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The happiest time of year can actually be quite miserable. For a select few, the months of November and December can be overwhelming, stressful, exhausting, depressing and filled with dread. The thoughts of finding the ideal gift, planning the most wonderful meal, going into debt, seeing family and all the travel are almost unbearable. All around they see bubbly people, hear upbeat music and are enthralled with cheerful advertisements of perfection (perfect family, meal, gifts) and they begin to feel even more down in the dumps, lonely, inadequate and pressured to live up to unrealistic expectations. They have the holiday blues.
While “holiday blues” is not a clinical diagnosis, Major Depressive Disorder is. It can often be mislabeled and/or underestimated this time of year. Depression symptoms and severity are different for each individual, so not everyone will be affected the same–but it can be debilitating for some. Here are some of the symptoms to remain aware of as clinicians, and as people who may experience these issues as well:
• Feeling sad, down and/or blue nearly every day
• Being abnormally irritable and/or grouchy
• Finding it difficult to enjoy things once liked or loved
• Changes in sleep pattern – either not enough or too much, trouble falling
asleep, trouble staying asleep, trouble getting up
• Change in appetite – either lose weight or gain weight
• Feeling worthless
• Feeling guilty
• Problems concentrating or focusing
• Decreased energy
• Low, sad or irritable mood
• Thinking about or wishing to fall asleep and never wake up
• Having actual thoughts of self-harm or suicide.
If you or someone you know is experiencing a combination or all of the above symptoms, then you should schedule an appointment with a mental health professional as soon as possible. If you are having thoughts of ending your life, then please tell someone immediately, call 911 or contact The National Suicide Prevention Hotline at 1-800-273-TALK (8255). While depression can negatively affect many to most aspects of life, it is treatable. Treatment options can range from therapy, medication or a combination of the two. 350,000,000 people suffer from depression worldwide and 50% will not seek help (Holes, 2015). They continue to suffer needlessly. Help is waiting and all it takes to begin is the first call.
References
Holiday Anxiety and Depression: Click for Survival Tips. (n.d.). Retrieved December 16, 2015, from http://www.medicinenet.com/holiday_depression_and_stress/article.htm
Holmes, L. (2015, January 20). 11 Statistics That Will Change The Way You Think About Depression. Retrieved December 16, 2015, from http://www.huffingtonpost.com/2015/01/20/depression-statistics_n_6480412.html
National Suicide Prevention Lifeline. (n.d.). Retrieved December 16, 2015, from http://www.suicidepreventionlifeline.org/
Crystal K. Bray
WKPIC Doctoral Intern
Mental health issues are a part of our existence and are experienced globally. The descriptions, terms, and phrases used to communicate these experiences are influenced by culture and often altered by the process of translation.
For example, Haitians who are feeling anxious or depressed may use the phrase reflechi twop, which means “thinking too much.” In the Cambodian Khmer language, there is not a direct translation for depression, so someone suffering from depression may instead say thelea tdeuk ceut, which literally means “the water in my heart has fallen.”
The World Health Organization has made global access to mental healthcare one of its key goals. As these services become more widely available and embraced by different cultures, providers should become increasingly mindful of cultural nuances that can color the ways in which people approach and respond to treatment.
Reference
Singh, M. (2015). Why Cambodians Never Get Depressed.
Graham Martin, MA
WKPIC Doctoral Intern
The International Journal of Stress Management found a link between atypical depression and work-related burnout. The researcher studied over 5,500 school teachers and discovered that 90% of those school teachers who were identified as burned out also met the diagnostic criteria for depression. Furthermore, he found that 63% of those individuals had atypical depression features.
What are typical depression features? According to the DSM-5, the criteria for the “with atypical features” specifier for Major Depressive Disorder or Persistent Depressive Disorder are as follows for (occurring during the majority of the days during an episode):
A. Mood reactivity (i.e. mood brightens in response to actual or potential positive events.
B. Two (or more) of the following:
1. Significant weight gain or increase in appetite.
2. Hypersomnia.
3. Leaden paralysis (i.e. heavy, leaden feelings in arms or legs).
4. A long-standing pattern of interpersonal rejection sensitivity (not limited to episodes of mood disturbance) that results in significant social or occupational impairment.
C. Criteria are not met for “with melancholic features” or “with catatonia” during the same episode.”
The researcher stated that the link between work-related burnout and depression has been “largely underestimated” and noted that the findings suggest that depressive symptoms may be “central concerns” in managing and working with burnout.
Nauert, R. (2014). Work burnout linked to atypical depression. PsychCentral.
Brittany Best, MA
WKPIC Doctoral Intern