Real Men, Real Depression! (Mental Health Matters) - By Arthur Buchanan

Depression is a serious but treatable medical condition - a brain disease - that can strike anyone, including men. In America alone, over 6 million men have depression each year.

Whether you're a company executive, a construction worker, a writer, a police officer, or a student, whether you are rich or poor, surrounded by loved ones or alone, you are not immune to depression. Some factors, however, such as family history, undue stress, the loss of a loved one or other serious illnesses can make you more vulnerable.

If left untreated, depression can lead to personal, family and financial difficulties, and, in some cases, end in suicide. With appropriate diagnosis and treatment, however, most people recover. The darkness disappears, hope for the future returns, energy and desire come back, and interest in life becomes stronger than ever.

Depression can strike anyone regardless of age, ethnic background, socioeconomic status, or gender; however, large scale research studies have found that depression is about twice as common in women as in men. In the United States, researchers estimate that in any given one year period, depressive illnesses affect 12 percent of women (more than 12 million women) and nearly 7 percent of men (more than six million men).3 But important questions remain to be answered about the causes underlying this gender difference. We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression.

Types of Depression

Just like other illnesses, such as heart disease, depression comes in different forms. This booklet briefly describes three of the most common types of depressive disorders. However, within these types, there are variations in the number of symptoms, their severity, and persistence.

Major depression (or major depressive disorder) is manifested by a combination of symptoms (see symptoms list below) that interferes with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. A major depressive episode may occur only once; but more commonly, several episodes may occur in a lifetime. Chronic major depression may require a person to continue treatment indefinitely.

A less severe type of depression, dysthymia (or dysthymic disorder), involves long lasting, chronic symptoms that do not seriously disable, but keep one from functioning well or feeling good. Many people with dysthymia also experience major depressive episodes at some time in their lives.

Depression

Persistent sad, anxious, or “empty” mood.

Feelings of hopelessness or pessimism.

Feelings of guilt, worthlessness, or helplessness.

Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.

Decreased energy, fatigue; feeling “slowed down.”

Difficulty concentrating, remembering, or making decisions.

Trouble sleeping, early morning awakening, or oversleeping.

Changes in appetite and/or weight.

Thoughts of death or suicide, or suicide attempts. Restlessness or irritability.

Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.

Men and Depression

Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping with the symptoms. Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition as it occurs in men.

Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime;14 however, there is debate among researchers as to whether substance use is a “symptom” of underlying depression in men or a co occurring condition that more commonly develops in men. Nevertheless, substance use can mask depression, making it harder to recognize depression as a separate illness that needs treatment.

Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable, and, sometimes, violently abusive. Some men deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends. Other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm’s way.

More than four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that men attempt suicide using methods that are generally more lethal than those used by women, there may be other factors that protect women against suicide death. In light of research indicating that suicide is often associated with depression, the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression do not obtain adequate diagnosis and treatment that may be life saving.

Depression in Older Men

Men must cope with several kinds of stress as they age. If they have been the primary wage earners for their families and have identified heavily with their jobs, they may feel stress upon retirement­loss of an important role, loss of self esteem­that can lead to depression. Similarly, the loss of friends and family and the onset of other health problems can trigger depression.

Depression is not a normal part of aging. Depression is an illness that can be effectively treated, thereby decreasing unnecessary suffering, improving the chances for recovery from other illnesses, and prolonging productive life. However, health care professionals may miss depressive symptoms in older patients. Older adults may be reluctant to discuss feelings of sadness or grief, or loss of interest in pleasurable activities.

They may complain primarily of physical symptoms. It may be difficult to discern a co occurring depressive disorder in patients who present with other illnesses, such as heart disease, stroke, or cancer, which may cause depressive symptoms or may be treated with medications that have side effects that cause depression. If a depressive illness is diagnosed, treatment with appropriate medication and/or brief psychotherapy can help older adults manage both diseases, thus enhancing survival and quality of life.

Identifying and treating depression in older adults is critical. There is a common misperception that suicide rates are highest among the young, but it is older white males who suffer the highest rate. Over 70 percent of older suicide victims visit their primary care physician within the month of their death; many have a depressive illness that goes undetected during these visits. This fact has led to research efforts to determine how to best improve physicians’ abilities to detect and treat depression in older adults.

Approximately 80 percent of older adults with depression improve when they receive treatment with antidepressant medication, psychotherapy, or a combination of both. In addition, research has shown that a combination of psychotherapy and antidepressant medication is highly effective for reducing recurrences of depression among older adults. Psychotherapy alone has been shown to prolong periods of good health free from depression, and is particularly useful for older patients who cannot or will not take medication.18 Improved recognition and treatment of depression in later life will make those years more enjoyable and fulfilling for the depressed elderly person, and his family and caregivers.

A depressive disorder is not the same as a passing blue mood.

Depression can strike anyone regardless of age, ethnic background, socioeconomic status, or gender; however, large scale research studies have found that depression is about twice as common in women as in men.In the United States, researchers estimate that in any given one year period, depressive illnesses affect 12 percent of women (more than 12 million women) and nearly 7 percent of men (more than six million men) But important questions remain to be answered about the causes underlying this gender difference. We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression.

Symptoms of Depression

Not everyone who is depressed or manic experiences every symptom. Some people experience only a few; some people suffer many. The severity of symptoms varies among individuals and also over time.

Depression

Persistent sad, anxious, or “empty” mood.

Feelings of hopelessness or pessimism.

Feelings of guilt, worthlessness, or helplessness.

Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.

Decreased energy, fatigue; feeling “slowed down.”

Difficulty concentrating, remembering, or making decisions.

Trouble sleeping, early morning awakening, or oversleeping.

Changes in appetite and/or weight.

Thoughts of death or suicide, or suicide attempts.

Restlessness or irritability.

Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.

Depression can coexist with other illnesses. In such cases, it is important that the depression and each co occurring illness be appropriately diagnosed and treated.

Research has shown that anxiety disorders­which include post traumatic stress disorder (PTSD), obsessive compulsive disorder, panic disorder, social phobia, and generalized anxiety disorder­commonly accompany depression. Depression is especially prevalent among people with PTSD, a debilitating condition that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened.

Traumatic events that can trigger PTSD include violent personal assaults such as rape or mugging, natural disasters, accidents, terrorism, and military combat. PTSD symptoms include: re experiencing the traumatic event in the form of flashback episodes, memories, or nightmares; emotional numbness; sleep disturbances; irritability; outbursts of anger; intense guilt; and avoidance of any reminders or thoughts of the ordeal. In one NIMH supported study, more than 40 percent of people with PTSD also had depression when evaluated at one month and four months following the traumatic event.

Substance use disorders (abuse or dependence) also frequently co occur with depressive disorders. Research has revealed that people with alcoholism are almost twice as likely as those without alcoholism to also suffer from major depression. In addition, more than half of people with bipolar disorder type I (with severe mania) have a co occurring substance use disorder.

Men and Depression

Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping with the symptoms. Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition as it occurs in men.

Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime; however, there is debate among researchers as to whether substance use is a “symptom” of underlying depression in men or a co occurring condition that more commonly develops in men. Nevertheless, substance use can mask depression, making it harder to recognize depression as a separate illness that needs treatment.

Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable, and, sometimes, violently abusive. Some men deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends. Other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm’s way.

More than four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that men attempt suicide using methods that are generally more lethal than those used by women, there may be other factors that protect women against suicide death. In light of research indicating that suicide is often associated with depression,17 the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression do not obtain adequate diagnosis and treatment that may be life saving.

More research is needed to understand all aspects of depression in men, including how men respond to stress and feelings associated with depression, how to make men more comfortable acknowledging these feelings and getting the help they need, and how to train physicians to better recognize and treat depression in men. Family members, friends, and employee assistance professionals in the workplace also can play important roles in recognizing depressive symptoms in men and helping them get treatment.

The first step to getting appropriate treatment for depression is a physical examination by a physician. Certain medications as well as some medical conditions such as a viral infection, thyroid disorder, or low testosterone level can cause the same symptoms as depression, and the physician should rule out these possibilities through examination, interview, and lab tests. If no such cause of the depressive symptoms is found, the physician should do a psychological evaluation or refer the patient to a mental health professional.

A good diagnostic evaluation will include a complete history of symptoms: i.e., when they started, how long they have lasted, their severity, and whether the patient had them before and, if so, if the symptoms were treated and what treatment was given. The doctor should ask about alcohol and drug use, and if the patient has thoughts about death or suicide. Further, a history should include questions about whether other family members have had a depressive illness and, if treated, what treatments they may have received and if they were effective. Last, a diagnostic evaluation should include a mental status examination to determine if speech, thought patterns, or memory has been affected, as sometimes happens with depressive disorders.

Treatment choice will depend on the patient’s diagnosis, severity of symptoms, and preference. There are a variety of treatments, including medications and short term psychotherapies (i.e., “talk” therapies), that have proven effective for depressive disorders. In general, severe depressive illnesses, particularly those that are recurrent, will require a combination of treatments for the best outcome.

Alcohol­ including wine, beer, and hard liquor­or street drugs may reduce the effectiveness of antidepressants and should be avoided. However, doctors may permit people who have not had a problem with alcohol abuse or dependence to use a modest amount of alcohol while taking one of the newer antidepressants.

Questions about any medication prescribed, or problems that may be related to it, should be discussed with your doctor.

How to Help Yourself if You Are Depressed

Depressive disorders can make one feel exhausted, worthless, helpless, and hopeless. It is important to realize that these negative views are part of the depression and do not accurately reflect the actual circumstances. Negative thinking fades as treatment begins to take effect. In the meantime: Engage in mild exercise. Go to a movie, a ballgame, or participate in religious, social, or other activities. Set realistic goals and assume a reasonable amount of responsibility.

Break large tasks into small ones, set some priorities, and do what you can as you can.

Try to be with other people and to confide in someone; it is usually better than being alone and secretive. Participate in activities that may make you feel better. Expect your mood to improve gradually, not immediately. Feeling better takes time. Often during treatment of depression, sleep and appetite will begin to improve before depressed mood lifts.

Postpone important decisions. Before deciding to make a significant transition–change jobs, get married or divorced–discuss it with others who know you well and have a more objective view of your situation.

Do not expect to ‘snap out of’ a depression. But do expect to feel a little better day by day.
Remember, positive thinking will replace the negative thinking as your depression responds to treatment. Let your family and friends help you.

How Family and Friends Can Help

The most important thing anyone can do for a man who may have depression is to help him get to a doctor for a diagnostic evaluation and treatment. First, try to talk to him about depression­help him understand that depression is a common illness among men and is nothing to be ashamed about. Perhaps share this booklet with him. Then encourage him to see a doctor to determine the cause of his symptoms and obtain appropriate treatment.

