Mt Lawley Counselling Centre, Perth - Western Australia

Perth Counselling Individual Psychotherapy Couples Therapy Sex Therapy


Home Page
Contact Us

Perth Counsellors
arrow Elyse Frankel
arrow Hank Glorie
arrow Samantha McLaughlin
arrow Julia Pemberton
arrow Daniel Mills
arrow Fiona Owen
arrow Matt Tilley
arrow Adele Wilde
arrow Rebecca Lyon
arrow Sherry-Lee Smith
arrow Sandra Manessis
arrow Katrina Alilovic
arrow Kate O'Donovan
arrow Jeannie Minchin
arrow Dylan Lewis

Counselling Articles
arrow Adolescent Depression
arrow Adolescent Self-harm
arrow Adolescents & Young Adults
arrow Adults Who Grew Up Unhappy
arrow Affairs
arrow After an Affair
arrow Anger Management
arrow Anxiety
arrow Anxiety, Trauma & Relationships
arrow Becoming a Parent
arrow Being Easily Overwhelmed
arrow Betrayal in Intimate Relationships
arrow Binge Eating
arrow Binge Drinking
arrow Body Image and Body Dysmorphic Disorder
arrow Childhood Attachments
arrow Child & Adolescent Anxiety
arrow Child & Adolescent Grief
arrow Childhood Sexual Abuse
arrow Children & Separation/Divorce
arrow Commitment Phobia
arrow Chronic Pain
arrow Confidence, Motivation and Self Esteem
arrow Coping with Fertility Problems
arrow Coping with Trauma
arrow Couples Counselling for a Healthier Relationship
arrow Couples: Distance and Distress
arrow Depression
arrow Eating Disorders
arrow Family Estrangement
arrow Fear of Rejection
arrow Homesickness in Adults
arrow How Therapy can help Trauma
arrow Insecure in Love
arrow Insomnia
arrow Internet Pornography
arrow Identifying Problems in Marital Relationships
arrow Jealousy
arrow Life After Divorce
arrow Menopause & Relationships
arrow Mental Health
arrow Mindfulness and Letting Go
arrow Motherless Daughters
arrow Obsessive Compulsive Disorder
arrow Panic Attacks and Panic Disorder
arrow Postnatal Depression
arrow Posttraumatic Stress Disorder
arrow Recovery after Psychosis
arrow Recovery from Depression
arrow Redundancy: The Emotional Impact
arrow Relationship Counselling: What's Involved?
arrow Separation
arrow Self Esteem & the Inner Critic
arrow Sex, Intimacy & Love
arrow Sexual Assault
arrow Sexuality and Sexual Concerns
arrow Shame
arrow The Fly In Fly Out Lifestyle
arrow Trauma
arrow Working with Anger in Therapy
arrow Workplace Stress & Anxiety
arrow Young Adulthood - Issues and Challenges

Depression

Hank Glorie

Clinical Psychologist
Perth Western Australia

What is it?

People use a variety of words to describe their depression: feeling down in the dumps, sad, despondent, gloomy, bored, unable to cope, or out of sorts. In some the predominant mood is irritability or anger. Chronic boredom in children or adolescents can be an indicator of depression. A characteristic of a deeper depressed state is the loss of pleasure or interest in almost all activities. known as anhedonia. Other symptoms of depression include feelings of hopelessness, worthlessness, and inappropriate guilt. Physical symptoms include loss of energy, reduced or inefficient activity, disturbed sleep patterns, disturbed appetite, loss of libido, psychosomatic symptoms (e.g. various aches and pains). Behavioural symptoms include social withdrawal, loss of confidence, indecision, poor concentration. Generally for depression to be diagnosed there needs to be at least several of these symptoms present. Anxiety is often present with depression and sometimes, obsessive preoccupations can also occur. Occasionally, in more severe forms of depression delusional thinking, hallucinations, and manic episodes may be seen.

Who is at risk?
  • People with chronic, life threatening physical illness, or with severe or disabling symptoms
  • People who suffer unexplained pain, hypochondriasis, or prolonged fatigue
  • Elderly people, living alone
  • People who abuse substances, particularly alcohol and amphetamines
  • Women in the postpartum period
  • People who have suffered recent significant loss
  • People who are experiencing a deteriorating relationship
  • People undergoing life changes or role transitions such as retirement
  • Children with chronic, mild dysphoria or irritability and deteriorating school performance who state that they feel unloved
  • Adolescents presenting with irritability, behaviour change or a deterioration in school or work performance

A significant number of people experience depression with no obvious cause or trigger. Long-term low-grade depression is common and often unrecognised. Children of depressed parents, or those who experienced inadequate parenting in some way (and often this inadequacy can be quite subtle) can grow up with an underlying depression that surfaces at different times. Psychodynamic theories might describe this as unexpressed or incomplete mourning of early loss of sufficient emotional nourishment.

What to do about it?

Depression is not something to be ashamed of, or guilty about. It is not a character flaw or a sign of a weak personality lacking in discipline or personal strength. It is not something that one can just "snap out of". The difference between a mood and depression is that a mood is usually brief, not generally too intense, and non-repetitive, whereas depression more seriously affects longer-term happiness and diminishes healthy functioning. Most importantly, depression is not intractable. With proper help the chances of complete recovery are excellent.

Depression can be treated either with counselling (also known as psychotherapy) or anti-depressant medication, or a combination of both. Lifestyle changes may also need to be addressed, such a reduction in drug usage, escape from abusive or stressful relationships, and poor health regimes. Sometimes these changes may be all that is needed.

Counselling not only provides a supportive and expert environment for us to share and work through our difficulties, but also assists in providing skills and strategies to change thinking patterns, emotional response patterns, and behaviour, which contribute to depression. Good counselling is often a very powerful means to relieve and cure depression and other forms of emotional unhappiness. The non-emotional symptoms of depression tend to disappear or reduce as psychological issues are addressed.

When a person feels so depressed that they cannot function well or even want to die, or when the depression clearly has organic origins (e.g. post- or antenatal depression) medication may be necessary. As with all emotional changes, mood states affect brain chemistry and vice-versa. Antidepressant medications are drugs that assist in restoring the chemical balance in the brain. Although they have some limitations, modern antidepressants can be very effective in treating some of the symptoms of depression. Studies show that 70 to 80% of depressed people will improve significantly when placed on antidepressants. However, to address the underlying psychological causes counselling is recommended.

(Main source: A manual of mental health care in general practice by John Davis)

If you would like more information please feel free to call

Hank Glorie
Clinical Psychologist
Counsellor and Psychotherapist

0400186760

Email:

Click here to go to Hank Glorie's page

Click here to go back to the main page



Elyse|Hank|Samantha|Julia|Daniel|Fiona|Matt
Adele|Rebecca|Sherry|Sandra|Katrina|Kate|Jeannie|Dylan
© Mt Lawley Counselling Centre - Perth, Western Australia
Counselling Individual Psychotherapy Couples Therapy Sex Therapy
Web Design Perth