Category: Emotions

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Depression Emotions

What Are the Different Types of Depression?

Two Basic Causes of Depression

As I pointed out in another one of my blog articles,  there are basically 2 causes of depression: 1) Some depressions are caused by physical and chemical reactions while 2) others are stimulated by life experiences or psychological reactions.

Go here to read that blog article:  http://www.drrevelmiller.com/2019/10/what-are-the-causes-of-depression/

Below I will talk about the psychologically based depressions because that is what I know most about.

7 Common Types of Psychological Depression

There are a number of different types of psychological depression and you may have heard about some of them. Here is a list of 7 current diagnosable forms of depression with brief descriptions:

  1. Major Depressive Disorder

Also known as “clinical depression”, this is a serious form of depression that may present daily symptoms such as:

  • Prolonged depressed mood
  • Serious sadness and hopelessness
  • Frequent crying
  • Diminished interest or pleasure in most activities
  • Significant weight loss or gain
  • Insomnia or sleeping more than usual
  • Fatigue and loss of energy
  • Slow movement
  • Feelings of worthlessness or excessive guilt
  • Diminished ability to think, concentrate or make decisions
  • Recurrent thoughts of death
  • Suicidal ideas or attempts
  1. Persistent Depressive Disorder

This milder variation of Major Depressive Disorder presents with the same symptoms except the symptoms are less severe. This is a more common form of depression that we will all probably suffer from at some point in our lives.

  1. Disruptive Mood Dysregulation Disorder

This depressive disorder presents with symptoms such as frequent temper outbursts and persistent irritability or anger. It is quite socially disabling and people with this disorder are disliked by others who may feel upset or damaged by their chronic critical ranting and explosiveness.

  1. Bipolar Disorder

Once commonly referred to as “Manic-Depressive Disorder”, this cyclic Bipolar Disorder involves extreme mood changes ranging from euphoria and elation to deeply depressive episodes. The manic or high energy period may include symptoms of: inflated self-esteem or grandiosity, decreased need for sleep, more talkative, racing thoughts, distractibility, increased goal activity, excessive movement and risky behaviors. When in an either manic or depressive cycle, this condition may creates serious impairments in daily functioning.

  1. Substance/Medication-Induced Depressive Disorder

This is a depressive mood disorder developed during or after substance/medication intoxication or withdrawal.

  1. Premenstrual Dysphoric Disorder

Often referred to as “Pre-Menstrual Syndrome” or “PMS”, this disorder has many symptoms that arise before menses begins and disappear after the menstrual cycle is completed. This condition impacts women both physically and emotionally and makes the mood-related symptoms of depression more severe.

7. Unspecified Depressive Disorder

As the name implies, this variation of depression offers an atypical presentation. The symptoms are characteristic of a depressive disorder that impairs social, occupational and other forms of functioning but don’t meet the criteria for any of the other 6 depressive disorders.

Other Forms of Depression

Less common forms of depression may include: 1) a new mother’s Post-Partum Depression after an infant is born or 2) Seasonal Affective Disorder when a person reacts with depression to the loss of light during seasons with less sunlight.

Caution: Don’t Diagnose Yourself!

The above information is meant as a basic guideline. It is usually very difficult to accurately diagnose your own condition or its causes. To play it safe, consult with a mental health professional or a physician to determine what you are experiencing.

Selecting the appropriate treatment option depends entirely on your being assessed and diagnosed by a health professional who can then suggest an appropriate treatment approach. Treatment may include talk therapy, psychiatric medication or a combination of these two methods.

Therapy and Recovery

With effective therapy, you should be able to:

  • Experience relief
  • Feel your heavy mood lift
  • Restore your energy
  • Gain a positive perspective on life and yourself
  • Feel grateful to feel alive again

There are no quick fixes. Healing takes time. Recovery by psychotherapy, medication or a combination takes commitment and discipline. A skilled therapist with a specialty in depression can be a helpful diagnostician and guide to help you forge a path toward healing and recovery.

