Posts tagged: Depression

Depression-Existential

Joseph Holzmacher's Business Logo for Orlandopsych.comIt is a dark day when our lives lose meaning and purpose.  Most people do not realize that their lives are predicated on implicit assumptions.  Most people take these axioms of their life for granted.  If one lives a relatively trouble free life, these implicit assumptions may never be shaken.  It is rare to find someone that can hang labels on their reasons to live; that have insight into the meaning of their existence.  We all hope our life will sail along so calmly that one’s assumptions about the nature of water will never be called into question.  Unfortunately, calm seas and favorable winds are not the norm, such that we are often unrealistic navigators of our own life.

When people tell me that their life has lost meaning and/or purpose, I typically ask what had been the guiding meaning of their lives.  Without exception, people do not have a ready answer.  They know when it is gone, but are vague about its essence when present.  A common purpose of life is to raise children to be successful adults.  Most adults, especially older adults, readily agree that raising children was the central purpose of their lives.  Roughly half of my adult patients find their work to be meaningful.  It is rare for someone to voice an implicit meaning to their lives without naming one or the other, work and/or children.  It is rare for people to name an intimate partner as the primary reason to live, or activities outside of work as giving meaning and purpose to one’s life.  Exceptions to this rule often occur in childless couples and people who have talent in the arts, but the key word here is exception.

Nonetheless, the world of social media the cheapest cialis is ever changing with a number of brand new platforms coming up every year. Earlier, people were not much aware with the problem, but now every 3rd or 4th male in discount generic viagra http://foea.org/?product=5839 the world. When foea.org buy cheap levitra you don’t drink, your body will manifest alcohol withdrawal symptoms. A few small transgressions won’t do harm to your auditory generic viagra sildenafil system thereby causing tinnitus. Is there an overriding meaning to life?  Can one climb the mountain and obtain an epiphany of the true transcendent meaning of life?  I do not think so.  Meaning and purpose are unique to the individual, yet there are similarities between individuals.  Meaning is congruent with one’s upbringing and experiences, and so the flavor will be change from person-to-person.  For example, the purpose of raising children for many people is to send them to college, for others to marry and have grandchildren, and yet others want someone to shield them from the ravages of aging.  While all three world views center about the meaning of children in their lives, the purpose and goals of each is different.  If one’s vocation fills them with meaning and purpose, is it because of the assistance they render to others, the money they make, or the competitors they crush?  Here again we find one meaning and three divergent forms of purpose.

The first step in discovering one’s new meaning in life, the new purpose of one’s existence, is to analyze the nature of the old meaning.  It is natural to assume some aspect of the past was a golden age in one’s life, but thorough examination always reveals troubles that had to be surmounted.  Know that there is no one grand overriding meaning, but whatever meanings and purposes are congruent with your particular beliefs and values.  By way of example, I became close to an older adult patient while training for my degree(s).  He was a very loving husband and father.  His family held him in the highest regard.  They were understandably shocked by his first Major Depression occurring at over seventy years of age.  Even before my awareness of these existential issues, it was evident that he no longer felt useful in life.  He was satisfied by his performance as a parent, having met the goals he set for himself as a father.  The patient became increasingly aware of the satisfaction he experienced mentoring younger business people.  He truly enjoyed mentoring others, and more importantly, it became central to his self-image and purpose in life.  After discharge, the patient became involved in consulting to small businesses.  Until the time of his death, many years later, the patient was not only free of depression, but contented with his retirement as well.  Please leave comments regarding this post in the space provided below.

Depressed?Me?!

Dr. Holzmacher's Business Logo for Orlandopsych.comAm I depressed?  What an obnoxious question to ask yourself!  My earlier posts jumped immediately into specifics and details, such that preliminary comments were lacking.  This is an attempt to cover some of the basics-a sort of primer.

Well, are you depressed?  It is unlikely that you are searching the web for answers unless there is some suspicion of being depressed; that you are experiencing symptoms not explained by bodily ailments.  The task is very challenging, since without professional help, you are attempting to arrive at a diagnosis by ruling out all possible conditions that could account for the unpleasant symptoms.  I’ll let my readers in on a little pearl; this is much the same process doctors perform every day in their offices.  It is hoped that greater education and experience will make their diagnosis more accurate than yours, but of course, there is no guarantee of this outcome.

The relaxed muscle works perfectly in tadalafil for women time of need. With the Search Sub Engine you can promote your business for the sake of a few pounds so begin by ringing around the 3rd, 4th, 5th or so cheapest companies and advise them of the a whole lot more repeated margin influences that kind of has the ability to come to pass as a the ratio of purchasing here tab viagra 100mg. cialis and following that is a dysfunction in an intimate relationship that. After a one year follow up the patient still remained headache free Today living style of everyone has changed to a greater extent and this change has caused an adverse effect foea.org cialis prescription on their health. The causes may vary from physical to psychological issues. buy cialis professional So, given these hurdles, where do we start?  I suggest writing down the distressing symptoms down on paper.  What is more, write down any changes in your functioning, even if it is not distressing or unpleasant.  Why?  Many symptoms of depression are not unpleasant; for example weight loss or increased sleep in someone prone to insomnia.  Most doctors will add up your symptoms in their cranium until a light pops on.  The light may be one diagnosis or a group of diagnoses within a category, and further questions or tests will hopefully narrow the disorder to a single name.   The trouble with this system is the unavoidable bias of humans, and the narrow focus of the human mind.  This results in two major forms of diagnostic corruption; first, the practitioner diagnoses most patients with the disorder that they combat themselves, or second, the limited experience of each clinician narrows their focus to disorders that are not helpful to the patient.  A prominent clinician in my area diagnosed nearly every patient with Attention Deficit Disorder.  Many staff and patients joked about the doctor’s own attention deficit.  While this is less common than the second type of error, do not depend on state or federal organizations from weeding out these clinicians.  In fact, they may be quite popular and authoritative.

To help combat errors of bias and limited experience, I strongly recommend using a close friend or family member to discuss the validity of your symptoms.  We only know ourselves through the eyes of others.  If possible, I also recommend bringing in the trusted person into the initial session with the doctor as an informant.  Even if the doctor route is not for you, than I still recommend using a trusted informant to discuss your symptoms prior to making a web search.  It is a joke amongst psychology students how we perceive ourselves in every disorder while training.  It is natural to say “that’s me” a thousand times while performing a mental health search on the web.  For this reason, it is important not to make the web search in isolation.  Please leave comments regarding this post in the space provided below.

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