Bi-Polar, Depression

Depressive Illness – The curse of the strong

IMG_5311Depressive Illness (The curse of the strong)   Dr Tim Cantopher   Sheldon Press 2003

I picked this book up at our local support group and from the very first page I knew that this was the best book on Depression that I have read over the years.

 

His introduction starts with typical Monday morning blues after a restful weekend as he explores all the feelings this brings. The point he makes is that those who feel down on Monday mornings or dip into low mood occasionally, for example when they are tired or getting over a virus, are not what the medical profession would call ‘depressed’ although many people do use this expression to describe their moods. He cites those who say ‘oh I get like that and I just pull myself together and get over it’. They don’t ‘get it’ and he comes down heavily against people who make such comments to those with depressive illness. It is not helpful.

 

This book is not as heavy as some I have ploughed through. It is accessible and an easy read. Cantopher has an engaging tone and he certainly knows what he is talking about. He describes what happens to the brain when people fall into the depths of. In depression, the levels of the chemicals in the synapses of the limbic system plummet and the nerves get less sensitive to the chemicals too. This is usually brought on by stress or other triggers. Basically if the limbic system is taken beyond its design limits it will malfunction and a gap will appear between the end of one nerve and the other (the synapse)

 

His list of symptoms is the most comprehensive I have seen. Most symptoms involve ‘loss’.

Loss of sleep, appetite, energy, enthusiasm, concentration, memory, self-esteem, sex drive, drive, enjoyment, patience, feelings, hope and love. However, loss of memory, according to the author is caused by the loss of concentration and does not mean the memory is impaired.

 

Chapter 5 is What to do when you get ill and he devotes three pages to ‘rest’, likening it to a thermostat which has got too hot and has to be switched off. While he accepts that sufferers initially spend long periods in bed, he advocates a preference for plonking yourself on the settee and watching mindless day time tv or romantic films ie nothing too taxing.

 

His chapter on Staying Well is excellent. If nothing changes and the same choices continue to be made in your life then the depression will come back to hit you again and again. He equates ‘crisis’ with a ‘time of opportunity’ as it allows you to switch off, cancel your busyness and all those activities which led you to ignore your self-care. This is the opportunity to make changes. If nothing changes, everything remains the same.

 

Once recovery has begun the author describes a stage when he visits a patient and finds the hoover in the middle of the room. We feel better and the mess is at last irritating us and making us want to ‘clear up’. However, we get the hoover out and start hoovering only to find that within 5-10 minutes we are exhausted and abandon it. We can’t even put it away.

 

When I recounted this stage to my partner he immediately recognised it. The spirit is willing but the body has not recovered enough. The lack of exercise over even two or three weeks will take its toll. Also lethargy is one of the symptoms. Rather than hoovering the whole house and leaving ourselves exhausted and back ‘down the hole’, he advocates increasing such activity slowly. For example, rather than push yourself to go to the supermarket and feel drained, make your first outing a trip to the shop on the corner. Oh yes, I have found myself there a few times since Christmas.

 

There is much more in the book to explore. As the author says, if you are reading it when you are first unwell just read the first five pages in two or three efforts. Even the most avid reader cannot concentrate on a complicated novel when they are depressed.

 

I have to return the book in ten days time so I intend getting my own copy.

 

Do try it and see if it makes a difference to you. I did it for me!

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