i feel hopeless
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I Feel Hopeless Living with Depression

It feels like a weight on your chest, depression does. That heavy feeling that zaps your energy and motivation, and stealing your quality of life. When battling depression, you struggle to find something, anything, to be grateful for, but usually find yourself saying to yourself, “I feel hopeless,” instead.

The idea of being hopeless is a total absence of the feeling that circumstances will improve with time. When in the pit of depression, it truly feels like that, as if all hope is lost. Depression is mysterious and complex, incomprehensible even. Why does it strike? What brings it on?

For individuals telling themselves daily, “I feel hopeless,” there is not always a clear path to recovery from a depressive episode. Some simply live their days out by suffering in silence, others retreat into isolation, and some begin to abuse alcohol or pills as a means of self-medicating depression. Most just wish they could snap out of it.

Knowledge is so important when it comes to understanding this mental health disorder, as it provides the key information that could give the person suffering a pathway out of the darkness of depression. Learn about the signs and symptoms of major depressive disorder, and about treatment options for managing it.

Understanding Depression

If you are struggling with depression you are in good company. More than 17 million Americans are affected by major depressive disorder annually, according to the National Institute of Mental Health. To date, science has not yet discovered the specific root cause of depression, however the following are known risk factors for developing the mental health disorder:

  • Family history of depression
  • Faulty mood regulation due to brain chemistry imbalance
  • Stressful or distressing life events, such as the unexpected death of a loved one, divorce, job loss, serious health challenge
  • Medical conditions, such as diabetes, MS, cancer, and Alzheimer’s disease
  • Medications that have depressive side effects

The DSM-5 criteria for diagnosing depression involves five or more of the following symptoms have been present most of the time for more than two weeks:

  1. Persistent depressed or sad mood
  2. Deep fatigue
  3. Recent unexplained weight gain or loss
  4. Difficulty concentrating or making decisions
  5. Slowed movements and cognitive functioning
  6. Lack of interest in the activities once enjoyed
  7. Persistent feelings of hopelessness and despair
  8. Irrational feelings of guilt or shame
  9. Thoughts of suicide

Treatment for Depression

What may have begun as a bout of the blues becomes concerning if the symptoms persist for more than two weeks. Symptoms of depression can be very disruptive to daily functioning, impairing job performance, parenting duties, academics, and relationships. If an individual is contemplating self-harming behavior such as a suicide it constitutes an urgent condition that should be acted on immediately. If no such acute event is present, then a visit to one’s medical primary care provider is a good first step. The doctor will conduct a thorough physical exam and order blood tests that will usually identify whether a medical condition is at the root of the depressive symptoms. If there is no related health problem, clinical intervention is appropriate.

Treatment of major depressive disorder follows a specific protocol involving antidepressants and psychotherapy:

Antidepressants. There are four categories of antidepressants on the market, including SSRIs, SNRIs, tricyclic antidepressants, and MAOIs. With about 30 different antidepressants available, the doctor will attempt to select the one that is best aligned for the patient’s specific diagnosis. There are various types of depressive disorders and each one may correspond to a particular type of antidepressant. Generally, antidepressants take about 4 weeks to begin alleviating the depression symptoms. It is common for a patient to trial 2 or 3 drugs before finding the right fit with the least side effects.

Psychotherapy. Psychotherapy is prescribed alongside the antidepressants to provide an opportunity for the patient to work through any contributing emotional or psychological issues, such as grief and loss, a history of trauma or abuse, or relationship struggles. A therapist often employs the use of cognitive behavioral therapy (CBT) in depression treatment, as this type of short-term therapy can help patients reshape their thought patterns toward more positive self-talk.

Holistic therapies. Complementary therapies can enhance the effects of the traditional therapies by helping the individual achieve a more relaxed and peaceful state of mind. Psychiatry has begun to add holistic therapies to the treatment plan, such as mindfulness meditation, yoga, acupuncture, massage, gardening therapy, equine therapy, and art therapy.

Brain stimulation technology. Antidepressants are effective in up to 70% of depression patients, leaving a significant number of individuals in need of an alternative treatment route. One of the most promising alternative depression treatments is TMS therapy, a brain stimulation technology that helps normalize brain chemistry in the limbic region. TMS is usually prescribed for a 4-6 week period. TMS therapy is considered safe, with few side effects.

When a Higher Level of Care should be Considered

If chronic feelings of hopelessness are becoming concerning it is appropriate to seek a residential mental health program. Although feelings of despair are just temporary and will eventually pass, sometimes in the thick of if it may seem as if things will never change. This can cause some to consider harming themselves.

When this is the case, it is important to receive the highest level of mental health oversight. A residential mental health program will offer constant support and monitoring, as well as a more targeted approach to treating depression. The length of stay in a residential program is determined by the severity of the condition and whether there is a co-occurring substance use disorder. The residential setting provides a safe place to detach from daily life and focus all attention on getting well.

The residential rehab for depression treatment program will include a review of and adjustment of medications, intensive psychotherapy, and holistic activities. Treatment plans are individualized based on a careful intake process that includes psychological assessments, interviewing the individual, and reviewing mental health and medical history.

Moving Beyond Black or White Thinking

The mind is very powerful, with the potential to make substantive changes in our mental outlook and attitude. Negative, self-defeating thought patterns can keep us stuck in a hopeless place. Hopelessness involves thought patterns that are disordered. The individual suffering from depression might see their circumstances through a black or white lens; that nothing will ever improve if it hasn’t yet. These are the if-then thoughts—“If I don’t get that job then I will lose my home”—that limit our potential and trap us. These polarizing types of thoughts can become self-fulfilling prophecies, almost as if you are talking yourself into that dark corner of hopelessness.