Occasionally, you may need to make an appointment for the depressed person and accompany him to the doctor. Once he is in treatment, you may continue to help by encouraging him to stay with treatment until symptoms begin to lift (several weeks) or to seek different treatment if no improvement occurs. This may also mean monitoring whether he is taking prescribed medication and/or attending therapy sessions. Encourage him to be honest with the doctor about his use of alcohol and prescription or recreational drugs, and to follow the doctor’s orders about the use of these substances while on antidepressant medication.

The second most important thing is to offer emotional support to the depressed person. This involves understanding, patience, affection, and encouragement. Engage him in conversation and listen carefully. Do not disparage the feelings he may express, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to the depressed person’s doctor. In an emergency, call 911. Invite him for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push him to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of failure.

Listed below are the types of people and places that will make a referral to, or provide, diagnostic and treatment services.

Family doctors

Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselors Religious leaders/counselors

Health maintenance organizations

Community mental health centers

Hospital psychiatry departments and outpatient clinics

University or medical school affiliated programs

State hospital outpatient clinics

Social service agencies

Private clinics and facilities

Employee assistance programs

Local medical and/or psychiatric societies

Conclusion

A man can experience depression in many different ways. He may be grumpy or irritable, or have lost his sense of humor. He might drink too much or abuse drugs. It may be that he physically or verbally abuses his wife and his kids. He might work all the time, or compulsively seek thrills in high risk behavior. Or, he may seem isolated, withdrawn, and no longer interested in the people or activities he used to enjoy.

Perhaps this man sounds like you. If so, it is important to understand that there is a brain disorder called depression that may be underlying these feelings and behaviors. It’s real: scientists have developed sensitive imaging devices that enable us to see depression in the brain. And it’s treatable: more than 80 percent of those suffering from depression respond to existing treatments, and new ones are continually becoming available and helping more people. Talk to a healthcare provider about how you are feeling, and ask for help.

Or perhaps this man sound like someone you care about. Try to talk to him, or to someone who has a chance of getting through to him. Help him to understand that depression is a common illness among men and is nothing to be ashamed about. Encourage him to see a doctor and get an evaluation for depression.

For most men with depression, life doesn’t have to be so dark and hopeless. Life is hard enough as it is; and treating depression can free up vital resources to cope with life’s challenges effectively. When a man is depressed, he’s not the only one who suffers. His depression also darkens the lives of his family, his friends, virtually everyone close to him. Getting him into treatment can send ripples of healing and hope into all of those lives.

Depression is a real illness; it is treatable; and men can have it. It takes courage to ask for help, but help can make all the difference.

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Leading Psychiatrists are calling Arthur a 'walking miracle'-After 15 years in mental institutions, absorbing inhumane shock treatments, abusing alcohol, he's now being called worldwide’ The Zig Ziglar of Mental Illness 'Read about his amazing comeback and what #1 best-selling author Mike Litman has called The Most Inspirational Book of 2002' Out of Darkness - One Man's Journey From The Depths Of Mental Illness to Pure Joy

Listen to Arthur Buchanan on the Mike Litman Show!

http://www.freesuccessaudios.com/Artlive.mp3

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With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
http://www.out-of-darkness.com
567-219-0994 (cell)

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Does Your Childhood Hold You Back? - By: Jo Ball

Have you come to a point in your life and got stuck and unable to move on?

I’ve been shocked recently to discover how many women and men have suffered one trauma or another during childhood, in particular the amount that have been through abuse.

The experience of abuse, at an age when it would be impossible to know how to handle it, is horrific, be it beatings, humiliation or sexual abuse. These experiences stay with many children, through their teens right into adulthood, bringing up insecurity, anxiety jealousy and even threatening or violent behaviour patterns throughout life.

And maybe it’s here that your life gets stuck. In day-to-day situations where you feel insecure, anxious, jealous or violent you’ll probably revert to a behaviour pattern that you learned in your childhood. When you use that to deal with a current issue this is what you do…

You react – withdrawing or lashing out – even though you know the current situation has nothing to do with what is happening now, and before you know it you have lost an opportunity.

In the aftermath regret and depression set in. You might ask why this happens to you and why life is such a mess and why, every time things seem to get better something comes along and stops you from progressing. Within it all you might even be searching for the meaning and point of life.

If you search for the meaning and point to life and are stopped just knowing and believing the three points below is a very good foundation for your future.

1. I want to tell you that whatever life has dealt you up to this point, that your future can be brighter.

2. I want to tell you that you do possess a unique gift. I also want to tell you that you have a distinctive way of expressing that gift.

3. What might well have happened is that that gift has been buried underneath all the other confusion and chaos.

The last few years of my life have been dedicated to helping people from all walks of life, with all kinds of childhood and adult issues. The moments when they overcome what previously stopped them is very powerful. Their stories are amazing.

Whatever it is that stops you in life right now I hope this article has helped.

Love & best Wishes,

Jo Ball (LCA, Dip)

Coach & Founder, Unstoppable Life

About the Author: I want to help you move on and become unstoppable. At Unstoppable Life, I am developing the next generation of people overcoming block in life and becoming more powerful than ever before. These people are discovering and defining their life purpose. Join my Fr>ee newsletter now at Unstoppable Life and explore my site and discover a mass of informat

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Depression Sufferers Cannot Help Themselves - By Donny Lowy

What would the reaction of the media be if it came out that there was a disease that affected millions of people, for which they could not find help?

You would be right in saying that the reaction would be both swift and explosive.

There is a disease which affects millions, and maybe even hundred of millions of people, for which there is no help.

Actually there is help, but the problem is that the sufferers don’t know that they are infected.
This disease is actually depression.

While the medical field has produced many therapies and medications to help those suffering from depression, this help is not reaching many of those who are affected.

The reason this calamity is taking place, is because many people walk through life without realizing that they are clinically depressed.

For this reason, Donny Lowy, has launched www.curemydepression.com.

Many people who are debilitated by depression could be effectively helped, if they only knew that they were clinically depressed.

www.Curemydepression.com offers detailed steps, strategies, and tips, to help provide guidance for those suffering from depression.

Even more importantly, it has articles that explain what the tell tale signs of depression are.

While the site does not give medical advice, it does provide explanations of what depression is, and what can be done to help someone who is depressed.

www.Curemydepression.com also offers guidance for those who might have a friend or loved one who is experiencing depression.

If you believe that the earlier a disease is spotted, the higher the chance of curing it is, then you know that time is of the essence when it comes to helping yourself, or someone you know, who is depressed.

Donny Lowy, who is the CEO of http://www.closeoutexplosion.com, and http://www.wholesalecloseoutforum.com, launched http://www.curemydepression.com to provide educational guidance on the subject of depression.

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Depression Help & Support Groups - By S. A. Baker

For those who face depression, every day of their lives may seem like a struggle. A struggle to get up, a struggle to face the day and the people involved and it can be a struggle to make the most of the day. It just seems simpler to crawl back into bed and forget about it all. But, the world needs us, we need the world too. So, we get up and deal with the depression. But, there may be a way or a place in which the depression you feel is similar to the depression that others feel and are dealing with as well.

A depression support group can be a great way to see that your situation is not the only one out there. By talking with others who are dealing with depression, you will be able to understand yourself a little better. Maybe they can offer advice on making the day easier or happier. Maybe they can offer an understanding that comes with friendship. By meeting with others in a group setting, you may be able to see a light at the end of the tunnel.

While it may never cure your depression, simply adding the time to your day to talk about depression with people who understand can be a cure for your aching heart. If you would like more information on finding these support groups or dealing with depression in general, you can find them throughout the internet.

One good site to visit is www.avoiddepression.com. It is not a medical website, but more of a portal to understanding what is going on and how to help yourself with your depression.

S A Baker recommends visiting Depression Help to learn more about depression

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Supplementary Help for Depression - By Stewart Hare

Typical symptoms of depression are feeling sad, depressed mood, crying, insomnia or excessive sleeping, loss of energy, feeling tired, exhaustion, anxiety, weight loss or gain, agitation, nervousness, low sex drive, feeling worthless, excessive guilt, headaches, low concentration, lack of confidence and loss of interest in everyday activities.

Depression can occur due to hormonal imbalances, stress and imbalances in biochemicals within the brain. Depression is more common in women due to hormonal changes that happen in association with childbirth, menstruation and the menopause.

Poor nutrition has been linked with depression; other factors are food allergies, stress, blood sugar levels and excessive amounts of histamine production by the body. It is best to avoid or cut out refined foods, foods high in sugar, coffee, tea, cola drinks, chocolate, alcohol and cigarettes. Milk products and wheat are common foods that cause an allergic reaction so it may be wise to experiment with cutting these foods out of the diet for two week periods.

Increasing exercise will help with depression and it is also wise to consult your doctor who will advise you whether psychiatric therapy or antidepressant drugs are needed. Also, studies have shown that some people who suffer from depression have found that acupuncture can be beneficial.

The following supplements may help if you are suffering from Depression.

Calcium
Fish Oil
Folic Acid
Iron
Multivitamins and multiminerals
St John’s Wort
Vitamin B complex
Vitamin C
Vitamin D

Stewart Hare C.H.Ed Dip NutTh

Advice for a healthier natural life
website: http://www.newbeingnutrition.com

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7 Things You Can Do Immediately To Ease Depression - By Sharon Schurman

1. Get out now and walk fifteen minutes. It will get your feet moving and help you feel you are at least able to do something.

2. Go immediately and be with someone who loves you. It will give you the feeling that you are wanted.

3. Religious? Say a prayer. Ask God to help you get through this.

4. Think of a situation, a place where you were very happy. Visualize yourself in that situation once more.

5. Power of suggestion can do wonders. Say to yourself, "I think I can get better. I have to take it step by step. I will work my way out of this."

6. Go out and buy a plant, or some flowers. Having something living in your house makes you feel more alive.

7. If possible, get outside in the sunshine. If it's not possible, turn on some bright lights. Sunshine and bright light are known to make people happier.

Copyright 2004 Sharon Schurman http://www.depression-help-guide.com is a retired licensed clinical counselor. She has a Master's Degree in Clinical Counseling, and worked for a psychiatrist for many years. She is the author of "Personality Pitfalls of Depression" and "37 Phrases That Make People Like You."

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Handling Severe Depression - By Mark Myhre

As long as I live, I'll never forget the feeling of my mouth wrapped around the cold blue steel of the 6 ½ in. barrel of my Ruger Blackhawk .357 single action revolver.

I was so close to pulling the trigger. And nobody ever knew.

It seemed like I could turn on the 'manic' phase at will - and be as friendly and outgoing and talkative as the situation required. But as soon as I was alone again, I'd start sinking down, down, down.

