WHAT ON EARTH IS WORLD HEALTH DAY?
This year the theme is DEPRESSION.
What is depression all about?
WHY is depression a serious illness?
WHY are we depressed?
WHY are our teenagers depressed?
WHY are so many people taking anti-depressants?
WHY is the Global Depression Drug Market $16.8 Billion by 2020? (1)
So in three years’ time, we have been told this illness is going to cost us $16,800,000,000 and this confirms things are going to get worse.
WHY are there billions and billions of dollars going towards making drugs that push down (depress), something in our body?
Do we actually know what depression is?
Do we know what causes depression?
Do we understand all this stuff about depression?
Types of Depression Disorders
Major Depressive Disorder
Clinical Depressive Disorder
Seasonal Affective Disorder
Global Depression Drug Market
TeCAs – Tetracyclic anti-depressants
SNRI – serotonin-norepinephrine reuptake inhibitors
SSRI – selective serotonin reuptake inhibitors
MAOIs – monoamine oxidase inhibitors
So what are the bigwigs – those responsible for our World Health telling us about WORLD HEALTH DAY?
What you are about to read is taken from the World Health Day website for 2017.
WHO – the World Health Organization has launched a one-year campaign and the goal is that more people with depression in all countries, seek and get help.
They want us to tell them and others about activities we are planning for the Depression: let’s talk campaign through their online app. (2)
23 February 2017 (3)
New set of posters have been released 14 February 2017
Two of the posters depict a conversation in emergency settings. In humanitarian emergencies and ongoing conflict, as many as 1 in 5 people are affected by depression and anxiety. (2)
They have videos about a black dog and his name is depression.
Talking is the first step towards recovery, says
WHO Goodwill Ambassador for Sustainable Development Goals and Health (2)
Depression is an illness that can happen to anybody. It causes mental anguish and affects people’s ability to carry out everyday tasks, with sometimes devastating consequences for relationships with family and friends. At worst, depression can lead to suicide.
Fortunately, depression can be prevented and treated. (2)
We have handouts on depression which provide general information on the characteristics of depression and how depression can be prevented and treated. They are being produced in Arabic, Chinese, English, French, Russian and Spanish.
Note – these versions will be made available on WHO website as they are finalised.
So it is World Health Day and the topic is Depression and the only handout is in English.
Does this give us confidence?
Are those non English speaking people waiting?
WHY has nothing been published for this big health day topic?
WHO IS WHO?
WHAT DO THEY DO?
WHO is the World Health Organization.
The constitution came into force on 7 April 1948 – a date that is now celebrated every year as World Health Day.
Their goal is to build a better, healthier future for people all over the world.
They work alongside governments and other partners to ensure the highest attainable level of health for all people.
Together they strive to –
- Combat infectious diseases like influenza and HIV.
- Address non-communicable ones like cancer and heart disease.
- Help mothers and children survive and thrive, so that they can look forward to a healthy old age.
- Ensure the safety of the air people breathe, food they eat and water they drink and medicines and vaccines they need.
- 7000 people
- 150 country offices
- 6 regional offices
- Geneva Headquarters
The primary role of WHO is to direct and coordinate International health within the United Nations’ system.
Main areas of work are:
- Health systems
- Promoting health through the life-course
- Non-communicable diseases
- Communicable diseases
- Corporate services
- Preparedness, surveillance and response
WHO support countries as they coordinate the efforts of multiple sectors of the government and partners including –
- Bi and multilaterals
- Funds and foundations
- Civil society organisations
- Private sector
to attain their health objectives and support their national health policies and strategies. (4)
WHO is governed by the World Health Assembly – the supreme decision-making body and its main function is to determine the policies of the Organization.
The World Health Assembly meet in Geneva in May each year and is attended by delegations from all 194 Member States. (5)
Now you know who WHO are, their goals and what they do and where they work and who runs the show so to speak – in other words WHO governs WHO.
Next – you have a long list of over 200 WHO programmes, partnerships and projects from African Programme for Onchocerciasis Control to Zoonoses and veterinary public health.
If we just stop and click the above link, most of us would struggle with names like Echinococcosis.