In depression recovery it is important to soften the hard lines of these kinds of thoughts. Look for the gray area, or create it. Instead of thinking, “I feel hopeless,” why not shift that negative self-talk to something more constructive such as, “I might have felt hopeless lately, but I know that things will change eventually.” This small adjustment offers the reintroduction of the concept of hope, and hope is what gets us out of bed each morning. Instead of replaying that false narrative in your mind, the self-limiting story that you have convinced yourself is real, why not challenge that narrative? Break it down, analyze it, and then rewrite your story.

Be Kind to Yourself

Another aspect of depression recovery involves self-care. Depression can take a heavy toll on a person. Lack of sleep, fatigue, and unhealthy eating habits can leave us feeling depleted both physically and mentally. While in recovery, it is important to restore wellness by taking time to care for ourselves.

Getting daily exercise offers significant benefits to overall wellness. Physical activity produces the feel-good chemicals called endorphins, which can lead to elevated mood. Exercise also increases the production of certain neurotransmitters, serotonin, norepinephrine, and dopamine, all which help regulate stress and improve mental wellbeing.

Another important aspect of self-care is getting quality sleep. Keeping a regular sleep schedule is key to regulating the circadian cycle for a quality night’s sleep. Always aim for a minimum of 7 hours, with 8 hours being optimal. To help achieve quality sleep, practice additional self-care activities such as taking a warm bath before bedtime, using lavender essential oil aromatherapy, and avoiding heavy meals and caffeine late in the day.

Indulge yourself occasionally with a therapeutic massage. Massage can help detoxify the body and lymphatic system while reducing muscle tension and stress. In addition, massage provides human touch and a sense of connection and comfort.

Feelings of hopelessness are transient, if we allow them to be. Instead of fixating on self-defeating thoughts, be kind to yourself and seek affirmations, comfort, and hope through the aid of holistic depression treatment.

Elevation Behavioral Health Provides Integrated Depression Treatment

Elevation Behavioral Health is a luxury residential mental health treatment center in Los Angeles County. Elevation Behavioral Health provides an intimate setting for individuals in need of a peaceful place to heal from depression. This mental health and wellness program for depression is based upon a foundation of proven therapeutic modalities, such as CBT and DBT. Added to that are holistic therapies, such as yoga, mindfulness training, and meditation, to offer a fully integrated approach for treating depression. If you find yourself stating, “I feel hopeless,” it is time to see the support compassionate therapists who can guide you toward wellness. For more information, please contact Elevation Behavioral Health today at (888) 561-0868.

 

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I Don’t Want to Get Out Of Bed Anymore

Our mental health may be more fragile than we realize, sometimes even completely sidelining us. We each have a certain capacity to withstand distressing events or situations, accessing our personal coping skills and emotional reserves as needed. But when events begin to spiral and multiply, those reserves may become depleted and any coping skills we have can become totally ineffective. This is when a depressive disorder can set in.

Depression is a very common mental health disorder, impacting more than 17 million Americans every year, according to the National Institute of Mental Health. Depression takes a toll on families and employers, as the individual suffering from depression becomes increasingly disconnected from their daily responsibilities. Depression is also hard on relationships, causing frustration and confusion, and destabilizing marriages and friendships as a result.

When depression becomes so severe that you say, “I don’t want to get out of bed anymore,” it is time to get some help from a mental health provider. There are effective treatment methods available to help manage depression symptoms and improve overall quality of life.

The Signs of Severe Depression

It is difficult to describe severe depression to someone who has never experienced it. Family members and loved ones may wonder why you can’t just snap out of it and get back to functioning normally. It helps for these individuals to have a better understanding of just what depression, especially severe depression, looks like. Symptoms include a cluster of the following:

  • Hopelessness. Negative emotions and dark thoughts begin to gather critical mass in major depressive disorder, such as feelings of hopelessness, despair, guilt, worthlessness, helplessness, and shame. The individual sees him or herself in a negative light, and may blame themselves for perceived faults and flaws.  As these thoughts become more pervasive and self-esteem plummets, the threat of self-harm increases.
  • Changes in Eating Habits. When someone is suffering from major depressive disorder there may be a sudden change in their weight. Some may experience an increased appetite and eat more as a coping mechanism, resulting in weight gain.  Others may become so depressed that they have no desire to feed themselves or take care of their nutritional needs, leading to weight loss.
  • Loss of Interest.  One of the predominant signs of severe depression is the individual’s sudden loss of interest in activities or hobbies they once enjoyed. While in the darkness of depression, these individuals have no desire to attend social events or to socialize at all. This can eventually include going to work where feel forced to interact with coworkers.
  • Sleep Disturbances. Severe depression can cause changes in sleep habits and rhythms. In some cases the individual wants to sleep excessively (hypersomnia). Major depression can also cause an inability to fall asleep or stay asleep (insomnia), featuring fragmented sleep patterns.
  • Anger or Irritability. Anger symptoms are more prevalent in depressed men, although depressed women can also exhibit mood swings and irritability. The source of the anger may be due to feeling frustrated, or possibly the result of feeling out of control and unable to shake the depression. Depression can cause the individual to be easily annoyed and even prone to violent outbursts.
  • Excessive Fatigue.  A pronounced loss of energy is one of the common signs of severe depression, leading to comments such as “I don’t want to get out of bed anymore.” The individual feels so exhausted they can barely function. Even daily personal hygiene or fixing meals requires too much effort, so the individual may spend the majority of time in bed due to feeling drained.
  • Increased Substance Use.  Individuals with depression may begin to self-medicate through the use of alcohol or drugs. Substance abuse is a reaction to feelings of despair and hopelessness and wanting to numb the emotional pain.  There is a real danger that addiction can form, leading to a dual diagnosis of major depressive disorder and a coexisting substance use disorder.
  • Suicidal Ideation. Pay attention if your loved one who is struggling with deepening depression begins to obsess about death, or say their loved ones would be better off without them. According to the National Alliance on Mental Illness, 90% of the individuals who have committed suicide had an underlying mental health disorder, usually depression or bipolar disorder.