Those days are long gone - and I doubt they're ever coming back. I've found too many tools I can use to feel better. (Mostly because I learned the value of embracing and releasing my emotions!)

But what do you do - when the argument to kill yourself becomes too strong? ...and a little too logical?

"Hey - I gave it my best shot. I tried. God knows I tried. But I failed. This pain will never end. C'mon Mark - you know that. Nothing could be worse than these feelings. You know you'll be doing the world a favor. Go ahead. Get it over with. Do it now..."

You hear that stuff in your head and you start believing it.

When you're in that place of total despair - your options become quite limited.

One option involves taking antidepressants. And under those circumstances - who could blame you?

In my opinion, this may perhaps be the only real situation where taking a depression medication truly qualifies as an appropriate response. Especially if you can't do the second option.

The second option involves understanding the many different emotional levels, and "working your way up the ladder". Climbing up from where you are now, to a different emotional state that feels better.

All emotions exists on a scale, from the most positively expansive down to the most negatively constrictive.

Most of the time, we feel stuck on whatever level we're at - especially when we're on the lower end of the scale.

True depression - along with the thoughts and feelings it generates - lies at the very bottom of this scale. Nothing is worse than severe depression. It's the lowest level of all possible emotional states.

See, when you're truly crushed by depression - you're not likely to just snap out of it and feel wonderful. At best, you'll usually fake it for a short time by going into manic behavior, and then end up right where you started from.

But if you can correctly identify where you're at right now - emotionally speaking - then you have a starting point with which to work. And once you have a starting point, then you can reach and stretch for the best possible thoughts and feelings available to you.

Loneliness is one step up from the crushing weight of depression. When you've reached the total despair of hopelessness and depression - even feeling painfully lonely is a step in the right direction.

Beyond that lies hate and rage. Being consumed with hate is two steps up from depression. Much better to feel hate than to feel depression.

Am I telling you to feel hate?

Yes, if you're currently lonely or depressed, definitely reach for your hate. Not to stay there, but as one step on the emotional ladder.

There's a lot of passion in hate.

If you're *not* lonely, depressed, hopeless, empty or hollow - then don't go for hate!

The goal is to always reach for a better feeling state.

It starts with knowing where you're at right now. It starts with awareness of what you're thinking and feeling.

If you will take a sheet of paper and write out all your thoughts -

and then take another sheet and write down all your feelings -

...you will begin to find your hope. And a tiny bit of your power.

"Going through" your emotions strengthens you. And one way to start going through your emotions is to write them down.

Go through your emotions. You could imagine yourself walking through a minefield or a battlefield, if that's what it takes. Embrace your emotions by walking into them. Release your emotions by walking out the other side. That's one way to embrace and release your emotions.

Anytime you embrace and release your thoughts and feelings - you'll find yourself a tiny bit stronger.

If you're depressed - write it out. Then FEEL what you've written. Then you can reach for loneliness.

If you're lonely, do the same with *those* thoughts and feelings, so you can reach for hate. Not to stay there, but as one step up the ladder.

(See the full list at http://www.emotional-times.com/blog.html)

The key is to STOP AVOIDING those horrible feelings. Instead, go *into* them and out the other side.

That's how you climb the ladder and start feeling better.

Mark Ivar Myhre, The Emotional Healing Wizard, offers unique cutting-edge emotional healing tips, techniques and secrets that teach you how to deal with depression, stress, anxiety, and much more. ==> http://www.join-the-fun.com

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Alternatives In Mental Health - By Pradeep Chadha

"Health" and "illness" are contrasting terms. They can be used in physical or in mental context. We know that physical exercise done on a regular basis keeps us healthy. Mental exercise also keeps us mentally healthy. Just like after doing physical exercise we need rest, after mental exercise the mind also needs rest. But we hear the term "physical rest" frequently. The term "mental rest" is rarely used. No doubt then that as mental activities have increased with industrialisation, stress has increased. This stress results from our inability to allow our mind to become inactive or relaxed for even a short time.

Some people believe that our brain becomes inactive when we sleep. If that were so then we should not have any dreams. Dreams are evidence that our mind remains active, even when we are asleep. This simply means that our mind is active 24 hours a day without any rest at all. Just imagine how our bodies would behave if we were to go through 24 hours of physical activity.

Although research may show that 30% of mental illness may occur without a trigger of stress, it also shows that a majority - 70% - of mental illnesses occur with stress. The research may have failed to look at the other 30%, mentally ill who may not be 'acknowledging' stress at a given moment. This gives us a pessimistic view of mental illnesses. We are made to believe that we can do nothing about them. We are also told that mental illnesses occur because of our genes, our upbringing, our personality, our temperament, our lifestyle and we can do nothing about them.

Stress or no stress, we are told, if we have all these factors loaded in our personal history, we are prone to have a mental illness. Some psychiatrists adhere to this belief strongly. This belief is then put across authoritatively as the "gospel truth" of science. Naturally, this brings up a sense of low self-esteem and helplessness in the person who is suffering with the illness. We are then made to believe that medications are man-made answers to mental illness, which is a curse of nature.

Prayer, which was until recently considered unscientific, has now been shown to have beneficial effects on patients.1 Similarly, the current belief in psychiatry is that mental illnesses can be treated by medical professionals only and the person who is mentally ill has no control over their lives. The medical system works in a way in which the doctors themselves have limited choices other than prescribing drugs. The patient has no choices worth mentioning. From the legal perspective, a person who is mentally ill is considered not capable of taking any responsibility for their actions. This is one of the most unfortunate aspects of mental illnesses. People who are mentally ill also have a sense of responsibility in many areas of their lives.

The role of emotions in mental illnesses has been totally ignored by scientists. Yet researches do show that separation from mother,2 losses3 - including deaths,4 traumatic events, especially when they occur over the previous three months5 can trigger mental illnesses. What has been looked at is the history of such events in a person's life. What is ignored is the emotional upheaval it causes in a person's body and mind. Emotional expression ameliorates the effects of trauma.6 Repetitive upheavals in the body are simply not forgotten. Release of emotions by emotional expression explains the role of counselling and confession. We tend to believe, erroneously, that everything will settle with time. Things do settle with time - but not everything. It is these issues and their emotional effects, that cause mental illnesses and psychosomatic illnesses. It is obvious that whenever we undergo any emotional experience, our nervous and hormonal systems are shaken-up. The nervous system and the hormones together control the activities of various parts of the body. If the neurohormonal expression is allowed to go through completion, a physiological calmness occurs in the body. This has a scientific basis.7

For people who attend church regularly, a common experience is the sense of calmness on entering a church. Coupled with music, incense and sermons spoken in a low, soft tone, a sense of calmness dwells on the person. There is scientific evidence to suggest that going to church helps a person remain healthy.8 More interesting is the fact that there is little research to state that music or aromatherapy help to bring about mental health. Yet experience shows that they have a calming effect. Only recently have papers started to be published in scientific journals bridging the gap between spirituality and science.9 It has now been researched that people who are religious in orientation have a lower rate of strokes than those who are not religious.10

The whole area of mental illness is about losing a sense of freedom. When we find ourselves bound to emotional issues of our life, that we cannot rid ourselves of, we lose our freedom of thinking. This creates stress in our mind and our body bears the brunt of it. This loss of freedom brings up a sense of fear or a sense of helplessness. Both such feelings bring up a sense of insecurity. A person loses confidence in their own worth. Self-esteem becomes low. With lack of confidence and low self-esteem, comes poor decision-making. A person suffers with all these conditions when suffering with a mental illness. This changes the behaviour of the person. The behaviour is affected by the way the person feels and thinks. If the person feels fear for a long time, the chances of becoming phobic and paranoid increase. Withdrawal from social situations occurs. The family members observe the person to be unwell. Such a person is then asked to see a doctor. With the person's self-esteem low, vulnerability increases. This does not mean however, that the person becomes totally irresponsible towards their own well-being. Many times the person wants to do 'something' to get better, but the health system has limited resources to offer much in terms of growth of the person, except medication. When a mentally ill person goes to seek help - confidence, self-esteem and sense of freedom are already lost. Instead of helping the person become independent, there is a tendency to make the person dependent on medication.

Medication plays its role in controlling the condition or state of illness. It does nothing to improve the quality of life permanently. To improve their quality of life, the person needs to take responsibility for their own well-being. This is encouraged in some of the organisations, which are being run by the sufferers themselves. GROW is an example of such an organisation. Are there any alternatives to medication in mental conditions? A doctor can only prescribe drugs to "control" the mental condition. The current trend in some other parts of the world is to encourage people suffering with mental illnesses to take responsibility for their own well-being, along with medication. Psychotherapy11 and self-help is encouraged. The usage of medication in such situations is minimised or eliminated.

In psychiatry, we know that the suicide rate among physicians is higher than in the general population and psychiatrists are at a greater risk among physicians, than other specialists.12 Research shows that psychotherapy is more economical than medication alone in treating mental illness.13 Conditions like schizophrenia are also being treated without medication in some parts of the world.14 It is also a known fact that the more positive the attitude we have, the more balanced are the chemicals in our body.15 This would be more acceptable for those who see the positive role of religion on mental health. Some authors have suggested that the medicine of the future is going to be "prayer and Prozac."16 Mental health is a preventative activity. Do we need to suffer first before we take steps to deal with it? If we could only assume responsibility for our own mental health, we may not have to suffer. The best medicine in this case is certainly prevention.

We live in a free society. The freedom to suffer is also one kind of freedom. We also have the freedom to look for answers to minimise our suffering.

REFERENCES

1. ASTIN, J.A., (2000) Prayer, Other Forms of 'Distant Healing' seem to have Positive Effects. Medscape. Annals of Internal Medicine 132: P.903-910.

2. HARRIS T., BROWN G. W., BIFULCO A., (1986) Loss of Parent in Childhood and Adult Psychiatric Disorder: The Role of Lack of Adequate Parental Care. Psychological Medicine 16: P.641-659.

3. BROWN G. W., HARRIS T., (1978) Social Origins of Depression. Tavistock, London.

4. BIRTCHNELL J., (1970) Depression in Relation to Early and Recent Parent Death. British Journal of Psychiatry 116: P.299-306.

5. BROWN G. W., BIRLEY J. L. T., (1968) Crises and Life Changes and the onset of Schizophrenia. Journal of Health and Social Behaviour 9: P.203-214.

6. KELLER, S.E., SHIFLETT, S.C., SCHLIEFER, S.J. & BARTLETT, J.A. (1994) Stress, Immunity and Health. Handbook of Human Stress & Immunity. San Diego: Academic. P.217-244.

7. CHADHA, P. K., (2000) Drugless Psychiatry - Physiological Basis of Clinical Experiences. Paper presented in 6th Conference - Innovations in Psychiatry, London, April 2000.

