Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should, most people still live with a number of symptoms of depression without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression. There is often a delay in opting for the treatment because of the social taboo associated with depression.

Depression makes a person miserable, disappointed, restless or numb for long and tedious timeframes, and is debilitating, particularly when they can't demonstrate their feelings and worries to anybody. It can meddle with their productivity and can become a concern not only in workplaces, but also in social circles.

So here's how to deal with a friend or family member in a depressed state of mind:

Be considerate: Do understand that depression doesn't mean" trouble". Melancholy is a condition with an assortment of side effects like exhaustion, confused mind state and rest issues. These are all side effects of melancholy. Crabbiness is an exceptionally basic side effect, which once in a while is encountered by many individuals, and can lead to an expanded sensitivity. Normally, it's difficult to be sympathetic with someone who is behaving grumpily. But you need to make a conscious effort to still see the positive in depressed individuals and lead them to hope.
Encourage and support: Try not to shame people for being negative. Dejection changes the world into a scene of pessimism. Discouraged individuals don't just focus on the negatives, but they also disregard the positives.
Do validate: Approval can help manage a depressed state, and can wean a friend or family member out of depression. Remember that someone with dejection is not living in the same universe as you. The laws that oversee your universe don't exist in theirs.Depressed individuals require your understanding, your empathy, and your affection, considerably more when they are having a troublesome day, week or month. It is hard, but possible. Discouraged individuals value a positive backing in particular.
Never say 'you're too much': When someone with depression is told "you're too much" particularly by somebody near them, it can send them spiralling into blame and nervousness and bitterness. Being encouraging and empowering is likewise useful.
Be patient with the treatment process: A certain amount of trial and error in treatment is to be expected, Baer said. But the good news is that doctors can often help people with depression feel better and function better with a combination of medication and talk therapy, he added. With time and treatment, depression can lift.


Tips for Dealing with a Depressed Family Member

Depression, or major depressive disorder, is a mental health condition marked by an extended sense of sadness and despair that affects how a person thinks, feels and functions. It affects the way you think and brings about changes in your physical and emotional self. In severe cases, depression makes it extremely difficult for you in carrying out your daily activities. Yes, the condition may significantly interfere with a person's daily life and may prompt thoughts of suicide. There is no instant cure for this disorder; rather it requires a more long term approach to treat this disease.
Symptoms-
The symptoms of depression are:
Feeling of emptiness and sadness.
Violent outbursts of anger.
Disturbances in sleep patterns, resulting in insomnia in few cases.
Constant tiredness and fatigue.
Constantly agitated and anxious.
Drastic changes in your appetite (usually appetite decreases).
Physical problems such as headache and back pain.
Constant feeling of worthlessness and guilt.
Recurrent thoughts of suicide and violence.
Causes-
Although scientists agree that depression is a brain disorder, the debate continues about exact causes. Many factors may contribute to the onset of depression, including genetic characteristics, changes in hormone levels, certain medical illnesses, stress, grief, or substance abuse. Any of these factors alone or in combination can bring about the specific changes in brain chemistry that lead to the many symptoms of depression, bipolar disorder and related conditions.
Treatments-
Psychological counselling and medications are the preferred treatment alternatives for depression. The medications that are used to treat depression are antidepressants and serotonin reuptake inhibitors. It is important to consult a psychologist before opting for any treatment procedure. The doctor will carry out a thorough diagnosis and then prescribe treatment accordingly.
Psychotherapy is another treatment process that is used to treat depression; this involves you talking about your condition to a doctor. It can help you find better and feasible ways to find solutions to problems and set realistic goals in life.
Electroconvulsive therapy is another mode of treatment that uses electric currents to modify the functioning of the neurotransmitters.


Symptoms and Treatments of Depression

Depression is often equated with isolation and brooding but this is not always the case. Many people may actually suffer from depression without showing the typical symptoms of this condition. Hence, this form of depression may go unnoticed for many years. Such cases are known as high-functioning depression. Some of the symptoms of this condition include:

