A blog about living with major depression disorder. Sharing what life is like when depression clouds your world. Providing coping skills and information about depression and treatment. Creating a community for people to share their lived experiences. A place for people to come together and learn and heal. All are welcome.

Showing posts with label mood disorders. Show all posts
Showing posts with label mood disorders. Show all posts

Sunday, May 11, 2025

Mental Health Screenings

                  In my last post I mentioned taking mental health screenings as a part of Mental Health Awareness Month. Today I would like to further discuss mental health screenings. What is a mental health screening? A mental health screening evaluates a person’s mental well-being using a standard set of questions to identify potential signs of mental health disorders. They are intended to provide for early detection. These screenings help health care providers understand a person’s mood, thinking, behavior, and memory. 

                  These screenings are usually questionnaires and can be given in a primary care provider’s office. The questionnaires include general mental health screenings, depression screenings, anxiety screenings, PTSD screenings, substance abuse screenings, and eating disorder screenings. The Patient Health Questionnaire (PHQ-9) is often used to screen for depression. Two other common screenings include the Generalized Anxiety Disorder Scale (GAD-7) and the Mood Disorder Questionnaire (MDQ). These screening tools allow the primary care provider or other provider to know if there are symptoms of a mental health disorder. When used regularly, for instance as part of a yearly physical exam, mental health concerns can be identified early. When identified early, mental health conditions often have better outcomes. 

                  These screenings are a valuable part of a yearly physical examination but should also be used if a person is exhibiting symptoms such as sadness or excessive worry. Screenings should also be used when there are major changes in personality or eating habits and if dramatic mood swings are present. A primary care provider can gain a better picture of a patient’s mental health by using one of these screenings.

                  Mental health screenings are also available online. Mental Health America offers online screening tools that an individual can take. If one of these tools indicate that you may be experiencing a mental health issue it is important that you share this information with your doctor or a therapist, who can provider further screening and evaluation. This can lead to treatment if necessary.  

When used as a part of a yearly physical it is important that the provider discuss the results with the patient. Too often providers see the results and just add it to the patient’s file. I would recommend that if you fill out a screening tool you ask the provider to review the results with you. This is important to ensure that the provider is not overlooking the screening tool. Unfortunately, I have experienced providers who overlook results. Luckily, in my case, I have mental health providers who are well aware of where my mental health is, and I don’t need to rely on a primary care provider for mental health care. But for many people the primary care provider is the only one they have who can catch any issues. So, do not be afraid to ask the provider for the results of any mental health screening you take. These tools are only useful if we review the results.

Being aware of the status of our mental health is vital to our well-being. We cannot take our mental health for granted. As with any health issue, early detection is crucial. If your primary care provider does not give you a mental health screening, ask for one. Take the initiative. Screenings make a major difference in mental health care. 

Monday, January 29, 2024

Different Sides of Depression

            Often depression is described as low mood, sadness, being down, darkness, or low affect.  Those are all part of it, but there are other aspects of depression, too.  One I struggle with is irritability.  Sometimes when my mood is very low, the heaviness and darkness I feel transitions into irritability.  My mood continues to drop, but I also feel very agitated.  Little things set off negative thoughts in my head.  I feel a sense of anger building in me.  At these times I don’t want to be around anyone.  I fear I will be set off by something inconsequential.  I fear my anger will show at times it normally wouldn’t.

For me the low mood starts first.  Sometimes I feel really drained before the irritability starts.  The irritability courses through me. It is as if I can physically feel it. It is like a fire rising inside of me.  I feel it crawling through me.  I want it to stop, but I find it difficult to relax.  My thoughts are all negative.  I hear the voice in my mind saying that everything is too much.  At these times I want to escape the situation.

Unfortunately, that need to escape sometimes manifests in suicidal thoughts.  Those thoughts make the situation worse.  I know that I won’t make an attempt on my life.  Cancer has taught me to value the time I have.  Still, the thoughts are there.  It is in these moments that I need to write.  I try to let the thoughts pour out of my pen.  For me the problem is if I don’t start writing soon enough.  If the depression and irritability build, I struggle to ease their effects on me. At these moments crawling into bed is often my only option.  It is hard to talk to others about the way I feel.  That leaves me feeling isolated.  Depression is an isolating illness.  It has left me on the outside looking in most of my life.

I imagine others who are diagnosed with depression experience similar feelings.  There is nothing neat and orderly about depression.  We all have our own unique experiences with this illness.  At the same time, we are bonded by the manifestations of depression we experience.  Some days depression looks different than other days.  Some days my depression is low mood.  Other days, it is a discouraged outlook on life. It is still depression.  No matter how it manifests, depression is still a painful illness.  

Support groups can help ease the isolation that depression causes.  NAMI offers support groups and peer classes.  There are other places to find support groups.  You can try asking a therapist or inquiring at your local hospital.  Right now, I am not in a mental health support group.  I am attending a cancer support group.  That is what I need at this point, but I plan to go back to a depression support group.  I know it will help me.  I encourage anyone struggling with the effects of depression, however they manifest for you, to join a support group. 

 

Here is a link to NAMI to begin your search: 

https://www.nami.org/Home

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