Break the [wounds + unawareness] cycle and guard your descendents

Is it Depression or Incomplete Grief?
 - p. 1 of 2

They have similar symptoms, but different roots

By Peter K. Gerlach, MSW

colorbar.gif (1095 bytes)

The Web address of this two-page article is http://sfhelp.org/basics/depression.htm

        Clicking links below will open a full window or an informational popup, so please turn off your brow-ser's popup blocker or allow popups from this nonprofit Web site.

        This is one of over 150 articles focused on healing psychological wounds, building high-nurtur-ance family relationships, breaking the [wounds + unawareness] cycle, and preventing divorce. This intro-duction describes the Web site's purpose and the best ways to use its resources. Each article is part of a mosaic of ideas, so the more you read, the more sense they'll all make. These articles augment, vs. replace, other qualified professional help.

        Before continuing, reflect: why are you reading this - what do you need?

+ + +

        Have you or someone you care for been depressed recently? Depression is so common in Ameri-can kids and adults that treating it has become a major industry. It often occurs in survivors of low-nurtur-ance childhoods.

        This article explores the important difference between "depression" and incomplete grief. Can you describe the difference? Unfinished mourning  merits a different response than clinical depression. The  article...

Describes common symptoms of depression,

Suggests four causes of the symptom of depression

Proposes options if you're "depressed," and...

Suggests options if another person seems seriously depressed.

This article assumes you're familiar with...

  • the basic premises underlying the content in this non-profit Web site;

  • normal personality subselves (like yours) - slides or text

  • the [wounds + unawareness] cycle that may be stressing your family

  • healthy three-level grieving basics; and...

  • this research summary on "complicated grief"

+ + +

colorbutton.gif What Is "Depression"?

        It's a catch-all term for a mind-body condition ranging in intensity and impact from brief and minor ("a blue mood") to long-term and major. The condition inhibits personal happiness and productivity. Un-corrected, these can corrode social relationships and functioning, and may promote other physical and psychological problems.

        Symptoms of depression typically include some or all of these...

Low physical energy; "fatigue."

Apathy: marked disinterest in pleasurable life activities.

Notably sad, glum mood.

Unusual feelings of guilt, despair (hopelessness and pessimism), and/or worthlessness.

Difficulty concentrating: mind-racing and marked indecisiveness.

Trouble sleeping, or sleeping excessively.

Possible loss of appetite and related weight loss.

Recurring thoughts of death or suicide.

Crying urges or episodes with or without a "cause."

Excessive or unusual irritability.

If five or more of these symptoms are clearly present every day for at least two weeks (in someone's opinion), the condition is psychiatrically labeled clinical depression. Some people label serious depres-sion a "mental illness." I propose that it's a normal human condition, not an "illness"!

        Every one of these symptoms can also occur during normal three-level grieving.

        Depressions can be single episodes or a chronic (recurring) condition. Chronically depressed peo-ple experience these symptom-clusters as normal life, so they may have little motivation to change to-ward something they've never felt.

        Depression is a problem for the sufferer and can cause anxiety (worry), guilt, and frustration in people who depend on or care about the sufferer. Three possible problems are...

  • you’re significantly depressed,

  • another person you care about is, or...

  • you both are.

All of these can stress your wholistic health and other relationships, specially if you have other concur-rent problems. Let's look at the first two in some detail...

colorbutton.gif Options If You Feel "Depressed"

        “Depression” and the sadness phase of normal grieving feel and look the same, emotionally and be-haviorally. I suspect that many “depressed” adults and kids are really mourning major losses. If so, the cure is not pills, but acquiring these requisites so your grief can run its natural course. Have you ever considered this?

        Premise - feeling "depressed" can be a symptom of up to four underlying factors:

  • denial of significant false-self wounds and their effects; and...

  • ignorance of healthy-grieving basics and/or incomplete grief; and...

  • living in a low-nurturance ("anti-grief") environment; and possibly....

  • organic factors - e.g. hormonal and brain-chemical imbalances.

I strongly suspect the first three of these can promote the fourth. What do you think? If these factors  seem plausible, consider these choices:

       1)  Acknowledge this paradox: the following options require energy, patience and commitment - yet you may have few of these resources for now. Do as much or as little with the following options a your circumstances allow, let go of trying to "feel better," trust the (grief) process and your Higher Power (if any), and let the Serenity Prayer guide you until your energy and ambition return.

        2)  If your symptoms are interfering with key activities and relationships "too much," consider hiring a veteran grief counselor and asking for a professional evaluation. Make sure that anyone you hire belie-ves that grieving is appropriate for all significant life losses, not just the death of a loved one. Don't as-sume that all professional therapists and counselors are trained to do this. Effective grief counseling is a specialty.

        3)  Consider writing a blog or journal every day, and be open to anything that wants to be expres-sed. Option - Try separating the different "voices in your head" (your subselves) and record their dialogs. Choose the open curiosity of a student, and expect to learn something useful about yourself and your life. Resource: The Artist's Way, by Julia Cameron.

        4)  Invest undistracted time in reading William Bridge's helpful book Transitions, and Judith Viorst's insightful thoughts on Necessary Losses. Discuss your reactions to their ideas with your suppor-ters.

