Depression Helps part 2 of Opportunities to Teach

Let me start by saying I am not a professional doctor or therapist. I don't claim to have all the answers. I just know that no one had answers for me when I needed them most, so I want to share what I learned on my journey with my husband's depression.

Depression is so difficult for the person suffering from it, but it can also affect the people around them. If those of us that are healthy are prepared, we will be a better strength for them. Remember 1 in 4 will suffer at some point in their life from some type of depression. You will have this touch your life.

I had an interesting conversation with my son the other day. He was reading history about our forefathers and the early men of our country and he noticed something. They had meaningful relationships with each other. Man to man. They were affectionate with each other and could express their love to one another in a normal man to man way. Their interactions showed real caring and tenderness toward each other. That man bond seems to now be gone in most places of America. The comradery with a group of men that have to work closely together seems to give them strength. Maybe that is a missing link into why American men are having such a difficult time sharing their struggles with depression. The bonds between men are different now. They have been taught affection, crying, or hugging between men is a weakness or the sign of an alternative lifestyle. It is not.

Look at third world countries who have nothing. Their communities still rely heavily on each other. The men are not isolated as just the lead of their home, they stick together to make their community work. They also seem to have less issues with depression. It could also be the stress placed on men today in our world. I am sure most American men feel like they can't do enough for their family. The pressure on them is very high and the outlets for them have dwindled. Just an interesting observation that may be contributing to the problem for men. I know my late husband was happier the few times he was able to spend quality time with his male friends.

Here are some links to a few of the websites I have used to find information. These are some of my favorites.

Empowered Life Solutions   (Covers Anxiety, Depression, Healthy Living, and Happiness)

NAMI - National Alliance on Mental Illness

Nine Things You-Shouldn't Say to a Depressed Loved One And What to Say Instead

The Emily Effect     (Prenatal Mood Disorder)

Real Men Get Help

Mental Health (read the questions at the bottom)

Here are some descriptions I took from several websites, medical posts, and other information. I am sorry I can't give the original writers the credit they are due, but I have put this together over many years from different sources.  This shows 9 basic types of depression but each type can have sub types.
Remember: Depression is like a finger print, it is different for everyone.

Atypical Depression - Often considered a sub-type of Major Depression or Dysthymia and is the most common type of depression. Normally talk therapy works well. Symptoms: Two to three times more common in women than men. Oversleeping, overeating, weight gain, irritable, relationship issues, a sense of heaviness in the arms and legs - like a form of paralysis.

Situational Depression - About 3 times more common than major depression. Medication is rarely needed and it clears up over time, but it should not be ignored. Symptoms: Situational depression is triggered by a stressful or life-changing event, such as a job loss, death of a loved one, trauma, and even a bad break-up. Excessive sadness, worry, or nervousness. Diseases can cause this type of depression.

Postpartum Depression - Affects about 85% of new moms. May need a combination of talk and drug therapy. Symptoms: Some sadness after their baby is born, up to 16% of women the sadness is serious enough to be diagnosed.

Major Depression - Affects 7% of the US adult population. Usually antidepressant medications are needed. Symptoms: major depression, extreme sadness, hopelessness, lack of energy, irritability, trouble concentrating, changes in sleep or eating habits, feelings of guilt, physical pain, thoughts of death or suicide.

Premenstrual Dysphoric Disorder - Affects 5% of women and is much more severe than PMS. Help for this may include a combination of talk therapy, drug therapy, and nutritional therapy. Affects women during the second half of their menstrual cycles. PMDD can be severe enough to affect he relationships. Depression, anxiety, mood swings more severe than PMS.

Seasonal Affective Disorder -  4 to 6% of US population is estimated to be affected by SAD. Light therapy or artificial light treatment is helpful. Anxiety, increased irritability, daytime fatigue, weight gain, occurs in winter climates of places with less sunshine.

Bipolar Disorder - 2 to 3% of the US population are affected. Usually treated with drugs called mood stabilizers. This is the highest risk group for suicide. Periods of extreme high to low to high (also called manic depressive disorder), high energy, excitement, racing thoughts, poor judgement. There are 4 basic subtypes: Bipolar I, Bipolar II, Cyclothymic Disorder, and Specified Bipolar.

Dysthymia - Hits 2% of the US population. Usually responds better to talk therapy. Low mood over long period of time, chronic depression, people can function adequately, but not optimally.

