depression a silent killer essay

Depression, A Silent Killer

by Shirley Davis | Jun 6, 2018 | Depression | 0 comments

Shirley J. Davis

For many who read this blog, speaking about depression may seem redundant. However, an enemy that isn’t acknowledged becomes a silent killer. So, for both those who understand too well what depression is and how it affects our lives and those who don’t know I am writing this post.

Every human on planet earth experiences depression. There are no exceptions. When we lose jobs, loved ones, or face a significant negative life change, it is not at all uncommon for human beings to feel out of control and incredibly saddened. These feelings are transient, meaning that over time they will ease and then disappear without any medical intervention.

However, for three million people in the United States per year, depression becomes more than just being sad. It blooms into a full-blown medical crisis that can last for weeks, months, and even years. For the medical community, this condition earned the name, clinical depression.

The Symptoms of Clinical Depression

Clinical depression has many symptoms besides the sadness that may include any or all of the following:

Lost interest in things that used to give you much pleasure such as a hobby or job.

• Changes in sleep patterns, including insomnia and sleeping too much.
• Changes in appetite, over or under-eating.
• Lowered energy level to where you do not feel like moving around or interacting with anyone.
• Lowered ability to concentrate
• Slower than normal movements and speech patterns
• Changes in behavior, such as isolating oneself

The list is not complete as there are multiple facets to each and other symptoms that are more subtle, or more clinically significant.

There are many possible causes of clinical depression. There are both biological (genetic) and environmental factors that are believed to cause brain changes that make people prone to clinical depression. One of the best-known causes is brain trauma occurring either in childhood or adulthood.

Why Silent Killer?

I call clinical depression a silent killer for two reasons.

One, clinical depression is often suffered in silence. There is a massive amount of stigma attached to being depressed. Society seems to go out of its way to denigrate those who are suffering from what they consider a “laziness” or “character flaw.” People who show signs of being depressed are told they need to “grow up” or “get over it.” They seem unable to see that the person living with clinical depression is in the grips of brain dysfunction and cannot do as told.

Two, because of the stigma many choose to suffer alone and in silence. This stigmatization is especially real for men whom society expects to “buck up” and “be a man” even when faced with a severe medical disorder such as clinical depression.

There should be no need to hide the fact that one is living with the monster of depression, yet people are forced underground every day to hide their condition from judgmental family, friends, and co-workers.

The pain of depression is palpable. It is like a horrible ache that nothing seems to ease. The future becomes an enemy, and those living with depression lose hope. They begin to feel hopeless and helpless so profoundly that sometimes they give up.

The Suffering is Unnecessary

Robin Williams became part of the sad statistics of mortality and depression. He lived in a world where he brought laughter to millions with his quick wit and wonderful sense of humor. On the inside, Mr. Williams suffered quietly. Smiling on the outside, he was living in a personal hell. He must have been in horrendous pain, but no one noticed until, on August 11, 2014, he took his own life.

The suffering caused by clinical depression is unnecessary. Most people who suffer from depression can find help with medications and other forms of treatment.

There is Hope

Research is ongoing to find solutions to ending this silent killer.

If you find you or someone you love is exhibiting the symptoms of clinical depression, please, seek help. There is no need to live trapped alone in isolation and despair.

Don’t listen to the voices of those who would make you feel bad about yourself. Most of the time those people are responding from fear of something they do not understand.

If you had cancer, diabetes, or any other “medically acceptable disorder” would you feel the same? Would you not wish to take medication and see a specialist if you had heart disease?

Think About It.

You Are Important

You are a worthwhile human being and essential to our survival as a species. I don’t care what you do or don’t do for a living; we need your voice.

We’ve lost too many good people to clinical depression, please don’t become just another statistic.

“The ultimate measure of a man is not where he stands in moments of comfort and convenience, but where he stands at times of challenge and controversy.” Martin Luther King, Jr.

My name is Shirley Davis and I am a freelance writer with over 40-years- experience writing short stories and poetry. Living as I do among the corn and bean fields of Illinois (USA), working from home using the Internet has become the best way to communicate with the world. My interests are wide and varied. I love any kind of science and read several research papers per week to satisfy my curiosity. I have earned an Associate Degree in Psychology and enjoy writing books on the subjects that most interest me.

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In 2020, depression became the second leading cause of global morbidity and it is projected to be the first in 2030, [1] according to a forecast by the World Health Organization (WHO). 

Many social and personal challenges, such as the death of a spouse, divorce, the death of a close family member, marital separation, serious injury or illness, unemployment, detention, the death of a close friend, pregnancy, and business readjustment contribute to the onset of depression .

The most common types of depression

Depression can affect anyone , regardless of gender, age, intellectual background, or socioeconomic status, but not all of us respond equally to these triggers.

Reactive depression is the most common type and is caused by a traumatic, difficult event that a person goes through at some point in their life. The onset of this type of depression does not always occur immediately after the trauma, or in its proximity, but most often at some time down the line after its occurrence.

An individual’s emotional reaction to the factors that accentuate depression depends very much on the patient’s medical history: the existence of a personality disorder, or an anxiety disorder, as these facilitate the onset of this silent killer.

