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Depression
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Stories of discovery :
Childhood & life before depression
Experiencing depression
Recognition and diagnosis
Negotiating the health system :
General Practice
Psychiatrists and other mental health professionals
Newer anti-depressant medication
Other medical treatments
Attitudes to medication
Talking therapies - considering talking therapies
Talking therapies - finding a therapist
Talking therapies - experiences of talking therapy
Hospital based treatment
Complementary and holistic approaches
Self care :
Managing the mind
Distraction, activities and creativity
Limiting and controlling episodes
Life and money
Self-help resources
Spirituality, religion and God
Support and challenges :
Support groups
Friends and family
Work and education
Stigma and mental health
Being different, ethnicity and sexuality
Living with depression and recovery :
Getting better
Gaining insights
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Depression
Subject index
Clip
Mental health
>>
Depression
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Age 30-39
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Interview 05
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Managed to hide his depression at work, but when he could no longer read a story to his daughter he knew he needed help. (Played by an actor)
Has very good care from his GP. Medication was somewhat effective. He recently stopped taking Lithium and Effexor.
Mental health
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Depression
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Age 30-39
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Interview 33
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Severe depression is more serious than physical illness because the mind is ill, and because depression can be invisible, it is hard for people to sup
Has not used medication and is not happy with his GP. Nevertheless, he has accessed talking therapies which have helped somewhat. He also moved away from his family.
Mental health
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Depression
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Age 40-54
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Interview 06
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She told her friend about a suicide attempt, and her friend took her straight to her GP for help.
Has responded very well to Prozac (currently 20 mg) and cognitive behavioural therapy, and feels she should be on an antidepressant permanently to correct a chemical imbalance.
Mental health
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Depression
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Age 40-54
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Interview 07
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It took him about 6 months to accept that he had depression and to be able to tell his GP about it.
Used a raft of strategies to recover including time off work, attending a support group, counselling, physical exercise, interaction with nature and pets, and spiritual healing.
Mental health
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Depression
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Age 30-39
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Interview 05
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Says he appreciates how his GP provided him with his direct number for use in an emergency. (Played by an actor)
Has very good care from his GP. Medication was somewhat effective. He recently stopped taking Lithium and Effexor.
Mental health
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Depression
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Age 30-39
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Interview 10
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Found it hard to accept that depression was a legitimate reason to be off work, felt guilty and imagined people wondering why he wasn't there.
Helpful approaches include counselling (which has helped him to address past abuse as well as being gay) removed himself from a bullying workplace; settling debts, swimming and moving away from London.
Mental health
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Depression
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Age 29 and under
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Interview 15
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As a 14 year old her suicide attempt frightened her enough to visit her GP, who diagnosed depression.
With the help of a caring GP, her counsellor, private hospital treatment, Efexor (150mg/day) and self-help books, she was feeling better and is keen to continue her healing and help others. She has written a book: Saving Samantha: A Young Woman's Escape from Childhood Hell (isbn 1401910300) about her experiences.
Mental health
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Depression
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Age 30-39
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Interview 04
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Describes a GP who demonstrated caring and confidentiality, as well as acknowledging what it might be like to be a depressed teenager. (Played by an a
Has responded very well to Prozac (20mg/day) and cognitive behavioural therapy.
Mental health
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Depression
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Age 30-39
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Interview 08
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GP rings up to encourage her to make and attend a GP appointment when she is depressed, as well as to come at the beginning of any depression crisis.
With the ongoing care of her GP and ongoing counselling with a skilled practitioner, she has been in recovery since early 2003. Not currently on medication.
Mental health
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Depression
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Age 40-54
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Interview 06
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Wanted her GP (who was also a friend) to notice her problem, but was worried that if she told him how she was feeling he might judge her badly.
Has responded very well to Prozac (currently 20 mg) and cognitive behavioural therapy, and feels she should be on an antidepressant permanently to correct a chemical imbalance.
Mental health
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Depression
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Age 30-39
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Interview 33
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Strongly urges people with depression to get help from somewhere because outside help is important, and depression is less stigmatised these days.
Has not used medication and is not happy with his GP. Nevertheless, he has accessed talking therapies which have helped somewhat. He also moved away from his family.
Mental health
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Depression
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Age 29 and under
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Interview 18
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Describes how she feels uncomfortable with the caring attention from her GP and so forgets things. (Played by an actor)
Became depressed while looking after a friend with depression. Believes Seroxat contributed to her suicide attempt. With counselling and new medication (venlafaxine 150mg/day) she is getting better.
