Am I Feeling 'Blue' or Depressed?

The difference between feeling 'blue' and experiencing major depression-what to do

Life as a Human: Resilience and Adaptation

Since news of the pandemic first broke, we undertook the challenge of navigating an increasingly unpredictable world.  Our previous lives, now a distant memory, were replaced with masks, social isolation, and lockdowns.  We were required to adapt, and did so, quickly!  Yet, our daily personal lives and expectations including employment and childcare responsibilities did not cease to exist.  Rather they became more arduous.  Schooling was now placed on the shoulder of parents as employment expectations moved remotely to personal homes.  Many lost employment during the pandemic and found themselves having to adjust living accommodations simply to survive.  Others worked tirelessly providing care at the front lines of the pandemic.  Then along came another cold and dark Canadian winter.  (Not all Canadians like the cold and escaping south for a reprieve has become more difficult!)  A multitude of stressors prevail.  To many, life can appear bleak.  

Canadians are resilient.  However, the past two years have taxed people barraged with relentless challenges including loss and change.  With no end in sight to variants and grieving over the disappearance of our previous ‘normal’ lives the risk of despondency is real.  While a normal and expected response to these trials, it is not uncommon for people to question if what they are feeling is ‘normal’.  However, the risk of the development of clinical depression is also a real concern.  Of note, depression is a multifaceted occurrence with external stressors only one factor that contributes to development.  Additional contributing factors associated with depression are not the focus of this article.   

The good news?  Effective treatment for depression exists.  The key, is recognizing depression and knowing where and how to access support and treatment.  This article will differentiate between feeling ‘blue’ versus major depression.  The varied treatment modalities are beyond the scope of this article.   

What is 'Normal'

A clinical book identifying what is ‘normal’ does not exist. What is normal must be considered within the context of an individual’s values, beliefs and culture. We can however recognize certain features of low mood are considered to be within the range of normal. These features are usually attributed to external factors and may include; feeling sad but being able to be consoled and enjoy moments of happiness. This sadness would not extend beyond a two-week duration.

Signs of Major Depression

Depression is a diagnosis of exclusion requiring ruling out reversible medical illness as a contributing factor first. Once ruled out a constellation of signs and symptoms aids in the diagnosis. According to the Diagnostic and Statistical Manual (the handbook of psychiatric diagnosis), some signs of depression may include; depressed mood nearly every day all day with a duration longer than 2 weeks, inability to find any joy in life, chronic change in appetite with over or under eating, sleep disturbance both over sleeping or sleepless nights, lower interest in activity and fatigue, possible loss of self-esteem with a sense of worthlessness and inappropriate guilt along with self-harming behaviors.

What to do

Seek Help. Depression is treatable. In some cultures, the discussion of mental health remains taboo. In Canada however, nonjudgmental resources are available at no cost. These resources can be easily accessed from home either via phone or the internet. Some resources are self-directed such as phone apps or website forums. The resource most applicable depends on the urgency of the treatment need and identified risk. If someone you know requires urgent mental health treatment, immediate assistance is available through emergency 911 or crisis mental health phone lines in your area.
Some resources available in a non-crisis situation are as follows. (This is not an exhaustive list but rather only the ‘tip of the iceberg’. Your primary care provider can assist you with additional treatment resources.)

https://myicbt.com Free from the Canadian Government for those over age 16 with depression and anxiety. 

https://togetherall.com  Free 24/7 online self-guided service for mental health for those over the age of 16 years.

https://www.camh Free online list of coping tool resources to get through the pandemic. 

https://www.camh.ca/hopebycamhapp “Hope by CAMH is a free smartphone app that provides suicide prevention information, tools, and crisis resources”.

https://www.camh.ca/en/your-care/access-camh  Not an emergency phone line. Resources are available at 416- 535-8501, option 2. “CAMH answers phone calls Monday – Friday, 8:30 am to 4:30 pm. The line is closed on weekends and statutory holidays. Interpreters are available to assist callers in their language of choice”.

https://info.mindbeacon.com Free for Ontario residents. Short course (12 weeks) digitally based Cognitive Behavioral Therapy through online therapists funded through the Government of Ontario.

Is there Hope?

Yes, there is hope! Treatment for depression is effective. It is possible to enjoy life again. Recognizing when and how to seek treatment is the first and bravest step towards improving your life and creating a future for yourself. Life is worth living!