When depression has reached the point when you think, “I don’t want to get out of bed anymore,” it is very serious. This is the point at which depression has become debilitating, severely impairing one’s ability to function normally and increasing the risk of suicide.

Different Types of Depression

Major Depressive Disorder (MDD)

Major depressive disorder is diagnosed in individuals who experience five or more of the diagnostic criteria most of the time for more than two weeks. To summarize:

  • Persistent feelings of hopelessness or sadness
  • Fatigue
  • Change in eating habits, weight gain or loss
  • Difficulty concentrating or making decisions
  • Irrational feelings of guilt or shame
  • Slowed movements or thinking
  • Sleep disturbances
  • Loss of interest in activities usually enjoyed
  • Suicidal thoughts

Dysthymia (Persistent Depression Disorder)

This is a type of MDD that persists for more than two years. Someone with dysthymia may experience periods of severe depression alternating with periods of milder depression, but experiences no relief of the depressive symptoms for two years or more.

Psychotic Depression

This involves MDD with psychotic features. The individual may experience delusional thoughts or hallucinations in addition to the symptoms of depression. There may be a theme for the illness, such as revolving around a serious illness or fear of poverty.

Postpartum Depression

Some women experience serious symptoms of MDD during and/or after giving birth. The symptoms may be so severe that the mother is unable to care for her child or themselves, and often experience severe fatigue, anxiety, exhaustion, and profound sadness.

Seasonal Affective Disorder (SAD)

In certain climates individuals may experience symptoms of MDD that are caused by a lack of sun exposure and vitamin D intake during the winter months. The individual may experience weight gain, hypersomnia, and isolation behaviors in addition to the symptoms of depression.

Bipolar Disorder

This disorder features alternating dramatic and unpredictable shifts between depressive and manic moods. The depressive episodes may last anywhere from a day or two to several weeks.

Suicide Warning Signs

Recent statistics show that more people in the United States now die by suicide than in automobile accidents, with about 44,000 Americans choosing to end their lives annually. In many instances, especially in individuals who say, “I don’t want to get out of bed anymore,” there may be signs that an individual is despondent enough to possibly attempt suicide. These warning signs and symptoms might include:

  • Symptoms of depression
  • Irritability
  • Loss of interest in activities once enjoyed
  • Humiliation or shame
  • Anger
  • Increased use of alcohol or drugs
  • Isolating from family and friends
  • Aggression
  • Extreme fatigue
  • Excessive sleeping
  • Saying they are a burden to other
  • Expressing hopelessness
  • Saying they have no reason to live
  • Sharing that they are in unbearable pain
  • Gives away prized possessions
  • Talks of killing self

In the event where a loved one is exhibiting a mental health crisis or several of the warning signs, immediately call the National Suicide Prevention Lifeline at (800) 273-8255.

Comprehensive Residential Depression Treatment

When someone is in the grip of depression they may not even be aware of how serious their condition has become. More often than not it is a loved one who becomes alarmed at the increasing severity of the individual’s depression symptoms that reaches out to get the person professional help. Depression treatment consists of a combination of antidepressant drug therapy and psychotherapy. Other complementary therapies, such as yoga, meditation, and mindfulness training can augment the effects of the traditional therapies. Changes in diet and getting regular exercise can also positively impact mood.

Medication

Medication is considered the first-line treatment element for individuals with a depressive disorder. Antidepressant therapy involves medications available as SSRIs, SNRIs, MAOIs, or tricyclic antidepressants that help adjust brain chemistry and hopefully alleviate the symptoms of depression.

Psychotherapy

Evidence-based psychotherapies are an effective addition to antidepressant drug therapy in treating depression. Individual talk therapy sessions allow the therapist to guide the individual toward resolving unaddressed emotional issues that may be contributing to the depression. These may involve past trauma, childhood abuse, grief and loss, divorce, and other painful life events. Thought and behavior patters are also examined and adjusted through cognitive behavioral therapy.

Support groups

Small groups discuss topics introduced by the therapist and engage in sharing their personal feelings and experiences. This provides a sense of connection and camaraderie with others who are also struggling with depression.

Holistic therapies

There is a growing trend in psychiatry to include holistic therapies among the treatment elements for depression. These activities can help reduce stress and induce feelings of inner peace.

In the event that an individual is suffering from a mental health crisis, such as a suicide attempt, a higher level of care is appropriate. A residential treatment program offers acute stabilization provisions, as well as extended care for severe depression. The residential setting provides a more intensive, customized treatment protocol for the individual with severe and persistent depression.

Elevation Behavioral Health Provides Comprehensive Depression Treatment

Elevation Behavioral Health is a full-spectrum mental health center providing residential mental health treatment, transitional housing, and outpatient services. Elevation Behavioral Health believes in an integrated approach to treating depression, offering evidence-based therapies, medication management, and holistic activities for a well-rounded program. For more details about our depression treatment program, please reach out to Elevation Behavioral Health today at (888) 561-0868.

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How to Ask for Help With Depression

I’m fine, how are you?”

This reflexive response to the routine “How are you” question is many times a bold-faced lie. How much easier it seems in the moment to just lie about how we really are rather than deal with our own personal reality. We want to appear normal and happy as we walk through our days, hoping to just blend in and get our obligations checked off the list. Parenting…check. Work…check. Lunch with friend…check. Dinner with family…check. Day in and day out we resolutely put on a false front to detract from the bleak, gray mood that sits right beneath the surface.

