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Psychological expressions of grief
Psychological expressions of grief
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Grief vs. Depression: Where to Draw the Line
Depression is often triggered by a negative event, such as divorce, illness, or the loss of a loved one. Grief and depression present very similar symptoms: dysphoric mood, feelings of guilt, cognitive slowness, fatigue, appetite changes, and recurrent thoughts of death. Whether a grieving person should be diagnosed with Major Depressive Disorder (MDD) is a matter of significant controversy among healthcare professionals.
In previous editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), clinicians were advised to wait two months before diagnosing those who had just lost a loved one with MDD. This bereavement exclusion criterion was removed in the latest edition of the DSM and replaced with diagnostic criteria to help clinicians differentiate between normal grief and MDD. Mental health professionals that support the bereavement exclusion argue that grief is a natural part of life and that the diagnosis and treatment of MDD is unnecessary and harmful in some cases. Those that support the removal of the bereavement exclusion maintain that early
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Normal grief is characterized by waves of intense sadness, but the bereaved person is still capable of warm feelings. Most people experiencing normal grief do not meet the criteria for MDD and they usually don’t seek professional treatment anyway. However, those who suffer from MDD require early diagnosis and treatment. A study found that time spent in depression is a risk factor for suicide attempts (Sokero, 2005). In a National Public Radio interview, Sidney Zisook is quoted as saying: “I’d rather make the mistake of calling someone depressed who may not be depressed, than missing the diagnosis of depression, not treating it, and having that person kill themselves.” Therefore, early diagnosis and treatment of MDD is vital, regardless of what type of life event triggered the
When we encounter the death of a loved one, it’s hard to understand and realized that the person is gone. According to Elizabeth Kubler Ross, individuals enter different stages of grief: denial, anger, bargaining, depression, and
Sakinofsky, I. (2007). The Aftermath of Suicide: Managing Survivors' Bereavement. Canadian Journal Of Psychiatry, 52129S-136S.
Major Depressive Disorder and the “Bereavement Exclusion”. American Psychiatric Association DSM-5 Development. Retrieved March 8, 2014, from http://www.dsm5.org/Documents/Bereavement%20Exclusion%20Fact%20Sheet.pdf
Upon receiving the news that a loved one had died, those left to mourn, called survivors, often find themselves entangled in a complex web of emotions and reactions. The death of a loved one can be a frightening, overwhelming, and painful experience and the physical, psychological, and social effects of loss are articulated through the practice of grief. Grief has been known to be experienced in five stages called the Five Stages of Grief where each phase of the grieving process will go from initial denial to the slow healing of acceptance. However, the devastating aftermath of a loss of a loved one, coupled with the suffering experienced through the five stages of grief can cause the survivor to commit suicide themselves.
Grief alters people in dark ways, it makes them shut down and build a wall if they do not face it in a healthy method. Sometimes, individuals take baby steps to secure themselves in the fact they can’t bring back the
Grieving is the outward expression of your loss. Every individual grief is likely to be expressed physically, emotionally, and psychologically. For instance, crying is a physical expression, while depression is a psychological expression. It is very important to allow the client to express these feelings. Often, death is a subject that is avoided, ignored or denied. At first it may be helpful
In 1969 Elisabeth Kübler-Ross, a psychiatrist, published the Pioneering book On Death and Dying. The work acquainted the world with the grieving process, called the five stages of grief. Kübler-Ross gathered her research from studying individuals with terminal cancer (Johnson, 2007). The first stage of the grieving process is denial. In this stage the person refuses to believe that their loved one is deceased, a common thought during this period is, “This can’t be happening to me” (Johnson, 2007).The second stage of the grieving process is anger. In this level the person becomes frustrated with their circumstances, a customary complaint is “Why is this happening to me?” (Johnson, 2007). The third stage of the grieving process is bargaining. At this point the individual hopes that they can prevent their grief, this typically involves bartering with a higher power, and an ordinary observance during this time is “I will do anything to have them back” (Johnson, 2007). The fourth and most identifiable stage of grief is depression. This phase is habitually the lengthiest as...
Individually, everyone has their own methods of dealing with situations and emotions regardless of any positive or negative connotation affixed to them. One prime example of this comes with grief. Elisabeth Kubler-Ross in her 1969 book “On Death and Dying” suggests that there are five stages of mourning and grief that are universal and, at one point or another, experienced by people from all walks of life. These stages, in no particular order, are as follows: Denial and Isolation, Anger, Bargaining, Depression, and finally Acceptance. Each individual person works through these stages in different orders for varying levels of time and intensity, but most if not all are necessary to “move on.” In order for positive change to occur following a loss, one must come to terms with not only the event but also themselves.
