Navigating depression

Written by: Dr Sarah Barker
Published:
Edited by: Kate Forristal

In her latest online article, Dr Sarah Barker gives us her insights into depression. She talks about the symptoms of depression, the difference between sadness and depression, the causes, how to manage depression and when to seek professional help.

What are the symptoms of depression?

When individuals experience depression, they often cope with demotivation, overwhelming sadness, and a pervasive sense of lethargy. Consequently, their social interactions may decrease, and they may find less enjoyment in activities they once enjoyed. Also, depression can impact sexual function, thinking and memory.

 

What is the difference between sadness and depression?

Similar to anxiety, depression exists on a spectrum, where occasional feelings of sadness are a normal part of the human experience. For instance, grieving the loss of a loved one naturally induces sadness. However, when depression begins to significantly impact daily life and relationships, it becomes crucial to seek help. This is especially true when thoughts of self-harm arise, a concern that takes various forms, such as skin-picking or hair-pulling, often serving as attempts to cope with emotional pain.

 

Individuals may resort to substances like drugs, alcohol, overwork or risky behaviours in an effort to self-medicate. In such cases, seeking a therapist becomes essentall to explore healthier alternatives for managing emotions. For those battling with severe depression, a combination of medication and therapy may offer an effective path forward. On the other hand, milder forms of depression can often be addressed through therapy alone.

 

What causes depression?

Various theories exist regarding depression. Endogenous depression, for instance, is viewed through a biological lens, suggesting a genetic predisposition as a cause. On the other hand, reactive depression stems from challenging life situations, such as those witnessed in war. Treatment approaches can differ, but for some individuals experiencing endogenous depression a combination of therapy and medication has notably enhanced their quality of life. Some individuals, initially hesitant about antidepressants, find that they can be beneficial based on compelling evidence. However, others choose alternative paths, preferring not to rely on medication.

 

How can I manage depression?

Numerous therapeutic approaches exist, with therapists employing a process known as formulation to understand the root causes of your depression. This involves examining family history; some individuals notice a clear pattern of depression within their families. Alternatively, others may pinpoint specific triggers like challenging situations or losses. In the therapeutic process, emphasis is placed on exploring the beliefs you hold about yourself. Significant events can sometimes give rise to beliefs such as feeling worthless or unlovable. Through therapy, the goal is to delve into these beliefs, understand how they influence your behaviour, and explore alternative thoughts and behaviours that may prove more beneficial, ultimately contributing to a reduction in depression.

 

When should I seek professional help for depression?

It's important to get professional help if you're thinking about self-harm. Many people have thoughts like wishing they were better off dead, but just having these thoughts doesn't mean you'll act on them. A key question is understanding what stops you from acting on those thoughts. Even if you're only thinking about self-harm, talking to a healthcare professional is important.

 

Dr Sarah Barker is an esteemed clinical psychologist with over 25 years of experience. You can schedule an appointment with Dr Barker on her Top Doctors profile.

By Dr Sarah Barker
Psychology

Dr Sarah Barker is an expert consultant clinical psychologist based in London with over 20 years of experience. She specialises in chronic pain, dental phobias, post-traumatic stress disorder, physical health, anxiety and depression.

Dr Barker has extensive experience working with individuals, groups, families and couples treating a wide variety of both psychological and physical conditions. She has completed additional training in cognitive behavioural therapy (CBT), systemic therapy, mindfulness and acceptance and commitment therapy (ACT), which has led to her publishing research on narrative approaches, chronic pain and chronic illness. Dr Barker has also undertaken Level I and II training in EMDR which she finds useful in addressing the trauma that can be a cause of a chronic condition.

Concerning chronic pain and dental anxiety, Dr Barker held an NHS post at Kings College Hospital dealing with patients who are experiencing chronic facial pain. She has conducted research to evaluate the impact of iatrogenic nerve injury, for example from surgical trauma, in more detail.  She has spoken at national conferences to Dentists and Pain Doctors, and has published articles on psychology applied to dentistry and surgery. She has also developed a multidisciplinary day workshop for trigeminal nerve injury patients after many years of clinical and managerial positions dealing with outpatient and residential pain management.

She is also an active member of the British Psychological Society, the Faculty of Clinical Health Psychology, the Division of Clinical Psychology and the British Pain Society.

HCPC: PYL02061

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