4th February 2009
By Peter Berkin

Everybody feels depressed some of the time. If we have a bad day when nothing goes to plan and life seems to be working against us, then we can all feel down in the dumps. Sometimes though depression becomes more than just an occasional low mood. In it’s most serious form depressive illness can cause the individual to completely loose touch with reality, the mind becoming deranged or deluded with so called psychotic symptoms emerging. Fortunately such severe depressive illness is not common and most people suffering from depression are simply reacting to the stress and pressure of normal life.

The symptoms of depression in mild cases can be difficult to distinguish from simply being exhausted. A constant feeling of tiredness, loss of concentration and a lack of self-motivation may be all that occurs. If things get a little worse then the individual may start to avoid social contact, feeling inadequate and worthless. Thoughts become constantly negative and everything may seem to be associated with bad feelings, guilt and remorse. If the illness becomes serious then the individual may start to contemplate death or suicide, feeling that life has no meaning and often believing that others are plotting to make things worse – so called paranoia. Sleep disturbance may occur with early morning waking being a key feature. Crying becomes frequent and laughing and joking rare.

Prevention is better than cure and lifestyle is the most important factor in staying healthy. A healthy diet and plenty of fresh air and exercise are essential. Alcohol has a potent depressive effect and should be avoided completely if depression is suspected. Keeping control of work commitments so that there is enough time to relax and enjoy home and family life is important. Young mothers at home with small children are also at risk and must make time for themselves, time to enjoy adult company and social contact away from the children. Life needs to be in balance, time to work and time to play.