Beyond Blue

Am I Depressed or Just Deep?

Wednesday November 4, 2009

Categories: Depression
A psychologist and psychiatrist weigh in on "heroic melancholy."
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Comments
Anne
November 4, 2009 12:23 PM

This is so close to home. Creativity and mental illness are often linked in people's minds. In the extreme, we give celebrities a pass on drug addiction or other types of acting out; it is said they do these things because they are creative. While it is true that writing or acting or other arts may be a good outlet for expression; they are not a cure for depression, schizophrenia or bipolar disorder. It can be a hard balance to achieve; knowing when creativity is helpful. Extreme flights of fancy are not nor is extreme empathy for people we have never met. I really appreciate the viewpoints that you blog about covering these many issues and helping us gain perspective.

Mark
November 5, 2009 2:23 AM

"Persistently not being able to put the existential realities aside to live and enjoy life, engage those around us or take care of ourselves just might be a sign of depression."

According to this, both Buddha and Jesus were deeply depressed people. And honestly, how can you put aside the most important questions of human existence to live and enjoy life, before you're able to resolve those questions somehow? Isn't that just avoidance? And wouldn't those issue poison your enjoyment of life unless they were resolved somehow?

That's the reason why I like transpersonal psychologies, which unlike cognitive and other "here and now" related approaches, deal with these questions and recognize their importance and answer in the traspersonal spheres of life (Jung, Grof, etc.).

Your Name
November 5, 2009 9:31 AM

I treasured the 'lives of the saints' little books that I had as a child. I have always noticed injustice and cruelty more than other people. Having grown into an adult and been depressed for years, I cry when I hear about how people suffer. I have never understood why other people don't have the same reaction. I don't know that I can ever get past the sadness. Yet sadness is totally unproductive. It doesn't benefit anyone. The challenge for me is to know and have empathy for people, then be able to act to do something to end suffering. Depression takes away the ability to act to the solve problems that create suffering. Our great spiritual leaders could see suffering, have compassion and not be distroyed by it. That was their lesson. Either you transcend the suffering by faith or by acknowledgement that everyone suffrs and our essence is without suffering. In fact, Buddha said, "I teach only suffering and the end to suffering," I appreciated your blog today, it gave me a new perspective. Thank you.

Your Name
November 5, 2009 10:14 AM

I have been feeling this state of depression for a long time...I thought maybe I wasn't depressed and just a lil down but losing hopefulness, what can I do to help myself??

Your Name
November 5, 2009 10:28 AM

When I feel depressed I am sad. When I am suffering from depression I can see no hope for things to get better and I can not think of anyone but myself even if I make an effort to. True depression seems to deplete me of any artistic desire or energy, and I find any attempt to express myself artistically during these bouts are simply exercises in self pity, seeking comiseration. It does not seem to be that you either have "depth" and suffer for the sake of feeling the world as is or you go take medication. There seems to be a lot of in between. Depression is a feeling,even deep sometimes, and it is also a disease that kills tens of thousands a year just here in the USA. Ask others about your "depth" vs. Depression and see what your loved ones think.

Catherine
November 5, 2009 10:36 AM
http://www.eco-strip.com

Once again, up-to-date, technical, psychological info clarifies confusion for me, family, bosses, and friends. Terese, your search, delivery, personal sharing and compassion have done it again.

DorothyK
November 5, 2009 10:36 AM

I am living with a man who is extremly OCD when it comes to organization, and cleanliness. I am not a slob, but I am very forgetful and unorganized. His nagging, and displeasure has caused me to feel worthless, even tho I know I'm not, and I have asked him to leave several times. He has no place to go, I guess. I also have 2 children with special needs and am severely below poverty standards, but we are both students trying to change our situations. I have made many changes and asked for advice on how to make him happy, but honestly after a year of living together I do not think it is possible considering our personality traits. This morning he really hurt my feelings. I went to hug him goodbye, not kiss, and he gave me a stranger pat on the back, because I felt ill yesterday. I can not go through this constant rejection from him anymore. I just can't.

