If you are the dealer, I'm out of the game If you are the healer, it means I'm broken and lame If thine is the glory then mine must be the shame You want it darker We kill the flame Magnified, sanctified, be thy holy name Vilified, crucified, in the human frame A million candles burning for the help that never came You want it darker Leonard Cohen
What is Depression?
Depression does not suggest psychological weakness or a flaw in one's personality. A person who never experienced clinical depression may find it hard to relate to a person who is suffering from a mood disorder. An individual with depression cannot merely at will "pull themselves out of it" or "just get over it.'" Depression is very real and can be psychologically and physically disabling.
Without treatment, symptoms can last a long time -- for weeks, months, years, or in some cases a life time. A clinical psychologist who is trained in psychiatric assessment and psychotherapeutic practices can help most people who suffer from depression.
The symptoms of depression may vary from person to person, and also depend on the severity of the depression. Depression causes changes in how one thinks, feels, behaviors and one's overall physical well-being.
What are the Signs of Depression?
Changes in Emotions - You may feel sad without reason. You might no longer enjoy activities that they once found enjoyable. You might lack motivation, and become more apathetic. You might feel stressed or worn out. Perhaps you feel tired all the time. Sometimes irritability can develop, and you may have more difficulty controlling your temper to the point that you might feel overwhelmed by rage. When you are depressed, you might be plagued with feel of helplessness and hopelessness.
Changes in Thoughts - You may experience problems with concentration, short term memory and the ability to make decisions. People can become overwhelmed with even making a minor choice, such as what to eat for dinner or forget simple things like how old they are. Negative or pessimist thoughts, low self-esteem, excessive guilt, and self-criticism are all common in a person with depression. It is not unusual to even have intrusive self-destructive thoughts when you are in a deep depression. Some people may even have suicidal or homicidal ideas.
Changes in Behavior - Negative thoughts and emotions affect you physically and socially. People tends to withdraw socially and not feel comfortable around others when they are depressed. They tend to stay home and avoid social interactions. When depressed, sadness, crying, change in one's appetite is common. Some people loss their appetite and even loss weight, while others over eat to compensate for their feelings of sadness. Some people cannot sleep, while others sleep to much. It is hard to sleep if your mind is worrying, and often time waking up three in the morning with negative thoughts is common. In fact there is a clinical term for waking up in the middle of the night --"early morning awakening." One's libido tends to diminish and interest in sexual intimacy all but disappears. Some people experience depression in bodily symptoms, be it tight muscles due to stress or stomach aches associated with feelings of being emotionally upset. When depressed, you can feel agitated and have temper outbursts over small disagreements. Some feel restless and cannot sit still or focus on one activity. Many people who are depressed begin to neglect their personal appearance and stop doing daily basic hygiene. When you are depressed you tend to lack motivation. Perhaps you don't want to go to school, or work, or even do routine household chores. In severe cases, you may not even have the energy or will to get out of bed in the morning.
What are the Symptoms of Clinical Depression?
Sadness
Mood swings
agitation
crying
Apathy
anxiety and feelings of being stressed
Guilt
Loss of interest in everyday activities
Social isolation
Lack of concentration
The lack of pleasure
Fatigue
Lack of libido
Excessive sleeping or insomnia
Excessive hunger or loss of appetite
Restlessness
Feelings of hopelessness and helplessness
Ruminations, obsessional and negative thoughts
Suicidal ideations
What are the Different Therapeutic Modalities For Treating Depression? Cognitive Behavioral Therapy (CBT): CBT helps individuals identify and challenge negative thought patterns and behaviors associated with depression. By reframing these negative thoughts and developing positive coping strategies, CBT empowers individuals to regain control over their mental health.
Interpersonal Therapy (IPT): IPT focuses on improving relationships and communication skills. It assists individuals in addressing issues related to their relationships and social interactions that may contribute to their depression.
Psychodynamic Therapy: Psychodynamic therapy delves into unconscious processes and unresolved conflicts that underlie depressive symptoms. Through this method, individuals gain insight into their emotions and thought
Mindfulness-Based Cognitive Therapy (MBCT): MBCT combines elements of CBT with mindfulness techniques. It helps individuals become more aware of their thoughts and feelings without judgment, preventing relapses of depression.
Dialectical Behavior Therapy (DBT): Originally designed for borderline personality disorder, DBT has been adapted for depression. It focuses on emotional regulation, distress tolerance, and interpersonal effectiveness.
Existential Psychotherapy: Existential therapy explores the philosophical and existential aspects of human existence. It encourages individuals to examine the meaning and purpose of life, fostering self-awareness and authenticity. This approach addresses the big questions, personal responsibility, and the fear of death, which can be sources of existential anxiety and depression.
How Do I Choose The Right Psychotherapy Approach?
The choice of psychotherapy approach for treating depression should be based on an individual's specific needs and preferences. Often, a combination of these approaches may be utilized to address the various facets of depression. Psychologists specializing in these therapies can guide individuals in their quest to find meaning, purpose, and relief from the burdens of depression. Whether through cognitive restructuring, exploring interpersonal dynamics, or confronting existential concerns, psychotherapy plays a vital role in the journey towards recovery.
Dr. Klein is trained in the assessment and treatment of clinical depression. Instead of worrying about whether you are depressed, do something about it and make an appointment for an evaluation as soon as possible. Dr. Klein will work with to tailor a treatment plan to meet you individual needs and circumstances. When appropriate, Dr. Klein will work with primary care physician or refer you to a psychiatrist if medication is deemed to be beneficial in addition to psychotherapy.
Dr. Klein is a Westport Fairfield psychologist therapist who specializes in the diagnosis and treatment of depression and mood disorders.