The Truth About ‘Smiling Depression’

 

There are certain warning signs that are easy to decipher when diagnosing a person with depression. But others are much more subtle and can be overlooked. In fact a close person in your life may be struggling with severe mental health issues, yet present themselves in a happy or positive way. We feel it is important to bring topics like “smiling depression” to the forefront because it is these cases that can leave people unprepared for severe consequences (such as a surprise suicide, perhaps).

 

The Fix recently covered this topic on their blog page, highlighting just how common it is for a depressed person to put on the facade of happiness. In fact, their research shows that up to 40 percent of people who suffer from depression may not exhibit outward symptoms (such as crying, sadness and the inability to get out of bed).

 

“It can be very hard to spot people suffering from smiling depression,” Science Alert researcher Olivia Remes told the site. “They may seem like they don’t have a reason to be sad—they have a job, an apartment and maybe even children or a partner. They smile when you greet them and can carry pleasant conversations. In short, they put on a mask to the outside world while leading seemingly normal and active lives.”

 

Remes went on to say that there can be other visible symptoms of smiling depression beyond outward unhappiness. Call outs included sudden weight gain, a change in appetite, constant sleepiness and increased withdrawals from social events. So people suffering from this could be quite jovial when they see you, but still change certain behavioral patterns.

 

University of Michigan professor Dr.Michelle B. Riba was also quoted on the site. She actually felt that people who fall under the smiling depression category may not even realize that they themselves have a problem.

 

“Many people will come to their doctor complaining about sleep problems, or headaches, not realizing that it’s a mood disorder because they don’t have low mood,” she explained. “Not all symptoms of depression always occur at once.”

 

Eventually though, the dark feelings do catch up to you and that’s where a condition like this could really get serious. How many times have we heard about seemingly “happy” people taking their own lives? If you ask us, it is always important to check in with those close to you and lend support if you suspect that smiling depression may be lurking underneath an upbeat smile.

 

Is Rage A Sign Of Depression?

 

On the surface, aligning rage and depression seems a bit counterintuitive. Someone who is angry is perceived to behave differently than someone who is clinically depressed. But look a little deeper and you may start to see an interesting connection. This happens to be a point that was recently brought up by NPR and one that we think merits further investigation.

 

Writer Nell Greenfield Boyce pretty much summed up the same statement in the beginning of her article.

 

“Many people — including physicians — associate depression with feelings of hopelessness, sadness and a lack of motivation or concentration, but not anger,” she writes. “And even if you pick up what is often called the ‘bible of psychiatry,’ the Diagnostic and Statistical Manual of Mental Disorders, you’ll find that the list of core symptoms for major depression doesn’t include anger. But irritability — a reduced control over one’s temper that results in angry outbursts — is listed as a core symptom of depression.”

 

Noted Harvard Medical School professor Dr. Maurizio Fava also contributed to the piece and shed some light into why there has been such a disconnect all these years. He explained that when he was trained in the subject, the common thought was that anger is projected inward during depression. In essence, depressed people are angry at themselves and not others.

 

But more recent case studies examined by Dr. Fava have educated him otherwise. In fact, he found that people prone to outbursts share many of the same traits as “depressed” or “anxious” people going through a panic attack. He aligned anger attacks in the same vein and actually saw some success when people prone to rage were treated with antidepressants.

 

And on the flip side, more recent studies have shown that those diagnosed with depression do experience angry emotions on a regular basis.

 

“A recent large study looked at more than 500 people who had been diagnosed with major depression,” Greenfield Boyce added. “It found that more than half showed overt irritability/anger, and that this anger and irritability appeared to be associated with more severe, chronic depression.”

 

Ultimately, these all fall under the category of mental health. Whether you’re consistently angry or sad (or possibly both), it is important to not just zero in on certain emotions. At Inneractions, we specialize in treating co-occurring disorders and believe that healing truly begins when you look at the bigger picture.

