19th of July 2013
During the two weeks I was working in my summer job, I had a lot of extra time to do research when no one needed my assistance. I have gathered a lot of information from websites and I have read more section of the book that I checked out over the summer.
THE TRUTH ABOUT FEAR AND DEPRESSION
Pg. 40-42
Denial – defense mechanism
- Denial is a DEFENCE MECHANISM used to avoid dealing with pain
- Denial is a conscious behavior because people are aware on some level that they are denying reality
- A person may act like something (a problem) is not real or doesn’t exist to protect themselves
Repression – defense mechanism
- Repression is a defense mechanism where unpleasant thoughts, memories or events are pushed from awareness to the unconscious mind.
- Unlike denial people who repress painful things are not aware that they are doing it.
Reaction Formation – defense mechanism
- Reaction formation occurs when someone adopts feelings attitudes or behaviors that are opposite from their desires
For example: if a person has feelings that are deeply upsetting to them; he or she may express exaggerated attitudes or behaviors that are the opposite of his or her beliefs.
- The exaggeration is an attempt to get rid of unwanted feelings
For example: if someone is attracted to another person, who is of the same gender as them, but believes that homosexuality is wrong, he or she may express disgust or resentment towards anything related to homosexuality.
Pg. 43-45
Depression + Alcoholism
- Depression is a mental disorder cause by the chemical imbalance in the brain
- Many people who suffer from depression also suffer from alcoholism.
- Some people who experience depression might self-medicate by drinking heavily in order to numb the pain.
- Alcohol is a depressant. Therefore it can intensify depression.
- Depression + alcohol addiction cannot only be harmful to a person, but deadly.
Studies have shown that half of the teens who abuse alcohol and other substances have a mental disorder as well.
- 37% of alcohol abusers have at least one other serious mental disorder
- 29% out of all the people diagnosed with mental disorder either abuse alcohol or drugs.
Symptoms and Recovery
- At times of symptoms of alcoholism and depression can overlap, making diagnosis and treatment more difficult
Symptoms of alcoholism that overlap with symptoms of depression include:
– Drinking alcohol excessively
– Feeling overly tired, exhausted
– Sleep difficulties (too much, or not enough)
– Gastronomical discomfort (nausea, diarrhea, ulcers)
– Headaches
– Feeling emotionally “numb”
– Eating difficulties (too much or not enough)
Physical effects of alcohol
- Alcohol slows down the central nervous system
Common short term effects include:
– Decreased inhibitions
– Relaxation
– Talkativeness
– Sociability
Further effects:
– Blurred vision
– Impaired hearing
– Loss of concentration
– Loss of coordination
– Loss of muscle control
– Slurred speech
– Loss of vision
– Wobbly legs
ABUSING ALCOHOL MAY LEAD TO A LOSS OF CONSCIOUNESS AND DEATH
Long term effects of alcohol abuse:
– Cancer of the mouth and throat
– Stomach ulcers
– Gastritis
– Diarrhea
– Fatty liver
– Cirrhosis
– Anemia
– Skin problems
– Diminished physical abilities
Pg. 46
Suicide
- Depression increases the risk of suicide
- One of the primary factors of suicide + suicide attempts is alcohol abuse:
- 35% of suicide victims tested positive for elevated blood alcohol levels
- Teens who drink are twice as likely to kill themselves
- Alcohol is a major factor in impulsive suicides or attempts that are not planned out.
- Since alcohol reduces the ability to make good decisions and is a depressant, it may push a depressed person to consider suicide.
Pg. 47
Depression and Families
Depression Affects Families
- People who experience depression withdrawal isolate themselves. They may start to use drugs or alcohol to coop with what they are feeling.
- Others may become irritable and moody and have anger outburst.
- Episods of depression can be triggered by stressful events like:
- Unemployment
- Financial problems
- Illness
- Martial problems
- Traumatic events
TEENS SPEAK
Notes:
“Living with Family Members Suffering From Depression”
- The mother would always want to be alone, when she was usually really close with her daughter and loved her company
- She slept a lot
- She seemed to more like a robot than a person
- She stopped eating; she didn’t look healthy
Children
- It is harder to diagnose children because behavior varies, determining whether a child us going through a phase or has depression is difficult.
