Wellness

Depression and Anxiety

December 6, 2011

Depression and Anxiety

When I was in graduate school learning to become a therapist, one of my professors said, “Depression is overwhelming sadness about what has happened, and anxiety is overwhelming worry about what might happen.” To this day, I feel that this is an excellent, easy to understand description. I use this quote frequently to help my own patients during an initial evaluation. It’s not uncommon for a patient to say, “I think I have both!”

Depression is a medical illness that affects people from all walks of life. It is not always clear why it happens for some and not for others. There can be issues from the past that were never dealt with, current stressors that feel unmanageable, or possibly a biological reason. Most studies show that medication and therapy can help alleviate the symptoms, and increase a person’s ability to move forward successfully with life.

Anxiety, also a medical illness, may frequently be described as over-worrying – often times about things we have little or no control over. When working with a patient who is struggling with anxiety, as with depression, we must look at past issues and current stressors. Quite often, an anxious person will be caught up in “what-if” thinking. I consider “what if” thinking to be one of the biggest indicators of an anxiety disorder. If “what-if” thinking becomes unmanageable, daily life can feel like a struggle. Unfortunately, some people resort to drugs and alcohol to manage these symptoms. This can be true for both depression and anxiety.

When I talk to a new patient, so many times they think they have failed – that if they were “just strong enough” the symptoms of depression or anxiety would just go away. My response to that is to compare the medical issues of depression and anxiety with the medical issues of diabetes. If a person is diagnosed with diabetes, they probably wouldn’t think “if I were just strong enough” the diabetes would go away. Sure, there may be lifestyle changes that need to occur with any illness, but there may also be medications, support groups, talk therapy and further supports. What I’m suggesting is that if you, or someone you know, are struggling with depression or anxiety, please consider asking for help. Talk with your medical providers and discuss what options are best for you. Alegent Health has outpatient clinics for behavioral and mental-health throughout the Omaha area and in Iowa. You can call (402) 717-HOPE (4673) to get more information.

2 Comments
  1. Avatar

    Andrew Smith

    Karen great blog! Having a loved one that battles depression, I hold behavioral health close to my heart, I feel there is a huge stigma when it comes to depression, bipolar I and II and other behavioral heath disorders. I wish the world/society would be more understanding of people who battle these illnesses, and not just write them off as "crazy". I'm yet to meet a crazy person in my life. Your grad school professor couldn't have quoted it better. Keep up the blogging!

  2. Karen Bermel LIMHP, MC

    Karen Bermel LIMHP, MC

    Hi Andrew, Thank you for your comments on the blog. I really appreciate the feedback! You make a very important point regarding support for family members. When any of us have a loved one who is struggling with any type of illness, it can have an impact on the entire family. Naturally, the same is true if there is a mental-health diagnosis. Please make sure you are getting the support you need as you walk this journey with your family member. Yes, therapists assist those with a mental-health diagnoses, and we also offer support to the family members. Take care of yourself, Andrew, and thanks for writing. Karen Bermel, MC, LIMHP

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