“In 2015, an estimated 16.1 million adults aged 18 or older in the United States had at least one major depressive episode in the past year. This number represented 6.7% of all U.S. adults.” -HIMH (National Institute of Mental Health)
“The leading cause of disability in the U.S. for ages 15 to 44.3. MDD affects more than 16.1 million American adults, or about 6.7% of the U.S. population age 18 and older in a given year. While major depressive disorder can develop at any age, the median age at onset is 32.5 years old. More prevalent in women than in men.” -ADAA (Anxiety and Depression Association of America)
Depression has become almost romanticized by my generation. Many artists have stated that depressive episodes are the inspiration behind their creative outbreaks; whether it is in music, art, theater, photography, or writing. Depression is used as a synonym for the word sad. But depression for 6.7% of the population is not a temporary mood, it is a permanent mind state. It is a disabling disorder that prevents people from living their daily lives to the absolute fullest. It makes it impossible for them to find pleasure in their most beloved passions. It makes them see the world around them in black in white instead of color.
My name is Stephen Lewis and I am 22 years old. I am part of that 6.7% who suffers from what is known commonly as “clinical depression.” This disorder is listed in the DSM-V as Major Depressive Disorder, which lies within the category of mood disorders. Major Depressive Disorder, much like the majority of mental health disorders, does not fail to discriminate. There is not a single age, race, gender, or social class that has not faced this diagnosis. Although it is more likely to occur when there is a history of this disorder within a family, it can also affect those whose families have no evidence of mental health issues whatsoever. It can be biological, situational, or a combination of both.
Every single human being in existence will endure an obstacle that will stop them in their tracks, and will cause their mood to change drastically. There will inevitably be more than one day in their life where they will want to stay in bed and not see the sun light shine through their windowpane. For people with Major Depressive Disorder, nearly three-quarters of each and every day are spent in this way. They are overwhelmed with feelings of guilt, worthlessness, exhaustion, restlessness, indecisiveness, lack of focus, and even at times, suicidal ideation. The National Institute of Mental Health found that, “20-25% of adults may suffer an episode of major depression at some point during their lifetime.” An episode of major depression involves some or all of the feelings mentioned above, persisting for a period of at least two weeks. If you ever have an episode of major depression, you are automatically at a higher risk to experience another.
Major depressive disorder may be onset as a result of a trigger. Potential triggers include the loss of a loved one, social isolation, conflict in a romantic or platonic relationship, a major life change such as being let go from a job, or any form of abuse (sexual, physical, emotional.) Although both sexes experience major depression, women are twice as likely as men to suffer. This is a result of both societal as well as biological factors coming into play. Men, however, are more likely to suffer in silence rather than seek treatment. Often more than not, they will numb out their emotions by turning to unhealthy coping mechanisms such as substance abuse or indulging in violent behavior.
For someone with major depression, the mind is the most volatile weapon. Rumination and intrusive thoughts are not at all uncommon among those who are afflicted by this disorder. Once the process of rumination is initiated, it is seemingly impossible to put a definitive stop to the spiraling. A single intrusive thought leads to another, and that other thought leads to a chain of thoughts. Medications (particularly anti-depressants) are often prescribed to those who are diagnosed with major depression, but there are other ways to treat this disorder effectively. Forms of therapy such as DBT, (Dialectical Behavioral Therapy) CBT, (Cognitive Behavioral Therapy) and psychotherapy, (talk therapy) are all beneficial when it pertains to successfully managing and coping with these intrusive thoughts as well as other symptoms. The effectiveness of treatment varies in each individual and is dependent on what route is taken. No sole treatment is one-hundred percent guaranteed to work for every single person.
What is important and indefinitely crucial is that each individual does undergo some form of treatment. There is no way of sugarcoating the fact that Major Depressive Disorder is a lifelong illness. The symptoms will persist much more severely if they are left untreated. Although a stigma continues to exist within our society that mental health disorders are something to be ashamed of, this is far from the truth. Mental health disorders are out of our control, but we do have control over whether or not we choose to face them straight on or let them overcome us. We are much more powerful and resilient than we think that we are. For those who are suffering in silence, the wall that you put up to guard your heart will unfortunately eventually come crumbling down.
The key is having a support system-loved ones who can lend an ear to listen or a shoulder to lean on. There is nothing more debilitating than isolating yourself and letting all of the emotions and thoughts build up inside. It is easy to listen to the voice inside your head that tells you that you are alone. It is even easier to believe it. But there are over 16.1 million people in the world who are suffering with you, struggling with some of the same thoughts and trying not to believe that voice inside of their heads. So get up out of bed, reach out to the person you love the most, and ask for help. Talk about what you are going through. That is the first step in bettering your life, increasing your longevity, and finding pleasure in your passions again. In this case, your words will be more powerful than your silence.
For more information on Major Depressive Disorder, visit: https://www.nimh.nih.gov/health/topics/depression/index.shtml
P.S. Thank you mom, my rock and my inspiration behind this. I love you.