Recognizing These Six Signs of Depression

Unfortunately, depression does not discriminate. This disease has affected the lives of over 300 million people worldwide. Just looking at statistics can be overwhelming, but it’s necessary to understand the magnitude of what’s happening to those around us. It’s imperative that we are in tune with the ones we love and cue in on the signs and flags they are metaphorically waving. 

6 Signs to Watch For:

Feelings of Worthlessness

When someone is constantly doubting themselves, never feeling confident in their abilities and their reflections are negative– this is a sign. 

Loss of Interest- 

When someone suddenly loses interest in activities that previously brought them joy such as sex, sporting events, hobbies, and social gatherings–this is a sign. 

Suicidal Thoughts- 

When someone feels they are no longer of use in this world, makes a plan, or speaks of taking their own life–this is a sign. 

Change in Appetite- 

When someone is overeating or undereating due to stress or anxiety, and these habits cause a dramatic change in appearance–this is a sign.

Trouble Sleeping

When someone begins to lose sleep due to daily stresses such as financial woes, work issues, marital or relationship problems–this is a sign. 

Fatigue-

When someone, rather they get enough sleep or not, has an overwhelming feeling of tiredness–this is a sign. 

Symptoms in children are quite similar, but we must keep a closer watch as 3.1 million children from ages 12-17 are experiencing depression. They might withdraw socially, suddenly become more sensitive, have unusual vocal outbursts, or feel overwhelmed with sadness. 

Regardless of the different outlets available to those who are depressed, 35% still receive no help. Listening is invaluable. Listen to your friends and family.  Check in on them and ask the questions that in a positive way, force an answer that will allow you to help. Here are some examples of questions to ask:

How can I best support you?

  • What specifically is hurting you? 
  • Who do you have in a supportive circle at work? At school? At home? 
  • What night can I bring dinner so we can talk? 
  • My calendar is open, pick a morning and let’s meet for coffee. 

Ask the questions, have the conversations, and tune in to those around you.

The flags will wave, it’s critical that you see them. Once seen, take the next step and have the conversations. Bring a certified professional in. Don’t be afraid to push them toward healing. At Southend Psychiatry, we offer services primarily online and in-person at flexible locations near you, and will be ready to support you and those you love on the path to mental wellness!

Finding Freedom in your Future: Mindset Matters

Our eyes sometimes see more than they can handle, our ears sometimes hear the unexpected, our hearts sometimes feel broken and our paths sometimes seem off course. How we respond can either hold us back or push us forward. It’s about mindset and some of us may need a shift, especially from the aftermath of a 2020 pandemic, a rise in racial tension and questionable sustainability. 

The pandemic infused fear about health, finances and our normal way of life. The rise in racial tension infused fear of the unknown for populations of color. The question of sustainability infused fear about the economy. Fear is a natural reaction and an OK reaction, but the response can trigger panic if we don’t step back. 

Be upfront about feelings.

Not everyone is going to feel the same way you do about issues, but subduing those will only lead to mental and physical exhaustion. In the same breath, be open to what others have to say and let them know you are listening. A conversation is a two way street and you’re actually damaging relationships when you are not upfront about the way you feel or don’t reach out to check on others. For example, race is not an easy topic to discuss, but it’s imperative and the only way to move forward, understand and heal. Are you uncomfortable when others aren’t wearing masks? Tell them. No one is a mind reader, but the hope is that when we are upfront, our feelings will be received and respected. 

Focus on what you can control.

So much is out of our hands, but the way you respond is all up to you. We are in control of our mindset, work ethic, the way we treat others, our language and how we take care of ourselves. 

Be mindful of where you are seeking information.

Credibility is key. Focus on the facts and where to find those. Go to the experts, not friends who Google information and say they’ve read study after study. We wouldn’t go to a dentist to help us understand why we have stomach pains or our hairstylist to find out the best way to cure an infection. Who is providing the information and what are their credentials?  

Practice self-care.

This can reduce the stress brought on by your fears. Developing a regular sleep time, eating healthy, going for walks AND taking a sick day from work are all paramount to keeping your stress levels down and controlling reactions to fear.

Ask for help.

This is key to our overall mental health and stability. It’s also a sign of strength, not a sign of surrendering control. We have to realize that life was not meant to be lived alone and those who surround us, can help. Reach out to someone you trust or you feel confident will listen, leaving judgement to the side. If you feel like you need to take baby steps in asking for help, a great way to start is anonymous helplines. Their job is to listen and guide. Once you find this to be comfortable, you realize the ease that comes with talking to friends about your feelings towards masks, racial protests and tensions, the economy and so much more. 

When we are able to shift into a healthy mindset, no matter what our eyes are seeing, our ears are hearing, our hearts are feeling and where our paths are taking us, the investment in our future will result in freedom.

