grief loss and depression
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fact sheet 28
Grie, Loss and Depression
for mor inormion www.beyondblue.org.au orbeyondblue ino line 1300 22 4636 of 4 of 4
Grief and loss can put people at risk of
becoming depressed. While the signs and
symptoms of grief and loss are similar, its
important to recognise the differences so
the affected person can receive the most
appropriate help.
What Is LOss?
The death o a loved one is a common situation that causes
grie. However, when there are big changes in a persons
lie, it can sometimes eel as i something has been taken
away. Losses can be large or small and the eect o multiple
losses builds up.
Common experiences o loss:
relationship changes separation, divorce, death o
a loved one
job changes unemployment, retrenchment, retirement
or demotion
change o role e.g. children leaving home or becoming
a carer and having ones reedom restricted
loss o health through illness, disability and/or ageing
miscarriage, inertility disappointment at not being able
to have a child
separation rom amily and riends e.g. moving interstate
or overseas.
What Is GRIef?
When a person experiences a signifcant loss, its usually
ollowed by a period o grie. Grie has no set pattern and
the length and severity o each grie experience is dierent
or everyone. There are however, common reactions and
responses:
shock, eeling o numbness
disbelie It cant be real.
conusion and trying to make sense o it Why has this
happened to me?
anger eeling deserted
pining and yearning wanting whatever was lost to
be returned
guilt I wish I had done things dierently.
a sense o isolation and ear at acing the rest o lie alone.
The experience o grie is normal, but its still painul and
a person experiencing grie needs support. I grie is not
recognised and acknowledged, it can ester and have a
detrimental eect on a persons health and wellbeing.
GettING thROUGh GRIef aND LOss
What you can do to help yoursel
Although the pain o grie cannot be alleviated quickly,
there are many things you can do to help yoursel through
a tough time.
Stay connected to riends and amily, and use support
groups. Because some riends may be inclined to stay
away, let them know how oten youd like to see them.
Dont be araid to ask or help.
Stay healthy Eat healthy meals, exercise regularly, get
a good nights sleep and keep use o drugs and alcohol to
a minimum.
Manage stress Lighten your load by asking riends,
amily members or work colleagues to help you with some
chores or commitments. Relaxation and gentle exercise
can be helpul.
Make time to participate in enjoyable activities.
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fact sheet 28
Grie, Loss and Depression
for mor inormion www.beyondblue.org.au orbeyondblue ino line 1300 22 4636 of 4 of 4
How to help a person who is experiencing grie
and loss
Listen to what the person says about what he/she
is going through, but also talk about everyday things
because lie goes on.
Support the person by initiating contact and by being
available.
Encourage the person to get help i he/she eels stuck.
Is thIs DePRessION?
It can sometimes be difcult to know whether:
you are just eeling down because you are experiencing
grie and loss
or you have symptoms o depression.
Depression can certainly be triggered by loss and it may
share symptoms with grie, such as difculty controlling
emotions and moods, eeling teary and tired however,its important to recognise the dierence between normal
grieving and depression.
Depression is more than just a low mood or eeling sad. A
person is likely to be depressed i:
they get no enjoyment rom any aspect o lie
its difcult to do things like getting up in the morning
they have no energy and drive
they are avoiding people
theyre not looking ater themselves properly eating,
washing etc.
they eel ashamed or guilty.
A diagnosis o depression can be made i a person has
persistently, or more than TWO WEEKS:
Felt sad, down or miserable most o the time
Lost interest or pleasure in almost all usual activities.
I the answer is YES to either o these questions,
complete the symptom checklist below. I the answer
was not YES to either o these questions, it is unlikely
that the person has a depressive illness.
Lost or gained a lot o weight OR
Had a decrease or increase in appetite
Sleep disturbance
Felt slowed down, restless or excessively busy
Felt tired or had no energy
Felt worthless OR
Felt excessively guilty ORFelt guilt about things they should not have been
eeling guilty about
Had poor concentration OR
Had difculties thinking OR
Were very indecisive
Had recurrent thoughts o death
add up numbr o ik or ol or: _____
Reerences: American Psychiatric Association, Diagnostic and statistical manual
o mental disorders, 4th ed (DSM-IV). Washington, DC: APA 1994; and,
International classifcation o diseases and related health problems, 10th revision.
Geneva, World Health Organisation, 1992-1994.
Its important to note that scores provide only a rough
guide as to whether someone has depression. I you
have ticked fve or more o these statements, a health
proessional should be consulted.
