It takes a certain amount of energy to hide depression from family and close friends. (Explaining Depression to a Friend) It takes exponentially more energy to keep depression a secret at work. But there came a time, not too long ago, when I finally had to say – ENOUGH!

Exercise is one of the most important and effective treatments for depression. Knowing that exercise will help combat depression and actually getting out there to exercise are two completely different things.

There are many depression-management techniques available; antidepressant medication, cognitive behavioral therapy (CBT), exercise and a proper diet, relaxation and general wellness treatments (eg. massage therapy, hypnosis, meditation, aromatherapy, etc.), and so on. Among these therapy techniques is group therapy. But... group therapy for depression? Is it a help or a hindrance?

Explaining depression to a friend can be scary and difficult. A couple of weeks ago, I wrote about talking to somebody about depression. Telling family and close friends about your depression has its challenges, but telling friends and acquaintances can have its challenges too – especially when they are people you know from work. Why would you even bother telling an acquaintance about your depression? What business is it of theirs? Good questions.

Talk about depression? Why? It’s no secret that the stigma of depression (and other mental illnesses) can be debilitating. Hiding the reason we are sick takes as much out of us as the sickness itself. Imagine a world where we could freely tell our loved ones, friends, co-workers and bosses the truth. Imagine a world where we could talk about depression.

Depression often leads to thoughts of suicide, or in the most dire of cases, taking one’s own life. Around this time last year, in April of 2012, just as I was coming out of my last major depressive episode, I actually considered suicide. I didn’t just think about it, as in, “I wonder what would happen if I drive my car off this cliff,” but I actually contemplated a viable method and a plan to make it happen. Now, some people would think that the car/cliff thought was, in and of itself, a cry of desperation. For me, going that next step beyond pondering to planning, was the very lowest of all my very low moments.

When life's highs are followed by inexplicable lows, the clinically depressed person has the hardest of times. As I mentioned in my About Me blog post, my battle with depression is ongoing. I lay in the trenches, at the ready for when my brain decides to ambush me with yet another volley of chemical scud missiles.

As a counselor, people often ask me if I am busy at Christmas and if a lot of people are depressed at the holidays. While I do see quite a few people have difficulty with December, I see so many more people struggle with Valentine’s Day. For them, the 14th of February is a reminder of what they don’t have. Single people talk about feeling more alone. Grieving people miss their significant others. And those in unhappy relationships feel the intimacy void more than ever. We had a conversation about this at the office today, and we decided, who SAYS it’s just for couples? We decided to redefine it in a way that works for us and thought we’d spread the love.

Today marks one year since our school lost a junior to suicide. That same month we lost another to suicide, and so did the school closest to ours. Tonight on the news I heard another local high school has had three suicides this past week. Someone asked me, what makes people feel that this is the answer? There can be many reasons but most common is the feeling of overwhelm, of dread, of powerlessness. As if there is no other option than escape. Similarly some citizens here in the states have suggested seceding from the union because they they are unhappy with our recent election. In some ways this could also be a flight response. (Not trying to start a political discussion, just noting people's fear.) As parents, one of the best things we could teach our children is resilience. To not fear adversity, but to buckle down in hard times and find ways to make it better.

Do you remember vinyl records? When they had a scratch, the needle would stick in the groove and the same line would sing over and over and over until you moved the needle off the crack. Sometimes we can feel like we have that “broken record” in our heads, repeating negative thought patterns, negative self-talk, doubts, worries. Sometimes it is the voices from our past who told us we would never be good enough, or didn’t try hard enough and now even though that person isn’t here, the voice plays on and on and on.