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Is it Melancholia, or is it Depression? Part II
Part II: Dealing With Depression
Recap: Julie was morose, apathetic, irritable. She
was not interested in anything, did not want anything. She had
lost weight. She had insomnia, but at times she slept all day.
Her movements were slow and listless. She was always tired, even
though she did practically nothing at all. She was restless and
anxious and could not concentrate on anything. She had feelings
of guilt and began to think about suicide
Julie, like millions of other adults and
adolescents, was suffering from depression. Fortunately, her parents
recognized the need for professional help before the situation deteriorated
further.
The usual treatment for depression is medication,
with or without hospitalization, sometimes repeated hospitalizations.
Hospitalization depends on the severity of the situation, and
of course on the judgment of the attending psychologist or psychiatrist
about the risk of suicide. The medication usually has to be taken
for years, even for life. Unfortunately, neither hospitalization
nor medication addresses the underlying causes of the problem. Therefore
the outcome is much more favorable if psychotherapy of some sort is
part of the mix. In fact, research has shown that appropriate
psychotherapy, just by itself, is at least as effective as medication.
With Holistic Psychology, hospitalization
and medication are not considered the front line of defense, but rather
back-up measures to be called in as needed. When Julie came for
help, we saw her not as a case of depression but as a person who was
manifesting that syndrome. We already knew plenty about depression,
but we were eager to learn about Julie. We wanted to know about
her as a total person, with physical, emotional, mental, and spiritual
aspects, living in a particular family and community. Yes, the
depression was an important piece of the picture, and needed to be fitted
into the larger whole. But we needed to understand this larger
whole. And for Julie to get well, she would have to understand it, too.
So, with Julie’s help, we began to assemble a thorough inventory of
how Julie functioned, how she lived, how she was in all her aspects.
Julie had always been the “baby” of the
family, sheltered from the outside world, and in some ways from her
own self. She had always been accommodating, willing to let others
take charge. Now she had to learn to be in charge, responsible
for her health and her life. We would give her the tools
she needed, and she would use them to get well and achieve a fulfillment
in all aspects of her life. The healing journey would be a joint
process.
As we progressed in our exploration, we
found that Julie had mixed feelings about growing up. On the one
hand, as any teenager, she was excited and intrigued about the new world
that was opening up to her. On the other hand, she was reluctant
to leave behind the comfortable nest within the family, and her special,
protected position. She had had an experience with a boy that went further
than she had intended, after which she withdrew. She had felt scared,
inadequate, ashamed, and guilty. But she had not been able to bring
herself to talk about it with anyone.
We established a holistic treatment plan
to address the causes, not just the symptoms of her depression, using
methods that were natural, non-toxic and non- invasive.
First and foremost, Julie learned
to experience, accept, and work through her feelings. Just being able
to talk about her experiences and feelings with someone who was accepting
and non-judgmental helped to lift the cloud of shame and guilt. She
also learned to recognize the thoughts and thought patterns that accompanied
her negative feelings, and then change the thought patterns that were
detrimental.
To help her develop a healthy lifestyle,
we provided
consultations, tailored to her specific characteristics and special
needs, on stress management, nutrition, and exercise.
To help normalize her eating patterns
and deal with other
specific symptoms, we recommended a Chinese herbal formula.
And
we gave her a homeopathic remedy.
As our work progressed, Julia began
to take charge of her life, to accept herself, and to face the world
without dread. As she gained confidence, she returned to her goal to
study medicine. She is now a first-year student in a well known
university.
This vignette illustrates the five primary
principles of Holistic Psychology:
1. You are a whole person – with physical, mental, and spiritual
aspects.
2. You are unique. Your uniqueness is the key to your
health and to your life journey.
3.. You are in charge of your health and your life. You have the
power to heal yourself.
4. You can discover the causes of illness and create causes
of health in their stead.
5. You can use methods that are natural, nontoxic, and noninvasive
to regain health and maintain wellness
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