Your Name
November 5, 2009 10:43 AM

I have been in the same state of mind, is it depression or am i just spiritually deep. I have recently completed a life review healing ministry and I truly have now found me Virginia the person, and new ways of seeing, thinking and speaking. With this new awakening into my self, I now do not react to issues in a crisis mode anymore. I have truly learned I am here to support you but not to carry you anymore. I have been carrying for so long, it is all I knew how to do and I did it quite well. So, I am now thinking what is wrong with me or now more importantly what is right with me. There are times when I am just in a limbo state of mind. I truly believe this is part of the healing process and yes a little depression is part of the letting go. I feel we need to acknowledge all of our feelings. They are our feelings,our Creator gave us these feelings. So we do need to embrace them. The dark feelings,see their purpose, speak to them and send them light and move on. I know I am in constant communication with Jesus, Father, Son and Holy Spirt and all the Heavenly Angels and Aides. Constantly asking for wisdom and discernment.

Jann
November 5, 2009 11:24 AM

to Dorothy K,

Your mental health and self esteem are more valuable than staying in a relationship that is unsupportive and critical. I walked away from a marriage to a loyal, high income husband because he did not believe I suffered from depression, was uncommunicative and we could not relate or connect to each other. As a result, I had to start over again and it took many years to recover. IT WAS WORTH IT.
Good luck to you and your children. You need to look after yourself first so that you can be the best Mom for your children.
Love and Light,
Jann

Your Name
November 5, 2009 11:31 AM

I was the same way at 9 - watching those starving children on tv, crying my eyes out for them; having sleepless nights in the summer; and growing up in intense fear of my family circumstances. Now, a mom responsible for three children, one with special needs, has made my mental life unstable. I too keep hearing to Hold On, that maybe there is hope, hope for some sort of peace and happiness in my life. That maybe I can walk around with a big smile on my face, and for it to be real. Thank you for sharing your thoughts, they are so parallel to mine.

Judeth
November 5, 2009 12:23 PM

Depression has become a buzz word in this culture and most assessments are subjective. True bi-polar can be determined with a simple blood test and most behavioral problems like OCD have B vitamin deficiencies. Many of the anti-depressant medication are only suppose to be used for severe depressive states and after only food allergies and other imbalances are ruled out. 46% of the population should not be eating wheat and wheat (gluten) has a direct link to depression. All this information can be located on the Net, you just have to know where to look. A good reference book that gives orthomolecular suggestions that I have used as a nutritionist for my clients is Natural Healing for Schizophrenia and other Common Mental Disorders by Eva Edelman

undefined
November 5, 2009 12:49 PM

Depression as Love, Hate, Friendship is and can be as wide as the sea. Somethimes we see a landing then other times is is just waves in our lives. The smart thing is to know when the land is good and where to step ashore. Many times we step in to relationship based on what we see and feel and a little of what we thingk the Holy Spirit is saying and I say little for he is not shouting like the rest of you are doing. To have someone to love you is what need a maid you pay in your case it is with your body which is wrong now for you are not in tune to what God has said for living together, (You must be married). To help some is good to have them run your life well that is not right, this mean you have given them control over you and they now own you. Let go and move on the hand of God and watch ow wonderful your life will turn out for you and youl kids. God is Waiting For You.

Frederick A. Arend
November 5, 2009 1:11 PM

Those who are pro-abortion believe that babies are not alive or/either babies, until they are born. This is logically impossible because human beings cannot be alive before they are alive. States or conditions of existence previous to life are, therefore, logically impossible. If humans are alive at berth, therefore, then, they must have been alive before berth. This is a logical fact.

Brad
November 5, 2009 4:07 PM

Thanks for the Blog. It is informative and makes one think deeply-no pun intended. I am a sufferer myself and as one of my friends said recently which I agree with"if I could cut off one of my legs to stop this depression I would." I would gladly give up limbs to never have had Major Depression. Now, this dreaded disease has a life of it's own. It has colored my world with a black haze that although clears up some at times eventually thickens up again sooner than later. I hate,despise,and curse this disease for what it has done to me and others. I can think of no reasons pro for Depression what so ever. Depression has not added one thing positive to my life.
Depression plain and simple destroys lives in so many ways, not to mention the fall out to love ones or to marriages.

Michael Schneider
November 5, 2009 5:55 PM

I appreciate this article's author having taken the time to write it.
"Beset by great evil, a person can become wise..." is one of the best quotes I have ever, ever heard. I will not ever forget those words... thank you again.

My Highest Regards,
Michael Schneider

Your Name
November 6, 2009 2:11 PM

I read being depressed is a disease. I am not sure I agree unless it is a disease to choose to be depressed. We don't always need to play the blame game. I feel we our blaming our depression on a disease. No, we all get depressed but to call it a disease gives us less hope. I have had a rough life so I know we must take responsibility to climb out of depression by finding what means something to us and working toward it. Lets stop making excuses and start finding solutions. This calling depression a disease is poppy cock in my opinion!