Debilitating to Rehabilitating: Overcoming COVID Fear and Embracing the Social Scene

Dating. Backyard Barbecues. Open mic night at karaoke. Concerts. 

Oh how we’ve longed to get back to these events, but in the same breath, we’ve worried and allowed fear to claim authority over our lives. How do we slowly get back to that comfort zone that diminished overnight? What can we envision? 

Businesses are opening back up, the CDC has made modifications to the guidelines they suggest we follow, and the amount of vaccines being administered is climbing. However, the American Psychological Association reports that 49% of Americans are still uncomfortable with returning to in person interactions and activities. That number is 48% with those who are vaccinated. 

We got ourselves vaccinated. Now, how do we move from a feeling of debilitation to rehabilitating our social life?

“One small step…” 

Think about where one small step can take you. There is no reason to jump right back in, full force. Take baby steps and start small. Expose yourself in small increments until that feeling of fear or anxiety subsides. And remember, it’s not a race. 

“Sooner rather than later…“

Haven’t we always found it to be true that when we put things off, the anticipation, anxiety and worry builds?  Along with the small steps, take a tiny plunge back into the world of people. Venture to the grocery store or instead of the drive-thru, break the threshold and walk in for your coffee. It’s quick, but gives you some exposure and begins to build the confidence you may have been lacking.  

“Partner up…” 

If we’ve learned anything over the last year, we need companionship and support. Doing things together adds a sense of security. Maybe you’ve conquered walking in to grab your coffee. Now, you can sit and have the coffee with a friend, even if it’s on the patio.  

We’ve heard the word essential more times than we count this year: Essential workers. Essential items. Essential services. 

We also heard the word isolate.

What we didn’t hear enough of was that social interaction is ESSENTIAL to our well-being, emotionally and physically. 

“Fear is the mind-killer” and can completely debilitate us. It did exactly that this past year. To quell our fears and risk not being about to rehabilitate ourselves, the slow immersion back into the social scene is paramount. 

Sources:
Quote- Frank Herbert
American Psychological Association 

Helping Someone Cope: Providing Hope

Grief is not our friend but is certainly not a stranger to most of us. It has knocked on our door and walked right in without an invitation, never facing a warm welcome. When those we love are grieving a loss and trying to cope, words can fail us. While there is no perfect response to one of the most challenging emotions we experience as humans, we can offer hope in the ways we help.

Communicate

Someone suffering a loss will feel alone and may even want to be alone, but a phone call, text, or card can provide a sense of comfort. Fear can sometimes creep in, making us think we will say the wrong thing or convey the wrong message. Don’t let this prevent you from reaching out. The reaching out is the comfort. A smile, hug, and just being present and available helps those grieving know you see their grief and remember their pain.

Serve

Cook a meal, pick the kids up from school, mow their lawn, or run errands. It helps the griever when we do, rather than ask. Acts of service speak for themselves when words are lost.

Listen

Hear their words. Hear their cries. Hear their laughs. Hear their silence. Be available and make it known that you are there to listen.

Provide

Ongoing support is critical. Whether it’s daily, weekly or monthly, any way you choose to do this will provide a sense of hope and a brace of connection. Mark important days such as birthdays on your calendar, and send a text or make a call to let those grieving know you remember their loss. 

Helping Someone Cope

Grief will almost always overstay its welcome. When we communicate, serve, listen, and provide comfort to those suffering an unwelcome visit from grief, we offer validation while acknowledging that what they are feeling is important and real. And although we know the process of grieving takes time, the time we take to help someone cope will offer them something they desperately need during this time: HOPE.

Healthy Coping Skills for Stress

As we’ve mentioned in previous posts, these times are making life more difficult for nearly all of us. We identified several areas of negative impact on our emotions and how it can ultimately show up in our behavior. But today let’s take a look at a few things we can do to cope and be proactive while we weather the extended social distancing.

Be You

What “Be You” means is take some time to get in touch with yourself, to identify and reconnect with what makes you… YOU! Make a list, on your phone or the old fashioned paper way, of some of the values you have and how you can still carry those in your community. If you are a naturally generous person then KEEP BEING GENEROUS to people around you. Do you have a gift of making people laugh? Then really grab hold of it and spread some cheer in your neighborhood. Embracing these things about yourself will help keep you grounded and out of too much negative thinking. 

Self-Care

This is easy for some folks, and not so easy for others. Look at it this way… You’re going to be no good to encourage, support, be present for your relationships if you’re a wreck yourself. Be intentional about making time for YOU. What is refreshing to you? Recharging? What gives you energy? The activities you come up with are a great place to start with self-care. 