Living with depression is incredibly exhausting, and trying to fake our way through the days only adds to the exhaustion. Ignoring the huge elephant in the room eventually takes its toll, however. No one can continuously suppress feelings of hopelessness and despair forever. Eventually, the piper must be paid.

Suicide rates are steadily rising across age groups and demographics. How many of those lives might have been saved had they been more open about their suffering? How many would have gotten help in their darkest hour? Sometimes just asking for someone to sit with you is all the help you might need in the moment, but too often loved ones are unaware of how dire the situation is because the person hesitated to reach out.

Knowing how to ask for help with depression is a learned skill. It requires a leap of faith, as the risk of appearing weak or damaged or crazy is very real. But taking that leap is necessary if we are to ever reclaim our quality of life and our ability to function at an optimal level. Learning how to ask for help with depression is, therefore, absolutely necessary to achieve a restoration of mental wellness and to once again experience joy.

10 Tips How to Ask for Help With Depression

The stigma surrounding mental health issues is one of the most difficult barriers to overcome when in need of help. To remove that barrier takes guts. Here are some helpful tips to help do exactly that, although they usually require vulnerability. Many will learn that exercising these suggestions can open doors and open hearts.

  1. Practice saying the words aloud in front of your mirror, while on a walk, or while driving: I don’t feel well. I am scared. I need to talk to someone. Just uttering these short phrases out loud can prepare you for actually communicating them with a friend or loved one. Practice them until they roll off the tongue.
  2. Don’t buy into the stigma. Resist believing that you are somehow flawed because you are experiencing depression. Understand that mental health is just one aspect of the human system, and is at least as important as our physical health. Acquire a new attitude about the importance of paying attention to mental wellness.
  3. Acknowledge when you are not coping well. The signs may be popping up at work where your productivity has been impacted or your low mood has coworkers worried about you. It could be showing up at home, where your ability to care for the kids or even make a meal is hindered by the depression.
  4. Ask someone for a referral. The idea of scouring pages and pages of mental health providers in your network may be simply overwhelming. Ask a trusted friend for the name of a therapist that they liked, or ask your primary care physician to recommend you to a psychiatrist that they refer their patients to.
  5. Once you find a mental health provider you may be afraid to take that first step. If you resist making the phone call and setting up a consultation, ask a spouse, family member, or trusted friend to sit with you while you make the call. Sometimes you just need some physical support to follow through.
  6. Ask a friend to come over. Even if you are not yet ready to take the next step and get help, having someone in your court is essential. A trusted friend who you feel comfortable sharing with can provide the opening to revealing what is really going on with you. Just invite the friend for a visit and be willing to be real with them.
  7. Get informed. If you suspect you are suffering from clinical depression it can be very helpful to get educated about the diagnostic criteria for this mental health challenge. Go online and read up on the signs of depression and the treatment options. Knowledge is power. Once you recognize yourself in the description of depressive disorder it may be easier to reach out to a doctor.
  8. Know your own limits. We may try to tough out the difficult chapters in life on our own. Many are resistant to asking for help, thinking it is a sign of weakness. But acknowledging the signs of distress—impairment in daily functioning, ignoring hygiene, excessive absences from work, and sleep disturbance—is a call to action. Be aware of your inability to cope and get help.
  9. Join a support group. Maybe you are already being treated for depression and it appears to be escalating. Your mental health provider can refer you to a support group where individuals come together to discuss their challenges with depression and offer mutual support. These participants will recognize your need for a more intensive treatment protocol or even hospitalization if you are suicidal.
  10. Write a letter. Sometimes verbally describing the illness is too daunting. The thought of sitting in front of someone and sharing about the dark aspects of depression can be simply impossible. Try expressing your pain in a letter or email to a trusted friend or family member. Writing can allow for more openness than face-to-face conversation, especially regarding something so sensitive and personal.

Diagnosing Depression

The DSM-5 has listed specific symptoms related to depressive disorder, and stipulates that a cluster of 5 or more symptoms persist most of the time for more than two weeks to receive the diagnosis. These include:

  • Persistent feelings of sadness, hopelessness, or despair
  • Loss of interest in pleasure or activities once enjoyed
  • Mood swings
  • Irrational feelings of guilt or shame
  • Feelings of hopelessness or despair
  • Slowed cognitive and motor functions
  • Sudden weight gain or loss
  • Sleep disturbances, insomnia or hypersomnia
  • Irritability
  • Unable to concentrate or make decisions
  • Suicidal ideation

The psychiatrist may use screening tools to help in diagnosing the depression, such as the Hamilton Depression Rating Scale (HAM-D) or the Patient Health Questionnaire (PHQ-9). A physical exam can help rule out a medical condition or medications as the cause of the depression symptoms. Such health conditions might include diabetes, heart disease, cancer, HIV/AIDS, lupus, and multiple sclerosis (MS).

Different Types of Depression

There are different forms of depression within the depression spectrum, each with unique features, including:

  • Major Depressive Disorder (MDD) (see above symptoms)
  • Dysthymia (Persistent Depression Disorder). This is a type of MDD that persists for more than two years. Someone with dysthymia may experience periods of severe depression alternating with periods of milder depression, but no relief of the depressive symptoms for two years or more.
  • Premenstrual dysphoric disorder. A severe form of PMS that features extreme mood swings, sadness, irritability, and anger.
  • Psychotic Depression. This involves MDD with psychotic features. The individual may experience delusional thoughts or hallucinations in addition to the symptoms of depression. There may be a theme for the illness, such as revolving around a serious illness or poverty, for example.
  • Postpartum Depression. Some women experience serious symptoms of MDD during and/or after giving birth. The symptoms may be so severe that the mother is unable to care for her child, or themselves, and often experience severe fatigue, exhaustion, and anxiety in addition to the profound sadness.
  • Seasonal Affective Disorder (SAD). In certain climates individuals may experience symptoms of MDD that are caused by a lack of sun exposure during the winter months, which can lead to a vitamin D deficiency. The individual may experience weight gain, hypersomnia, and isolation behaviors in addition to the symptoms of depression.
  • Bipolar Disorder. This disorder features alternating dramatic and unpredictable shifts between depressive and manic moods. The low mood episodes can last days or weeks.

