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Mental disability and depression

Dealing with depression with CBT

Depression is more than simply feeling unhappy or fed up for a few days.

We all go through spells of feeling down, but when you're depressed, you feel persistently sad for weeks or months rather than just a few days. Some people still think that depression is trivial and not a genuine health condition. They're wrong. Depression is a real illness with real symptoms, and it's not a sign of weakness or something you can 'snap out of' by 'pulling yourself together'.

The good news is that with the right treatment and support, most people can make a full recovery from depression. Disability is all in the eye of the beholder. If someone has lost a limb or has some equally visible sign of a physical problem, the reaction is usually sympathetic. But take away the more obvious visual clues, and how the general public will react becomes a lot less predictable. I am as blind as a bat without my spectacles but short-sightedness is socially acceptable. Not everyone with a disability is so fortunate.

Dealing with depression with CBT

Everyone who has a mental disorder will understand this. People who are depressed are told to 'get a grip' or 'snap out of it' as if emotions can be controlled at will. Those who suffer from panic or anxiety attacks are labeled 'hysterical' and 'unbalanced' which are hurtful words. The public does not understand the true nature of mental disorders. This can produce fear because people do not know how to react if someone around them has an attack or because they think they may also be at risk of the same disorder. Prejudice and cruelty are the result. These reactions amplify the problem for the victims.

If the disabled know that people will mock or criticise them if they have an anxiety or panic attack, they are more likely to avoid situations in which there may be stress.
 Carry this one step further and it becomes agoraphobia where they are too frightened to leave the house at all.


Dealing with depression with CBT

There are millions of people who suffer from anxiety and panic disorders, whether on their own or as a symptom of depression. To continue their everyday lives, they rely on drugs. Let’s make a clear distinction. This is not like appearing on the X factor where contestants willingly risk humiliation to search for fame and fortune This is mundane existence: get through the door and drive to work to earn enough to live on. If that paycheck does not come at the end of the month, this is financial disaster.

The advantage of drugs is that sufferers simply take a pill three or four times a day and this controls the more obvious symptoms. They can then walk around, doing their jobs with no one any the wiser.
 This points to another aspect of the problem. No one likes to talk about these disorders. Even doctors have a reputation for being less than supportive so looking for treatment becomes more stressful. There is always the feeling that patients are being judged when they talk to others about how they feel. Research suggests that about 20% of people with anxiety and panic disorders do not get help, the first step should be discussing the problems with a doctor.

Therapy and counseling are the most reliable long-term 'cures' drugs simply keeps the symptoms at bay and should only be used over short periods of time. But fear can affect people in another way. Even though they may eventually accept the need to get treatment, they may also fear what the medications will do to their bodies. Anxiety and panic are not necessarily 'rational'. No matter what evidence they may read or hear about safety, even the slightest risk of side effects can seem daunting. Do we trust what our doctor tells us?

Dealing with depression with CBT

The explanation is that it takes time and patience to follow a course of treatment and this allows people to fall prey to their anxieties. Many simply stop taking the medication or take it too infrequently for it to work well. Prejudice in all of us can perpetuate anxiety and panic disorders.

Your GP may recommend that you take a course of antidepressants plus talking therapy, particularly if your depression is quite severe.A combination of an antidepressant and CBT usually works better than having just one of these treatments.

It is important to take your medication as prescribed, even if you start to feel better. Continuing with your medication can help prevent a relapse and, in some cases, it is needed in the long term.

If you have any questions or concerns about the medication you are taking or side effects, talk to your healthcare team.


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