 

How Diet And Health Impact Depression

 

Truth be told, depression is much more than an “emotional issue.” There truly is a science behind all of this, as genetic links and research studies have shown. And proving that point even more, is a new article from the acclaimed online medical resource, WebMD. Doctors from that site now claim that even germs and microorganisms play a part in chronic sadness, as evidenced by a newly discovered gut bacteria.

 

The link can tie back to certain diets and a lack of probiotics. When surveying roughly 2,100 adults, WebMD’s researchers found that those with depression did have differences in specific groups of gut bacteria. Those with an imbalance of microbes suffered from issues with their immune system and a decrease in the production of chemicals that influence the brain.

 

This chemical deficiency (at least among the 2,100 surveyed) showed direct links to depression. The other notable stat to be revealed was the “vicious cycle” that occurs once this diagnosis has taken place. We know that many people with depression don’t eat well and often have a loss of appetite. According to the researchers, those symptoms only further the problem.

 

“It becomes almost like a chicken-and-egg question,” UCLA researchers Dr. Emeran Mayer told the site. “People with depression certainly have different diets, and different habits, than people without depression. And that would affect the gut microbiome.”

 

Continued studies are being done to determine the initial causes of this type of bacterial infection and how it can be combated. Dr. Mayer did admit that healthier eating and regular vitamin supplements would all be beneficial. But science has yet to prove if that alone will completely remove the issue.

 

Foods that have shown to have a positive effect thus far include vegetables, fruits, nuts and grains (all of which fall into a healthy regular diet). Dr. Mayer also emphasized the avoidance of processed foods if you think you’re suffering from depressive symptoms.

 

“I’d say eat a diet that’s largely plant-based and highly variable in the types of plant foods,” Mayer concluded. “If you’re just eating tomatoes, that’s not enough.”

 

Obviously, overcoming depression requires a lot more than changing what you eat. But we wholeheartedly agree that a healthy diet can make a significant difference in your emotional (and physical) well being. Nevertheless, we encourage anyone suffering from chronic sadness to reach out and add therapeutic support into your recovery toolkit.

 

Dating With Depression

 

Is it impossible to date and find love when you’re suffering from depression? Absolutely not. But it can be a challenge and does require more effort than someone who is not dealing with a mental health struggle. TheFix.com recently addressed this very relevant topic on their website and offered helpful tools for anyone who feels hopeless about their romantic life.

 

Taking quotes and inspiration from relationship therapists, the site first dug into some of the symptoms people with depression may experience when trying to make a love connection.

 

“Battling depression can be physically and emotionally taxing, so make sure you’re going at your own pace and being kind with yourself in the process,” expert Lindsey Pratt told the site. “If you struggle with this, you may notice that it prevents you from feeling excitement over special moments. You may also have trouble finding energy to spend time with a new person or that your ability to imagine a happy future with a certain partner feels limited.”

 

Pratt went on to emphasize that it is perfectly ok to experience these feelings and those who do are certainly not alone. She also added that there will undoubtedly be challenges; but by continuing to put in work, you can slowly overcome them.

 

“Patience” and “compassion with yourself” are two key points that Pratt mentioned. Patience comes with working at finding a suitable mate. It may take a while and you may encounter bad matches, but it is important to carry on. Compassion refers to pushing away self-doubt if a date or online connection goes bad. This, of course, is not easy to do, but with professional support and continued effort, you can learn not to personalize rejection.

 

There are also preliminary exercises to take which can help avoid an uncomfortable dating scenario. One suggestion was to schedule a meetup at a time of the day when you feel most positive. Also, choosing an activity and location that brings you joy can help set a relationship up for success.

 

The article also recommended openness and honesty when it comes to your depression diagnosis. Time it right and don’t be ashamed to mention that you are struggling with a mental health issue.

 

“You’ll need to determine the best time to discuss your depression with a date,” the site expert went on to say. “Often this conversation happens a month or two into dating. I really like to encourage people to say, ‘You know what? I suffer from a condition that’s pretty common in the population. I have this sadness sometimes about me.’ You don’t even have to use the word depression.”

When Does Grief Become Unhealthy?

