Alternative medicine (3)
- Treatment-resistant depression
- Mindfulness exercises: How to get started
- Pet therapy: Man's best friend as healer
- Suicide and suicidal thoughts
Coping and support (3)
- Depression: Supporting a family member or friend
- Support groups: Make connections, get help
- Mental health: Overcoming the stigma of mental illness
- Mental health: What's normal, what's not
Lifestyle and home remedies (5)
- Depression and anxiety: Exercise eases symptoms
- Mediterranean diet recipes
- Sleep tips: 7 steps to better sleep
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- Caregiver depression: Prevention counts
Risk factors (3)
- Depression in women: Understanding the gender gap
- Empty nest syndrome: Tips for coping
- Stress symptoms: Effects on your body and behavior
Tests and diagnosis (1)
- Cytochrome P450 (CYP450) tests
Treatments and drugs (21)
- Atypical antidepressants
- Delayed ejaculation
- Serotonin syndrome
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Depression: Supporting a family member or friend
Understand suicide risk
People with depression are at an increased risk of suicide. If your loved one is severely depressed, prepare yourself for the possibility that at some point he or she may feel suicidal. Take all signs of suicidal behavior seriously, and act immediately.
Take action if necessary:
- Talk to the person about your concern. Ask if he or she has been thinking about committing suicide or has a plan for how to commit suicide. Having an actual plan indicates a higher likelihood of attempting suicide.
- Seek help. Contact the person's doctor, mental health provider or other health care professional. Let other family members or close friends know what's going on.
- Call a suicide hotline number. In the United States, you can reach the toll-free, 24-hour hot line of the National Suicide Prevention Lifeline at 800-273-8255 to talk to a trained counselor. Use that same number and press 1 to reach the Veterans Crisis Line.
- Make sure the person is in a safe environment. Eliminate things that could be used to commit suicide. For example, remove or lock up firearms, other weapons and medications.
- Call 911 or your local emergency number immediately if the person may be in danger of self-harm or suicide. Make sure someone stays with that person at all times.
Stay alert for warning signs of suicide
Learn and stay alert for common warning signs of suicide or suicidal thoughts:
- Talking about suicide — for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born"
- Getting the means to commit suicide, such as buying a gun or stockpiling pills
- Withdrawing from social contact and wanting to be left alone
- Having mood swings, such as being emotionally high one day and deeply discouraged the next
- Being preoccupied with death, dying or violence
- Feeling trapped or hopeless about a situation
- Increasing use of alcohol or drugs
- Changing normal routine, including eating or sleeping patterns
- Doing risky or self-destructive things, such as using drugs or driving recklessly
- Giving away belongings or getting affairs in order when there is no other logical explanation for why this is being done
- Saying goodbye to people as if they won't be seen again
- Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above
Remember that your loved one's depression isn't anyone's fault. You can't fix the person's depression — but your support and understanding can help.
What you can do for your loved one:
- Encourage sticking with treatment. If your friend or family member is in treatment for depression, help him or her remember to take prescribed medications and to attend scheduled appointments.
- Be willing to listen. Let your loved one know that you want to understand how he or she feels. When the person wants to talk, listen carefully, but avoid giving advice or opinions or making judgments. Just listening and being understanding can be a powerful healing tool.
- Give positive reinforcement. People with depression may judge themselves harshly and find fault with everything they do. Remind your loved one about his or her positive qualities and how much the person means to you and others.
- Offer assistance. Your friend or family member may not be able to take care of certain tasks very well. Give suggestions about specific tasks you'd be willing to do, or ask if there is a particular task that you could take on.
- Help create a low-stress environment. Creating a regular routine may help a person with depression feel more in control. Offer to make a schedule for meals, medication, exercise and sleep, and help organize household chores.
- Locate helpful organizations. A number of organizations offer support groups, counseling and other resources for depression. For example, the National Alliance on Mental Illness, employee assistance programs and many religious organizations offer help for mental health concerns.
- Encourage participation in spiritual practice. For many people, faith is an important element in recovery from depression — whether it's involvement in an organized religious community or personal spiritual beliefs and practices.
- Make plans together. Ask your loved one to join you on a walk, see a movie with you, or work with you on a hobby or other activity he or she previously enjoyed. But don't try to force the person into doing something.
What you can do for yourself:
- Learn about depression. The better you understand what causes depression, how it affects people and how it can be treated, the better you'll be able to talk to and help the person you care about.
- Take care of yourself. Supporting someone with depression isn't easy. Ask other family members or friends to help, and take steps to prevent becoming frustrated or burned out. Find your own time for hobbies, physical activity, friends and spiritual renewal.
- Finally, be patient. Depression symptoms do improve with treatment, but it can take time. Finding the best treatment may require trying more than one type of medication or treatment approach. For some people, symptoms quickly improve after starting treatment. For others, it will take longer.
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- Men and depression. National Institutes of Mental Health. http://www.nimh.nih.gov/health/publications/men-and-depression/index.shtml. Accessed July 10, 2012.
- How family and friends can help. National Institutes of Mental Health. http://www.nimh.nih.gov/health/publications/men-and-depression/how-family-and-friends-can-help.shtml. Accessed July 10, 2012.
- Miller L, et al. Religiosity and major depression in adults at high risk: A ten-year prospective study. American Journal of Psychiatry. 2012;169:89.
- When you fear someone may take their life. American Foundation for Suicide Prevention. http://www.afsp.org/index.cfm?page_id=F2F25092-7E90-9BD4-C4658F1D2B5D19A0. Accessed March 22, 2012.
- Kennebeck S, et al. Evaluation and management of suicidal behavior in children and adolescents. http://www.uptodate.com/home/index. Accessed March 13, 2012.
- Warning signs of suicide. American Foundation for Suicide Prevention. http://www.afsp.org/index.cfm?page_id=0519ec1a-d73a-8d90-7d2e9e2456182d66. Accessed April 30, 2012.
- McDowell AK, et al. Practical suicide-risk management for the busy primary care physician. Mayo Clinic Proceedings. 2011;8:792.
- Kung S (expert opinion). Mayo Clinic, Rochester, Minn. July 23, 2012.