We are excited to introduce our first guest blogger, Lauren O’Brien, a Licensed Professional Clinical Counselor who works with older children through adult clients at Lifestance/PsychBC in Fairlawn, Ohio.  While she works with many clients with a variety of needs, Lauren specializes in treating clients with depression and anxiety.  You can learn more about her background and services by visiting her Facebook page or her Psychology Today page.  We hope you find her insight helpful!

“Where does depression hurt?  Everywhere.”  I think about this commercial when working with clients because, although the verbiage seems cliché, it is quite true.  Even though the commercial may be talking about everywhere in regards to the physical body, when working with my clients we discuss how “everywhere” can refer to many facets of life.  For the sake of this blog post, let’s use school and work.  Depression is often a vicious cycle of minimal motivation, disinterest in self-care or hygiene, withdrawal, decrease in self-esteem or self-worth, and the cycle continues. 

Let’s put this into play with a fictional student named Rob.  Rob has low self-esteem and recently has been experiencing depressed mood.  He has not been feeling well and has minimal motivation to do ADL’s, or activities of daily living. Rob has skipped his morning shower for the last few days, and this morning is disgusted with his greasy hair and unpleasant body odor.  He normally plays softball in a recreational league on Tuesdays and Thursdays but has felt that the past two weeks the team is better off without him.  He has turned down many opportunities over the last two weeks to spend time with friends and has begun to miss classes at his university.

Using the example of Rob, it appears he struggled with depressed mood and ultimately it affected his self-esteem, relationships, school status and probably several other facets of his life.  I can only imagine that if Rob’s cycle would continue without help, it would continue to hinder social interactions, hygiene, relationships and jeopardize his status as a student at his university. Depressive thoughts can contribute to irrational thought processes, and those thoughts can trigger emotions and behaviors. In therapy, I like to use thought logs to assist in challenging irrational beliefs.  A thought log looks something like this:

1. Event: Received F on Test

2. Thought: I'm the stupidest person that has ever existed

3. Consequence (Emotion or Behavior): Embarrassment, Sadness, Shame, Withdrawal from Classes

4. Alternative Response: OK- I bombed that test. How can I better prepare myself for next time?

I challenge my clients by utilizing an exercise like this in daily life to help alter thought processes. 

Coping skills can assist in diminishing symptoms. Some of the coping skills that I recommend to clients are keeping a schedule, exercising, journaling, staying involved with friends and family members, and reaching out to a trusted person when the thoughts get the best of you.

I feel there are times in every student’s life where they may experience symptoms of depression; that does not necessarily mean this student has a depression diagnosis but is experiencing depressive symptoms.  Even if you don’t have a diagnosis, it is important to seek out the support you need.  Partnering with a mental health provider can often help you work through periods of depressed mood.  Most postsecondary education institutes have counseling centers that provide services, or you may prefer to find a counselor in a private practice setting.  If you do have a diagnosis, you can visit your institution’s Accessibility Office, who can help you secure appropriate accommodations.  Your mental health provider will be able to write them a letter including information about how your diagnosis impacts your life and what supports you need to be a successful student.

Depression can become overwhelming and at times can lead to suicidal thoughts or plans.  Sadly, suicide is the second leading cause of death in people aged 15-34 as reported by the Center for Disease Control.  There are resources for students who feel suicidal.  Thanks to Logic, the Grammy nominated artist, the national suicide hotline has become more recognizable.  It is 1-800-273-8255.

If Rob sounds like you or someone you know, there is help.  Should you need further assistance, there are plenty of therapists out there who are willing to help, including myself.  Please know that depression is workable, and with the right support and assistance, you can work through the symptoms.  I’m here for you, you are not alone.