DEALING WITH DEPRESSION Understanding Depression Help For the Hurting DEALING WITH DEPRESSION Session One Understanding Depression Tuesday, January 23rd, 2018

A few thoughts as we begin:

A few thoughts as we begin: Our time together this evening can be as interactive as you want it to be; feel free to ask questions and share your thoughts as we go along

A few thoughts as we begin: Our time together this evening can be as interactive as you want it to be; feel free to ask questions and share your thoughts as we go along We are recording these sessions so that we can post them online, that way others who were not able to make it tonight can benefit as well -if you want to share something but do not want it to be online, let me know and I can pause the recording, or we can discuss it afterward

A few thoughts as we begin: Our time together this evening can be as interactive as you want it to be; feel free to ask questions and share your thoughts as we go along We are recording these sessions so that we can post them online, that way others who were not able to make it tonight can benefit as well -if you want to share something but do not want it to be online, let me know and I can pause the recording, or we can discuss it afterward My role is not that of a counselor, but that of a facilitator; my goal is to provide you with the knowledge you may need so that you can find the solution to the challenges you may be facing yourself

A few thoughts as we begin: Our time together this evening can be as interactive as you want it to be; feel free to ask questions and share your thoughts as we go along We are recording these sessions so that we can post them online, that way others who were not able to make it tonight can benefit as well -if you want to share something but do not want it to be online, let me know and I can pause the recording, or we can discuss it afterward My role is not that of a counselor, but that of a facilitator; my goal is to provide you with the knowledge you may need so that you can find the solution to the challenges you may be facing yourself My wife and I are willing to make ourselves available through the week, if there are more specific issues you needed help dealing with

Introduction

Introduction Depression can often be difficult to understand if one has never gone through it themselves. Thus, it is important that we respond in thoughtfulness and compassion rather than being dismissive or rushing to judgment

Introduction Depression can often be difficult to understand if one has never gone through it themselves. Thus, it is important that we respond in thoughtfulness and compassion rather than being dismissive or rushing to judgment Depression can often be just as difficult for the person going through it to understand, and navigating their way out of it is no easy task

Introduction Depression can often be difficult to understand if one has never gone through it themselves. Thus, it is important that we respond in thoughtfulness and compassion rather than being dismissive or rushing to judgment Depression can often be just as difficult for the person going through it to understand, and navigating their way out of it is no easy task Many that fall into depression begin to contemplate suicide as the way out, and if they don't find help they may never get the opportunity to find healing and recovery

Introduction Depression can often be difficult to understand if one has never gone through it themselves. Thus, it is important that we respond in thoughtfulness and compassion rather than being dismissive or rushing to judgment Depression can often be just as difficult for the person going through it to understand, and navigating their way out of it is no easy task Many that fall into depression begin to contemplate suicide as the way out, and if they don't find help they may never get the opportunity to find healing and recovery The more we understand depression, the better equipped we are to help one another and avoid tragedy.

Depression Statistics Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

Depression Statistics -Approximately 8% of adults will experience major depression at some time in their lives. Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

Depression Statistics -Approximately 8% of adults will experience major depression at some time in their lives. -Almost one half (49%) of those who feel they have suffered from depression or anxiety have never gone to see a doctor about this problem Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

Depression Statistics -Approximately 8% of adults will experience major depression at some time in their lives. -Almost one half (49%) of those who feel they have suffered from depression or anxiety have never gone to see a doctor about this problem -Today, approximately 5% of male youth and 12% of female youth, age 12 to 19, have experienced a major depressive episode. Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

Depression Statistics -The total number of 12-19 year olds in Canada at risk for developing depression is 3.2 million. Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

Depression Statistics -The total number of 12-19 year olds in Canada at risk for developing depression is 3.2 million. -Suicide is among the leading causes of death in 15-24 year old Canadians, second only to accidents; 4,000 people die prematurely each year by suicide. Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

Depression Statistics -The total number of 12-19 year olds in Canada at risk for developing depression is 3.2 million. -Suicide is among the leading causes of death in 15-24 year old Canadians, second only to accidents; 4,000 people die prematurely each year by suicide. -Once depression is recognized, help can make a difference for 80% of people who are affected, allowing them to get back to their regular activities. Statistics courtesy of CMHA Website - https://cmha.ca/about-cmha/fast-facts-about- mental-illness

What is Depression?

