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32

February 19 • 2015

JN

D

wring the months leading up to
reactive and endogenous. Reactive
the holidays, family and friends
depression, as the word implies, happens
plan get-togethers where rela-
in response to a specific situation such as
tionships are renewed. The onslaught of
a broken relationship, a bad work envi-
commercial messages about
ronment or even being unable
happy times can become
to find your car in a parking
an ever-present reminder
structure. When the cause for
of important pieces missing
the reaction is addressed and a
from people's lives.
remedy found, the depression
Many have no family, live
subsides over time.
too far away or choose to
Endogenous depression is
avoid interacting. They feel
more difficult to accept or treat.
increasingly alone. The cold
With this type of depression,
dark days of winter bring
one feels engulfed in a dark
an increase in depression.
cloud of despair. Such feelings
Indeed, for too many, life
can be so overwhelming they
Dan iel
feels dreary throughout the
can lead to anxiety and even
Rosenb aum,
panic.
Each day brings new
year.
Ph.D., L MSW
Depression, at its core,
struggles to get out of bed, go
stems from a sense of loss.
to work or school, and interact
Some losses are tangible, especially events with people. Because there is no specific
with long-term implications: a loved one
source, as in the reactive depression, find-
passes away, we get divorced or we lose
ing a treatment solution is harder.
a job. Some losses can involve mundane
A person may experience both depres-
occurrences: a disruption in plans or
sion and mania, which cycle at various
something misplaced. Depression can also rates. During the depression phase, a
involve losses that are intangible: loss of
person may feel debilitating sadness with
confidence, status or affection. All these
the potential for self-damage. During the
manic phase, someone may make impru-
losses create questions about our ability
to control our lives or the capability to
dent decisions, shop excessively or act
improve them.
irrationally. Personal safety and detrimen-
You would be surprised by the number
tal outcomes are disregarded.
of people you know who struggle with
There are different ways to treat the
depression. The classic symptoms go
various types of depression. Getting coun-
beyond the expected sadness. It can lead
seling by a trained therapist can reveal
to insomnia or excessive sleeping, eating
issues that trigger depression. Over time,
too much or too little, constant rumina-
new insights can promote confidence and
tion about recent problems or unex-
reduce feelings of loss.
plained crying or lethargy.
In addition, physicians have an array
Depression often is accompanied by
of anti-depressant medications that can
anger. Think of depression and anger as
be used in conjunction with counseling
opposite sides of the same coin. Some
to reduce appreciably the symptoms of
people who are depressed direct their
depression. These drugs can take several
depression outwardly as anger, expressing weeks to build up sufficiently in the body.
rage instead of dealing with real feelings.
Knowing about this delay can ease the
Others are unable to express what they
person's worry that the medication isn't
are feeling outwardly, so the anger gets
working or that nothing helps.
turned inward and feeds on itself.
There is no reason to suffer with any
Some deny that they are depressed,
form of depression. Getting support
particularly when others question them
and seeking professional help are the
about their down mood. Friends, fam-
first steps to achieving an optimistic
ily and peers may try to encourage a
future.
depressed person with admonitions such
DE Daniel Rosenbaum is a clinical social
as "buck up" or "nothing can be that bad:'
worker at Counseling Associates Inc. in West
Yet, these statements are counterproduc-
Bloomfield, where he counsels children, teens
tive as they disregard the debilitating
and adults experiencing family or personal
depth of what the person feels.
psychological problems.
There are two forms of depression: