I have had bouts of depression in the past, so I understood the problem when my friend became depressed.One thing about her I do not understand. She wants to be with people all the time when she is feeling bad, whereas I like to hide myself away, preferably in bed. My friend decided she couldn't cope at home any more and got herself admitted to hospital. She was taken to a hospital 30 miles away which was not very suitable because the patients there were suffering from dementia. After four days she was moved to a centre much nearer home. The problem is in England that care in the community (that is, at home) is now the norm and there are very few hospital places for mental health patients.Sometimes a patient wants to stop the world and get off. It is at such times that hospital admission is needed.
The old Victorian psychiatric hospitals were often not the best solution, but things have swung too far. Presumably care in the community is a cheaper option. I hope to visit my friend on Monday. It will be good not to have to do the thirty mile trip that I made to see her last Tuesday.
Now I have to make plans for when she comes home. It is a mistake to molly coddle a depressed person. They should be encouraged to do as much as possible for themselves and to get out and about. If you are overly kind to a depressed person you will be in danger of reinforcing their need to be depressed. This is counter productive. Fortunately she knows I have limitations and I don't think she will try to push me to do more than I am able.
Avoid the temptation to solve all the depressed person's problems. This is something they have to do for themselves when they begin to feel better. You can't live their life for them. Depression is all about finding yourself up a blind alley and working yourself out of it again. It is hard work and can leave you feeling exhausted. My friend gets very clingy which is very claustrophobic for me. I have learned to be very firm about her access to me. I need a certain amount of space. I have sometimes found it necessary to ignore phone calls in order to conserve my own strength. If you are worn to a frazzle you cannot be of any help to your friend.
Never say to your depressed friend,"Pull yourself together." Whatever it is that we use to pull ourselves together is the part that is weak and ill. There will come a time when the depressed person can pull themselves together, but only they will know when that time has come.The depressed person would do anything to escape from the pit in which they have fallen.They will feel guilty for feeling the way they do and life will feel meaningless. They will feel that they are stuck like this forever no matter how many times they have been through depression and recovered. This time they feel they will not escape.You need to be very positive about their future so that they can have a glimmer of hope that all will be well again.
There are two main types of depression, reactive, which is a reaction to your circumstances and endogenous, which is a part of your makeup and not entirely affected by your circumstances. I get the second type. When I am depressed I like to sleep a lot, this is probably not a good thing as depression can lift if you do not have extra sleep. It is all very well knowing that , but acting upon it is another thing. Exercise is also beneficial. Some sorts of depression can be lifted by taking these measures, but some people need medication. You need to get to know your doctor and develope a relationship with him/her where you feel you can trust their judgement. Do look for help as there are lots of possibilities out there. It is not good to spend long stretches of time on your own. Talking with other people will often help lift your spirits, especially if they are people who have gone through this experience themselves. Maybe you need to join a self help group. Avoid people who tell...
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