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Mud, Weather or the Holidays, Depression is Treatable

The pasture is a yucky mud pit with all this rain! I try really hard not to complain about the weather. It just seems so pointless and reminds me of the rantings of my grandmother. (I am not ready to sound like my grandmother!)

But, as a horse owner I am acutely aware of the weather. Horses need attention every day — rain or shine or freezing snow. As a matter of fact, horses need the most attention when the weather is almost unbearable to humans. Hooves need cleaned of painful ice chunks, water buckets need thawed and round bales of hay need to be put out in the pasture no matter how muddy the field. There are some days when I don't want to brave the cold and rain and I really just want to hang out inside by my fireplace with a cup of coffee and a good book. But I can usually muster up the needed energy and do what needs to be done without too much grumbling.

The occasional wanting to shirk my barn responsibilities is, I think, pretty normal. But there was a time in my life when that heavy, sad feeling was my everyday existence and I could not access the energy to do anything. I just could not shake the feeling of gloom.

Everyday I was tearful and wanted to isolate myself. Getting out of bed was a big accomplishment on those particularly dark days. At the urging of my caring husband, I did seek the help of a licensed psychotherapist. She put a name to what I was experiencing: Major Clinical Depression. I wasn't lazy or irresponsible or unmotivated. Depression is not immoral, it is biochemical. Together my therapist and I worked out a plan that has kept me mostly depression free for more than 10 years.

Major Clinical Depression is set apart from the normal, and occasional sad moods by the length of time one experiences the symptoms. Major Clinical Depression is also not usually associated with an event that would bring about sadness for most anyone like the death of a loved one or the loss of a job. Many times people with Major Clinical Depression will seek help because they realize that despite having a satisfying life they still feel a debilitating sadness. There is another very real type of depression that is associated with the onset of winter sometimes called Seasonal Affective Disorder (SAD). This is a mood disorder and not just the dreading of snow shoveling and icy roads. Of those suffering from this 60 to 90 percent are women who likely blame themselves every year for their sudden drop in energy or increased sadness.

If you even suspect your sadness is more intense than normal or has persisted for more than a few days, reach out for help. Call a friend, relative, minister, rabbi or mental health professional. Tell them what you are going through. There is help. We can't do much to change the weather to our liking, but there is real help out there to ease your depression.

Townhall 2 Crisis Line 330-678-HELP or 330-678-4357
Coleman Behavioral Health Services  330-673-1347

Elliott Ingersoll

11:42 am on Tuesday, December 20, 2011

It is important that people know that depression is very treatable by non-medical mental health professionals. It is equally important that people understand it is not "biochemical" but overdetermined. The mental health literature illustrates that people can suffer depression for reasons that span from the physiological (which we do not fully understand) to the existential (seeing deeply into human suffering).

Antidepressant medication can be helpful in about 50% of cases but those clients who are the best candidates have what we call "vegetative" symptoms - these are things like changes in appetite, sleep, sexual drive as well as problems concentrating and a loss of pleasure in things they used to enjoy. If a client predominantly has these symptoms therapists may suggest they contact their doctor to see if the doctor thinks an antidepressant would help.

if the antidepressant helps, it simply means that the doctor intervened chemically - it in no way implies their was something "biochemically" wrong in the first place. Antidepressants have several mechanisms of action including an increase of a targeted neurotransmitter (within 20 minutes), a decrease in the number and sensitivity of receptors for that neurotransmitter (in 3-6 weeks) and overall an increase in a brain cell nutrient called Brain Derived Neurotrophic Factor (BDNF). Despite knowing this we still do not understand really how these drugs work when they do. Exercise can also increase BDNF.

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