Posts Tagged 'questions-and-answers'

Q&A: Isolation

DoodleIn Questions and Answers I try (as a true ExpEx, Expert-by-Experience) to answer some of your questions, as brief as possible.

Question that was asked yesterday:

“Why do we isolate ourselves when we are depressed?”

Answer: In my view there are four main factors that can make us isolate ourselves when in a depression: (1) Broken Filtering, (2) Exhaustion, (3) Shame and (4) Alienation.

The first one means that during depression, all sensory impulses from the world around us can come in either too weak, or much too harsh and intense; in which case we tend to protect ourselves from total confusion by temporarily “shutting off”. For a description of this mechanism, see my post Broken Filtering.
    The next two factors, exhaustion and shame, are more self-evident. Exhaustion can be caused either directly by depression itself, or by the lack of adequate sleep that sometimes comes with depression. We then isolate ourselves because we feel we don’t have any energy left to get in touch with others. As for shame, this of course has to do with the self-deprecation that is inherent to depression. I discussed this several times here; for an example see my post Shame.
    The fourth factor is the feeling that we’re already isolated and alone anyway, that nobody understands us in our depression, so it won’t matter anymore: a kind of indifference together with a feeling of alienation. For a description that comes close to this effect, see my post Fleeing the Party.


Q&A: Naps

DoodleIn Questions and Answers I try (as a true ExpEx, Expert-by-Experience) to answer some of your questions, as brief as possible.

Question that was asked this morning:

“Will afternoon naps worsen depression?”

Answer: No, not necessarily. Exhaustion caused by a horrible, nightmarish, sleepless night can have a far worse effect on depression. So in that case, getting over your tiredness by taking a brief daytime nap can be a good strategy.

But afternoon naps can worsen your depression if you disregard two important, fairly self-evident conditions:

(1) Don’t let them disrupt your day in a way that makes you feel you lost control. In other words, after a bad night, strategically planning in an afternoon nap is much better than allowing yourself to just drift away into sleep on your TV couch. Use your bed, so the nap will be a well-defined and well-demarcated “activity” within your day scheme.
(2) Don’t sleep for too long. Set an alarm! For nearly all people, somewhere between 30-50 minutes works best for a refreshing daytime nap. Sleep much longer and you may (a) be less alert and less active for the rest of the afternoon, and (b) have more trouble to get some good sleep the following night: meaning the problem will keep repeating itself.

We’re all different of course, but stick to these two basic rules and sometimes an afternoon nap can work well – at least for myself and for most other depressed people that I happen to know.


Q&A: ECT

DoodleI’ve decided to open a new category: Q&A (Questions and Answers). Here I will try to answer some of your questions, as brief as possible.

Question that was asked yesterday about electroshock therapy:

“Can ECT make me more depressed?”

Answer: No, usually it will not. Not by itself.

But indirectly it can contribute to depression, in two main ways:

(1) Psychologically: for some people, regular day-long hospital visits for intensive ECT treatment can be an extra tiring burden and increase your feeling that you’re a very serious case. This might make you feel more depressed.
(2) As a result of side effects: for a few people, serious effects can occur (like structural long-term memory loss) that may disrupt your daily life or even relationships. Eventually, this also can make you feel more depressed.

We all may react differently, in positive or in negative ways, so it’s hard to tell in advance what the end result will be in your particular case.

But if you think about having ECT as a last-resort treatment for depression, it makes sense to also consider the possibility of a negative end result.


 


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Today In History:

Ethel du PontMay 25, 1965 –
Ethel du Pont (49, former wife of President Roosevelt's son Franklin Delano Roosevelt Jr.) hangs herself in her bathroom with the belt of her dressing gown. She had mentioned suicide several times before and was “under psychiatric care” for her depressions.
   In the 1930s, as a wealthy heiress from the Du Pont family, she had been a well-known socialite. In 1937 her marriage with the President's son had been a major event, with the couple being featured on the cover of Time Magazine. After their divorce in 1949 she had married lawyer Benjamin Warren.
   Following Ethel's suicide, the rich Du Pont family established the Harvard Medical School Ethel du Pont-Warren Fellowship Award to specifically support psychiatric research.

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