 

For more information about Depression, read some of my other blog articles with titles such as: What Are the Causes of Depression?; How Do I Select a Therapist for My Depression?; How Do I Determine If I Need Depression Counseling?; How Do I Find Relief If I Am Depressed?; Why Is Depression So Common in the USA?; Is Depression a Common Problem in the USA?; How Does Depression Manifest Itself in Human Beings?; What Are the Signs and Symptoms of Major Depression?

 

You can learn more about my Depression Counseling services by clicking this link below:

http://www.drrevelmiller.com/what-we-treat/depression-counseling/

 

I am experienced in diagnosing and treating people with depression. I may able to help so don’t needlessly continue to suffer. Call Me Soon at (805-448-5053) for a consultation.

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Depression Emotions

How Do I Determine If I Need Depression Counseling?

What Steps Should I Take to Determine If I Need Therapy?

Only you can determine whether or not you need help. But you need to be honest with yourself and admit to your current problems and mood.

First of all, you need to assess whether or not you are depressed and then take action steps to find a therapist:

  1. Self-Assessment – Am I Depressed or Sad?

First, recovery begins by differentiating sadness from a deeper depressive disorder. Depression is deeper and more persistent, serious and painful than sadness. It is an over-bearing and ever-present mood disorder not just a temporary feeling of sadness or loss. Seeking personal clarity through self-evaluation can help you face your emotions honestly.

With this self-assessment and increased self-awareness, you can better deal with what is happening emotionally within you as well as admit your need for help. Your suffering should not be minimized or taken lightly.

  1. Seek Professional Help

Second, your next step is to identify and select a treatment professional to assist you back to feeling more positive and alive again. Once you’ve accepted that you are experiencing more than temporary melancholy and realize that you are significantly depressed, then you need to reach out for help.

However, when you’re feeling so low, the idea of seeking out a professional may seem overwhelming. Ask a friend or family member for help and don’t give up too soon.

Seeking professional assistance is an important step toward a healthy and happier life.

When looking for depression counseling, be sure to find someone who is knowledgeable, experienced and compassionate. Read my article on “How Do I Select a Depression Therapist?” by clicking on this link below:  http://www.drrevelmiller.com/2019/10/how-do-i-select-a-therapist-for-my-depression/

 What Are the Symptoms of Depression?

Check out the diagnostic signs and symptoms of depression below and honestly identify how many you are currently experiencing. If you are suffering with 5 or more of these symptoms, then you are clinically depressed and need professional help to lift out of your depression.

Here Are the Main Diagnostic Signs and Symptoms of Major Depression:

  1. Depressed mood with feelings of sadness, hopelessness, apathy, emptiness and tearfulness
  2. Markedly diminished interest in sex and pleasurable activities
  3. Social isolation and withdrawal from usual social interactions
  4. Significant weight loss or gain, or decrease or increase in appetite
  5. Sleep disturbance at night or sleeping much more than usual
  6. Anger, physical agitation and mental distraction
  7. Sedentary behavior and slow movement
  8. Fatigue or loss of energy
  9. Feelings of worthlessness or excessive guilt
  10. Reduced ability to make decisions, concentrate, organize or think clearly
  11. Recurrent thoughts of death
  12. Suicidal ideas with or without a plan or an attempt
  13. These symptoms cause significant distress or impairment in the patients’ social and work functioning.

These symptoms are not attributed to drug abuse or a medical condition.

If you experience 5 or more of these symptoms above then you are probably depressed and can benefit from a professional evaluation and treatment.

One to three of these symptoms does not mean you suffer with Major Depression. You may be struggling with a short-term transitional challenge or reacting to a sad or disappointing event.

What Is Depression Treatment?

Several different types of “talk therapies” are a proven approach for many variations of depression. Medication treatment by a prescribing physician may also be helpful.

Although you may feel somewhat overwhelmed by assessing your symptoms of depression, you do have control over how you respond to depression and you owe it to yourself and your loved ones to lift out of it. They want you participating more actively in their lives! Put an end to your frustration and suffering. Don’t keep perpetuating it.