- Irritability, anxiety and complaints about boredom are normal parts of childhood.
Preventing Actions for teens
- Preventing depression begins with understanding the problem
- Seeking professional help is important because depression rarely goes away on its own
- Discussion with people you trust is important
- Stay physically healthy: eating right, regular exercise, and sleeping well
Depression in the Family
- When a family member has depression the whole family is affected
- Different people have different coping methods to deal with the loved one with depression.
Insomnia
Introduction
- Insomnia is a sleep disorder that is characterized by the difficulty of falling asleep or staying asleep
- Symptoms include:
- Difficulty falling asleep
- Waking up often during the night and having trouble going back to sleep
- Waking up too early in the morning
- Feeling tired upon waking up
- Problems with concentration
- Irritability
Types of Insomnia
- Primary insomnia: sleep problems that are not associated with any other health problem or illness
- Secondary insomnia: sleep problems because of something else, such as a health condition or illness.
- Depression
- Asthma
- Arthritis
- Cancer
- Pain
- Heartburn
Acute insomnia is when a person’s insomnia is short term and chronic insomnia is when a person’s insomnia is long term.
Causes of acute insomnia
- Stress
- Illness
- Emotional or physical discomfort
- Environmental factors, such as:
- Noise
- Light
- Extreme temperatures
- Some medications (medication used for treating depression)
- Interferences in normal sleep schedule
Causes of chronic insomnia
- Depression and or anxiety
- Chronic stress
- Pain or discomfort at night
Notes on what causes depression:
What is depression?
- Not to be confused with occasionally feeling sad because this is normal; it happens to everyone and the feeling with eventually pass.
- When a person has depression it interferes with their daily activities and causes pain for both the diagnosed and the people who care about the person.
- Many people with depression never seek treatment, however depression is a very treatable illness.
- Forms of treatment: medications, psychotherapies and other methods can treat people with depression.
What are the different forms of depression?
- Major depressive disorder or major depression is characterized by a combination of symptoms that interfere with a person’s ability to do simple everyday tasks. It is disabling and stops people from functioning as they normally would.
- Dysthymic disorder or dysthymia is explained to be a long term effect on a person (lasting two years or longer) that will not necessarily be severe enough to disable a person but will still prevent them from functioning normally or feeling well
- Minor depression is characterized by having symptoms for two weeks or longer, that does not mean that the person meets the full criteria for major depression. Without treatment people who have minor depression are at a high risk for developing major depression.
- Psychotic depression occurs when a person has severe depression plus some form of psychosis, such as being delusional or having hallucinations.
- Bipolar disorder also called manic depressive illness is not as common as major depression. It is described as a disease that gives you major mood swings – from extreme highs (mania) to extreme lows (depression)
What are the signs and symptoms of depression?
- Persistent sad, anxious, or empty feeling
- Feelings of hopelessness pessimism
- Feelings of guilt, worthlessness or helplessness
- Irritability restlessness
- Loss of interest in activities and hobbies that once were pleasurable to the person, including sex
- Fatigue and decreased energy
- Difficulty concentration, remembering details and making decisions
- Insomnia
- Appetite loss or over eating
- Thoughts of suicide and suicide attempts
- Aches or pains, headaches, cramps. Or digestive problems that do not ease even with treatment.
- `I started missing days from work, and a friend noticed that something wasn’t right. She talked to me about the time she had been really depressed and had gotten help from her doctor. `
What illnesses often co-exist with depression?
- Anxiety disorders such as, post traumatic stress disorder, OCD, panic disorder, social phobia and generalized anxiety disorder, often accompany depression, meaning that if you have depression than it is very possible that you may have one of these illnesses as well.
- PTSD occurs when the person has experienced a terrifying event or ordeal such as a violent assault (rape), an accident, terrorism, war, ect.
- Alcohol and other substance abuse issues may also co-exist with depression.
- Depression will also occur with other serious health problems such as heart attacks, stroke, cancer, HIV/AIDS, diabetes and Parkinson’s. People in this situation tend to have more severe symptoms.
What causes depression?
