Advertising
Advertising

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.

Advertising

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.

Advertising

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.”

Advertising

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.

Advertising

More by this author

How to Get Rid of Refined Sugar Completely How to Cook Bacon Perfectly Like a Chef Top 7 Myths About Cell Phones and Driving Ten of the Weirdest Laws in the USA You May Find it Interesting How to Treat Comorbid Depression Associated with Chronic Illness

Trending in Communication

1 6 Reasons Why You Should Think Before You Speak 2 How to Train Your Brain to Be Optimistic 3 How to Stop Living on Autopilot with Antonio Neves 4 The Gentle Art of Saying No For a Less Stressful Life 5 40 Acts of Kindness to Make the World a Better Place

Read Next

Advertising
Advertising
Advertising

Last Updated on August 6, 2020

6 Reasons Why You Should Think Before You Speak

6 Reasons Why You Should Think Before You Speak

We’ve all done it. That moment when a series of words slithers from your mouth and the instant regret manifests through blushing and profuse apologies. If you could just think before you speak! It doesn’t have to be like this, and with a bit of practice, it’s actually quite easy to prevent.

“Think twice before you speak, because your words and influence will plant the seed of either success or failure in the mind of another.” – Napolean Hill

Are we speaking the same language?

My mum recently left me a note thanking me for looking after her dog. She’d signed it with “LOL.” In my world, this means “laugh out loud,” and in her world it means “lots of love.” My kids tell me things are “sick” when they’re good, and ”manck” when they’re bad (when I say “bad,” I don’t mean good!). It’s amazing that we manage to communicate at all.

When speaking, we tend to color our language with words and phrases that have become personal to us, things we’ve picked up from our friends, families and even memes from the internet. These colloquialisms become normal, and we expect the listener (or reader) to understand “what we mean.” If you really want the listener to understand your meaning, try to use words and phrases that they might use.

Am I being lazy?

When you’ve been in a relationship for a while, a strange metamorphosis takes place. People tend to become lazier in the way that they communicate with each other, with less thought for the feelings of their partner. There’s no malice intended; we just reach a “comfort zone” and know that our partners “know what we mean.”

Advertising

Here’s an exchange from Psychology Today to demonstrate what I mean:

Early in the relationship:

“Honey, I don’t want you to take this wrong, but I’m noticing that your hair is getting a little thin on top. I know guys are sensitive about losing their hair, but I don’t want someone else to embarrass you without your expecting it.”

When the relationship is established:

“Did you know that you’re losing a lot of hair on the back of your head? You’re combing it funny and it doesn’t help. Wear a baseball cap or something if you feel weird about it. Lots of guys get thin on top. It’s no big deal.”

It’s pretty clear which of these statements is more empathetic and more likely to be received well. Recognizing when we do this can be tricky, but with a little practice it becomes easy.

Have I actually got anything to say?

When I was a kid, my gran used to say to me that if I didn’t have anything good to say, I shouldn’t say anything at all. My gran couldn’t stand gossip, so this makes total sense, but you can take this statement a little further and modify it: “If you don’t have anything to say, then don’t say anything at all.”

A lot of the time, people speak to fill “uncomfortable silences,” or because they believe that saying something, anything, is better than staying quiet. It can even be a cause of anxiety for some people.

When somebody else is speaking, listen. Don’t wait to speak. Listen. Actually hear what that person is saying, think about it, and respond if necessary.

Am I painting an accurate picture?

One of the most common forms of miscommunication is the lack of a “referential index,” a type of generalization that fails to refer to specific nouns. As an example, look at these two simple phrases: “Can you pass me that?” and “Pass me that thing over there!”. How often have you said something similar?

Advertising

How is the listener supposed to know what you mean? The person that you’re talking to will start to fill in the gaps with something that may very well be completely different to what you mean. You’re thinking “pass me the salt,” but you get passed the pepper. This can be infuriating for the listener, and more importantly, can create a lack of understanding and ultimately produce conflict.

Before you speak, try to label people, places and objects in a way that it is easy for any listeners to understand.

What words am I using?

It’s well known that our use of nouns and verbs (or lack of them) gives an insight into where we grew up, our education, our thoughts and our feelings.

Less well known is that the use of pronouns offers a critical insight into how we emotionally code our sentences. James Pennebaker’s research in the 1990’s concluded that function words are important keys to someone’s psychological state and reveal much more than content words do.

Starting a sentence with “I think…” demonstrates self-focus rather than empathy with the speaker, whereas asking the speaker to elaborate or quantify what they’re saying clearly shows that you’re listening and have respect even if you disagree.

Advertising

Is the map really the territory?

Before speaking, we sometimes construct a scenario that makes us act in a way that isn’t necessarily reflective of the actual situation.

A while ago, John promised to help me out in a big way with a project that I was working on. After an initial meeting and some big promises, we put together a plan and set off on its execution. A week or so went by, and I tried to get a hold of John to see how things were going. After voice mails and emails with no reply and general silence, I tried again a week later and still got no response.

I was frustrated and started to get more than a bit vexed. The project obviously meant more to me than it did to him, and I started to construct all manner of crazy scenarios. I finally got through to John and immediately started a mild rant about making promises you can’t keep. He stopped me in my tracks with the news that his brother had died. If I’d have just thought before I spoke…

Read Next