Depression is an incredibly serious matter that affects many people around the world. It is fairly common for many people to experience depression in some sort of way after a tragic event, such as the death of a family member or the severing of a long-term relationship. In fact, some may argue that these feelings are indeed appropriate for the time being. However, for some individuals, these feelings of despair and stress can last for weeks at a time or longer. While some who are not dealing with depression may interpret the feelings and the mindset of those who are struggling with major depression as a case of “the blues”, depression is undoubtedly a serious condition when left to itself without any type of support or medication. Depression
This article investigates the need for expanded grief interventions in the ID population. The authors look at a growing interest in the signs of grief that cause long term problems while acknowledging that too little is known about the grieving
Cognitive psychologists also agree that stressful experiences can create depression in people who are predisposed to the illness. For example, the death of a loved one may cause depression. Psychologists usually distinguish true depression from grief, a normal process of mourning a loved one who has died. Other stressful experiences may include divorce, pregnancy, the loss of a job, and even childbirth. In addition, people with serious physical illnesses or disabilities often develop depression.
... things can be really difficult. Feelings come and go for individual, they have intense feelings. They feel guilt and as if they are worthless to life as a human being. The individual doesn’t care for life anymore; they think they don’t exist so why should they care. Their point of view of everything changes from one moment to another, usually misinterpret negatively things. He or she carry guilt in them which makes them feel unwanted. What most people concern is that they do think about suicide at points in time. The point that they make might be that if they don’t care for themselves than no one will, so there is no point in living. Having thoughts of death is commonly seen in MDD cases. Really important is to keep a look out is if he or she has actually made a plan on committing suicide. Some do follow-through with the plan, unfortunately, they take their lives.
Depression is an equal opportunity disorder, it can affect any group of people with any background, race, gender, or age. Depression is a sneak thief that slips quietly and gradually into people’s lives - robbing them of their time, and their focus. At first, depression may be undetectable, but in the long run a person could become so weighed down that their life may feel empty and meaningless. Contrary to popular belief, not everyone who commits suicide is depressed, but majority of people who commits suicide do so during a severe depressive episode. There are over 300 million people in the world today who suffer from depression. Depression has affected people for a long as records have been kept. It was first called out by the famous Greek philosopher Hippocrates over 2,400 years ago. Hippocrates called it “melancholia”. Many times we think of depression as one disorder alone, when in fact there are many different types of depression. The different types of depression are major depressive disorder, dysthymic disorder, atypical disorder, adjustment disorder, and depressive personality disorder. All types of depression share at least one common symptom. It is commons from the person who suffers from any form of depression to feel an unshakable sadness, anxious, or empty mood. Major depressive disorder also known as unipolar depression or recurrent depressive disorder is the most severe depressive disorder out of all of the depressive in my estimation. Major depressive disorder is a condition in which affects a person’s family, work or school life, sleeping, eating and general health. It is important to emphasize that we can understand the mechanics of this disorder and how it affects people with major depressive disorder.
On February 3rd, 2013, patient Carlos Ramirez was referred to my office by his 1st psychiatrist with symptoms of severe depression and preoccupations with health disorders. Patient has had adverse side effects with Prozac and Zoloft. Carlos has been seen by primary care physician and 2 mental health officials to discuss his feelings of impending death and depression. Upon arrival, Carlos and I spoke about his early life, what events triggered his current pattern of thinking, what in his personal life has changed recently, and what other treatment plans have been used to help cure Carlos’ feelings of depression. Carlos described symptoms of despair, poor concentration on topics, loss of interest in daily tasks and subjects that once brought interest, and tearfulness at thoughts of passing and what state this would leave his children and family in. He has been hospitalized for his depression and reported that a mixture of anti-depression and anti-anxiety drugs helped to lift symptoms temporarily. His reported symptoms are consistent of the previous diagnosis of depression. Depression is classified as the inability to do things once found enjoyable, fear to move forward in one’s life, loss of self, and debilitating feelings of sorrow. Carlos’ has many symptoms concurrent with those of depression. Carlos also has a history of medical and mental disorders in his father’s side of the family.
Depression happens when all attempts to prevent the impact of the loss have failed that the reality of it begins to set in as a profound sadness and lack of direction. Depression can be seen in Alfred Lord Tennyson’s poem “In Memoriam A. H. H.” For example, in Canto 46 the speaker writes, “A lifelong tract of time reveal'd; / The fruitful hours of still increase; / Days order'd in a wealthy peace, / And those five years its richest field” (13-16). Here the speaker is saying that the five years he knew his friend were the best years of his life. The reality of the death of the speaker’s friend has set in and he finds himself miserable. In a way, the speaker is already giving up the possibility that there can be anything better than the five years he had with his friend. To give up on a full life so early is depressing. Additionally, in Canto 71 the characteristics of depression can clearly be seen. For example, the speaker writes, “Sleep, kinsman thou to death and trance / And madness, thou hast forged at last” (1321-1322). Within these lines, sleep symbolizes not only death, but also a dazed depressed state. This dazed depressed condition leads the speaker into a frenzy of confusion and regret. The speaker believes that sleep and dreams are preferable to wakening life depicting a man too depressed to even get out of