Tag Archives: Depressed

Forgiveness: Letting Go Of Grudges And Bitterness

When someone you care about hurts you, you can hold on to anger, resentment and thoughts of revenge — or embrace forgiveness and move forward.

Nearly everyone has been hurt by the actions or words of another. Perhaps your mother criticized your parenting skills, your colleague sabotaged a project or your partner had an affair. These wounds can leave you with lasting feelings of anger, bitterness or even vengeance — but if you don’t practice forgiveness, you might be the one who pays most dearly. By embracing forgiveness, you can also embrace peace, hope, gratitude and joy. Consider how forgiveness can lead you down the path of physical, emotional and spiritual well-being.

What is forgiveness?

Generally, forgiveness is a decision to let go of resentment and thoughts of revenge. The act that hurt or offended you might always remain a part of your life, but forgiveness can lessen its grip on you and help you focus on other, positive parts of your life. Forgiveness can even lead to feelings of understanding, empathy and compassion for the one who hurt you.

Forgiveness doesn’t mean that you deny the other person’s responsibility for hurting you, and it doesn’t minimize or justify the wrong. You can forgive the person without excusing the act. Forgiveness brings a kind of peace that helps you go on with life.

What are the benefits of forgiving someone?

Letting go of grudges and bitterness can make way for compassion, kindness and peace. Forgiveness can lead to:

• Healthier relationships
• Greater spiritual and psychological well-being
• Less anxiety, stress, and hostility
• Lower blood pressure
• Fewer symptoms of depression
• Lower risk of alcohol and substance abuse

Why is it so easy to hold a grudge?

When you’re hurt by someone you love and trust, you might become angry, sad or confused. If you dwell on hurtful events or situations, grudges filled with resentment, vengeance and hostility can take root. If you allow negative feelings to crowd out positive feelings, you might find yourself swallowed up by your own bitterness or sense of injustice.

What are the effects of holding a grudge?

If you’re unforgiving, you might pay the price repeatedly by bringing anger and bitterness into every relationship and new experience. Your life might become so wrapped up in the wrong that you can’t enjoy the present. You might become depressed or anxious. You might feel that your life lacks meaning or purpose, or that you’re at odds with your spiritual beliefs. You might lose valuable and enriching connectedness with others.

How do I reach a state of forgiveness?

Forgiveness is a commitment to a process of change. To begin, you might:

• Consider the value of forgiveness and its importance in your life at a given time
• Reflect on the facts of the situation, how you’ve reacted, and how this combination has affected your life, health and well-being
• When you’re ready, actively choose to forgive the person who’s offended you
• Move away from your role as victim and release the control and power the offending person and situation have had in your life

As you let go of grudges, you’ll no longer define your life by how you’ve been hurt. You might even find compassion and understanding.

What if I have to interact with the person who hurt me but I don’t want to?

If you haven’t reached a state of forgiveness, being near the person who hurts you might be tense and stressful. To handle these situations, remember that you can choose to attend or avoid specific functions and gatherings. Respect yourself and do what seems best. If you choose to attend, don’t be surprised by a certain amount of awkwardness and perhaps even more intense feelings. Do your best to keep an open heart and mind. You might find that the experience helps you to move forward with forgiveness.

What if the person I’m forgiving doesn’t change?

Getting another person to change his or her actions, behavior or words isn’t the point of forgiveness. Think of forgiveness more about how it can change your life — by bringing you peace, happiness, and emotional and spiritual healing. Forgiveness can take away the power the other person continues to wield in your life.

What if I’m the one who needs forgiveness?

The first step is to honestly assess and acknowledge the wrongs you’ve done and how those wrongs have affected others. At the same time, avoid judging yourself too harshly. You’re human, and you’ll make mistakes. If you’re truly sorry for something you’ve said or done, consider admitting it to those you’ve harmed. Speak of your sincere sorrow or regret, and specifically, ask for forgiveness — without making excuses. Remember, however, you can’t force someone to forgive you. Others need to move to forgiveness in their own time. Whatever the outcome, commit to treating others with compassion, empathy and respect.

