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Depression:
A Brief Guide for Individuals and Relationships

Marcus A. Krohner, MS, LPC, NCC
October 15, 2007

Depression is a common mental health issues facing millions of people. However, its impact goes well beyond the individual, and affects relationships at work, with friends and with family members. Symptoms of depression strike at the very heart of our ability to connect with others in a meaningful way. Loss of interest in activities and hobbies, withdrawal and social isolation, feelings of worthlessness and hopelessness are all common features of depression, and each having a significant impact on both individuals and their valued relationships.

One may mistakenly blame themselves for their inability to overcome and "get on" with life when in the grips of depression. It is equally common for significant others to feel shut out and helpless when attempting to interact with a depressed spouse or loved one. In a marriage or intimate relationship, lower or no interest in sex may cause a partner to feel "inadequate," "defective" or "unlovable." What once seemed like an individual struggle can easily become a destructive force in our partnerships.

Can anything be done to reduce the impact depression has on ourselves and in our relationships? And if so, where should you begin? Both questions are of central importance to begin to understand and recover from depression.

First, and most important, is to identify a healthcare professional who understands depression and can offer an accurate diagnosis. This may first occur with your primary care physician, who can rule out medical causes and talk with you about options for appropriate treatment. Some people may not disclose their symptoms with their physician for fear of being medicated. Although medication is sometimes required, it is not the only treatment option available to you. Counseling and psychotherapy, or a combination of therapy with medication, are each viable options. If you are not comfortable with your PCP, seek out a mental health professional with experience in accurately diagnosing and treating depression. This may permit you to talk about your level of distress, and possibly include a spouse or loved one to begin educating them about your symptoms, and their impact upon the relationship.

Educating yourself and loved ones about the symptoms of depression is of key importance when beginning to explore treatment options. There are a multitude of factors that can contribute to an onset of depression including biological, emotional and environmental factors, each interacting with each other prior to and during the course of depression. Some information about these causes will likely aid in dispelling the commonly held belief that you are solely responsible, and should just "get over it." It is equally important for those closest to you to know what you are experiencing, and for them to understand how they may assist with your treatment.

The most important fact to be aware of is that, once identified and diagnosed accurately, depression is very treatable. By beginning to educate yourself and significant others, you will have taken an important and often overlooked step in beginning to battle the adverse affects of depression and begin to achieve your fullest potential.

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Marcus A. Krohner, MS, LPC, NCC is a former Staff Therapist at CFR's Center City office.

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