Is this huge A to Z list a confirmation WHY WHO needs 7000 staff?
Health Topics have a similar big A to Z list (6) and when we click Depression you get the following:
Depression is a common mental disorder, characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, feelings of tiredness and poor concentration.
Depression can be long-lasting or recurrent, substantially impairing an individual’s ability to function at work or school or cope with daily life. At its most severe they may need medication and professional talking treatments.
Depression is a disorder that can be reliably diagnosed and treated by non-specialists as part of primary health care. Specialist care is needed for a small proportion of individuals with complicated depression or those who do not respond to first-line treatments. (7)
This leads to the Depression fact sheet
Depression is a major contributor to the overall global burden of disease.
People who are depressed are often not correctly diagnosed.
Too often people are misdiagnosed and prescribed anti-depressants.
Many people with depression also suffer from anxiety symptoms.
Feelings of guilt and low self-worth can be signs of depression.
Depression results from a complex interaction of social, psychological and biological factors.
Adverse life events like unemployment, bereavement and psychological trauma can develop depression and this can lead to more stress and dysfunction. This can worsen the affected person’s life situation and depression itself.
There are interrelationships between depression and physical health – example cardiovascular disease can lead to depression and vice versa.
We then have all their publications, journals, reports and data.
What does the Universal Health Coverage Data Portal mean to us on the street? (8)
Can we be absolutely honest – WHO actually sits down and reads all this stuff?
More to the point WHO writes this?
WHY is all this complicated stuff needed?
Does it make simple sense to us – the general public?
Let’s move on to some statistics spelling out how serious depression is in our world.
Total Cases of Depressive Disorder (9)
UNITED ARAB EMIRATES
Are these the real figures or are there many more under the radar?
We all know the stigma around this depression stuff so let’s get honest here, is everyone going to jump up and tell the researchers they are depressed?
Back to WHO, who carried out a study which calculated treatment costs and health outcomes in 36 countries for 15 years from 2016 to 2030.
Low levels of recognition and access to care for depression and anxiety, result in a global economic loss of a trillion US dollars every year. (12)
Can we just stop and get our heads around this?
We are in serious trouble as the global cost of depression is going to rise to $1,000,000,000,000. That means a million million.
Does this big fat number rattle us, bother us, disturb us or have no effect?
Are we feeling depressed after reading all this and thinking there is no way out?
Are we thinking – where is all this mental illness stuff going to end up?
So who loses with this economic loss?
Households lose financially when people cannot work because they have depression.
Employers suffer as employees become less productive or unable to work.
Governments end up paying higher health and welfare costs.
Did we know that depression increases the risk of substance use disorders?
Did we know that depression increases the risk of diseases like Diabetes and Heart Disease?
Did we know that people with these conditions have a higher risk of depression?
Did we know that depression is also an important risk factor of suicide? (12)
16 million adults have had at least 1 depressive episode. (10)
1 in 10 Americans experience depression at some point in their lives.
1 in 10 women experience symptoms of depression in the weeks after having a baby.
20% – number of people diagnosed with depression increases by every year.
45 – 64 – age where depression most prevalent. (13)
70% – women more likely than men to experience depression.
60% – 18 – 25 year olds more likely to have depression than people over 50. (14)
11% of adolescents by age 18 have had a depressive disorder. (15)
30% of people with substance use problems have depression. (14)
$80,000,000,000 – annual cost of depression due to lost productivity and healthcare. (15)
80% have symptoms of clinical depression and are not receiving any specific treatment for it. (13)
States with higher rates of depression also show high rates of other negative health outcomes, such as obesity, heart disease, stroke and sleep disorders.
People with depression are more likely to be unemployed or recently divorced. (13)
1 in 4 young men aged 16 – 24 are self-harming due to depression, anxiety and stress. (16)
1 in 5 elderly are impacted by depression. (17)
Reducing the prevalence of common mental disorders such as depression and anxiety is a major public health challenge. (Davies 2014) (18)
Both anxiety and depression often remain undiagnosed.
(Kessler et al. 2002)
In the case of depression, relapse ten years from first presentation frequently occurs.