Grief is something that all of us must face at some point in our lives. But where are the lines drawn? When does “normal mourning” for a lost loved one turn into depression and unhealthy behavior? Truthfully those lines aren’t always black and white, but a new article from The Cleveland Clinic does a nice job of identifying important warning signs.

The insightful piece does hone in on the devastation a person may feel after a close loved one has passed away. Death (or even a sudden job loss or injury) can lead to drastic changes to a person’s lifestyle. Cleveland Clinic director Amy Greene encourages people to open themselves up to these challenging situations and not rush through the pain.

“We live in a culture that wants to quickly move past grief, as though it were an obstacle,” she explained in the article. “We just want to be ‘over it.’ But the truth is, it’s normal for someone who is grieving to feel off-kilter for a very long time. Adjusting to the new reality takes time and does not follow a totally predictable pattern (in spite of what many people will tell you).”

Greene then points out how people should always assess their feelings and take note of patterns that start to become unhealthy. While the grieving described above is very normal, there are turning points which should not be ignored.

Consistent lack of sleep, for example, can be a sign that grief may be turning into depression. Unhealthy eating and drinking habits are another indicator called out in the article, particularly if they last more than three to four weeks.

A feeling of loneliness can also be a borderline symptom. On the one hand, yes it is very normal to want to grieve in private and withdraw from social circles after a major loss. But when that behavior begins to morph into complete isolation, it may be time to seek out help.

Becoming too sedentary is another warning sign to look out for (per the article). Greene recommends “moving your body” even during the grieving period. Going for walks (alone or with company), getting outdoors and staying active are a good methods to avoid depression.

One other big tool to avoid unhealthy grieving is simply setting aside time for a support group. As Greene accentuated, having camaraderie and listening to people in similar situations is a big part of the healing process.

“I’ve seen how much this can be a reprieve; grievers can see an example of others who have coped and are getting through the toughest parts,” Greene concluded. “It helps many people realize, ‘I’m not alone.’ They see that grief is a human thing we all share.”

A Checklist For Silencing Shame

Shame and guilt are common feelings that we all experience. But there comes a point when, for many, they can become debilitating and lead into issues like addiction, violence, depression or self-harm. There are ways to overcome them, however, with professional support and some day-to-day exercises to remove the negativity.

Psychology Today writer Dr. David Sack emphasized three points, in particular, to help those dealing with consistent shameful emotions…

Point #1: Don’t Hide Your Feelings

The sad truth is, many people suffer in silence when it comes to shame. As Dr. Sack’s article illustrates, there is a constant feeling of unworthiness and a fear that discussing these emotions will expose the “bad person” you are. Nothing could be further from the truth. In fact, talking openly about can be a major release, as Dr. Brene Brown explained in the article. “The less we talk about shame, the more power it has over our lives,” she explained. “If we cultivate enough awareness about shame to name it and speak to it, we’ve basically cut it off at the knees.”

Point #2: Separate Actions From Emotions

Dr. Sack goes on to explain how these shameful feelings are often tied to actions in our lives. If someone makes a mistake, it can lead to an overwhelming feeling of guilt and self-criticism. For people suffering, the common go-to thought is “I’m an idiot” or “this is the last time I’ll try something like that.” It is important to separate your sense of self-worth from any action you take. And that goes for victories too. Treat both praise and condemnation with a sense of perspective and you won’t have to deal with a rollercoaster of emotions.

Point #3: Recognize Your Triggers

We all have certain sensitivities and if something we feel vulnerable about is triggered, it can quickly spiral into guilt and shame. Sometimes it could be about the way you parent, other times it may have to do with your career earnings. If there’s a particularly touchy subject in your life, it is important that you work on it. And it is also important that you recognize it and (if possible) avoid situations where it may come into question. As Dr. Sack writes, “Rather than give in to these triggers, seek to ban them from your life. Embrace who you are rather than struggling to fulfill an outside notion of who you should be.“

Above all, know that there is always support out there for these types of emotions. If it is something consistent that you are struggling with, please reach out and get help.