Depression

Depression: Let’s talk

This month, WHO launched a one-year campaign Depression: let’s talk. The goal of the campaign is that more people with depression, in all countries, seek and get help.

Depression is an illness that can happen to anybody. It causes mental anguish and affects people’s ability to carry out everyday tasks, with sometimes devastating consequences for relationships with family and friends. At worst, depression can lead to suicide. Fortunately depression can be prevented and treated. A better understanding of what depression is, and how it can be prevented and treated, will help reduce the stigma associated with the condition, and lead to more people seeking help.

Depression is a common mental disorder that affects people of all ages, from all walks of life, in all countries.

Overcoming the stigma often associated with depression will lead to more people getting help.

Talking with people you trust can be a first step towards recovery from depression.

Perhaps you are suffering from depression or know someone who is.  Here are ways you can get involved:

Posters – WHO has developed a set of posters and handouts to get the campaign started.  The posters can be downloaded here

Handouts – WHO has handouts which provide information on depression to increase our understanding of the condition and how it can be prevented and treated.  The handouts can be downloaded here

Organize an activity – According to WHO, organizing an activity or event is a great way to raise awareness about depression and stimulate action, both among individuals, and on a wider scale. The organization recommends that if you decide to organize an event, to keep the following in mind:

• What are you trying to achieve?
• Who are you targeting?
• What would make your target audiences want to participate?
• When and where will your activity be held?
• Should you join up with other organizations?
• Who will you invite? Are there any well-known figures who could help you achieve your goals?
• Do you have the resources to achieve your goals? If not, how can you mobilize them?
• How will you promote your event?
• Can the media help you achieve your goals? If so, which media should you target?
• How will you share information about your activities after the event?
• How will you measure success?

WHO offers other examples of activities that you may want to consider such as: discussion forums, sporting events, workshops for journalists, art competitions, coffee mornings, concerts, sponsored activities ̶ anything that contributes to a better understanding of depression and how it can be prevented and treated.

Share information and materials on social media – Throughout the campaign WHO will be communicating via our social media channels Facebook https://www.facebook.com/WHO/, Twitter https://twitter.com/who @WHO, YouTube https://www.youtube.com/c/who and Instagram @worldhealthorganization

The primary hashtag that /WHO is using for the campaign is #LetsTalk but look out for posts using #depression and #mentalhealth as well.

You are encouraged to share WHO’s posts with your own networks, share your own materials and join discussions on issues related to the campaign.

Information about depression

If you are organizing an activity, or developing your own campaign materials, here are some facts and figures that you might want to use:

• Common mental disorders are increasing worldwide. Between 1990 and 2013, the number of people suffering from depression and/or anxiety increased by nearly 50%. Close to 10% of the world’s population is affected by one or both of these conditions. Depression alone accounts for 10% of years lived with disability globally.
• In humanitarian emergencies and ongoing conflict, as many as 1 in 5 people are affected by depression and anxiety.
• Depression increases the risk of other noncommunicable diseases, such as diabetes and cardiovascular disease. In addition, diseases such as diabetes and cardiovascular disease increase the risk of depression.
• Depression in women following childbirth can affect the development of new-borns.
• In many countries of the world, there is no, or very little, support available for people with mental health disorders. Even in high-income countries, nearly 50% of people with depression do not get treatment.
• Lack of treatment for common mental disorders has a high economic cost: new evidence from a study led by WHO shows that depression and anxiety disorders alone cost more than a trillion dollars’ worth of economic loss every year.
• The most common mental health disorders can be prevented and treated, at relatively low cost (WHO).

It’s hard to imagine that there are people out there who are suffering with depression but are hiding it.  They are putting up a brave front while they are hurting inside.  No one can see the sadness behind their smiles.  We must provide the atmosphere where people suffering from depression will feel safe and comfortable talking about their struggles.  Depression should be talked about and often.  Talking and just letting it all out can be therapeutic and can lead to early recovery.

Broken Heart Syndrome

“You can die of a broken heart — it’s scientific fact — and my heart has been breaking since that very first day we met. I can feel it now, aching deep behind my rib cage the way it does every time we’re together, beating a desperate rhythm: Love me. Love me. Love me.”
― Abby McDonald, Getting Over Garrett Delaney

I recently learned about broken heart syndrome when Dr. Marla Shapiro was talking about it on TV. She mentioned that it was first described in 1990 in Japan as Takotsubo Cardiomyopathy.  Takotsubo is a Japanese term for an octopus trap because of the ballooning shape of the heart during an attack. What is broken heart syndrome?  It is a temporary heart condition caused by an extremely stressful event.  It is a recently recognized heart problem and it can strike you even if you are healthy.