(Thornicroft and Sartorius 1993) (18)
Debt and financial strain are certainly associated with depression and anxiety…
(Meltzer et al. 2013; Mind 2008).
Anxiety and depression has been estimated to cause one fifth of days lost from work.
45 – 64 – highest depression age. (18)
67.2% of people with common mental disorders have had depression at some point in their lives.
28.5% of women in receipt of sickness benefit had depression.
25.3% of men in receipt of sickness benefit had depression. (18)
7% of 15 – 24 year olds experienced depression.
25 days of regular activities were missed due to the symptoms of depression. (19)
15 – 24 year olds had a higher rate of depression than any other age group.
11% of 15 – 24 year olds meet the criteria for depression in their lifetime. (20)
50% of 15 – 24 year olds with lifetime depression, had suicidal thoughts at some point.
28% young people with lifetime depression looked on the internet for mental health support. (19)
$32,300,000,000 – annual cost to economy due to lost productivity because of workers’ depression. (21)
The accommodation, food services and retail trade sectors top the list, with the highest prevalence of depression…Sectors where the labour market is more precarious, job permanency is less and there’s more turnover.
Louis Thériault – Vice-President Public Policy, Conference Board of Canada (21)
20% of adults are affected by significant levels of depression either directly or indirectly.
$12,600,000,000 – annual cost to Australian economy because of depression.
6,000,000 – working days of lost productivity due to depression.
Types of Depression
Major (Clinical) Depression
Major Depression, also called ‘Clinical Depression’, ‘Unipolar Depression’ or ‘Major Depressive Disorder’ is the term given to define the experience of persistent sadness.
People with Atypical Depression respond to positive and negative external events; depending on the situation, they may be either deeply depressed or hopeful. When alone, they are likely to be depressed, whereas around others their mood will lift considerably. It is common for this type of depression to occur after an interpersonal rejection. Those suffering with this type of depression are likely to oversleep, in which they feel ‘paralysed’ or find it difficult to get out of bed due to extreme tiredness. Overeating is also likely. (23)
Bi-Polar Disorder also known as manic-depressive illness is a form of psychosis where the person experiences moments of extreme highs and extreme lows. It is a mental disorder that is characterised by serious mood swings where the highs, called ‘mania’ alternate with the lows, also known as depression.
The severe mood disorder is often described as ‘episodes’ and these cycles can last for days, weeks or months. There can be periods of normal mood and behaviour in between the restless highs and listless lows.
The periods of mania and depression vary in people and the common symptoms that may be experienced are: energetic; extremely excited; wildly elated; easily distracted; full of self-confidence; little need of sleep; talk continually and makes grandiose plans, with little attention to their practicality. These are to describe the manic state.
In the depression state the behaviour is essentially the opposite. Their mental and physical activity is much slower and self-esteem is at a low ebb. They feel rejected and discouraged and may attempt suicide.
The elation and frantic activity of the manic state appear to be a last-ditch attempt to defend against the underlying feelings of inadequacy and worthlessness that precipitate depression.
There are a variety of treatment options that may be suitable for a person suffering from Bi-Polar Disorder and taking the appropriate medication to stabilise the mood or taking anti-psychotic drugs are key in treatment for this disorder and to keep symptoms under control.
Lithium carbonate is the medication most commonly used to treat Bi-Polar Disorder.
It is a long-term method of treatment for episodes of mania and depression.
Psychoanalytical theories assume that people prone to depression have learned to repress hostile feelings for fear of alienating those on whom they depend for support. When things go wrong they turn their anger inwards and blame themselves.
The theory focus is loss, over dependence on external approval and anger turned inwards.
To summarise, the psychoanalytical theory of depression has a central contention that what is at the heart of depression is the notion of loss and the related suggestion that situations, which involve loss, serve to precipitate depression in predisposed individuals. (24)
Women with Depression
Women are twice as likely to suffer with depression.
