Wednesday, August 13, 2014

A Post not about Depression

Depression is suddenly in the news again, following the tragic death of Robin Williams. Here, I'll not be talking about depression.

It's not something I talk about. For reasons I'll not state. That's how it is for me.

A lot of reaction to the death has focussed on the health issues he had, centred around addiction and depression, and there has been a lot in social media about depression and what is, and isn't, the right way to support sufferers.

I'd just like to say that we need to consider this illness along the same lines as cancer is now viewed. We don't think of cancer as being one illness, with one treatment, but rather as an umbrella term for a range of illnesses. This is why we don't talk about a "wonder-drug" to cure cancer, but drugs that are effective against certain forms of cancer. No single, silver bullet.

Depression is a term used to cover a range of illnesses. Treatment that works perfectly well for one person, will not work for another. Causes in one patient will be different to the causes in another. Even sufferers will not be able to say whether their treatment will work in another ... having it doesn't make you an expert on anyone else's. Each illness is separate, and unique to the sufferer.

It's insidious and clever, and knows how to counter the tools you develop to fight it off. It's like playing chess against an opponent that can read your mind.

Do not preach your solutions to others. They might work, they might not, but it carries no more validity than "cheer up", and no less. The treatment is unique to the condition. 

All you can do is offer support, and the form of that support will be set by the patient, and your relationship to them. There's no blueprint to follow, like there's no blueprint for friendship. No prescriptive advice - you know how to treat your friends without needing the words of strangers.