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Things You Should Say To A Depressed Loved One

1. Can I relieve your stress in any way?

One thing all writing manuals say is “SHOW, don’t TELL”. Words aren’t all that helpful to a person struggling with depression. So what I found most comforting when I couldn’t pull myself up by my bootstraps is when a friend came over and fixed me lunch, or when someone offered to tidy up my place. I realize that sounds a tad pampered and self-indulgent.

2. Is there something I can do for you?

Again, like number one, this is a SHOW, not TELL moment, and those are very effective at communicating compassion. The chances are that the depressed person will just shake her head as she cries, but I can assure you that she will register your offer in that place instead her heart that says, “This person cares about me.”

3. Can I drive you somewhere?

Here’s something that most people don’t know about folks battling depression: they are really bad drivers. REALLY bad. Bad driving is an easy way to diagnose a mood disorder. So, this suggestion is not only to help out your depressed friends who maybe do need some fish oil or tissue paper from the drug store, but also all the other people on the road.

4. Where are you getting your support?

Notice the difference between saying, “Are you going to any support group meetings?” which implies, “If you aren’t, you are one lazy who deserves to be depressed.” And “Where are you getting your support?” which says, “You need some support. Let’s figure out a way to get it.”

5. You won’t always feel this way.

That was the perfect sentence that I could hear 50 times a day when I wanted out of this world. Those words don’t judge, impose, or manipulate. What they do is convey hope, and HOPE is what keeps a person alive, or at least motivated to get to the next day to see if the light at the end of the tunnel is really a place of rebirth or a friggin’ freight train.

6. What time of day is hardest for you?

This one is brilliant. Call twice a day, once in the morning–because depression is usually most acute upon waking (“Crap, I’m still alive.”)–and at about 3 or 4 in the afternoon when blood sugar dips and anxiety can take over. Mind you, you don’t have to say a whole lot, but knowing that they could count on you during those two times is a little bit like holding someone’s hand through a dangerous intersection.

7. I’m here for you.

It’s simple. It’s sweet. And it communicates everything you need to say: I care, I get it, I don’t really understand it, but I love you, and I support you.

8. Nothing.

That’s the most uncomfortable one because we always want to fill in the silence with something, even if it’s weather talk. But saying nothing … and merely listening … is sometimes the very best response, and the most appropriate. I love this passage from Rachel Naomi Remen’s bestselling book Kitchen Table Wisdom:

“I suspect that the most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention. And especially if it’s given from the heart. When people are talking, there’s no need to do anything but receive them. Just take them in. Listen to what they’re saying. Care about it. Most times caring about it is even more important than understanding it.”

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Stress & Schizophrenia: How To Help Your Loved One & Yourself?

A common cause of relapse in schizophrenia is “difficulty managing high levels of stress,” according to Susan Gingerich, MSW, a psychotherapist who works with individuals with schizophrenia and their families.

Learning to manage stress isn’t just important for preventing relapse; it’s also important because stress is an inevitable part of facing new challenges and working to accomplish personal goals — “what recovery is all about,” write Gingerich and clinical psychologist Kim T. Mueser, Ph.D, in their book The Complete Family Guide to Schizophrenia.

Learning to navigate stress healthfully is key for family and friends, too. Having a loved one with schizophrenia can be stressful. Taking care of yourself enhances your well-being and daily functioning. And it means you’re in a better, healthier place to help your loved one.

In their comprehensive book, Mueser and Gingerich share excellent tips for helping your loved one and yourself cope with stress (along with valuable information on schizophrenia and how you can support your loved one).

Here are those suggestions and insights on managing and alleviating stress.

Recognizing Stress Signs

What one person finds enjoyable, another can find stressful. In the same way, how people respond to stress will differ. For instance, one person might exhibit changes in mood, such as becoming depressed and anxious, while another person will show physical signs, such as experiencing headaches and a heightened heart rate.

So it’s important to talk to your loved about their individual signs of stress. Talk about your personal signs, as well. Create separate lists for each of your reactions to stress.

Reducing Sources of Stress
The authors suggest thinking about what situations were stressful for your loved one in the past. Then try to avoid that situation or modify it. If your loved one had a tough time at Thanksgiving last year, it might help to shorten their stay or not go next year.

It’s also helpful to support your loved one in creating a stimulating environment with reasonable expectations. For instance, rather than attend a day program three times a week, one man preferred volunteering twice a week delivering meals to housebound seniors.