Fluctuation in hormone levels are associated with symptoms of depression. (24)
During pregnancy, women are adjusting their bodies to allow for change and after childbirth depression is common due to the physical and hormonal changes. How the woman has been living up to conception has an effect on how she will cope with the new changes. This can lead to depression, if she was suffering from anxiety or stress before pregnancy and with the added responsibility of a new baby, it is clear this may lead to what is known as ‘post-natal depression’.
Some women feel like they should not be a mother and after looking forward to having a baby, during the months of pregnancy, they can have a change of heart and feel depressed after their child is born.
According to the Royal College of Psychiatrists, post-natal depression symptoms can occur during pregnancy and the lack of family support is a factor that can lead to depression. (25)
The three distinct conditions covered by post-natal depression are:
- post-natal depression
- puerperal psychosis
Puerperal Psychosis should be considered as an extreme condition, that is manic-depressive in type, which occurs within one month of delivery. It is a serious psychiatric illness that requires specialist medical attention. (24)
Post-natal depression is symptomized by the following:
Sleeping and eating difficulties
Inability to cope
Loss of confidence and self-esteem
Periodic feelings of despair
A miscarriage can also affect a woman as this loss can be like any other bereavement and also the hormonal changes occurring at this time can bring about depression.
The menopause is a particularly vulnerable time for women because they are experiencing hormonal changes and it takes time for the body to adjust to the declining levels of oestrogen and progesterone. The end of menstruation means the woman is entering another cycle, another phase in her life and there are other factors which may affect our mood and bring on depression, like family loss and grief, children leaving home or medical conditions. It is known that physical illness or disability can trigger depression.
Depression is a common symptom of pre-menstrual tension in women. (24)
The following can cause pre-menstrual depression to deepen and become unrelenting:
- problems at work
- difficulties with children
- separation from a spouse
- financial difficulties
- legal or health problems
The effect that alcohol can have on women during pre-menstrual week is that one drink is sufficient to set the head reeling. During this time period the body tissues are more ready to retain water, so they are equally ready to retain alcohol and it is absorbed more fully and more quickly, with increased effect.
During this pre-menstrual week, women may feel more depressed and seek alcohol for temporary relief and this could lead to the start of a vicious cycle. (24)
Women are also more apt to suffer from hypothyroidism, which is often associated with depression.
Studies have shown that social pressures where women are working and have the additional responsibility of raising children can be a contributory factor for depression.
Social factors such as poverty and isolation are also reasons why more women experience depression than men. (23)
Seasonal Affective Disorder (SAD) often referred to as ‘winter depression’ is said to more likely affect women. A study by The American Institute of Stress states that SAD syndrome is four times more common in women than men. It also says that career oriented single working women maybe at particular increased risk of depression. (26)
Unspecified Depression is the term given to a form of depression that does not fall into any of the other depression categories. (23)
Elderly and Depression
Depression in elderly people often becomes more common in the decade following retirement, due to the dramatic changes that occur.
Adapting to a new routine in life and moving to a care home can be difficult to adjust to.
Also, loss of a partner or friends and loss of mobility and other health problems can contribute to depression. (23)
Children and Depression
The principal factors, which could contribute towards a child developing depression, are neglect, trauma, loss of a parent or a family history of depression.
Children who have been neglected are more likely to experience depression and the NSPCC states that “children who have been neglected may experience short-term and long-term effects that last throughout their life”. (27)
Depression can be a symptom for a child who has been ignored or left alone in the home, or if they are denied their basic needs, which are essential whilst they are in the care of adults.
A child may feel neglected if they are not met by their parents or a primary carer for who they truly are and this may cause them to shut down or check out and isolate from others socially, which will eventually lead to depression. Not engaging with others means they are no longer open or sharing their feelings and this closing down of their heart can most certainly lead to depression. If they cannot feel a bond with those they regard as their role models like parents, older siblings or teachers, then this is also a factor that can lead to depression. The attachment theory is used by psychologists to describe the lack of bond and poor parental relationship. (27)
If a child has little interaction and not a strong relationship with a parent or guardian, then it can change how their brain develops emotionally. This can lead to an increased risk of depression.
Stress is a risk factor in depression, so if a child is experiencing sexual or physical abuse, neglect, parental loss or bullying at school this will inevitably be a contributing factor towards the child developing depression.
