Depression

Understanding depression — what it is, and what helps

Depression is a recognised illness — it is not the same as feeling a bit down for a few hours or days.

Feeling a bit down is a normal reaction to disappointment or loss, or when you are tired, not sleeping well, or drinking too much. Depression is different. It is a serious illness that alters the way you see the world and the way you see yourself — often gradually, so that you come to believe that this is simply how life is.

Depression Can Sneak Up on You

It is often a partner, friend, or carer who notices that someone is struggling before the person themselves does. Depression affects judgment, motivation, and self-worth in ways that make it genuinely hard to recognise from the inside.

If you make up sneezing and coughing, you know you have a cold. If you have a panic attack, you know you are anxious. But if you quietly start doubting yourself, withdrawing, becoming less decisive — you may not realise that what you are experiencing is depression.

Thoughts of Suicide

Not everyone who suffers from depression will feel suicidal, but it is a risk that comes with the illness. If you are having any thoughts of suicide, please tell someone you trust — someone who will not judge you or overreact. Do see your GP.

The Samaritans are available 24 hours a day, 365 days a year: 116 123 (free, no charges).

What Helps

Do…

  • Talk to others — do not keep thoughts and feelings bottled up
  • See your doctor, even if the thought feels overwhelming
  • Make yourself eat and drink — if your appetite is low, try easy options: milk, nuts, dried fruit
  • Be kind to yourself — depression is not your fault, any more than a cold is
  • Stay connected with family and friends, even if you do not feel like it

Avoid…

  • Alcohol — it is a depressant, and drinking alone or to excess makes things worse
  • Blaming yourself — depression is an illness
  • Isolation — depression tells you no-one wants you; the opposite is true
  • Minimising your symptoms or trying to manage it entirely alone

Treatment

Depression is treatable — often very treatable. Anti-depressant medication can help significantly, and psychological therapies (particularly CBT and mindfulness-based cognitive therapy) have a strong evidence base. Recovery takes time and can be a bumpy road, but it is possible. Do not give up.

Depression creates a distorted view — like wearing very dark glasses on a sunny day and being convinced it is dull, and that the sun will never shine again. Treatment gradually removes that dark filter and restores hope.

You do not have to manage this alone. Get in touch