0 items | AUD  0.00

Depression: Why Talking Isn’t Enough

Depression: Why Talking Isn't Enough

Talking about mental illness openly is an important step towards ridding humanity of a stigma that’s breathtaking in its ignorance and dangerous in its effect. But something more needs to happen.

The mental illness umbrella has a broad reach and the disorders that fall beneath it are as diverse as the people affected by them. Some disorders, such as anxiety and depression, lie on a spectrum of normal human behavior and it’s likely that most of us, if not all of us, have teetered somewhere within its reach.

The depth and breadth of the mental illness tag means that an illness such as depression, which is not dangerous to anyone but the sufferer, is being bundled with disorders that are. This continues to feed a stigma that pathologises not only the illness, but also the person. It has implications for all of us.

A formal diagnosis of clinical depression requires the presence of a cluster of symptoms over an extended period. The symptoms are characteristic of normal human experience – sadness, hopelessness, lack of vitality, lack of engagement, disordered sleeping and eating patterns. Each is a normal and valid human response though sometimes, the duration and intensity can become too much and this is when a diagnosis of clinical depression may follow.

I’ve never had clinical depression, but I’ve experienced sadness so deep and engulfing it stole me for a while. I can still remember the ache. I’ve felt desperately hopeless at times and on others frighteningly disengaged. I don’t know how it was that I found my way through. I just did. I also know, with every cell in my body that it could just as easily have gone the other way.

Depression is a deficiency in chemistry, not character. It can happen to anyone. Though it is true that some personality traits make people vulnerable to depression, those same traits also make those people warm, successful, wise, funny, kind, capable and strong. The strength needed to carry on each day with a mental illness is immense.

There is absolutely no evidence – none – that depression causes people to be dangerous or harmful. It’s true that many who have behaved anti-socially have depression, but they also have skin, parents, possibly a mortgage, a job, children. It’s a numbers game and the number of people who suffer from depression is so high, and its reach to exceptionally wide, that people with depression are going to be represented on some level in vile, criminal acts. Doctors and teachers will also be represented. So will diabetics, mothers and taxi drivers. That depression is sometimes represented in the profile of the anti-social does not mean it’s the cause and to suggest otherwise is spectacularly misinformed.

The need to understand and make sense of the world around us is something that has lead humanity to greatness on many fronts. It is our curiosity and our capacity to extend ourselves to satisfy that curiosity that progresses our relationships, society and humanity. It can also be our downfall.

Some things can’t be explained. For all of our collected wisdom, empathy and intelligence, some things just don’t make sense, and they never will. The drive for closure and for understanding means that society has a tendency to reach for anything to fill the knowledge gap. The easiest ‘anything’ will be that which we understand the least. When it comes to unfathomable human behavior, it’s often whatever mental illness diagnosis is within reach. This not only maintains the stigma, it flourishes it.

Talking about mental illness is important, but in order to destigmatise it, we need to demystify it. Depression can be understood as another adaptive process – a normal response to an often abnormal situation. We all have needs we cannot give up – the need for connection, appreciation and belonging are a few. If the need is not met, attempts will be made to let it go, ignore it or have it met elsewhere. If the need remains important, and the environment unsupportive, the need will be ignored but it will never disappear. The best way to ignore something is to push it well out of the way – to, quite literally, depress it.

The more we stigmatise depression, the more we inadvertently encourage this response. We stop talking. We stop normalising. We stop responding. Isolation, shame and disconnection thrive. The more we grab onto depression to explain the inexplicable, the more we encourage people to ‘depress’ and to keep quiet about their own struggles. The very thing we are fighting, we will force.

As long as we view depression as a maladaptive response, rather than embrace it as existing on the spectrum of a normal one, people will continue to depress. It’s no wonder then that depression is on the rise. We can only speculate as to how different the statistics would be if we were a humanity that embraced emotional vulnerability, rather than pathologised it. The capacity is there, just waiting on the will.

