Associates in Christian Counseling

Wisdom on Depression - An Interview with Dr. Karolyn Thompson

Depression is the most common psychiatric problem in the United States. It strikes people of all ages, backgrounds, and ethnic groups. Depression can interfere with one’s work, social life, and daily life—but it can be treated.

What causes depression?
There are a number of life issues which can cause depression such as low self-esteem, a negative self-view, loneliness, or an imbalance in brain chemistry.

In addition to these general things, we are all familiar with things which can cause situational depression. These would include death, divorce, job loss, relocation, financial difficulty, chronic illness, or hormonal changes.

When does depression need to be treated?
The short answer is based on length of time and symptoms. When symptoms go on for a very long time, or what seems like an inappropriate length of time, the depression has become chronic and intervention is probably necessary. [See the Symptoms of Depression box]

How does a person get help?
Because of the nature of depression, a person may not realize they are depressed. It may be a family member, friend, or co-worker who becomes concerned.

Generally, the place to begin is with a physician to be sure there is no presenting medical problem. Next, would be counseling. A therapist may determine that a person’s depression is severe enough to call for medication in addition to therapy.

Do you perceive that there is a stigma attached to being diagnosed with depression?
For Christians, the issue may be particularly complicated. They may be ashamed to ask for help wondering why faith is not enough to improve their mood. They may also be resistant to the use of medication, even though it is generally a short-term addition to counseling. In the African-American community, the church is a very strong social institution where these views may be intensified.

In conclusion…
Here are some simple steps for dealing with depression:

Identify any life problems that may be contributing to your depression.
Recognize negative thinking that adds to your feelings of hopelessness and helplessness
Explore your learned thoughts and behaviors, perhaps from earlier years, which are creating the problems
Regain a sense of control and pleasure in your life
Seek professional help if your symptoms do not improve.