8. COMSTOCK, G.W., PARTIDGE, K.B., (1972) Church Attendance and Health. Journal of Chronic Diseases 225: P.665-72.

9. SLOAN, R.P., BAGIELLA E., POWELL T., (1999) Religion, Spirituality and Medicine. Lancet 353: P.664-67.

10. KOENIG, H.G., (1997) Is Religion Good for your Health? Haworth Pastoral Press, N.Y.

11. POMERANTZ, J.M. (1999). Focused Psychotherapy as an Alternative to Long Term Medication. Drug Benefit Trends 11 (7) : P.2, 5.

12. KAPLAN, H.I., SADOCK., B.J., (1998) Synopsis of Psychiatry - 8th Edition - B.I. Waverly Pvt. Ltd., New Delhi. P.865.

13. TALLEY P. F., STRUPP, H. H., BUTLER S. S., (1994) Psychotherapy Research and Practice, Harper Collins: London.

14. McKENZIE, C.D., & WRIGHT, L.S., (1996) Delayed Post-Traumatic Stress Disorders from Infancy - The Two Trauma Mechanism. Harwood Academic.

15. MOON, A. M., (2000) Positive Psychology Halved Depression in Kids. Clinical Psychiatry News. 28 (5): P.29.

16. MATTHEWS, D.A., LARSON, D.B., (1997) Faith and Medicine: Reconciling the Twin Traditions of Healing. Mind/Body Medicine : 2: P.3-6.


Dr. Pradeep K. Chadha is a psychiatrist,who practises as a psychotherapist specialising in drugless treatment of psychological conditions. He is the author of 'THE STRESS BARRIER - NATURE'S WAY TO OVERCOMING STRESS' published by Blackhall Publishing, Dublin. He is based in Dublin, Ireland. His website address is:http://www.drpkchadha.com

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You CAN Deal With Your Depression- By Anna Allen

Depression is a common worldwide problem affecting people of all ages, races and every social and economic level. Each year over 100 million people worldwide suffer from severe depression. In fact, it is so widespread that it has been labeled 'The Common Cold of Mental Illness.'

Despite being so widespread, depression is also one of the most treatable illnesses out there.

If you want to deal with your depression and fight it, you have to first:

* Analyze the reasons for your condition.

Truly examine your inner feelings and motives. Quit mentally beating yourself up for feeling the way you do and try to concentrate on getting well.

Ask yourself if things are really 'all that bad' and if the circumstances warrant your depressed feelings. If your depressed mood lingers, it's a good idea to:

* Visit your Doctor

Many times depression can have a physical cause, so your doctor can check to see if you have some sort of metabolic disturbance. He can also check for anemia, low blood sugar, diabetes, mononucleosis, or some other illness that could be contributing to weakness and discouragement.

If your situation is extreme and persists, you may want to have the disorder treated by a professional who specializes in depression so he can see how much of your depression lies in your own mental attitude and see what influence in you life brings about that 'down' feeling.

Depression is not in itself proof of mental weakness so don't keep silent because of embarrassment. The most important thing you can do to fight your disorder is:

* Talk to someone about it.

No one can know how you feel unless you open up and talk about it. Just getting it off your chest can bring relief. By confiding in someone who is empathetic and can help, many times you find that you are not alone and that others have gone through the same thing. They can even help you by telling you how they dealt with it. So talking to an understanding person many times can help you to deal with your depression, so try not to bottle up all those troubling emotions which will only make your depression worse.

Another way to deal with your depression is to:

* Build your self esteem and recognize how valuable you really are.

There's a saying that goes:
'To the world, you may be one person;
But to one person, you may be the world.'

That saying is so true!

Many times those who suffer from depression experience feelings of worthlessness. Many of them had an unhappy childhood filled with abuse, whether it was physical, emotional or even sexual. Because of their troubled past, many are left with severe emotional scars. The important thing to remember is that none of the emotional scars change a person's worth. So when we're feeling worthless, just keeping in mind the saying above. More importantly, always remember that all of us are valuable in God's eyes.

Remember, God is our loving creator. He cares for us and will give us the strength needed to endure our emotional pain. Even if we've been fighting depression and putting forth an honest effort to overcome it, we should never give up and think we'd be better off dead. Suicide is NEVER the answer. No situation is hopeless.

* Never stop praying

God's Word the Bible tells us to 'throw our burdens on the Lord and he himself will sustain us.' (Psalms 55:22.) So never stop praying and asking God for help. His word tells us that he will give us 'the power beyond what is normal' (2 Cor. 4:7b.) so that we can endure our emotional pain.

It should also bring us comfort knowing that God has promised that our depression will not last forever. He promises that 'death will be no more, neither will mourning nor outcry nor pain be anymore' (Rev. 21:3, 4). What a comforting thought!

In conclusion, no matter how long you've been suffering and no matter what your problem is, I hope, with this article, I've been able to provide you with helpful and comforting information so that You Can Deal With Your Depression.

To Your Health,

Anna

Cherish Your Life - This Darling Little Girl Never Had the Opportunity to Do That - By Gary Simpson

Flicking through the last few pages of our local newspaper this morning I was attracted to a small one inch by two-inch photograph of a gorgeous little girl. Initially, I thought it was a birthday notice. You know - the ones that people put in when somebody turns 21 or 40 or some other milestone. But my heart sank when I realized that it was in the column marked "Memorial."

I sat stunned for several moments just looking at the photo of the happy blonde-haired toddler with the cute smile wearing a beautiful light-colored dress. I almost wasn't able to read the obituary but, out of respect, I did.

Please let me share with you the words of her Mom:

"Born November 3, 1955. Tragically taken April 8, 1958.No words can describe the heartache I went throughover the loss of my baby girl and the tears that yourbig sister Cheryl and brothers Brian and Ian shed for their baby sister.This day would have been your 50th birthday.Instead of being with your family, you are in God's garden withthe flowers, angels and your dear father to care for you always.Loving memories Mom, Cheryl, Brian and Ian.

Now, I'm not sure what effect those words have on you but I don't mind admitting that, looking at the photograph of this beautiful little girl and then reading those heart-rending words, they had quite an effect on me.

Staring at the photograph I reflected for a few minutes on how precious life is and how we should never take the gift of life for granted. But how often do we all do just that?

When things go horribly wrong or major disasters are sent to challenge us, how many times do we wish we could just end it all? Yes, we recover. We usually do. Life goes on for most of us. Sadly, for some it does not.

We all face times of great trial throughout our lives. But here was a beautiful little girl who could have been anything she wanted to be - taken tragically after just two years and five months of life. She never experienced much at all except, of course, the obvious love of her family.

I don't know how she died. The notice only said that her death was tragic. So all I know is that she died before she had the chance to experience life much at all. She wasn't given the opportunity of experiencing the joys of going to school, making friends, playing games, growing up with her family, choosing a career, falling in love, having a family of her own and all the rest of the things that most of us simply take for granted each and every day.

Now, tell me... what is upsetting you today? Have I been able to put your worries and concerns into some sort of perspective for you? I hope so.

In honor and memory of this little girl I will tell you her name. It was Robyn Ann Cunningham. And today would have been her fiftieth birthday. May she reside in the care of God for all eternity.

This article comes with reprint rights providing no changes are made and the resource box below accompanies it. You may email it to any person who you feel might benefit from the message it contains. You might even like to print it out and read it during those inevitable times when you think that everything is crashing down around you.

Cherish your life - this darling little girl never had the opportunity to do that. You do.

About the author: Gary Simpson is the author of eight books covering a diverse range of subjects such as self esteem, affirmations, self defense, finance and much more. His articles appear all over the web. Gary's email address is budo@iinet.net.au. Click here to go to his Motivation & Self Esteem for Success website where you can receive his "Zenspirational Thoughts" plus an immediate FREE copy of his highly acclaimed, life-changing e-book "The Power of Choice."

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Stop Your Destructive Inner Voice - By Chris Green

Stress. Depression. Anxiety. They’re powerful words that conjure up all kinds of images and prejudices in our minds. People who suffer from these illnesses find it hard to cope with life. They can feel deeply unhappy, they can find no joy in anything life has to offer, and of course, their levels of self-esteem, confidence and self-respect plummet.

But how can this happen to someone?

Let’s concentrate on how these illnesses affect the way we value the self. Of all of the destructive patterns of behavior these illnesses cause, the way a sufferer talks to the self is the fuel that maintains their illness.

I have experienced depression from two sides. For 5 years, a series of traumatic events triggered a personal nightmare I believed would never end. One of these events came when my lover was diagnosed with depression. At this time, I too had entered into the spiral of anxiety-induced depression. Both of these experiences have given me an insight into how sufferers destroy any value of the self.

Let me give a couple of examples. With my partner, if I’d arranged an evening out with friends, she’d say:

“No, I won’t come, you go without me. I never have anything interesting to say. I just bore people. They’ll find me an effort to be with. I’ll stay here.”

If I made a mistake, I’d say to myself:

“I’m useless. I’m no good at anything. Everything I do I get wrong.”

This self-deprecation then spreads into other areas of life. You begin to criticize the way you look, the decisions you make or don’t make, and you focus solely on the downside of life. Each time a little bit of self-worth, a little bit of self-respect and a little bit of self-confidence are eroded. Eventually, they are lost completely. When I reached my lowest point, having lost everything and everyone I loved, I’d say to myself:

“If I died tomorrow, no one would know and no one would care.”

So, what helped me to come out of the fog?

Well, the reason I thought I’d become depressed was because of a series of traumatic events occurring at the same time. I was wrong. The root cause of my depression lay in the ways I reacted to them. One of the ways I’d reacted was to blame myself for events I couldn’t control. The more I blamed myself, the more I beat myself up. The more I beat myself up, the more my self-esteem decreased.

The phrases I have used to briefly illustrate self-deprecating phrases we continually use against the self are mild. I’m sure you realize that many people use much stronger phrases than I’ve given here. The point is that these phrases would be totally unacceptable to say to others. You wouldn’t tell a person that they were boring, an effort to be with and that everyone found their company dull and it would be better for everyone else if they kept away from people.

Agreed?
Yet, if I say to people:

“Pay yourself compliments. Accentuate your good in all areas of your life. Write down your good points, your triumphs, your achievements. Remind yourself as often as possible about all the good you have done.”

They look at me like I’m an alien and say they’d feel stupid. Or uncomfortable. Or even embarrassed.Yet they don’t feel any of these emotions when they talk to themselves using emotionally charged, self-deprecating phrases! And like rust upon metal, these phrases gradually erode our self-esteem and our confidence.

OK, here’s the bottom-line. I’d like you to inscribe what you are about to read into your mind over and over again until it is permanently etched there:

It is NEVER acceptable to talk to myself in a way I know is inappropriate and even offensive if I spoke in the same way to others.