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tReatMeNt fOR DePRessION
There is a range o eective treatments or depression
including psychological therapies and/or medication.
Psychological treatments help a person to change
negative thought patterns and eelings. A person can learn
new ways to react to people and situations. This can help
recovery and prevent depression rom returning.
Medication I someone is only mildly or moderatelydepressed, psychological treatment alone may be eective.
However, i depression is severe, medication is oten
necessary as well. Antidepressants can take seven to
21 days to work eectively and should not be started or
stopped without medical advice. Sometimes sleeping tablets
can be helpul, but only or a short time.
Its important to remember that with the right treatment,
most people recover rom depression.
Its not always easy to help someone who is
experiencing depression. It can be hard to know whatto say or do. Below are some tips.
Recognise that depression is an illness that needs
treatment.
Dont be araid to talk to the person about how he/she
is eeling.
Spending time with the person lets them know someone
cares and understands them.
Encourage the person to seek proessional help rom
a doctor or a mental health proessional.
Take care o yoursel. Supporting someone with
depression can be demanding. Family members and
riends should take time to look ater themselves.
WheRe tO Get heLP
Talking to a doctor who is a General Practitioner (GP)
is a good frst step. In some cases, the person may be
reerred to a mental health specialist like a psychiatrist or
psychologist. For a list o GPs with expertise in treating
depression and related disorders visit thebeyondblue
website www.beyondblue.org.au and click on Get Help.
Psychiatrists are doctors who specialise in mental
health. They can make medical and psychological
assessments, conduct medical tests and prescribe
medication. Some psychiatrists use psychological
treatments like Cognitive Behaviour Therapy (CBT).
Psychologists, Social Workers and Occupational
Therapists specialise in providing non-medical
(psychological) treatment or depression and related
disorders.
A rebate can now be claimed through Medicare or
psychological treatments i you have a mental disorder and
a GP, psychiatrist or paediatrician reers you to a registered
psychologist, social worker or occupational therapist. For a
list o mental health proessionals who provide treatment or
people with mental health problems or which a Medicare
rebate can be claimed, see below:
Clinical Psychologists: www.beyondblue.org.au
under Get Help
Psychologists: www.psychology.org.au
under Find a Psychologist
Mental Health Social Workers: www.aasw.asn.au
under Find a Mental Health Worker
Mental Health Occupational Therapists: www.ausot.com.au
under Find a Mental Health OT
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fact sheet 28
Grie, Loss and Depression
for mor inormion www.beyondblue.org.au orbeyondblue ino line 1300 22 46364 of 4
MORe INfORMatION
www.beyondblue.org.au
Inormation on depression, anxiety and related substance-
use disorders, available treatments and where to get help
beyondblue ino line 1300 22 4636
Inormation on depression, anxiety and related substance-
use disorders, available treatments and reerral only(local call)
www.youthbeyondblue.com
beyondblues website or young people inormation on
depression and how to help a riend
Suicide Helpline Victoria
1300 651 251 or www.suicidehelpline.org.au
24 hour counselling, crisis intervention, inormation and
reerral (local call)
Lieline
13 11 14
24 hour counselling, inormation and reerral (local call)
Lielines Inormation Line
1300 13 11 14
Mental Health Inormation Service
National Association or Loss and Grie NALAG
VIC: www.nalagvic.org.au or ree call 1800 100 023 (rural)
(03) 9650 3000 (metro)
NSW: www.nalag.org.au or (02) 6882 9222
The Compassionate Friends
1800 641 091
24 hour telephone inormation, reerral and service or
people who have a lost amily member
GrieLink
www.griefink.asn.au
Web-based inormation and reerral around grie and loss
Suicide Call Back Service
1300 659 467
Provides counselling, inormation and reerral to people at
risk o suicide and those concerned about someone elses
behaviour
ARAFMI (Association or Relatives and
Friends o the Mentally Ill)
Provides inormation on support services or amilies and
riends o people with mental illness and/or psychiatric disability
QLD www.aramiqld.org
NSW www.arami.org
SA 08 8271 6288
TAS http://home.iprimus.com.au/rami
VIC www.araemi.org.au
WA www.arami.asn.au
Carers Australia
02 6122 9900 or www.carersaustralia.com.au
Inormation and resources or carers
Relationships Australia
1300 364 277 or www.relationships.com.auProvides relationship support
beyondblue: the national depression initiative , 2008.
PO Box 6100, Hawthorn West VIC 3122
T: (03) 9810 6100beyondblue ino line 1300 22 4636
F: (03) 9810 6111
W: www.beyondblue.org.au