People with broken heart syndrome think that they are having a heart attack when they have a sudden chest pain.  In broken heart syndrome, there is a temporary disruption of the heart’s normal pumping function while the rest of the heart functions normally or with more forceful contractions.

There may be shortness of breath, irregular heartbeats (Arrhythmias) or cardiogenic shock can occur. Cardiogenic shock occurs when a suddenly weakened heart can’t pump enough blood to meet the body’s needs.  This can be fatal it it is not treated right away.  In fact, Cardiogenic shock is the most common cause of death among people who die from heart attacks.  Any time you experience chest pain, you should call 911 and get emergency medical care.  All chest pain should be checked by a doctor.

Women are more likely than men to have broken heart syndrome.  It can be brought on by the death of a loved one, divorce, a break-up, physical separation, betrayal or romantic rejection, a frightening medical diagnosis, domestic abuse, natural disasters, job loss, asthma attack, car accident or major surgery.  It can even occur after a good shock such as winning the lottery.  It is more commonly seen among post-menopausal women. Research is ongoing to find out what causes this disorder and how to diagnose and treat it.

As mentioned before the most common symptoms of broken heart syndrome are chest pain, shortness of breath and very rapid or irregular heartbeat.  WebMD mentions two other symptoms, arm pain and sweating.  It is usually treatable.  Most people who experience it have a full recovery within weeks and and the risk of it happening again is low although in some rare cases it can be fatal.  The only way you can be certain if you have broken heart syndrome is for you to have some tests.  These tests used include the following:

• Medical history and physical exam
• Electrocardiogram
• Chest x-ray
• Echocardiogram
• Blood tests
• Coronary angiogram

If you have any questions about Broken Heart syndrome, please visit Seconds Count and download their PDF file.

A broken heart is a real condition.   In 2010 the Wall Street Journal wrote an article of a 63 year old woman named Dorothy Lee who lost her husband on night when they were driving home from a Bible Study group.  He had suffered from a heart attack.  At the hospital after she learned of his death, Dorothy began to experience sudden sharp pains in her chest, felt faint and went unconscious.  An X-ray angiogram revealed that she hadn’t suffered a heart attack.  There was no blood clot and her coronary arteries were completely clear. Dorothy had suffered from broken heart syndrome.  It was triggered by the sudden loss of her husband of 40 years.  She was literally heartbroken.  Thankfully, she was at the hospital when she had her symptoms and she didn’t die although the episode severely weakened her heart.  She required a special balloon pump to support her left ventricle during the first couple of days in the hospital.  Five days later she was discharged.  Despite being cautioned by doctors, she attended her husband’s funeral. She was able work through her grief positively and spiritually.   To date she has had no effects of the heart episode.

It is extremely important that if you or someone else experience any chest pain that you don’t ignore it or feel embarrassed to call for help.  At the first sign of symptoms, get help. This can save your life or someone else’s life and limit the damage to the heart.

A broken heart is not just something out of a romance novel.  It is a reality.

 

 

 

Sources:  American Heart Association; Mayo Clinic; National Heart, Lung and Blood Institute; Wikipedia; Women Heart; WebMD; Uptodate

Keep the Spark Alive

Remember those times when you and he were dating how you used to be on the phone for hours?  You never seemed to run out of conversation.  There were no awkward moments.   The conversation just flowed.  And when you were together, the time just seemed to fly because you were having so much fun? And the only times you were not together was when you were at work.  There were those occasions when you were with your family but more often than not, you were with him.  It was torture being apart and total bliss when you were together.  There were times when you would go out with other couples but for the most part, you and he preferred to be alone, enjoying each other’s company.

Things quickly got serious between the two of you and pretty soon you are planning your wedding.  The big day finally arrives and you walk up the aisle, your eyes sparkling with excitement.  Your heart leaps when you see him standing there, smiling at you.  You gaze at each other as the vows are exchanged and then the minister pronounces that you are husband and wife.   After you kiss, you stroll arm in arm down the aisle in the midst of a sea of smiling faces.  After the reception, you go on your honeymoon where you enjoy a week in paradise, wishing you could stay there for the rest of your lives.

Life is wonderful as you settle into being a wife to your new husband.  Then, you have children…

Suddenly it’s no longer just the two of you.  Now there are four of you.  In my case, there are three of us. When I was on maternity leave, I was so happy when my husband came home.  I needed adult conversation and company after spending all day with a baby/toddler.  I didn’t feel attractive so I didn’t feel romantic.   We didn’t have anyone to babysit and we didn’t feel comfortable getting a stranger to do it so we were stuck.  We couldn’t go out for a romantic dinner.  We had to settle for entertaining ourselves at home while trying not to disturb our son.

