What To Do When Severely Depressed

Almost Nothing Sparks Your Interest

Depression commonly involves a decrease in your energy levels and a loss of pleasure in your favorite hobbies and other things you usually enjoy. As you work toward recovery, youll usually find your interest in these activities slowly begins to return, along with your energy.

With worsening depression, you might notice the opposite.

It may not just seem difficult to find the motivation for exercise, socializing, and other hobbies. Anhedonia, or difficulty experiencing joy and pleasure, is a core symptom of depression.

You might also have trouble mustering up enough energy to go to work or take care of basic responsibilities, like paying bills or preparing meals. Even necessary self-care, like showering and brushing your teeth, might feel beyond your current abilities.

Avoid Judgment And Blame

If someone you love is depressed and no longer able to do the activities they used to, including working or helping around the house, you may feel like they are lazy. When you get frustrated, try to remember that someone who is depressed isn’t lazythey’re ill. Everyday activities like cleaning the house, paying bills, or feeding the dog may seem overwhelming, if not impossible, to someone who is depressed.

If your loved one’s responsibilities around the house are piling up, you may not be able to take them on yourself.

In addition to resisting the urge to blame your loved one, try not to blame yourself either. Know that it’s OK if you need to ask for help.

Mixed Anxiety & Depression Explained

Depression and anxiety have similar causes and some people can experience symptoms of both conditions at the same time. If youve been experiencing both low mood and persistent worry, tension, and unease, click below to learn more about the relationship between anxiety and depression.

How To Deal With Depression

There are a range of ways to deal with depression, and often they are best used in conjunction with each other. The primary medical options are Cognitive Behavioural Therapy , antidepressant medication, and in some severe cases, Electroconvulsive Therapy .

Education and coping strategies are also important when learning to manage your depression.

ECT is an effective form of treatment for depression, especially if:

• There are medical contraindications to medication.
• There is a need for rapid improvement because of suicidal intent or refusal to eat.
• The person has experienced treatment failure following CBT, several medications, or combined medication and CBT treatment trials.
• The person has had a previous positive response to ECT.
• Somatic symptoms are prominent.
• Psychotic symptoms are present.

What is CBT?

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Coping With Depression Tip : Reach Out And Stay Connected

Getting support plays an essential role in overcoming depression. On your own, it can be difficult to maintain a healthy perspective and sustain the effort required to beat depression. At the same time, the very nature of depression makes it difficult to reach out for help. When youre depressed, the tendency is to withdraw and isolate so that connecting to even close family members and friends can be tough.

You may feel too exhausted to talk, ashamed at your situation, or guilty for neglecting certain relationships. But this is just the depression talking. Staying connected to other people and taking part in social activities will make a world of difference in your mood and outlook. Reaching out is not a sign of weakness and it wont mean youre a burden to others. Your loved ones care about you and want to help. And if you dont feel that you have anyone to turn to, its never too late to build new friendships and improve your support network.

Need to talk to someone?

Get affordable online counseling from BetterHelp or visit HelpGuides directory for free helplines and crisis resources. HelpGuide is reader supported. We may receive a commission if you sign up for BetterHelp through the provided link. Learn more.

Do I Need Health Insurance To Receive This Service

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

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Socialize With Friends And Family

Even if you are experiencing mild depression or a funk, you might find yourself drawing away from others, avoiding social situations, or not wanting to burden people with your feelings. One of the hardest but most helpful things you can do to see yourself through depression is to find that strong support circle and spend time with the people you love.

Schedule times to visit with family and friends or plan to grab lunch with a coworker so you have a specific time and place where you can lean on others when youre feeling blue. You might also find that some of these people have experienced depression themselves and they might be able to relate with you on the subject and share ideas of what has helped them in the past or just lend an open ear.

Life Expectancy And The Risk Of Suicide

Depressed individuals have a shorter life expectancy than those without depression, in part because people who are depressed are at risk of dying of suicide. Up to 60% of people who die of suicide have a mood disorder such as major depression, and the risk is especially high if a person has a marked sense of hopelessness or has both depression and borderline personality disorder. About 2â8% of adults with major depression die by suicide, and about 50% of people who die by suicide had depression or another mood disorder. The lifetime risk of suicide associated with a diagnosis of major depression in the US is estimated at 3.4%, which averages two highly disparate figures of almost 7% for men and 1% for women . The estimate is substantially lower than a previously accepted figure of 15%, which had been derived from older studies of people who were hospitalized.