Having difficulty expressing happiness: Though a person may be able to work normally, a person suffering from high-functioning depression will find it difficult to express emotions such as happiness. Thus he or she may not know how to act in the event of a promotion at work, the beginning of a new relationship or any other such happy events. In such cases, the happiness a person experiences from these events is temporary and muted.
Lowered energy levels: Unlike not being able to get out of bed when suffering from typical forms of depression, a person suffering from high-functioning depression can follow his or her usual routine. However, they often find themselves lacking the energy they would normally have and feel the need to put extra effort into their normal tasks. This reduces the amount of satisfaction derived from completing tasks.
Persistent self-doubt: While being self-critical is good to a certain extent, a person suffering from this form of depression is rarely satisfied with their work. Even when recognised by their peers or given an award for their work, they feel that this praise is misguided and have trouble accepting it. Thus, suffering from this condition is akin to swimming a race against the current and with additional unnecessary weights.
Substance abuse: Since this form of depression can go undiagnosed for many years, patients often turn to alcohol and other addictive substances in frustration. This can further delay diagnosis as many of the symptoms of this condition can also be attributed to substance abuse.
Feeling like a failure: Many people suffering from this condition feel as though they are constantly wasting time no matter how much they achieve in a day. This can make them feel hopeless and cause frequent changes in jobs.
The good news is that depression can be cured. Hence if someone around you or you, yourself experience such symptoms, talk to a doctor. Alternatively, you could make a few changes in your lifestyle to lift your mood. Try meditating in the morning or fit in some light exercise into your day. You could even take up a new hobby. However, this cannot replace cognitive therapy and psychological counselling.

High Functioning Depression & Anxiety!

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

A depressive disorder is not just a passing phase of the mind; it is a condition which involves your body, mind, and thoughts. It comes in the way of your daily life, thereby preventing you from carrying out your regular routine, even making it harder for you to concentrate or work properly. The exact causes are still not known, but as certain studies suggest, it might be hereditary, due to changes in the neuroendocrine functions, or due to other psychological and social factors.

Some of the depressive disorders are:

- Major depressive disorder
- Persistent depressive disorder
- Other specified or unspecified depressive disorders

Others are classified by their causes:

- Premenstrual Dysphoric disorder
- Another medical condition induced depressive disorder
- Substance/Medication-induced depressive disorder

Depressive disorders can set in at any point in time, but primarily, symptoms are visible in your late teens, 20's or your 30's.

Symptoms

For major depression the symptoms are:

1.Feelings of depression throughout the day
2.Significantly diminished interest in all your activities

All You Need to Know about Depressive Disorders

HOW TO BOUNCE BACK FROM FAILURE

“It's fine to celebrate success, but it is more important to heed the lessons of failure,” Bill Gates said. We always shower praise on those who have triumphed. Very rarely do we examine all the times the successful people have failed, and analyze how they turned their “luck” around. In this tip, you will understand how to turn failure into success and bounce back with more fervour.

1. A SUCCESSFUL MINDSET: If you’re striving to achieve anything then failure is inevitable. “Whenever you’re trying a new experiment, whether it’s a new job, a new product, a new hobby, a new boyfriend or girlfriend–whatever it is–you need to give some thought to what is your strategy and which are the possible ways to achieve it. Do you have any plan B or plan C if plan A fails? What will you do if nothing works out...and how to minimise the losses as well as taking advantage of the opportunities that you have. Assessing your opportunities and threats to success is very important. When a newly wedded girl comes to stay with her In laws, she might need to have a number of ways in her kitty to make her place in the new household rather than just stick to a few traditional ones. If one technique doesn't work, try something else. Disaster strikes when creativity is not given a place and failure was not factored in. Feeling helpless doesn't add upto success. Optimism is what people need to bounce back with.

2. LEARN AND IMPROVE WITH EACH FAILURE: Failure is just an opportunity to learn and improve. It’s a teaching moment that should be analyzed with a practical, clear mind. It helps to see mistakes as stepping stones to learning and improving and using it as an opportunity to bounce back. Every person should behave like a scientist with a mind open to exploring, assessing, making mistakes and changing. Mistakes must be embraced as being part of the process of success. If we don’t make mistakes it means that we’re not trying, and if we’re not trying then we’re not learning and getting better. Your self-worth should not rest on perfectionism, but rather value your ability to accept and learn from your mistakes. Not everyone is willing to admit when they’re wrong, which can hamper progress and relationships. When Meena and Arun started dating each other, they didn't know each other well and tried to impress each other in ways that was not working out well for both of them. It was very frustrating for them to see that their relationship was not working out. In counselling, they realised that they were not asking what each can do to impress the other. Meena told Arun that she would like to be taken out to plays and theatre by her future partner and Arun told Meena that he would like to take weekend trips to nearby destinations to get to know his partner well. When they both started doing what the other appreciated, they got to know each other better and relationship started blooming. Thus Arun and Meena assessed the situation, were open to discussion and found an amicable solution instead of thinking of their previous efforts as failure and giving up. 

