So how is depression not sadness?
The biggest single misconception about the affliction of depression is that it's the same thing as sadness, or someone who is suffering from depression is merely suffering from long term sadness. While it's easy to see why this mistake can be made, especially with the English language where the word "depression" is often used as a synonym for sadness, this becomes a problem that goes above and beyond just words.
There's a huge problem when the same word is used to describe:
- The feeling a five year old has when his outdoor birthday party gets rained out
- A professional sports fan whose team just lost a championship game
- Someone who has felt sad or felt nothing for months or even years at a time
- Someone sad after a legitimate loss like a funeral of a loved one
- Someone who is just "bummed"
- Someone about to kill themselves because they haven't had any hope for years and they are suicidal
There is no way that the same word should describe all six of those mentioned scenarios, not to mention all the various other ones that fall in between all of these listed. There very much should be a different word for each especially when you look at the amazing disparity between each of these meanings.
Sometimes I wonder if this is why depression is so easy to write off by people who have never had the deeper more insidious version, because they see a temporary sadness as being the exact same thing as the complete lack of energy, interest, and hope that comes months and even years at a time to those suffering from severely unbalanced hormones in their brains that cause this long term disease. It's not something we can continue to ignore.
The best single book I've found on seeing depression from a first person point of view
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How can we talk about depression?
So depression is still sadness, right? Well yes, it is, but there's so much more that goes with that. One of the important things to realize is that depression can rear its terrible head in a wide variety of ways. While sadness is an overwhelming part of that, it might not look like the sobbing, crying appearance that you associate with that word. For some people it may, for others it looks a lot different!
Just a few of the ways depression appears includes:
- A complete lack of energy making even the most basic tasks nearly impossible
- Complete lack of interest in anything
- Long bouts of sleeping well past 8+ hours
- Not caring at all, about anything
- Have sudden inexplicable emotional outbursts
- Not feeling any emotions at all
- Long times of low energy and emotion followed by sudden outbursts
- Small "up peaks" that happen from time with friends, followed by an immediate deep depression that returns the moment the depressed person is alone
- Complete and utter hopelessness
- A constant sense of guilt and negative self-worth
Depression for many long-term sufferers is cyclical, but those cycles aren't necessarily even, and they can be long. In fact I experienced this first hand when I suffered from a long depression lasting over 5 years. There were a couple small "points" where a day was decent, or a few days I kind of felt "meh," which was as close to good as I'd been in a long time, but it was years before the depression fully broke and it took that breaking before I fully realized just how bad it had been...and it even took time to remember how to be happy again.
Great depression TED talk from Andrew Solomon: A critical message
This is a message that far more people need to hear and understand. Depression is a real disease, it has a stigma around it that often makes treatment impossible, and it's costing tens of thousands of lives. It's time we tackle this issue head on.
My experience with depression
This isn't a unique experience - and it's far from the worst one. The first step to tackling the massive problem of depression though is understanding it. This is more than just feeling bad. All those points above can be the main way depression shows. How do you recover step by step when you're not sure you physically have the energy to get out of bed? How does hope get reborn in someone who is utterly hopeless? How do you break the terrible inner monologue that reinforces every bad thing and sounds more convincing than the truth, even when you know the inner voice is lying?
The first step is to see how big a deal it is, to understand what we're dealing with. The rest has to be built up from there.
Book of first person accounts on suffering through clinical depression
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Educate yourself with amazing resources!
Whether you are diving into the recent series of exceptional TED talks trying to tackle depression, or take a look at dozens of great online articles from a wide variety of individuals, there are so many good materials out there. Remember that although you might not notice how exactly this is helping you to relate or move forward, the more knowledge and experiences you share, the easier you will find it to be empathetic with others.
This is the basis from which you can be supportive, from where you can help others know they're not alone, and why you will be able to articulate the need for more work on mental health and depression. You'll have the words and understanding to argue intelligently, and the empathy to support those who are suffering alone.
Beautiful public domain depression photograph by George Hodan
One of my favorite beautiful photographs that really captures that feeling of depression.
A clinical guide to assisting with depression recovery
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Not a bad introduction to what depression really is
Depression has so many forms that can look like so many other issues. This is a very good starter video on just what exactly depression is and