Depression is difficult to live with. It can bury us in darkness. It can feel like a heavy weight pushing us down. These are aspects of depression that are commonly discussed when depression is allowed to be discussed. There are other aspects of depression that deserve attention. These include being overwhelmed by what seem like simple decisions, not knowing how to express what we are feeling, loneliness, and a feeling of being out of place. Each of these on their own are difficult to manage. When they build up together, what seem like the milder symptoms of depression are magnified.
Today I would like to discuss these. I have experienced each. I know so many others have, too. We each experience these symptoms in different ways, but there are commonalities. One important commonality is that each requires support. In some cases that support needs to be professional. In other instances, a friend or family member can be a source of support.
Why Depression Makes Simple Decisions Feel Overwhelming
When we are depressed simple decisions like what to make for dinner, can become overwhelming. We might have difficulty deciding what to wear. Deciding whether we should go to the grocery store in the morning or afternoon can become an overwhelming decision. In my experience, it is not necessarily the decision itself that is overwhelming. It is the need to make the decision.
As an example, today I tried to get new tires. The service guy said I could try to walk in tomorrow or schedule an appointment for Saturday. Because I am struggling with depression right now, this decision is looming over me, and I cannot decide between the two. I wanted to ask someone to help me decide, but I could not decide who to ask. So, as I write this, the decision is still unmade. I am likely to stress over it again later. This is one of the ways depression works in my life.
What makes decision-making difficult when we have depression
· Low-Energy – This is a common effect of depression that makes it difficult to generate the mental effort necessary to make choices.
· Difficulty Concentrating – Since depression can affect attention and working memory, it can be difficult to store and use the information necessary to make decisions.
· Indecisiveness – Every choice can feel uncertain or very important. When this happens making even a simple choice becomes difficult.
· Negative Thinking – When we live with depression, we often focus on the negative. This can make choices feel riskier. As this happens, it is difficult to decide.
· Self-Doubt – Another aspect of depression is the tendency to believe we cannot do something or that we are always wrong. This type of thinking leads to self-doubt and can impact our ability to make decisions.
Why Depression Can Make It Difficult to Express Feelings
Sometimes despite how strong our feelings can be, it may be difficult to express what we are feeling. We might have difficulty saying, “I feel really down right now,” or “Everything feels so heavy.” This is not uncommon when we are struggling with depression. The feelings and/or thoughts feel so strong in our minds, but when we try to express them, we freeze. Sometimes it is because our mind is overwhelmed and does not know what to say. Other times it is because we experience a type of paralysis that freezes our ability to share what we are feeling. Maybe our brains are telling us that no one else will understand or that no one else will care. When we start thinking like this, we shrink into ourselves and do not feel safe sharing what we are feeling.
Sometimes we can express how we are feeling abstractly, but do not know how to express it in a way others will understand. We might not take the risk of sharing because what we created as an expression of our feelings seems like something others would not understand. We shut down and do not share how we are feeling.
Depression, Loneliness, and Social Isolation
I think loneliness is growing problem in society even with people who are not living with depression. Technology has taken over our lives and led us to be farther apart. With depression, loneliness is a common issue. We feel like others will not understand us. We fear rejection because of our illness. So, we retreat into ourselves, unable to share what we are going through. This leads to isolation that while often self-imposed, makes us feel lonely. We might feel like we are too different for others to want to interact with us.
Many things can occur when we isolate because of depression. We might see an increase in negative thoughts. Withdrawing from social activities can lead to increased withdrawal. When we are stuck by ourselves, we have far fewer positive experiences. This can make our depression feel worse. Our symptoms can become more overwhelming. The more we withdraw, the more we lose motivation to be involved with others. Maybe an even more serious issue is that withdrawing into loneliness can lead to increased hopelessness.
Why Depression Can Make You Feel Out of Place
One thing that can happen with depression is a feeling out of place, disconnected, or like we do not belong. We can feel this separation even when we are around other people. Sometimes it is because we have difficulty connecting with others emotionally. We might feel numb or detached, which can make it difficult to interact with others. Living with depression can give us a sense of being different. We might feel like others cannot possibly understand what we are going through.
Depression can lead us to lose interest in socializing or activities we used to enjoy. This may not mean that we do not want to socialize or engage in activities we once enjoyed. It means we have lost the ability to get ourselves motivated to do be social or participate in things. It might be that we just do not feel like we belong with others. Or it may be that there is so much going on in our minds that we do not have the capacity to be involved with others. There can be this sense of feeling out of place because it might look like everything is coming so easy to others while we are struggling just to get by. That feeling of being out of place is generated by depression and increases depression at the same time. This is a reminder of just how difficult it can be to live with depression.
What Can Help When Depression Feels Overwhelming?
Living with depression is difficult. We cannot dismiss how difficult even the little things can be. I refer to them as little things, but they really are not that little. Whether it is being overwhelmed or feeling out of place, depression can rob us of our ability to interact with others and to engage in life. Depression can make what should be simple things difficult. But we need to remember that we can get through depression. There are things we can do to help ourselves through difficult times.
Strategies to Get through the Tough Times
· Talk to a mental health provider – The support they can provide is valuable and can make a difference.
· Pre-write scripts to use when we do not have the words to express what we are feeling or what we need. We can keep these in a journal, on our restroom mirror, or on our phone.
· Chat with a friend or loved one – We can provide these individuals ways to recognize we are struggling in advance. This can help them know we are struggling and know how to help.
· Attend a support group – This can be a way to share with others who are experiencing similar situations. NAMI has support groups throughout the country. Check out NAMI Connection.
· Try practicing what we want to say to others about what we are going through or how we want to socialize with a beloved pet. This takes the scariness out of the conversation and allows us to practice what we need to say and or do.
· Engage in an activity that calms or energizes us. Practice these activities when doing well so that when we need to engage in them for support, the activities will help us.
Depression is difficult. Some days will be more difficult than others. Being aware of what we need to get through difficult times is important and can make a difference. It is also important to be kind to ourselves. That is not an easy thing to do when we live with depression, but we need to try.