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Saturday, 25 January 2003 18:20
pne: A picture of a plush toy, halfway between a duck and a platypus, with a green body and a yellow bill and feet. (Default)
[personal profile] pne
This afternoon, I was reading an entry in [livejournal.com profile] timwi's journal where he referred to an entry [livejournal.com profile] rho wrote in [livejournal.com profile] lj_support (and in which she referred to another entry in her journal), and all that got me thinking.

Basically, those articles are about depression and doing something about it.

I'd like to quote from the original entry:

If you find it difficult to motivate yourself for anything or if you feel emotionless or if you feel that you don't want to be happy then it is likely that you are suffering from depression, to some degree. And if you are, then remember that depression can get as bad as I described above, and worse.

Therefore, if you are, or think that you may be, suffering from depression then for the sake of all things holy please do something about it. For one, seek medical and/or psychiatric help.



Apparently, this prompted [livejournal.com profile] timwi to get an appointment with a psychologist.

And that made me think... a while back, I asked my GP for a referral to a psychiatrist [he wasn't too keen about sending me to a pychologist because "they're not doctors"] because of my motivation problems I sometimes have, when it's hard to get myself to do my work the way I'm supposed to. And I sometimes get down and I'm hard on myself for not measuring up to how I think I could be.

I don't think I'm depressed in the medical sense of the word, but the bit about "there are almost certainly some who don't even know that they're depressed" in the original journal entry made me think.

I never called the psychiatrist but kept putting it off. Now the referral has expired since it was for quarter IV/2002, but maybe I should get a new one and call them and see whether something needs to be done.

As I was thinking about this, I was glad that Stella was there. I called her over and we lay together on the couch and I was just glad that she is there for me. There are some things I don't tell her because I think she disapproves or because I think they might upset her, but I know I could tell her anything and she'd be there for me and support me. And I felt a lot better for that.

And while I was lying there thinking, I thought about a cartoon I had read recently. I was thinking about how I'm sometimes a bit depressed but generally not really gloomy as if the bottom has fallen out of my world.

And that reminded me of two episodes of Goats: in the first, Phillip overclocks a lemon with a drill and soldering iron. At the end of the strip, the lemon achieves self-awareness. In the second strip, the lemon asks Phillip, "What is the purpose of my existence?" and he replies, "There is none, really." The lemon answers "My universe is pain and emptiness," at which Phillip exclaims, "Great. I've created a goth lemon."

And I thought that was really funny right then because that was such a funny example of the kind of angst I feel I don't have. And I'm glad I'm not angsty like that. The "goth lemon" cheered me up.

Still, I'll have to see what I can do about getting to the psychiatrist. It does rather suck having to force oneself to work for more than four hours or so in a day when eight hours is what is expected. Maybe un-motivated-ness can be helped.

Date: Saturday, 25 January 2003 11:32 (UTC)
From: [identity profile] bride.livejournal.com
quote from the original entry:

I somewhat disagree with that. One of the important factors that I think is missing from that quote is the timeframe. 2 weeks is where the American Psychiatric Association puts the line between "just ordinary blues" and "depression", but also if it's seriously affecting your daily routine, seriously impairing your life in some way, if it's observable by others and is not caused by something physical or death of a loved one or some other kind of trauma.

Has anyone else commented about you looking/acting like you're not yourself or not doing what you should be doing? Have you been reprimanded, warned or confronted at work for not doing stuff?

I haven't really read much about your work... maybe I haven't been reading carefully, sorry... but are you sure you're not just bored/unmotivated with your work because of the job, tasks or environment itself? Are you motivated to do anything else? Are you thinking about giving up going to church? Like go on a vacation with Stella? Go out with friends? Rearrange furniture? Have a potluck get-together with friends at your place?

If doing other things is okay, then maybe it's just work. Yes? No?

I'd also try to get your GP to rule out physical factors (hypothyroidism, for example).

he wasn't too keen about sending me to a pychologist because "they're not doctors"

I'm not too sure about that. It's precisely because they're "not doctors" that appeals to me. Counsellors/therapists/psychologists can't just load you up on drugs and send you off without talking it through and seeing if they can just help you deal with it. I had considered personal counselling/therapy last year and I was told to try to find a Cognitive-Behavioural therapist. It's structured, goal oriented and aimed at helping develop good coping strategies, modifying behaviour and belief towards being more constructive.

Anapsys Counselling Services (http://www.anapsys.co.uk/files/counselling_questions.htm) and The Wimbourne Clinic (http://www.tiptophealth.co.uk/specialists/gdobson.html) have good descriptions of what CBT is.

TherapyIndex (http://www.therapyindex.com/Frequently_Asked_Questions/frequently_asked_questions.html) has descriptions of some other different therapies.

Good luck... *hugs*

Date: Sunday, 26 January 2003 04:17 (UTC)
ext_78: A picture of a plush animal. It looks a bit like a cross between a duck and a platypus. (Default)
From: [identity profile] pne.livejournal.com
Has anyone else commented about you looking/acting like you're not yourself or not doing what you should be doing? Have you been reprimanded, warned or confronted at work for not doing stuff?

No, not that I can remember. (Actually, yes, but that's quite a while ago. The subject didn't come up at my last work review, for example.)

I haven't really read much about your work

I've kept most of it in a separate journal (partly because I occasionally talk about things I wouldn't want to be linked to me, partly also because I'm a bit ashamed sometimes of my unmotivatedness). I can email you the username if you're interested.

are you sure you're not just bored/ unmotivated with your work because of the job, tasks or environment itself?

Possibly... but still, even if work isn't enjoyable, I should still do it. Especially now when there's not a whole lot of choice in the job market.

I'd also try to get your GP to rule out physical factors (hypothyroidism, for example).

I had my blood test a while ago when I was worried about being tired and having concentration difficulties, and they found nothing physically wrong with me then. (However, I don't know what all they tested for.)

load you up on drugs and send you off

Is that what (some) psychiatrists do? That doesn't sound inviting.

*hugs*

You know, that meant quite a lot to me. I really do appreciate it. It feels good to have friends; thank you for being one of them, and for expressing it like that.

(I'll probably also send you email as there are a couple of points I don't want to put up here.)

Date: Sunday, 26 January 2003 04:18 (UTC)
ext_78: A picture of a plush animal. It looks a bit like a cross between a duck and a platypus. (Default)
From: [identity profile] pne.livejournal.com
Oops; I accidentally replied to my post rather than to yours.

So this is just a pointer to tell you I answered your post; have a look at the original thread.

Date: Sunday, 26 January 2003 15:52 (UTC)
From: [identity profile] bride.livejournal.com
I had my blood test a while ago when I was worried about being tired and having concentration difficulties, and they found nothing physically wrong with me then. (However, I don't know what all they tested for.)

Ask for a copy of the test results. I don't know what the system is like in Germany, but in Canada and the US, you are definitely entitled to a copy of your own medical records. You might have to pay, but at least bring pen and paper with you to copy down the test names, your result and the expected normal range that's usually printed alongside of your result.

My guess is that you should have done a routine Hematology Panel, a TSH (thyroid function), Iron deficiency, diabetes(?) and possibly some other things...

> load you up on drugs and send you off

Is that what (some) psychiatrists do? That doesn't sound inviting.


That's my exaggerated interpretation =P Sorry. Psychiatrists are doctors. They see things in terms of "sickness" versus "health". So, they have a tendency, like GPs, to prescribe medication for things.

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