Symptoms such as a depressed mood, irritability, nervousness, or a lower threshold for tolerating frustration attest to the existence of reactive depression.

A sufferer from depression may smile, or even deny that there has been a change in their mood. Instead, they might complain of persistent pain (the most common being back pain), which does not yield to medication, and usually does not have a physiological cause. Likewise, the individual may have bouts of crying or, conversely, an inability to feel emotions—a numbness.

The psychological manifestations associated with this type of depression can be observed in a lack of self-confidence, low self-esteem, indecisiveness, a decreased ability to concentrate, social isolation, pessimistic thinking, and self-blame. Feelings of tiredness, restlessness, changes in body weight, and sleep disturbances may also occur.

Depression prevention and treatment programs

As with any condition, early treatment is ideal. The later the visit to the therapist, the more difficult it will be to get a beneficial outcome from any treatment. Left untreated, depression can progress to a chronic state, with significant deterioration of the individual’s quality of life, and doctors say that suicide or substance abuse can follow from this.

Particular aspects of the diagnosis and treatment of patients with depression include difficulty in discussing their emotional issues and the tendency to seek help only for physical problems, the reluctance to go to a psychologist or a psychiatrist for fear of the stigma, ignoring the condition for a long period of time, and the lack of a helpful reaction from family, friends, colleagues, and everyone else around.

As with any condition, early treatment is ideal.

Still, there are solutions and information resources that many people can benefit from. An example would be the depression.org online platform, designed specifically as a means of support and information for those who suffer from depression or who have a close one who is experiencing it. The information, easily accessible to the general public, comes from specialists in the field of psychiatry.

Medical therapies to treat depression

Validation, support and counselling from a trained specialist ensures an optimum outcome. In this approach, the patient can be assisted in solving their social problems, as highlighted by PhD. Florin Tudose, head of the Psychiatry department of the University Hospital of Bucharest.

According to psychiatrists, the combination of antidepressant treatment and psychotherapy leads to the best results.

Another way of treating depression is cognitive-behavioural therapy, initiated by Aron Beck, an American psychiatrist and professor at the University of Pennsylvania. He hypothesized that negative thoughts play a central role in maintaining depression, which implies that depression can be treated with psychotherapy.

Patients are helped to identify and change their negative thought patterns. The goal of cognitive-behavioural therapy is to challenge the negative thoughts, memories, and beliefs that maintain depression and make the person vulnerable to future depressive episodes. The patient is taught to think more rationally and to find solutions to their problems.

Negative thought patterns play a central role in maintaining depression.

There isn’t any magical treatment and, as long as the factors that triggered the depression are not removed or managed correctly, the desired results will not appear. Consequently, there is an increased chance that even after the recovery from a reactive depressive episode, it can happen again after a certain period of time.

Currently, the most common method of treating depression worldwide (after psychotherapy) is combination therapy: psychotherapy and antidepressant medication. Relying only on drug therapy should be the last resort because, as experts say, it is not effective in the long run. After stopping one’s treatment, many symptoms return.

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Timely help

Specialists have identified a new way to improve the mood of affected individuals, which they have tested in a recent study.

Walks in nature greatly help people with clinical depression. Such walks improve attention and memory by 16% more than walking in urban areas do, according to Marc G. Berman, a psychologist at the University of Michigan.

Nature walks help people suffering from clinical depression considerably.

His study involved 20 people with clinical depression, 12 women and 8 men, with an average age of 26, who walked for an hour in a quiet natural setting and in a noisy urban setting. Before the walk, participants completed various tests to determine both their mood and cognitive status and were asked to think about an unresolved issue in their lives.

After the walk, they took part in a series of mental tests to measure attention and short-term working memory. Their mood was significantly improved by both types of walking, and attention and memory increased by 16% after the walk in nature.

The future of treating depression

Researchers at Emory School of Medicine in Atlanta, Georgia, tested the effectiveness of deep brain stimulation, a minimally-invasive surgical therapy that involves placing thin stimulation electrodes into deep regions of the brain. Under the coordination of Dr Helen Mayberg, the researchers monitored the progress of 17 patients , looking to see if deep brain stimulation could have any effect in treating severe depression and bipolar disorder.

About 41% of patients responded to treatment within the first 24 weeks and the other 18% went into remission within the same period. Two years after the end of active stimulation, about 92% of patients responded in some way to treatment, while 58% of them went into remission. In addition, in patients with bipolar disorder, it was observed that none experienced a manic episode during treatment.

For now, deep brain stimulation is seen only as an experimental treatment, as researchers have not yet identified the mechanisms through which the treatment is effective, nor have they identified the best spots to implant the electrodes. Nonetheless, this development offers hope for the future of eradicating severe depression and bipolar disorder.

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• Meet Amita Kapoor, PMHNP

Depression: Understanding the Silent Killer

• Written By Amita Kapoor PMHNP
• February 4, 2024

Depression, often misunderstood and underestimated, is a serious mental health disorder that impacts millions of individuals worldwide. It’s more than just feeling sad or going through a tough time; it’s a persistent and overwhelming sense of despair that interferes with daily life and can last for weeks, months, or even years.

