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4 0 S E P / O C T 2 0 1 5 I S S U E 3 5
PSYCHOLOGY
Down in the dumps
or depressed?
Sooner or later, everyone gets the blues.
Feeling sadness, loneliness or grief when you
go through a difficult life experience
is part of being human
Depression is a common problem for people
across the world. About one in 10 South Africans suffers
from depression  although only about a quarter ever seek
or receive treatment. Sooner or later, everyone gets the
blues. Feeling sadness, loneliness or grief when you go
through a difficult life experience is part of being human.
Most of the time, you can function normally and you
feel that you will get through it. But if feelings of sadness,
hopelessness and isolation persist or if they start to interfere
with your sleep, relationships, work and recreation, it may
be something more than just a down day. Feeling constant
fatigue or worthlessness, or experiencing weight changes
along with your sadness can be signs of depression, says
psychologist Dr Colinda Linde.
There are some things to be aware of when you are
feeling blue  warning signs that this may be more than
feeling down for a day or two.
Depression checklist
Your thinking patterns
If you are thinking more negatively than usual, you may
just be having a rough day. But also take a look at how your
thoughts are affecting your decisions and your view of the
world and the people in your life beyond that day. Negative
thoughts can lead to trouble-making decisions, confusion
or forgetfulness. Just a day or two of this doesnt mean that
you have depression. But if these patterns continue or if
your thoughts turn suicidal, seek help right away.
Your feelings
You can feel sad or negative without having depression.
Be honest with yourself. Are you feeling mildly sad or let
down, or are you feeling hopeless and helpless? If you are
feeling overwhelmed with emotion and have a negative or
sad mood that others can sense, its time to seek help, says
Dr Linde. If someone notices that you are down, that doesnt
automatically mean you have depression. But someone
seeing emotional fluctuations and behaviour changes for
several weeks may indicate depression.
Your behaviour
Sleep disturbances and appetite changes are hallmarks of
depression. A night or two of disrupted sleep or eating isnt
necessarily a big deal. But if this continues and makes life
even more difficult than it already is, you may need to talk to
someone about whats going on.
If youre not sure whether there is a problem or not, try
doing something that will change your mood, like going for
a walk or talking to a friend. Do something that you think
will likely help you break your negative mood and thinking
patterns. Sometimes, just getting distracted and out of your
own head can change the course of your day, says Cassey
Chambers from the South African Depression and Anxiety
Group (SADAG).
Chances are that you have probably done these things at
one time or another. If it works, youre probably just having
a rough day (or week) but youll bounce back and be your
usual self. If, however, you find that these things dont work
and you continue to feel these symptoms for two weeks or
longer, you may be heading into a depressive episode.
Still not sure?
It may not always be easy to tell the difference between
a run-of-the-mill bad mood and depression. According to
the National Institute of Mental Health, people who are
depressed have symptoms that interfere with their work,
daily activities or social life.
If you have five or more of the following symptoms for
most of the day, nearly every day, for at least two weeks, and
We all have days when we want to hide under the covers and wish the world
would leave us alone. But when a bad day turns into a bad month, its time
to take a closer look at your mood
By Janine Shamos
HEALTH INTELLIGENCE | 41
References available on request
4 2 S E P / O C T 2 0 1 5 I S S U E 3 5
PSYCHOLOGY
the symptoms are severe enough to interfere with your daily
activities, you may have depression:
	Depressed mood, sadness or an empty feeling, or
appearing sad or tearful to others.
	 Loss of interest or pleasure in activities you once enjoyed.
	 Significant weight loss when not dieting, or significant
weight gain (for example, more than 5% of your body
weight in a month).
	 Inability to sleep or excessive sleeping.
	Restlessness or irritation (irritable mood may be a
symptom in children or adolescents too), or feelings
of dragging.
	 Fatigue or loss of energy.
	 Feeling worthless, or excessively or inappropriately guilty.
	 Difficulty thinking or concentrating, or indecisiveness.
	 Recurrent thoughts of death or suicide without a specific
plan, or a suicide attempt or specific plan for committing
suicide.
Dont let your negative thoughts and feelings consume
you  talk about how youre feeling, and if life has got you
down or overwhelmed, know that theres help. SADAG runs
a telephonic counselling centre (open seven
days a week from 8am to 8pm) for anyone
needing advice or a referral to a mental
health expert or support group. If, at any
point, you have thoughts or feelings that
truly disturb you or you feel out of control,
dont wait. Call your doctor or
SADAG immediately. HI
10 ways to turn around a bad day
	Listen to a favourite song and
sing along.
	Watch a funny YouTube video.
	Phone a close friend.
	Pet an animal.
	Give and get a hug.
	Practise deep breathing.
	Write about whats bothering you
	 and then write something you are
grateful for.
	Do some exercise  just get up
and move.
	Sign out of Facebook.
	Walk barefoot on the grass.
Janine Shamos is a senior counsellor and educator
at The South African Depression and Anxiety Group (SADAG).
