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Adam Croft

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Why Are We So Afraid to Talk About Depression?

Posted: 17/03/2013 23:00

How do you tell your friends and family that you are seriously ill? For me, it was made - strangely - somewhat easier by the fact that I had just emptied my bank account of ten thousand pounds and told my parents they were no longer invited to my wedding two weeks later.

Winston Churchill called it the 'Black Dog'. Every year, thousands of people in Britain die because of it. One in three people will suffer from it at some point in their life. Why, then, are we so afraid to talk about depression?

The problem is particularly striking amongst my own demographic, young men under the age of thirty. At this age, we're programmed to be strong and manly. We go out and swill beer, party until late and generally put out the alpha-male persona which is expected of us. Inside, though, hundreds of thousands of young males are battling against their inner demons and living through sheer hell.

Some women find it easy to talk - my wife certainly does, anyway. For most men, things are different. We walk it off. We battle on. We certainly don't want to bother our doctor when we're probably just feeling a bit down. Underneath our confident muscle-flexing exteriors, we men have a problem: we leave it too late.

Although I had been on some pretty hefty medication for two years beforehand, the culmination of events last summer meant that I had to tell my family and friends what I had been dealing with. Despite having enjoyed a preceding year which saw me release three number-one bestselling novels, bought my first house and planned my wedding, I was at the darkest point of my life. That's the nature of the beast: when things are bad, you deserve it. When things are good, it's even worse. Good things only happen because you're either lucky or a fraud.

When it finally all got too much for me, just two weeks before my wedding, I snapped at my parents and told them they were no longer invited. I can't even remember what set it off. I then logged into my online banking account and returned all of the money both sets of parents had kindly given us to help us with our wedding arrangements. The money wasn't even there - it would have bankrupted us, but I didn't care.

I also printed off and packaged up two copies of an extensive journal I had been keeping since my diagnosis with clinical depression in the summer of 2010, with the intention of giving them to both sets of parents as some sort of retrospective insight into what I had been dealing with. At that point, my intent was to kill myself.

Writing is a highly therapeutic process, but even that becomes an enormous chore when you are physically unable to get out of bed for days on end. One would imagine light relief would be given upon checking sales reports and and figures from my books. The figures were certainly hugely encouraging and the wonderful reviews and kind feedback were, of course, very nice. Inside, though, I still felt like more of a failure than ever.

It was at the pre-wedding breaking point that my wife decided that my family needed to know about my condition. Five months after, my journal had been packed out with narrative and commentary on what I had been battling throughout and released as We Need to Talk About Adam, a book which details my free-fall into severe depression, most of which was written whilst I was at the darkest depths of my battle. Through giving proceeds from this book to mental health charities, I hope to be able to give something back and - potentially - save a life. That would mean so much more than any sales report.

 
 
 

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How do you tell your friends and family that you are seriously ill? For me, it was made - strangely - somewhat easier by the fact that I had just emptied my bank account of ten thousand pounds and tol...
How do you tell your friends and family that you are seriously ill? For me, it was made - strangely - somewhat easier by the fact that I had just emptied my bank account of ten thousand pounds and tol...
 
