Lee H. Coleman, PhD, ABPP, is a clinical psychologist specializing in clinical work, outreach, supervision, and consultation to university populations. He is currently assistant director and director of training at the California Institute of Technologys student counseling center.
Imagine being slowly lowered into a cave, against your will. The light fades, and the rock walls close in. You find yourself alone in complete darkness, lost, distressed, agitated, and maybe suicidal. This is the experience of depression. Imagine that a knowledgeable, kind, and thoughtful person appears with survival supplies, and even more important, a flashlight and map to lead you out of this terrifying place. Imagine no more. Depression: A Guide for the Newly Diagnosed brings an invaluable map and light for those struggling with depression, the illness most likely to strike any of us during our lives. Buy it. Keep it handy for yourself and those you love.
J. Anderson Thomson, Jr., MD, staff psychiatrist at the University of Virginia Elson Student Health Center and coauthor of Facing Bipolar
This is a straightforward, helpful, and easy-to-read guide for the depressed person.
Myrna Weissman, PhD, coauthor of Interpersonal Psychotherapy for Depressed Adolescents and AClinicians Quick Guide to Interpersonal Psychotherapy
Depression is a treatable condition, but a complex one that requires those afflicted to understand what they are facing and what they need to do to get better. In this highly accessible book, Lee Coleman guides the reader through the complexity in a comforting and straightforward way, addressing issues of diagnosis, treatment, and maintaining recovery. If you have depression and are confused about what to do, I highly recommend you start your path to wellness by reading this book.
Gregg Henriques, PhD, professor of clinical psychology at James Madison University and author of A New Unified Theory of Psychology
The book is sufficiently comprehensive, yet concise and accessible enough for almost any mental health practitioner to recommend to clients who are experiencing depression. It enables any reader who experiences depression to join in their own treatment as an informed and empowered participant. The author integrates insights from the extensive professional literature on depression and treatment effectiveness with wisdom and sensitivity gained in his own clinical practice to provide a useful, straightforward orientation to depression treatment.
Karen Maitland Schilling, PhD, professor emerita of psychology at Miami University
Publishers Note
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, express or implied, with respect to the contents of the publication.
The authors, editors, and publisher have exerted every effort to ensure that any drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug and consult with their health care provider for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication may have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
Distributed in Canada by Raincoast Books
Copyright 2012 by Lee Coleman New Harbinger Publications, Inc. 5674 Shattuck Avenue Oakland, CA 94609 www.newharbinger.com
Cover design by Amy Shoup; Text design by Michele Waters-Kermes; Acquired by Melissa Kirk; Edited by Will DeRooy
All Rights Reserved.
Epub ISBN: 978-1-60882-198-3
Library of Congress Cataloging-in-Publication Data on file with publisher
Contents
Acknowledgments
I want to thank my wonderful friend and colleague Jon Kaplan for telling me about the opportunity to write this book for New Harbinger; it wouldnt have happened without you, man. Melissa Kirk and Nicola Skidmore at New Harbinger, youve been amazing editors, and Im so grateful for your feedback and patiencenot to mention your willingness to take a chance on me. Will DeRooy, thanks so much for your outstanding copyediting.
Mom and Dad, I wish you could have been around to see this hit the shelves. I love you and miss you both dearly. Grant, Katie, Thomas, James, Caroline, Kaye, Adam, Hunter, David, and Kellyethank you for being my family. I love you so much.
Special thanks to my friends and colleagues at the Caltech Counseling Center for all your support and encouragement while I was writing. Also, many thanks to the staff of the psychology departments at the University of Alabama and Miami University; the Miami University Student Counseling Center; the University of Virginia CAPS; Boston College UCS; and Ohio University CPS for the best training I could ever have asked for. Karen Maitland Schilling, thanks especially for giving me such a love for interpersonal therapy.
Dan and Karen, Im especially thankful for your support and understanding when I was sometimes too busy writing to talk. Bridget, thanks for being such an encouraging and supportive friend. Bill Gianesello, Debbie Dunphy, David Loy, Leslie Johnson, and John Garske, thank you for being there for me. Massive thanks also to the wonderful people at Against the Stream for letting me be part of your gloriously funky family.
Most of all, Lani, William, and David, this is for you. I know that all those nights I spent holed up in my office were no fun for you, but somehow you always understood. I love you more than anything else in the entire world.
Introduction
Im in the fortunate position of making a living by supervising and training future psychologists. Its a joy and a huge responsibility that I take very seriously, and I often reflect on what lessons I want my supervisees to take with them into their professional lives. Theres the usual advice for them to be fully present with their clients, take care of themselves, avoid burnout, and so on. When it comes to their clinical work, though, theres one particular message Ive come to see as more important than just about any other: dont underestimate how serious depression is.
Depression is hard to cope with, even with excellent treatment. But the sad reality is that the vast majority of people with depression wont get a proper diagnosis or adequate treatment. Even those who get treatment often arent prepared for the risk of recurrence, leaving them feeling demoralized and hopeless if they get depressed again. Its a worldwide health crisis and a tragedy.
This book is my attempt to turn the tide, one person at a time. If youve recently been diagnosed with depression, or if you think that you may be depressed, I want you to have the very best support and treatment that you can get. Ill talk about making sure that you get a proper diagnosis, including a medical evaluation to rule out other possible problems; finding a mental health professional and deciding what kind of treatment you want to pursue; and managing the day-to-day symptoms that can make life so hard. Most important, Ill also talk about how you can manage the feelings of hopelessness and despair that can plant the seeds of suicidal thoughts.
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