- Most likely depression is cause by a combination of genetic, biological, environmental and psychological factors.
“It was really hard to get out of bed in the morning. I just wanted to hide under the covers and not talk to anyone. I didn’t feel much like eating and I lost a lot of weight.
“Nothing seemed fun anymore. I was tired all the time, and I wasn’t sleeping well at night. But I knew I had to keep going because I’ve got kids and a job. It just felt so impossible, like nothing was going to change or get better.”
How do children or teens experience depression?
- A child with depression might pretend to be sick, refuse to go to school, cling to a parent, or worry that the parent may die.
- Older children may sulk, get in trouble at school, be negative and irritable and feel misunderstood.
- Before puberty boys and girls are equally as likely as to develop depression but after puberty girls are twice as likely to develop depression
How is depression diagnosed or treated?
- Visit a doctor or mental health specialist
- The doctor may refer you to a mental health specialist. Once diagnosed a person with depression can be treated in many different ways. The most common treatments are medication and psychotherapy.
How can I help a loved one who is depressed?
- Help your friend, make an appointment and then go with him or her to the doctor’s office.
- Encourage your loved one to stay in treatment
- Offer emotional support, understanding, patience and encouragement.
- Talk to him or her, listen carefully.
- Never dismiss feelings or ignore comments about suicide ad report them to your loved ones therapist or doctor.
- Remind your loved one that over time and with treatment the depression will lift.
http://www.nimh.nih.gov/health/publications/depression/index.shtml
The Truth About Fear And Depression
Substance Abuse – pg. 54
(Alcohol) Short term effects:
- Disorientation
- Impaired vision
- Loss of touch with reality
When drugs are injected into the bloodstream, diseases such as HIV/AIDS and hepatitis can occur through the use of dirty syringes.
If the drugs are taken through the nasal passage damage can occur to the nose and sinus cavities.
Drugs that are taken orally can irritate and damage the gastronomical tract and inhaling drugs can lead to an increase in the risk of getting lung diseases.
Depression, Causes Of – pg.56
No one knows for sure what causes the chemical imbalance that result in depression. This is why researchers and scientists focus on risk factors rather than causes.
For example: cancer is a risk factor for depression
Depression could be triggered from traumatic events
Psychological Risk Factors – pg. 59
Childhood experiences:
People who become depressed usually, more often than not experience a traumatic event in their childhood, such as:
- Sexual or physical abuse
- A violent upbringing
- Separation from a parent
- Mental illness in a parent
Stress:
Stress is an emotional response to “disruptive” or “upsetting” event that occurred.
Some people develop depression after a stressful event occurs.
Events such as:
- Death of a loved one
- Loss of a job
- End of an important relationship
Those events are classified as negative triggers; stress can be also caused by positive triggers.
Positive triggers:
- Marriage
- A move to a new city
- A new job
Both positive and negative triggers can cause depression.
Stress can also occur as a reaction to loneliness or the feeling of loss.
Although the normal reaction would be grief.
Grief usually starts as a result of an event occurring. For example: the death of a loved one. However, it usually passes with time.
Grief usually resolves itself, but when it does not then the person is at the risk of developing depression.
“DEPRESSION IS – AT ANY AGE – A TREATMENT CONDITION.” – pg. 64
Genetics and Family History
- In some families depression occurs generation after generation. This shows that depression is possibly inherited; however people who do not have a family history of depression can still develop depression.
- Certain genes may cause depression or stressful factors in the household environment can increase the risk of family members developing depression. For example: an abusive family.
In addition, to help me create ideas for what my pictures are going to show my friend sent me a short film on depression. I believe that seeing this film will give me a better incite on how I can portray depression and its effects on a person in a visual way. I had originally put in my research plan that I should be looking at music videos about depression, but I believe that short films will work just as well or even better.
Furthermore, when I was working at Roche I found out that one of the employees in the office I was working at liked taking photos at a professional level. Unfortunately, I didn’t have much time to interview him, but he gave me some good tips about what I would want to do to take different kinds of photographs. He also recommended two photo editing softwares that did not only work very well but that don’t cost a lot of money. I will record what he said to me in more detail in my next process journal entry. .