Any parental loss felt by a child would increase the risk of a child developing depression and it is possible that it may go un-noticed and not addressed until later on in life. This can also apply if the child is ‘attached’ to a pet and the animal dies. Parental loss can have a profound effect on a child as it brings in the issue of Trust. A child maybe needy and untrusting in general and then to lose a parent, who they completely trusted, would be a contributing factor towards them developing depression. It would also be even more so, if they were being raised by a single parent and then suffered a loss.
A family history of depression means the child is growing up in an environment where there is already the behaviour and symptoms of other family members who are suffering from depression. If a parent is suffering from depression and the child is exposed to this way of living, then they may see this as ‘normal’. Symptoms such as lack of energy, little or no interest in social activities, not engaging in life, lacking motivation, low self-esteem, feelings of helplessness and difficulty making decisions, could all be seen as ‘normal’ to the child yet all of them are psychological, physical and social symptoms of depression. (23)
Eating Disorders and Depression
There is evidence suggesting that bulimia can result in depression. With an episode of eating, the sufferer can feel self-loathing, which could lead to feelings of low self-worth, this adding to the depression. The endocrine system is affected and the hormonal imbalance could lead to the menstrual cycle becoming disrupted in women.
Women who have an eating disorder and are unable to truly express themselves, can also be a factor for depression.
People with eating disorders feel they are not good enough. They become obsessed with perfectionism and that focus of being perfect is on what they eat. But underlying it is depression. Often these patients have suffered a lot of emotional trauma.
Ira Sacker MD – Specialist Eating Disorders, New York University (28)
Depression is one of the major health problems in the world today. It is the most common of all psychiatric disorders. (24)
66% of people who suffer from depression do not seek treatment or receive the right treatment from health professionals because:
- Symptoms are not recognised as depression
- Depressed people are regarded as weak or lazy
- Social stigma causes people to avoid treatment
- Symptoms so disabling, unable to seek help
- Individual symptoms are treated instead of the underlying cause
- Many symptoms are misdiagnosed as physical problems (23)
The misconceptions relating to depression are that –
- Depression is seen as a mysterious condition
- Depression is mild and a passing mood
- Depression is a personal weakness
- Depression is not a life-threatening disorder like cancer
- Depression is “untreatable”
- Depression sufferer needs to buck up
- Depression sufferer needs to solider on (24)
Depression is commonly associated with the following three serious illnesses:
- Parkinson’s disease
A person might be considered a ‘somatiser’ if they lay particular emphasis on the physical symptoms which commonly occur in depression and play down or even deny that there are any psychological symptoms. Many fail to recognise a causal link between physical symptoms and emotional distress and blame the emotional distress entirely on the physical symptoms.
The psychological symptoms that help to identify a person who is psychiatrically ill from those with simple physical illness are:
- Morbid self-opinion
- Impairment of concentration
- Hopelessness and/or recurrent suicidal thoughts
- Loss of interest, including motivation, drive and libido
Even seriously depressed people may not complain of depression but rather a lack of energy or drive. They may seek the answer in a series of physical check-ups concentrating on the following – blood pressure, cholesterol, weight, diet, exercise, smoking and alcohol. (24)
The following is what is often said of depressed people:
- They do not want anything to be done.
- They do not believe others who try and reassure them that they will get better.
- They insist that the bleak vision they have of their own lives in particular and of life in general is true.
- They are extremely resistant to suggestions that all is not lost, that recovery can be achieved, that they will feel better, that they have felt better. (24)
During the milder forms of depression people are able to:
- sustain personal relationships and friendships
- carry on working
- maintain some level of enjoyment of life
The states associated with depression are:
- Panic attacks
- Agoraphobic attacks
They can be relieved when depression is treated. (24)
Depression is a mood disorder or affect.
Depression affects how a person thinks, feels and behaves.
Depression is a constant feeling of no hope, sadness and a loss of interest in life.
Depression can exist on its own or is often just one symptom of a more involved disorder.
Depression affects how a person engages in everyday life.
