
What is depression?
Depression is a common condition that affects more than 264 million people of all ages globally. It is a complicated illness with many different symptoms and causes.
Depression has an impact on our mind, body and behaviour.
Many sufferers become emotionally detached from those around them and withdraw into a world of their own. Some describe it like being in a prison with no windows or doors, which can alienate friends and relatives, increasing the isolation.
VIDEO of living with someone with depression Living with a black dog
It can become increasingly difficult to concentrate, remember things, think clearly and make decisions.
Physical symptoms may be:
- Changes in sleeping patterns; broken nights or over-sleeping
- Changes in eating patterns: loss of appetite, overeating or changes in weight
- Tiredness and loss of energy
- Headaches, stomach upsets or chronic pain
- Moving or speaking more slowly
- Constipation
- No sex drive or sexual problems
and you may feel:
- Restless or irritable
- Overwhelming feelings of guilt and worthlessness
- Lacking in self-confidence and self-esteem
- Unable to enjoy things that usually bring you pleasure
- Sad upset or tearful
- Suicidal or wanting to harm yourself
VIDEO for Depression I had a black dog, his name was depression
Types of depression:
There are different types of depression, such as:
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Depression can result from post-viral illnesses and can have symptoms similar to thyroid conditions. It is always worth checking to see if there is a physical cause. Alcohol, recreational drugs, prescribed drugs and illnesses can trigger depression.
There is no one cause of depression – it is often an interaction of genetic factors, body chemistry and life events. It spans the spectrum of negative states from feeling low to severe or clinical depression.
Depression results in chemical imbalances in the neurotransmitters in the brain – whether this is the cause or result of the illness is less certain. Mid-life is the most common time for depression to strike, but it can affect all age groups.
For many people it follows some kind of loss; the death of a loved one, redundancy, divorce, illness or else it follows a period of stress. This is sometimes called reactive depression. Grief and sadness are natural responses to such loss but depression is an illness and has major differences which can be difficult to spot.
Others have a tendency to become depressed from time to time for no apparent reason. This is sometimes described as endogenous depression which appears to arise from changes, often hormonal, inside the person themselves.
Psychological, physical and social causes:
- stressful life events such as unemployment, the end of a relationship, or being bullied or assaulted
- childhood experiences such as abuse, neglect or bereavement
- Depression particularly affects people with low self-esteem, little confidence and persistent negative thoughts who are often overwhelmed by stress
- chemical imbalances in the body, hormonal changes such as childbirth, menopause or over-production of Cortisol
- alcohol or drug use
- genetics – if you have a close relative with depression, you’re more likely to experience depression yourself
- physical health problems
- loss of activity, losing interest in hobbies, change at work, redundancy, retirement
When is the right time to seek help?
If a low mood has lasted for more than two weeks or is starting to interfere with your life, at home, work or in school, it may be time to seek help. The shame that has been attached to mental illness often increases the distress and isolation of depression.
The earlier help is sought for depression the better – many of the symptoms are similar to other illnesses. Organisations and self-help groups can help with advice.
Treatment for depression
Counselling is effective in treating mild to moderate depression, and is often combined with medication in more severe cases, which is sometimes known as clinical depression.
Understanding depression and its triggers can be helpful for sufferers trying to manage the condition. Talking to friends and family or specialist agencies can help. Counselling can help address low self-esteem, or relationship issues or persistent negative thinking.
Talk therapies such as cognitive behavioural therapy, mindfulness and interpersonal therapy are all recommended by the National Institute of Health and Care Excellence (NICE). Exercise is suggested to be as effective as antidepressants to help combat the effects of depression and many GP’s can refer those suffering for specialist support at local gyms. There are other self-help resources such as books and online courses that may be enough to make you feel better. You can also change the way you feel by spending more time in nature, eating well, avoiding cigarettes and alcohol
Antidepressants can be an effective form of treatment for moderate-severe depression but are not the first line of treatment for cases of mild depression. They should not be used for treating depression in children and are not the first line of treatment in adolescents, among whom they should be used with extra caution.
Depression Statistics:
1 in 10 of us are affected by depression at some point in our lives.
About 4% of children aged 5-16 in the UK are depressed or anxious.
In 2013, depression was the second leading cause of years lived with a disability worldwide, behind lower back pain. In 26 countries, depression was the primary driver of disability.
In 2014, 19.7% of people in the UK aged 16 and over showed symptoms of anxiety or depression – a 1.5% increase from 2013. This percentage was higher among females (22.5%) than males (16.8%).
Sources:
World Health Organisation – Depression
Mental Health Foundation – Depression
Mental Health Foundation – Mental Health Statistics: Depression
Counselling Directory – Statistics about key mental health problems
Let us help
Cognitive behavioural therapy (CBT) is a talking therapy that can help you manage your problems by changing the way you think and behave.
It is most commonly used to treat anxiety and depression, but can be useful for other mental and physical health problems.
Solution-focused brief therapy – also known as solution-focused therapy – is an approach to psychotherapy based on solution-building rather than problem-solving. Although it acknowledges present problems and past causes, it predominantly explores an individual’s current resources and future hopes – helping them to look forward and use their own strengths to achieve their goals.
Learn more about Solution-focused brief therapy
Psychotherapy involves regular personal interaction and the use of psychological methods and techniques particularly, to help change behavior and overcome problems in desired ways.
Schema Therapy helps you to understand and gain clarity of where and why difficulties have developed in life and provides a treatment plan for healing.
Learn more about Schema Therapy
Acceptance and Commitment Therapy (ACT) is a form of psychotherapy and has been described as the fourth wave in therapy following CBT.
Applied Behaviour Analysis (ABA) is a data driven science of all behaviour.
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Alison O’Connor
I am a BACP Accredited counselor, trainer and supervisor with 20 years of experience of helping adults and young people make sense of life’s challenges.

Clare Williams
I have over ten years of counselling experience working in areas of bereavement and loss, anxiety, self-esteem, self-injury and depression.

Jackie Moore
I am a qualified counsellor with a Postgraduate Degree in Integrative Counselling & Psychotherapy from the University of Wales in Newport (2007).

Kath Currell
I am a fully qualified Cognitive Behavioural Therapist, and have extensive experience, having worked as a counsellor for the last 12 years.

Mandy Walsh
Mandy owns Talk in the Bay, holds a MA (CBT) Counselling (USW) and is a Certified Advanced Schema Therapist, Supervisor and Trainer.

Matt Reed
By offering children and young people the chance to be listened to through counselling demonstrates that they are valued. This can have a hugely positive impact on the young person and reduce the chance of mental health problems developing in the future.

Mireia Falco
I am passionate about working with people. I bring my own life experience, and curiosity in life to support those struggling with grief, anxiety, and depression in a compassionate and creative way.

Misbah Khan
Misbah holds a BSc in Psychology, a doctorate in clinical psychology (DClinPsy), a diploma in CBT and a qualification in systemic practice.

Rachel Morse
Rachel qualified as an Integrative Therapeutic Counsellor in 2015 and is a registered member of the BACP. She also holds a Masters Degree in Counselling & Psychotherapy.

Sonia Wiltshire
I've worked at here since 2012, working face-to-face with clients. Now I'm working for the online side of Talk in the Bay, giving clients here & abroad more options in the way they access therapy.

Teresa Hughes
I hold an advanced diploma in Counselling and a certificate in working with drugs & alcohol both achieved from the Highlands College in Jersey, where I studied and lived for many years.