This condition is characterized by an array of emotional, cognitive, physical, and behavioral symptoms, which can include feelings of worthlessness, loss of interest in activities once enjoyed, changes in appetite or sleep, difficulty focusing, and in severe cases, thoughts of suicide.

Despite its prevalence, depression remains a ‘silent killer’ due to the stigma associated with mental health issues and the lack of understanding about its true nature. In this article, we aim to shed light on this complex disorder, discussing its causes, symptoms, and treatment options, in an effort to foster better understanding and encourage those suffering to seek help.

The Prevalence of Depression: Global Statistics

Depression, a common mental disorder, affects an estimated 5% of the global adult population . The prevalence varies significantly across different regions.

For example, in the United States, about 18.4% of adults experienced depression in 2020, and as per data from 2019-2020, approximately 21% of adults , or 50 million Americans, live with a mental illness.

These figures underscore the vast reach of this disorder, affirming its status as a leading cause of global health-related burden. It’s crucial to note that these statistics likely underestimate the true prevalence due to underdiagnosis and the stigma associated with mental health issues.

As we continue our exploration of depression, these numbers offer a sobering backdrop to the individual stories of struggle and recovery.

Depression Symptoms: More Than Just Sadness

Depression, often referred to as major depressive disorde r, is a mood disorder that extends beyond mere feelings of sadness or a temporary low mood. It’s a complex condition with a wide range of symptoms that can interfere with daily life and overall wellbeing.

Here are some key symptoms to look out for:

• Persistent feelings of sadness, hopelessness, or emptiness.
• Loss of interest or pleasure in activities once enjoyed.
• Difficulty thinking, concentrating, or making decisions.
• Changes in appetite or weight.
• Sleep disturbances.
• Fatigue or loss of energy.
• Unexplained physical problems, such as headaches or back pain.

It’s important to note that these symptoms can vary according to age, gender, and individual differences. For instance, depression may present as irritability in children, physical complaints in older adults, or excessive sleeping in teenagers.

Recognizing these signs is a critical step towards seeking help and treatment. If you or someone you know is experiencing these symptoms, it’s essential to reach out to a mental health professional immediately.

Causes and Risk Factors of Depression

Depression is a multifaceted disorder with no single cause. Instead, it typically results from a complex interplay of genetic, biological, environmental, and psychological factors.

Key causes and risk factors include:

• Family History : Individuals with a family history of depression are more likely to develop the condition due to genetic predisposition.
• Biological Changes : Imbalances in certain brain chemicals, especially neurotransmitters like serotonin, are linked to depression.
• Hormonal Changes : Hormonal imbalances, such as those related to pregnancy or menopause, can trigger depressive episodes.
• Stressful Events : Major life changes, traumatic events, or prolonged stress can contribute to the onset of depression.
• Medical Conditions : Chronic illnesses, such as diabetes or cancer, can increase the risk of depression.
• Substance Use : Alcohol or drug abuse is often associated with depression.

Understanding these risk factors can help in early identification and intervention, which in turn can significantly enhance the effectiveness of treatment strategies. Remember to consult a healthcare professional if you or someone you know may be at risk of depression.

Different Types of Depression

Depression is not a one-size-fits-all condition. It’s a multifaceted disorder with several subtypes , each having distinct symptoms, causes, and treatments. Understanding these different types can be crucial for diagnosis and effective treatment.

Here are some common types of depression:

• Major Depressive Disorder (MDD) : Characterized by persistent feelings of sadness, hopelessness, and a lack of interest in activities. It must last at least two weeks to be diagnosed as MDD.
• Persistent Depressive Disorder (Dysthymia) : A chronic form of depression where symptoms persist for at least two years.
• Postpartum Depression : More severe than the “baby blues”, this type occurs in mothers after childbirth and can include extreme sadness, anxiety, and exhaustion.
• Seasonal Affective Disorder (SAD) : A type of depression that’s related to changes in seasons, typically starting in late fall and early winter.
• Bipolar Disorder : Although not a type of depression, depressive episodes are part of the bipolar disorder cycle.

If you or someone you know is experiencing symptoms of depression, seek help from a mental health professional immediately.

Understanding the Stigma Surrounding Depression

Depression is a serious mental health condition, yet it is often shrouded in stigma and misunderstanding. The stigma surrounding depression can manifest in various ways, from negative stereotypes to discrimination. This stigma can lead to feelings of shame and isolation among those suffering from the condition, preventing them from seeking help or openly discussing their struggles.

Sadly, this stigma is often fueled by a lack of understanding about depression. Many people mistakenly view it as a sign of personal weakness or a character flaw, rather than recognizing it as a legitimate medical condition. This misinformation can contribute to the perpetuation of harmful myths and stereotypes.

It’s crucial to challenge this stigma, promote understanding, and create an environment where people feel comfortable seeking help. By doing so, we can ensure that individuals battling depression receive the support and treatment they need. Education, empathy, and compassion are our most powerful tools in combating the stigma associated with depression.

Diagnosing Depression: The Role of Mental Health Professionals

Diagnosing depression involves a thorough evaluation by mental health professionals such as psychiatrists, psychologists, or psychiatric-mental health nurse practitioners like Amita Kapoor, PMHNP. We use specific criteria to diagnose depression.