Plus, it’s important that you take care of yourself. Eat nutrient-rich foods, get enough sleep, participate in physical activities and engage in fun hobbies. Help your loved one identify what kinds of activities they’d like to do, too.

As the authors point out, because of the negative symptoms of schizophrenia, individuals can have a hard time thinking of enjoyable activities. Talk with them about the activities they’ve enjoyed in the past.

Be sure to give yourself and your loved one credit. (Being self-critical just spikes your stress.)

Mueser and Gingerich note how one father acknowledges the positive things that happen on a daily basis: “I’m proud of how persistent my daughter has been in pursuing her art career in spite of the many difficulties she’s encountered. We both have a lot to learn about coping with this illness, but we’ve also come a long way.”

Learning to Cope with Stress

Emphasize the importance of your loved one communicating with others when they’re feeling stressed, since “these feelings can be an early warning sign of relapse,” according to the authors. Make sure you, too, are able to turn to individuals who understand your situation.

Have family meetings to talk openly about the stressor and brainstorm potential solutions. Learn to use relaxation techniques, such as deep breathing, progressive muscle relaxation and visualization (such as imagining a serene beach scene).

Self-defeating thoughts only bolster stress for both of you. Try to practice positive self-talk and teach your loved one to do the same.

Mueser and Gingerich share the example of a father helping his daughter reframe her hospitalization, which made her feel like a failure: “I’m sorry you had to go through that, but I’m proud of you for getting help when you needed it and for being so strong in dealing with this illness. You’re a survivor.”

Don’t underestimate the power of humor. Try to find the lighter side of a stressful situation, according to the authors. It’s not always – or usually – easy, but it helps with stress. Plus, you and your loved one can enjoy a funny film or sitcom to lessen stress.

For some people, religious services and prayer can be very helpful. For others being in nature may feel like a spiritual experience and shrink stress.

Again, regular exercise — around three times a week — that you enjoy is important for both of you. Journaling can provide a great source of stress relief. “Many people with schizophrenia say that writing down what they experience, think, and feel is an important outlet.”

See if your loved one is interested in listening to music or making music themselves, such as singing or taking lessons; visiting art exhibits or creating their own art; playing games with family and friends, and pursuing other hobbies.

As the authors emphasize, people with schizophrenia are “more sensitive to the effects of stress because it can trigger symptom relapses and rehospitalizations.” Helping your loved one deal with stress in a healthy way helps them pursue their personal goals and improves their life.

Plus, working together to develop healthy coping strategies can strengthen your relationship and gives you plenty of opportunities for savoring quality time.

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Dumped? How To Heal The Health Effects Of A Broken Heart?

Romantic rejection can manifest in various forms of physical anguish, researchers find.

Got a stomach ache? A headache? Insomnia? Your health issues may be related to your recent romantic rejection.

When 23-year old Emmie Scott, a direct marketer in Richmond, Va., and her boyfriend/co-worker broke up and still had to endure seeing each other daily, Scott suffered a broken heart—literally. “The most uncomfortable symptom I experienced is the sensation that someone was sitting on my chest—a combination of both pain and pressure that’s left more than one of my friends commenting that my heart must actually be broken.”

Researchers now understand that romantic rejection triggers change in our brains that affect our health. Edward Smith, a Columbia University psychologist, and a team of colleagues found that intense emotional pain can activate the same neural pathways as physical pain. Seems being jilted can hurt in a primitive physical way as if you’ve been sucker-punched by a welterweight.

What’s more, that physical pain can manifest in surprising ways. Aside from chest pain, you may get hit with a kick-butt cold or flu, develop insomnia, or a range of gastro symptoms from loss of appetite to diarrhea. The precise health wallop you suffer may have to do with how your body manifests stress. Asthmatic? You could have an asthma attack. Suffer from a skin condition like eczema or psoriasis? Your skin will likely flare up. Have irritable bowel syndrome? Prepare to hit the restroom.

“While in college I found out my boyfriend (and high school sweetheart) was cheating on me. Although only 110 pounds, I dropped almost 15 and broke out with a case of shingles, which required a week of prednisone to calm,” says Christina Stoever Young, 40, producer of a historic haunted walking tour in Truckee, Calif.

Here, the top health complaints stemming from heartache:

• Complaint: Heart pressure or pain, palpitations, abnormal heart rhythms.

Why: When the stress response is triggered by a breakup or divorce, the body sends out a massive flooding of the hormones cortisol and adrenaline. “Anytime your adrenaline levels are higher, you’re more vulnerable to faster heart rate, palpitations, and certain arrhythmias, or abnormal heart rhythms, as well as skipped beats, lightheadedness, feeling your chest pounding, and a fluttering feeling in your neck,” says Dr. John M. Kennedy, a Marina Del Ray cardiologist and co-author of “The 15 Minute Heart Cure: The Natural Way to Release Stress and Heal Your Heart in Just Minutes a Day.”

Women heart patients facing severe stress from marriage difficulties were found to have three times the risk of heart attack as women without such stress. Worse, there’s a syndrome that mimics heart attack called Takotsuba syndrome, or broken heart syndrome, in which an EKG, chest X-ray, and blood work all indicate a heart attack. But when a cardiologist goes inside the heart searching for the culprit blocked artery, the arteries are wide open. The stress response simulates heart attack symptoms. “A broken heart syndrome is an extreme form of what heartache can do to our bodies,” says Kennedy. While it can be lethal, the heart muscle usually recovers within six months.

What helps: Anything that relieves stress helps prevent these heart problems during relationship troubles: exercise, yoga, meditation, relaxing through breathing or visualization, even short term anti-anxiety medication.

• Complaint: Cold or flu.

Why: These same stress hormones torch your immune system leaving you vulnerable to rogue bacteria and viruses. “Normally when you’re confronted with bacteria or virus, your body will mount a defense,” says Dr. Valerie Scott, a board certified family doctor in Mt. Pleasant, S.C. Post break up, however, your immune system is weakened and those defenses aren’t unable to ward off illness.

What helps: Managing your stress improves your immune system. Exercise, eat well, take a multi-vitamin, especially the B-complex vitamins, which boost immunity, rest enough and decompress with music, comedy or friends to counteract the flood of stress hormones.

• Complaint: Gastro upset (stomach pain, loss of appetite, diarrhea,).

Why: The excess cortisol shooting into your system during your break up diverts blood away from your digestive track, leaving you with GI unpleasantness–that ‘can’t eat for weeks, sour stomach, run to the bathroom feeling you get when your relationship tanks.

What helps: Try over-the-counter meds for your queasy stomach. In one study, researchers simulated rejection in the lab and found that aspirin alleviates the painful feelings triggered by being rebuffed. While it seems skeptical, it’s worth a try, as is curbing your desire to veg on the couch. Exercise prompts your brain to release uplifting endorphins that will settle your stomach. What’s more, misery loves company. “You want to surround yourself with family and friends and supportive people because it’s easy to get depressed,” says Kennedy, which may worsen symptoms. Camaraderie can stimulate a much-needed dose of missing oxytocin, a feel-contented hormone.

• Complaint: Insomnia.

Why: Sleeping patterns, not unlike eating patterns, become skewed during relationship demise. Some people want to stay in bed all day — while others can’t seem to sleep at all. Science really doesn’t understand why it happens, but it’s likely due to racing thoughts, the ‘he-said, she-said’ reenactment of the break up plays out mentally while at rest. Plus, stress hormones, still at their peak, may wreck your circadian rhythms and internal clock.

What helps: Stay active enough so your body will reach the reparative deep levels of sleep it needs, but don’t push yourself to exhaustion, which backfires. Exercise, but avoid it after 9 pm, since it could cause insomnia. Skip caffeine after 3 in the afternoon for the same reason. Turn off TV, computer and cell phone at least an hour before bed and embrace a relaxing sleep routine: low lighting, candles, and a warm bath. “Once you calm that stress response, all of these medical things resolve and get better,” says Scott.

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Symptoms Of Severe Depression

First, let’s get some terminology straight. ‘Severe depression’, ‘major depression’ and ‘clinical depression’, are terms that tend to be used interchangeably to mean the same thing.

What these terms refer to is the condition described technically by psychiatrists as ‘major depressive disorder’. Therefore as we discuss the symptoms of major depressive disorder in this article, bear in mind that we are looking at what may also be called:

• Major Depression Symptoms
• Clinical Depression Symptoms, and
• Symptoms of Severe Depression.

The Symptoms of Severe Depression – The Technical Version

A person is suffering from major depressive disorder or (severe or clinical depression) if for most of the day, nearly every day for at least 2 weeks, they have had at least 5 of the following symptoms, including (1) and/or (2):

1. A low/depressed mood.
2. Significantly less interest in and pleasure from usual activities (this is called “Anhedonia”).
3. Significant change in appetite or weight.
4. Inability to sleep or sleeping more than usual.
5. Fatigue, loss of energy.
6. Feelings of guilt or worthlessness.
7. Lethargy or hyperactivity.
8. Difficulty concentrating or making decisions.
9. Recurring thoughts of suicide or death.

Now, let’s break that down a bit.

Step 1

First, it is important to note that low mood and/or loss of pleasure or interest in usual activities (Anhedonia) must be present.

In effect these are the threshold conditions. Doctors are sometimes recommended to screen for depression by asking questions to establish whether either of these two conditions are present.

Step 2

If you are suffering from low mood and Anhedonia, then the next consideration is whether 3 of the other listed symptoms are present.

If you are suffering from either low mood or Anhedonia, then 4 of the other symptoms need to be present.

Step 3

The next step relates to the duration of symptoms. The relevant symptoms must have been present every day for at least two weeks and must have been felt for most of every day.

Of course you may in fact have been suffering for much longer than two weeks or have had more than one episode where the symptoms have been present for at least two weeks. This is really the norm, of course – we don’t usually go to our doctor two weeks and one day after starting to feel depressed.

Step 4

The final step that I didn’t refer to above, but which it is crucial to consider, is that your symptoms must be a change from your normal state and have a significant impact on your day to day functioning. The symptoms must: “cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.”

If you think about it, this is what is at the heart of an individual’s experience of depression. It is the inability to function normally that takes us out of the ‘feeling down’ camp into a whole new arena.

Symptoms of Severe Depression – The Real Life Version

Whilst it is useful for you to know the technical framework that doctors use to assess depression, the criteria may not necessarily reflect your own descriptions about the way you feel. We can all experience different symptoms or express them in different ways, both to ourselves and others.

Depression – what is it?:

“Diagnosis by counting is a totally absurd, and often very dangerous, proposition. When it works, we arrive at a very rough indicator of what may be wrong with us. Too often, the exercise is wholly misleading.”

For this reason, doctors assessing a patient for depression (assuming that are doing a thorough job) should ask lots of questions about the way the patient feels and look for examples of behavior that may or may not fit into the accepted criteria.

Some of the other ways that you might use to describe the way you feel, but which in substance may still fit within the technical criteria are as follows:

• Feeling flat
• Feeling very down
• Feel like I don’t care about anything
• Having to make a real effort to do anything
• Can’t really feel anything any more
• Don’t care about the things I used to
• Feel very on edge
• Feel very stressed
• Very irritable
• Can’t think straight
• Can’t make up my mind about anything
• Don’t feel like I can go on
• Feel useless
• Feel hopeless
• Don’t see any future
• Don’t see the point of anything
• Can’t get out of bed
• Don’t want to see anybody
• Don’t want to talk to anybody
• Can’t sleep
• Can’t eat
• Can’t stop eating
• Don’t have any energy
• Feel exhausted

Other Diagnoses:

If you feel that something is not quite right with your moods or the way that you feel, you need to be aware that there are various different types of depression and other behavioral or mood disorders. So, if your situation doesn’t reflect the symptoms of severe depression, then you or your doctor should consider whether any of the other possibilities might apply.

These include –

• Dysthymia (milder, prolonged depression)
• Bi-polar disorder (formerly manic depression)
• Adjustment disorder with depressed mood (a depressive reaction to a particular event or stress)
• Schizophrenia

Conclusions:

The symptoms of severe depression will usually be very clear to you if you stop to think about how you feel.

But, one of the major difficulties with depression, of course, is that it takes away our inclination to take action to put things right – we can just feel ‘too depressed’ to do anything about it.

That’s why it is essential that you discuss how you feel with somebody close to you, as they may be able to help you get the attention you need.

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