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(subtitle: Living and Coping with Depression Fallout)

I picked this book up for pretty obvious reasons, and because I thought it would be interesting looking at depression from the other side. It's basically the first bit of literature on depression that I've read, so I don't have much to compare it to.

Anne Sheffield suffered from what she calls depression fallout -- the fallout and often subsequent depression and emotional damage caused by living with someone who is depressed. In her case, it was her mother. She later went through a depressive episode or two of her own, and also joined a group of family members and loved ones of "depressives." I was a little weirded out by the term "depressives" and how casually Sheffield uses it ("your depressive" or "the depressive may do blah"). I personally don't like thinking of myself as a depressive. She is also extremely pro-medication, which I have yet to make my mind up about. She generally says that while talk therapy can be useful, medication is the most efficient way to get well.

Of course, I focus more on the depressed person's perspective. But Sheffield's accounts of several relationships with depressed people and the subsequent fallout really is incredibly... er... depressing. I felt like quite a monster by the time I was done with the book. I feel it probably has good advice for people who have to live with other depressed people, and it is good that there is something focusing on them. Sheffield comments more than once that the focus of books and doctors all tends to be on the depressed person instead of on those around them, which is probably true. So all in all, it probably has good advice, but it was still pretty painful reading it and thinking about all the nasty stuff I inflict on other people.

(no subject)

Thu, Feb. 17th, 2005 07:13 am (UTC)
Posted by [identity profile] arethusa2.livejournal.com
Yes, people with depression can be difficult and selfish, but so can people with any illness. Don't feel guilty, just concentrate on feeling better. You're not a monster, any more than someone with pneumonia or a heart condition is a monster for needing extra care.

I can't make my mind up about medication either. I don't want an efficent cure, I want a cure that keeps my mind clear and which I can control. I also realize that I tend to get more depressed when I am unhappy with an aspect of my life that I've been to frightened or lazy to change, and I don't want to medicate that feeling away. It forces me to be strong enough to change. But all this depends on the severity of the depression, I think. People who are very severely depressed might be unable to do anything to lift themselves out of it by themselves, and might need medication.

(no subject)

Thu, Feb. 17th, 2005 02:11 pm (UTC)
thinkum: (women)
Posted by [personal profile] thinkum
I can't make my mind up about medication either.

It really should not fuzz out a patient's brain or create a loss of control, nor remove the ability to feel "down" or unhappy -- antidepressants aren't tranquilizers. Correctly tailored prescriptions will eliminate inappropriately-wide swings in mood, so that a patient is not faced with a completely unmanageable emotional load. On the medication and dosage that's right for them, they can deal with everyday problems from a more objective viewpoint; their energy can go into implementing change more efficiently, rather than struggling to recognize it and form a gameplan.

Having said that, medication is not for everyone. It does, indeed, depend on the severity of symptoms, and on the root cause of the patient's depression. (It can also take a while to fine-tune, by trial and error, the right set of prescriptions.) All I'm saying is to not rule it out, or get stressed at the idea. There's no reason to let life be any harder than necessary, when there are treatments that can help "normalize" how the brain functions. Think of it as leveling the playing field. ;-)

medication

Sat, Feb. 2nd, 2008 07:54 am (UTC)
Posted by [identity profile] uuesti-ajutine.livejournal.com
I do wonder, myself, that my disastrous experience with medication (4 different drugs and my situation deteriorated much faster when medicated and after a year on different medication I had lost ability to work or, indeed, function in the society nearly entirely) may not be entirely blamed on the drugs - it is entirely possible that the drugs DID have the potential to help, but being on drugs was such an additional stress on me, that the additional stress may have been the reason for the decline, not the drugs (even if my mind wants to lay the blame on the drugs, of course).

Of course, as the distress was too big to talk about (in fact there were times I was nearly mute) the talking therapy did not help either.

Even if one therapist agreed to talk to me instead of expecting me to talk and THAT made me understand that being talked to DOES fish me out of being mute.

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