnosed: is depression affecting me? , clinical definitions
More about suicide: thinking about suicide , making sense of suicide , surviving suicidal thoughts , desperate right now?
More about how depression works: depression habit spiral , depressed thinking , stress, anxiety and anger
More about the causes of depression: why me?
More about the effect of modern life: depression in context
More about dealing with depression: tackling depression
More about getting help: getting support and help , what's stopping me getting help? , what do doctors offer? , what do counsellors offer?


© 2007 Charlie Waller Memorial Trust British Association for Counselling and Psychotherapy Award for Innovation 2006

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