 
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03:15 AM on 03/20/2013
For me it's basically the futility of it all. I know there are supposedly people out there for whom depression is a treatable illness, however, I have been depressed for decades. No antidepressant, and no amount of cognitive behavioral therapy has been effective for me. And I am still here decades later, mainly out of fear of botching my "self demise" and the effect it would have on my family, my son in particular. As a parent, I feel that suicide is no longer an option for me. So basically my life is spent just passing time. I stopped wearing my seatbelt years ago in hopes that in the event of a road accident I will earn my ticket out. I know that for me, this depression has a parasitic hold on every cell of my body, I wouldn't even know myself without it. For me, I know it's not treatable, so I no longer speak to anyone about it. Except apparently anonymously on the internet......
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mary james
05:44 PM on 03/24/2013
with you all the way animiz and many other posters here. i'm over the worst of my depression but i watch for it returning and dread it. it has changed me from an easy going happy go lucky person into a miserable grouch. i had the same feelings about suicide, thinking they would be better off without me making them miserable too but for the same reasons as you i thank goodness i didn't follow it through. i'm just passing time and waiting for the end too. i try distracting hobbies (motor racing for example) but can't get excited about whizzing round the track and wonder why i bother to leave home at 5am to get to a meeting.
unlike you i try to talk about it whenever i perceive someone else with similar troubles. i think it helps people to deal with it knowing that others feel the same way.
very good luck to you, i hope it departs just as easily as it arrived.
02:37 PM on 03/19/2013
People still seem to fail to grasp how serious an illness depression is, and that it effects different people differently. I have been unable to do a 9 to 5 job for the past 10 years because of anxiety based depression, and this governments blundering welfare reforms mean that me and thousands of other people are having our benefits stopped and are told we are fit to work. Often we are told this by someone who has no training in the area of mental health too, and they are working to guidelines that don't take into account fluctuating mental health conditions like Depression, it's truly appalling.
I'm training as a freelance writer myself now and hope to be able to earn a living that way and say goodbye to the benefits system forever, but many others don't have the skills to just re-train like this, it is causing many suicides and premature deaths. In the future the true statistics for how many people died because of this governments flawed welfare reforms will be revealed, and the nation will hang it's head in shame that they let it happen.
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11:26 AM on 03/19/2013
I would like to say a BIG thankyou to adam croft for sharing his experience with us and for highlighting this most horrible illness. bless you.
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10:51 AM on 03/19/2013
I have been on ssri (citalopram) for depression and anxiety for 5 years and now trying to get off this medication slowly. Im finding the side effects coming off very unpleasant to say the least. Is anyone out there having the same experience?
Kraptonfactor
They're coming to take me away ha ha, hee hee, ho
01:20 PM on 03/19/2013
@dickie dido: I was on that medication for about two years and didn't really feel any benefit from taking it. My usual pharmacy said they could no longer stock it so I just stopped taking it, I didn't have any side effects at all and didn't feel any less depressed. I never went back to my GP, instead I started taking St John's Wort and Ginseng, it doesn't cure depression but it does take the edge off. Perhaps you could try that.
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01:50 PM on 03/19/2013
kraptonfactor, Thankyou for your reply. I will try the St john's wort and ginseng. Best wishes to you.
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mary james
06:03 PM on 03/24/2013
those considering alternative therapy should also consider cannabis. it doesn't cure the condition but it helps pass the time during those really black periods when you're just waiting for tomorrow to see if you feel any better.
Contrary to information coming from the popular press it does not cause mental problems. The USA, Israel, Portugal, Switzerland and the Netherlands are miles ahead of us in using cannabis to treat mental issues. it's worth investigating even if you have strong negative feelings about it. there are strains available today which are high in CBD and low in THC. CBD is an anti psychotic by the way.

whether you disagree with me or not, good luck to all of us - let's keep talking about it, i believe it helps most people to know that they're not alone.
02:34 PM on 03/19/2013
Coming down slowly is the key. As little as 10mg a month. You *will* have side effects, but they won't last long.
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03:15 PM on 03/19/2013
Thankyou adam. Best wishes to you.
09:36 AM on 03/19/2013
From my experience of years of depression I think the worst thing about it is the tendency to get angry with YOURSELF for having the condition. When I am able to stop being angry about it and accept it as a part - but not all - of my make-up I feel more at ease. But that is the catch 22, you have to be feeling less overwhelmed with the depression to be able to think more rationally about it. I try to hold onto that, that the worst aspect of depression seems to be how you treat yourself. Obviously it affects anybody close to you but I still think your prime target is yourself even if you sort of attack yourself by damaging realationships and people around you.
Makalha
Opinions are not facts.
09:29 AM on 03/19/2013
. I have a daughter who is Bi-Polar and reached her forties before being diagnosed . For many years she didn't live near me and when i visited she was able to hide her symptoms or " lie " to us about what was going on in her life . Patient privacy whilst a good thing can also make it difficult for family to know what is happening . Eventually she moved near to me but was still able to cover up a lot until she nearly succeeded in a suicide attempt and was admitted to a mental health unit . She had held down a fairly responsible job and the firm she worked for valued her and have been excellent in supporting her . She was off work for almost a year and was able to gradually get back to work as and when she felt able . She takes a cocktail of medication which have undoubtedly helped her to remain "normal" . She has said how helpful she has found it being able to talk about her depression and quite a few of her co-workers, both male and female, have said how it has helped them to admit to depression to see how she was treated and how she reacted with openess in discussion her illness. We have to get depression talked about and help others understand it is not about being unhappy with your circumstances but an illness .
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ccraiglamont
Sometimes funny, other times...not!
06:44 AM on 03/19/2013
Can anyone relate to this?
I haven't 'topped myself' because of the aftermath which would surround the act.
My friends would be questioning, why?
My wife and son would be questioning, why?
Doctors would be questioning, why?
To everyone it would look like an act completely out of character and those questions could never be answered because it is MY secret. I've kept it so long and controlled it so well (controlled?) not one person suspects I am depressed. When I cry at happy endings (even in childrens movies) I am careful no-one sees it. When a happy event unfolds, I take great care to hide the tears welling up within me, ironically though... Sad events like bereavements etc. do NOT affect me to the point where I have been called callous and cold by some.
We can talk about depression as a generic illness, but it is far more complicated than that and is often 'tailor fitted' to the individual.
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10:37 AM on 03/19/2013
ccraiglamont......I can relate totally to you. Best wishes to us both.
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ccraiglamont
Sometimes funny, other times...not!
10:57 AM on 03/19/2013
and to you DD.
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novelist2000
veritas non olet
02:55 AM on 03/19/2013
I think people don't talk about it because they feel inadequate.