3. LOVE YOUR CRITICS: How do you feel when your work gets criticised repeatedly by your boss, manager or your husband. It mighty be hurtful and demeaning to hear critical feedback, but if many people are saying the same things about your work or behaviour, then maybe it's time to give it a serious thought. When Saira was often told that she wasn't cooperative enough in team activities and tends to slacken and pass on work to other members, her mind started working. She had got the same comments in her previous organisations. She started seeing a grain of truth in this feedback and took steps to rectify complaints that stood out common in all the feedbacks and reworked her way back to become a sought after team member. Her next years' appraisal was better and got her an increment. Saira triumphed, because she knew how to learn from criticism.

4. ACCEPT FAILURE AS AN IMPORTANT PART OF LIFE: Shivani was heartbroken when her 15 year old perfect son started doing badly in exams. Her world fell apart when she came to know that he had secured 73% in 10th grade. She felt that she had failed as a parent and her son as she had not devoted enough time to her son as she was a working mother. In counselling, she was asked if she knew any parent who had never failed their kids and were always there for them. Shivani couldn't come up with any names of such mothers who had been perfect to the core. Yes, that's how real mothers are...you will fail sometimes and you will win sometimes. Every moment you are real with your child, you are succeeding as a mother. Accepting failure as a part of life and knowing that you gave it your best shot is good enough. There's magic in feeling genuine regret rather than overkilling guilt and shame. Own your failure openly, publicly, and you'll reap a harvest of forgiveness, trust, respect, and connection—the things you thought you'd get by succeeding. Ironic, isn't it?

5. GO WITH YOUR GUT: When you see a red flag, pay attention. How many times in life have you kicked yourself for not listening to that little voice in your head that says, “Something is wrong here”?. Preetam gave an interview with an organisation, going by their market reputation. Yet during the interview, he picked up feelings of dissonance within the company. After joining them, he realised that his gut was right..the company was going through major shuffle and policy changes, which were not working out for Preetam.

6. BE A PROBLEM SOLVER AND STAY CALM: In a crisis, people tend to get anxious. Maintaining a sense of Zen will not only allow you to think more clearly but will also set the tone for those around you. Kapil used to get tensed over small details. He realised that in the larger scheme of things they were really not that important. He focussed his energies on things that were more important for him to reach his monthly targets. This started calming him down.

7. FIND A SOLUTION: You need to figure out how to address and remedy the situation. Start by considering your end game — what’s the ultimate outcome you’d like to see? — and work backwards from there. Daya wanted to be a good father to his children. He wanted them to remember him as a gentle and loving father. He started working backwards and his daily actions and behaviours showed to his children that Daya was a loving father. He played with them, took them for cricket coaching, went swimming, shared personal success and failures and most of all listened to them when they had to say something.

8. TAKE RESPONSIBILITY OF YOUR MISTAKES AND FAILURES: If you screwed up, don’t make excuses — just apologise genuinely for any errors on your part. Remember, that no one is perfect and it's human to err. Prema was a caring mother. She had many dreams about her daughter and wanted her to do well in studies and be a well behaved child of the family. But when her daughter started showing disinterest in studies and marks started falling, Prema used to beat up her daughter in her anxiety to do well. In counselling Prema understood that her intentions were good, but the way she communicated were not helping the situation as Prema's daughter hated her mother and maintained distance. Prema owned up her mistakes and apologised for her errors to her daughter. She also took remedial action to be accepting of her daughter and gave her the space to make her own mistakes and learn from them. 

9. BECOME PROACTIVE: Don’t let a small mistake linger and turn into a bigger one. That’s not to say you should simply be reactive, but i f you know you did something wrong, deal with it right away. Say, for example, you stuck your foot in your mouth during an important business meeting and inadvertently offended your boss or a client. Acknowledge the gaffe, apologize and try to move on without beating yourself up. Remember that, “In any moment of decision, the best thing you can do is the right thing, the next thing is the wrong thing, and the worst thing you can do is nothing.

10. DEFINE YOUR OWN SUCCESS AND FAILURES: Its important to have your own definition of both rather than how the world sees and defines success and failure. Find answers to questions like: How would you be behaving when you have succeeded, what must happen to feel successful, how will your life change when you are successful? Every person has a very different view and definition for success and making it your own definition can spell failure. Don't let the world tell you whether you have failed or succeeded. It's also excellent for self esteem and works as a protective shield from potential damage. 

So, next time there’s that misstep, mistake or misunderstanding, remember to take a deep breath and be your own best publicist by remaining calm, seeking the solution and seeing the challenge as an opportunity to lead and learn.









How To Bounce Back From Failure - Tips From A Pyschologist

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