FROM THE EDITOR: Take Depression Seriously
As the Summer takes hold, people often find their mood improves, particularly if they suffer from depression. In fact, one type of depression—seasonal affective disorder (SAD)—is believed to be triggered by Winter weather. It’s thought that reduced sunlight may decrease the production of serotonin (a neurotransmitter that has a soothing effect) in the brain.
SAD can often be mitigated by spending time outdoors in the morning, to increase your exposure to natural light, and by using special phototherapy lamps that mimic outdoor light. However, if your depression isn’t related to the seasons, these methods may not work.
Studies suggest that older adults are more likely to suffer from recurrent depression, as well as more likely to remain depressed for prolonged periods of time. This can have serious effects on their health (we touch on the association between depression and dementia in this month’s issue), and cause them to not care for themselves in ways that can create new problems or exacerbate chronic illness.
Just because we may be more susceptible to developing depression as we age doesn’t mean that we should dismiss it as a normal part of aging—it is vital to seek professional help, because the condition is extremely treatable. Cognitive behavior therapy (CBT)—a specific form of talk therapy—is a cornerstone of depression treatment, and can help clarify what might be causing your depression as opposed to simply treating the symptoms. It’s based on the theory that the way you react to events has more to do with depression than events themselves. CBT may help you to identify potentially unhealthy behaviors and/or thoughts, and replace them with healthier, positive ones that will help you meet challenges you previously couldn’t cope with.
Antidepressants are sometimes used alone or in combination with CBT to treat depression, but if your doctor suggests antidepressants be sure that he or she knows about any other medications you may be taking, to avoid drug interactions. You definitely shouldn’t take herbal depression remedies (such as St John’s Wort) without consulting your doctor, as herbs also can interact with other drugs.
Alongside routine treatment for depression, there are self-help measures you can take to help prevent and/or alleviate symptoms. Exercise has been shown to help: It stimulates the release of mood-boosting chemicals called endorphins, and will help you sleep better. And although you may not feel like socializing if you feel down, you should make the effort, as isolation can make you feel worse. Joining a local gym or YMCA and attending group exercise sessions is a good way to combine socializing with exercise.
Above all, take depression seriously and get help for it—because without treatment, the physical and emotional turmoil that accompanies depression can hugely impact your wellbeing and quality of life.
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