training on depression by jonathan hill

An honest conversation

about depression

Jonathan Hill

Before we start - !

We don’t always know each others stories so please – !•Be sensitive to each others views and feelings •It’s ok to slip out if you need some space •Please talk to or pray with someone afterwards if this session raises any sensitive issue

How many people are estimated to have a form of depression at any one time?

a) 1 in 10 b) 1 in 25 c) 1 in 50 d) 1 in 100 e) 1 in 500

What are the chances have serious depression in a life

time?Women a)1 in 4 b)1 in 8 c)1 in 10 d)1 in 15

Men a)1 in 4 b)1 in 8 c)1 in 10 d)1 in 15

More people die from suicide than road accidents?

!

True or False ? !

!

Answer True

Why do people get depressed?

Initial concept Dr Nick Land ‘Psychiatry and Christianity - Poles apart?’ Nucleus - July 2002 (pp13-19) Christian Medical Fellowship

How we were intended

How we were are

Occupational Therapy*

Social Work*

Family Work*

Pastoral Care

Medication*

Practical support

Professional Counselling*

Prayer counselling

Mentoring

Physical Care

Vocation / work support *

Befriending

Esteem / confidence

building

Prayer Ministry

Stress Vulnerability

More details on the model see - Understanding Stress, Family Doctor Publications/ BMA 1996 Full detailed version see - Stuart S, Sundeen S, Principals & Practice of Psychiatric Nursing 1995 Mosby

+Ve

-Ve


External Support

Internal needs & Values

Demands

Personality & Coping

Style

Long term condition

Pain

Life limiting

Physical Health

Health

Blended family

Education

Conflict

sperationStability

Conflict Health

speration

FamilyChildren

Partner/ Spouse

Parents

moveing

Housing Suitability

Repair

Locality

Changes

No job

stress

Security Debt

Mortgage

Bills

Finances

Church

Commitments Respons

ibilities

Demands

Job email

How I like to be

rewarded

Need for relationship

How I like to be seen

How I like to do things

The things I value

about my self

The things I believe

about myself

The things I think are important


History / personal journey

Upbringing

External Support

family

Friends

Professionals

community

Colleagues

Church

Calm / considered

Half full

Half empty


Style Personality

How manage stress Bottle it up

Seek helpSelf

manage

Sit down & plan

Upbringing



!!!!!!!!!!!

+Ve

-Ve

Can you name the common symptoms of depression? Low Mood Tiredness Tearfulness Disturbed sleep Changes to appetite (loose or gain weight) Physical aches and pain Lack of energy or motivation Irritability and intolerance Feelings of guilt Loss of concentration Change mood patterns through out the day

What’s Actually Happening?The highest you normally feel

The lowest you normally feel

Weeks

Hopelessness

Depression

Normal

Lethargy/ Catatonia

What’s Actually Happening?

Mood changes constantly, can be affected by tiredness, stress, weather

Hopelessness

Depression

Normal

Lethargy/ Catatonia

What’s Actually Happening?N

orm

al

In response to bad news mood will often go below normal

Hopelessness

Depression

Normal

Lethargy/ Catatonia


It becomes depression when mood stays below normal for more than 2 weeks

Hopelessness

Depression

Normal

Lethargy/ Catatonia

Beck, Aaron T; Rush, A. John; Shaw, Brian F.; Emery, Gary. (1979). Cognitive Therapy of Depression. New York: The Guilford Press. pp. 11

Self

Future World

Beck’s Negative Triangle


If remaining in this zone for any length of time, there is a change in the physical working of the brain leading to becoming more depressed!

Hopelessness

Depression

Normal

Lethargy/ Catatonia


If you become low enough you enter an area of hopelessness where suicide becomes an option as it will appear there is no hope

Hopelessness

Depression

Normal

Lethargy/ Catatonia


Hopelessness

Depression

Normal

Lethargy/ Catatonia

As they get better they begin to have enough energy to realise how bad they feel and re enter the zone of hopelessness!! A large number of people attempt to harm them selves here!

men

women

Calm / considered

Half full

Half empty


Style Personality

How manage stress Bottle it up

Seek helpSelf

manage

Sit down & plan

Upbringing


How I like to be

rewarded

Need for relationship

How I like to be seen

How I like to do things

The things I value

about my self

The things I believe

about myself

The things I think are important



Upbringing

Professional Treatment

Counselling / therapy – • Trigger problem

• Negative thoughts

• Underlying insecurities

Medication - Must only be started & STOPPED by a doctor

Antidepressants take 15 – 21 days before they begin to work & stop working

Should be taken for 6-9 months, stop to soon likely to become unwell again but this time for longer

The Wider Effects Depression

John’s Story

Specialist professional help. Maintain pastoral support. May need to discuss with care team how you can best help

How to help & when to get more support

At every step it is important to know when to refer onwards for help, but it is also important to maintain general support when they are getting help at the next level

Prayer / Pastoral Support

Practical needs (think stress adaption)

Attainable goals

Checking up on progress

Personal interests

Respect

Empathy

Relationship

Care

Person > < Carer

Avoid ‘counselling’’ !

Be patient, (it may have taken 6-12 months to get

depressed it may take just as long to recover)

!Be encouraging &

supportive !

Don't give in to negative thinking

!

!!

Encourage to seek proper help

!

Remember the persons family / ‘Carer’

!Think how you can offer

support !!!!!

Be very care full of and ‘I am healed’

stories !!!

Be aware of our own needs & limitations

!Don’t be afraid to

get support for your self

!For long term

complex needs, consider a support

group to share to support

!

• What you are like when you are well

• Signs that you might be becoming unwell

• When you are becoming unwell

Green RedAmber

Keeping Well - Early Warning Signs

Plan in advance in involve people who might be able to help

Keeping Well - Green

• What are you like when you are well? !

• Are there things that help you keep well? Diet, exercise, routines, small group prayer, listening to music etc !

• Are there things that are not good for you? Alcohol, late nights, working to much. !

• How can you help manage these?

Keeping Well – Amber

• Are there any signs that you may becoming unwell? !

• Are there things that can help with these? !

• Who can help you?

Keeping Well – Red

• You have now become unwell !

• Is there anything that has helped before? !

• What needs to happen to help you? Who can help you? !

• What needs to happen to look after your family/ pets etc?

If you have any concerns over your or someone's else's safety seek immediate professional help

On the web- •Mind •Depression Alliance •NHS Choices Phone – NHS Choices dial - 111

training on depression by jonathan hill

Documents