Negative thinking means the sufferer can no longer commit to life. The sufferer feels exhausted and lacks the energy to initiate social activity.
Depression is when it is out of proportion to the event that has occurred and continues past the point at which most people begin to recover. A depressed person can become trapped in a cycle of social withdrawal, which leads to a lack of positive reinforcement, which then perpetuates the depression.
Symptoms can be complex and vary widely between people. It is an illness that can go undetected as the sufferer does not always think they are depressed, even if the common symptoms like anxiety, sadness, low energy, changes in sleep and eating habits are prevalent.
Common physical symptoms of depression:
Disturbed sexual function
Diffuse pains and aches
Main known causes of depression:
Stressfull life event
Alcohol and Drugs
Giving up on life
Loss of libido
PMT – hormonal imbalance
After retirement in later years
Depression can last for a few months.
It is usual to recover from depression but it is also common for depression to return.
Episodes can last several months or even longer in some instances. (29)
Symptoms of Depression:
Persistent sadness of low mood
Not being able to enjoy things
Finding it harder to make decisions
Not coping with things that used to be easy
Feeling restless and agitated
Loss of appetite and weight (29)
Doctors grade depression as mild, moderate and severe to help them decide which treatment.
We may not realise how depressed we are because it has come on gradually.
We may struggle on and cope by keeping busy, which can make us more exhausted.
Physical pains like constant headaches or sleeplessness then start.
It is these symptoms that can sometimes be the first sign of depression. (29)
The affective disorders are classified as psychoses.
These disorders are disturbances of ‘affect’ or mood and are not therefore classified under neuroses.
Circular manic-depression psychosis is a mood disorder that causes radical emotional changes and mood swings and the person alternates between manic and depressive states. Often there is a period of normal behaviour in between these episodes of restless highs and listless lows. (24)
Behaviours that might be reinforced by relatives and friends are:
- talking of suicide
Psychoanalytic theories interpret depression as a reaction to loss.
The given events involving loss that might contribute to depression are:
- Loss of a loved one
- Loss of health
- Loss of financial independence
- Loss of moral support provided by friends (24)
Events not involving loss that might contribute to depression are:
- Going on vacation
- Winning the lottery
Psychoanalytic theories suggest that the depressed person’s feelings of worthlessness and low self-esteem stem from a childlike need for parental approval. If a small child depends on approval and affection from their parents, then as an adult, the person is prone to depression as their self-esteem depends primarily on external sources.
When such support fails, the person may be thrown into a state of depression. (24)
The effective treatments for depression are:
- Physical – drugs and ECT
- Psychological – counselling and psychotherapy
- Social – facilitating personal and occupational development
The range of treatment options that may be available to someone suffering from depression are a combination of medicines, talking therapies and self-help.
Tranquillisers are used as a treatment option for mild depression through relief of associated symptoms of anxiety.
Tricyclic anti-depressants are drugs used in the initial physical treatment for depression for those with physical symptoms like loss of appetite or sleep disturbance.
MAOI’S – monoamine oxidase inhibitors are a group of drugs used to treat depression, which has certain features like marked anxiety or worsening of mood at a particular time of day.
Lithium has been used to treat resistant depression and used in combination with tricyclic anti-depressants.
ECT – electro convulsive therapy is a treatment option used for someone suffering with severe depression or those intolerant of antidepressants. It can also be used to treat those resistant to drug therapy.
So here we have a news story saying there is a correlation between nature and depression.
Could it be possible that nature has a pulse, a vibration that is in harmony with everything on this earth and beyond?
In other words, it lives in cycles and rhythms that are aligned to natural laws of the universe.
Could it be possible that this pulse is strong and steady and if we are surrounded by this, it affects our particles at a cellular level?
Could it be possible what Mina Bissell was saying about how our environment affects our cells to go crazy or not, applies to this?
In other words, nature is our environment and it will have an effect on our cells?
Could it be possible that we cannot all live with green spaces and trees, but we can be open to the fact that nature has an effect on us?
Could it be possible that mother nature is not budging and so we end up aligning and our rhythms change internally and this is what makes us “less likely” to be dependent on anti-depressant medication?
