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Do you ever feel like the world is closing in on you and you have no control over it? You have your dreams and goals, just like everyone else. You feel like you are doing things the way you have been taught, like you have to be smarter than you feel, but the walls just keep getting closer and closer anyway. Well, my friend you have fallen into the hole of depression.
Depression usually refers to feelings of a lack of interest in activities that a person used to enjoy, changes in their weight and sleep habits, feeling tired all of the time, feelings of worthlessness and guilt, difficulty concentrating and thoughts of death and suicide. If a person experiences a majority of these symptoms for longer than a two-week period, they may be diagnosed with major depression.
Although depression is often thought of as being in an extreme state of sadness, there is a vast difference between depression and sadness. Humans will experience sadness from time to time. It is a part of being human, a natural reaction to painful circumstances. Depression, however, is a physical illness. There are more symptoms involved than being in an unhappy mood with no logical reason for this unhappiness. A person having a loss of interest in daily activities consistently for at least two weeks or more, representing a change from the their normal mood is depression – not sadness. This loss will impair this person’s ability to function in their daily life.
Having your friends and family tell you to “snap out of it” only causes more frustration because one can no more “snap out of it” than the diabetic can make his pancreas produce more insulin. Sadness is a feeling that passes as a person comes to term with his troubles and a sad person continues to cope with living. Depression can linger for weeks, months or even years and the person may feel overwhelmed and hopeless, unable to cope – thus contemplating ending their life.
Depression is characterized by the presence of five or more of the following symptoms most of the day, nearly every day:
- Feeling sad or empty, ready to cry at the drop of a hat
- Lack of interest or pleasure in daily activities
- Significant weight changes, decrease or increase in appetite
- Insomnia or sleeping too much
- Physical ailments due to emotional causes
- Fatigue or loss of energy
- Feelings of worthlessness or guilt
- Diminished ability to think or concentrate, indecisiveness
- Recurring thoughts of death
- Thoughts of suicide without a specific plan
- A suicide attempt or a specific plan for committing suicide
Depression is caused by an imbalance of chemicals in the brain called neurotransmitters. However, a variety of factors, including your genetic makeup, your environment, your physical condition and your psychological coping resources, work together to determine whether you will develop depression or not.
There are three basic molecules which are thought to play a role in mood regulation: norepinephrine, serotonin and dopamine. Norepinephrine has been thought to be the causative factor for depression. Serotonin has been found to be another factor which, over the past two decades, has taken center stage thanks to Prozac, which selectively acts on this molecule. Newer antidepressants like Effexor are actually targeted at both serotonin and norepinephrine. A third substance that may play a role in mood is dopamine. Dopamine is a neurotransmitter associated with the reward that we get which causes us to continue participating in an activity. It is also associated with addiction and its production is stimulated by drugs such as cocaine, opiates and alcohol, which may explain why depressed persons choose to self-medicate with drugs and alcohol.
What is the effect of the stress hormone cortisol on serotonin levels and depression? Are cortisol and depression related? When the body is under stress, the adrenal gland increases secretion of a hormone called cortisol. Short-term, this hormone can help aid in survival, for example by mobilizing energy reserves. Long-term elevation of cortisol, however, can have detrimental effects.
It is known that in normal people the level of cortisol in the bloodstream peaks in the morning, then decreases as the day progresses. In depressed people, however, cortisol peaks earlier in the morning and does not level off or decrease in the afternoon or evening. Although the exact mechanism that causes depression is uncertain, clinical studies suggest that chronically elevations of cortisol may induce depression by somehow affecting central neurotransmission.
In many cases, depression actually is the result of habitual negative thoughts. When bad things happen, we begin chastising ourselves. We have thoughts such as: I’m no good, I’m a total failure or Nothing ever goes my way. Because our feelings follow what we are thinking, negative thoughts like these can send us spiraling down into depression.
This concept is the guiding principle behind cognitive therapy, a type of psychotherapy developed by psychiatrist Aaron T. Beck in the 1960s. If we think something often enough, we begin to believe it’s true and our feelings usually match what we are thinking about ourselves. So if we have negative thoughts all the time, we will feel negative. The solution is to learn a way of thinking more positive, thus feeling good instead.
Did you know that stress in your life can quite literally be expressed as pain and illness? When we hold in our emotions what will happen? If one of your body systems is weakened, this is where a stress-related illness is most likely to develop. If your weakest point physically is your neck, you’ll develop neck pains. Or back pain. Or ulcers. Or frequent colds and flu. Any illness that has physical symptoms, but has the mind and emotions as its origin, is called a psychosomatic illness. Although you may be told that it’s “all in your head”, these illnesses are quite real. The aches and pains are very real, but because your doctor is looking for an actual physical cause, they are very tricky to diagnose and treat. The key is to look for a source of stress in the person’s life that the person is not coping with. By treating the underlying stress and depression, it may be possible to heal the physical problems as well.
