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Located midway between Shrewsbury. Welshpool. Oswestry.


Depression

The Pit

The pit I am in is the pit within me. I am the pit; and the pit it is me. When you look into my pit; it's not you that I see. I look up and see darkness, I see only me.

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Common Symptoms

Anxiety Persistent sadness Empty mood Pessimism Sense of helplessness Reduced Energy Feelings of Guilt Fatigued Sense of worthlessness Feeling defeated Poor concentration Poor Memory Loss of interest in activities once enjoyed Insomnia Difficulty making decisions Change of appetite Weight loss or gain Thoughts of suicide or self harm Restlessness Inappropriate behavior Loss of interest in self appearance Inexplicable aches and pains Headaches Irritability Digestive disorder Poor judgement Turmoil Racing thoughts Feeling there is no point in it all Feeling worthless Feeling a burden to others Feel no future Fragility Unreasonable behaviour with others No interest in sex

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The Enigma

There is an enigma that has always interested me:

"The mind controls the body and the body controls the mind."

This puzzling interaction between what we often consider as completely separate parts of our being can be used as a way of understanding the symptoms of our depression. Depression is a "whole-of-our-human-being" illness, involving negative, uncomfortable or painful reactions experienced in our body, mood, emotions and thoughts. While it may seem that our brain or spirit is depressed, it affects the way we eat and sleep, the way we feel about our self, and the way we think about everyday experiences. Another way to look at this is to remember the butterflies in the stomach sensation experienced before, say, a school exam. We worry in our mind yet it is our body that is worrying too. The physical symptoms of our depression are reflective of the psychic symptoms.

No one expects to be happy all the time and, as they say, into every life a little rain must fall. Being sad after the loss of a family member or the end of a relationship and a period of the blues is natural, but a depressive disorder is not the same as a passing blue mood. People must not feel guilty if they experience what a doctor describes as a depressive disorder since it is not a sign of personal weakness or a condition that can be willed or wished away. People who are living with a depressive illness cannot merely "pull themselves together" and get better. Without treatment, symptoms can last for weeks, months, or even many years. But with appropriate treatment, however, most people who suffer from depression can be helped.

Your depression may not show itself in the same way that the next person's does. The actual experienced symptoms of depression may vary from person to person, and also depend on the depth of the depression. Because of the link between body and mind, depression causes changes in thinking, feeling, behavior, and physical well-being.

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Changes That Come With Depression

  • Changes in Thinking - You may experience difficulty with concentration and decision making. Short term memory may be affected with the sufferer forgetting things all the time. Downing yourself and negative thoughts and thinking are characteristic of depression, as are pessimism, poor self-esteem, excessive guilt, and self-criticism. Some people have self-destructive thoughts during a more serious depression, even thoughts of self harm and suicide.
  • Changes in Feelings - You may experience a feeling of sadness sweep across you for no reason at all. Often people report that they no longer enjoy activities that they once found pleasurable and rewarding. You might lack motivation, interest in things around you and become more apathetic. You might feel lethargic, slowed down and tired all the time. Sometimes for the formally easy going, placid person irritability is a problem, and you may have more difficulty controlling your temper. In the extreme experience, depression is characterized by feelings of emptiness, helplessness and hopelessness.
  • Changes in Behavior - Changes in your actual behavior during depression mirror the negative emotions being experienced. You become more apathetic, because that's how you feel. Sometimes depressed people feel uncomfortable with other people, or can't work up the energy or enthusiasm to socialize so social withdrawal is common. The term comfort eating describes a real condition and you may experience a dramatic change in appetite, either eating more or less. Or you may seem to 'worry the weight off' no matter what you eat. Because of the chronic sadness, the psychic mood feels fragile and excessive crying is common. Some people live out their depression and complain about everything, and act out their anger with uncharacteristic temper outbursts. Sexual desire will often diminish and may disappear completely, resulting in lack of sexual activity which leads to a downward spiral of dissatisfaction and hurt within a relationship. In the extreme, people start to feel nothing is worth the bother and may neglect their personal appearance, even neglecting basic hygiene and lose the respect of others. Needless to say, someone who is this depressed does not feel like doing very much, so work, education, socialising and household responsibilities suffer. Something as simple as getting out of bed in a morning can become too much trouble.
  • Changes in Physical Well-being - As mentioned before, the negative emotional feelings experienced during depression are also expressed physically in what can be called physical emotions. Chronic fatigue is common where despite spending more time sleeping the person still feels exhausted. Some people can't sleep, or sleep only fitfully not feeling refreshed in the morning. These individuals are awake for hours, or awaken many times during the night unable to get back to sleep, their minds racing with an energy they don't have in the day. Others sleep many hours, even most of the day, although they still feel tired. Many people lose their appetite, feel slowed down by depression, and complain of many aches and pains. Others seem to be always anxious and are restless, and unable to sit still.

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What is Natural - What is Depression?

You have probably experienced some of the above at times of stress or excitement in your life, but imagine the exhaustion of these symptoms lasting for weeks or even months without respite. Imagine feeling this way, not just from time to time, but almost all of the time. Depression is present if you experience many of these symptoms for a period of several weeks. The descriptions we give are not so you can diagnose yourself, that is not a good idea, but so that you can recognize in yourself or in others that continuing low mood may be more than the blues that will pass. If you think that you might be depressed, see a doctor as soon as possible. They can assess whether you are depressed, or just under a lot of stress and feeling sad; and with the diagnosis can come appropriate treatment and help. Remember, depression is treatable. Instead of worrying about whether you are depressed, do something about it. If you don't feel like doing it right now, remember that this is the depression talking.

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What do You do Now?

Ringing your Doctor for an appointment will be the first step in beating depression.

Your doctor may prescribe anti-depressants which many people find helpful in the short term, but some find the idea of using drugs to control their moods an unsatisfactory solution. We at Absolute Discretion Counselling Therapy know that people want to be able to regain control of their lives, so if you would prefer to keep the use of drugs to a minimum then you will probably prefer to make use of a good counselor with whom you can discuss the underlying reasons for your unhappiness.

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Provided and developed by Dr Mobeus