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The holidays are upon us and with that comes stress, anxiety, and depression…or so it is commonly believed.  Most people assume that depression and suicide rates are at their highest around the holidays; but in truth, December actually has the lowest suicide rates of any month.  Unfortunately, it is the period of time following the holidays that tends to increase depression and suicide rates.

Stress and anxiety may very well be associated with the holiday season and coping mechanisms can be found here in our blog from last year on stress and the holidays.  Depression, on the other hand, is a topic entirely its own.  According to the National Instritute of Mental Health, depression is a disorder that creates a feeling of sadness or despair that interferes with everyday life.  There are various forms of depression including major depression, dysthymia, minor depression, psychotic depression, postpartum depression, seasonal affective disorder (SAD), and bipolar disorder.  For further detail on the different forms of depression, click here.

Depression is believed to be caused by a combination of genetic, biological, environmental, and psychological factors.  Brain imaging has shown that certain areas of the brain actually look different in those who suffer from depression.  These areas include those that control mood, thinking, sleep, appetite, and behavior.  Family history and genetics can play a roll, but individuals without a family history can still have depression.  Often depressive episodes are triggered by a traumatic or unpleasant event including losing a loved one or being in a difficult relationship, but episodes can also occur with no known trigger.

Some signs and symptoms listed by the National Institute of Mental Health include:

  • Persistent sad, anxious, or "empty" feelings
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable, including sex
  • Fatigue and decreased energy
  • Difficulty concentrating, remembering details, and making decisions
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Overeating, or appetite loss
  • Thoughts of suicide, suicide attempts
  • Aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment.

Anxiety disorders often accompany depression, as does alcohol and substance abuse.  Those who have a serious medical illness (ex: heart disease, stroke, cancer, HIV/AIDS, diabetes, Parkinson's disease) are likely to have more severe symptoms of both depression and their medical illness.

The sooner depression is diagnosed and treated, the more successful of an outcome that results.  Treatment for depression can consists of medications, psychotherapy, and electroconvulsive/other brain stimulation therapies.  Antidepressants come with a warning, however, because there may be side effects to this form of medication that actually increases thoughts of suicide.  One additional treatment for depression that can be very effective is exercise.  Performing cardiovascular exercise for 30 minutes can produce an immediate improvement in your mood that is similar to taking an antidepressant.

In correlation to the holidays, the reason why depression and suicide are believed to be increased following the holidays is due to the fact that the increase in emotional support that may be provided by family or the community during the holidays often abruptly ends once the season is over.  This quick increase in loneliness following the holidays may trigger a depressive episode.  This is why communication is so important both during and after the holiday season.  Reach out to those who are around you so that they are not lonely during or after the holidays.  The most important thing to remember is that you are not alone.  There are many people out there who can help if you are going through a period of depression; and if for any reason you begin to have suicidal thoughts, call 911 or the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

If you have any questions on this topic or any others in which you are interested, feel free to leave any questions, comments, or suggestions. Thank you for reading and stay active.

 

Resources:

http://www.nimh.nih.gov/health/topics/depression/index.shtml

http://www.med.nyu.edu/content?ChunkIID=156980

http://www.healthline.com/health/depression/holidays

http://www.suicidepreventionlifeline.org/

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Disclaimer:  The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.