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ELIZABETH MAHANEY, M.A.
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To view more information... Please visit my website at
www.SouthTampaTherapy.com www.MissingPieceCounseling.org
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Issue: #10
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NOVEMBER / 2008
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Greetings!
I hope this newsletter finds you well! In this NOVEMBER issue you will find information pertaining to DEPRESSION: WHAT IT IS AND HOW TO DEAL WITH IT (PART 1) and WHAT MAKES YOU PROCRASTINATE? Enjoy:)
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Depression: What It Is and What to Do about It (Part I)
By Elizabeth Mahaney, M.A.
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This is the first of a two-part series on depression. In this issue, I will explore what depression is and what causes it. In the next issue, I will describe how depression is treated and prevented. If you or someone close to you suffers from depression, it is important to educate yourself about it and seek treatment from qualified mental health professionals.
Depression is a serious illness, not a harmless part of life. It is a complex disorder with a variety of causes. It is never caused by just one thing. It may be the result of a mix of factors, including genetic, chemical, physical, and sociological. It is also influenced by behavior patterns learned in the family and by cognitive distortions. Depression affects millions of people in this country. It is always troubling, and for some people it can be disabling. Depression is more than just sadness or "the blues." It can have an impact on nearly every aspect of a person's life. People who suffer from depression may experience despair and worthlessness, and this can have an enormous impact on both personal and professional relationships. In this newsletter, I will describe many of the factors that may cause depression, and I will explore strategies for preventing it.
Depression Is Pervasive
When a person suffers from depression, it can affect every part of his or her life, including one's physical body, one's behavior, thought processes, mood, ability to relate to others, and general lifestyle.
Symptoms of Depression
People who are diagnosed with clinical depression have a combination of symptoms from the following list:
· Feelings of hopelessness, even when there is reason to be hopeful · Fatigue or low energy · Much less interest or pleasure in most regular activities · Low self-esteem · Feeling worthless · Excessive or inappropriate guilt · Lessened ability to think or concentrate · Indecisiveness · Thinking distorted thoughts; having an unrealistic view of life · Weight loss or gain without dieting · Change in appetite · Change in sleeping patterns · Recurrent thoughts of death · Suicidal thoughts · A specific plan for committing suicide · A suicide attempt · Feelings of restlessness or being slowed down
When a person is suffering from depression, these symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning. This means that the person's family and social relationships, as well as work life, are impaired. When a person is suffering from depression, symptoms such as these are not the result of a chronic psychotic disorder, substance abuse, general medical condition, or bereavement.
Grief, Sadness, and Depression
Depression may include feelings of sadness, but it is not the same as sadness. Depression lasts much longer than sadness. While depression involves a loss of self-esteem, grief, disappointment and sadness do not. People who are depressed function less productively. People who are sad or disappointed continue to function.
Depression and Socioeconomic Factors
Depression does not seem to be related to ethnicity, education, income, or marital status. It strikes slightly more women than men. Some researchers believe that depression strikes more often in women who have a history of emotional and sexual abuse, economic deprivation, or are dependent on others. There seems to be a genetic link; depression is more common among parents, children, and siblings of people who are diagnosed with depression. The average age at the onset of a depressive episode is the mid-20s. People born more recently are being diagnosed at a younger age.
Physical Causes
Many physicians believe that depression results from a chemical imbalance in the brain. They often prescribe antidepressant medication, and many people find relief as a result. However, there is no reliable test to identify such a chemical imbalance. It is unknown whether life experiences cause mood changes, which create changes in brain chemistry, or whether it works in reverse. Depression may be associated with physical events such as other diseases, physical trauma, and hormonal changes. A person who is depressed should always have a physical examination as part of the assessment process to determine the role of physical causes.
Signs That Professional Treatment Is Needed
If you or someone you know is depressed and exhibits any of the following signs, it is extremely important to seek the assistance of a medical or mental health professional.
1. Thinking about death or suicide. This is always dangerous and you should see a professional therapist immediately. 2. When symptoms of depression continue for a long time, you may need professional help. Acute responses to events are normal, but they should not last beyond a reasonable time. 3. Your ability to function is impaired by your depression. Seek help before your life situation deteriorates to a serious level.
4. You have become so isolated that you have no one with whom to check reality. Seek out someone to share your thoughts and feelings with. 5. Depressive symptoms have become severe.
In my next newsletter, I will discuss the treatment and prevention of depression.
Suggested Reading David D. Burns, M.D., Feeling Good: The New Mood Therapy. New York, Avon Books, 1980.
The American Psychiatric Association, Diagnostic and Statistical Manual, 4th Edition. Washington, D.C., The American Psychiatric Association, 1994.