The process typically includes:

• Clinical Interview : This involves discussing your thoughts, feelings, and behavior to identify signs of depression.
• Physical Examination : Although depression is a mental health disorder, it can be linked to physical health problems.
• Psychological Tests : These are used to measure the intensity of depressive symptoms.

If you or someone you know is struggling with symptoms of depression, seek help from a mental health professional. With Psycognition , you can connect with a experienced practitioner, Amita Kapoor, PMHNP, who can guide you through the diagnosis and treatment process Psycognition. Remember, early diagnosis can lead to more effective treatment and a better prognosis.

Treatment Options for Depression

Treating depression is a multi-faceted process and often includes a combination of methods. It’s crucial to remember that what works for one person may not work for another, and it often takes time to find the right treatment plan. Here are some common treatment options:

• Psychotherapy : Also known as talk therapy, this approach involves discussing your condition and related issues with a mental health professional. Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) are types of psychotherapy shown to be effective in treating depression.
• Medications : Antidepressants can be very effective in managing depression. These medications work by balancing brain chemicals linked to mood.
• Lifestyle Changes : Regular physical activity and a healthy diet can significantly improve symptoms of depression. Additionally, ensuring sufficient sleep and reducing alcohol and caffeine intake can also help.
• Support Groups : Connecting with others who are experiencing the same struggles can provide comfort, reduce feelings of isolation, and provide practical advice.

Remember, it’s essential to seek help from a healthcare provider to determine the most effective treatment plan for you.

Dr. Johan Faust

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Major depression: a silent killer.

Mental Health

March 09, 2023

Tags: Depression ,

All depression is not the same. There are times when you may feel sad, lonely or hopeless for a few days or feel depressed. However, major depression also known as “clinical depression” lasts longer having a disabling effect. It can prevent a depressed person from doing normal every day activities. In addition, the symptoms of major depression are present daily – lasting for most of the day or weeks for a period of two or more years. If left untreated, major depression is life threatening.

Depression is a mood disorder that can affect anyone, regardless of age, race, socioeconomic status or gender. Symptoms ranging from mild to severe and it impacts the way you feel, think and behave, according to the  American Psychiatric Association .

Know The Facts About Major Depression

According to the  U.S. National Institute of Mental Health (NIMH):

Major depression is common. An estimated 21 million adults have experienced major depression at least once. It’s one of the most common mental health disorders in the United States.

Major depression is serious. Major depression leads to impairment that impacts your ability to function on a day-to-day basis. Simple activities like eating, sleeping, working and concentrating can become almost impossible. It can lead to feelings of guilt and worthlessness and suicidal thoughts or attempts.

Psychiatrists still don't completely understand depression, but most believe it's caused by a combination of biological and environmental factors. Many people who are depressed have a family history of depression or other mental illness. For other people, traumatic life events -- abandonment; violence in the family; chronic problems in school; a difficult move; or physical, sexual, or emotional abuse or neglect at home, school, or by other trusted caregivers -- often trigger depression. Sometimes a loss such as the death of beloved pet, a loved one, or parents' divorce, can result in depression as well as grieving.

They may not know the exact cause, but scientists do know that depression is related to changes in brain chemistry. The specific changes involve chemicals called neurotransmitters, which help relay messages from one nerve cell to another. When there is a drop in certain neurotransmitters, the brain doesn't function normally, leading to depression and other forms of mental illness.

Major Depression Is Treatable

Depression is treated with psychotherapy and/or medication. Antidepressant medication is necessary in some cases and has saved countless lives. But studies have also shown that, like Prozac or similar medications, cognitive behavioral therapy and interpersonal therapy can often ease depression within several weeks. And counseling -- unlike medications alone -- can also give you life-long tools for warding off depression. Studies show that patients who participate in or attend counseling are less likely to suffer a relapse.  Experts at NIMH remind patients that treatment is a process. It can take time to find a regimen that’s effective.

Know The Signs Of Major Depression

The signs and symptoms of major depression may be masked or minimized by those who suffer from it as well as family and friends. When it does not respond to traditional medical and psychological treatments, the depressed person may give up all hope of recovery, resort to substance abuse or commit suicide as a way out.

It is important to know the signs and symptoms of major depression and suicide as important cues may be missed when things go terribly wrong.

According to the National Institute of Mental Health, you should suspect depression if a person has five or more of the following symptoms for at least two weeks:

• Frequent feelings of sadness or emptiness
• Loss of interest in pleasurable activities
• Unusual eating or sleeping patterns
• Excessive crying
• Thoughts of suicide and death;
• Difficulty concentrating or remembering
• Feelings of worthlessness, helplessness, or hopelessness
• Irritability
• Unexplained aches and pains that don't respond to treatment.

Risk Factors For Suicide

Major depression can disrupt your work, leisure activities, sex life, sleep, and appetite. It's hard to live your life when you aren't feeling yourself. Coupled with thoughts of suicide, it can be life-threatening.

The following are risk factors for suicide: however many people with these risk factors are not necessarily suicidal.