 

Comprehensive Depression Treatment

When someone experiences feeling lost and depressed to the point that his or her daily functioning is impaired, it is essential that they learn how to ask for help with depression. Depression is highly treatable and should never be ignored. Attempting to ride out the depression may lead to their symptoms worsening, reducing their quality of life, and even risking suicide.

Depression treatment focuses on modulating brain chemistry through the use of antidepressants, and learning new thought/behavior patterns through the interventions of a psychotherapist. Complementary activities round out the treatment protocol:

  • Medication. There are about 30 antidepressants on the market for treating depression, each varying slightly in how they function in the brain. Often, there is a need to trial a few different drugs before the best fit is determined.
  • Psychotherapy. Psychotherapy modalities are selected based on the specific issues underlying the depression. Psychodynamic therapy is a longer-term approach that delves into childhood issues that might be factors in the depression, and cognitive behavioral therapy (CBT) can help the patient identify irrational thinking that leads to depressive symptoms. There are also exposure therapies for helping those with depression is related to a trauma.
  • Holistic. Incorporating regular exercise, a healthy diet, and stress reduction activities, such as yoga and mindfulness meditation, can enhance the clinical results.

Elevation Behavioral Health Leading Residential Mental Health Center in Los Angeles

Elevation Behavioral Health is a luxury residential mental health program featuring an intimate, home-like environment. Elevation Behavioral treats all forms of mental health disorders, including all types of depression, using a proven integrated approach. If you are struggling with depression, contact our compassionate team at Elevation Behavioral Health today at (888) 561-0868.

 

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How to Protect Yourself From Losing a Job Due to Depression

Imagine being stricken with an unexpected medical condition that ended up sabotaging your ability to perform your usual job duties. Maybe it is an autoimmune disease or cancer—any life-impairing health condition—that you notice is thwarting your efforts to continue with your usual standard of performance on the job. Does the boss fire you? No, in most cases the boss is sympathetic and accommodating, allowing you to reduce your responsibilities or hours, or even take a leave, while you seek treatment.

Now replace that medical condition with a mental health disorder such as depression. Depression can be at least as debilitating as a physical health problem, but some employers may still attach a stigma to it. They may not recognize that the symptoms that are negatively impacting productivity or attendance are truly valid, and may not be as willing to accommodate you during the depressive episode.

Thankfully, laws are in place to protect us from being discriminated against or losing a job due to depression, or any other mental health disorder under most conditions. By having a clear understanding of employee rights you will be armed with the information that can help prevent losing a job due to depression.

Is Depression Considered a Disability?

When the depression is considered to be a long-term condition, an employer cannot discriminate against the employee who is struggling on the job. An employer is not permitted to fire an employee due to a mental health disorder, nor is the employer allowed to reject someone for a promotion or a job, or to force someone to take a leave. Employees struggling with depression have a right to ask for reasonable accommodations that will allow them to keep their job while they are dealing with the disorder.

According to the Americans with Disabilities Act, a person can qualify for disability under these criteria:

  • They have a physical or mental impairment that substantially limits one or more major life activities and/or bodily functions. Major life activities include caring for yourself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.
  • They have a history of such an impairment
  • They are regarded as having such an impairment

In most cases, the condition must be present for several months before it is considered a long-term problem, however the condition dose not need to be permanent or severe to be considered “substantially limiting.”

Do You Have to Disclose the Depression?

Some may be very concerned about losing a job due to depression, and are very resistant to revealing the nature of their condition. Although legally it is not required that an employee disclose the nature of their condition, in some cases it will be unavoidable. For example, if the employee requests reasonable accommodations, if they pose a safety risk, or if there is evidence that they are unable to perform their job duties it may be required to discuss the nature of the mental health situation. An employee that chooses to share with coworkers or management about their depression is free to do so.

Is the Employer Required to Provide Accommodations?

Employees have a legal right to request reasonable accommodations to help them perform their duties. This is so for a mental health condition that would, if left untreated, could substantially limit one’s ability to concentrate, communicate, eat, sleep, interact with others, care for oneself, regulate thoughts or emotions. It is not necessary to stop receiving treatment for the depression in order to get the accommodation.

Treatment for Depression

The most important message, over and above being able to keep one’s job, is the need to get treatment for the depression. Depression rarely just resolves on its own. In fact, untreated depression can continue to worsen, further disrupting the ability to perform job duties, and risking serious outcomes, such as suicide. Treatment for depression is available in both outpatient and residential settings, providing many options for getting the appropriate level of care.

In most instances, depression is treated with a combination of antidepressant drug therapy and psychotherapy. Antidepressants take 4-6 weeks before being effective, and it may be necessary to try more than one drug before finding the one that offers relief. Therapy helps individuals to process emotional pain or past trauma that might be factors in the depressive disorder. In addition, cognitive behavioral therapy is helpful in shifting negative thought patterns towards more positive self-messaging.

