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Mary
L. Testa - LMHC, NCC
20 Tobey Village
Office Park Suite #7
Pittsford, NY 14534
Depression
From
the desk of Mary:
If you are one of the Americans who has been "laid
off," foreclosed on your house for inability to make mortgage payments,
working part time because it is impossible to get a full time job and
have no medical benefits to rely on in the event of illness, then you
are in a Major Depression...of more than one kind.
There is an article that can be
found on http://www.medicalnewstoday.com
that reports the fundamental fact that the present economic crisis is
creating a mental health crisis because people are unable to pay their
bills. Both in the United States and the United Kingdom people are
deeply in debt, facing rapidly rising prices for products such as food,
clothes and fuel. This leaves people facing harassing phone calls from
collection agencies.
In any case, the pressure
created by the state of the economy is causing a vast increase in
anxiety, stress and depression. Those who struggle with depression are
feeling even worse than usual. Those who do not usually feel depressed
find themselves suffering from symptoms due to their debt, financial
and economic circumstances. The article uses a term that is new and
unfamiliar: "debt depression."
How depression affects the brain.
Many things can trigger debilitating depression. Feelings of depression
are caused by a chemical change that affects how the brain functions.
A normally functioning brain is a giant messaging
system that controls
everything from your heartbeat, to walking, to your emotions. The brain
is made up of billions of nerve cells called neurons. These neurons
send and receive messages from the rest of your body, using brain
chemicals called neurotransmitters.These brain chemicals—in varying
amounts—are responsible for our
emotional state. Depression happens when these chemical messages aren’t
delivered correctly between brain cells, disrupting communication.
Think of a telephone: if your phone has a weak signal, you may not hear
the person on the other end. Their communication is muted or unclear.
The good news is that there are many forms of treatment that can help
you cope with depression, including medications that can strengthen
weak signals by raising the levels of certain neurotransmitters, or by
improving the neurons’ ability to process signals. This ensures that
the brain’s vital messages are delivered—loud and clear.
Helping Yourself
Every day can feel like a struggle when
you're depressed.
Medical care and
therapy are the
most important steps to recovery. But
there are things
you can do to
help yourself feel better:
- Recognize early signs. It's important
to recognize and treat depression as early as possible, which decreases
your risk of becoming depressed again. If you pretend the problem isn't
there, it's probably going to get worse. You need to watch for the
types of events that contributed to depression in the past, and be
alert for early symptoms.
- Set realistic goals. You may feel
overwhelmed by everything you "should" be doing at home or at work. Try
not to be hard on yourself. Remember that depression is an illness and
that you can't force yourself out of it. Focus on small, realistic
goals to ease yourself back into your work and family routine.
- Do what you enjoy. Even if you don't
really feel like it, set aside time to do things that you like. Get
together with friends. Take a walk. Go to the movies. Take up a hobby
that you set aside years ago.
- Hold off on big decisions. Since
depression can color your outlook on everything, it's best to avoid
making any big decisions—quitting a job or moving, for instance—until
you feel better.
- Avoid alcohol. Although you might
think it will help you feel better, alcohol can make your depression
worse. Depressed people are at special risk of developing substance
abuse problems, and alcohol interacts with many antidepressants.
- Exercise. There's more and more
evidence that exercise helps with mild to moderate depression. When
you're considering an exercise plan, don't be too ambitious. Find
an activity that you like,
start slowly, and work up to exercising three times a week or more for
20 to 30 minutes.
Activities for You
Research
has shown that physical activity can help people overcome mild to
moderate depression. Any type of exercise seems to help. So, to
make it easier to get started and stick with a routine, pick an
activity that you enjoy and that fits your lifestyle.
Here
are some
questions you should ask yourself before choosing a routine:
- What physical activities do I like?
If you enjoy dancing, try an aerobics
class. If being in the water feels good, do lap swimming or water
aerobics. If being out in nature refreshes you, find a park to walk or
jog in.
- Do I prefer group or individual
activities?
If you crave solitude, try a solo bike ride
or an exercise video. If you like company, join a gym, walk with a
friend, or take a class at your local community center. If you're the
competitive type, a game of tennis or one-on-one basketball may fit the
bill.
- What programs best fit my schedule and
lifestyle?
If you spend long hours at work, look for a
nearby gym to visit before or after the workday. Take a brisk walk on
your lunch hour (and get your co-workers to join you).
If spending time with the family is a
priority, try exercising together with family members. Someone who
works or cares for children at home might try exercise videos or walks
around the neighborhood (maybe with the children in tow).
While it's ideal to get 30 minutes of
moderate activity most days, you'll also benefit from several shorter
sessions throughout the day.
- Do I have physical conditions that limit
my choice of exercise?
See your doctor to help figure out what
types of activity will be both safe and enjoyable for you.
- What fitness goals do I have in mind?
Almost any type of exercise can help to
ease depression. But aerobic exercise will also aid weight loss and
improve cardiovascular health. Lifting weights or doing other
resistance exercises will help you gain strength and speed your
metabolism. To improve flexibility, do stretching exercises, yoga,
ballet, or tai chi.
Remember: People with a medical
condition and people who have not exercised much should check with
their healthcare provider before starting any exercise program.
Mary T.
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