The Moment That Taught Me Not to Fear Depression

Depression can be frightening. Often we can doubt whether it will ever get better. Being told that it can, is what we want to hear - even if we may find it hard to believe. Being told that we are the one, who has to take responsibility and do something about it, is not something we may want to hear.
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I am a therapist and I can feel depressed - just like you. One event taught me how not to fear depression.

Because of my training I may have a better understanding of the triggers and more tools to deal with difficult feelings, but I, like anyone else on this planet, am not excused from feeling the difficult stuff. Having said that, would you trust me with your mental health?

Depression is a human conditon. It is not a sign of weakness or failure. It does not discriminate. It can affect us all. Depression is talked about, and it is a taboo. It is written about, researched, everyone has a view and many suggest what to do about it. Depression can happen on a spectrum of severity: It can be bearable or unbearable. It can be endured or it gets in the way of everything. It can come and go. It can stay for short or long periods of times.

When I was in therapy training my therapist* once remarked, that he thought I was depressed. What has stayed with me about this moment is not what he said, but how he said it - calm, non-judging, matter of fact and not frightened or frightening.

At the time a lot of difficult things had come together in my life, and it was not easy. I had known it, and I had felt it. But for another (and a health care professional and trainer of all people) to notice and confirm what I had suspected, that was not easy either.

I remember feeling ashamed and worried. Me a trainee therapist depressed?! Was I not supposed to know better, know how to avoid getting depressed in the first place? Was I weak, a failure and not suited to the profession?

What stopped me from digging myself into an unnecessary and unhelpful hole of shame, fear and discomfort about how I felt was the way in which my therapist told me what he had observed. He was not frightened, angry or disappointed. That helped me stay with the facts and work out what I needed to do to avoid getting stuck in this difficult patch, how to cope and how to get back on track.

We all can experience more or less severe symptoms of depression throughout our lives. No one is spared. That includes people in caring, health or religious professions or those where discipline and leadership are expected (the military, police, politicians or senior corporate managers etc). Ways of coping and treatment depend on the depth and length of depression. Clearly this can vary from person to person.

It is important to be able to notice when things are starting to take their toll; and then to decide to do something about it. That can take more courage and strength than pretending it is not happening.

Feeling depressed and anxious (the two often go hand in hand) can be triggered by lots of things, but are particularly common when our basic needs are threatened and we have little or no control over the matter: health, employment, home, relationships, death, finances, traumatic experiences.

If we are affected in more than one of these areas, then we need to start taking extra care, as this is a challenging time. If we do not have a good support system (or none) then we need to take even greater care.

If difficulties stretch over a longer period of time and solutions are not easy to come by, then we are bound to experience an emotional drain and exhaustion. If we are traveling through a difficult terrain, our mode of transport will have to cope with extra strain and can only get us there, if we do extra maintenance. The same goes for our emotional and physical well being. We all have thresholds of coping.

Depression can be frightening. Often we can doubt whether it will ever get better. Being told that it can, is what we want to hear - even if we may find it hard to believe. Being told that we are the one, who has to take responsibility and do something about it, is not something we may want to hear. We expect the other (GP, therapist, counsellor, life coach or medication) to do it for us.

Alas, it is our own road we travel, and only we can do the job - sometimes with help from others, who are not afraid and who have confidence in our ability to get there.

If you are worried for your well-being and have no one to speak to about it, then do consider contacting the Smaritans. http://www.samaritans.org/

*Many counselling / therapy training programmes require trainees to undergo therapy for some time. It is common for qualified therapists to continue with personal therapy alongside their work as best practice, personal development and / or an accreditation requirement.

Karin Sieger is a psychotherapist based in London. Her blog is called Between Self and Doubt.