Why It’s Important to Join a Depression Support Group

“What can I do to help my depression?”

Well, there are many things you go do, really:  therapy, medication, etcetera, etcetera.

But one idea you might not have given much thought to: join a depression support group.  There are many benefits.   I have belonged to one for the past seven years. Here are some of my thoughts about why it’s good for you and how to find one.

Why It’s Good For You

One of the worst aspects of depression is the loneliness that sufferers endure.  There are several reasons why this is so: they don’t feel up to being with other people, others simply don’t understand, or they feel a sense of shame and hide.  While it may be a good idea to take “timeout” from others to enjoy some peace or not share with others that we have strong reason to believe won’t understand, these strategies are often maladaptive and only serve to maintain and/or fuel one’s depression.  Here is a bit of hard-won wisdom I’ve learned:  when I feel the worst is when I most need to be with other people and share.

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Being with others is even more critical when you’re in pain.  You need to communicate your distress and know that your “tribe” will listen and care.  When this doesn’t happen, you feel alone, distressed and even abandoned.  You wander in the wilderness of pain by yourself and endure it as best you can.  But don’t you deserve better than that?

Having a place to admit and share your story

Andrew Solomon, author of the best-selling book The Noonday Demon: An Atlas of Depression, writes:

Depression is a disease of loneliness. Many untreated depressives lack friends because it saps the vitality that friendship requires and immures its victims in an impenetrable sheath, making it hard for them to speak or hear words of comfort. Worldly success does little to assuage that agony, as Robin Williams’ suicide makes clear. Love, both expressed and received, is helpful, not because it  ameliorates the symptoms of depression (it does not), but because it gives people evidence that life may be worth living if they can only get better. It gives them a place to admit to their illness, and admitting it is the first step toward resolving it.

Besides the psychological salve that support can bring to the wounds of your loneliness, there are important physiological reasons for being part of a support group.

Positive experiences can also be used to soothe, balance, and even replace negative ones.  When two things are held in the mind at the same time, they start to connect with each other.  That’s one reason why talking about hard feelings with someone who’s supportive can be so healing: painful feelings and memories get infused with the comfort, encouragement, and closeness you experience with the other person. (Buddha’s Brain: The Practical Neuroscience of Happiness, Love & Wisdom, Rick Hanson, Ph.D. with Richard Mendius, M.D.)

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I’ve talked to hundreds of folks about depression over the years and often found that a good chunk are resistant to joining a support group.  They feel tired and unmotivated to do so or feel hopeless that anything, even this, will help their depression. They have to meet this resistance and push forward because as depression expert Richard O’Connor, Ph.D. once told me, “Depression isn’t your fault.  But it is your responsibility to get better.”  And a support group, together with treatment, is one of the best ways for you to take responsibility for getting and staying better.

Small steps are best.  Before going to a group, get in touch with the contact person for the group and speak with them by phone, or, better yet, meet them for coffee to see if the group would be a good fit for you.

How to Find a Support Group

It isn’t as hard to find a support group as you may think.  Here’s my list:

The Depression & Bipolar Support Alliance

The National Alliance for the Mental Ill

Anxiety and Depression Association of America

Mental Health America

If you are a lawyer, check in with your local and/or state ABA’s Lawyers Assistance Program.

If there isn’t a support group in your community, my next blog will address how to create one.

Depression and Loneliness Are More Contagious Than You Think

Depression is known as the ‘common cold’ of mental illnesses and 40% of adults will experience loneliness in their lifetimes. Consequently, the likelihood of you being in close contact with a person who is either depressed, lonely, or both is rather high. Since both depression and loneliness have been found to be contagious in certain situations, how worried should you be when your roommate, close friend, family member, or spouse is suffering from depression or loneliness (read Are You Married But Lonely here), and what steps can you take to protect yourself from ‘catching’ these conditions when they afflict someone near and dear to you?

Why Depression Can Be Contagious

We all have different outlooks on life and different ways of reacting to stressful events. A tendency to interpret events negatively, to feel hopeless or helpless when you encounter challenges, and to brood over negative events and feelings can make you more vulnerable to depression (such thinking styles represent some of the very symptoms of depression).

A recent study assessed incoming college students’ outlook and thinking style before they moved in with their randomly assigned roommates and repeated the assessments three months into the semester, and another six months later. They found that students who did not have a negative thinking style but roomed with a person who did, often ‘caught’ their roommate’s negative outlook and had twice as many symptoms of depression at the six month mark. The results were so alarming and so significant (given the short period of time), the researchers hypothesized this effect might not be limited to situations of major life transitions.

In other words, when you spend a significant amount of time with someone whose outlook is negative and pessimistic (as is the case when a person is depressed), their maladaptive perceptions and thinking can influence your own such that over time, you too become more vulnerable to depression.

Why Loneliness Can Be Contagious

Beyond the emotional pain and distress lonely people feel, chronic loneliness has a devastating impact on our physical health. It impacts our cardiovascular systems as well as our immune systems to such a degree that it literally shaves years off our life expectancy. Therefore, how people become lonely, and whether a person’s loneliness can influence those closest to them is of significant importance.

