We all have days when everything seems like far to much trouble or
when nothing seems to go our way, Days when we feel that getting out of
bed was just a bad idea. We have times when we are not sure about
ourselves and just nothing is going right.... This is Normal stuff, this
is day to day normality and we do manage to get out of bed, and we do
manage to take a shower, pick ourselves up, shake ourselves down and get
on with life.
Now imagine you cannot....getting out of bed is
virtually impossible, and you can't see any light at the end of the
tunnel. You hate yourself and everything about yourself. Work is
impossible as you cannot concentrate. You have no energy for your
family. You seem to cry constantly and when
you are not crying you are angry. The overwhelming sense of sadness is
unbearable, nothing gives you pleasure in the way it used to, you have
no desire for sex and you are either eating and eating and eating, or
have no appetite. You feel like you are in a very deep black hole with
no way to get out.
The worst thing is when we are going through
this we often don't see it. It is visible to your friends; visible to
your family, and visible to your colleagues.... but you cannot even see
the forest for the trees.
This is a picture of Clinical
depression. People suffering with clinical depression need to seek help,
and I will try to explain why:
The brain is a little
like Palma de Mallorca airport, … it is a central hub for information
with messages coming in and going out thousands of times a minute . In
fact it controls all the basic functions of the body; it controls
movement, emotions, thoughts and actions, and these are controlled by a
rather complex mix of chemical and electrical processes.
The most
researched area of the brain when it comes to depression is called the
Limbic system. This is the part the brain that actually regulates
activities such as emotions, physical and sexual drives, and the stress
response. So another analogy....This Limbic system is a little like the air traffic control centre at the airport...
it includes lots of very important parts of the brain. These parts
work both independently and dependently of each other. Another
important part of this story is the hypothalamus (the hypothalamus resides within the limbic system, so i guess this is the chief air traffic controller ),
The hypothalamus does things like control heart beat, breathing, body
temperature, sleep, appetite, sexual drive and stress reaction. It also
controls the function of the pituitary gland and this regulates
hormones!!
In fact the activities of the Limbic system are so
important and so very complicated, that if there is any disturbances, it
affects how the hormones and 'neurotransmitters' function; and if they
are not working in complete balance we have a situation that affects our
mood and behaviour.
Neurotransmitters are really, really
important. Neurotransmitters are the chemicals through which
information is sent from one nerve to another. These neurotransmitters
(serotonin, nor-epinephrine, and dopamine) like order and they leap
around from neuron to neuron (nerves) in a very orderly manner.
Hormones that come from the pituitary like to keep this order, but
sadly they often fail (especially in women pre-menstrually, post
pregnancy and during menopause, which is why depression can be so
pronounced in women during these times) But it is not all about women,
men also can experience fluctuations in Hormone levels.
The glands
that secrete hormones actually have a sophisticated ability to release
and stop releasing hormones. These glands function a little bit like
the thermostat on your central heating... If the thermostat gets broken
either you have too many circulating hormones or not enough! This can
cause depression!
Now there is just one more ingredient to add to
this list: It goes by the name of cortisol. This hormone is secreted by
the adrenal glands that sit on top of each kidney. The adrenal's are
controlled by the pituitary (one of the air traffic controllers at Mallorca central air traffic control )
and cortisol is the hormone that controls our stress response; i.e.
fight or flight. If the levels of cortisol are not kept in check then
we become depressed.
Enough of the Science. The reason for
explaining all of this goes back to the beginning of the article when I
said that depressed people can sometimes not see the forest for the
trees. There is still an awful lot of shame attached to depression and
people still think they should 'pull themselves together' or 'get a
grip.' Hopefully I have explained it in a way that its possible to
see that sometimes it is impossible to do that...clinical depression is
ALL about imbalance in the brain and nothing to do with weakness at all.
Counselling and psychotherapy go a long way to helping people work out
their thought processes but if there hormones and out of whack its
impossible to think straight.
In part two I will explain how we can get help either for us or for a friend or relative. So watch this space.
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