• Depression and other mental disorders and feeling alone
• Substance abuse (often in combination with other mental disorders)
• Prior suicide attempt
• Family history of suicide
• Family violence including physical or sexual abuse
• Firearms in the home
• Incarceration
• Exposure to suicidal behaviors of family members or peers

How To Help Someone Dealing With Depression

When someone you care about is experiencing symptoms of depression, it can be hard to know what to do, what to say, or how to help.

What can that look like?

Here are a few suggestions on how to help someone with depression.

Educate yourself about depression

Learn about the signs, symptoms and treatment options for depression. Understand that it can impact people in different ways. 

It’s important to show you care by validating feelings and acknowledging and respecting how they feel. Active listening is one way to do this. This means making eye contact, asking open-ended questions, listening to understand, and holding back on making judgments.

Be a partner

There are times when depression interferes with activities of daily living, like making a meal or doing laundry. Offer to cook dinner or do laundry with your loved one. It’s a great way to encourage them to be active and avoid isolation. Working side-by-side on a task can be an opportunity for a discussion on a deeper level.

Keep them connected

Isolation is a symptom of depression. You might notice your friend or family member spending more time alone. But isolation can make it easier for major depression to get worse. Consider inviting them to join you to get out, even if it’s for a short period of time. For example, invite them on a quick trip to their favorite store or the drive-thru at a fast-food restaurant. Remember, you aren’t forcing them to do something they don’t want to do -- you’re walking beside them.

Encourage healthy activities

Exercise, eating a healthy diet and meditation can help ease symptoms of depression. But the person you love might not feel like exercising or meditating. The goal is to invite them to join you in one of these activities. You can provide support by engaging in healthy activities together, like going for a short walk or following guided mediation on YouTube.

Support them in seeking professional help for depression

As frustrating as it can be, you can’t force your friend or family member to get help for major depression or other mental health concerns. However, you can encourage them to seek help and be there when they’re ready. One way is to help them research therapy options or offer to sit with them while they make those important calls.

It's critical to understand if your loved one discloses they want to end their life or talks about suicide . Call or text  988 immediately for free and confidential help available 24 hours a day, seven days a week.

Living with depression is challenging, and watching someone you love go through depression is tough, too. Supporting them makes the journey a little easier for both of you.

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Depression – A Silent Killer

• S. Jayasingam , Safiah Omar , +2 authors R. A. Bakar
• Published 16 September 2020

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Depression as a Silent Killer

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International Journal of Advanced Research (IJAR)

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Depression has been recognized as a distinct pathological entity from early Egyptian times. Depression is the most common psychiatric disorder. Major depression is a mood disorder characterized by a sense of paucity, melancholia, nihilist, decreased activity, worrywart, anhedonia and sadness. Each year, more than 100 million people worldwide develop clinical depression. It is estimated that during lifetime 8% - 20% of the general population experience at least one clinically significant episode of depression. Depressive disorder has significant potential morbidity and mortality. Major depression causes the fourth-highest burden of disease among all medical diseases. It is expected to rise to second place, preceded only by cardiovascular disease. Depression severely disrupts and adversely alter the life of an individual, sometimes to such an extent that suicide is result or attempted. Suicide is the second leading cause of death in individuals aged 20-35 years. Depressive disorder is a major factor in around 50% of these deaths. The search for an extended understanding of the causes of depression, and for the development of additional effective treatments is highly significant. Clinical and pre-clinical studies suggest stress is a key mediator in the pathophysiology of depression.

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Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. It is a state of low mood and aversion to activity that can affect a person's thoughts, behaviour, feelings and sense of well-being.

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Depression is the most common of the affective disorders; it may range from a very mild condition, bordering on normality, to severe (psychotic) depression accompanied by hallucinations and delusions. Worldwide, depression is a major cause of disability and premature death. When the negative reactions to life`s situations become repetitively intense and frequent we develop symptoms of depression. Life throws up innumerable situations, which we greet with both negative and positive emotions such as excitement, frustration, fear, happiness, anger, sadness. Depression is prevalent among all age groups, in almost all walks of life. Indians are among the world's most depressed. According to a World Health Organization-sponsored study, while around 9% of people in India reported having an extended period of depression within their lifetime, nearly 36% suffered from what is called Major Depressive Episode (MDE).MDE is characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy and poor concentration, besides feeling depressed. Lowest prevalence of MDE was in China (12%). The average age of depression in India is 31.9 years compared to 18.8 years in China, and 22.7 years in the US. The female: male ratio was about 2:1."WHO ranks depression as the fourth leading cause of disability worldwide and projects that by 2020, it will be the second leading cause.

Jan de Booij

Part 1: You do a depression. Part 2: Not being able to perform a self-evidence is impossible. People who suffer from a depression have a statistically significantly greater chance than average of evaluating to the status of aspiring suicide. What 'depression' and suicide have in common is that you do it. Committing suicide is an act just like being depressed is. By conceiving it as an act, we can concentrate on the question of what people who do something that is diagnosed by others as behavior that presupposes depression, want to achieve with it. Depressions do not exist, not even traumas and traumatic experiences. There are only people who express their experiences in such a way that experts believe that such an experience can, for example, be described, within a specific interpretation framework, as traumatic. But what do those people experience, which is so very difficult or unpleasant for them? The hypothesis developed in both parts is that with these people, by what they experience, their sense of influence, there feeling to matter, decreases in such a way that "having a depression" is the ‘best, the ‘still available, the ‘only still possible way’ to optimize their Maintaining Sensing Influence. And this is a very difficult or unpleasant way to optimize your MSI. I have tried to show that depression can be seen as an already completed ‘suicide of the mind’, and that the interventions recommended for suicide prevention, one by one, are applicable to treating depressions.