Wouldn’t you seek medical attention for a disturbing physical symptom or pain? Similarly, you are taking positive action by seeking professional help for your psychological and emotional depression. Don’t hesitate to seek treatment. You won’t regret it!

The positive news is that recovery is very possible. The goals of treatment are a lasting recovery, personal insight, restored energy and emotional growth.

You Are Not Alone

Depression is common and nothing to be ashamed of. At this very moment, there are millions of US citizens suffering from depression. At one time or another, it hits almost everyone.

I have provided depression counseling for hundreds of clients for over 30 years and I am ready to help you recover and live a more fulfilling life. Let’s work together and lift you out of the darkness. You deserve to feel better.

Please contact me soon for a consultation – 805-886-4050. Learn more about my services here: http://www.drrevelmiller.com/what-we-treat/depression-counseling/

 

Categories
Depression Emotions

How Do I Find Relief If I Am Depressed?

There Are 4 Basic Ways to Treat Depression:

  1. Psychiatric medicine works well for some patients but not everyone.
  2. Psychotherapy or depression counseling are very helpful for most people.
  3. Combining psychotherapy with psychiatric medicine works well for some people.
  4. Improving personal self-care is helpful for most people and supports psychotherapy and medicine.

Do You Want to Try Medicine?

You may want to try psychiatric medicine to control the symptoms of depression. If you do, then you might want to consult first with your primary care physician about treatment. Most anti-depressant medications in the USA are prescribed by primary care medical providers however they sometimes refer you to a psychiatrist for evaluation and initial prescriptions.

I tend to refer clients to psychiatrists because they specialize in mental health problems and psychiatric medications.

After assessing that you are a good candidate for psychiatric medicine, prescribing the first medication can be tricky. There are many different medicines to choose from and no physician can predict how you will respond to one. If you are lucky your first prescription will be quite helpful and include no negative side effects.

Usually, your doctor will need to make several adjustments before deciding to stick with one medicine and he/she will rely on your feedback to make changes. So, be sure to make a follow-up appointment, take the medicine exactly as prescribed, and accurately write down the positive and negative effects of your medicine. Keep meeting with your doctor until you find the right medicine and dosage.

Do You Want to Try Counseling?

Perhaps you want to talk about your depression with a counselor. You may want human support form a professional to get relief from your depressed state. Talking with an understanding and warm psychotherapist is popular and often helpful.

With depression counseling, most psychotherapists will want to evaluate you before suggesting a treatment plan. There are a number of different types of treatment approaches so be sure to ask your therapist what type of methods they use to treat depression. If it makes sense to you and you feel comfortable with your new therapist, then accept treatment and attend your sessions regularly.

In the USA, there are usually 3 different types of state licensed mental health professionals for you to choose from: 1) Clinical Psychologists, 2) Clinical Social Workers and 3) Marriage and Family Therapists.

Are you Interested in Combining Medicine and Counseling?

For some people, neither medication or psychotherapy may be effective enough alone. Therefore, combining the two is considered by many professionals and patients to be the best route to take if you can find a therapist you trust and get good results from medicine.

Do You Want to Improve Your Self-Care on Your Own?

There are actions you can take to combat depression however they require effort and discipline.

Here is a list of some practices to consider: nutrition, exercise, skin exposure to sunlight, watching humorous movies, talking to friends and loved ones, wrapping up old unfinished business, allowing yourself to grieve a loss, relaxation, massage, meditation, mindfulness, travel, withdrawal from toxic relationships, stop using alcohol and illicit drugs, etc.

Without much difficulty or interference, you can always combine these in with medication and depression counseling. In these self-care areas, you may need to consult professionals as well, such as: nutritionists, personal trainers, masseuses, meditation teachers.

Are You Depressed?

If you suspect that you are suffering with depression for more than a few weeks, don’t allow your painful feelings to linger on. You deserve more than sadness, pain and isolation. If you are concerned about your mood, make an appointment to get evaluated by a mental health professional and carry through with the treatment recommendation.

Do you Have a Friend or Family Member Who Is Depressed?

