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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: