Depression

Helping you find positivity and self-worth

Despite the national campaigns for raising mental health awareness and encouraging people to take ‘Time to Talk’; a significant number of people are struggling with depression on a daily basis. Do you feel burdened by all your responsibilities, feel you cannot cope and find you cannot sleep at night? These are signs that you may be depressed. ‘I’m depressed’. ‘I suffer from depression.’ ‘I can’t deal with life’. ‘I’m not worth it’. ‘I can’t go on!’. Have you ever found yourself saying something on these lines? Do you know someone who says these sorts of things? Sometimes, we don’t hear these pleas for help because people feel unable to share what they are truly thinking and feeling.

Have you ever shared your feelings and found that nobody heard you? People don’t always know how to listen, to find out what is really going on for you. We are here to listen and to help you find positivity in your life again.

We all get days when we feel unhappy or ‘down’, people who experience depression find that they struggle every day to undertake daily living tasks and become isolated. Some people experiencing depression say they have lost their confidence and self-esteem. That they are embarrassed and worry about being seen as weak. We will assist you to increase your self-worth and reconnect with yourself, others and your community.

What is depression?

Depression becomes an illness when it controls your life. Depression presents as a mental health disorder classified as a “mood disorder”, which manifests as feelings of intense low mood, hopelessness, worthlessness and a marked decrease in motivation and enjoyment in activities.

It is important to differentiate between feeling depressed in mood and depression as a disorder. Everyone feels depressed in mood from time to time, but it can only be diagnosed as a disorder when it becomes chronic (every day for over two weeks) and has a noticeable impact on functionality in daily life.

The physical, emotional, and behavioural symptoms are all associated with depression, but to have a depressive disorder, you do not need to feel all. They are merely indicative of what someone with depression may be experiencing.

Signs of depression: Physical symptoms

  • Medically unexplainable pain or headaches
  • Constipation
  • Fatigue or lack of energy
  • Lack of libido
  • Menstrual cycle changes

Signs of depression: Behavioural symptoms

  • Social isolation
  • Decreased standard of personal hygiene
  • Changes to appetite
  • Changes to sleeping pattern
  • Self-harm Irritability
  • Difficulties in decision-making
  • Slow movement and speech
  • Neglecting hobbies

Signs of depression: Emotional symptoms

  • Intense low mood
  • Sadness
  • Feelings of worthlessness
  • Feelings of hopelessness
  • Feelings of guilt
  • Frustration
  • Lack of enjoyment in previously pleasurable activities
  • Lack of motivation
  • Low self-esteem
  • Negative views of self, future and world
  • Anxiety or worry
  • Suicidal ideation

Causes: how does depression occur?

Depression can affect anyone. There is not always an obvious reason why someone develops depression but there are certain risk factors that can increase vulnerability to developing a depressive disorder:
  • Genetic component: family history of depression or other mental illness
  • Upsetting or stressful life event(s)
  • Chronic illness
  • Trauma
  • Chronic stress
  • Abuse
  • Adverse childhood experiences
  • Low self-esteem
  • Giving birth (postnatal depression)
  • Alcohol and substance misuse
  • Loneliness loss of role, job, status, money, relationship, etc.

Diagnosis: How we determine depression

The symptoms mentioned above can be an indication that you have depression. But only an experienced doctor or therapist can make a diagnosis after an extensive interview with you. After you’ve provided an unprompted account of your symptoms, we’ll clarify whether you have depression and the type of depression using validated assessment tools. Physical health care investigations may be recommended to rule out any physical health conditions that may be causing or contributing to your low mood.

A comprehensive assessment is provided to ascertain your needs and treatment goals. We will listen to your story and recognise how your low mood started. Often a trigger such as trauma, a bereavement, a relationship breakdown, a life change can mark the start of a depressive episode. However, you may be predisposed to depression and associated anxiety for many reasons. We will explore the possible underlying issues which shape your response to trauma and stress, so we can form a diagnosis.

Alleviating the weight of depression

We will work with you to identify how depression affects you and locate the best treatment options available to you. This maybe on a group or 1-1 basis dependent on your needs. We follow evidence based practice and follow NICE Guidelines and will also find out whether you feel safe or whether there are associated risks which require us to develop a safety plan with you.

At Schoen Clinic Chelsea we provide a very comprehensive and holistic range of interventions and support. This means we are able to find the necessary support and mechanisms for your personal recovery.

Treatment for depression is either talking therapy, medication, or a combination of the two.

Treatment through medication

For moderate and severe depression, supportive medicinal treatment with antidepressants is often helpful. Our specialist Consultant Psychiatrist can review your medication and monitor the efficacy of your treatment. Antidepressant medication can provide you with help for your physical symptoms and mood. Sometimes medication doesn’t seem to work, it can take some time to take effect.

Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy (CBT) aims to help you challenge and restructure unhelpful thinking styles that you experience about yourself, others and the world. As well as looking at the behaviours you are engaging in that may be unhelpful.

Schema therapy helps you understand the underlying emotional patterns that keep you stuck in a current or repeated depression.

Psychotherapy
Through psychotherapy, we work together with you to develop starting points for positive changes in your life.

Therapy elements include:

  • Creating positive and enjoyable activities and experiences
  • Changing distorted, predominantly negative or pessimistic thought patterns
  • Practising social skills for better relationships with other people
  • (Re)building social contacts
  • Creating strategies for solving problems
  • Sport therapy and physiotherapeutic measures
  • Mindfulness training

Psychotherapeutic group sessions

At Schoen Clinic, there are numerous psychotherapeutic group sessions available – your therapist will select the groups suitable for you as part of your personal therapy plan.

  • Coping with depression group
Here you will learn how depression affects you as a person as well as your interpersonal relationships. The group facilitator will encourage participants to explore their thoughts and feelings and the issues they feel troubled with. These supportive groups help you to become more self-aware and enable you to try out skills in a safe environment.

  • Movement group therapy
Some of the groups we provide include a movement aspect to exploring yourself and your relationship with yourself. Through movement you can learn how changing your posture and movement can help your mental health and wellbeing. The way you move can tell you how your body responds to depression and anxiety. Learn how your body can help you improve your mood.

  • Mindfulness therapy
Sometimes people experiencing depression will also experience worry and anxiety. Mindfulness not only helps you focus on the now and remind you of the simpler more natural things in life but also help you refocus away from negative and intrusive thoughts.

Meet our team

Our team of experts consist of consultant psychiatrists, clinical psychologists, therapists, and specialist nurses who work together as a multidisciplinary team for the benefit of every patient in the treatment of depression.

Our specialised day clinic

Our specialised day clinic offer you a personalised treatment programme for depression.