Time for me to sign off, but before I do, here’s a phrase I say to myself every single day without fail. Please use it, it is very powerful:

“If you put yourself down, down is where you will stay.”

Chris Green is the author of the new book “Conquering Stress”, a special program which will show you how to conquer stressful illnesses such as depression, anxiety, panic and worry permanently and without taking powerful drugs. For more information, pleaase click here => http://www.conqueringstress.com

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Big Fat Lie - Time Heals All Wounds - By Jeff Herring

Are you familiar with the phrase "Time heals all wounds?" This is one I often hear people say as they try to brush aside traumas and hurts in their lives.

But it is one of the most destructive cliches, simply because it sounds so close to the truth that it is difficult to spot the big lie here.

At risk of sounding too philosophical, time is an artificial structure that we have created, much like state or country lines. (Have you ever seen a state line? I used to look for them on the ground when I was a kid.)

What I say to clients when they say "time heals all wounds" is that time doesn't heal anything, time simply passes. It is what we do with our lives while time is passing that either helps us, heals us or keeps us stuck.

In my work over the years, I have noticed that some people seem to have an ability to accept the hurts and disappointments of life and then move on. They have a certain resiliency.

Others seem to stay stuck in their pain, living as if the painful events of their lives had occurred just moments ago.

As I sought to understand the strategies of these different types of people, some interesting differences made themselves clear.

What follows are lists of strategies for how to remain miserable and then strategies for how to heal, move on, and thrive.

How to stay miserable

• Complain about the unfairness of it all. ("This should not have happened" - "How could anyone do such a thing?")

• Organize your life around the event, trauma or injustice. Make it a central theme in your life. Talk about nothing else. Bore your friends.

• Remain bitter and unforgiving. A wise friend of mine once said, "Not forgiving someone is much like trying to crush a sandspur between your fingers. You might eventually do it, but it sure is going to hurt."

• Become a victim. Give up your power to take responsibility and control over your own life.

• Play the scene over and over in your mind. Keep thinking of what you should have done or what you should have said.

How to move on, heal and thrive

• Talk about it. Many of us mistakenly believe that if we keep it inside it won't bother us. Quite the opposite is true. Remember the character -Tom Wingo in "Prince of Tides" and the damage done by not talking about the trauma that had happened in his family? Many times, getting it. out in the open can make it manageable.

• Forgive those involved. Forgiving does not condone what someone else did, it simply releases us from the pain of their actions.

• Most importantly, follow this favorite advice of mine:

"Make a place for the event in your life and then put it in its place."

It's important to remember that it did happen and it did affect you. At the same time, its place is in the past, much like a chapter in a book you have read and choose not to read again.

• If you find yourself wanting to but unable to follow these suggestions, you may want to get professional help putting the past behind you.

Visit The Article Guy for more leading edge tips and tools for writing articles that bring you prospects, publicity and profits. You can also subscirbe to our monthly Article Empire Tips Newsletter. You are also invited to visit my Express-Start Article Writing Program for more information on the next article writing tele-seminar.

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Andropause and Depression - By Cathy Taylor

Andropause correlates directly with depression – a major player in the notorious mid-life crisis period men face in their late 40´s to late 50´s. There are a wide variety of symptoms and conditions hormone-wrecked men experience during this mid-life transition – everything from the mental (i.e. irritability) to the physical (loss of libido, lack of energy, and weight gain.) Depression, left untreated, can be a disabling condition.

Andropause depression is due to dropping levels of testosterone. Low testosterone levels cause many depressive symptoms – among them, a general indifference to events surrounding you, the inability to concentrate, extreme irritability, and memory loss. We might stress over things that might otherwise be worry-free in a normal situation and brood over certain matters. Our memory might go down the drain and we begin to see our lives in a negative light.

Energy levels plummet and enthusiasm for the activities we used to enjoy become flat-lined. Insomnia and restlessness is also a common symptom. Normal everyday things might become a burden to us, and the simplest shout of a child can make us excessively irritable. Psychologists use a variety of battery tests to figure out whether you suffer from depression. Besides handing you test sheets to work with, they also place you under observation – noticing your behavior, tendencies, and habits while talking to them.

Men tend to be rebellious creatures by nature. We love shrugging off our faults and being poised in the midst of emotional trouble. We take on the role as masculine creatures – lion kings of the jungle that reign over the sprawling landscape we call life. Men can be in full denial when it comes to questions about their sexual ability and prowess. Refusing to understand that we aren’t who we once were with our sexual performance as a result of Andropause is in our blood. Fellas, it is time to become aware and acquainted with the severity of your depression.

Off the bat, there are facts and figures supporting depression as a major problem. For one, 80% of all suicides in the United States are carried out by men. The majority of people with this condition never seek the advice and counsel of therapists, psychologists, and psychiatrists. Probably the most shocking fact of all is the male suicide rate is highest during the Andropause years. You read correctly – highest during the years we’re specifically talking about.

How do we deal with these devastating changes to our lives? How can we manage stress to reduce the chances of clinical depression? For one, we must follow a daily exercise regimen. That coupled with a caffeine-free diet will boost our immune systems to fight disease. It will also slow down the aging process. Aim to maintain that explosive 30-inch, vertical leap well into your 60s! Another is doing the activities we love. Don’t stray from playing your pick-up basketball games with buddies or building those go-carts from scratch as a hobby. Stick to them and enjoy the satisfaction of doing so. Distract yourself from your current condition without ignoring it completely.

Maintain a social network of friends and family that will cheer you up when you need it most. Something as simple as having your young child shove a hand drawing of a red school bus in your face can provide for laughs and smiles. The most important piece of advice is to accept your condition and make accommodations. For example, low testosterone levels can easily be supplemented with testosterone cream. It’s bound to happen to all of us, and you either have the choice of making the best of it or letting it overwhelm you. Awareness is critical, and an optimistic attitude, followed with physical activity and a solid nutritional plan, is the best means of fighting Andropause, anti-aging, and the demon known as depression.

Cathy Taylor is a marketing consultant with over 25 years experience. She specializes in internet marketing, strategy and plan development, as well as management of communications and public relations programs for small business sectors. She can be reached at Creative Communications: creative-com@cox.net or by visiting http://www.howtoconquermenopause.com or http://www.everythingmenopause.com or http://www.internet-marketing-small-business.com

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There Is Life After Divorce - By Fran Watson

A married woman becomes a single woman for one of two reasons: death or divorce. The former is an honourable state, the latter is not.

When a woman loses her husband to death the neighbours all rally round and provide meals and any help they can give with regard to household repairs or cleaning or anything that is needed. They are willing to provide comfort and a shoulder to cry on. They are available for the widow and they include her in their activities, feeling sorry for her that she is now so alone.

However, things are quite different when a marriage ends due to infidelity or marital breakdown. That immediately plunges a woman into a new category. She is transformed, instantaneously it seems,from a married woman to a divorcee. Becoming one of many, part of a group of used and discarded women, seen as suspect by all those who are still safely ensconced in the womb of their marriage.

People tend to withdraw from her. Invitations to get togethers cease. It appears that women think their husbands might be attracted to the idea of an “available woman” and so the women who used to be friends withdraw and leave her alone with her tears and her fears. There are no meals prepared and no offers of help. Husbands are kept at home just in case, for such is the image portrayed of a divorcee. The husbands might not be safe. She might cause the destruction of other marriages.

We read jokes all the time about the lonely divorcee who invites the mailman, the milkman, or the Maytag repairman into her home with the intent of seducing him. (A joke made up, I am sure, by a man who has never known the humiliation and pain of being a divorcee.) Perhaps she even seduces them one right after the other, for such is the life of the “gay divorcee”, isn’t it? Freed from the bonds of marriage, with unmet needs and desires, divorcees are wanting to fill the void; or at least that is the popular image. And so in place of invitations to parties or neighbourhood barbeques which were formerly were issued to the couple and their family, there is an empty mailbox, and the phone stays quiet. She checks it every now and then to make sure it is still working.

The divorcee begins to feel as though she no longer exists; as if, because she is no longer half of a relationship, she ceases to be a part of the neighbourhood. Women who used to call her friend no longer call. Her children are not invited to play with the neighbours’ children. Perhaps the women feel they would be contaminated by the disease of divorce, as if it were a virus that could be caught, or maybe they just don’t know how to talk to a newly divorced woman. A divorced man, on the other hand, is often seen as more eligible and is a welcome addition to many parties. His social life may increase, and because he usually does not have the children, his disposable income is often enough to keep him comfortably.

However, life goes on. The bills still have to be paid, the kids still have to be fed and they have to be clothed. Family chores that were done by two are now done by one. If the children are old enough, they can chip in and help with the household duties such as dishes and meal preparation and housecleaning. Because of the reduction in income, the divorcee is often forced to seek employment and then she has two jobs; one inside and one outside the home.

Sometimes the inside life doesn’t change much. For those who had husbands who simply went to work and came home at night expecting to be waited on, their workload is reduced by one person, so this can be a blessing. But the availability of a backup when she is really tired and the kids are really obnoxious is a problem. She has to deal with all the problems, tired or not.

Because she has been ostracized by her neighbours she seeks out other divorcees for companionship, often building relationships and forming deep bonds that last for years as they share the day to day problems and achievements. They get together with their kids and pool their resources for family dinners. They support each other in job searches, in the handling of problems, in the fights with their exes. They listen to each other and care for each other’s children.

Sometimes, because of the great reduction in income, divorcees are forced to apply for an allowance from the provincial government. This is known as welfare or Mother’s Allowance. There they are told that they have no right to have a phone or a car, or any of the things they consider necessities but the government considers luxuries, such as a heating bill over the allotted amount. Widows, on the other hand, usually receive a pension from their husband’s estate which they can spend however they want, with no rules. The divorcees are told to sell the car and get rid of the phone, even if they are out in the country. If they have a house, they might have to give it up and move the children to a new area. Sometimes, in order to survive, they may use credit cards to buy the things they feel they need for their kids for school and other activities. They may not be able to send their kids on school trips or buy the clothes that the kids need to fit in and so their kids may be ridiculed because of the way they dress. When the kids come home crying, they often feel guilty and wonder if they couldn’t have worked things out better with their ex-husbands. They cry but try to hide the tears from their children, not wanting to upset them.

When the divorcee ventures into the realms of the full-time employee instead of part-time, she must find a babysitter for her kids, arrange everyone’s schedule and settle into her new lifestyle. She tries to find a boss who is willing to let her attend the various special events at her children’s school and cries silently to herself when she is unable to attend a day graduation due to work, or when she is unable to see her children receive sports awards, but she knows that she is doing the best she can. She attends what she can in the evenings and on weekends and hopes it is enough.

