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What to Do When a Loved One Is Severely Depressed

nytimes.com

121–130 of 233 posts

Re: What to Do When a Loved One Is Severely Depressed

#121
post #81

Earlier quoted context omitted.

Suicide hotlines are pretty ineffective as far as suicide prevention goes.

You're getting downvoted, but I am not sure that's really fair. I've been thinking this topic today. I happened to lose a (young) family member to suicide a couple days ago and, shit, that bothers me immensely. Every time the subject of suicide comes up the first thing that is said is "call the hotline," however, in the last couple days, I have been questioning if suicide hotlines are evidence based. I have zero idea…

I’m sorry for your loss. The same thing happened in my family. It gets better with time.

Re: What to Do When a Loved One Is Severely Depressed

#122

I'm uncomfortable with the idea that someone who is in agony must be kept alive at all costs.

This seems a bizarrely simplistic (or incomplete) statement.

It needs at least an adjective in front of "agony". I don't expect you're suggesting euthanizing someone with acute appendicitis or a severe cluster headache.

Re: What to Do When a Loved One Is Severely Depressed

#123
post #81

Earlier quoted context omitted.

Suicide hotlines are pretty ineffective as far as suicide prevention goes.

You're getting downvoted, but I am not sure that's really fair. I've been thinking this topic today. I happened to lose a (young) family member to suicide a couple days ago and, shit, that bothers me immensely. Every time the subject of suicide comes up the first thing that is said is "call the hotline," however, in the last couple days, I have been questioning if suicide hotlines are evidence based. I have zero idea…

This got me curious, so I looked a few things up on pubmed. Here's some articles that piqued my interest:

https://www.ncbi.nlm.nih.gov/pubmed/24086443 https://www.ncbi.nlm.nih.gov/pubmed/24163237 https://www.ncbi.nlm.nih.gov/pubmed/22320194

Re: What to Do When a Loved One Is Severely Depressed

#124

I'm uncomfortable with the idea that someone who is in agony must be kept alive at all costs.

I used to think like this, but not any more. The agony is temporary. The not being alive is permanent. It's an irrational suboptimal decision that they would regret 2 years later. It makes sense to help them. It's like helping your friend quit smoking. They will be agonized for a few months, but eventually will get out of the addiction and be thankful.

I agree that in general that is the right approach.

However, some people suffer with chronic depression for their entire lives. What makes me uncomfortable is that no exceptions are ever allowed. Every sufferer must continue to stay alive indefinitely no matter how much pain they are in.

I understand why this idea will forever be taboo, but it still bothers me.

Re: What to Do When a Loved One Is Severely Depressed

#125

As much as I know all of these things, the attitude my loved one has has killed the love out of me. Constant negativity, agitation, it's just tiring. I just can't seem to not take it personal, and to have a mindset that it is the disease and not the person. I can't figure out how to start loving the person again.

Have you considered going to a therapist yourself?

Re: What to Do When a Loved One Is Severely Depressed

#126
post #32

What I did is watch the 8 hour docuseries at www.brokenbrain.com and learn from 50 doctors what the various causes are and how to treat these caused. It did help me a lot to understand depression but my depressed son does not want to watch the docuseries. Sigh.

Gosh, an 8 hour video series telling you that you're broken? I can't imagine why he wouldn't want to subject himself to that.

Re: What to Do When a Loved One Is Severely Depressed

#127
post #14

It is unfortunate that stigma around mental illness causes most people to view psychiatric hospitals as places to avoid at all cost, as they have a stigma so terrible going to one is like dying multiple deaths. After that you're 'legally' crazy (whatever the fuck that means)! In fact, if you need one, if you are severely depressed or hallucinating, a hospital is exactly the place for you. You will most likely love it…

I'm from New York City and I've had the pleasure of being in 3 different psychiatric wards from adolescent to adult.

If you have never been in a psych ward and never met crazy people, you will now be surrounded by crazy people and you will also be considered a crazy person.

