by thefatman » Thu Jun 22, 2006 7:42 pm
Dear Cacry,
It does sound as though you might be depressed. Have a read through the symptoms and see whether this picture is familiar, particularly the psychological stuff. If you are depressed it is a very real illness and needs treating, just as if you had any other illness. Certainly that feeling of your brain not working and feeling foggy is a very familiar feeling to me.
Physical symptoms: Insomnia (may take the form of early morning waking, being unable to get to sleep at the beginning of the night, or broken sleep), fatigue, anergia (lack of energy), poor appetite, weight loss, diurnal variation of mood (usually feeling worse in the morning and a bit better as the day goes on), loss of libido.
Psychological symptoms: Low mood, anhedonia (inability to experience pleasure), self blame, guilt, feelings of worthlessness, hopelessness and helplessness, irritability, suicidal ideas.
Cognitive symptoms: Poor concentration, memory impairment, selective memory for unhappy events, negative self-appraisal/self criticism.
Some people have more of these symptoms than others. Some people have "atypical" depression, in which rather than insomnia and loss of appetite they sleep all the time and crave carbohydrates. It varies from person to person.
Its really good that you're not having thoughts of harming yourself, but that doesn't mean that if you have depression, its not serious. It can affect your job and relationships and just stop you from feeling like you. Its worth getting help. Depression is not just
First of all I'd suggest talking to your family doctor (in the UK we call them GPs, not sure what they are elsewhere) and having a chat about your feelings. Include the physical stuff as well as your thoughts. They don't have to give you medication, although if they offer you an anti-depressant, think about why it is you are saying no. They are very effective drugs, although I know some people don't feel comfortable taking them. Certainly some of the side effects (e.g. paroxetine had me vomiting for two weeks straight, and then it abruptly stopped) can be unpleasant.
They may refer you for some sort of counselling or therapy. There are all sorts of different ones out there. What works for you will depend very much on your budget and personality. It will also depend on your therapist. If you take an instant dislike to someone, don't go and see them. You will be wasting your time and theirs. I found cognitive therapy very effective. Some people like it, some people think of it as a "sticking plaster" that doesn't work on the real problems and prefer psychodynamic/psychoanalytic therapy. Basically, see what works for you, find someone you feel comfortable with and go from there. Your doctor may be able to reccommend someone. Certainly find out what training anyone you see has had, and if they qualified by correspondance course I would be wary!
As a sort of "quick start" I would suggest upping your exercise (a quick jog sends endorphins to the brain which improve your mood), keeping a mood diary (recording what your mood is like at various points during the day and what activities you are doing at those points), writing down your worries before you sleep (helps the brain switch off for some reason) and if possible, telling someone close to you how you are feeling. Above all, don't beat yourself up for feeling this way, or for not being able to do what you normally would be able to do.
Don't feel bad for feeling this way. It happens to a lot of people, intelligent people, successful people, probably even people you know. Many people struggle with depression alone, never realising that there are a lot of people around them who have suffered from the same thing. If people tell you to pull yourself together or snap out of it, ignore them. They have no idea what they are talking about.
I hope some of this was useful. Sorry for such a long response. A book you might find helpful is Overcoming Depression, Dr Windy Dryden and Sarah Opie, ISBN 0-85969-818-1.
Good luck.