But how do you beat stress? The first step is learning to recognize when we are under extreme stress. Learn to recognize the signs of stress unique to you. Once you know how to recognize when you are stressed, the next step is to learn how to cope with that stress. One very important way to do this is: don’t hold in your feelings. You let off steam in a controlled way or you can let the stress find your weakest point to come exploding out. Controlled is safer and healthier for you. Some controlled ways include:
- talking to someone you trust,
- joining a support group,
- relaxation techniques,
- taking a break from the situation you’re in,
- taking care of your health by eating right, exercising and not smoking,
- being honest with those around you,
- letting go of old grudges; doing something nice for others, or
- just taking some time for yourself.
The list is endless. Just learn a healthy way to vent.
We have to be willing to let go of our expectations about what we must do. We have to be willing to let go of old guilts and shoulds that are guiding our behavior. We have to allow ourselves to just be human. It’s okay for men to cry and be emotional. It’s okay for women to let someone else have a turn with the household chores. It’s okay to fall short of your goals if you’re doing the best that you can. Some of our biggest stressors actually come from within ourselves!
Never do today what you can put off until tomorrow. Better yet, never put off ’til tomorrow what you can avoid altogether!
I don’t know who coined these phrases, but they must have been depressed. The symptoms that we face, such as fatigue and hopelessness, make it so easy to say to ourselves, “I’ll just put this off until tomorrow when I feel better”. Before we know it, that deadline is creeping up on us and we’re starting to panic. What’s the best way to deal with panic? Hide your head in the sand and hope it goes away! Not really, but procrastination is an easy habit to fall into and as the panic mounts, so does the depression. The more depressed we get, the more we avoid reality.
Why do we fall into the procrastination trap time after time? Because procrastination becomes a way of coping with the emotions and physical symptoms that accompany depression. It may bring some temporary relief, but the next day the cycle starts all over again. Check out the following types of procrastination.
Self Doubt – This type of person fears failure. They second-guess themselves and delay taking action.
Discomfort Dodging – This type of person avoids activities that will cause them distress, discomfort or anxiety. This is ironic because the act of dodging the activity itself doesn’t make it go away and causes even more tension and stress.
Guilt-Driven – This type of person feels guilty for not doing what needs to be done, but rather than do the task, continues to procrastinate in order to not face up to those feelings of guilt.
Habitual – This type of person has procrastinated so many times, it becomes ingrained into their mind. The person no longer thinks about why they do it, they feel it’s just a part of their life. It becomes an automatic response to say, “This is too hard”, “I’m too tired”, or “I don’t feel good”.
Once you recognize your style of procrastination, you can take steps to stop it. One of the most important things you can do for yourself is to get organized. Do whatever works for you. Break large projects up into smaller tasks. Next time you catch yourself saying, “I will do this later”, just do it! The feeling you get when you finish will be so much better than any relief you get from putting it off.
Does the thought of performing a certain task fill you with anxiety? When you feel this way breathe deeply and exhale. You will notice after each breath that your heart rate is actually slowing and you are feeling less tense. Now, do one of those tasks from the list you should have made and have been putting off, no matter how small that task. The very act of accomplishing something will ease your anxiety.
When you have accomplished a task, mark it out on your list with a pen. It gives you visual confirmation that you are getting somewhere and also gives you a psychological boost. Sometimes I feel as if I’m getting nothing done, but when I look over what’s marked out I see I’ve actually done quite a bit. I’m just constantly adding new tasks.
Remember, if something can go wrong, it will. Allow yourself more than adequate time to finish each task. If you do not need all the time you’ve allowed, you will be able to progress ahead of schedule. This will be a psychological boost to you also. Don’t panic if you get behind schedule. If you’ve allowed yourself extra time each day, you will simply shift everything forward until you catch up. The key is to leave yourself room to be flexible.
What if you really don’t have time to finish everything? Get creative. Request extensions on deadlines, get help from friends and relatives, delegate tasks to others, drop non-essential items from your list or just hire outside help. I haven’t found a situation yet that couldn’t be solved somehow once I let my expectations change about how it should be.
Be sure to schedule time for yourself after you have accomplished the things that you need to get done. Knowing that you have finished your tasks will also make it easier to relax and enjoy your leisure time.
Depression is a bad thing when you have it but if we work really hard – it can be defeated.
If you don’t like who you are and where you are, don’t worry about it because you’re not stuck either with who you are or where you are. You can grow. You can change. You can be more than you are.
Zig Ziglar
If you liked this post or have anything to say on the subject, I would appreciate hearing it. This has been a particular problem for me my whole life. Sometimes it seems hopeless but I know it can be handled. There are seldom, if ever, any hopeless situations, but there are many people who lose hope in the face of some situations.
Please, leave me a comment and let me know what you think on the subject. Have a great day.






11. May 2010
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