Now, it’s a matter of trying to find time for each other.  During the week, it’s a challenge.  By the time we come in from work, we are tired.  Sometimes we have to prepare dinner.  After we eat, we have to spend time with our son before he goes to bed.  Then we have to clean up and have our baths.  By the time we are finished doing these things, there’s not much time for us to relax.  We have gotten into a rut where we end up watching television or a movie instead of spending quality time together.  We don’t talk as much as we used to.  We are not bonding as we used to.  It’s not much different on the weekends.  Our son and other things demand our attention.  And there is hardly any “us” time.

When a couple doesn’t spend quality time together, their relationship suffers.  The spark starts to flicker and if nothing is done about it, it will go out.  Ladies, what can we do to keep the spark alive?  I came across these tips which I plan to put into action.  I hope you will find them helpful too.  Instead of writing the tips word for word, I rephrased them as best as I could.

Date Your Spouse

Go out for a date.  Set up a date night schedule.  This will help you to have quality time together and reconnect after a hectic week.  It gives you the opportunity to appreciate each other and to unwind.

Surprise

It’s nice to surprise your spouse from time to time.  It can be as simple as leaving a note on the fridge or flowers at the office or tickets to a fun event.  Make a special meal for each other.  Dress up sometimes.

Prioritize Each Other

Make time for each other.  It’s not easy when you have children but you must make the effort.  Without your marriage, there would be no foundation for your family.  Besides, you will be setting an example for your children when it comes to good/bad relationships.  Set a good example.  Make sure that your spouse knows how much you value them and that life wouldn’t be the same without them.   Don’t assume that they know this.  Tell them.

Be Affectionate

Show your spouse how much they mean to you not only in words but in actions.  Hug and kiss them.

Be Spontaneous

It’s hard to be spontaneous when you are raising a family and juggling so many things at once but it’s a good idea to change things up a bit.  Instead of your regular dinner plan, how about having a picnic or eating out?  Instead of staying in over the weekend – go out.  Be adventurous and steer away from the norm.  Spontaneity in your life will help to keep the spark alive (Belief Net).

Add Some Playfulness Into Your Marriage

This is a way of breaking out of a routine.  You can sneak in a quickie before making dinner.

Talk to Your Partner

Instead of watching television, talk to each other.  Sit outside and enjoy the weather while the kids are in bed (Canadian Living)

Respect 

Show each other the same respect you did when you were dating.  Let others know that it is an honor for you to be with the one you love.  Speak kindly and listen to one another again.

Gift Giving

You don’t have to give elaborate gifts.  A random card with a note letting them know you are thinking about them would do very nicely.

Studying One Another

Ask each other questions like you are meeting for the first time.  You might find out that the things you thought were true or what may have been true 20 years ago isn’t the case anymore (What Christians Want to Know).

Talk to couples who have been married for 40 years and over.  Find out the secret of their success.

Have fun trying to keep the spark alive in your marriage.  If anyone has any tips they would like to share, I would love to hear from you.

 

 

 

Sources: Belief Net; What Christians Want to Know; Canadian Living

Love Your Heart

February is heart disease awareness month.

I was surprised to learn that heart disease is the number one killer in women.   Once when I went to the doctor, he told me that I had an irregular heartbeat.  He prescribed regular aspirin.  I never worried about my heart.  And I read that women are mostly concerned about other diseases and illnesses such as breast cancer.  In the United States one woman dies every minute from a cardiovascular event. Yet coronary heart disease is still considered by many as a “man’s disease” (http://www.healthcentral.com/heart-disease/c/7291/18967/heart-women).

Who are at risk to get heart disease? 

Unhealthy blood cholesterol levels; high blood pressure; diabetes; overweight or obesity; metabolic syndrome; lack of physical exercise; age; family history; sleep apnea; stress; alcohol

What steps could we take to prevent heart disease?

A healthy diet consisting of fruits and vegetables, whole grain bread, pasta, rice, oily fish like trout, salmon, herring, mackerel, or fresh tuna; the right amount of fats found in poultry, lean meat and fish;  a reduced amount of salt.

Exercise is good for our hearts.  Since I have not exercised in a long time, I need to start slowly, gradually building up my strength.  My idea of exercise is taking long walk or swimming.  Swimming is relaxing, fun and it gives the body a total workout (http://www.healthcentral.com/heart-disease/diet-162120-5.html).

Take the steps to prevent heart disease.  Love your heart!