Latest News - Psychotherapy & Counselling
The signs of depression and what to do next
The symptoms of depression can vary depending upon the individual, age and gender. Even if you can spot the symptoms in yourself, they may be difficult to spot in others, particular when the individual becomes adept at “putting on a brave face” and pretending to the world (and sometimes themselves) that everything is ok.
In men there may be feelings of persistent anger, short-temperedness or frustration. Women may feel sadness, emptiness and loneliness. Children and teens experiencing depression may feel anxiety, fatigue, anger and withdrawal.
There are a number of general signs counsellors and therapists look out for to make a diagnosis.
• Insomnia, early-morning wakefulness or excessive sleeping
• Irritability and restlessness
• Loss of interest in activities or hobbies that were once pleasurable, including sex
• Overeating or loss of appetite Persistent aches, pains, headaches, cramps or digestive problems that do not ease with treatment
• Persistent sadness, anxiousness or feelings of emptiness
• Thoughts of suicide and suicide attempts
• Difficulty concentrating, remembering details or making decisions
• Fatigue and decreased energy
• Feelings of guilt, worthlessness or helplessness
• Feelings of hopelessness or pessimism
Getting help is important, because depression tends to worsen over time, and research has shown that the sooner people seek help, the better the long-term outcome.
If you’ve experienced any of the above symptoms continually for two to four weeks, or if they’re impacting your daily routines or relationships, it’s time to check in with a qualified medical practitioner or mental health professional.
What can you do if you are affected by the symptoms of depression
The first step to managing mental health is likely to be a visit to your GP. A full medical history can first be taken, in order to rule out and treat any physical disease or disorder that can cause symptoms of depression.
A full personal and mental health history of yourself and your family will also be done, including alcohol and drug usage habits. Your doctor will then ask about your symptoms, their duration and severity. “If you’ve experienced these symptoms in the past, the practitioner will want to know how they were treated”.
Treatment for depression
There are three main ways that depression is treated: by antidepressant medication, psychotherapy or by a combination of both. In Singapore, medication can only be prescribed by a qualified medical doctor or psychiatrist. Psychotherapy is carried out by qualified counsellors, psychologists or social workers, and by some psychiatrists.
When it comes to depression, your doctor or mental health professional will make a treatment recommendation; ultimately, though, you may choose the treatment plan that best fits your needs. There are exceptions to this, however.
If the patient is a child, his or her parents would decide the treatment plan. Another exception is where the individual is a danger to themselves and shown by the attending psychiatrist to be mentally unable to make decisions.
In Singapore, under the Mental Disorders & Treatment Act (MDTA), police are empowered to bring mentally ill persons to the Institute of Mental Health for assessment if they are found or believed to be acting in a manner that is dangerous to themselves or to others.
Seeking help should never be seen as a sign of weakness or incompetence; it is a sign of intelligence, strength and honesty.
If you can identify with the symptoms of depression, you may need to seek the support of a qualified mental health professional. Maria Luedeke of Aspire Counselling is a highly qualified counsellor who will be able to advise you not he right course of action.
Aspire Counselling can be contacted, or you can make a booking for an online or face to face appointment on http://aspirecounselling.net or alternatively by emailing Maria Luedeke at email@example.com
A version of this article which includes the specialist input of Maria Luedeke of Aspire Counselling first appeared in the January 2017 edition of Expat Living, Singapore.
Life as an expat, trailing spouse in Singapore isn’t what you expected?
Many of us have heard the terms expat wife and trailing spouse. But what are the unique challenges faced these people. And when difficulties arise, what can you do about it?
Trailing spouse is a term coined to describe the spouse or partner of someone who relocates for work away from their home base. Sometimes a couple or a whole family move overseas. The trailing spouse can be a wife or female partner, or even a man.
Relocation brings with it a change of culture, distance from friends and family, and new beginnings. New friends, new food, new opportunities, but often also new stresses and challenges.
Many have been through this process, and many have had an amazing successful journey. But, many have found it challenging. How people deal with the challenges faced can define whether the posting overseas is a successful or negative one.
A new expat life full of hope
When starting the relocation journey, there is usually hope and optimism. There may be reservations, but the exotic location, career benefits, high salary etc. win over. Moving tends to go well at first as employers cater for our every need. First or Business class flights for the family, hotels and service apartments all help to keep us distracted whilst settling. The luxury of the new surroundings and exploring the new location, it can seem idyllic at first. New places to eat and drink, or even the distraction of helping the kids settle in their new home and school. Reality can take a while to sink in.
Dealing with the change associated with expat life
For some, the move may take place without any real consideration as to how the change will affect their own and children’s lives. For a while, you might not even notice or understand how it is affecting you. Expats can be surprised when things settle down and the excitement of the move is replaced by normality. Normality that may be accompanied by disappointment and emotions that weren’t expected.
Spouses may at times just follow their partner, taking a passive role and becoming increasingly dependent in the process. For others, the new surroundings can be intimidating, leading to them cutting themselves off, preferring instead to hide away and stay at home. There can also be challenges establishing one’s own identity in the new place. In too many cases, infidelity can rear its head, leading to disappointment, distance and even separation. When infidelity occurs, trailing spouses can be left debating the pros and cons of putting up with it, or returning home. Never an easy choice. Worse still if children are part of the expat scenario.
And for many, there comes a sense of grief. Even if one enjoys the new life, there can be a very real sense of loss associated with the move. Leaving behind family, friends, familiar situations etc. can be difficult.
Learning how to manage the changes in your life
Despite the challenges of life as a trailing or expat spouse, it is very possible to have a fulfilling and successful life. Achieving your goals and dreams should not be put on hold whilst you live overseas.
Self-care, keeping occupied in a fulfiling way, finding work, making friends, exercising regularly, eating well, moderating alcohol intake, learning the local language(s), study etc. These are all techniques that can help with finding identity and fulfilment in the new home.
Sometimes the difference between success and failure will come down to how you manage the change. It can also depend upon how you maintain your own identity. You may find that this is something you can’t do alone. You should not be afraid to discuss this and ask for help when necessary. You’ll find that you are not alone, and many have, or have had similar feelings and learnt how to manage them.
You are not alone – finding help
If you recognise yourself, then you may benefit from talking to someone who is professionally trained and experienced at handling such scenarios.
With professional support for you and/or your partner achieving your goals is a real possibility. Professional support can also help you find your own identity. It can help you decide for yourself what decisions you should make and discover what changes in your life will help you get what you need. Professional support can also teach you techniques to help you cope and manage how you feel.
If you are in need of help as an individual, couple or family, and wish to discuss this further then you may wish to book an appointment with Maria Luedeke at Aspire Counselling.
Maria Luedeke is a highly qualified counsellor who has lived and worked in America, Europe and Asia. Maria has extensive experience providing counselling to trailing spouses and expats in Singapore, as well as working with relationship and marital issues.
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