How To Support Loved Ones Who Are Depressed

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by Alexandra Mansilla

How To Support Loved Ones Who Are Depressed

15 May 2024

Sometimes, a person may not realise they are experiencing depression. They might feel that something is off without being able to pinpoint exactly what it is. At other times, a person may recognise their depression but refuse any help. There are many such "sometimes," and people's responses to depression can vary widely. One thing is clear: the period they are going through is very tough. They might struggle to cope and need support, even if they reject it. But how can you offer help if you are unsure how to approach them? What should you say, and what should you avoid saying? And what are the early signs of depression that should raise concern? We posed these questions to Kelly Short McCullough, Director at NeoHealth.

— How can you tell if your loved one is suffering from depression? What are the first signs?

— Recognising depression in a loved one can be challenging. Here are some common signs: persistent sadness; a person feels hopeless and negative, cannot voice one positive aspect of life; loss of interest in previously enjoyable activities; changes in appetite or gaining weight; difficulty in sleeping or sleeping too much; fatigue; feeling lonely; feeling worthless or guilty; brain fog; difficulty concentrating and thoughts of death.

If these symptoms persist for more than two weeks, it is essential to encourage them to consult a doctor.

— What phrases should you avoid when supporting them?

When we are supporting someone with depression, we should avoid minimising their feelings and should try to avoid saying things like:

"We all have problems"

"Everyone feels sad sometimes"

"Let me tell you something similar that happened to me"

"You will start feeling better soon"

"It is all in your head"

"Just cheer up"

"I have nothing to say about"

Instead, we should offer empathy, listen without judgment and validate their feelings.

Communication plays a vital role in providing comprehensive, person-centred care to clients with depression. When dealing with clients with depression, our nurses convey empathy by acknowledging their feelings and being cautious not to invalidate their experiences. For example, if the patient states that he is feeling down, has no energy to do anything and feels sad, we should not say, "Everyone feels sad sometimes. You just need to think positively and get yourself busy. That'll cheer you up!” Instead, we should say, "I hear you, and I'm sorry you're feeling this way. It sounds like you're going through a tough time. Have you talked to anyone about how you're feeling? I'm here to listen and support you in any way I can."

Image: The Sandy Times x Midjourney

— How do you suggest visiting a specialist if the person refuses to go?

— If someone is resistant to visiting a specialist for their depression, it is crucial to approach the conversation with empathy and understanding.

You should explain your concerns about their well-being, share observations of their symptoms, gently encourage them to consider the benefits of professional support, provide resources about depression and treatment options, and assure them that seeking help is a positive step towards feeling better.

— What should you do if the person doesn’t want to seek treatment?

— If the patient doesn’t want the treatment, it is very important to respect their autonomy while still expressing your concerns. Continue to offer support, listen without judgment, and gently encourage them to consider treatment options.

Highlight the benefits of the treatments and keep reminding them that they don’t have to face depression alone.

However, the decision to seek treatment rests with the individual, and forcing treatment may not be productive.

At NeoHealth, we respect every individual’s autonomy or right to make decisions about their own healthcare. In this case, we explore the reasons behind the refusal, clarify or address concerns, provide education about the benefits of the treatment, and suggest alternatives.

Image: The Sandy Times x Midjourney

— Are there any simple actions that can help them feel better?

— Simple actions can make a big difference in managing depression.

Encouraging them to:

— Establish a routine: consistency in daily activities like sleep, meals and exercise.

— Engage in physical activity: even a short walk or yoga session can boost energy and mood levels.

— Connect with others: encourage them to spend time with friends, family, or a support group.

— Practice self-care: encourage activities such as reading and listening to music.

— Get sunlight: spending time outdoors can improve the mood.

— Don't drink alcohol — it can worsen depression symptoms.

— Consider mindfulness and relaxation techniques: practices like deep breathing, meditation, or progressive muscle relaxation can help manage stress and improve mood.

When we provide care for a clinically depressed patient, we create an individualised care plan to meet the client’s needs. Interventions like medication management and vital signs monitoring are included, as well as assistance with ADLs. Physical activity is encouraged, as is the promotion of healthy eating habits.

by Alexandra Mansilla