Mental health
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Depression
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Age 30-39
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Interview 10
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Dissatisfied with his GP, he wrote to his local Primary Care Trust to get a new GP at a new surgery, and was happy that his new GP treated him with re
Helpful approaches include counselling (which has helped him to address past abuse as well as being gay) removed himself from a bullying workplace; settling debts, swimming and moving away from London.
Mental health
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Depression
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Age 29 and under
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Interview 02
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Felt she was patronised and not listened to by GPs until they realised that she had attended an elite university.
Effective approaches include medication (currently Efexor 75 mg/day), hypnotherapy and counselling. Was finding it difficult to find therapy in the NHS.
Mental health
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Depression
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Age 65+
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Interview 01
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Argues that very depressed people need to accept help from doctors, including medication, at least initially.
Treatments have included ECT (Electroconvulsive Therapy), hospitalisation, talking therapies, lithium and medication. He was on a preventative, low dose of Zoloft (sertraline 100mg/day) due to his wife's death.
Mental health
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Depression
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Age 65+
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Interview 03
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Explains that some members of support groups report 'pockets' where doctors are not very sympathetic to depression. (Played by an actor)
He had sympathetic doctors who took the time to listen. With medication, early retirement, his religious convictions, and the gradual resolution of life stressors, his depression lifted.
Mental health
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Depression
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Age 30-39
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Interview 04
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Urges very depressed people to get medical help without delay because they are not in a position to help themselves. (Played by an actor)
Has responded very well to Prozac (20mg/day) and cognitive behavioural therapy.
Mental health
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Depression
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Age 30-39
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Interview 26
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Suggests that people could bring someone else along to GP consultations, or write important things down first, since it can be difficult to communicat
Not currently on medication, has found the best approaches to include counselling, self-help books, alternative therapies, and adopting a more authentic lifestyle (including enjoyable voluntary jobs).
Mental health
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Depression
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Age 40-54
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Interview 22
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Explains how she presented to her GP with minor ailments, felt she was wasting his time, and was not given a clear explanation of her depression. (Pla
Is now managed by a skilled team in the NHS, which includes long-term therapy. Therapy is addressing her distorted thinking patterns and difficult past. She now understands she can move beyond depression.
Mental health
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Depression
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Age 40-54
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Interview 19
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She had not known that her doctor had treated her for depression in the past, nor that anxiety was closely linked with depression.
Has managed to find joy in life through approaches including medication (currently venlafaxine 150mg & chlorpromazine 25mg), counselling, partner support, Christianity and voluntary work (which led to rewarding employment).
Mental health
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Depression
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Age 40-54
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Interview 22
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Her GP knew he did not have the skills to manage her and referred her to a psychiatric team. They understood and could help.
Is now managed by a skilled team in the NHS, which includes long-term therapy. Therapy is addressing her distorted thinking patterns and difficult past. She now understands she can move beyond depression.
Mental health
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Depression
>>
Age 65+
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Interview 01
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Although he denied being depressed, he was referred to a psychiatrist who understood how he felt, which was a great relief to him.
Treatments have included ECT (Electroconvulsive Therapy), hospitalisation, talking therapies, lithium and medication. He was on a preventative, low dose of Zoloft (sertraline 100mg/day) due to his wife's death.
Mental health
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Depression
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Age 40-54
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Interview 30
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Finds that when she needs help, she can rely on her mental health team, including her doctor, psychiatrist and CPN (Community Psychiatric Nurse).
Has supportive health professionals. She reacted badly to lithium, and is now doing much better on her current medication (currently Quetiapine 200mg/day, Amitriptyline 50mg, Carbamazepine 200mg, Atenolol 25 mg, Raberazole 20mg).
Mental health
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Depression
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Age 40-54
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Interview 06
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When her GP suggested she come off Prozac (fluoxetine) after 2 years, she became depressed again. She worries that she might have to argue her case ag
Has responded very well to Prozac (currently 20 mg) and cognitive behavioural therapy, and feels she should be on an antidepressant permanently to correct a chemical imbalance.
Mental health
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Depression
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Age 40-54
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Interview 19
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Advises those who are not responding to medication to ask for a different medication or for referral to a psychiatrist.
Has managed to find joy in life through approaches including medication (currently venlafaxine 150mg & chlorpromazine 25mg), counselling, partner support, Christianity and voluntary work (which led to rewarding employment).
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