Depressed people have a higher rate of dying from other causes. There is a 1.5- to 2-fold increased risk of cardiovascular disease, independent of other known risk factors, and is itself linked directly or indirectly to risk factors such as smoking and obesity. People with major depression are less likely to follow medical recommendations for treating and preventing cardiovascular disorders, further increasing their risk of medical complications.Cardiologists may not recognize underlying depression that complicates a cardiovascular problem under their care.

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How Can I Take Care Of Myself

Once you begin treatment, you should gradually start to feel better. Go easy on yourself during this time. Try to do things you used to enjoy. Even if you dont feel like doing them, they can improve your mood. Other things that may help:

• Try to get some physical activity. Just 30 minutes a day of walking can boost mood.
• Try to maintain a regular bedtime and wake-up time.
• Eat regular, healthy meals.
• Do what you can as you can. Decide what must get done and what can wait.
• Try to connect with other people, and talk with people you trust about how you are feeling.
• Postpone important life decisions until you feel better.
• Avoid using alcohol, nicotine, or drugs, including medications not prescribed for you.

Tip : Eat A Healthy Depression

What you eat has a direct impact on the way you feel. Reduce your intake of foods that can adversely affect your brain and mood, such as caffeine, alcohol, trans fats, and foods with high levels of chemical preservatives or hormones .

Dont skip meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every three to four hours.

Minimize sugar and refined carbs. You may crave sugary snacks, baked goods, or comfort foods such as pasta or French fries, but these feel-good foods quickly lead to a crash in mood and energy. Aim to cut out as much of these foods as possible.

Boost your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To get more, take a B-complex vitamin supplement or eat more citrus fruit, leafy greens, beans, chicken, and eggs.

Boost your mood with foods rich in omega-3 fatty acids.Omega-3 fatty acids play an essential role in stabilizing mood. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, tuna, and some cold-water fish oil supplements.

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Breathe Deeply And Relax The Muscles

Deep breathing techniques are an effective way to calm anxiety and soothe the bodys stress response. Slowly inhaling and exhaling has physical and psychological benefits, especially when done on a daily basis.

Anyone can practice deep breathing, whether in the car, at work, or in the grocery store. Plenty of smartphone apps offer guided deep breathing activities, and many are free to download.

Progressive muscle relaxation is another helpful tool for those experiencing depression and anxiety. It involves tensing and relaxing the muscles in the body to reduce stress. Again, many smartphone apps offer guided progressive muscle relaxation exercises.

We have reviewed some meditation apps that can help with depression and anxiety.

How Can I Help A Loved One Who Is Depressed

If someone you know has depression, help them see a health care provider or mental health professional. You also can:

• Offer support, understanding, patience, and encouragement.
• Invite them out for walks, outings, and other activities.
• Help them stick to their treatment plan, such as setting reminders to take prescribed medications.
• Make sure they have transportation to therapy appointments.
• Remind them that, with time and treatment, the depression will lift.

Take comments about suicide seriously, and report them to your loved ones health care provider or therapist. If they are in immediate distress or thinking about hurting themselves, call 911 for emergency services or go to the nearest hospital emergency room.

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Whats The Difference Between Normal Grief After A Loss And Mdd

When you experience a loss of someone close to you, its normal to grieve and feel down and empty for a period of several weeks or more, but it should get better, says Dr. Murrough. If youre starting to feel worse instead of better as time goes on, thats a red flag. Perhaps, more critically, a typical grief reaction isnt: My life is not worth living anymore. Consider seeking treatment if you or someone experiences this.

Encouraging The Person To Get Help

While you cant control someone elses recovery from depression, you can start by encouraging the depressed person to seek help. Getting a depressed person into treatment can be difficult. Depression saps energy and motivation, so even the act of making an appointment or finding a doctor can seem daunting to your loved one. Depression also involves negative ways of thinking. The depressed person may believe that the situation is hopeless and treatment pointless.

Because of these obstacles, getting your loved one to admit to the problemand helping them see that it can be solvedis an essential step in depression recovery.

If your friend or family member resists getting help:

Suggest a general check-up with a physician. Your loved one may be less anxious about seeing a family doctor than a mental health professional. A regular doctors visit is actually a great option, since the doctor can rule out medical causes of depression. If the doctor diagnoses depression, they can refer your loved one to a psychiatrist or psychologist. Sometimes, this professional opinion makes all the difference.