Michael Yapko, Ph.D., Breaking the Patterns of Depression. New York, Doubleday, 1997.
Please pass this newsletter along to a friend. Or call 813-240-3237 to request additional copies or to make an appointment.
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What Makes You Procrastinate?
By Elizabeth Mahaney, M.A.
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The first in a series of two newsletters, this issue deals with why we procrastinate.
All of us procrastinate on occasion. For some people, it's a chronic problem; for others, it's only a problem in certain life areas. Procrastination is always frustrating because it results in wasted time, lost opportunities, disappointing work performance, and generally feeling bad about yourself. When you procrastinate, you allow less important tasks to take up the time and space that should be devoted to more important things. You do things like hanging out with friends when you know that an important work project is due soon, or going shopping instead of doing your homework. It can also be evident in behavior such as talking about trivial things with your partner to avoid discussing important issues in your relationship. Most people don't have a problem finding time for things they want to do. But once they see a task as too difficult, painful, boring, or overwhelming, the procrastination behaviors begin. You are not alone if you have ever made any of the following excuses to yourself: 1. It's too cold to exercise outside today. I'll wait until tomorrow when it's warmer. 2. I've got too many other things to do first. 3. I'll do a better job when I can concentrate on this project. 4. I still have lots of time to get this done. 5. They don't pay me enough to do a more complete job. This is good enough. 6. This problem is too hard to talk about. I wouldn't know where to start. 7. I work better under pressure. 8. It's too noisy to work while my teenager is at home. 9. I should get the shopping down now because the stores will be more crowded later. 10. I can eat this pie tonight, because I'm starting my diet tomorrow. 11. My tooth doesn't really hurt that much. The pain will probably go away tomorrow.
Most of the time, these excuses seem fairly innocuous. However, they're not as innocent as they seem, because they cause us to postpone important duties and projects. Ultimately, these excuses can keep us from accomplishing important goals and make us feel bad about ourselves.
Why People Procrastinate
If you were hoping for a simple answer to this puzzle, you will be disappointed to learn that there are many reasons why people put things off. Here are a few of the most common (check those that apply to you): Avoiding discomfort. Wanting to avoid pain makes lots of people shift into procrastination mode. However, the longer we delay, the worse the uncomfortable problem usually becomes. The rash gets bigger, the tooth hurts more, or the brakes squeak even more loudly. Perfectionism. Those who believe they must produce the perfect report may obsess about uncovering every last information source and then write draft after draft. Their search for the perfect product takes up so much time that they miss their deadline. Laziness. Sometimes people delay tasks that involve fairly slight inconvenience or minor discomfort. Thinking you're not good enough. Some people are certain that they are incompetent. They think that they will fail, and procrastinate to avoid ever putting their skills to the test. Self-doubt. If you second-guess yourself, you probably suffer from procrastination. You may avoid new challenges and opportunities unless you are certain that you will succeed. Perhaps you make feeble attempts to begin a project, and you tell yourself that you could do a better job if you put in more effort. Workaholism. At the other end of the spectrum, many people who work excessively also fall into this category. They drive themselves ruthlessly, fearing that if they stop working, they will not be able to start again. Most self-doubters are driven by the belief that they must meet strict standards in order to see themselves as successful.
Physics Review Remember the concept of inertia: a mass at rest tends to stay at rest.
For some reason, it is more difficult for most humans to start change than to keep it going.
Why Don't We Just Say No?
Since procrastination produces mostly negative outcomes, why don't we just change our behavior and eliminate these undesirable consequences? The reason for this is that procrastination reinforces itself. For some reason, it is more difficult for most humans to start change than to keep it going. We avoid getting started by cleverly diverting our attention from the things we really should be doing. We do something else instead or make up a story about how we will accomplish the task in the future-when we are inspired, or when we have completed a preliminary step, or some other trick. Although recognizing how these diversions work won't automatically cure your procrastination, being aware of it is a good place to start working on the problem. Once you are aware of the ways that you procrastinate, you can start to change your behavior. In my next newsletter, I'll offer some tips to help you get started. Until then, begin the change process by thinking about which causes apply to you and writing down examples of these behaviors as you observe them.
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Please pass this newsletter along to a friend or call Elizabeth Mahaney 813-240-3237 to request additional copies.
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Thanks for reading this months Newsletter!
Sincerely,
Elizabeth Mahaney
South Tampa Therapy & The Missing Piece of Counseling and Well-Being Inc. Address: 425 S. Orleans Ave. Tampa, FL 33606 Phone: 813-240-3237 Email: Elizabethmahaney@msn.com Website: www.SouthTampaTherapy.com www.MissingPieceCounseling.org |
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