Help for Depression

Depression is a condition which affects many people in their lives. This article discusses some of the reasons why it happens and what can be done about it.

Depression is an extremely varied condition - in my work with sufferers the reasons for their depression can vary hugely, some of the typical causes including:

• being stressed for long periods of time (burnout)
• lack of sleep (exhaustion)
• grief due to bereavement and loss
• feelings of frustration and failure due to lack of achievement and success
• growing up in a family where one or more parents were themselves depressed
• major life changes (such as post-natal depression)
• breakdown of an important relationship
• work-related depression, such as redundancy or being in an unsatisfying job
• sexual difficulties
• medical conditions, such as thyroid deficiency and ME
• having been bullied, victimised or criticised
• past experiences of abuse
• suffering a trauma
• negative thought patterns and beliefs
• lack of meaning and purpose (mid-life crisis)
• social isolation and loneliness
• nutritional deficiencies

With such a wide range of possible causes, there is no simple "one size fits all" treatment for depression. Some possible options include:

Medication

As a counsellor and psychotherapist I encourage my clients to avoid antidepressants if possible, as they tend to mask feelings and make the work of therapy harder. However there are times when taking an antidepressant can be the best option, particularly when the feelings of depression are so strong that the sufferer feels suicidal or unable to function. Most people don't like the thought of being on medication long term, but combining it with counselling or psychotherapy can reduce the length of time it needs to be used.

Counselling and Psychotherapy

These can help by exploring the underlying causes of depression and resolving them. Counselling tends to be more focussed on causes in the present, and psychotherapy looks more at the past, but there is considerable overlap in the way counsellors and psychotherapists work

Cognitive Behavioural Therapy

CBT focuses on the negative and limiting thought patterns which underlie some forms of depression, and can offer exercises and techniques for changing these patterns and behaviours.

Complementary and Body Therapy

There are a wide range of complementary therapies which can address some of the physical causes of depression. Examples include reflexology, body massage, Yoga and nutritional therapy.

Life Coaching

Where depression is linked to feelings of failure, lack of achievement, dissatisfaction with career and other life-related issues, then life coaching can provide a very practical way of turning things round. It does not attempt to look at causes in the past, but instead focusses on making changes in your present attitudes, beliefs and behaviour which will bring positive changes in your life.

Psychosynthesis

Where depression comes from a mid-life crisis, accompanied by feelings of loss of meaning and purpose, then this can be addressed by therapies such as psychosynthesis. Psychosynthesis includes many of the techniques of counselling, psychotherapy, CBT and life coaching, but adds another dimension which can be described as spiritual or transpersonal.