If  you suspect that a friend or relative is suffering with depression, reach out and take action. Intervene and discuss their feelings with them and persuade them to get professionally evaluated. Help them to find treatment and encourage them to make their first appointment. Support them in trying to overcome their depression.

Take Action Now. Don’t wait!

A depressed mood usually will not vanish on its own unless it is a reaction to a mildly stressful event. Don’t prolong or put-up with the pain and suffering. Depression treatment is vital. Hoping, praying and wishing will not make it disappear.

If you are depressed, then you are not alone. You can feel better.

As a clinical psychologist, I am available to help. Please call me soon for an initial meeting at 805-448-5053.

Learn more about my depression services here: Depression Counseling

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Depression Emotions Men's Issues

Why Is Depression So Common in the USA?

Many people wonder why there are so many depressed citizens in the United States? After all, this is supposed to be the most advanced country in the world. This is “the home of the free” where we all venture forth in “the pursuit of happiness”. So, why do so many of us struggle with depression and other mental health problems?

And what about us lucky souls who live in Santa Barbara = “Paradise”? How can we possibly be depressed while living in such a pleasant environment with a near perfect climate for human beings?

5 Factors May Contribute to the Prevalence of Depression in the USA.

 Several theories exist among mental health professionals regarding the growing problem of depressive mood disorders. Consider the following 5 theories:

1. Americans drop into economic hardship.

The size of the middle class has decreased rapidly and more people have descended into financial struggles and uncertainty. Wealth is not fairly distributed amongst our citizens. When people are unable to find jobs or meaningful work with reasonable compensation, they feel stuck, worthless and depressed. Often, they see no way out of their dour position. However, most people want to be financially self-reliant, independently take care of themselves and provide for their family members. This is a disappointing reality to face. We were promised more equality and a higher standard of living. Financial stress creates depressing self-esteem problems.

2. Americans reach adulthood.

As the American population grows more people reach adulthood. Thus, more people reach the age or season of life in which depression and anxiety are most common. Adults suffer with more depression per capita than children and adolescents.

3. American interpersonal relationships and community ties are weaker now than in past decades.

Anecdotally, we know that a high divorce rate, periodic residential relocation, an increasingly isolating tech boom, and a magnified global awareness contribute to feelings of alienation and decreased face-to-face interactions. Additionally, mastery of healthy relationships, community contribution and communication have declined. This results in a diminished sense of belonging, support, meaning and purpose in our daily lives. Moreover, loneliness, social isolation and low self-esteem promote depressive thinking and moods.

4. Americans are often motivated and focused on wealth, fame, and image.

Some research supports the idea that the value placed on consumerism, materialism, and self-promotion in recent decades is detrimental to mental health. Focusing on these values may be linked to dissatisfaction, disappointment and insecurity that fuel depression.

5. American expectations may be too high.

Despite the best intentions of parents, schools and the mental health community in recent years, emphasis on unrealistic self-positive affirmations are harmful. By focusing on thoughts like “you can be anything you want/dream/desire”, Americans are setting-up themselves and their children for disappointment. Unmet expectations of ourselves based on other’s distorted beliefs about our inner abilities and potential prove discouraging and depressing over time. If we fail to reach our promised potential, it is a very big let-down.

If you are depressed, it may not be your fault or a sign of weakness. And remember, you are not alone. You can feel better. Depression counseling is helpful for you and your loved ones.

Remember that I’m here to help you. Call me soon (805-448-5053) for a brief phone consultation. And to learn more about my depression counseling services go here: Depression Counseling

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Depression Emotions Men's Issues

Is Depression a Common Problem in the USA?

Are you sad, low and unable to bounce back?  Do you think you might be experiencing depression? Are you feeling lonely and inadequate?

If so, you are far from alone.

Depression Is a Big Problem in the USA.

Depression in the United States is very common and on the rise. In fact, you may be experiencing or witnessing depression in others more routinely than you realize.

