Kate McDonald, LCSW

Depression and Grief

Depression is a feeling of being "low", of not feeling motivated, of having low self-esteem, of feeling sad, hopeless and powerless. All human beings feel depressed once in a while. All of us have had the experience of not feeling motivated or not wanting to get up out of bed in the morning. Feeling depressed once in a while or occasionally is different from feeling this state much of the time. To feel depressed much of the time means our ability to experience joy and pleasure is rare if not non-existent. Sometimes people in this state feel like dying. Some may actually have suicidal feelings, thoughts or plans.

Some depression is a natural human response to a current loss. For instance when we lose a close person due to death, divorce or other kinds of loss, it is natural to go through a process of grieving; this process includes a period of time of depression.

The depression that is part of a grief response may be helped through counseling, through supportive talks with friends, a support group, writing, crying, or various forms of expression.

Sometimes our lives need to function at such a high level (e.g., being a parent), that it becomes important for us to restore our functioning to the highest. In these cases antidepressants may also be helpful.

Then there are certain forms of depression that are long-standing and relate to deeper psychological or physiological issues within a particular individual. Frequently these people benefit from on-going long-term counseling along with anti-depressant medication.

If you are depressed enough to feel you can't accomplish your goals or you have lost interest or pleasure in life, it is time to seek help.

I can evaluate your depression and give you a sense of the "road-map" out. Part of the treatment plan may involve use of outside resources and possible consult with other practitioners, as well as on going counseling and involvement of any important significant others in your healing and recovery process.

Sometimes a feeling of powerlessness can also come from one's experience of being part of a culturally oppressed group or ethnic "minority". In the counseling I integrate the societal placement and pressures of each individual and help each person understand their particular difficulties and strengths, in light of their social situation and oppressions they have or do deal with. Sometimes a peer support group can be useful and encouraging.

Let me help you find your inner enthusiasm and joy for life once again.


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