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How to Treat Comorbid Depression Associated with Chronic Illness

How to Treat Comorbid Depression Associated with Chronic Illness

No one likes being sick or hurt.  Try to imagine what it would feel like to know that you would be sick or hurt forever; a person with a broken leg can often find solace in that he or she will only have to suffer from limited mobility and pain for a finite period of time, but other people are not as lucky.

While working in the field of psychology, I came into contact with a number of people who suffered from chronic illnesses like Parkinson’s disease, or the lasting effects from catastrophic medical events such as strokes.  Often, people who have been diagnosed with a chronic illness or condition suffer from comorbid depression, which is a type of depression that is resultant from a primary physical or psychological ailment.  However, comorbid depression must be taken as seriously as major depressive disorder, and there are some things caretakers can do to help treat the depression of a loved one.

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Two things everyone needs to thrive

I believe that there are two things every person needs, healthy or well.  First, every person needs a support system beyond the practitioners who are paid to help them.  There is no “right” support system.  Some people rely heavily on familial support whereas others turn to friends and neighbors.  I found that the most challenging type of person to work with was one who did not have a loved one in the world, as caretakers often need to provide companionship as well as care-taking.  In a best-case scenario, loved ones can act as caretakers and provide continual support through genuine companionship.

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The second thing every person needs is meaning. Often, limited mobility, embarrassing consequences of a speech impediment, or clumsiness due to a neurological disorder can make it difficult to go outside and face the world.  I heartily believe that every person has the capacity to do something meaningful, whether they provide support on online message boards, push the candy cart at the hospital, volunteer at a bookstore, hold a part-time job, or focus on spending time with loved ones. The idea that a person can do something meaningful after suffering from a traumatic medical diagnosis can seem like a pipe-dream, but there are many ways to help change a person’s thought patterns from “I’m useless” to “I am a good and important person.”

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Talk therapy / psychopharmalogical treatments           

There is no one-size-fits-all option for treating depression, though some of the most popular and widely accepted treatments include talk therapy and psychopharmalogical treatment (i.e. taking antidepressant medications).  Often, working with a therapist in addition to taking prescription medication can yield the best results. Keep in mind that a good therapist will not want to see patients twice a week for the rest of their lives, and similarly, people often take popular antidepressants such as SSRIs or SNRIs for a finite period of time. A good analogy I like to use is how most people recover from a knee injury: they may need to use a crutch, see a physical therapist, and take anti-inflammatory medication for a period of time so that they can heal. People suffering from depression are no different—instead of viewing the need for therapy or medication as a failure, it’s best to consider it as a temporary treatment plan so the person can heal.

Have something to look forward to

The most dangerous part of depression is that severe depression coupled with a notable medical condition can cause people to lose the will to live. When a person slips into a state of complete despair, their immune system can become less effective, leaving them susceptible to other serious conditions (e.g. a cold could more readily progress into pneumonia and have a greater chance of more complications). Try to always have something realistic to look forward to, like trips to an equine therapy center, a favorite homemade meal, visits from grandchildren, or trips to baseball games. Sometimes, spending quality time together can be the best motivator to live, improve, and thrive.

Comorbid depression is a serious condition that needs to be addressed. With increasing advances in medication and talk therapy, depression is far more treatable than it was a few decades ago. Ironically, caretakers might find that by helping treat a loved one’s depression, they can improve the quality of their own lives as well.

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Last Updated on November 15, 2018

Success In Reaching Goals Is Determined By Mindset

Success In Reaching Goals Is Determined By Mindset

What do you think it takes to achieve your goals? Hard work? Lots of actions? While these are paramount to becoming successful in reaching our goals, neither of these are possible without a positive mindset.

As humans, we naturally tend to lean towards a negative outlook when it comes to our hopes and dreams. We are prone to believing that we have limitations either from within ourselves or from external forces keeping us from truly getting to where we want to be in life. Our tendency to think that we’ll “believe it when we see it” suggests that our mindsets are focused on our goals not really being attainable until they’ve been achieved. The problem with this is that this common mindset fuels our limiting beliefs and shows a lack of faith in ourselves.

The Success Mindset

Success in achieving our goals comes down to a ‘success mindset’. Successful mindsets are those focused on victory, based on positive mental attitudes, empowering inclinations and good habits. Acquiring a success mindset is the sure-fire way to dramatically increase your chance to achieve your goals.