Elevation Behavioral Health Provides Residential Depression Treatment

Elevation Behavioral Health is a Los Angeles-based residential program that offers intensive mental health treatment. When outpatient interventions have not adequately helped your major depressive disorder, you may benefit from a more targeted treatment plan. Providing deluxe accommodations and a highly attentive clinical staff, Elevation Behavioral Health strives to make the client’s stay a comfortable and healing experience. Elevation Behavioral Health offers a full daily schedule of therapies and adjunctive activities to help individuals struggling with depression reclaim their joy and return to fully functioning at their chosen career. For more information about the program, or to get information about losing a job due to depression, please contact us today at (888) 561-0868.

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Holistic Depression Treatment Centers

Depression continues to be one of the more vexing mental health disorders, keeping mental health professionals continually seeking out new treatment methods, clinical study results, and brain imaging research to better understand how to tackle it. While the standard treatment protocol for the 16 million individuals diagnosed each year with depression continues to revolve around antidepressant drug therapy, disappointing results with SSRIs has inspired alternative approaches.

Holistic depression treatment centers are becoming more desirable in the wake of some questioning of the efficacy of antidepressants as the primary method of treating this complex mental health disorder. A number of adverse side effects make these drugs difficult to tolerate, and may only add to the individual’s distress. Now mental health practitioners are embracing holistic therapies and experiential activities, as well as alternative treatment methods, to compliment the traditional treatment interventions.

Who Is Likely to Suffer From Depressive Disorder?

Depression is the second most prevalent mental health disorder affecting Americans, second only to anxiety disorders. While depression can impact people of both genders and all ages, women are predominantly affected. Women experience depressive disorders at a rate of nearly double that of men, according to the National Institute on Mental Health, with rates of 8.5% for women versus 4.8% for men.

It is thought that the role of hormones is a factor in the much higher rates of depression among women. The hormone estrogen seems to play a significant role in some women developing depression. In fact, there are specific depressive disorders that are specific to hormonal functioning, including:

  • Premenstrual Depressive Disorder
  • Postpartum Depressive Disorder
  • Post-menopausal Depression

Other interesting facts about depression include that the highest prevalence of depression is among the young adult demographic, between the ages of 18-25, and is surprisingly high among adolescents, with 9% of all teens aged 12-17 experiencing a depressive episode.

How is Depression Diagnosed?

The DSM-5 has listed specific symptoms related to depressive disorder, and stipulates that a cluster of 5 or more symptoms that persist for more than two weeks. These include:

  • Sadness that persists for most of the time
  • Loss of interest in pleasure or activities once enjoyed
  • Mood swings
  • Feelings of guilt or shame
  • Feelings of hopelessness or despair
  • Slowed cognitive and motor functions
  • Sudden weight gain or loss
  • Sleep disturbances
  • Irritability
  • Unable to concentrate or make decisions
  • Thoughts of suicide

The psychiatrist may use an assessment or screening tools to help in diagnosing the depression, such as the Hamilton Depression Rating Scale (HAM-D) or the Patient Health Questionnaire (PHQ-9). A physical exam can help rule out a medical condition or medications as the cause of the depression symptoms.

About Holistic Depression Treatment Centers

Holistic depression treatment centers place an emphasis on treating more than the diagnosis. Where the traditional response to treating major depressive disorder might be through antidepressants and psychotherapy, a holistic approach will be more focused on overall wellness using integrative therapies that can enhance the traditional methods. The idea is that the human being is composed of mind, body, and spirit, and when one of those aspects of our being is out of balance or has unaddressed needs, no amount of medication is going to provide wellness.

Going hand-in-hand with this holistic treatment approach is a focus on nutrition and exercise. A diet that contributes to optimum brain health will include plant-based foods such as fresh vegetables and fruits, seeds, nuts, legumes, and whole grains. Lean proteins, such as fish, lean beef, and turkey, omega-3 fish oil, eggs, and fermented foods are also beneficial to brain health.

Getting regular exercise helps elevate the production of endorphins, the “feel good” brain chemical that can lift mood, improve sleep quality, energy level, and concentration. An array of physical health benefits contributes to general wellbeing, or the “body” component of mind, body, and spirit.

The spiritual component is addressed through a variety of holistic activities that can lead to introspection and inner peace, which can result in new emotional breakthroughs in the treatment of the depression.

Integrated Treatment for Depression

Holistic depression treatment centers utilize a comprehensive blend of both traditional evidence-based therapies as well as experiential and holistic activities. Treatment elements include:

  • Psychotherapy. Individual talk therapy sessions allow the therapist to guide the individual toward resolving unaddressed emotional issues that may be contributing to the depression. These may involve past trauma, childhood abuse, grief and loss, divorce, and other painful life events.
  • Group sessions. Small groups discuss topics introduced by the therapist and engage in sharing their personal feelings and experiences. This provides a sense of connection with others who are also struggling with depression.
  • Medication. Because antidepressants do help about half of the patients with depression antidepressant drug therapy is still a core treatment element.
  • Adjunctive therapies. If past trauma is a contributing factor to the depression the patient may benefit from eye movement desensitization and reprocessing (EMDR), an exposure therapy that involves the patient following a stimulus back and forth while discussing the trauma with the therapist. TMS therapy is a brain stimulation therapy that has shown to be helpful in correcting neurotransmitter imbalances in the brain and improving depression symptoms. TMS is often used when antidepressants stop working or do not work for an individual.
  • Holistic activities. A variety of holistic and experiential activities are found to enhance relaxation and reduce stress. These include yoga, mindfulness training, massage therapy, acupuncture, equine therapy, deep breathing exercises, art or music therapy, journaling, guided imagery, gardening therapy, and sound therapy.

Lifestyle Changes that can Help Depression

Improving sleep quality has a positive effect on mood. To achieve sounder sleep the individual should attempt to keep a regular sleep schedule, avoid alcohol after 6pm, avoid caffeine after 3pm, avoid meals after 7pm, avoid exercise after 6pm, and avoid screen time (cell phones, tablets, laptops, television) one hour before bedtime.

Elevation Behavioral Health Los Angeles Holistic Depression Treatment Centers

Elevation Behavioral Health is a full-spectrum mental health center providing diagnostic services, residential mental health treatment, transitional housing, and outpatient services. Elevation Behavioral Health believes in a holistic approach to treating depression, and offers core evidence-based therapies, medication management, and holistic activities for a well-rounded program. For more details about our depression treatment program, please reach out to Elevation Behavioral Health today at (888) 561-0868.

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childhood trauma ptsd
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Childhood Trauma PTSD and Treatment

Children deserve to feel safe and loved while they are growing up. A stable, supportive, and loving environment allows a child to develop trust bonds with their family members, knowing their loved ones have their back as they navigate childhood. For far too many children, this nurturing family life is not their reality. According to the National Children’s Alliance, almost 700,000 children suffer abuse each year in the U.S., with a large percentage of those experiencing neglect.

Childhood trauma can take many forms. Physical or sexual abuse, sudden death of a loved one, witnessing domestic abuse, experiencing a natural disaster, surviving a serious car accident, and other intense emotional experiences all constitute trauma. When a child is exposed to a traumatic event it leaves an indelible scar on their psyche, especially when it is a repeated trauma as in ongoing physical or sexual assault.

Eventually the child grows up and incorporates the lingering emotional fallout from having been traumatized in their younger years into their adult behaviors and psyche. Childhood trauma PTSD is often the result of unresolved psychological harm. Post-traumatic stress disorder (PTSD) is a debilitating condition that results in maladaptive behaviors in order to cope with the residual pain. Getting to the bottom of the childhood trauma and working through the emotional scars provides the roadmap toward resolving adult dysfunctional behaviors.

About Childhood Trauma

When a child experiences a traumatic event, or continuing trauma, their ability to process and cope becomes overwhelmed by the sense of danger and fear of injury. A child has not yet formed the coping mechanisms needed and becomes unable to process the threat or emotional pain psychologically. Instead, many children who have been exposed to trauma develop certain symptoms of PTSD, including:

  • Fear of dying
  • Bad dreams, nightmares, night terrors
  • Wetting the bed although formerly potty trained
  • Expressing emotional reactions when exposed to triggers or reminders
  • Irritability, agitation
  • Angry outbursts, violent behavior
  • Difficulty falling asleep or staying asleep
  • Difficulty concentrating
  • Extreme emotional reactivity
  • Loss of interests in activities once enjoyed
  • Physical complaints, such as stomach distress and headaches
  • Hyper-vigilance
  • Clingy behavior
  • Regressing to younger age

In response to trauma, children adapt certain methods of coping with its after affects.  Depending on the degree of the threat or harm, the developmental state of the child when it happened, the child’s innate ability to cope with adversity, and the child’s support system, PTSD will develop or not.

Childhood Trauma PTSD Connection

If the child does retain the emotional damage caused by a traumatic event(s) in childhood they will likely carry the residual effects into adulthood. This can result in interpersonal problems and general impairment in daily functioning.

Signs of PTSD in Adults

  • Emotional detachment
  • Alcoholism or drug abuse
  • Depression
  • Sexual promiscuity, early initiation of sexual activity, STDs
  • Higher incidence of smoking
  • Hyper-vigilance
  • Hyper-arousal
  • Insomnia
  • Nightmares
  • Withdraw socially
  • Irritability, hostility
  • Guilt
  • Loneliness
  • Trouble in relationships
  • Trust issues
  • Experience flashbacks
  • Avoids triggering situations, places, people

Adults with childhood trauma-related PTSD may seek out dysfunctional relationships where past childhood experiences are recreated because that is what feels familiar to them. They may have such a low self-esteem as a result of unresolved trauma that they believe they do not deserve happiness. They may develop a serious substance use disorder as a means of self-medicating their emotional pain. Until the adult with childhood-related PTSD works through their emotional pain with a therapist the disorder will continue to infect their quality of life.

Treatment for Childhood Trauma PTSD

When initially seeking help for treating PTSD, the individual may select either outpatient treatment through a private physician or an outpatient mental health program, or a residential treatment program. Often this decision as to where to obtain treatment for PTSD will be determined by the severity of the symptoms, whether there is a co-occurring disorder such as depression or addiction, and personal resources.

In treatment for PTSD the individual will engage in psychotherapy. The type of psychotherapy utilized will depend on the features of the PTSD, so it may be psychodynamic therapy, cognitive behavioral therapy, or exposure therapies, or a combination of these modalities. Therapy will likely involve both individual one-on-one sessions and group therapy sessions where the issues related to the PTSD can be discussed and shared with others.

In addition, some individuals may benefit from medication, such as antidepressants or anti-anxiety medications. Holistic activities are helpful as well, assisting with stress-reduction and relaxation.

Elevation Behavioral Health Provides Residential Treatment for PTSD

Elevation Behavioral Health is a residential mental health center in Los Angeles, California that offers intensive treatment for adult survivors of childhood PTSD. The comprehensive program allows individuals struggling with trauma maladaptation to examine the pain sources and process the disturbing childhood events under the expert care of our compassionate psychiatric staff. Treatment includes intensive psychotherapy, group therapy, holistic and experiential activities, and medication management if applicable. For more information about our treatment program for childhood trauma PTSD, please connect with Elevation Behavioral Health today at (888) 561-0868.