Offer to help the depressed person find a doctor or therapist and go with them on the first visit.Finding the right treatment provider can be difficult, and is often a trial-and-error process. For a depressed person already low on energy, it is a huge help to have assistance making calls and looking into the options.

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How To Help Someone With Depression

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.

Verywell / Bailey Mariner

If you or a loved one are struggling with depression, contact the Substance Abuse and Mental Health Services Administration National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.

For more mental health resources, see our National Helpline Database.

If someone you love has depression, you may wonder how you can help. You may even experience a range of difficult feelings of your own, such as worry, disappointment, and anger.

How Do I Know Which Type I Have

If you think you might have any type of depression, its important to follow up with a doctor. All depression types discussed in this article are treatable, though it might take some time to find the right treatment for you.

If youve had a previous episode of depression and think it may be happening again, see a therapist or another mental health professional right away.

If youve never had depression before, start with a primary care physician. Some symptoms of depression can be related to an underlying physical condition that should be addressed.

Try to give your doctor as much information about your symptoms as you can. If possible, mention:

• when you first noticed the symptoms
• how theyve affected your daily life
• any other mental health conditions you have
• any information about a history of mental illness in your family
• all prescription and over-the-counter medications you take, including supplements and herbs

It might feel uncomfortable, but try to tell your doctor everything. This will help them give you a more accurate diagnosis and refer you to the right type of mental health professional.

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Its Ok To Ask If She Is Having Suicidal Thoughts

Lots of people struggle with depression without ever considering suicide. But depression is often a factor.

Although you may worry that asking, Are you thinking about killing yourself? will insult someone youre trying to help or worse, encourage her to go in that direction experts say the opposite is true.

Its important to know you cant trigger suicidal thinking just by asking about it,said Allen Doederlein, the executive vice president of external affairs at the Depression and Bipolar Support Alliance.

If the answer is yes, its crucial that you calmly ask when and how its much easier to help prevent a friend from hurting herself if you know the specifics.

What To Do About It

Some people do experience symptoms of depression in waves or intermittent episodes. This means you could experience days, even weeks, of relief and then notice your symptoms suddenly come back or intensify.

In other words, worsening depression is sometimes just the nature of depression but that doesnt mean its permanent, or that treatment wont help.

Professional support is the best way to improve symptoms of depression. If your symptoms fail to ease within a few days or continue to get worse, its best to talk to your therapist or doctor as soon as possible.

If youre already taking medication or working with a therapist, they can help you get guidance on next steps.

It never hurts to schedule an appointment as soon as you start to feel worse. You can always cancel later if you begin to feel better, but that way youll have the appointment if you need it and wont have to worry about availability.

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What To Do If Severely Depressed

Just keep going, Celebrate what you dont see

Holistic Hypnosis & Hypnotherapy Los Angeles January 11th, emptiness or hopelessness 2, who appeared to be depressed, teens suffering from the mental illness as of 2017, The mental illness affects some 264 million people globally, If you have a loved one or friend who is depressedDepression has the ability to mask many other positive and truly remarkable qualities of a person,A severely depressed friend needs professional assistance from a psychologist, AngryIdentify Warning Signs of Worsening DepressionEveryone experiences depression differently, My mom once told me, You cant wait for the storm to be over, which have to be suppressed for the sake of their recovery, Learn how depression affects your family member or friend and learn what toStay Alert For Warning Signs of SuicideLearn and stay alert for common warning signs of suicide or suicidal thoughts: 1, tearfulness, making statements such as IAs a woman who struggles with severe depression, social worker or another medical professional, If you need information and practicalWhen a care-giver understands that clinical depression is a genuine medical condition, It may take some time to start working, week, Dancing

What To Do When A Loved One Is Severely Depressed

There are no easy answers for helping someone struggling with depression, especially if youve already tried and tried. Here are some tips from experts.

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Reports of Kate Spades suicide and struggle with depression instantly transformed her from symbol of polished prep to a blunt reminder that suffering affects all types. Three days later we woke to the news that another beloved figure, Anthony Bourdain, had taken his life.

These two tragedies have inspired hundreds to tweet some version of the same message: Mental illness is nothing to be ashamed of.

But deep in the comment threads, some have also been debating a more uncomfortable question: What do you do when a friend is depressed for such a long time that youve started to feel that that nothing you can do will make a difference, and your empathy reserves are tapped out? There are no easy answers. But here are some tips from experts:

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