What is Depression? -While we all experience sadness in our lives, depression is something much deeper.

What is Depression? -While we all experience sadness in our lives, depression is something much deeper. -Depression is a disturbance and disorder in one's mental and emotional state, characterized by feelings of intense sadness, heaviness, emptiness, helplessness and hopelessness.

What is Depression? -While we all experience sadness in our lives, depression is something much deeper -Depression is a disturbance and disorder in one's mental and emotional state, characterized by feelings of intense sadness, heaviness, emptiness, helplessness and hopelessness -Depression has both causes and effects that encompass the whole person -mentally, emotionally, physically and spiritually.

Symptoms of Depression

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality -Loss of Interest/Enjoyment in Daily Activities

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality -Loss of Interest/Enjoyment in Daily Activities -Inability to Concentrate/Remember

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality -Loss of Interest/Enjoyment in Daily Activities -Inability to Concentrate/Remember -Unexplained Pain

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality -Loss of Interest/Enjoyment in Daily Activities -Inability to Concentrate/Remember -Unexplained Pain -Restlessness/Agitation

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality -Loss of Interest/Enjoyment in Daily Activities -Inability to Concentrate/Remember -Unexplained Pain -Restlessness/Agitation -Changes in Appetite – Weight Loss/Gain

Symptoms of Depression -Loss of Energy/Feelings of Exhaustion -Loss of Functionality -Loss of Interest/Enjoyment in Daily Activities -Inability to Concentrate/Remember -Unexplained Pain -Restlessness/Agitation -Changes in Appetite – Weight Loss/Gain -Changes in Sleep Patterns – Insomnia/Hypersomnia

Symptoms of Depression (continued)

Symptoms of Depression (continued) -Withdrawal/Isolation

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate -Sense of Abandonment

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate -Sense of Abandonment -Feelings of Despair

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate -Sense of Abandonment -Feelings of Despair -Preoccupation with guilt

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate -Sense of Abandonment -Feelings of Despair -Preoccupation with guilt -Negative Thoughts

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate -Sense of Abandonment -Feelings of Despair -Preoccupation with guilt -Negative Thoughts -Suicidal Thoughts

Symptoms of Depression (continued) -Withdrawal/Isolation -Feelings of Worthlessness/Self-Hate -Sense of Abandonment -Feelings of Despair -Preoccupation with guilt -Negative Thoughts -Suicidal Thoughts -Others?

Types of Depression

Types of Depression -Depression is divided into two categories: bi-polar and uni- polar.

Types of Depression -Depression is divided into two categories: bi-polar and uni- polar. -Bi-polar, also known as manic depressive disorder, is characterized by two extremes – the high, or manic moods and the low, depressed moods.

Types of Depression -Depression is divided into two categories: bi-polar and uni- polar. -Bi-polar, also known as manic depressive disorder, is characterized by two extremes – the high, or manic moods and the low, depressed moods. -Bi-polar disorder is a long-term illness that needs to be carefully managed throughout one's life, but can be successfully treated through a combination of medication, counseling and therapy.

Types of Depression

Types of Depression -Uni-polar Depression, which is much more common, consists only of the depressed mood, and can take various forms:

Types of Depression -Uni-polar Depression, which is much more common, consists only of the depressed mood, and can take various forms: -minor depressive disorder – lasting a few days

Types of Depression -Uni-polar Depression, which is much more common, consists only of the depressed mood, and can take various forms: -minor depressive disorder – lasting a few days -major depressive disorder/clinical depression – lasting more than 2 weeks

Types of Depression -Uni-polar Depression, which is much more common, consists only of the depressed mood, and can take various forms: -minor depressive disorder – lasting a few days -major depressive disorder/clinical depression – lasting more than 2 weeks -postpartum depression – for mothers after delivery

