{"id":11863,"date":"2024-01-15T12:00:00","date_gmt":"2024-01-15T11:00:00","guid":{"rendered":"https:\/\/holistic.news\/en\/?p=11863"},"modified":"2024-01-15T11:39:26","modified_gmt":"2024-01-15T10:39:26","slug":"why-cant-you-just-pull-yourself-together-on-battling-depression","status":"publish","type":"post","link":"https:\/\/holistic.news\/en\/why-cant-you-just-pull-yourself-together-on-battling-depression\/","title":{"rendered":"Why Can\u2019t You Just Pull Yourself Together? On Battling Depression\u2026"},"content":{"rendered":"\n

One explanation for the increase in the incidence of depression might be better accessibility to specialist diagnostics, as well as the breaking of taboos which previously prevented open discussions on mental health.<\/p>\n\n\n\n

Depression, or depressive disorder, is a condition which belongs to the group of affective (mood) disorders. It represents one of the most commonly recognized pathological conditions within the sphere of mental health. Depression is characterized by acute sadness, the feeling of guilt and despondency, pessimism and, in some patients, suicidal thoughts \u2013 which means that the disease can lead to death in extreme cases. The highly subjective mood disorder is frequently met with misunderstanding in the closest circles of those affected. At times, people with depression are urged to \u201cget their act together.\u201d However, patients\u2019 accounts and experiences tell us that this condition is extremely overpowering and can disorganize anyone\u2019s life to the same extent as any other serious somatic illness.<\/p>\n\n\n\n

The Mythology of Mental Illnesses<\/h2>\n\n\n\n

The topic of mental disorders is obscured by myths and oversimplifications, which for many years caused patients to conceal their condition despite worsening symptoms. Advancing medicine and a more knowledgeable public have encouraged increasingly higher numbers of people who suspect that they might be suffering from a mood disorder to see a specialist. Mood disorders occur in both sexes; however, they are diagnosed less frequently in men.<\/p>\n\n\n\n

This is mostly due to cultural pressures deterring men from displaying emotions and signs of weakness. The development of pharmacotherapy and psychotherapy enables the disease to be managed effectively, provided that patients start and then continue their therapy. Of immense importance is also the support of society and, in particular, the family circle that shows acceptance and understanding. Educating the public helps to break down the barrier of shame \u2013 the breaking of taboos by celebrities and other people in the public eye who openly admit to their illnesses also has a considerable impact on how mental disorders are perceived.<\/p>\n\n\n\n

Hidden depression \u2013 hard to understand<\/h2>\n\n\n\n

Patients who, for a variety of reasons, have poor insight into their emotions and are unable to name their feelings may fail to notice the advancement of the disease. This does not mean, however, that the disease does not manifest itself. A disturbed personality structure and a weakened ego cause the patient\u2019s psyche to activate defense mechanisms such as denial. Meanwhile, the internal conflict continues to play out in the subconscious. This, in turn, leads to distress as there is no sign of its resolution. <\/p>\n\n\n\n

The inability to accept one\u2019s sensations and the adoption of the mechanism of denial mean that the patient does not experience the typical symptoms necessary to make a proper diagnosis. These circumstances are conducive to generating the state of so-called masked depression. The patient often seeks help from a wide range of specialists due to somatic symptoms manifesting themselves in relation to their nervous, circulatory or digestive systems. The most frequent symptoms are: tingling of the facial area and limbs, palpitations, abdominal pain, and headaches. Partly linked to masked depression is so-called fibromyalgia, which is chronic pain of a rheumatic nature that occurs without a specific physical cause. <\/p>\n\n\n\n

The inability to make a clear diagnosis, frequent visits to countless specialists in search of relief from pain and frequent accusations of hypochondria generate frustration that exacerbates the patient\u2019s symptoms, creating a vicious circle. <\/p>\n\n\n\n

Treating Depression With Drugs<\/h2>\n\n\n\n

Today, symptoms of depression can be effectively treated by means of pharmacotherapy. The most commonly used drugs are substances from the SSRI group (selective serotonin reuptake inhibitors, such as sertraline or escitalopram). They act on the central nervous system to increase the amount of the neurotransmitter, i.e. serotonin, in the synaptic space. A deficiency of this substance, known as the \u2018feel-good\u2019 hormone, is the main physiological trigger of the disorder. Medications such as SNRIs (serotonin and norepinephrine reuptake inhibitors, e.g. duloxetine), less commonly TLPDs (tricyclic antidepressants) and MAO inhibitors (monoamine oxidase inhibitors) are also used. <\/p>\n\n\n\n

The selection of appropriate medication and the monitoring of the therapy\u2019s effectiveness by a psychiatrist can effectively alleviate and sometimes completely eliminate, the clinical symptoms of depression. <\/p>\n\n\n\n