Larry Parker
November 7, 2009 11:22 AM
http://community.beliefnet.com/doxieman122

Ah, the old debate between depression and "the dark night of the soul" ...

I think it is possible, based on what has been publicized recently about Mother Teresa, to have BOTH. (And maybe you did too, Therese.)

Mother Teresa clearly had grave doubts about her religious calling and even core beliefs that prayer and other rituals did not alleviate, and these saddened her enormously -- perhaps clinically.

But if she was clinically depresssed, she was not immobilized in the sense that she was still able to ACT to help the people of Kolkata. In a way that, say, Primo Levi was not immobilized amid the horrors of Holocaust concentration camps -- and yet tragically was during his final suicidal spiral.

It is the severity of depression, I think, that marks the difference -- whether one can act in the face of doubt, or is paralyzed by it. And that, I think, is a distinction anyone from an atheist to the Pope can determine.

PS -- In the interest of people who may just be realizing they have depression and have come to Therese's blog for the first time, it is urgent to correct two things on this comment page.

1. While there is lots of evidence that vitamins and supplements (e.g., fish oil) can help depression, there is no evidence that a lack of vitamins and supplements is the SOLE cause of depression.

2. I cannot emphasize strongly enough, for anyone with bipolar disorder (such as myself), THERE IS NO BLOOD TEST TO DIAGNOSE BIPOLAR DISORDER.

Thus, there will always be a measure of (yes) doubt about our diagnoses -- as a Catholic might say, one more cross we with depression have to bear.

Huh?
November 8, 2009 4:30 AM

The point where you may reliably distinguish depression from pessimism is the point at which you lose the ability to function in society. Nothing more, nothing less. Then you have three options: get better without drugs, get better with drugs, or commit suicide.

Playing semantic games will not help the issue at its core. And the issue is not depression. The issue is, do we really want to live in a world where you can't distinguish someone truly objective and rational from someone clinically depressed?

Your Name
November 8, 2009 5:26 PM

I am 57 and just realized that I have probably been depressed most of my life. I have also learned that medicine alone won't help. We have to be willing to work with the meds, not against them. Like exercise, getting out of the house, etc. It takes every ounce of ability I have to just get out of bed, much less get dressed. I have started giving myself out project each day to do. It may be as simple as washing, sweeping, watering the plants. As long as I can accomplish that one thing I can feel good about the day. The one thing I don't have is family support. I constantly hear "YOU DON'T LOOK DEPRESSED". "WHAT ARE YOU DEPRESSED ABOUT"? I have learned to hide alot of my feelings and cry myself to sleep. People treat anyone with depression like lepers.

Eileen Lichtenstein
November 8, 2009 8:48 PM

powerfully written, Therese. All the best with your book!

Nikka
November 9, 2009 5:22 AM

This is a good read. I especially like the part where you differentiated feeling sad with feeling depressed. I thought that these two words were synonyms but there is, in fact, a difference - particularly in functioning. Thanks for sharing your wisdom!

John McManamy
November 9, 2009 2:10 PM
http://knowledgeisnecessity.blogspot.com

Hey, Therese. Interesting conversation, here. From my personal perspective:

1. Any depression that is not part of my temperament sucks - whether mild or severe. Take my depression - please. They throw me off my game, they wreck my life. Whether it's a depression that is the equivalent of a mild cold or one that is psychic double pneumonia I seriously don't want to be occupying my brain. This is the true illness.

2. At the same time, mild to moderate depression is part of my temperament, my personality (as is hypomania). As opposed to my illness depressions, I'm very comfortable in this state. It is a part of who I am. My energy is down, my thoughts tend to be very dark, but - here's the key difference - I thrive in this state. My mind is quiet and contemplative. It's as if I'm calmly sifting through the ideas I rounded up in my hypomanic frenzies. Most of my best writing occurs in this state, as do my comtemplative moments taking walks.

We tend to get hung up on DSM-IV check lists while ignoring a key DSM injunction, namely that a mental illness is only a mental illness when the symptoms interfere with our ability to function (as in work or relationships). So - from my personal perspective - if I am comfortable and not struggling while depressed, then I don't regard myself as having an illness that needs to be treated.

