Back Pain

Question: Are You Depressed or Just Feeling Down?

Everyone feels down once in awhile, and for many of us enduring stressful times in our lives, it can truly feel overwhelming. But how do you know if you’re clinically depressed and should see a professional for help? Clinical depression goes beyond what would be considered normal sadness or feeling bleak.

Take this questionnaire and put a check next to each statement that is true for you:

___ I have a predominant mood that is depressed, sad, blue, hopeless, low, or irritable, which may include periodic crying spells

___ I have a lack of appetite, even for my favorite foods, or significant weight loss, or conversely increased appetite or weight gain

___ I have a sleep problem of either too much sleep (hypersomnia), or too little sleep (hyposomnia)

___ I feel agitated (restless) or sluggish (low energy or fatigue)

___ I have lost interest or pleasure in usual activities

___ I have decreased sex drive

___ I feel worthless and/or very guilty

___ I have problems with concentration or remembering things

___ I have thoughts of death, suicide, or wishing to be dead

If you put checks next to at least 5 of the above statements and the symptoms have occurred daily for two weeks or more, you are considered clinically depressed.

Based on what we’ve learned from Spine-health.com’s back pain community, I would add that chronic back pain and any type of chronic pain that seems unresponsive to treatments is also a cause (and/or a symptom) of depression.

If this is the case for you, please find professional help promptly. There are a wide range of anti-depressant medications available that have helped a lot of people and many types of therapy that can also help. Visit the National Alliance on Mental Illness to learn more about treatment options.

Posted by: Stephanie

Sources:

Depression and Chronic Back Pain

American Psychiatric Association. In: Diagnostic and Statistical Manual of Mental Disorders. 4th Ed. Washington, DC.1994

Also see: Depression Guide





And what can you do if you

Wed, 10/03/2007 - 18:37
SOFIA (not verified)
And what can you do if you are having Prozac and in therapy, and you still feel down, down, down...

I would just like to add

Sat, 09/15/2007 - 01:36
Kim (not verified)
I would just like to add that there is no shame in receiving proper mental health when you are depressed. I know for me personally I have struggled with depression and anxiety related issues for over 17 years. At first this was not related to chronic pain issues at all. I felt embarrassed and ashamed. NOT anymore and not in a very long time have I felt that way. I finally was able to get off all my antidepressant and anti-anxiety meds for 4 years. Then chronic pain entered the picture…eventually I could feel myself slipping into that deep dark hole that I knew so well. I did not hesitate to get help. Heck I had to give up a lot of the things I loved to do because of the pain. The pain in itself can lead to depression. I just want everyone out there to know. There is not one thing wrong for asking for help. If talk therapy is all you need then great. If antidepressants are what you need then go for it. You may need both. I know I did. Just remember depression is due to a chemical imbalance in the brain and you would not think twice about taking meds for high blood pressure, diabetes, high cholesterol, Antibiotics for strep...you know why? Because you know they could and can save your life. Guess what antidepressants are no different and who knows they could save your life too!! It is something to think about from someone who has been there and back. I am wishing you all a happy healthy physical and mental well being and life.

Mental help is a good help

Tue, 09/11/2007 - 18:31
Jo (not verified)
Mental help is a good help to these patients and should be used!

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