Having experience mild depression (dysthymia) myself and gone through some therapy, one would think I could empathize with other people in my life who happen to be depressed. Unfortunately, for me at least, that is not the case. Recently, when someone in my life became depressed, I did not want to repeat the mistakes I’d made with other depressed loved ones in the past, so I went to the bookstore looking for one book and ended up buying another: When Someone You Love Is Depressed: How to Help Your Loved One without Losing Yourself by Laura Epstein Rosen and Xavier Francisco Amador. My greatest difficulties in the past tended to be feeling at a loss as to whether I should push the depressed person, leave them alone, and starting to feel depressed myself.
For this review, I will summarize certain chapters and then list my overall observations at the end.
How Does Your Loved One’s Depression Affect You - Chapter 1 - This chapter deals with identifying how the depression of a parent, spouse, child, or friend does affect the people around them and their relationships in adverse ways. Depression can be contagious. Helping a depressed person can also take a lot of energy and time, actions that might lead to resentment of the depressed person. This chapter also outlines the stages of adaptation to depression that the depressed person’s loved ones go through: 1) trouble, 2) reaction, 3) information gathering, and 4) problem solving. One of the reasons that depressed people are so difficult to deal with is that often their loved ones do not recognize the signs and symptoms of depression, become stuck in one or more of the stages of adaptation, draw incorrect conclusions, and never progress to the problem solving stage to help their loved one.
How to Recognize if Someone You Love Is Depressed - Chapter 2 - This chapter examines exactly what depression is and the different forms it takes, possible causes of depression, and a quiz for determining if a loved one is in fact depressed.
When Your Partner/Parent/Child/Friend Is Depressed - Chapters 3-6 – In these chapters, the authors examine specific ways to deal with the depression of the individual loved one and specific ways in which the depression of a friend is different from the depression of one’s child, etc. These chapters include quizzes that help the reader identify how the depression their loved one experiences has affected their relationship. Many of their techniques for dealing with the depressed loved one are the same in general, but the authors include them in each chapter because the details change. Some of these techniques for the loved one of a depressed person include: maintaining the usual routine; having realistic expectations of the depressed person and the relationship; how to be supportive; etc.
Constructive Communication - Chapter 7 - This chapter gets to the heart of the matter: how to communicate with a depressed person in a manner that is neither detrimental to them or to the non-depressed person. Some of the guidelines that the authors offer are: making time for communication; paying attention to nonverbal behavior; listening well; not patronizing the depressed person; not pushing or overwhelming the depressed person. They also include a “Do’s” and “Don’ts” list and other guidelines for communicating with someone of the opposite gender. Frankly, most of the points outlined in this chapter apply to good communication in general, but I think the authors made the right choice to reinforce good communication skills when dealing with depressed loved ones.
Is it Fair to Ask for What You Need? - Chapter 8 – This chapter addresses the guilt that loved ones feel when they take care of someone who is depressed and still want to meet their own needs. The authors believe in “healthy narcissism” in which the caregiver of a depressed person can take care of themselves first so that they are not resentful of caring for the depressed person. They also discuss striking a good balance between meeting their own needs and meeting the needs of the depressed loved one.
The remaining chapters discuss dealing with rejection of one’s help by the depressed person; what to do if the depressed person is hiding their pain in alcohol and drugs and other self-destructive behaviors; suicide and suicidal gestures; and various treatments for depression, encompassing both psychological and medicinal (the authors are both psychologists and admit that they are more in favor of psychological treatments but they do include information about various drug therapies and the kinds of depression each drug works best to ameliorate); and finding outside help for the depressed person and the non-depressed loved one.
The authors have vary responsibly included statements in the book such as: “If your loved one has made suicidal statements, put this book down immediately and seek professional care.” Also, scattered throughout the book are references to other chapters in which certain items will be covered in more detail, which I found useful when I wanted to skip around.
Overall
The authors have composed an easy-to-read book that can help the loved ones of depressed people learn how to deal with their own feelings and with the depressed person. The charts and quizzes are very handy though I would advise reading the entire book through and then using the charts later on for quick reference and analysis. I now feel adequately equipped to deal with my loved ones who experience depression. I just wish I’d gotten this book years earlier than I did. It would have saved me, and people dear to me, a lot of grief and wasted time.