Psychotic Depression - 20 % of the people with depression have episodes so severe that they see or hear things that are not really there. This type may require a combination of antidepressants and anti-psychotic medications. They lose touch with reality, false beliefs, delusions, hallucinations, catatonic, do not leave their bed.

It Will Not Happen In My Family Again!

Things I have learned:

• I will not allow the disease of depression to take another family member without putting up a major fight.
• No one has ever been in the exact situation I am in so thanks for the advice, but honestly you don't know what is best, I do. I do appreciate suggestions, advice, talking and stuff, but I don't have to follow it. Right now I am in control, I do know what I am doing, and I am thinking clearly and in the best interest of my family.
  
• No doctor is going to shut me down and not listen. I proved that this weekend and they actually thanked me after they listened. They could also tell that I knew what I was talking about and that I am capable of dealing with the current situation.
  

Having said all that, I better explain where those comments are coming from. My daughter Marie also suffers from depression. Although hers is very different from my husband, it is also the same. Where Mike would surround himself with positive things, service and good music, Marie has always surrounded herself with depressing music and negative things.

Her medicine was changed in September and never worked. So she was hitting a major low. I talked her into going back to her doctor last week and he gave her a new prescription but she never filled it. I called her most mornings to make sure she was up and taking care of Ethan. Her life revolves around Ethan right now so she was doing the best she could. I bought the house she lives in and made sure Jeffrey moved in downstairs to keep tabs on things when Chris is gone. I have had a plan from the day Marie moved to Utah.
Jeffrey came home Saturday night to find Marie unconscious on the kitchen floor from taking too many sleeping pills. She did not want to die; she just wanted to sleep away the pain. Now some people may say, "what was she thinking." May I correct you, she wasn't thinking. If I have learned one thing about this disease, it keeps the mind captive from thinking. Consequences of your actions is not part of their thought process. The pain she was talking about was not physical it is mental and when your meds are not working you cannot see a light at the end of the tunnel.
Jeffrey called 911 and Marie was taken to the hospital. This was my first encounter with doctors because Marie wasn't conscious to sign a form allowing information to be released to me. They did finally listen to my information even though they couldn't give me info. Naturally it helped them. I had to deal with flights, Red Cross, getting info to her husband in Iraq, etc.
Marie is fine and stable and is being treated in a psychiatric ward. This is a good thing. I put Mike through hospitalization once and it was very helpful. I did a 24 hour flight there and home. I got to see her and she will pull though this. She feels ashamed and stupid, but like I said she was not thinking. I brought Ethan back with me so he can be taken care of. I have ALWAYS had a major problem with child protective services (what a joke) so I told Jeffrey that until I got there if anyone showed up they needed a search warrant to step in my house! So Ethan is with me and having fun. He loves it here with the big yard and dog. He gets to talk to his mommy by phone daily. When Marie is released, she will be living under my care. We will have a controlled environment for her. Part of that will be designed to teach her to take better care of herself and Ethan.
What I have learned from the last few years is that I have an amazing network of friends. I am thankful for all your prayers and love. I am thankful for those who thought for me when I was foggy. Thanks for the rides, packing, talking, food, prayers, and for being a part of my life.

"How Can We Help You?"

It has been almost 4 months now since Mike's passing. The number one question I still get asked is, "what can we do to help you?" My response is normally, "I don't know." Well I have been thinking about that a lot lately. How can people help me that really want to help me? I found an answer. PRAY
Pray that my house in Redmond will sell so I don't have to keep making $3000 monthly payments on an empty house. (It is eating my $$$ fast)
Pray that we can find a place for Marie & Chris to move to in Utah. They start school in Salt Lake the first of January.
Pray that Jeffrey will continue to do well in college and be strong.
Pray that I will be able to figure out how to maintain this house and get it ready for winter.
But most IMPORTANT:
PRAY FOR RACHEL. This year has been hard on her. She often feels alone and without friends. This age is tough for a teenage under normal circumstances. Add moving to a new area and school, losing her father, not making friends easily due to shyness, anxiety attacks, etc, and it equals a very unhappy teenager. I talked to her last night about things she could do different to change what is happening around her but we all know how difficult it is to change ourselves. To other people, Mike's passing was a sad moment in their life but for all of us especially Rachel, we re-live it daily. Something is always there to trigger a memory or a future lost occasion. I wish I could give Rachel my outgoing personality, talkative mouth or optimistic outlook but I can't. All I can do is pray for her and give her hope for a brighter future. That is how others can also help us, just pray.