Depression does not discriminate. Depression is not a choice.
Depression, anxiety, and other mental health issues are becoming
much better understood, but we still need to be clearer.
Depression can hit anyone – it does not discriminate. Depression ignores your gender, race, age, and any other excuse people can throw at it. It doesn’t matter your financial situation, or your degree of education, or your place in this world. It doesn’t care if you’re fulfilled, or happy, or desperate and suicidal. It does not discriminate.
Types of depression
There are several types of depression including – Clinical Depression – Post-natal Depression – Bi-polar Disorder (Manic Depression) – SAD (Seasonal Affective Disorder) – Grief – Situational Depression – and they range from mild, moderate, to severe.
The NHS website explains that ‘There’s no single cause of depression. It can occur for a variety of reasons and it has many different triggers.’ Depression can be caused by circumstance, events, or medical conditions, or family history, or through chemical imbalances.
Situational depression is perhaps the easiest (a misnomer if there ever was one, no depression is easy) to deal with as its root cause trauma, trigger, or event, can often be located and treated or understood, the same could be said for depression triggered by grief. A trauma or loss often brings on acute sadness and depression, which may need treating medically or psychologically, but is a condition that can be worked through and hopefully overcome with time.
Other types of depression are harder and maybe impossible to ‘cure’.
Yet, there are still people who claim you can change your life, become more positive, appreciate your blessings, and then you can beat your depression. Maybe, who knows, for some people with situational depression, maybe they can overcome and ride out the bad times, maybe they can ‘pull themselves together’ (I hate that term), maybe they can recognise and make changes in their life and beat depression. Maybe, but also, maybe not.
I’ll add a caveat here: depression (and mental illness as a whole) is not ‘one size fits all’. My experience will be different from yours, and where some people may find depression a blip in their lives, something to overcome, many don’t and will fight it their entire lives.
We must be non-judgmental, compassionate, and understanding in our dealings with those who live with depression.
How Depression is treated
Depression is treated in many ways. Mild depression can be treated with a ‘wait and see’ approach, exercise helps ease depression – and I can bear witness to that – as can diet, psychotherapy, CBT (Cognitive Behavioural Therapy), and counselling. More serious depression needs a stronger approach. All of the above can help, talking and counselling can be a godsend, but medication can also be necessary. Antidepressants work by increasing neurotransmitter chemicals in your brain, if these chemicals are out of balance they can affect many aspects of your body and mind, including mood. There are several types of antidepressants, and the most popular of these SSRIs (Selective serotonin reuptake inhibitors) increase the levels of the chemical messenger in the brain – serotonin. Serotonin is an amino acid that is found in food, and it helps run much of your body, and deficiency can cause depression.
I have written about Antidepressants and my history, and about Coping with the Stigma of Antidepressants, but I still get people telling me that I ought to be more positive, or count my blessings, or that I’m lucky to have everything I do, or that others would be happy with a tiny bit of what I have in my life…
There are a multitude of posts and lists out there online that list the things no one should ever say – and what they should say – to someone living with depression – but people still say them! Get over it, they say, choose to be happy, count your blessings, there’s always someone worse off than you, don’t be selfish, it’s all in your mind (actually, yes, it is – but it’s physiological and psychological, not made-up), try to be happy… If it was as easy as that we wouldn’t be suffering with depression.
Depression is not a choice. Being sad can be a choice, making changes that help you get over problems in your life is a choice, being positive is a choice, but being depressed is not a choice.
I am a happy person, I’m a positive person, but I also have clinical depression and have had it since I was fourteen-years-old. I was diagnosed at eighteen, and have lived with it ever since. I have taken courses of antidepressants, had counselling, had psychiatric help, seen a psychologist, seen a therapist, used exercise, and I still live with depression.
Thirteen months ago I stood on a bridge at 2am. Life seemed too much. I was overwhelmed. Depression drowned me. I got help and have had counselling and antidepressants since. None of that, or of my history of depression, panic, and anxiety, changes the fact that my life is fulfilling, I adore my husband and children, I love who I am. I have self-harmed since I was twelve-years-old (when I didn’t even know what self-harm was), but that doesn’t change that I know I’m blessed, that I’m happy with my talents, and I love my life.
I know that depression will haunt me throughout my life, but I will manage it. Antidepressants will ‘fix me’ short term, until the chemicals in my brain misalign once more. I will make use of the services available to me, which are getting better.
But the point of this post is to help understanding and appreciation of what depression truly means.
Depression is not a choice, and it does not discriminate.
It is a condition that those who live with will manage to the best of their ability.
We deserve support and compassion, be the person who seeks to understand.