The following are signs of depression that we can all pick up on:
- Feeling Exhausted
- Low energy and vitality levels
- Withdrawal from Life (31)
- Withdrawn and feeling “out of sorts”
- Change in mood
- Feelings of helplessness or hopelessness
- Sudden change in general ability to work
- Losing interest in daily activities
- Not enjoying what in the past we found stimulating
- Lack of interest in life
- No motivation
- Not engaging in conversations
- Irritability or not our normal self
- Out of character behaviour
- Appetite or weight changes
- Drinking excess alcohol
- Not able to relax and unwind
- Sleep difficulty
- Anxiety levels increasing
So here we have a bigwig kingpin on Sleep Medicine saying our inability to sleep is causing mental illness and if we address this first, then we can treat depression. He is spelling out to us that we need to give sleep proper attention and that means make it a priority.
Common sense tells us that our human body has a sleep wake natural cycle and we pay attention to it as babies and children. Somewhere along the line, we grow up, make our own choices, lose the plot and think waking is more important. With all our mod cons today and the plethora of distractions available 24/7, our natural sleep cycle is disturbed. Our World Sleep Day blog covers the detail, but for now we need to say that it would be wise to develop a sleep rhythm and take note that there is a science to going to bed early, which can truly support our body to do the job it needs to during sleep time.
Could it be possible that if we started to take Responsibility for our basic choices, like what time we go to bed, we could deal with our own issues like insomnia and depression?
Could it be possible that if we committed and consistently made the effort to take care of our body by going to bed early, things would be different the next day?
Could it be possible that if we got our sleep stuff sorted, we may not need the drugs to make us sleep or de-press our depression symptoms?
Could it be possible that our mind would have more clarity if we applied the Science of Early Bedtime as a lifestyle choice?
Could it be possible that with adequate quality sleep, we could engage more in life and deal with the depressed feelings?
Dear Dear World
That was over 5600 words and lots of heady stuff to take in.
Back to Simple.
WHY do we have so much intelligence in our world today and yet we have not got the answer for the root cause of depression?
WHY is everything so complicated and difficult to understand?
WHY are we spending money researching and researching to find more solutions to manage depression?
WHY are we not willing to look at HOW we are choosing to live that may be contributing to WHY we have depression?
WHY are people taking alcohol with anti-depressants and working?
What is going on in our lives that is making us reach for the pills and the poison? – Alcohol is a scientific proven poison.
What is our quality of work with alcohol and anti-depressants in our body?
Is it time to get real and get honest?
Is it time to look at our priorities in life?
Is it time to start asking questions?
Is it time to look at the war inside us?
Is it time to stop blaming?
Is it time to keep it simple?
What if we put our common sense hat on?
What if depression is about us withdrawing from life?
What if depression is about us not wanting to commit to life?
What if managing our depression is not the real answer?
Next blog – COMMITMENT TO LIFE.
As the author of this blog, I am no bigwig academic or professional on this subject.
However, I do have a Masters in common sense.
Having studied mental health, it would be true to say the theory is all about managing depression and not addressing the root cause.
Written by Bina Pattel
Community Mental Health and Psychiatry – Level 4 Award
Depression Management – Level 3. Grade: Distinction
Advanced Psychotherapy – Level 4. Grade: Distinction
Advanced Psychology – by examination. Grade: B
Stress Consultant – Corporate & Professional Level 3. Grade: Distinction
If you are feeling suicidal, contact your GP for support or the Suicide Helplines.
In a crisis contact your emergency services.
