Monday, 18 March 2019

‘Smiling Depression’: It’s Possible to Be Depressed While Appearing Happy — Here’s Why That’s Dangerous

quote [ While smiling depression is not a technical term that psychologists use, it is certainly possible to be depressed and manage to successfully mask the symptoms. The closest technical term for this condition is “atypical depression”. In fact, a significant proportion of people who experience a low mood and a loss of pleasure in activities manage to hide their condition in this way. And these people might be particularly vulnerable to suicide. ]

Oh hey, looky here. Someone wrote about me circa 2005-Present.

Seriously though, I tend to shy away from self-diagnosis and prefer to work with professionals to uncover my health issues, mental and physical. That said, atypical depression explains a lot of what I've been going through most of my adult life.
[SFW] [health] [+7 Underrated]
[by JWWargo@5:23amGMT]


mechavolt said @ 11:12am GMT on 18th Mar [Score:3 Underrated]
This hits a nerve with me. I've had multiple therapists tell me that I'm doing well because I appear to handle my depression so positively. I tend to discuss my depression conversationally, and yes I smile while doing so. That doesn't mean I'm not depressed.

I only have success with psychiatrists, since they usually ask for symptoms and are more clinical. I really wish I could recommend therapy for people, because I'm sure it's good for others. But for me, after countless fruitless sessions with more therapists I can even remember, it's largely been a waste of time. The only thing that's been helpful is the medication, because the medication does its thing whether I'm smiling or not.
JWWargo said @ 4:07pm GMT on 18th Mar
I've been to two different psychologists in the past 5 years and had the same problem. They were more interested in trying to change my frame of mind than make any sort diagnosis. Any tips on how to talk to my general practitioner about seeing a psychiatrist? My insurance requires that I be referred to any specialists through my primary care provider (aside from okaying any request that they pay from specialists).
mechavolt said @ 9:25pm GMT on 18th Mar
Demand treatment. I told my general practitioner that therapy wasn't working, and I specifically said, "Please refer me to a psychiatrist for depression." If your general practitioner refuses and insists you go to a psychologist instead, get a new general practitioner. They don't have your best interests at heart.
JWWargo said @ 11:30pm GMT on 18th Mar
Thank you for your bluntness.
Cackzilla said @ 4:10pm GMT on 19th Mar
Don't worry, I can recommend therapy for you. There's a lot of scientifically proven effective psychotherapies to help with a wide variety of mental disorders. They don't all work for all people and I have found in my research (non-scientific, so just anecdotal observations) is that if the therapy isn't working it is usually the result of improper application of the treatment. This can be the fault of the therapist not utilizing the treatment methods properly, or the client not engaging in the treatment.

There are a lot of issues within both the field of psychology and psychiatry with practitioners falling in love with a therapeutic method and using it even if it lacks any evidence to support it as being effective, or if other therapies have been shown to be significantly more effective. So I believe the hardest thing most people with mental disorders, of which I was/am one, is finding a therapist that is using evidence based practices. For depression things like Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, Client centered therapy, Emotion Based Therapy, and Mindfullness practices have all been demonstrated to be effect methods of treatment. Some are a lot more researched and therefor promoted (CBT is the gold standard of depression treatments).

The issue I have with psychiatrists is that there is a tendency to be over reliant on prescribing medication despite evidence indicating that the medications effectiveness is questionable, and psychotherapies have been shown to be more effective. The long term use of psychopharmacology as a 'fix' for disorders that stem from maladaptive cognitions is expensive, not conductive to improving individual well-being, and the long term effects the medications have on neurological development/functioning, isn't fully understood. All that being said sometimes medication is a necessary component to a successful treatment plan.

TL,DR: There are lots of great therapies out there. Any treatment plan for depression should include therapy. Medication, and other biological interventions, are sometimes necessary and can be helpful when used in conjunction with evidence based psycho-therapies.
snowfox said @ 10:31pm GMT on 21st Mar [Score:1 Underrated]
The term "mindfulness" makes me want to lose my goddamn mind. Fortunately that trend seems to be dissipating as I see the term less and less now. I choose to practice mindlessness, which is when I think about frivolous and unimportant things until the urge to burst into flames dies down.
arrowhen said @ 10:52pm GMT on 21st Mar [Score:1 Funny]
I think mindfulness is just "CONCENTRATE ON YOUR ASSIGNED TASK, WORKER DRONE!" hidden beneath a thin layer of squishy hippie bullshit.
JWWargo said @ 12:54am GMT on 22nd Mar
That could work for "conscientiousness", as well.
JWWargo said @ 12:52am GMT on 22nd Mar

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