From my observation, depression (also) comes from being in an unsatisfactory situation and seeing no way out, because maybe there really isn't one, except to sit it out, which is hard. Day after day, night after night, the mind races how to find a way out of the unsatisfactory situation - but there's just no opening. The person then feels inadequate because he/she is apperently not steering his/her life properly - and after all, everything that happens to you is of your own making (or so the propaganda goes). Quite often there are elements that are not of your own making, but there are also your own mistakes. It's like a tangled ball of wool.

If the depressed person were asked in confidence, and be encouraged to be brutally honest, the reason(s) for the unsatisfactory situation could be uncovered. Rectifying is a different matter - and that's why we do not talk about depression, you can't get people a proper job, proper living conditions, closer to people they want to be closer to or further away from people they can't stand, or get them a dog or a cat when they cannot fund it or it's not allowed. You can't always get what they want, they sing. Some people survive better in unsatisfactory situation than others.
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sixway
12:24 AM on 03/19/2013
I'm depressed.I don't have enough money to do the things I want to do.I have a debilitating medical condition.I just accept that this is what God wants from me.I don't let it get me down.I just live my life as best I can.
12:18 AM on 03/19/2013
This situation happens with, females too. I have a history of depression and SAD. I have hidden it for over 20 yrs. Medication definitely does help but feel this is a temporary, 'desperate' measure due to upbringing etc.

I know in my heart that I really need medication for this illness long-term, but still only use it when suicidal. Would NEVER leave my young kids with that legacy but, if I didn't have them ???
09:16 PM on 03/18/2013
It just goes to show how common depression is, when you look at the number of posters on here who you 'meet' with when discussing other topics....

Can I just mention to sufferers that it is definitely worth having tests to check your thyroid function. Most are unaware what an important role the thyroid plays in regulating mood amongst other things. And because thyroid disorders often occur slowly over a number of years, sufferers may believe they are just becoming increasingly miserable / unhappy with life.

Some medical experts believe that thyroid disorders are more common than we know.

