DEPRESSION

Dr Chris Williams PROFESSOR OF PSYCHIATRY, GLASGOW UNIVERSITY

Most people feel down at times but depression makes sufferers feel persistently sad for weeks or months, rather than just a few days.

There is much more understanding and support for depression, as well as the recognition that treatment and support of clinical depression is usually needed to help make a full recovery.

Symptoms range from lasting feelings of unhappiness and hopelessness, to losing interest in things previously enjoyed and feeling very tearful. Physical symptoms can include feeling constantly tired, sleeping badly, having no appetite or sex drive, and various aches and pains. Some feel persistently low, while others feel that life is no longer worth living.

“It’s important to realise when you need more help to turn the corner to recovery,” said Dr Chris Williams, Emeritus Professor of Psychosocial Psychiatry at Glasgow University.

“There are good treatments and your doctor can check for anaemia or other physical health problems that can make you feel depressed. However, there are many ways you can help yourself and activity is the most powerful.

Often people with depression fall into a cycle, where everything feels bad and they prioritise work, children, maybe older parents. So I’d suggest they ask themselves what they used to love doing and plan more of the right stuff.”

“Fun, pleasure, connections to people who are good for you can help. Choose to see less of those who are bad for you, who drag you down. Recognise achievements – getting up, showering – understand that you’re doing well.”

Dr Williams says it plays a big part in selfcare, another area where motivation can wane.“People don’t enjoy food as much, don’t eat enough, or comfort eat, drink too much. Recognising the patterns is important and again they should consider eating for good health.”

Sleep is often a casualty of depression. It’s hard to get to sleep, to stay asleep and to avoid fretting when lying awake, but Dr Williams recommends keeping to a routine time for bed.

He added: “The website www.llttf.com helps you live life to the full. Losing joy in life is hard but you can help yourself get it back.”