Myth: Hard Work Beats Depression
Depression affects nearly one in six people
at some point in their lives, so folk remedies and half-truths about this
common illness abound. One such idea: throw yourself into work and you'll feel
better. For a mild case of the blues, this may indeed help, but depression is a
different animal. Overworking can actually be a sign of clinical depression,
especially in men.
Myth: It's Not a Real Illness
Depression is a serious medical condition
-- and the top cause of disability in American adults. But it's still confused
with ordinary sadness. Biological evidence of the illness can be seen in brain
scans, which show abnormal activity levels. Key brain chemicals that carry
signals between nerves (shown here) also appear to be out of balance in
depressed people.
Fact: Men Fly Under the Radar
A depressed man, his loved ones, and even
his doctor may not recognize depression. That's because men are less likely
than women to talk about their feelings -- and some depressed men don't appear
sad or down. Instead, men may be irritable, angry, or restless. They may even
lash out at others. Some men try to cope with depression through reckless
behavior, drinking, or drugs.
Myth: Depression Is Just Self-Pity
Our culture admires will power and mental
toughness and is quick to label anyone who falls back as a whiner. But people
who have clinical depression are not lazy or simply feeling sorry for
themselves. Nor can they "will" depression to go away. Depression is
a medical illness -- a health problem related to changes in the brain. Like
other illnesses, it usually improves with appropriate treatment.
Fact: Anyone Can Get Depressed
Poet or linebacker, shy or outgoing, anyone
from any ethnic background can develop depression. The illness is twice as
common in women as in men, but it may be that women are more likely to seek
help. It's often first noticed in the late teens or 20s, but an episode can
develop at any age. Tough personal experiences can trigger depression, or it
may develop out of the blue.
Fact: It Can Sneak Up Slowly
Depression can creep up gradually, which
makes it harder to identify than a sudden illness. A bad day turns into a rut
and you start skipping work, school, or social occasions. One type, called
dysthymia, can last for years as a chronic, low-level illness – a malaise that
silently undermines your career and relationships. Or depression can become a
severe, disabling condition. With treatment, many feel substantial relief in
4-6 weeks.
Myth: Help Means Drugs for Life
Despite the buzz about a "Prozac
Nation," medication is only one of the tools used to lift depression. And
asking for help does not mean you'll be pressured to take prescription drugs.
In fact, studies suggest that "talk" therapy works as well as drugs
for mild to moderate depression. Even if you do use antidepressants, it
probably won’t be for life. Your doctor will help you determine the right time
to stop your medication.
Myth: Depressed People Cry a Lot
Not always. Some people don't cry or even
act terribly sad when they're depressed. Instead they are emotionally
"blank" and may feel worthless or useless. Even without dramatic
symptoms, untreated depression prevents people from living life to its fullest and takes a toll on families.
Fact: Family History Is Not Destiny
If depression appears in your family tree,
you're more likely to get it too. But chances are you won't. People with a
family history can watch for early symptoms of depression and take positive
action promptly, whether that means reducing stress, getting more exercise,
counseling, or other professional treatment.
Myth: Depression Is Part of Aging
Most people navigate the challenges of
aging without becoming depressed. But when it does occur, it may be overlooked.
Older people may hide their sadness or have different, vague symptoms: food
just doesn't taste good anymore, aches and pains worsen, or sleep patterns
change. Medical problems can trigger depression in seniors and depression
can slow recovery from a heart attack or surgery.
Fact: Depression Imitates Dementia
In seniors, depression can be the root
cause of memory problems, confusion, and in some cases, delusions. Caregivers
and doctors may mistake these problems for signs of dementia, or an age-related
decline in memory. Getting treatment lifts the cloud for the majority of older
people with depression. Psychotherapy is particularly useful for people who
can't or don't want to take medication.
Myth: Talking Makes Things Worse
People were once advised not to "dwell
on" problems by talking about them. Today, there's evidence that guided
discussions with a professional can make things much better. Different types of
psychotherapy help treat depression by addressing negative thought patterns,
unconscious feelings, or relationship troubles. The first step is to talk to a
mental health professional.
Fact: Positive Thinking May Help
The old advice to "accentuate the
positive" has advanced into a practice that can ease depression. It’s
called cognitive behavioral therapy (CBT). People learn new ways of thinking
and behaving. Negative "self-talk" and behavior is identified and
replaced with more upbeat thoughts and a more positive mood. Used alone or with
medication, CBT works for many people.
Myth: Teens Are Unhappy by Nature
Although many teens are moody,
argumentative, and intrigued by "the dark side," prolongued sadness
or irritability is not normal for teens. When unhappiness lasts more than two
weeks, it may be a sign of depression which develops in about one in 11
teens. Other signs a teen may need help include: being constantly sad or
irritable even with friends, taking no pleasure in favorite activities, or a
sudden drop in grades.
Fact: Exercise Is Good Medicine
Very good studies now show that regular,
moderately intense exercise can improve symptoms of depression and work as well
as some medicines for people with mild to moderate depression. Exercising with
a group or a good friend adds social support, another mood booster.
Myth: Depression Is Tough to Treat
The reality is most people who take action
to lift their depression do get better. In a large study by the National
Institute of Mental Health, 70% of people became symptom-free through
medications -- though not always with the first medicine. Studies show the best
treatment is combining medication and talk therapy.
Fact: It's Not Always Depression
Some life events cause sadness or
disappointment, but do not become clinical depression. Grief is normal after a
death, divorce, loss of a job, or diagnosis with a serious health problem. One
clue of a need for treatment: the sadness is constant every day, most of the
day. When people are weathering difficult times appropriately, they can usually
be distracted or cheered up for short periods of time.
Fact: Hope for Better Days Is Real
In the depths of depression, people may
think there's no hope for a better life. This hopelessness is part of the
illness, not a reality. With treatment, positive thinking gradually replaces
negative thoughts. Sleep and appetite improve as the depressed mood lifts. And
people who've seen a counselor for talk therapy are equipped with better coping
skills to deal with the stresses in life that can get you down.