Tuesday, 6 May 2014

a fourteenth reflection...'listening to depression'

Depression Awareness Week was last week: an important initiative aimed at raising the profile of the illness and all its potential manifestations. 

When depression takes hold it can be incredibly difficult to get out of whatever the depressive state on one’s own accord.  There may be a very strong element of guilt involved on the part of someone experiencing low mood which can prevent him or her engaging sufficiently with their depression, as well as frustration, bordering on desperation that there doesn’t appear to be anyone around to listen and respond on an emotionally intelligent level that involves more than just sympathy, as well as an understanding that human beings, depressed or otherwise, function on the idea of hope existing somewhere, or in somebody else.

It is hard to listen to someone with depression – some of things they have to say may appear so at odds with your conception of reality that it is nearly impossible to know how to respond, or indeed understand why and how they may feel the way they do; moreover, it can be uncomfortable in that participating in an intimate conversation involves a degree of vulnerability and openness on your part, which in itself can turn up unwanted feelings and/or memories.

However, it is essential that depression is accepted and listened to.  While not necessarily a cure, if you are prepared to lend an ear and hear out what someone struggling with depression has to say in a sensitive manner, you will have acted as a sticking plaster on a bleeding heart. 

There aren’t many hard and fast rules about how to listen to someone struggling with depression since the reasons why they feel low, in addition to how low they feel, will vary from person to person.  However, if there are any best or better practices then it may be more preferable to listen and respond with simple questions to lead your friend onwards in what they have to say without appearing to dismiss or judge the reasons for their low mood; and it helps too, if able, to try and detect simultaneously where their hope for a better future may lie - and however unrealistic the basis for their hope may seem to you, make sure you exercise extreme caution and tact before telling them so, if indeed you have to at all.

It is also worth remembering in these sorts of conversations that the person struggling to come to terms with their depression may very likely be feeling isolated and detached from goings on around them, and as a listener it can help to share any similar experiences you may have had – they will feel less abnormal and more relaxed as a consequence – so long as you are not desperately uncomfortably about it, and continue to let them hold the majority of the conversation.

Furthermore, the person struggling to come to terms with their depression may have been experiencing a particularly complicated version of reality, again perhaps in comparison to yours, and it does not always help to introduce your more straightforward view of reality into the conversation anytime soon, if at all.  The more they talk, and you prompt and listen, the further they are coming out of their depressed Self, clearing and opening new mind channels that may have previously seemed obstructed and/or impossible to navigate.

And another important part of listening to someone confessing their depression can be touch.  There is a place that exists for many people beyond words, a place where two people can have a profound meeting, and in the case of someone who may have been feeling disassociated from the physical world, and/or experiencing potentially extreme cognitive dissonance, or repetitive and damaging thought cycles, touch is a good way to help them both engage with the physical world, and bring about an awakening of the senses, as well as break the sometimes merciless vortex of inner conflict and worry.

At the very worst, if you are able to do any or all of the above, you will have played a part in helping the cause against loneliness, itself one of the causes of depression.

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