Types of Depression -Uni-polar Depression, which is much more common, consists only of the depressed mood, and can take various forms: -minor depressive disorder – lasting a few days -major depressive disorder/clinical depression – lasting more than 2 weeks -postpartum depression – for mothers after delivery -seasonal affective disorder (SAD) – during the winter months

Contributing Factors to Depression

Contributing Factors to Depression -Physical Health Issues

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight -Family History/Genetics

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight -Family History/Genetics -Personality

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight -Family History/Genetics -Personality -Environment

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight -Family History/Genetics -Personality -Environment -Life Experiences

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight -Family History/Genetics -Personality -Environment -Life Experiences -Perceptions

Contributing Factors to Depression -Physical Health Issues -Decreased Exposure to Sunlight -Family History/Genetics -Personality -Environment -Life Experiences -Perceptions -Others?

Triggers for Depression

Triggers for Depression -Stress Overload/Burnout

Triggers for Depression -Stress Overload/Burnout -Grief/Loss

Triggers for Depression -Stress Overload/Burnout -Grief/Loss -Shame/Guilt

Triggers for Depression -Stress Overload/Burnout -Grief/Loss -Shame/Guilt -Trauma

Triggers for Depression -Stress Overload/Burnout -Grief/Loss -Shame/Guilt -Trauma -Failure/Disappointment

Triggers for Depression -Stress Overload/Burnout -Grief/Loss -Shame/Guilt -Trauma -Failure/Disappointment -Relationship Issues – Rejection/Betrayal

Triggers for Depression -Stress Overload/Burnout -Grief/Loss -Shame/Guilt -Trauma -Failure/Disappointment -Relationship Issues – Rejection/Betrayal -Loneliness

Triggers for Depression (continued)

Triggers for Depression (continued) -Chronic Pain/Illness

Triggers for Depression (continued) -Chronic Pain/Illness -Medication Side Effects

Triggers for Depression (continued) -Chronic Pain/Illness -Medication Side Effects -Drug Abuse/Addiction

Triggers for Depression (continued) -Chronic Pain/Illness -Medication Side Effects -Drug Abuse/Addiction -Unrealistic Expectations

Triggers for Depression (continued) -Chronic Pain/Illness -Medication Side Effects -Drug Abuse/Addiction -Unrealistic Expectations -Spiritual Oppression

Triggers for Depression (continued) -Chronic Pain/Illness -Medication Side Effects -Drug Abuse/Addiction -Unrealistic Expectations -Spiritual Oppression -Others?

Final Thoughts

Final Thoughts -As we come to understand depression more fully, we recognize it is too serious an issue to dismiss; if left untreated, it can prove to be fatal.

Final Thoughts -As we come to understand depression more fully, we recognize it is too serious an issue to dismiss; if left untreated, it can prove to be fatal. -Nevertheless, there are strategies that can be employed to help an indivuadal get out and stay out of depression; we will be considering these in next week's session.

Final Thoughts -As we come to understand depression more fully, we recognize it is too serious an issue to dismiss; if left untreated, it can prove to be fatal. -Nevertheless, there are strategies that can be employed to help an indivuadal get out and stay out of depression; we will be considering these in next week's session. -In the mean time, if you or someone you know is exhibiting signs of depression, there are initial steps that would be wise to take:

Final Thoughts

Final Thoughts 1. Talk to your Doctor – A medical exam could be helpful to identify some underlying causes.

Final Thoughts 1. Talk to your Doctor – A medical exam could be helpful to identify some underlying causes. 2. Avoid Isolation - Connect with people that can be an encouragement to you.

Final Thoughts 1. Talk to your Doctor – A medical exam could be helpful to identify some underlying causes. 2. Avoid Isolation - Connect with people that can be an encouragement to you. 3. Reduce/Eliminate Drug & Alcohol Use – They will make the problem worse, not better.

Final Thoughts 1. Talk to your Doctor – A medical exam could be helpful to identify some underlying causes. 2. Avoid Isolation - Connect with people that can be an encouragement to you. 3. Reduce/Eliminate Drug & Alcohol Use – They will make the problem worse, not better. 4. If you have been contemplating suicide, get help right away so that you stay safe.