Simon Beesley

Notes on the phenomenology of depression

Kenya Wilcox

Depression also known as Major Depressive Disorder or Clinical Depression, “refers not just to a syndrome, with all of its technical definitions, but also to an affective state that we have each experienced: a state of sadness, depletion, deflation, emptiness, hopelessness, boredom” (Berzoff & Mendez, 2011, 373). With this disorder being a very common mental illness, it often places a stigma on ethnicities, gender, sexuality, and religion. This stigma may also lead to the misdiagnosis or lack of diagnosis to certain individuals. With the feelings, thoughts, and behavior that contribute to this disorder; it is important that depressive symptoms are adequately treated.

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Clinical Depression: The Silent Killer

In the midst of our bustling lives, there’s an insidious force that often goes unnoticed: Clinical Depression. It’s not just feeling a bit down; it’s a silent killer that can permeate every aspect of our existence. Imagine a voice, soft yet relentless, whispering despair and hopelessness. Clinical depression is this voice, eroding energy, isolating us, and concealing its devastating presence behind everyday masks.

But here’s the thing: it doesn’t have to stay in the shadows. Awareness, understanding, and empathy are the torches that can illuminate its hidden corners. We can break the silence, shatter the stigma, and offer support to those who may be suffering silently. Let’s pledge to be vigilant, to reach out, and to create a world where clinical depression is met with compassion, and where no one suffers in silence. Together, we can make a difference.

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Mental Health Education and Awareness

How depression may be harming your health.

Depression is a silent killer when ignored. Many people suffering from depression never seek medical attention during their entire lives. They choose to absorb the burden of depression into their different body systems. This can lead to physical symptoms and various diseases at a later stage.

This is a more serious issue than you might think, as depression has many alarming effects on the human body. This article explains how depression can affect your body and cause disability and disease.

Sleep Disturbance

The most common effect of depression on the human body relates to sleep . A person in depression may have reduced physical activities and inertia. Lack of interest reduces the urge to work. Emptiness in the mind and feelings of hopelessness or pessimism affect sleep. Often depression patients wake up early in the morning or oversleep. A depressed person remains sleepy during working hours and a serious drop in performance may be noticed.

Generally it is observed that depressed people with acute onset suffer from lack of sleep. Towards the chronic phase, a person in depression tends to oversleep.

Reduced interest in day-to-day activities can confine a person in depression to the couch or bed. He or she often overeats and forgets to stop when full. Calorie intake rises drastically, while fewer calories are burned. Weight gain can be rapid and often difficult to control without treating the depression.

Sexual Drive

Depression affects relationships, too. One of the most troubling effects of depression is loss of sexual interest or libido. Whether male or female, people with depression can lose interest in their partners. Initially, symptoms may not be so noticeable. But with time, sexual dysfunction, decreased pleasure from sex, and diminished sex drive can become problems for both partners.

Heart Disease

Depression often leads to higher levels of cortisol, the “stress hormone,” as well as epinephrine and norepinephrine. The gradual increase leads to hormonal imbalance and high blood pressure. High blood pressure along with cortisol and cholesterol increases the chances of blockage of arteries. This event is called atherosclerosis.

If you are over 35, are overweight or have an inactive lifestyle, and live with ongoing depression, it might be a good idea to get checked by a cardiologist.

Indigestion and Acidity

Depression and anxiety are potential causes of hypersecretion of gastric acids. These acids can in turn cause gastritis and gastric or duodenal ulcers.

Indigestion and irregular bowel movements can result from hormonal imbalances, disproportionate gastric secretions, and poor eating habits.  Abdominal bloating, stomach pain, and vomiting can be symptoms of advanced or prolonged effects of depression.

Pains and Aches

Depression increases chances of tension headache, cluster headache and migraine. It also worsens arthritic pain, common joint pain, or the pain of chronic conditions such as rheumatoid arthritis.

A person with depression can also have a low threshold level for minor aches and pains. In addition, depression makes you sedentary, increasing your chances of backache, deep vein thrombosis, leg edema, and neurotic pains.

Chronic Depression

Chronic depression can lead to a mental health diagnosis such as dysthymia or major depressive disorder.

Chronic depression may also be associated with other psychological disturbances or mental health disorders:

• loss of long-term memory
• panic attacks
• obsessive compulsive disorder (OCD)
• schizophrenia
• post-partum depression
• substance abuse and dependency

Depression can be the beginning of a more serious issue, but a person may not have much control over it, as it often occurs at the level of neurotransmitters in the brain. It is always important to find the root cause or trigger of depression.