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The idea that achieving our goals comes down to our habits and actions is actually a typical type of mindset that misses a crucial point; that our mindset is, in fact, the determiner of our energy and what actions we take. A negative mindset will tend to create negative actions and similarly if we have a mindset that will only set into action once we see ‘proof’ that our goals are achievable, then the road will be much longer and arduous. This is why, instead of thinking “I’ll believe it when I see it”, a success mindset will think “I’ll see it when I believe it.”

The Placebo Effect and What It Shows Us About The Power of Mindset

The placebo effect is a perfect example of how mindset really can be powerful. In scientific trials, a group of participants were told they received medication that will heal an ailment but were actually given a sugar pill that does nothing (the placebo). Yet after the trial the participants believed it’s had a positive effect – sometimes even cured their ailment even though nothing has changed. This is the power of mindset.

How do we apply this to our goals? Well, when we set goals and dreams how often do we really believe they’ll come to fruition? Have absolute faith that they can be achieved? Have a complete unwavering expectation? Most of us don’t because we hold on to negative mindsets and limiting beliefs about ourselves that stop us from fully believing we are capable or that it’s at all possible. We tend to listen to the opinions of others despite them misaligning with our own or bow to societal pressures that make us believe we should think and act a certain way. There are many reasons why we possess these types of mindsets but a success mindset can be achieved.

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How To Create a Success Mindset

People with success mindsets have a particular way of perceiving things. They have positive outlooks and are able to put faith fully in their ability to succeed. With that in mind, here are a few ways that can turn a negative mindset into a successful one.

1. A Success Mindset Comes From a Growth Mindset

How does a mindset even manifest itself? It comes from the way you talk to yourself in the privacy of your own head. Realising this will go a long way towards noticing how you speak to yourself and others around you. If it’s mainly negative language you use when you talk about your goals and aspirations then this is an example of a fixed mindset.

A negative mindset brings with it a huge number of limiting beliefs. It creates a fixed mindset – one that can’t see beyond it’s own limitations. A growth mindset sees these limitations and looks beyond them – it finds ways to overcome obstacles and believes that this will result in success. When you think of your goal, a fixed mindset may think “what if I fail?” A growth mindset would look at the same goal and think “failures happen but that doesn’t mean I won’t be successful.”

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There’s a lot of power in changing your perspective.

2. Look For The Successes

It’s really important to get your mind focused on positive aspects of your goal. Finding inspiration through others can be really uplifting and keep you on track with developing your success mindset; reinforcing your belief that your dreams can be achieved. Find people that you can talk with about how they achieved their goals and seek out and surround yourself with positive people. This is crucial if you’re learning to develop a positive mindset.

3. Eliminate Negativity

You can come up against a lot of negativity sometimes either through other people or within yourself. Understanding that other people’s negative opinions are created through their own fears and limiting beliefs will go a long way in sustaining your success mindset. But for a lot of us, negative chatter can come from within and these usually manifest as negative words such as can’t, won’t, shouldn’t. Sometimes, when we think of how we’re going to achieve our goals, statements in our minds come out as negative absolutes: ‘It never works out for me’ or ‘I always fail.’

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When you notice these coming up you need to turn them around with ‘It always works out for me!’ and ‘I never fail!’ The trick is to believe it no matter what’s happened in the past. Remember that every new day is a clean slate and for you to adjust your mindset.

4. Create a Vision

Envisioning your end goal and seeing it in your mind is an important trait of a success mindset. Allowing ourselves to imagine our success creates a powerful excitement that shouldn’t be underestimated. When our brain becomes excited at the thought of achieving our goals, we become more committed, work harder towards achieving it and more likely to do whatever it takes to make it happen.

If this involves creating a vision board that you can look at to remind yourself every day then go for it. Small techniques like this go a long way in sustaining your success mindset and shouldn’t be dismissed.

An Inspirational Story…

For centuries experts said that running a mile in under 4 minutes was humanly impossible. On the 6th May 1954, Rodger Bannister did just that. As part of his training, Bannister relentlessly visualised the achievement, believing he could accomplish what everyone said wasn’t possible…and he did it.

What’s more amazing is that, as soon as Bannister achieved the 4-minute mile, more and more people also achieved it. How was this possible after so many years of no one achieving it? Because in people’s minds it was suddenly possible – once people knew that it was achievable it created a mindset of success and now, after over fifty years since Bannister did the ‘impossible’, his record has been lowered by 17 seconds – the power of the success mindset!

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