When we accept depression for what it is – a normal part of being human, perhaps then the stigma will start to loosen.

This article appeared on The Huffington Post UK on 1 April 2015. 

(Image Credit: Unsplash | Ravi Roshen)

4 Comments

Samantha

This article says it pretty much how I’ve tried to explain it to people who do not understand what I am going through – anxiety.

Karen, can you possibly point out some more science-y articles that can explain the physiological changes in the body that causes the feelings of depression and anxiety?

Reply
David

I believe your article has tapped into a huge gap of knowledge and discussion. Thank you for writing it. It encouraged me to find new thought patterns that ultimately help me find meaning.

Reply

Leave a Reply

Your email address will not be published. Required fields are marked *


Join our newsletter

We would love you to follow us on Social Media to stay up to date with the latest Hey Sigmund news and upcoming events.

Follow Hey Sigmund on Instagram

Children will look to their closest adult - a parent, a teacher, a grandparent, an aunt, an uncle - for signs of safety and signs of danger.

What the parent believes, the child will follow, for better or worse.

Anxiety doesn’t mean they aren’t safe or capable. It means they don’t feel safe or capable enough yet.

As long as they are safe, this is where they need to borrow our calm and certainty until they can find their own. 

The questions to ask are, ‘Do I believe they are safe and cared for here?’ ‘Do I believe they are capable?’

It’s okay if your answer is no to either of these. We aren’t meant to feel safe handing our kiddos over to every situation or to any adult.

But if the answer is no, that’s where the work is.

What do you need to know they are safe and cared for? What changes need to be made? What can help you feel more certain? Is their discomfort from something unsafe or from something growthful? What needs to happen to know they are capable of this?

This can be so tricky for parents as it isn’t always clear. Are they anxious because this is new or because it’s unsafe?

As long as they are relationally safe (or have an adult working towards this) and their bodies feel safe, the work is to believe in them enough for them to believe it too - to handle our very understandable distress at their distress, make space for their distress, and show them we believe in them by what we do next: support avoidance or brave behaviour.

As long as they are safe, we don’t need to get rid of their anxiety or big feelings. Lovingly make space for those feelings AND brave behaviour. They can feel anxious and do brave. 

‘I know this feels big. Bring all your feelings to me. I can look after you through all of it. And yes, this is happening. I know you can do this. We’ll do it together.’

But we have to be kind and patient with ourselves too. The same instinct that makes you a wonderful parent - the attachment instinct - might send your ‘they’re not safe’ radar into overdrive. 

Talk to their adults at school, talk to them, get the info you need to feel certain enough, and trust they are safe, and capable enough, even when anxiety (theirs and yours) is saying no.❤️
Anxiety in kids is tough for everyone - kids and the adults who care about them.

It’s awful for them and confusing for us. Do we move them forward? Hold them back? Is this growing them? Hurting them?

As long as they are safe - as long as they feel cared for through it and their bodies feel okay - anxiety doesn’t mean something is wrong. 
It also doesn’t mean they aren’t capable.

It means there is a gap: ‘I want to, but I don’t know that I’ll be okay.’

As long as they are safe, they don’t need to avoid the situation. They need to keep going, with support, so they can gather the evidence they need. This might take time and lots of experiences.

The brain will always abandon the ‘I want to,’ in any situation that doesn’t have enough evidence - yet - that they’re safe.

Here’s the problem. If we support avoidance of safe situations, the brain doesn’t get the experience it needs to know the difference between hard, growthful things (like school, exams, driving tests, setting boundaries, job interviews, new friendships) and dangerous things. 

It takes time and lots of experience to be able to handle the discomfort of anxiety - and all hard, important, growthful things will come with anxiety.

The work for us isn’t to hold them back from safe situations (even though we’ll want to) but to help them feel supported through the anxiety.