Diagnosis should be based not only on a formal interview with a mental health professional, but on information provided by collaterals, including parents, teachers, and others who know the person well.  The patient’s premorbid personality (prior to illness) must be taken into account, as well as any obvious or subtle stress or trauma that may have preceded the depression. The patient’s bond with the therapist, called the “therapeutic alliance,” is very important in this process.

Depression often improves with treatment. Mild depression can be handled with family support, behavioural therapy, lifestyle changes, and learning skills for managing.

Severe or chronic depression with other underlying health issues needs medical attention as soon as possible.

The plight of people with depression is often quite complex. Friends and families often misunderstand them, criticizing them for laziness or forgetfulness. They may even be ignored or left behind during family functions, gatherings, and outings. But we must not overlook their silent sufferings.

If you or someone you know experiences mental health issues, it is important to seek help from a qualified professional. Our Resource Specialist can help you find expert mental health resources to recover in your community. Contact us now for more information on this free service to our users.

The opinions and views expressed in this guest blog do not necessarily reflect those of www.rtor.org or its sponsor, Laurel House, Inc. The author and www.rtor.org have no affiliations with any products or services mentioned in this article or linked to herein.

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Guest Author for www.rtor.org

3 thoughts on “ how depression may be harming your health ”.

Depression is a silent killer indeed. Often we ignore, but the suffering is debilitating. Identify early and seek help, both emotional and medical.

Still no one listen they said pray to God ….wow ok but everyday it get worsed

Hi Melissa,

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The  AVM  Theory

Individuality makes us different, respect brings us together.

• Hiya Makhija
• Apr 7, 2023

Depression : a silent killer

Depression, the silent killer who takes lives without warning, punishment, or sympathy, is truly among the most common mental illnesses in the world. Depression is a chronic feeling of emptiness, sadness, or incapacity to feel pleasure that may seem to occur for no specific reason. It stands apart from grief and other emotions. Although depression is more active among women, it remains one of the most prevalent mental illnesses which can affect anyone, irrespective of gender, race, or ethnicity. While there is no cure for depression, there are treatments that help in healing. Some people may never experience depression again after a single period of it while others may continue to have relapsesThere are many symptoms of depression. Sadness and loss of pleasure in things once enjoyed are perhaps the most familiar symptoms. Guilt is another symptom that leads to depression. When a person feels guilt, they blame themself and feel responsible for things they did not do. Some of these symptoms that are ignored are insomnia and loss of appetite. Stress is another important factor in depression. Stressful events or experiences can cause depression in people. Depression is a disease that affects the human psyche so adversely that sufferers tend to behave and react abnormally toward themselves and others. Despite the increasing cases of teen depression, this illness is far underdiagnosed and leads to difficulties. One of these serious difficulties is maladjustment. This adjustment in school, work, and home life can often continue into adulthood. Although depression is an issue, we still make fun of people and bully them because they are depressed. Depression is something we can not control, so it's not their fault if someone is depressed. We can make people feel less depressed by including them, talking to them, and listening to their problems. We do not know how the other person feels, so we should not shut them out but help them out instead. It is difficult to live with depression every day, but we have to fight through it.

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Males and Mental Health Stigma

Benita n. chatmon.

1 Assistant Dean for Clinical Nursing Education, School of Nursing, LSU Health New Orleans, New Orleans, LA, USA

Over a year ago, I had the privilege to sit along with 24 notable experts in mental and men’s health to discuss the behavioral aspects of mental health in the American male, particularly assessing depression and anxiety. One in five adults (an estimated 43 million people) experience a mental illness in the United States every year ( National Institute of Mental Health [NIMH], 2019 ). Although both men and women are affected by mental illness, it is oftentimes overlooked in males. The overall prevalence of mental illness in men is typically lower ( Substance Abuse and Mental Health Services Administration ([SAMHSA], 2018 ). However, mental health among men often goes untreated because they are far less likely to seek mental health treatment than women. Depression and suicide are ranked as a leading cause of death among men. Six million men are affected by depression in the United States every single year. Men (79% of 38,364) die by suicide at a rate four times higher than women ( Mental Health America [MHA], 2020 ). They also die due to alcohol-related causes at 62,000 in comparison to women at 26,000. Men are also two to three times more likely to misuse drugs than women ( Center for Behavioral Health Statistics and Quality, 2017 ). These statistics are troubling because they reinforce the notion that males are less likely to seek help and more likely than women to turn to dangerous, unhealthy behaviors.

Even with the various mental health treatment modalities available, there is a disproportionate difference between the number of males experiencing mental health disorders and those seeking treatment. Mental health, particularly among men, has gained momentum in becoming the “other” silent killer. Why is this? When defining the problem, the topic and role of stigma elicited responses from many of the experts invited to the Behavioral Health Aspects of Depression and Anxiety in the American Male (BHADAAM 1 ; Giorgianni & Brott, 2019 ) conference held by the Men’s Health Network. One of the areas where wide agreement among experts arose was the thought that stigma is an extreme barrier to those needing mental health treatment. This editorial presents some of the sociocultural aspects of men’s acculturation to stigma related to mental health issues with emphasis on the influences of culture and traditional masculine norms. In addition, recommendations exploring stigma targeted at underrepresented groups are discussed.