A failing thyroid is often coupled with symptoms of depression, tearfulness, insomnia, weight changes.... And it is no more than a blood test to eliminate a possible underlying cause.
10:43 PM on 03/18/2013
That's of course if your GP will listen to your "symptoms". The blood test is only useful if you have overt hypothyroidism. If you're within the reference range with symptoms, they'll usually just fob you off with anti-depressants. The fact is the UK is so far behind other countries on this problem (their reference ranges being narrower), that most GP's really don't have a clue.
11:08 PM on 03/18/2013
And that is very true my friend. Very true.  
01:47 PM on 03/19/2013
There's a nail hit resoundingly on the head! Will your GP listen?
There's usually one in a practice but first you have to identify that one, then place yourself in a long queue for appointments behind all the others who have identified him/her. He also manages to get a bad name among the other practitioners because the waiting room is always stuffed with people whose appointments are overdue - the doctor concerned is running late because he/she is listening to someone else - and targets are not being met!
If you finally hit on the right GP by chance, as I did, your life can be turned around - again, as mine was. Otherwise ...? The words 'battering' and 'brick wall' spring to mind.
Add to this - speaking as a woman - the fact that many men are far less likely to go 'whinging' to a doctor about anything, and the odds against getting the right treatment rise astronomically.
In desperation, maybe, a man creeps, shame-faced, into the surgery and mutters out a part of his problem - 5 minutes later, he shuffles out again, clutching a prescription for something totally inappropriate, and that's it! A woman may employ 'try and try again' tactics, earning herself the name of 'timewaster' as she does so, but - in my experience - there aren't many men with either the time or the neck to do the same thing. Is it any wonder the suicide rate is so much higher for men?
05:09 PM on 03/18/2013
Er, because it is so depressing to do so? 'Manics' have the dubioius pleasures associated with their 'ups' - we common or garden depressives only have 'lows' - who the hell wants to talk about that? Initial discussion is very useful, to know that one is not alone, to understand its causes; but beyond that understanding, it's a real downer to keep banging on and on about it. Too many depressives, especially manics, embrace their illness like a cloak; they become experts in their condition ... so damned tedious!
04:15 PM on 03/18/2013
I have been diagnosed with manic or what is now known as " bipolar depression " for the past 25 years. I wish with all my experience that I could help those of you with this chronic illness, but I find that I can't. There are too many factors associated with clinical and manic depression for any to be unique to a particular person or group of sufferers.
I can only speak for my own situation, in my NHS geographical area, where they offer various treatments depending on the patient's mental condition. My own depressions become severely clinical, and cannot be treated with CBT. Fortunately I was given ECT over a course of 8-10 sessions which followed by a selective cocktail of antidepressants stabilises me, and prevents me from becoming manic. That's a cocktail of 10 tablets a day. The attention and treatment I receive from my NHS Trust relative to mental health over the past 25 years is exemplary.
Fortunately my condition is now controlled and monitored. That's why I can only speak for myself on the subject. The brain has a thought process, and a mind of it's own.
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vividrick
I came, I saw...I had a cup of tea!
03:31 PM on 03/18/2013
Thanks Adam. There should be no shame in men speaking out. There has been decent mental health charities/causes public awareness programmes in recent years. I know it's not the known way for a man to express his inner-deep emotions regarding physical and mental well-being, but there should be no shame in admitting problems & seeking help. I felt same even as young male teen, but thought it must be normal as everyone else seems to coping, why shouldn't I? I even rejected victim support after an incident, which was premature & stupid. It wasn't until after I graduated I finally went and got help. I got steady after that, but not been easy. Had a recent breakdown which I'm currently pulling out of, fingers crossed.

It's good to write, or any other way of expressing to channel those thoughts & mental energy, one reason why you see quite a few blogs. I'm using reading, writing & art. There's not enough hours in the day...
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Reith
what's a micro-bio?
06:00 PM on 03/18/2013
Inspiring post, vividrick. Ironically the only time I've been deeply depressed was on receiving treatment for insomnia - amitriptylene which is an anti-depressant. I felt like a zombi most of the time, motivation was out of the window and it was too easy to burst into tears when something went slightly wrong. But otherwise I've felt down now and again = and you are so right about writing being a superb therapy. Yes, anything that gives release to your energies dark as well as light.
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vividrick
I came, I saw...I had a cup of tea!
12:24 AM on 03/19/2013
Thanks Reith, I appreciate that. It is hard. Just have to keep pushing and persevering. I too just breakdown and think I didn't sign-up for this, and you try to put in perspective, and you realise people in worse off situations, and then you feel guilty because of that. But they have a better coping mechanism, or constructed one, much to their credit. Otherwise how is your insomnia & depression these days?
03:06 PM on 03/18/2013
I have been depressed for years and only a year ago i couldn't take anymore, saying i'm a man and i should just get on with it.
So i after trying to hang myself, I went to my doctor and told him everything, he told me to take some pills which really screwed my head up, then told me he would get me the help i need asap.
A year on and still no help, cant take no more of the pills screwing up my head and the only thing that stopped me from stepping of the chair with the rope attached was the promise of help!!
I did ask my doctor, what do you put on the death certificate "waited to long for help" to which i got no answer.
so where do i go from here??????????????
05:13 PM on 03/18/2013
I find it helps to see it as it is: a chemical imbalance. You wouldn't top yourself if you had an imbalance in stomach acid, would you? Just remember, when you're in a depressive state, it isn't YOU, it's those pesky chemicals playing up again! It makes it far easier to cope with, if you keep reminding yourself.
06:50 PM on 03/18/2013
I've seen a couple of your comments and I'm worried for you. Please contact me.
02:03 PM on 03/19/2013
thank you for your invitation but how is it your able to help me
when the NHS cant or wont do anything to help