Now let's flip it. I also get hypomanic, and I've written a lot about this. Here's the test: For Marilyn Monroe to act like Marilyn Monroe (at least when she's up) - that's normal. For someone else to act like Marilyn Monroe, on the other hand - that's probably not normal and bad things may happen.

So, back to depression. For me to act like me (when I am down), under most situations that is normal for me. I can handle it, it is healthy. For someone else to act like me, that's probably not normal. They can't handle it. They would like freak out. Bad things are likely to happen.

It gets complicated when we get to those in between areas. When does my productive depression start becoming a nuisance and when does the nuisance seriously start messing me up? Similarly, when does my upbeat hypomania turn into social embarrassment into something that causes me to make very bad decisions?

It's as if we're turning up the heat. When, in effect, instead of a nice warm soak in the tub, do we find ourselves in hot water? Everyone has different tolerance thresholds, and you can make a good case that we can expand the range of these tolerance thresholds to lead healthier lives. Of course, every time I congratulate myself on doing this, God just laughs and throws a psychic lightning bolt in my direction.

So - my normal would probably cause most people to stay in bed for six months, or (in the other direction) have neighbors dialing 911.

So, to your question - is it depression or being just deep? For me - personally - depression is depression. Physical stuff is happening in the brain, whether it interferes with our lives or not. Same with blood pressure. We may call blood pressure something else when it gets too high, but when all is said and done blood pressure is blood pressure.

I hate the word, depression. It would be a lot more helpful to our understanding if we came up with something different, or went back to the old term melancholy.

Anyway, these are my personal views only. I don't claim any special knowledge here. All of us together are trying to figure this out, and I look forward to hearing from all of you.

Your Name
November 9, 2009 2:42 PM

Depression, like any other disease does, not form symptoms, cures, or the ability to cope for life with the disease, the same for any one person. If so, there would be ONE kind of PILL, but there are hundreds or thousands. THE TRUTH ABOUT antdepressamts is that each one works in less than 20% of the people who take them and they aren't sure why or how they work.
So, I am patient. I try something that seems it might work, and then it doesn't, so my Doc and I go thru the guessing game some more. The bottom line is, are YOU more comfortable being depressed. I know I was (and sometimes still am), but you have to WANT TO GET WELL OR MAKE PROGRESS to do it. YOU HAVE TO TAKE ACTION, meds, therapy, pastoral counseling, getting the F out of bed the days you don't want to and move on. YOU ARE NOT THE CENTER OF YOUR UIVERSE OR ANYONE ELSES. Do the WORK or STAY THE VICTIM (where you feel safe and comfortable cause you been there so long).
WE HAVE A POSITIVE OR NEGATIVE IMPACT ON OUR LOVED ONES AND WE HAVE THE SAME FOR PEOPLE WHO UNDERSTAND WHAT WE ARE GOING THROUGH. You were called to freedom, brothers and sisters; only do not use your freedom as an opportunity for self-indulgence, but through love become slaves to one another. For the whole law is summed up in a single commandment, "You shall love your neighbor as yourself."
FOR ME, THE REST IS JUST COMMENTARY. DO THE WORK. LIVE AND I WISH YOU LOVE AND PEACE--I WORK FOR IT ALL THE TIME AND SOMETIMES IT IS WONDERFUL...OTHER TIMES NOT, BUT IT IS NOT A PERSON IN MY LIFES FAULT. IT IS A DISEASE LIKE ANY OTHER. HOPEFULLY YOURS AND MINE WILL UNDERSTAND IT SOMEDAY. IT IS BETTER THAN THINKING OF WAYS TO DIE THAT WILL NOT HURT WHO I WISH I COULD LOVE IN ACTION. BOTTOM LINE, THEY WOULD GET OVER IT, THINK OF YOU LESS AND LESS AS DAYS, MONTHS AND YEARS GO BY TO WHERE YOU ARE BROUGHT ONLY OCASSIONALLY.

Paula Bloom
November 10, 2009 7:57 AM

Wonderful piece! It is nice to know that people are reading what I put out there! This is a topic near and dear to my heart. For another piece of this conversation you may want to read a follow up blog post I wrote for PBS "Accessing faith though treating depression."
http://www.pbs.org/thisemotionallife/blogs/accessing-faith-through-treating-depression

You might consider commenting on the PBS website with a link to your blog post!

Best wishes on the continued journey,

Paula Bloom
www.paulabloom.com

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