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Thread: Depression

  1. #41
    Senior Member runningfool's Avatar
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    Re: Depression

    Quote Originally Posted by egor View Post
    i dont advise meds, unless in the most serious of circumstances, risk to self/others/psychotic etc, psychotherapy is what i mainly recommend, as thats what i do, i feel youre slightly missrepresenting me with your last comment.
    Privately or on the NHS? It would be helpful for us to know whether your opinions are weighted by financial considerations.

  2. #42
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    Re: Depression

    Trevor I admire deeply your bravery and courage in posting about your depression on here.
    I really feel for you at this time my friend. My journey was a long one but I came through it. You have taken a brave step on yours by seeking a solution to your depression. You can beat this. Be mindful that there are many different ideas for cures and things to help you. Some not always in your best interest.
    Depression is a very individual thing indeed. Yours will be unique to you. If I can be of help in anyway please ask
    Darren

  3. #43

    Re: Depression

    Quote Originally Posted by TheGrump View Post
    Don't think this is a thread to start squabbling on in the usual forum fashion. The initial post is serious and deserves and needs support, where possible. However, as in my Reference Guide thread, I maintain that professional help is the key. That doesn't mean that supplementary advice from those who have been or are in the same predicament has no value.
    To all sufferers - courage and strength.

    I wholeheartedly agree. Depression is a common (about 1 in 5 of us in our life time will suffer from it ) and potentially life threatening disorder and the reductionist arguments being espoused by some on this thread are very worrying.

    Can I please draw people's attention to the link I posted earlier, this gives information on what depression is, the variety of treatments available (both medication and therapies) within the NHS. For people who want to know more about the evidence base for such approaches I would recommend visiting the National Institute for Clinical Evidence (NICE) website which has specific guidance on the treatment of depression, anxiety and other disorders. They go into a huge amount of detail about what the evidence is. It is unhelpful (and inaccurate) to start rubbishing one approach or another. The fact remains that like other forms of physical treatment there is not necessarily a one approach fits all and it is about finding out which is most helpful for you. The point about waiting lists is a relevant one and GPs are often in a difficult position in that they may wish their patient to have a combination of both meds and therapy but the person may have to wait longer for the therapy. There are considerable efforts being made at present to increase access to psychological therapies by training more staff. If you look at the evidence a combined approach (meds and therapy) is helpful for many people.

    I think the point about thyroid difficulties is a very interesting one and I agree should perhaps be checked morre often.


    http://www.nhs.uk/Conditions/Depress...Treatment.aspx
    Last edited by freckle; 07-06-2010 at 12:12 AM.
    and we run because we like it through the broad bright land

  4. #44
    Senior Member Duncan R's Avatar
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    Re: Depression

    Hi Stagger

    I wanted to add my support to you as well, though I dont know you I imagine it cant have been easy posting on here & I was very glad to read you were finding the responses useful. There is a lot of good will about & people here clearly care for & about you, so good luck with it Stagger.

    Ive fortunately not had depression, but have friends who have & I thought I'd offer some of the things they did that helped, knowing that a) they may not work for you and b) seeing a suitably qualified bod is really the best way. So these are just for info & if any appeal to you or sound useful, great, if not, please disregard/delete as appropriate.

    Keeping a diary worked well, just downloading stuff knowing it is private, never to be seen, appeared to help. It also allowed any mood changes to be noted (we used a 1-10 scale of mood) & importantly why that was, the self awareness gave strategies to deal with stuff which she felt gave her more control, which was important to her. She used to note 2 or 3 things at the end of each day that she was pleased with/proud of, no matter how small or seemingly insignificant, they mounted up over time & helped.

    When feeling overwhelmed we used to breakdown issues into a sort of mind map, then brainstorm ideas on what to do with each issue, sometimes as simple as a phone call, again this gave a feeling of control & momentum.

    We built up a list of achievements, which I had printed off as the shape of a wall, in each brick she would put something she was proud of, eg passing a driving test, finishing 3 peaks, buying first flat, cooking a difficult meal, etc etc, we built this up over time & became a 'foundation' she could go to in dark times. We also worked on understanding the temporary nature of things, that this too, will pass. The diary gave us eveidence to reinforce that.
    We designed a list of 'personal highlights', things which nutured & gave energy + peace & calm. So enjoying nature-listening to birds, walking in a wood, reading magazines/books, listening to music, (specifying what music) time with friends etc. Could be 5 minutes, 1 hour or all day, but hese highlights gave us stratagies to employ & again a sense of contro, we'd look for 'highlight opportunities' as we called them.

    We did some meditation & worked with a concept callled mindfullness, which is about being in the moment, being fully present and engaging with the present. This worked very well & actually improved our running as well, eg ignore Fairfield, were on dollywagon, lets be fully on dollywagon and deal with Fairfield when it arrives...