This is part of helping them gather the evidence their brains and bodies need to know they can feel safe and do hard things, even when they are anxious.

Think of the space between comfortable (before the growthful thing) and ‘I’ve done the important, growthful thing,’ as ‘the brave space’. 

But it never feels brave. It feels like anxious, nervous, stressed, scared, awkward, clumsy. It’s all brave - because that’s what anxiety is. It’s handling the discomfort of the brave space while they inch toward the important thing.

Any experience in the brave space matters. Even if it’s just little steps at a time. Why? Because this is where they learn that they don’t need to be scared of anxiety when they’re heading towards something important. As long as they are safe, the anxiety of the brave space won’t hurt them. It will grow them.❤️
In the first few days or weeks of school, feelings might get big. This might happen before school (the anticipation) or after school (when their nervous systems reach capacity).

As long as they are safe (relationally, physiologically) their anxiety is normal and understandable and we don’t need to ‘fix’ it or rush them through it. 

They’re doing something big, something brave. Their brains and bodies will be searching for the familiar in the unfamiliar. They’re getting to know new routines, spaces, people. It’s a lot! Feeling safe in that might take time. But feeling safe and being safe are different. 

We don’t need to stop their anxiety or rush them through it. Our work is to help them move with it. Because when they feel anxious, and get safely through the other side of that anxiety, they learn something so important: they learn they can do hard things - even when they feel like they don’t have what it takes, they can do hard things. We know this about them already, but they’ll need experience in safe, caring environments, little by little, to know this for themselves.

Help them move through it by letting them know that all their feelings are safe with you, that their feelings make sense, and at the end of the day, let those feelings do what they need to. If they need to burst out of them like a little meteor shower, that’s okay. Maybe they’ll need to talk, or not, or cry, or get loud, or play, or be still, or messy for a while. That’s okay. It’s a nervous system at capacity looking for the release valve. It’s not a bad child. It’s never that. 

Tomorrow might be tricker, and the next day trickier, until their brains and bodies get enough experience that this is okay.

As long as they are safe, and they get there, it all counts. It’s all brave. It’s all enough.❤️
Anxiety on the first days or weeks of school is so normal. Why? Because all growthful, important, brave things come with anxiety.

Think about how you feel on their first day of school, or before a job interview, or a first date, or a tricky conversation when you’re setting a boundary. They all come with anxiety.

We want our kids to be able to do all of these things, but this won’t happen by itself. 

Resilience is built - one anxious little step after another. These anxious moments are necessary to learn that ‘I can feel anxious, and do brave.’ ‘I can feel anxious and still do what I need to do.’

As long as the are safe, the anxiety they feel in the first days or weeks of school aren’t a sign that something is wrong. It’s part of their development and a sign that something so right is happening - they’re learning that they can handle anxiety.

Even if they handle it terribly, that’s okay. We all wobble before we walk. Our job is not to protect them from the wobble. If we do, they won’t get to the walking part. 

To support them, remind them that this is scary-safe, not scary-dangerous. Then, ‘Is this a time for you to be safe or brave?’

Then, ask yourself, ‘Is this something dangerous or something growthful?’ ‘Is my job to protect them from the discomfort of that growth, or show them they are so very capable, and that they can handle this discomfort?’

Even if they handle it terribly, as long as they’re not avoiding it, they’re handling it. That matters.

Remember, anxiety is a feeling. It will come and then it will go. It might not go until you leave, but we have to give them the opportunity to feel it go.

Tomorrow and the next day and the next might be worse - that’s how anxiety works. And then it will ease.

This is why we don’t beat anxiety by avoiding it. We beat it by outlasting it. But first, we have to handle our distress at their distress.

We breathe, then we love and lead:

‘I know you feel […] Of course you do. You’re doing something big and this is how big things feel sometimes. It’s okay to feel like this. School is happening but we have five minutes. Do you want me to listen to your sad, or give you a hug, or help you distract from it?’❤️