As the divorcee settles into life on her own, she may begin to find advantages such as being able to go where she wants, when she wants and with whom she wants. She has only to consider herself, and her kids, if she has any. Eventually the heartaches will ease a little and the divorcee will reach out to others a little more, perhaps even being willing to take the risk of dating another man.

Her circumstances may not have changed a lot. She still struggles to pay bills, to provide for her kids, yet she finds her life is full. Not the rumoured life of the gay divorcee, replete with men or with parties and wild living, but one of love for her kids, and perhaps of studying for a degree while working in a fulfilling career where helping others. She has weathered the storms of life and feels that she has come out on top. Her children move on to their own homes and to employment. Perhaps her eldest has his dream job, that of webmaster and service technician. Another may become the youngest Inventory Control Manager and the only female one in Eastern Ontario for a large soft drink company. Another, with a child of her own, may work part-time and plan to return to school to take an Esthetics course. Her children could be very involved in hockey, perhaps playing at the AA level or Junior A level which requires a lot of travelling and sacrifice of personal time. But to her it is all worth it to watch her child score the winning goal and to see the smile on his face as he turns from the net. Her heart swells with pride as his teammates congratulate him and the parents lean over to say how well he played.

Yes, life continues after divorce, the pain and heartache suffered in the beginning eventually fade somewhat and the divorcee finds the strength to survive and, more than that, to move on to whatever the future has in store.

For more poetry and stories you can go to Fran's webpage http://www.franwatson.ca

Article Source: http://EzineArticles.com/

Thank you, Thank you, Thank you!!

I just wanted to Thank all of you who have taken the time to post your kind comments to me regarding my blog and the articles I post. I do a lot of research and try to find the most helpful articles so that others who are suffering from this terrible illness can find comfort and hope.

I have several close family members and even a few friends who suffer from Depression and are getting help. I find that Depression is, in many cases, an ongoing illness that has to be treated. Twice in my life I have come extremely close to losing a loved one to suicide, one of them was very recent. I too, earlier in my life, had bouts of depression. I even went as far as to hold the pills in my hand that I was going to take to 'end it all' as they say. I'm very glad that God helped me and gave me the strength and courage to look at the good things in my life and not end it. I have come to realize that I actually am loved by some people out there and worth more than I'll ever know.

It warms my heart that this blog has accomplished what I set out to do. I wanted to help people suffer from Depression and it seems, by the comments I've received, that I have. So all my hard work and research is not in vain or for nothing.

So once again, Thank you, Thank you, Thank you, for all the nice comments. Please feel free to visit as often as you like. I will continue my research and continue to look for helpful articles. I love hearing from you all, so I welcome all you comments.

To Your Health and Happiness,
Anna

Identifying Depression: What To Do If A Loved One Is Suffering - By Michelle Rabin, Ph.D.

Depression can take on many faces depending upon the person, their age, and their gender. Overall, the best thing to be aware of is a significant change in activity or behavior.

Depression In Teens

Depression in teenagers can be difficult to identify, as their mood cycles are traditionally erratic. In general, females tend to suffer from depression more than males, but don’t overlook a young male whose behavior has changed. Again, the things to look out for are marked changes in behavior. If the teen tends to be social and there’s been a significant reduction in their social activities, than that might be an indication that he or she is depressed. Is the phone ringing a lot less? Have they become more withdrawn from the family? Are they sleeping excessively but still seeming to be tired a lot? It’s also not unusual for them to be especially irritable and cranky. Tearfulness is yet another sign. Grades in school often decline as the teen becomes more distracted and less attentive.

Drug use is also a concern for teens that are depressed—as it is for anyone suffering from this problem—because people often medicate their depression with alcohol and /or drugs to try to feel better.

Depression in Adults

Adults tend to hide their depression a little better than kids. They’ve learned how to put a mask on and act as if everything is fine, even when it is not. Appetite is often a strong indicator. The loss of appetite is most common, however there are those who sooth themselves with food so, in that case, you would expect to see a weight gain. Sexual appetite is another variable that is often identified. Depression puts a damper on sexual desire. Essentially when a person stops doing those activities that they used to enjoy, there’s a good chance that depression can be a factor.

Depression In The Elderly

The elderly suffer from depression a lot more than is reported. The older generation still feels a lot of shame and embarrassment about mental illnesses. The harsh reality of the elderly is that their friends are dying on a regular basis. These losses bring up many different feelings, ranging from loneliness and loss to the realization that their time is also limited. Withdrawal is a common sign, as well as weight loss, fatigue and irritability. It is critical to have the elderly evaluated by a competent gerontologist (a doctor who specializes in the older population) to rule out worrisome medical concerns.

Discussing Suicide

When a family member is discovered to be depressed, there is often a reluctance to be direct and straight forward with them. Often people think what if I ask the person if they feel like they want to end their life, and I’ve gotten them thinking about suicide when they hadn’t previously considered it? That will never happen. If a person is severely depressed, they will most likely have given some thought to ending their life. Vague, passing thoughts about suicide are normal for everyone at one time or another. What you need to be worried about is if a person has actually constructed a plan to end their life. Another phenomenon to watch out for is if someone who had been previously very depressed suddenly seems to be fine— happy even—and starts giving their possessions away. Do not be fooled into thinking that this person has made a spontaneous recovery.

So, if someone takes a sudden turn for the better and starts giving things away, or if someone talks to you about having a specific plan to end their life, you MUST take action. These are definitely cases of it being better to err on the side of caution. Let the person know that you are concerned about them, and ask that they speak with a mental health professional. You might offer to get an appointment for them and then take them to the appointment. If they refuse treatment, it is essential that you contact a mental health professional and seek their advice. You can search the internet, the phone book, or call information to get the number for your community mental health center. Most community mental health centers have an emergency clinician on call 24 hours a day to assist in such an emergency. Do not leave the person alone until they’ve been evaluated and it has been determined that they’re able to be left without supervision. People often feel concerned about upsetting the person by pushing for evaluation or treatment. The most important thing here is to prevent a suicide. Even if the person is initially angry, once their depression lifts they will be forever grateful that you intervened on their behalf. Depression is a life threatening illness. Suicide is a permanent solution to a temporary problem. Imagine this….a person feels so miserable that they decide they can’t take feeling this badly for another minute. But the good news is that the vast majority of people suffering from depression will recover and continue to have normal lives. I’ve occasionally had to make deals with my patients. I’ve suggested that they give me 3-6 months to help them feel good again. If I’m unable to help them change their perspective and feel better, then I’ll consider the possibility that suicide is the only remaining option for them. In all of my 25 years of seeing patients, it’s never come to that. Although not everyone has achieved perfect “normalcy” within that time period, the vast majority of people experience a considerable enough improvement to warrant wanting to continue their life.

Don’t be afraid to talk about depression. Don’t be afraid of tears. There is help available for everyone. Most community mental health centers receive state and federal funds so they have the opportunity to provide treatment and no or low cost. Everyone today can find some kind of treatment if they need it.

Dr. Michelle Rabin is a clinial psychologist with 25 years of experience treating depression. More information and depression resources can be found at http://www.depression-symptoms-treatment.com/tagt/depression-treatment-ax.html

Article Source: http://EzineArticles.com/

Dating Advice: Dealing With Rejection - By Terry Hernon MacDonald

"A rejection is nothing more than a necessary step in the pursuit of success. "
- Bo Bennett

Rejection hurts.

But there came a time in my dating career (shortly after being given the pink slip from a guy I was absolutely crazy about) when it dawned on me that everybody is rejected at one time or another. I read an interview with a massively attractive rock star who talked about getting the heave-ho from a girl he loved, and I thought, "Wow, if even he gets rejected, then perhaps I'm not so bad off after all."

Chances are some guy will tell you, "I think it's time we see other people." And it will probably hurt.

How do you deal with it? Well, you can sit around with a gallon of Haagen Dazs, wondering where you went wrong, why you can't hold a man, why you're fundamentally undesirable. Or you can tell yourself, "Maybe it just wasn't meant to be."

Which is the healthier choice? Hey, you are entitled to your feelings. Rejection stings, but this is the time to love yourself, not berate yourself for being a loser. Wallowing in misery and junk food will only make you, well, miserable. And miserable people are a turn-off.

When some guy informs you that you're not the woman of his dreams, shake his hand and thank him for the memories. Think of it this way: He's not for you. Maybe somebody upstairs is making sure he doesn't move into your life for a reason.

But, if you absolutely must, sit around for a day (two at the very most) with the Haagen Dazs. Be miserable. Feel what you feel. Ask yourself what, if anything, you did to send him away.

Then stop.

Treat yourself like a treasure that has yet to be discovered. Carry yourself like a queen. Banish all thoughts of your former relationship. Smile easily at people wherever you go.

Move on. You'll open yourself up to the lasting relationship you deserve, and to a man who brings you joy and laughter.

Terry Hernon MacDonald is the author of "How to Attract and Marry the Man of Your Dreams." Sign up for her free dating tips at http://www.marrysmart.com . Check out her blog at http://happygirlmusing.blogspot.com .

Article Source: http://EzineArticles.com/

Dealing with the Painful Loss of a Loved One - By Anna Allen

I had to take a friend to the doctor today and as I sit here in the waiting room about to doze off I begin to write this article. By the way, why do waiting rooms in doctor's offices make people sleepy?

OK, let me get back on track. As I'm sitting here, I hear a lady behind me talking of her past depression. She mentions she felt so lonely after her dear husband passed away. In her own words, 'her whole world fell apart.' She said her husband handled everything in their marriage such as the money, bills and auto maintenance. After he passed away she became overwhelmed with all the finances and other responsibilities she now had to deal with, not to mention the fact that she was still mourning the death of her husband.

This conversation got me to thinking of how many people deal with the painful loss of a loved one.

Many times when a loved one passes, those left behind might not immediately feel the effects of that loss. It has not 'hit them' or 'sunk in' yet. Sometimes it takes a while for a person to react to the loss. Some may try to stay strong or hide their feelings in front of others. But when the funeral is over and the family and friends have returned to their homes, the person may break down. It finally sinks in. Some sink into a depression so bad they close themselves off from the rest of the world. They take extra time off from work and even turn down invitations from family and friends.

Isolation and self-pity are never the answer. It's okay to mourn. Even people in Bible times mourned when they lost loved ones in death.

A few examples of this include:

* King David who was grief stricken when his son Absalon died (2Samuel 18:33)

* Abraham bewailed the loss of his dear wife, Sarah (Genesis 23:2)

* Even Jesus himself, who was a perfect man, 'gave way to tears' over the death of his friend Lazarus (John 11:35)

So this shows that there is a sadness when we lose a loved one to death.