    Anyway, bottom line is these worked for us in managing it & helping controlling the black dog, and maybe there may be something for you mate, I may be repeating stuff which is already on here, for that I apologise, I only offer as examples of things I have seen work & fully recognise they may not work for everyone.

    Best of luck Stagger, I know nothing of thyroids, I thought they were from Dr Who.
    Best wishes
    Duncan

  5. #45
    Headmaster Grouse's Avatar
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    Re: Depression

    No that's Daleks.
    Tao begets one. One begets two. Two begets all things.

  6. #46
    Grandmaster + stevefoster's Avatar
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    Re: Depression

    I have an under-active thyroid................any parts going in Dr. Who for him?
    Stagger won't mind me having a joke on here ;-)
    Hills and Guinness!

  7. #47
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    Re: Depression

    Quote Originally Posted by christopher leigh View Post
    I just want to mention something. In the past few years a number of athletes I know have developed hypothyroidism. In each case they had depression, and the odd thing was none of them had anything to be depressed about. No problems with the spouse, money issues, or job fears. All struggled to train due to a lack of energy, and all felt a big dark cloud over their conciousness.

    In one case the doctor was going to put the person on anti-depressants, wtihout even checking thyroid function. The patient knowing someone else in the family had hypothyroidism, had to suggest to the doctor that it might be thyroid related. Being an athlete the doctor just said "you don't look like you've got that."

    Similar attitude actually to Egor above.
    Christopher I actually do wonder sometimes. I dont want to Hijack the thread but your attitude towards Egor isnt on. He is a professional in his field and Im sure has helped many people.
    How can you possibly make comment when you dont even know him ?.

    Your comment above. Whereby the athletes had an odd thing , IE nothing to depressed about.
    If you knew anything about depression as I do( I am not an expert, THERE ARE NONE ) Having everything is very common in people who suffer from depression.
    Im sure Egor comes across this a lot in his job.
    There are many people, thousands who do well on drugs such as citalopram etc. The way you have generalised the way a doctor hands them out is totally not how a GP goes about prescribing them.
    Drugs are prescribed for specific conditions. Certainly not if the cat has died. Get real

  8. #48
    Master The devil's own's Avatar
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    Re: Depression

    Quote Originally Posted by daz h View Post
    Christopher I actually do wonder sometimes. I dont want to Hijack the thread but your attitude towards Egor isnt on. He is a professional in his field and Im sure has helped many people.
    How can you possibly make comment when you dont even know him ?.

    Your comment above. Whereby the athletes had an odd thing , IE nothing to depressed about.
    If you knew anything about depression as I do( I am not an expert, THERE ARE NONE ) Having everything is very common in people who suffer from depression.
    Im sure Egor comes across this a lot in his job.
    There are many people, thousands who do well on drugs such as citalopram etc. The way you have generalised the way a doctor hands them out is totally not how a GP goes about prescribing them.
    Drugs are prescribed for specific conditions. Certainly not if the cat has died. Get real
    I can't speak for what CL said Daz but to be fair Egor dismissed my advice as "nonsense" and I too am a professional in the field as you put it, and one by the sounds of it that see's people that are more acutely unwell than Egor.
    It's also worth noting that some GP's do over prescribe anti-depressents when they simply aren't needed - this is unfortunately a fact.
    Last edited by The devil's own; 06-06-2010 at 06:58 PM.

  9. #49
    Senior Member Flopsy's Avatar
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    Re: Depression

    I think it is really sad that a thread that should be offering support has ended up in such an argument.

    As others have said everyones illness is different and everyones approach to coping with it may be different, in fact many long term sufferers use a variety of different techniques to get through it. Lets not get hung up on what is right or wrong but offer support and an insight into the different options out there.

    With the greatest respect to those who are working in the industry I would say that they should know more than most that treating and coping with depression is not an exact science rather the use of a range of techniques that can be trialled for each individual case. The profession is learning more all the time. No rights no wrongs just what works for that individual but that process can take a long time in terms of trial and error and even then may need to be altered over time.

    In over 30 years I have seen depression go from being ignored to being ridiculed to being supposedly accepted by society and yet in reality not. Treatment has changed enormously and to my mind we are still grasping at straws. Medicine is not a cure in itself and neither is couselling. Whilst some people may suffer a relatively mild case of depression following an event in their lives others suffer a life time of inexplicable depression. How can both be treated the same.

    So lets not argue about it but offer support, advice and options.

  10. #50
    Senior Member egor's Avatar
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    Re: Depression

    eavesy, i work for the NHS in specialist psychotherapy services, we see people that no one else wants to or can, flopsy is right this is all getting out of hand and lossing its focus, its far to a complex issue to debate in a forum such as this, i hope stagger is able to find the help he needs, which in my opinion is someone to talk to, in do the job i do as i know it works from personal experience.

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