Sunday, March 21, 2010

So what do we talk about?

The previous post may have left some of you wondering what I suggest can be done in order to make mental illness a less touchy subject of conversation.

Let me begin by saying that it will always be a very delicate topic, and needs to be addressed as such. Just like talking about cancer and other serious illnesses is not pleasant, it is still important to discuss these matters without feeling like we're an alien.

So if we don't talk about mental illness as being "stigmatized", what do we call it or how do we approach the topic?

Very simply by talking about it for what it IS, not what it isn't!!!

I will use the example of depression since it is so close to me.

Depression will affect 1 out of 5 Canadians in 2010 with varying degrees of severity. Some won't be able to leave their house for days on end, while others will be able to function normally despite it. The vast majority are somewhere in the middle.

Depression can not be diagnosed the same way as organic diseases (IE. You can't take a blood test or urine sample for diagnosis), but several physical and emotional symptoms occur in most depression sufferers, and through these we can establish diagnosis.

Since diagnosis is based on "experienced" symptoms, and patient recognition of these symptoms, diagnosis can often be off the mark. This explains in part why some patients may have medication and dosage changes. For other mental illnesses, correct diagnosis is even more difficult.

Many people suffering depression will often concurrently suffer one or more other mental illnesses, most commonly anxiety (under it's various forms), and/or substance abuse.

Which came first, the depression, anxiety, or substance abuse is not important, what is important is proper diagnosis of what ails the person and follow treatment accordingly.

Some form of depression is also very common in most other mental illnesses (IE. The average bipolar person will be depressed 70% of the time as opposed to 30% of the time in manic phase). Schizophrenics also have periods of severe depression, but theirs is part of schizophrenia.

Now most people suffering from unipolar depression do manage to function normally in society, some with the help of medication, counselling, some not. Each case is different.

Depression is a very common ailment, it affects people of both genders, all races, and all age groups. Some symptoms will be more prevalent in certain groups of people, but again these need to be taken as one (potential) piece of a very large puzzle.

That, in an extremely brief summary is what depression is.

Was that so difficult?

2 comments:

Mademoiselle A. said...

Is it fair to say that depression might hit each one of us at various time of our lives, for a short or a long time and it might be possible that it does not get diagnosed because some people might overcome it by themselves. They might not even know that they were in a "depression" part of their live just because they have a different ways of dealing with the symptoms and causes that leads to depression. I am not a psychologist or anything, but at a certain point, I believe that when depression is "diagnosed" it is mainly because the person was not able to overcome, one, or 2 or 3 little ones and it led to the part where they just can't do it themselves. That's is what i believe anyway..

Gregoire said...

Good point Mademoiselle A.

A person might be suffering depression without having been diagnosed. That's obviously also true of all ailments.

I'm also convinced that many people do overcome depression without ever being diagnosed or "knowing" it is depression per se.

An irony of depression is that it is extremely difficult to diagnose since there doesn't exist a "physical" examination (IE. Blood test / urine sample) which can quantify it, yet at the same time it is something which can be overcome without diagnosis depending on it's severity.