This is also a great time to focus on eating fresh, nutritious meals when possible and staying fully hydrated. SLEEP!! Sleep is well-documented to reduce stress levels and we ALL need a little less stress in our lives these days, so don’t feel bad about a quick afternoon nap from time to time if it leads to a better you!

Avoid the Panic

Lastly, there seems to be ample opportunity to be alarmed if one just browses the national news feeds on any given day, with headlines often appearing to indicate the “sky is falling”. But it never does… So, we suggest you stay informed and educated during the pandemic but use caution against over-saturating your brain with repetitive negative news feeds or inflammatory op-ed articles/posts.

Here are a few things you can consider doing on your own to keep anxiety and stress at manageable levels:

  • Breathing exercises + Mediation
  • Journaling
  • Spend time in nature
  • Stay connected (isolation often leads us to “stinking thinking”!)

SouthEnd Psychiatry wants you to be well and to feel well in life, but we know these days are especially challenging. We invite you to start a conversation with us, on your terms, in-person or online and want you to know you’re not alone.

3 Ways to Revive Struggling Relationships

We want to talk today about significant others, and how to best nurture a healthy environment for vibrant, growing relationships. While this subject is relevant for any time, it’s particularly important to heed these suggestions now as we’re all living through social distancing. Every relationship has cracks and issues, but living through a pandemic and the stressors which come with it are adding an extraordinary amount of strain to even the most level, healthy relationships.

Schedule Separation

Particularly if you and your significant other are both working from home, it is so important to build areas + times of separation from one another. And having separation in the flow of the day can help too. For example, is there a clear definition between the work day and “family” time? Or does one bleed into the other? Or at dinner, do you just move the papers and laptop out of the way to make room for your plate? More than ever, having a routine which brings a sense of order and structure can be so reassuring to many people, in a world which can seem more chaotic every day. Be sure to separate the mundane, daily, unimportant activity from that which is more sacred, more meaningful, more elevated.

Recognize Efforts

It’s so normal to get lost in our own work and daily activity that we often don’t understand what our partner is doing with the majority of his/her day. We know they “work” or “go to the office” but we often don’t get to observe the pressures, accomplishments, challenges, etc. they encounter. So, make it a point verbalize your appreciation of your partner’s efforts when you see them. Simple acknowledgements can go a long way towards building feelings of empathy and appreciation, for each partner.

Benefit of the Doubt

Here’s the reality: you and your partner are BOTH dealing with increased stress and unpredictability right now. They’re likely emotionally overwhelmed and not trying to annoy you or hurt you. When you communicate, acknowledge his/her feelings, ask questions to help clarify what is being said, and listen to truly understand vs. trying to “defend” or “be right”.

Thank you for reading, please feel free to share with your friends if you found this post valuable. We are always here at SouthEnd Psychiatry to start a conversation and to hear from you!

Keeping Your Head in a Pandemic

While we are all (rightly) focused on the physical and medical impacts and risks of the Coronavirus, SouthEnd Psychiatry will continue to serve the community in the area of mental health as we all navigate through this pandemic. But to get right to the point, the social distancing we’re currently adjusting to is unprecedented and many experts believe many of these measures may be long-term. 

The Impact.

This is worrisome because of the negative, lasting psychological impact it WILL have on many people, regardless of their physical well-being. We have seen a sharp rise in patients struggling with many of these negative feelings they may not otherwise typically experience:

  • Anxiety
  • Depression
  • Anger
  • Loneliness
  • Feelings of frustration
  • Boredom

These feelings, when left unchecked and untreated, can lead to destructive behavior as fighting, drinking, physical abuse, chemical abuse, etc. 

It’s also true a few people may actually experience some positive feelings during the pandemic, although it may appear counterintuitive at first glance. A person may enjoy the increased family time and togetherness, or a slower, simpler pace of life. Of course we are all individual and we’re all in our own unique situations. Some factors linked to an individual’s subjective perception are: housing security, employment status, frequency of remote social interaction (FaceTime, Zoom calls), attitudes about relationships, etc. 

Life Got Harder.

What we do know is, for the vast majority of us, life has gotten harder since March and this kind of long-term stress will exaggerate and expose even seemingly minor issues in our lives and relationships, and make just “living” day-to-day an emotional chore. Please start a conversation, we’d love to hear where you are and what you’re feeling.

If you are struggling with feelings of anxiety, depression, or other symptoms, a number of helpful resources exist. SouthEnd Psychiatry offers exceptional and convenient care utilizing a variety of tele-psychiatry, tele-therapy and traditional in-office visits giving you the option to choose how you want to see a psychiatric provider.

Our team of Psychiatric providers are experienced, licensed and nationally certified, professional mental health providers that pride on working with each patient in order to provide team oriented and consistent care at all times.

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