Then thing is to not dwell on everything. Keep busy. Get involved in other things such as hobbies. Get you mind off the loss. The memories will always be there but they don't have to be painful.

Another thing that can help you deal with your sorrow is Bible reading. God, being the loving God that he is, helps his people to endure the extreme sadness and grief that comes with bereavement. God's spirit helps us to have peace and faith in the wonderful future promised in his Word the Bible.

The Scriptures refer to God as 'the God of all comfort,' so we can be sure that he will give us the strength we need and not let us be overwhelmed by sad thoughts about our dead loved one.

Knowing all this should help us realize that we are not alone in experiencing the pain of our loss. Others have been through the same thing. In time, the pain will subside. The world is not going to stop for our broken heart. Life will go on. Things WILL get better.

So knowing all of this and the fact that even the perfect man Jesus went through this as well, should help us to deal with the painful loss of a loved one.

The Different Depression Medications Available Today - By Dakota Caudilla

Depression and mental illnesses are extremely common in the world that we live in today. In every 5 American adults, at least 1 of them is suffering from either depression or mild mental illness in any given 6 months’ period. However, a point to note…the National Institute of Mental Health reveals that although there are a lot of people who are suffering from depression and mental illness today, 90% of these cases can get treatment and their condition is often reversible. With proper medication, people suffering from depression and mental illness will improve over time.

Abilify (aripiprazole) is a psychotropic drug that helps treat schizophrenia. Abilify is available in tablet form for oral administration. Abilify not only helps treat depression and mild mental illness, it is suitable for people with bipolar mania.

In the meantime, BuSpar (buspirone hydrochloride) is kind of medication for people who are easily anxious. Yes, BuSpar is a form of antianxiety drug containing anxiolytic properties, belonging to class of compounds known as the azaspirodecanediones.

Amitriptyline (Elavil) is an antidepressant that many people rely on in the United States alone. This antidepressant is very useful in treating depression and sometimes helps towards eliminating chronic pain and other conditions too. As for what other types of conditions, this would have to prescribed and determined by your doctor. Amitriptyline has a very sedative effect on its users, therefore, a popular antidepressant drug.

Amoxapine (Asendin) is known as a tricyclic antidepressant. A tricyclic antidepressant means that it is a cocktail of drugs that are safe and effective for up to 80% of the people with depression. Prescription of tricyclic antidepressants like Amoxapine is common because it helps people beat the feeling of fatigue, feeling of hopelessness, guilt, helplessness, inability to feel pleasure or physical pain, unintended weight loss, etc.

On the other hand, MAO inhibitors are prescribed for people who find tricyclic antidepressants unhelpful. For these people, they often feel anxiety, excessive sleepiness and fatigue, specific phobia, obsessive-compulsiveness, etc. There has been progressive developments over the years to develop more effective drugs to help those who found the aforementioned medication not helpful. Newer antidepressant such as the serotonin reuptake inhibitors have recently been made available to public. And even as you’re reading this article, newer antidepressant drugs are being researched on and being developed to help people with depression and mental sickness. The newer drugs can help those who are not responsive to traditionally prescribed antidepressant drugs or experience adverse side effects when they take the prescriptions.
With so many plans and research being made and done on coming up with faster and more efficient antidepressant drugs, we no longer have to think that being depressed is an illness that we have to be ashamed about.

Dakota Caudilla, journalist, and website builder Dakota Caudilla lives in Texas. He is the owner and co-editor of http://www.health-detective.net on which you will find a longer, more detailed version of this article.

Article Source: http://EzineArticles.com/

Don't Under Estimate Depression - by Sandy Baker

Depression is something that is often found in the people that you love the most and never thought could be dealing with. It is something that can rip at the very seams of individuals. It is not just a phase. It is not just something that will go away. It is life and death and dealing with all that has to go with it.

Many people face terrible crisis in their lives and deal with it. Others can not deal so well with even the simplest of things. What happens to many people in either of these cases is that they can fall under a depression. As a loved one looking on, it is important that you recognize the possible signs and do something about it. Waiting too long could be risking their lives.

In most cases, depression can be recognized by a series of symptoms such as:

* Mood swings that are not characteristic.
* Anger that is unfounded. Being overly angry about something that seems simple.
* Frustration throughout even the simplest of tasks.
* Feelings of being worthless, unworthy and unloved are also signs.

But, the hardest part is realizing that these things may be there yet may be hidden. In many cases, those suffering from depression will talk and tell you what is happening. But, it may not seem like what they are telling you is the full story. Instead, they may say that they are overwhelmed, tired and just too busy to deal with things. In fact, they are in serious trouble and don't know how to tell anyone they need help.

Recognizing depression is something that anyone that loves someone should be looking out for. Helping them is what your job and responsibility is. Don't underestimate depression. Get the help that they need before it is too late.

About the Author

Sandy Baker is a well respected writer and recommends visiting bipolar disorder, so you can empower yourself and be of postive support to those suffering from depression.

Depression and suicidal ideation in elderly persons - by Caroline Wellbery, M.D.

The Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) evaluated the impact of primary care interventions on reducing major risk factors for suicide in elderly persons. Depression is one such risk factor. Depression in later life frequently remains improperly diagnosed in primary care and often is treated inadequately. Pharmacotherapy commonly is used in insufficient dosages, and both patients and physicians may stop therapy prematurely. Bruce and colleagues report on results from the PROSPECT study.

Patients were randomized to depression treatment intervention versus usual care and followed at regular intervals for suicidal ideation, depressive symptoms, and remission rates in depressive symptoms. Practice-based depression care managers helped physicians identify depressed patients and provided patients with information on the treatment and monitoring of depression.

Depressed patients in the intervention group were given citalopram or offered psychotherapy if they declined medication. Both interventions were paid for with research funds. In the usual-care group, a minimum enhancement was provided: physicians were notified when patients met the criteria for depression and received information on treatment guidelines.

The investigators randomized patients by practice, recruiting in an age-stratified method participants age 60 to 74 and 75 years and older. Patients completed a Centers for Epidemiologic Studies Depression scale (CES-D), and patients with a CES-D score higher than 20 were eligible to participate. An additional 5 percent sample was included for comparison, as were some patients scoring 20 and below who might have had a false-negative screening result and who were identified as possibly depressed by supplemental questioning. Patients were assessed by telephone at four and eight months and had an in-person interview at 12 months. A total of 1,238 eligible patients agreed to a baseline interview; 598 patients who met the criteria for major or minor depression were selected to participate, as well as 47 patients who were selected randomly and 109 who were diagnosed with depression by supplemental questioning.

Patients in the intervention group were significantly more likely than those in the usual-care group to receive treatment at each follow-up visit. Patients in the intervention group were more likely to report suicidal ideation at baseline. At four months, both groups had similar rates of suicidal ideation, which reflected a greater decline in suicidal ideation in the intervention group.

This finding applied overall and to patients with major depression, but not to the subgroup with minor depression. Depression severity did not differ significantly between the groups at baseline but decreased more in the intervention group than in the usual-care group. This finding also applied to the group as a whole and to patients with major depression, but not significantly to patients with minor depression.

Similarly, more intervention patients experienced a 50 percent or more decrease in depression scores from baseline compared with the usual-care group at four months, again with insignificant impact on those with only minor depression. In terms of remission, rates were significantly higher at four months in the intervention group compared with the usual-care group, but rates narrowed to nonsignificance at eight and 12 months. The difference in suicidal ideation was most pronounced and statistically significant at eight months, with no difference between groups at 12 months.

Suicidal ideation resolved more quickly in intervention patients than in usual-care patients. Intervention patients also had a more favorable course of depression, in terms of both severity and remission measurements, although these findings applied to patients with major rather than minor depression. Actual rates of suicide in primary practice occur too infrequently to measure the effect of an intervention such as the one studied in PROSPECT.

The strength of this trial lies in its practice-based design and application of formal depression screening and diagnosis. The feasibility of using case managers in practices needs to be assessed in real-life practice, and providing therapeutic intervention at no cost to the patient is a potential limitation of the study's real-world application. Finally, the authors were unable to explain the higher baseline prevalence of suicidal ideation in the intervention group, an occurrence that may limit the generalizability of the study's findings.

CAROLINE WELLBERY, M.D. Bruce ML, et al. Reducing suicidal ideation and depressive symptoms in depressed older primary care patients. A randomized controlled trial.
JAMA March 3, 2004; 291:1081-91.

2004 American Academy of Family Physicians
2004 Gale Group

Advice on suicide & depression: warning signs - by Travis Meeks

Advice on suicide and depression, and the warning signs that are many times evident, is obviously a matter of life and death.

The concept of suicide and depression seem to be inextricably linked. However there are other warning signs and there is far more to be discussed when looking at suicide as a concept, beyond that of the classical motivation of being depressed. This article will examine common warning signs of suicide as well as signs of depression. In addition it will look at how anger and revenge can be a driving motivational factor or rationale for suicide. It is also important to look at the seperate parts in planning and acting on suicidal ideas. Evaluating these key actions and others assist in determining the seriousness of the attempt, although professionals should always be consulted immediately. While suicide and depression are linked, concepts such as revenge and anger cannot be ignored.

First and foremost let us look at one of the major linking causes of suicide, the most common, depression. Signs of depression can include (based on a description of symptomology from the DSM IV "Diagnostic and Statistical Manual of Mental Disorders Fourth Edition):

Dysthymic Disorder:

A. Depressed for two years in an adult, at least one year in children and adolescents.

B. 2 or more of the following

* poor appetite or overeating

* insomnia or hypersomnia

* low energy or fatigue

* low self esteem

* poor concentration or difficulty making decisions

* feelings of hopelessness

There are many different forms of depression and some of these symptoms are only examples without the complete detail or depth that one might find by consulting a variety of sources.

Major Depression (some symptomology)

2 weeks of a depressed mood with a loss of interest or pleasure in nearly all activities.

With children the mood may be irritable rather than sad.

Often described as depressed, sad, discouraged, hopeless, or down in the dumps. Loss of interest or pleasure is always present to some degree. Appetite and sleep disturbance. Psychomotor changes, such as agitation, pulling or rubbing of the skin or clothing, slowed down speech or thinking or body movements, increased pauses before answering. Decreased energy, tiredness and fatigue. Sense of worthlessness or guilt. Impaired ability to think, concentrate or make decisions, may include memory difficulties. Interference in social, occupational, and important areas of functioning.

Many of the symptoms one finds with depression may cause the individual to fall below a threshold of rational thought, where they seek cessation from pain through harming themselves. They do not think through the consequences of their actions in many cases. As depression deepens some state that they just want to go to sleep and never wake up, for example. Others display signs such as cuts on their arms, self destructive behavior, burn marks or attempt overdoses or other dangerous acts. Trying to list all the possible signs is an impossible act because suicide can be approached in so many different ways by different people. However spotting signs of depression can be a vital clue as well as threats or thoughts of suicide by a person with depression. These should always be taken seriously and assessed by a professional.

