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  • 8/3/2019 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

    E: [email protected]

    W: www.beyondblue.org.au