Another recent study examined the spread of loneliness within social networks over time and found that loneliness spreads through a clear contagion process. People who had contact with lonely individuals at the start of the study were more likely to become lonely themselves by the end of it. The researchers even found a virulence factor. The closer someone was to a lonely the person the lonelier they reported themselves to be later on. Further, the effects of the loneliness contagion spread beyond first degree contacts to the entire social network.

How to Avoid ‘Catching’ Depression or Loneliness

These and other studies suggest that it is possible to become influenced by the people around you and adopt their negative perceptions and thinking styles. However, by no means am I suggesting you avoid friends and loved ones if they are depressed or lonely. Rather, simply to try keep the following in mind as you spend time and interact with them:

1. Remain aware of the dangers. Pay attention to the outlook and thinking styles of those around you. When someone close to you has an overly-negative ways of thinking, remind yourself that their negativity is not “truth”. A depressed person might view upcoming events as doomed to fail. Someone lonely might tend to describe people and their intentions in a jaded, mistrusting, or otherwise negative manner. Make a conscious effort to ‘disagree’ internally when you hear such things. Whether you voice the disagreement to the other person is up to you as it might not always be necessary or wise to do so.

2. Catch and correct your own negativity. Optimism and positivity can be practiced and learned. If you catch yourself thinking negatively and pessimistically, balance out your thoughts with reasonable but positive ways of thinking about the same events. Remind yourself of the valuable relationships and deep connections you’ve made with people in the past and that you still have today, as well as of the many opportunities to do so in the future.

3. Find people with positive outlooks and high sociability. If you find yourself living with or around people with negative outlooks consider balancing out your friend roster and seeking out someone whose outlook and perspective is upbeat, positive, and hopeful. Reach out to a ‘connector’—someone you know who tends to be at the hub of many social circles, get together with them, and soak in a ‘dose’ of well-honed social and relatedness skills. Reminding yourself that some people connect easily and meaningfully to others can be a good way of ‘correcting’ any negative thinking you might have ‘picked up’.

By Guy Winch, Ph.D.

Guy received his doctorate in clinical psychology from New York University in 1991 and completed a postdoctoral fellowship in family and couples therapy at NYU Medical Center. He has been working with individuals, couples and families in his private practice in Manhattan, since 1992. Check out his new book, Emotional First Aid: Practical Strategies for Treating Failure, Rejection, Guilt, and Other Everyday Psychological Injuries.

The Need for Community

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My psychologist said something remarkable months ago:  “You’re a real loner Dan.”  I really never thought about myself that way – and I’m 48 years old!  But after reflecting on it awhile, I found what he’d said to be profoundly true.  It didn’t mean that I didn’t have people in my life that I love and who love me.  I have the best wife, a beautiful daughter and great friends.  Yet, I often didn’t see just often I isolated myself by choosing solitary activities.  There’s nothing inherently wrong with this.  It’s a question of balance.  For me, the scales are tipping in the direction of reaching out and enjoying the fruits that only happen when really sharing with others.

And it’s not just lawyers that feel lonely.  In a recent edition of the national publication for judges, Judicature, it was estimated that 70% of judges feel lonely.  While there haven’t been any depression studies on judges, as there have been for law students and lawyers, one can only imagine their high depression levels.

I know that when I went through the worst of my depression, it was a very lonely experience.  Not because people didn’t try to be there for me and help.  Rather, it was because depression short circuits something in our brains that makes us essentially human: our capacity to engage with and feel connected to people.  I’ve often said that being a lawyer can be a lonely job and believe that most lawyers, at least in their private thoughts, feel this way.  When this loneliness in our jobs is compounded by the isolation we feel during a depression, it has a crushing effect.  Oxygen disappears from the room only to be replaced by the vapor of melancholy.  It feels like there is no escape and we are pounded into submission; a submission that on one level makes no sense because we are still carrying on with our lives – but just barely. 

Lately, I’ve felt the desire to end my isolation.  I have begun to recognize that what is most important in life, really, is family, friendship and community.  It may sound trite and simplistic to offer this up, but such a simple truth has long eluded me in my life.   My best friend, my wife, has seen me reach out to her more and it has only deepened our marriage.  How many of us who have dealt with depression don’t reach out to the most precious person that we live with everyday?  For some of you, it may not be your spouse.  It could be anyone that you feel close to.  If you don’t have someone like this in your life, it’s critical to develop one because a hour of therapy per week and a trip to the psychiatrist once a month simply is not enough support, love and encouragement to recover from and stay out of depression.

Think hard about your life.  How much time do you spend with friends that you really connect with?  What is your relationship life with your spouse and children?  As lawyers, we often think and say, “Time is money.”  However, the span of our lives is short and none of us is guaranteed even another day on this earth.  If you are spending all of your time at the office and neglecting your need to connect with others, the cost is simply too high.

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