Furthermore one should look at anger and revenge as possible motivators for suicide. It has been said that suicide in some cases is anger turned 180 degrees. Meaning that the person is angry with someone and cannot kill them and so decides as an act of revenge to kill themselves. Also called murder 180 degrees. Looking at these motivations and any threats or attempts by a person can be another clue for suicidal ideation (suicidal ideas).

Actually examining the process and looking at the person's actions as well as their threats is also important. There are several stages. If a person indicates that they have thought about suicide and killing themselves, that is an indicator or represents if there is serious intent suicidal ideation (suicidal ideas). If the person has these thoughts frequently or obsessively then it is a stronger indicator for a potentially dangerous situation. The second area to look at is if the person has a definite plan. Do they know how they might kill themselves? Is there a specific plan that they have formed and do they have access to the weapons or drugs or what have you? Finally one should look at the most serious aspect of all: have they attempted to commit suicide, and if they have how many times? These are all major factors in determining and screening for serious intent in patients and looking at suicidal ideation. Professionals in the field should be consulted as they are equipped to take appropriate followup action and know many subtle signs. For example, how shallow are the cuts on the arm?? Are there any marks?

Legally the laws differ from state to state, although there are usually laws in place that not only make it against the law to attempt to commit suicide but allow authorities to take action to have the person placed in a safe facility for further evaluation. In the State of Florida, where this author resides, the particular act is called a Baker Act, where a person indicates they will harm theselves or others and then can be committed to a hospital facility. In many cases this might require witnesses or have to be done with serious intent in front of a police officer or other official. In some cases it might have to be ordered by a judge, by a petition to the court.

In conclusion we must look at suicide, depression, and anger as being linked and realize that there are many other factors involved as well. It is a complex subject touching on the very value and importance of life. One should always consult a professional if they suspect suicidal ideation (a person displays suicidal ideas) or threats of suicide or remain depressed. It is a complex issue not easily discussed or handled. Mental health issues, suicide in particular display an element of stigma or negative labeling. Many think it must be a matter of willpower or a basic weakness of character. However, as we have seen in some of the symptoms it is a far different story. It is a matter of biology and psychology and in no way simple. Consulting professionals with experience is part of the key. Perhaps the words of Alexander Dumas from his book the "Count of Monte Cristo" are most fitting for an ending to this article, that key to the life we hold dear "Where there is life, there is Hope."

Written by Travis Meeks

Starting Over After Loss - By Kim Olver

How does one start over after the loss of a loved one? It is a monumental task that just feels overwhelming at times. Similar rebuilding occurs after the death, divorce or separation of a loved one.

First comes the shock of the loss and an almost denial that is has happened, particularly if there was no warning. We have hopes and dreams of the future that include our loved one and suddenly he or she is not there. How will we cope? How can we go on?

But go on we must and we will. Often times our first step is to attempt to regain what we have lost. This is impossible if our loved one has died but that doesn’t stop us from trying. A lot of what we go through in our grieving process is our best attempt to keep that person alive and well in our perception. So, we do things like go over the memories, look through picture albums, talk about our loved one to everyone who will listen, think about him or her every minute and even speak to him or her out loud.

If a loved one has not died, but has chosen to walk out of one's life, it can be more challenging. In this instance, you not only have to get over the shock of the loss but also cope with the feelings of rejection.

In our best attempt to get our loved one back, we may engage in all the behaviors someone who has lost their partner to death would. But in addition, we may beg them to take us back, follow our loved one around, try to get our friends to intervene on our behalf, and a host of other maladaptive behaviors.

Everyone grieves at his or her own pace. I am in no way suggesting that this process can or should be rushed. What I am saying is that when a person is ready, he or she can turn the grief into a new hope for the future.

There's a quote I've learned that is very helpful during this phase. Unfortunately, I do not know its source. The quote is: " Don't cry because it's over; smile because it happened." This is a highly evolved place to get and not everyone gets there.

However, if you find yourself in the process of starting over, adopting this particular attitude can be fairly helpful. You would begin by brainstorming all the possible benefits of no longer being in relationship with the person who's gone. This may seem uncomfortable at first, almost a betrayal of the love you shared, but it is the most healing thing you can do at this point.

You may feel that moving on will, in some way, send the message that you didn't really love enough. In an attempt to show the world how much you loved your partner, you use the depth of your grieving as the message. And if you are someone who wants to continue grieving, then nothing I have to say will get in your way. You don't even have to continue reading.

This article is really for those people who are tired of being depressed, who are ready to us start again and who want to actually believe that things can get better.

In 1999, my husband died of leukemia when he was 37 years old, leaving behind his two sons ages 13 and 15. Initially, there was no positive benefit I could see from that event at all.

However when I was ready to look for the positives, they did appear.

One of the first positives I saw is that I actually had the opportunity to say goodbye. My husband's entire family had the opportunity to say the things they wanted to say to bring closure to their relationships. Many people do not have that opportunity when loved ones pass.

A second benefit is that when my husband learned he was sick, he stopped working. He didn't stop because he was too sick. He stopped because there was some research link between his type of leukemia and the chemical benzene -- something he worked with at his job. Prior to his illness, my husband was a workaholic. Once diagnosed, he began to spend lots of quality time with our children. He coached soccer, coached Little League, taught our boys how to work on cars, and spent long hours with them hunting and fishing. This would not have happened had he lived to be a hundred years old with his workaholic behavior.

You too, can find the benefit in the loss of your last relationship. It merely involves putting on the proper lenses that will allow you to see it. Just like in science, there can be no positive without the negative and no negative without the positive. You can't have protons without neutrons -- and you can't have a devastating event in your life without it also bringing some positive benefits. Healing and moving on requires these lenses.

While you continue to mourn the loss of your relationship, you're only staying stuck in the past. Let's return to the quote mentioned above. Instead of mourning the loss of the relationship, focus on how fortunate you were to have that relationship in your life for as long as you did.

There are no guarantees in this life. When a loved one enters our life, there is no surety for how long he or she will stay. They're not possessions to be owned, but rather our gift to be cherished for as long as we have it.

One of the first steps to take in healing our grief is to reach out to others in our life who love us. When someone we love leaves us, it creates a huge void in our life. Some try to fill this void with drugs or alcohol, but that only results in a temporary reprieve from the pain.

If love is what we lost, then the only thing that will help us to feel better is more love. During this time you may confuse sex with love and go looking for meaningless encounters. However, this again will only postpone the inevitability of the pain of the loss of love.

We must replace love with love. Reach out to friends, family and co-workers. -- anyone who will fill some of the gap left by your loved one. It's not the same, it's not what you are really craving, but it will help heal the pain.

After that temporary reprieve with those who love us, you must start rebuilding your life and your strength. You can go on. You can laugh again. And yes, you can love again. Love has many forms.

You may develop another relationship in the time. You may find a cause that you love and believe in. You may "adopt" a neighborhood child. You may find or create work you love. You may get a pet that you can love unconditionally. You may become involved (but not too involved) in the lives of your extended family. Whatever form love takes, it will fill the void that was left from the relationship you lost.

But none of this will truly do the trick unless you learn to love yourself again. How does one accomplish this task? You must take inventory. Make a list of all that you have to offer the world. What are your strengths? What are your interests? What are your talents and abilities? What do you love?

If you're having difficulty completing your list, ask someone you trust for help. An objective viewpoint can often point out positives of which we are unaware.

And if, after taking this step, you are still unsure of your special talents and skills, then make a list of the person that you want to be. What is it that you would like to be able to offer the world? Describe a person that you admire whom you would strive to become. As long as there's breath in your body, it is never too late to learn to expand and grow to become the person that you truly want to be.

If you feel as if your life is over, you are truly wasting the gift of life that you have been given. There is only one you. You have something unique inside you to offer the rest of us. Please don't keep it hidden, lost in your grief.

Do not climb in the grave with your loved one. It is not your time. Do not wither and die behind the door your loved one closed on his or her way out of your life. Find someone less fortunate than you, and do something for them without expecting anything in return. You'll be surprised what that does to elevate your mood.

If you are ready and having trouble getting started, please email me at Kim@therelationshipcenter.biz or phone me at 708-957-6047. I would be happy to talk with you further about this.

Kim Olver is a licensed professional counselor and a life/relationship coach. She helps people unleash their personal power by living from the inside out, focusing their time and energy on only those things they can control. She also helps people improve the quality of their relationships with the important people in their lives. She offers free chats, assessments, a blog and an eZine, as well as workshops, teleclasses, e-courses, counseling and coaching. Visit her website at http://www.TheRelationshipCenter.biz or contact her at (708) 957-6047.

Article Source: http://EzineArticles.com/

Suicide is Not an Option - By David Snape

On December 12th, 1992, my brother committed suicide. The consequences were devestating to everyone involved. Maybe this story will help someone who is contemplating suicide to decide against it.

Suicide is not the solution that some may think it is. Problems and unresolved issues will haunt family and friends for many decades.

My nephew, who was just a baby at the time, would always ask about his uncle. He eventually learned to point up at the sky and say, "Uncle Scott".

But the reality is that he missed out on having the benefit and support of his uncle as he grew up. And of course, there are countless interactions with family members that will be missed over the decades.

Suicide is permanent. And the effects that it has on loved ones also lasts over a life time.

My brother was only 22 years old at the time he chose to commit suicide. I was only 24.

I remember going to the viewing and seeing his lifeless body. They couldn't quite erase all of the signs of his violent death. And that image will stick with the living for the rest of their lives.

In the end, the temporary pain someone escapes by committing suicide might be overshadowed by the pain and sadness of family and friends. That pain may continue through the decades whenever they think about it.

The missed opportunities for interaction also impedes the growth of everyone else. Countless interactions that would have occurred are all lost now.

Who knows how destiny was changed by such an event. The family that he may have had will not exist now.

The triumphs and set backs of a life will never be realized. The fulfillment of a lifetime was cut short by a decision that may have been made rashly at a moment of personal confusion or pain.

We never know who it is in our destiny to meet and interact with over a lifetime. All of those 'plays' of life will never be able to exist because one of the characters on the stage will not be there to fulfill his role.

So, the total sum of the tragedy is really unknown but it seems likely that over what would have amounted to decades of time, that sum must be quite high. I guess we won't get the chance to find out.

Though I am revealing this personal family tragedy to the masses through this article, if it saves a single life, it will be worth it. Drop me a line if you ever want to talk, I would be happy to hear from you.

Dave Snape writes for All Things Pondered:http://AllThingsPondered.com You can find him there.

Article Source: http://EzineArticles.com/