     Option 5)  Give high daily priority to family Project 1  (assess for and reduce significant wounds), and Project 2  (learn seven skills to problem-solve effectively), and (learn to grieve well). Progress on these projects requires that your active subselves...

  • learn to trust and follow your true Self and other Regular subselves;

  • consistently value your needs and your wholistic health highly as your environment changes,

  • accept full responsibility for these, no matter what other people say or do,

If a false self controls you, this will not be easy. Shame-based (wounded) adults are taught as kids to abandon (neglect) themselves - i.e. to rank their needs, feelings, and opinions lower than other peoples' without questioning that.

        6)  Assess the people you live and work with for significant false-self wounds. As a cross-check, see how many of these high-nurturance traits your present family has. Option - do the same evaluation for the places you work, study, and/or worship.  If you find Grown Wounded Children (GWCs) are significantly in-fluencing your life quality, see this for options. 

        7)  Invest time and effort working at Project 5 (learn and apply healthy-grieving basics). if you think you know enough to skip this step, try this quiz and return. Then surround yourself with knowledg-eable, empathic, pro-grief people, and become a good-grief supporter for people you care about. Work with your family members to develop and use a Good Grief policy in your homes.

        If your relatives and key friends are wounded and can't encourage healthy grieving, then consider...

  • reducing their presence and influence in your life, or..

  • confronting them respectfully about their grief-hindering attitudes (and false-self dominance), or...

  • disagreeing with their values, validating your personal rights, and assert and live from your values with minimal guilt or anxiety.

        Option 8)  Be aware of the terms your family adults use in thinking and speaking. Depressed and depression can be emotionally-loaded "hand-grenade" terms for some people because they may be asso-ciated with sick or ill, crazy, nuts, weak, inferior, anxiety, bad, doctors, hospitals, therapy, trouble, or other vague or specific discomforts. "I'm working to accept some major losses now" can feel better to someone's subselves than "I am (or you are) really depressed."

        9)  If you feel guilty because your "depression" is burdening other people "too much," read and apply this article on managing excessive guilts, and use these wise guidelines. Your depression is your responsibility. Other people are responsible for managing their own comfort!

        10)  Vividly imagine yourself as an old person, looking back on your life decisions. Imagine your kids fully grown, with families of their own. Get quiet and centered, and have an honest conversation with your older Self. Discuss and listen to that wise person talk about how your decisions about assessing for inner wounds, grieving, and coping with any "depression" turned out. Options: journal about this experi-ence, and/or transcribe the discussion for later review and learning

        More options if you feel "depressed"...

        11)  Use family Project 11 to help get grief support as needed, and Project 12 to stay balanced and serene enough, while you do these things and your other life responsibilities.

        12)  Evolve and use a Bill of Personal Rights to validate your needs, emotions, and your grief decisions and assertions (boundaries). You can also develop and use inspirations to steady, focus, and comfort you along the way.

        13)  When you can, model and teach these ideas to your minor and grown kids, and encourage them (give permission) to do "good grief." If you're motivated, teach others in your family and community what you're learning here. For more perspective, see this series of articles on stress prevention.

        14)  Become aware of whose advice you follow about assessing and treating "depression." Two likely groups are (a) your own subselves ("intuition"), and (b) key people, including family elders, men-tors, hero/ines, health professionals, and media authorities. It's likely neither group knows what you're  reading here.  Finally...

         15)  Think twice if you're considering anti-depressant medication. "Mood control" chemicals may relieve your symptoms, but not what's causing them. Choose a medical professional who respects and is trained in the dynamics of healthy grief, as well as "anti-depression" and "mood control" medication. 

Status Check

        To shift from abstract concepts to your real life, meditate on these statements. T = true, F = false, and ? = "I'm not sure," or "It depends on (what?)":

I understand that grieving is needed for all kinds of life losses (broken bonds), not just the death of a loved one. (T  F ?)

I can name the phases of each of the three levels of normal grief. (T  F ?)

I believe grief (a) is a normal human response (b) which can be slowed or blocked.  (T  F ?)

I grew up in a “pro-grief” family – i.e. one who’s adults consistently encouraged and model-ed (a) feeling and (b) expressing healthy grieving values, emotions, thoughts, and behaviors. (T  F ?)

I’m comfortable now (a) feeling and (b) expressing _sadness and _ anger privately and pub-licly; and (c) I’m comfortable enough being around others who feel and express shock, sad-ness, and anger. (T  F ?)

I can clearly describe (a) my personal and (b) our family’s grief "policies" : i.e. our sets of shoulds, oughts, musts, and values about feeling and expressing grief. (T  F ?)

I now live in a pro-grief home and family - i.e. one which consistently encourages everyone to mourn well. Note the difference between intentionally encouraging grief among your fam-ily members, and passively tolerating their mourning. (T  F ?)

I am now able to (a) identify and (b) grieve my losses thoroughly; or if not, (c) I know why, and (d) I'm taking effective steps to improve this. (T  F ?)

I can (a) clearly discern the difference between “depression” and incomplete grief now, and (b) I can name at least six symptoms of blocked grief. (T  F ?)