While crazy might be offensive, the people in these wards need serious help and most of them are people you do not want to be around. And you definitely do not want to be locked for days with them either. If you have never experienced this, it will be traumatizing especially if you come from a sheltered environment. If you're suicidal, you were a threat only to yourself. Some of these people in the ward are there because they can be threats to others. That means you will probably see someone be knocked down by nurses and tranquilized. You will hear people yelling, singing, talking to themselves, doing destabilizing things. You will literally be in a horror movie.

You will lose most of your clothes and your belongings. Your first day you will probably be in a hospital gown. You won't be allowed to have shoelaces or even pens or pencils until they determine you're not a risk.

You have to listen to everything an authority tells you to do and comply. You need to eat even if the food is bad when it's meal time. You need to make sure you do everything right so you can leave as soon as possible. Don't want to do some bullshit music, meditation, or arts therapy? Not cooperating. Not socializing. Negative marks. You need to take the medication they give you, even if you don't want to.

If you had the great misfortune to be admitted to the hospital on a weekend, you might be screwed until business hours so they can get the medical records they need or when the regular doctors are back.

Want to make a phone call or use the computer? Last one I was at you were limited to less than 15 minutes, there were only 2 phones, and they were always being used.

Can't sleep at night because you're sharing a room with someone else or just anxiety ridden because you're in an uncomfortable psych ward? Negative marks or ask the nurse for benadryl.

I was grateful to be in a safe place and get the help I needed but every psych ward I've been to has not been a pleasant place because I was stuck there for almost a week without much freedom surrounded by crazy people. That's why most people never ever want to go back to a psych ward even if they're suicidal. It can be that bad.

I knew how to follow the rules and get out as fast as possible but some people don't or can't. They're not good at following the rules. Some of the people I met in these wards had been there for 2 weeks, 4, or even longer. It was really sad and even more depressing. Children whose families abandoned them. Adults who didn't have anywhere to go.

Re: What to Do When a Loved One Is Severely Depressed

#128
post #122

I'm uncomfortable with the idea that someone who is in agony must be kept alive at all costs.

This seems a bizarrely simplistic (or incomplete) statement. It needs at least an adjective in front of "agony". I don't expect you're suggesting euthanizing someone with acute appendicitis or a severe cluster headache.

For the purposes of constructive discussion I don't mind qualifying "agony" with "enduring", so to limit scope to those with chronic, untreatable depression. But the original statement is an honest representation of my thoughts.

ETA: At the same time, it's important to recognize that suicides inflict dramatically more pain on those left behind than other causes of death.

Re: What to Do When a Loved One Is Severely Depressed

#129
post #81

Earlier quoted context omitted.

Suicide hotlines are pretty ineffective as far as suicide prevention goes.

You're getting downvoted, but I am not sure that's really fair. I've been thinking this topic today. I happened to lose a (young) family member to suicide a couple days ago and, shit, that bothers me immensely. Every time the subject of suicide comes up the first thing that is said is "call the hotline," however, in the last couple days, I have been questioning if suicide hotlines are evidence based. I have zero idea…

The Fremont bridge in Portland had a sign with a # for suicide hotline, and it was the wrong number I believe for over a decade. Only when a road crew maintenance guy had to take it down for repairs did somebody check. It wasn't even in the news, I just happen to talk to one of the workers who told me.

Re: What to Do When a Loved One Is Severely Depressed

#130
post #14

It is unfortunate that stigma around mental illness causes most people to view psychiatric hospitals as places to avoid at all cost, as they have a stigma so terrible going to one is like dying multiple deaths. After that you're 'legally' crazy (whatever the fuck that means)! In fact, if you need one, if you are severely depressed or hallucinating, a hospital is exactly the place for you. You will most likely love it…

> After that you're 'legally' crazy (whatever the fuck that means)!

In Australia, what it means is that you are involuntarily held in a psych ward, you have no right to leave and you don’t get a say in your own treatment. That includes no choice in your medication.

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