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symptoms of severe ptsd
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Treatment for Symptoms of Severe PTSD

Anyone who has suffered through a traumatic event knows the lasting impact it can have on your mental state and your daily life. When a trauma occurs, such as the sudden death of a loved one, a serious accident, physical or sexual assault, living through a natural disaster, or a trauma related to combat, it imprints deeply on the memory and the soul. While most people will eventually process the painful emotions and move forward, others may remain stuck in the distressing memories and pain of the trauma.

As a result, some of these individuals may find themselves turning to alcohol or drugs to help them relieve the emotional pain, depression, and anxiety that they live with. Some may find that they struggle to function at work or struggle socially due to the lingering effects of the trauma. These individuals are suffering from post-traumatic stress disorder (PTSD). Thankfully, there are highly effect treatment strategies that can help manage the symptoms of severe PTSD.

About Post-Traumatic Stress Disorder (PTSD)

PTSD is a mental health disorder within the anxiety disorders spectrum. It can result after experiencing or witnessing a deeply traumatizing event. After being exposed to the trauma, those with PTSD continue to experience troubling after effects for a period lasting more than a month afterward, or will experience the symptoms of PTSD as a delayed response, sometimes months later.

For many years, it was thought that PTSD only pertained to veterans who had experienced horrific events in combat, coming back emotionally scarred. While veterans have higher rates of PTSD, with rates ranging between 10-30% depending on the war itself, PTSD is an anxiety disorder than impacts about 8% of the population at large, according to the National Institute of Health.

Symptoms of Severe PTSD

Symptoms of severe PTSD generally include four categories:

  • Intrusive memories. Unwanted thoughts or memories of the trauma are experienced repeatedly thought flashbacks, vivid memories, or nightmares.
  • Avoidance. In order not to trigger the distressing emotions of a past trauma, someone with PTSD will avoid any people, situations, or places that might trigger the disturbing memories. They will avoid discussing the trauma as well.
  • Hyper-arousal. The individual will be jumpy, easily irritated, is quick to anger, easily frightened, has an exaggerated startle response, and may suffer from insomnia. Substance abuse may be used to self-medicate these anxiety symptoms.
  • Negative thoughts. People suffering from PTSD may display a sense of hopelessness and negativity in their demeanor, and talk down about themselves. They may exhibit negative emotions such as anger, guilt, shame, and fear. They may struggle with relationships.

    • PTSD and a Co-Occurring Substance Use Disorder

    A dual diagnosis is present when the PTSD, as a stand alone mental health disorder, is coexisting with a substance use disorder. The use of alcohol and benzodiazepines is a common method of self-medicating the distressing symptoms of severe PTSD. Unfortunately, as tolerance to the effects of the substance increase and consumption increases with it, addiction can develop. This only creates a more complicated treatment picture for individuals who are already struggling with PTSD.

    When a dual diagnosis exists, it is important to seek the professional help of a treatment provider that specializes in dual diagnosis. Both the PTSD and the substance use disorder should be treated simultaneously to effectively treat the individual and obtain a successful recovery result.

    How is Severe PTSD Treated?

    PTSD is treated with a combination of medication and psychotherapy. Antidepressants or anti-anxiety drugs can help mitigate the intensity of the PTSD symptoms. These drugs can ease the fight-or-flight response that is so common in PTSD as well as allow for more restful sleep. Antidepressants used to treat PTSD include Prozac, Zoloft, Paxil, and Effexor. Anti-anxiety medications are from the benzodiazepine group of drugs and may include Ativan, Xanax, Klonopin, or Valium.

    Psychotherapy can be very effective in helping individuals with PTSD, especially cognitive processing therapy (CPT), cognitive behavior therapy (CBT), and prolonged exposure therapy. These types of therapy help the individual systematically process the traumatic event over a course of treatments while also working through the associated emotions and fears that are present.

    Adjunctive therapies have also proven effective in enhancing the effects of the psychotherapy. Eye movement desensitization reprocessing (EMDR) involves the individual following a moving object with their eyes while discussing the traumatic event is discussed and processed. Transcranial magnetic stimulation (TMS) is a brain stimulation technique that has demonstrated promising results for treating people with TMS. Some experiential therapies, such as equine therapy, mindfulness exercises, or guided meditation have also been helpful for those with PTSD.

    How Lifestyle Changes Can Help PTSD

    Lifestyle changes can also be effective in helping individuals with PTSD. Reducing stress by making a career change or moving on from a dysfunctional relationship can help with the anxiety symptoms. It is important to recognize what areas in one’s life are contributing to excessive stress or anxiety, and to make a change.

    Getting regular exercise, especially cardio workouts, can help reduce stress and induce relaxation and improved sleep quality. These might involve a brisk daily walk, hiking, a spin class, dance cardio workouts, jogging or running, swimming, or cycling.

    Practicing stress-reducing activities, such as taking yoga classes or enjoying massage therapy, can also help improve overall mood and wellness. Eating a nutritious diet is also important in PTSD recovery. Limiting caffeine, sugar, and starchy foods can help regulate blood sugar and jittery behaviors. Eating a diet rich in lean proteins, green leafy vegetables, whole grain breads and pasta, and nuts and seeds will provide the body and brain with essential nutrients for optimum mental health.

    Elevation Behavioral Health Provides Effective Treatment for PTSD

    Elevation Behavioral Health is a leading dual diagnosis and mental health treatment provider in Los Angeles, California. Elevation Behavioral Health is an inpatient, private treatment facility overlooking the beautiful Agoura Hills landscape. In this luxury, intimate setting, individuals with PTSD or a dual diagnosis will receive the most effective therapeutic interventions within a compassionate, nurturing environment. For more information about how Elevation Behavioral Health can help you overcome PTSD, please call us today at (888) 561-0868.

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