I think my friend might be clinically depressed, but how can I tell if it's genuine depression or just low mood?
Feeling down is just one of a huge range of normal emotions. It can occur in response to a specific event or when we feel overwhelmed by perceived demands. Mood can be affected by psychological and physical factors. Hormonal changes, positive life events such as a promotion or a new baby can cause a dip in mood, as can lack of sleep or niggling worries.
Serious depression is, however, totally different. It has the ability to affect every aspect of life including feelings, mental powers, attitudes and the way we react to situations and others. It can have a marked physical impact by affecting sleep, appetite and energy levels. It can make us tearful, angry, anxious and worried.
Depression has been referred to as the common cold of the mind, with about 12 per cent of the population experiencing a depression severe enough to warrant treatment. If your friend is more than a little out of sorts, she needs to see her doctor.
I've suggested this, but she is reluctant in case he puts her on medication.
Despite her reservations, your friend really needs to see her doctor so he can advise her on the best course of treatment. Some forms of depression, especially those that are thought to be triggered by an imbalance of brain chemicals, respond very well to anti-depressant medication. Either with medication or on its own, talking therapy can make a huge difference to the duration and intensity of a depressive episode.
I've heard that cognitive behavioural therapy is good for depression. What is it?
Cognitive behavioural therapy (CTB) is based on the three key principles: the first is that how we choose to view the world can influence our mood; the second is that our mood and our thoughts are linked; and the third is learning that we can influence our thoughts and beliefs and thereby improve our mood. CTB has been shown to be a powerful tool in managing our minds and influencing depressive episodes. Her doctor will be able to refer her to a qualified psychologist specialising in this approach. In the meantime continue being a good friend by listening and encouraging her to seek professional help.