UK – Samaritans available 24 hours
Tel: 116 123
Childline – for children and young people
Tel: 0800 1111
USA – National Suicide Prevention Lifeline
Check International Association for Suicide Prevention Resources on Crisis Centers
(1) (2016, May 10). Global Depression Drug Market Poised to Surge from USD 14.51 Billion in 2014 to USD 16.80 Billion by 2020. MarketResearchStore.com. GlobeNewswire. Retrieved April 5, 2017 from
(2) World Health Day – 7 April 2017. World Health Organization. Retrieved April 1, 2017 from
(3) (2017). WHO Global Health Days – Campaign News. World Health Organization. Originally retrieved April 9, 2017. Updated December 31, 2017 from
(4) (2017). About WHO. Who We Are, What We Do. World Health Organization. Retrieved April 1, 2017 from
(5) (2017). Governance. World Health Assembly. World Health Organization. Retrieved April 1, 2017 from
(6) (2017). Health Topics. World Health Organization. Retrieved April 1, 2017 from
(7) (2017). Depression. World Health Organization. Retrieved April 1, 2017 from
(8) (2016). Universal Health Coverage Data Portal. World Health Organization. Retrieved April 2, 2017 from
(9) Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization: 2017. Licence: CC BY-NC-SA 3.0 IGO. (p.8, p.9, p.13, p.17-21). Retrieved April 1, 2017 from
(10) Pietrangelo, A. (2015, January 28). Depression and Mental Health by the Numbers, Facts, Statistics and You. Healthline. Retrieved March 28, 2017 from
(11) (2016). Out of the Shadows: Making Mental Health a Global Development Priority. World Health Organization. Retrieved April 1, 2017 from
(12) (2017, March 31). “Depression: Let’s Talk” Says WHO, as Depression Tops List of Causes of Ill Health. World Health Organization. Retrieved April 1, 2017 from http://www.who.int/mediacentre/news/releases/2017/world-health-day/en/
(13) (2012). Depression Statistics. Healthline. Retrieved March 29, 2017 from
(14) (n.d). Depression. National Alliance on Mental Illness (NAMI). Retrieved April 2, 2017 from
(15) Holmes, L. (2015, January 21). 11 Statistics That Will Change the Way You Think About Depression. Huffington Post. Retrieved April 2, 2017 from
(16) Marsh, S. (2017, March 1). A Quarter of Young Men Self-Harm to Cope with Depression, Says Survey. The Guardian. Retrieved March 29, 2017 from
(17) Faris, S. (2012, March 28). A Look at Depression Statistics. Healthline. Retrieved March 29, 2017 from
(18) McManus, S., Bebbington, P., Jenkins, R., Brugha, T. (eds.) (2016) Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey 2014. Leeds: NHS Digital. (p.39-40, p. 49, p.51, p.56)
(19) (2017, January 18). Study: Depression and Suicidal Ideation Among Canadians Aged 15 – 24. The Daily. Retrieved March 28, 2017 from
(20) (2017, January 19). 11% Canadians Aged 15 – 24 Met Criteria for Depression: StatsCan. CBCNews. Retrieved March 31, 2017 from
(21) (2016, September 1). Depression, Anxiety Cost Canadian Economy Billions, Conference Board Says. CBCNews. Retrieved March 31, 2017 from
(22) Manicavasagar, V. (2012). A Review of Depression Diagnosis and Management. Australian Psychological Society (APS). Retrieved April 2, 2017 from
(23) (2016). Community Mental Health & Psychiatry Level 4. UK Distance Learning & Publishing
(24) (2015). Depression Management Diploma Course. Stonebridge Associated Colleges
(25) (n.d). Postnatal Depression. Royal College of Psychiatrists. Retrieved April 2, 2017 from
(26) Rosch, P.J. (n.d). Why Do Women Suffer More from Depression and Stress? The American Institute of Stress (AIS). Retrieved April 2, 2017 from
(27) (2017). Neglect. NSPCC. Retrieved April 2, 2017 from
(28) Jaret, P. (2010). Eating Disorders and Depression. WebMD. Retrieved April 2, 2017 from
(29) (2014, March). Depression: Key Facts. Royal College of Psychiatrists. Retrieved April 2, 2017 from
(30) Neslen, A. (2017, March 21). Access to Nature Reduces Depression and Obesity, Finds European Study. The Guardian. Retrieved April 1, 2017 from
(31) Benhayon, S., & Benhayon, N. (2015). The Living Sutras of the Hierarchy 04. The College of Universal Medicine (COUM)
(32) Siddique, H. (2016, April 1). Britons Missing an Hour’s Sleep Every Night, Says Report. The Guardian. Retrieved April 5, 2017 from