What is Stigma?

Stigma can be complex and prevalent. For these reasons, I have provided some definitions to frame the discussion. Mental health–related stigma is an umbrella term that includes social (public) stigma, self-stigma (perceived), professional stigma, and cultural stigma. Social stigma refers to the negative attitudes toward and disapproval of a person or group experiencing mental health illness rooted in misperception that symptoms of mental illness are based on a person having a weak character. These perceptions can lead to discrimination, avoidance, and rejection of persons experiencing mental illness. This is usually the type of stigma that is discussed most often. Self-stigma is the internalization of social stigma, in that the person with the mental illness feels shame about his or her symptoms. Professional stigma assumes that health professionals transfer and reinforce stigmatization of their clients, while cultural stigma comprises the various ways that individual cultures interpret mental illness ( Cerully et al., 2018 ; Hack et al., 2020 ; Holder et al., 2019 ). I highlighted these terms so that we can conceptualize the various lenses in which stigma exist.

Culture is a person’s beliefs, values, and norms within a given racial or ethnic group. It impacts certain ideas and behaviors and directly relates to the meaning that people attach to their illness. Culture also affects whether people seek help, what type of help they seek, and their coping style and support. Social norms guide socially acceptable behavior and form the framework that guides how people experiencing mental illness internalize public attitudes that may lead to embarrassment and shame. For example, mental health illness is considered a taboo topic in the Black community. Those experiencing mental health issues are often considered weak, broken, and not strong enough. In fairness, the Black community has been the casualty of the medical industry, dating back to the Tuskegee experiment where many African American men were misled into being injected with syphilis when they thought they were receiving free health care. Hence, distrust of the health-care system still exists. As a result, you may see that those ascribing to the Black culture may find it difficult to accept a mental health problem or diagnosis and seek help. Because of culture stigma, underrepresented persons are left to find mental health treatment and support alone, if at all. Because cultural influences have an impact on perceptions of mental health, understanding the role of culture in mental illness is important in developing strategic initiatives to improve the negative effects of mental health illness.

Masculine Norms

American men are subjected to a culture where the standards of masculinity are literally killing them. One of the factors that contributes to the underuse of seeking professional help is masculinity norms. Masculine norms are the social rules and expected behavior associated with men and manhood within a given culture ( Milner et al., 2018 ). Traditional masculinity or hegemonic masculinity is a subset of masculine norms that accentuate certain expressions of masculinity and invoke some men’s power, dominance, and privilege over women and some men. Toxic masculinity closely aligns with certain expressions of hegemonic masculinity. Toxic masculinity is the demonstration of masculinities that are enforced by restriction in behaviors (e.g, crying, fear) based on gender roles that amplify existing power structures that favor the dominance of men. Toxic masculinity may lead to difficulty in expressing emotions, which is seen often. If we evaluate the expectations of boys, there is a lot of aggression and violence. Boys are acculturated to play rough and are often allowed to break the rules. The phrase “boys will be boys” is normalized by these notions. Adherence to these rigid masculine norms may lead to

• worsening of depression and anxiety
• abuse of substances
• greater health risk (e.g., cardiovascular and metabolic disease)
• issues with dating and interpersonal intimacy
• issues with interpersonal violence
• increase in overall psychological distress
• discouragement in seeking help

Recommendations for the Marginalized

Below are some key recommendations on progressing toward a society that is attuned to the health disparities that are experienced by underrepresented groups in health-care settings as well as changing the social cultural norms.

• Mental health providers should review the APA Guidelines for Psychological Practice with Boys and Men (2018) to explore the complexity of masculinity and work with males.
• Develop policies for providing mandatory cultural competency training to physicians in medical school and not just primary care settings.
• Develop and implement public stigma reduction campaigns.
• Diversify the pool of mental health providers in urban and rural areas.
• Increase diverse role models of positive masculinity.

Mental health–related discrimination has a negative impact on limiting mental health–care access, help-seeking behaviors, and initial treatment for those experiencing mental illness, therefore contributing to increased morbidity and mortality rate of those experiencing mental illness.

Manhood needs to be redefined. There must be transformation in changing the American culture in which males are more comfortable expressing themselves. It would also be remiss of me not to mention the risk factors that exist in situations such as the COVID-19 pandemic, in which boys and men who may be experiencing a mental health problem are vulnerable to the isolation that COVID-19 creates. This isolation may potentiate the precursors of mental illness, therefore adding to the significance of overcoming and leveraging the barriers to the access of mental health resources among those who are less likely to seek professional help.

1. Partially funded through a Patient-Centered Outcome Research Institute Engagement Award (EAIN-12780).

Declaration of Conflicting Interests: The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding: The author received no financial support for the research, authorship, and/or publication of this article.

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• Hack S. M., Muralidharan A., Brown C. H., Drapalski A. L., Lucksted A. A. (2020). Stigma and discrimination as correlates of mental health treatment engagement among adults with serious mental illness . Psychiatric Rehabilitation Journal , 43 ( 2 ), 106–110. https://doi-org.ezproxy.lsuhsc.edu/10.1037/prj0000385 [ PMC free article ] [ PubMed ] [ Google Scholar ]
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