Scientific studies in recent decades reveal that depression befalls millions in America annually. We know, too, that we don’t recognize its prevalence at times because depression often manifests differently among those of various genders and ages. Meanwhile, depression counseling is on the rise.

For instance:

  • Do you interact with men who are always irritable, angry, prone to recklessness or substance abuse?
  • Do you notice women who are typically consumed with guilt, grief, sadness, worthlessness, and loneliness?
  • Do you interact with youth who have separation anxiety, eating disorders, or are “troublemakers”?
  • Are you observe senior citizens who seem inordinately focused on death or illness?

All of these behaviors are lesser-known indicators of depression that show up quite commonly. It is important to be aware of them in yourself and your friends and loved ones for the sake of your and their health and futures.

How Many Americans Suffer from Depression?

Depression is the most common psychological disorder in the USA. The National Institute of Mental Health (NIMH) paints a serious picture of depression in the United States. According to their research, between 5 and 10% of Americans are suffering with depression. This means around 15 to 30 million people are trying to navigate the symptoms of such a pervasive condition.

This also means that it’s important to notice and understand what so many of us are dealing with. In addition, this explains why so many mental health professionals offer depression counseling to alleviate the suffering of their patients.

Here’s some more sobering statistics:

  • Depression is the leading cause of disability in the U.S. for ages 15 to 44.3.
  • Major Depressive Disorder affects more than 16.1 million American adults over 18 years of age (about 6.7% of the U.S. population) each year.
  • Young adults 18 to 29 years old are three times more likely to get depressed.
  • The average age at onset of depression is just over 32 years old.
  • The prevalence of major depressive episodes is higher among adult females (8.7%) compared to males (5.3%).
  • The pervasiveness of adults with a major depressive episode is highest among individuals aged 18-25 (13.1%).
  • The prevalence of major depressive episode is highest among adults reporting two or more races/ethnicities (11.3%).

Unfortunately, depression is often overlooked and not detected by many health care professionals. Therefore, many people are missing the opportunity to utilize helpful psychiatric medicine and depression counseling.

Research Studies Demonstrate that Depression Can Afflict Anyone. 

Your own personal struggles and your observations of loved one or the general public may make this clear to you. Although depression impacts those of any age, gender, background, faith and financial status, there are groups for whom depression is more common.

As stated above, women are more commonly diagnosed with depression while many men are under-diagnosed with this psychological issue. In addition, depression is more likely to affect people who are impoverished, unemployed and survivors of trauma or tragedy.

I’m here to help. Please call me soon (805-448-5053) for a consultation and learn more about my services here: Depression Counseling

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Depression Emotions Men's Issues

How Does Depression Manifest Itself in Human Beings?

Almost All People Experience a Painful Depressive Episode in Their Lifetime.

All people, no matter their age, gender, race, faith, ethnic identity, environment or financial status can suffer with depression. Many things happen in life to make us feel down, disappointed or blue. Fortunately, depression counseling can help.

How Do People Get Depressed?

Basically, there are 5 ways humans become depressed:

  1. Many adults get depressed as a natural reaction to a painful event in our life. Experiences happen that affect us emotionally, mentally and physically in a depressive way. If the event is mild then the sadness lasts for a short time. Some stressful events accumulate over time and cause depression. However,  some experiences are traumatic and overwhelming and they really set us back and disturb us psychologically for an extended period of time. Such stressful situations include divorce, death of a loved one, job loss or unemployment, relocating one’s home, loss of a friend, big disappointments, chronic or terminal illness or unexpected change. Some of these events may be rooted in childhood, such as abuse, neglect, deprivation, abandonment and other serious stressors.
  2. A chemical imbalance or toxicity can occur in the brain and results in moderate or serious symptoms associated to depression mood.
  3. Genetics and family history can be a contributor. Depressive states can be biologically inherited and there can be a history of depression across generations within a family.
  4. Medical illness can also set off depression. A physical injury or disability, or a chronic or life-threatening illness can easily trigger a depression response.
  5. Side-effects of medications and substance abuse (legal and illegal) can cause a chemically induced depression.

Are There Different Levels of Depression?

Yes. Depression is a painful emotion that can manifest in many different ways – behaviorally, emotionally, socially, mentally. Some forms of depression are mild while others can become very serious or profound. Depression can be situational or chronic and the result of many different causes and combinations of circumstances. There are depressions that last for only a few months while others may be prolonged for decades.

Depression can affect children, teens, adults, and seniors so deeply that it can endanger their lives. Some people become so depressed that they cannot take care of themselves and expose themselves to danger or poor health conditions.

When significantly distraught and in emotional pain, people may become suicidal. They may lose hope and want to die in order to avoid their emotional and mental pain. Some may develop a plan and a method for killing themselves while others will make suicidal attempts or successfully end their lives.

Symptoms of Depression Often Vary between Genders and Age Groups.

Plus, these groups tend to respond differently to different types of treatment.

  • Men often show: anger, irritability, isolation, withdrawal, hostility, aggression, numbness, shame, stoicism, criticism, addictions, risk-taking and suicidal ideas. Most men don’t recognize that they feel depressed and they take longer to reach out for depression counseling. Their symptoms are more “covert”. Most depressed men are under-diagnosed by medical and mental health professionals.
  • Women tend to demonstrate: sadness, depressed mood, loss of energy, apathy, tearfulness, and reduced or increased appetite and weight. Most women recognize when they are depressed and talk about it. They tend to voluntarily reach out for help and are more easily diagnosed with depression.
  • Children and adolescents tend to: either become more withdrawn, isolated and quiet or they act-out by becoming aggressive, defiant and oppositional when depressed. Kids tend to either enjoy or resist depression counseling. Most younger children will engage in play and activity therapies. They struggle to talk about their experiences openly. Many teenagers prefer group therapy over individual therapy.
  • Elderly people often: become isolated, hopeless, helpless, apathetic, fatigued, angry, oppositional, sleep more, move slower, and have a reduced desire for pleasure and social interaction. Most elderly people with chronic illnesses, pain, disabilities or life-threatening diseases are usually depressed. Many seniors will resist participating in depression counseling or “talk therapy” but may passively take psychiatric medications.

If you are depressed, then you are not alone. You can feel better.

I’m here to help. Please contact me soon for a consultation at 805-448-5053.

Learn more about my depression services here: Depression Counseling

Categories
Depression Emotions

What Are the Signs and Symptoms of Major Depression?

Here Are the Main Diagnostic Signs and Symptoms of Major Depression:

  1. Depressed mood with feelings of sadness, hopelessness, apathy, emptiness and tearfulness
  2. Markedly diminished interest in sex and pleasurable activities
  3. Social isolation and withdrawal from usual social interactions
  4. Significant weight loss or gain, or decrease or increase in appetite
  5. Sleep disturbance at night or sleeping much more than usual
  6. Anger, physical agitation and mental distraction
  7. Sedentary behavior and slow movement
  8. Fatigue or loss of energy
  9. Feelings of worthlessness or excessive guilt
  10. Reduced ability to make decisions, concentrate, organize or think clearly
  11. Recurrent thoughts of death
  12. Suicidal ideas with or without a plan or an attempt
  13. These symptoms cause significant distress or impairment in the patients’ social and work functioning.

These symptoms are not attributed to drug abuse or a medical condition.

If you experience 5 or more of these symptoms above then you are probably depressed and could benefit from a professional evaluation and treatment. One to three of these symptoms does not mean you suffer with Major Depression. You may be struggling with a short-term transitional challenge or reacting to a sad or disappointing event.

Patients may present with mild, moderate, severe or profound forms of Major Depression. Depression is different than normal grief or bereavement reactions caused by a significant loss, usually of a loved one.

You Can Get Better and Feel Better.

Nobody deserves to suffer when treatment is available.

Do You Suffer with Any of These Symptoms of Depression?

If you do, then I encourage you to get a psychological evaluation and engage in depression counseling with a qualified mental health professional.

Give Me a Call Today So We Can Talk about It! – 805-448-5053.

Learn more about my depression services here: Depression Counseling