Psychotherapy in the Treatment of Depression<\/h2>\n\n\n\n

Medication is increasingly seen as an addition to therapy, with psychotherapy recommended as an essential treatment. Depending on the theoretical approach, both the etiology of the disease and the treatment vary in terms of the methods used. <\/p>\n\n\n\n

A therapy that is most extensively documented based on clinical research is cognitive behavioral therapy (CBT). Its creator, Aaron Beck, combined the existing achievements of the behavioral method, which involves inducing a lasting behavioral change in patients, with the findings of cognitive psychology, which studies processes such as thinking, perception, attention and memory. The therapy aims to bring about a permanent change in the ways of learning and reconstructing cognitive patterns that are considered maladaptive. <\/p>\n\n\n\n

With the support of the therapist, patients gradually uncover their misconceptions and the resulting low self-esteem, shaped by errors in perception and interpretation of the surrounding world and interpersonal behaviors. The objective is to learn adaptive ways of thinking to help ease the suffering experienced by patients. <\/p>\n\n\n\n

Another effective treatment method, whose effectiveness has been compared in recent studies to the CBT approach, is psychodynamic psychotherapy. According to those who expanded on Freud\u2019s research (Melanie Klein, Glen O. Gabbard, and Otto F. Kernberg), depression results from self-aggression, and its cause lies in our early childhood and the relationship we had with our most important person \u2013 our mother. According to them, the mother is both a gratifying object (providing nourishment and care) and a frustrating one, as she does not immediately meet the child\u2019s needs. If the quality of the relationship is poor, i.e. frustration outweighs gratification (the mother is cold, absent, or insensitive to the child\u2019s needs), the child may experience emotions of anger and despair, which can then transform into self-directed aggression. These patterns perpetuate themselves and continue into adulthood, causing anxiety and guilt when triggered. Therapy consists of analyzing the phenomenon of transference (the conveyance of children\u2019s anger and inner conflicts onto the therapist) in order to make the patients aware of these feelings and teach them to experience such emotions in an appropriate way. <\/p>\n\n\n\n

Support of Loved Ones = The Key to Success<\/h2>\n\n\n\n

Although the source of depression is still not fully understood, and various theoretical approaches point to its diverse genesis, it is comforting to know that this disorder can be effectively treated. Apart from the therapeutic intervention, however, there is one type of support that is simply irreplaceable \u2013 the support of the people closest to the patient who demonstrate understanding, acceptance and awareness that the patient is indeed suffering.<\/p>\n\n\n\n

Considerable credit must be given to those who fight for their loved ones, accompanying them on this challenging journey. Their support might have prevented a great number of tragedies. It is always someone we love who will be our greatest external motivation, even if we lack such motivation in ourselves. Patients often compare their recovery to stepping out into the light. Having left the darkness behind, they can focus on achieving a good and happy life. As we all deserve to be happy, the future is worth fighting for, and with the support of others, success is within our grasp. <\/p>\n\n\n\n

If you have been experiencing constant fatigue, feelings of guilt and sadness over the past six months, you can seek help by contacting:<\/em><\/p>\n\n\n\n

116 123 <\/em><\/strong>\u2013 phone number in Poland for adults experiencing emotional crisis<\/em><\/p>\n\n\n\n

You can also see a psychiatrist \u2013 a referral from a GP is not required in Poland.<\/em><\/p>\n\n\n\n

Sources:<\/p>\n\n\n\n

Jacek Bomba, \u2018Spojrzenie na depresj\u0119 z perspektywy psychoterapii\u2019. Psychoterapia 1 (148) (2009)<\/p>\n\n\n\n

Justyna Pe\u0142ka-Wysiecka, Jerzy Samochowiec, \u2018Depresja czy faktycznie zr\u00f3\u017cnicowana farmakoterapia?\u2019 Psychiatria 11.3 <\/p>\n\n\n\n

Lech Kalita. \u2018D\u0142ugoterminowa psychoterapia psychoanalityczna jako skuteczna metoda leczenia g\u0142\u0119bokiej depresji\u2014kr\u00f3tki przegl\u0105d wsp\u00f3\u0142czesnej literatury i przyk\u0142ad kliniczny\u2019, 2018<\/p>\n\n\n\n

\"\"
Phot.: Midjourney<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

According to the World Health Organization, as many as 280 million people suffer from depression, representing 3.8% of the global population. The disease affects 5% of adults and 5.7% of children. With the data suggesting that something wrong is happening to our mental health, approaching this problem from as many angles as possible is certainly justified. <\/p>\n","protected":false},"author":235,"featured_media":11864,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[433],"tags":[853,840,798],"class_list":["post-11863","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-truth-and-goodness","tag-depression","tag-humanism","tag-psychology"],"acf":[],"yoast_head":"\nWhy Can\u2019t You Just Pull Yourself Together? 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