People who feel depressed are usually easy enough to spot:
they may be gloomy, sad, and listless. But what about those who have hidden
depression? They may an be extrovert and good company! This is the problem with
concealed depression as these sufferers are experts in disguising the real
situation. How can we spot them, and how can we help? Here are 10 typical
things that people with hidden depression do to help us understand that
something is not quite right.
1. They may be outgoing and cheerful
Researchers at the University of Rochester Medical Center
found that depression was hard to spot when people had a cheerful disposition,
especially if they were elderly. The research team had thought that the
introverts would be the ones who would have difficulty in coming out about
their depression but it seems that the opposite may be true. We should not take
it for granted that a cheerful and sociable person may be immune from
depression. We should be on the look out for some indicative signs and above all,
we should always be empathic listeners.
2. They may hide their depression
There is some interesting research on the attitude that
Europeans and Australians have towards depression. There is so much stigma
attached to depression in Australia that many sufferers are determined not to
reveal it at all. They may feel embarrassed or simply fear that they may lose
their job – reflected in the number of sick days taken because of mental health
problems. The figures show that Australians were taking off 14 days for a bout
of depression compared to an average of 36 days for Europeans.
3. They may need healing or closure from some past trauma
Imagine the perfect hostess: she has great kids, a rewarding
career and a stable marriage. It still may be that there is a painful episode
in that person’s life which has never been properly healed. Psychologists have
an acronym for this type of person which is the PHDP
(Perfectly-Hidden-Depressed Person). The outward display of confidence and
happiness is in sharp contrast to what is going on inside. The problem is often
ignored, especially by the sufferer who may end up committing suicide. The
tragedy is that nobody was ever able to spot the signs, or that the sufferer
never had the courage to talk to someone. We should always listen carefully
when a friend or loved one talks to us about exhaustion and anxiety.
4. They may have abnormal eating habits
Most experts now believe that there may be a strong link
between eating disorders and depression. These are two separate illnesses; though
one may lead to the other, or they may arise simultaneously. More and more men
are suffering from eating disorders. There may be many causes such as media
pressures, body image/exercise, and depression. If you notice that a loved one
has appetite changes, try to talk to her/him about them and urge them to get
treatment. Hidden depression may well be the trigger here.
5. They may be non-committal about their happiness
Very often, people with hidden depression display a lack of
enthusiasm for things they used to love doing. If the person claims that they
are certainly not depressed but they just don’t care anymore, this may well be
a sign that something is amiss. If you read Eve Wood’s book, 10 Steps to Take
Charge of Your Emotional Life, you will find more examples of how discovering
self-empowerment can be the answer to coming to terms with depression and
anxiety. There are also useful chapters on how counseling, medication, or
alternative treatments are possible treatment options. Getting the person to talk
about their problems is usually the first step in seeking treatment.
6. They may display irritation and anger
We usually associate depression with apathy, helplessness,
melancholic thoughts and crying. But there are other symptoms of depression
which often go undetected because they are simply dismissed as temporary
outbursts. They are assumed to be just blips on a person’s radar and can be
safely ignored – the truth is that angry outbursts and being irritable are
often manifestations of depression. Many men choose this way of expressing
their depression.
7. They may not be getting enough sleep
If your loved one is complaining about not getting enough
sleep (or even oversleeping), it could be a warning sign that there is
something wrong. These sleep problems may be just the outward sign of a deeper
and more troubling cause which could be anxiety, lethargy or depression. Sleep
problems and depression are very often closely connected. It is always worth
probing gently to find out what the cause might be, if the person is prepared to
open up.
Many cases of depression go undetected and untreated, often
with tragic results. Between 10% to 15% of people with severe, untreated
depression commit suicide. As we have seen above, people may hide it or fake
it. Sometimes, they just keep it a dark secret which they never want to reveal.
In addition, there are those who have a different public image from their own
private and tormented selves. The challenge is to look out for possible signs
and help the person to get treatment.
Written by Robert Locke
Robert Locke MBE is a health enthusiast specializing in
relationships, life improvement, ADHD, parenting, mental health, and children's
literature. He has also written Ziger the Tiger Stories for kids.
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