For more information on how to deal with depression, anxiety
and trauma, call SADAG on 0800 21 22 23 or visit Sadag.org
Ad

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Down in the dumps or depressed-

  • 1. 4 0 S E P / O C T 2 0 1 5 I S S U E 3 5 PSYCHOLOGY Down in the dumps or depressed? Sooner or later, everyone gets the blues. Feeling sadness, loneliness or grief when you go through a difficult life experience is part of being human
  • 2. Depression is a common problem for people across the world. About one in 10 South Africans suffers from depression although only about a quarter ever seek or receive treatment. Sooner or later, everyone gets the blues. Feeling sadness, loneliness or grief when you go through a difficult life experience is part of being human. Most of the time, you can function normally and you feel that you will get through it. But if feelings of sadness, hopelessness and isolation persist or if they start to interfere with your sleep, relationships, work and recreation, it may be something more than just a down day. Feeling constant fatigue or worthlessness, or experiencing weight changes along with your sadness can be signs of depression, says psychologist Dr Colinda Linde. There are some things to be aware of when you are feeling blue warning signs that this may be more than feeling down for a day or two. Depression checklist Your thinking patterns If you are thinking more negatively than usual, you may just be having a rough day. But also take a look at how your thoughts are affecting your decisions and your view of the world and the people in your life beyond that day. Negative thoughts can lead to trouble-making decisions, confusion or forgetfulness. Just a day or two of this doesnt mean that you have depression. But if these patterns continue or if your thoughts turn suicidal, seek help right away. Your feelings You can feel sad or negative without having depression. Be honest with yourself. Are you feeling mildly sad or let down, or are you feeling hopeless and helpless? If you are feeling overwhelmed with emotion and have a negative or sad mood that others can sense, its time to seek help, says Dr Linde. If someone notices that you are down, that doesnt automatically mean you have depression. But someone seeing emotional fluctuations and behaviour changes for several weeks may indicate depression. Your behaviour Sleep disturbances and appetite changes are hallmarks of depression. A night or two of disrupted sleep or eating isnt necessarily a big deal. But if this continues and makes life even more difficult than it already is, you may need to talk to someone about whats going on. If youre not sure whether there is a problem or not, try doing something that will change your mood, like going for a walk or talking to a friend. Do something that you think will likely help you break your negative mood and thinking patterns. Sometimes, just getting distracted and out of your own head can change the course of your day, says Cassey Chambers from the South African Depression and Anxiety Group (SADAG). Chances are that you have probably done these things at one time or another. If it works, youre probably just having a rough day (or week) but youll bounce back and be your usual self. If, however, you find that these things dont work and you continue to feel these symptoms for two weeks or longer, you may be heading into a depressive episode. Still not sure? It may not always be easy to tell the difference between a run-of-the-mill bad mood and depression. According to the National Institute of Mental Health, people who are depressed have symptoms that interfere with their work, daily activities or social life. If you have five or more of the following symptoms for most of the day, nearly every day, for at least two weeks, and We all have days when we want to hide under the covers and wish the world would leave us alone. But when a bad day turns into a bad month, its time to take a closer look at your mood By Janine Shamos HEALTH INTELLIGENCE | 41
  • 3. References available on request 4 2 S E P / O C T 2 0 1 5 I S S U E 3 5 PSYCHOLOGY the symptoms are severe enough to interfere with your daily activities, you may have depression: Depressed mood, sadness or an empty feeling, or appearing sad or tearful to others. Loss of interest or pleasure in activities you once enjoyed. Significant weight loss when not dieting, or significant weight gain (for example, more than 5% of your body weight in a month). Inability to sleep or excessive sleeping. Restlessness or irritation (irritable mood may be a symptom in children or adolescents too), or feelings of dragging. Fatigue or loss of energy. Feeling worthless, or excessively or inappropriately guilty. Difficulty thinking or concentrating, or indecisiveness. Recurrent thoughts of death or suicide without a specific plan, or a suicide attempt or specific plan for committing suicide. Dont let your negative thoughts and feelings consume you talk about how youre feeling, and if life has got you down or overwhelmed, know that theres help. SADAG runs a telephonic counselling centre (open seven days a week from 8am to 8pm) for anyone needing advice or a referral to a mental health expert or support group. If, at any point, you have thoughts or feelings that truly disturb you or you feel out of control, dont wait. Call your doctor or SADAG immediately. HI 10 ways to turn around a bad day Listen to a favourite song and sing along. Watch a funny YouTube video. Phone a close friend. Pet an animal. Give and get a hug. Practise deep breathing. Write about whats bothering you and then write something you are grateful for. Do some exercise just get up and move. Sign out of Facebook. Walk barefoot on the grass. Janine Shamos is a senior counsellor and educator at The South African Depression and Anxiety Group (SADAG). For more information on how to deal with depression, anxiety and trauma, call SADAG on 0800 21 22 23 or visit Sadag.org