Other adults in our family would answer "True" to the statement above. (T  F ?)

Now I feel a mix of calm, centered, energized, light, focused, resilient, up, grounded, relax-ed, alert, aware, alive, serene, purposeful, confident, and clear, so my true Self is probably leading my other subselves (personality). (T  F ?)

        Have you ever reflected on ideas like these? Notice what your "self talk" (thoughts, emotions, and images) is now…

        My clinical experience with hundreds of therapy clients who felt "depressed" is that they're really feeling active or frozen grief relative to...

  • past losses (broken bonds), including some in childhood and perhaps courtship;

  • recent invisible or tangible losses; and/or relate to...

  • an unavoidable future loss like youthful vigor, kids moving away, retirement, or death (anticipatory grief).

        If you or someone you care about weren't encouraged to mourn fully as a child, depressive symp-toms may signal being stuck in the sadness phase of emotional grief. "Rageaholics" are often stuck in the anger phase. How does the former work, and what can you do about it?

        The Project 5 articles answer these questions in some detail. A key concept is how unseen false-self dominance (wounds) combines with ignorance of healthy-grieving basics to hinder grieving.

Personality Subselves and Grieving

        About 80% or more of my hundreds of adult therapy clients appeared to be psychologically  woun-ded - i.e. often controlled by a protective false self. Most didn't (want to) know this, so they suffered re-curring problems like unhappy or confusing approach-avoid relationships, divorces, addictions, "disturbed" kids, financial woes, some physical problems, and "depression." Such problems usually continue and compound until the adults hit true bottom and commit to progress on some version of Project-1 wound- reduction.

        To evaluate what follows, I encourage you to first study these slides or this article. They propose that normal personalities are composed of an interactive group of subselves or parts, that each have their own purpose, values, needs, way of communicating, and view of the world. They create all the "voices" (thoughts) and images in your mind, and seem to cause a wide range of emotional and physical reac-tions.

        If you're skeptical or curious about this idea, read this letter to you, and then try this safe, interes-ting, exercise. This "subself" idea is new enough in our culture that most grief professionals aren't aware of it. Most do believe in psychosomatic illness. Do you?

        Psycho means “mind,” and soma means “body.” Do you feel that repressed anger, fear, shame, guilt, or sadness (“stress”) can hinder sleeping, digesting, and eliminating; and cause discomforts like head and stomach aches, tics, teeth-grinding, and “tight shoulders”? How about hormonal imbalances and allergies?

        Lacking factual information, most people must guess if, when, and how their minds (thoughts and emotions) can cause bodily discomfort or illness. From studying and practicing inner-family therapy for 16 years, I believe many bodily ailments and discomforts are promoted or caused by psychological repres-sion and related thoughts. I’m now sure that our thoughts and emotions are governed by the well-meaning subselves (brain regions) that comprise our personalities.

        Like your physical family, your inner family of subselves can range from harmonious, contented, and calm to conflicted, insecure, and discordant, as your inner and outer environments change. Growing up in a low-nurturance family promotes inner-family chaos and the formation of a false self (a discordant per-sonality).

        Most such families are (unintentionally) anti-grief homes. That is, their (wounded) adults discourage feeling and expressing normal grieving emotions, thoughts, and behaviors. Restated: the false selves gov-erning these adults often withhold permissions to mourn well. Impressionable children are taught anti-grief beliefs like these:

"Real (virile) men (or males) don't cry." or "Crying is for wimps, babies, and sissies."

"(Feeling and/or showing) anger, or too much sadness, is wrong and bad."

"Keep a stiff upper lip (or we'll withhold our approval, respect, and love.)"

"Don't burden others with your sorrow."

"Get over your loss, and move on. No big deal!"

"It's not OK to vent repeatedly about your losses and pain."

"Put on a happy face (or someone will dislike, reject, or punish you)."

"Don't be gloomy or 'negative' (or someone will dislike, reject, or punish you)."

"Always think of the other guy (otherwise you're being selfish and bad)!"

"You only grieve when someone dies, and then it should take a few weeks at most."

"We don't talk about or evaluate our family's grieving habits, values, or rules - and we deny, minimize, and/or joke about this."

"If you must grieve, do it privately, and don't disturb anyone else."

"Always look at the bright side! (or we'll disapprove of or reject you)."

"Strong emotions are upsetting and bad. If you must feel them, don't show (express) them."

"When the going gets tough, the tough get going. We (parents) love tough people best."

"We (you) don't discuss family business (like losses and their impacts) with outsiders."

"It is not necessary or OK to get professional help in healing your losses."

"If it hurts, use sugar, fat, nicotine, and/or alcohol (or work real hard) to feel better - and ignore, joke about, or deny that you're doing this."

Continued...

<<  Prior  page  /  Add to favorites  /  Print page  /  Email this article's address  >>

colorbar

 home  /  site overview  /  directory  /  site map  /  Q&A  /  quizzes  /  solutions  /  site search  /  glossary

  research  /  free course  /  guidebooks  NEW  forums resources  /  feedback  and/or  subscribe  * copyright info

Updated  September 22, 2008