how to be a friend when one has depression

Last week a tragic event happened here in Minneapolis when a man with mental illness walked into his former workplace with a gun, shooting five people and himself. Although his parents knew of his illness, and despite the fact that they tried to seek help for him, he rebuffed their efforts, not speaking with them for the last three years of his life. I can only imagine the pain and horror they are also feeling- losing a son twice.
Mental illness doesn't just hurt the one dealing with it, it also impacts those around them. Friends, family, co-workers...how does one deal with the pain someone is suffering from?

Mental illness can stem from depression. I have known people who have been dealt with this burden and my own emotions ran from helplessness to avoidance. I have since learned that sticking with them is often the best you can do.
Here is a list of tips that may help you if you know of someone who also has mental illness or depression issues:

1. Be On Their Side
The depressed person will often be defensive, so an accusatory tone is not helpful. Try to convey a sense of understanding. It isn’t helpful to say “Why can’t you just get out of bed?” Instead try, “You seem to have trouble getting out of bed in the mornings. What can I do to help you in this area?”
The person may have lost perspective on how big a problem actually is. They will find it hard to hear that what is insurmountable for them is actually not such a big deal. It is unhelpful to say “What’s your problem? You’re upset about nothing.” Instead try “You seem to be finding this issue a big deal at the moment. Can we solve it together?”
Also say “We are a team. I am on your side.”
Depression is an awful illness, a whole world away from pure sympathy-seeking. So you should treat it as such. “I trust you. If you had a choice in the matter you wouldn’t choose to have depression. How about we search for some solutions together?”
2. Give Plenty of Reassurance
Many people suffering with depression feel unworthy of being loved. You need to reassure them frequently. For example “I love you for who you are. I am not going to leave you.”
In a similar vein, they may have lost the ability to recognize their positive attributes. You might reaffirm them with “You are a sensitive person who cares for others” or “People really love you a lot. They think you’re a great person.”
If said repeatedly and with absolute sincerity then it is helpful to say “If you ever need a friend, I am here.”
3. Give Understanding and Sympathy
People with depression can spend a lot of time ruminating on their situation and feeling sorry for themselves. Pointing it out to them is not helpful. Instead, try to sympathize.
“I can’t imagine how hard it is for you, but you have all my sympathy.”
“All I want to do is give you a hug and a shoulder to cry on.”
“I can’t honestly say that I know how you feel, but I want to help in any way I can.”
4. Offer to Help
“Let me do anything you need me to do to help.”
If you ask “What is the best thing I can do to help you right now?” don’t be offended if the reply is “Leave me alone”. Sometimes, that is the most helpful thing you can do at present.
Well meaning people often attempt to immediately fix the problem. “Have you tried aromatherapy? There was an article about it in the paper…” . This kind of comment can come across as trivializing the illness. If you want to introduce a treatment idea, make sure you are respectful about the seriousness of depression. “It’s important that you stay on your medication and keep seeing your doctor. I’ve found some information on aromatherapy. Would you like to look into it with me?”

While it is important to accept the person in the state they are in, don’t let it totally consume your life. Otherwise, you’ll fall in a heap and won’t be much help to anyone. You need to take care of yourself. “I am committed to you and to helping you. But I also need to eat / shop / go out for coffee / ring a friend / see a movie to recharge my batteries. Then I can look after you better.”
Most of all...don't give up on them. They may have already given up on themselves.


Comments

  1. there is so much stigma when one isn't "perfect." too fat. Too old. Too thin. Too black. Too white. Too dumb. Too...whatever. If we can just get inside the minds of those we choose to leave behind we just might be surprised at what we find out!

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  2. I had an aunt who everyone thought of as crazy. Crazy old Martha, they said. Personally I thought she was wonderful! We would go running barefoot in the rain, play in the snow, dress up in old dresses that she had in her attic, have tea and watch old movies with popcorn. Crazy? Maybe to the adults who never gave her the time of day. To a seven year old, I thought she was just right! In her mind, the sky was always purple and the flowers always bloomed. Is that really such a bad thing?

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  3. Mollie B, there is a difference between the crazy old aunt and a guy who goes on a killing spree because he just went nuts!

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    Replies
    1. Unfortunately, mental illness can disguise itself in many ways...what is "cute" in one person...eccentric, et al, is dangerous in another. MY own mother had bi-polar disorder...she was very mean most days and on others, she was invisible as she would hide in her bedroom. Today there are medications that can help one live as normal a life as possible.

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