I want to help patients with depression?
Hello Doctor: I have a friend who is suffering from depression.
He was receiving treatment while studying in Taiwan for about six months, but he didn't recover and graduated before returning to Malaysia.
However, the hospital in Malaysia is far from him, and he doesn't want his family to know, as he feels they wouldn't accept it.
Therefore, he stopped seeking treatment.
He has also run out of medication that he was prescribed in Taiwan.
Recently, during our conversations, he has been experiencing outbursts of negative emotions at night and even has thoughts of ending his life.
I am unsure how to help him, and seeing him in such distress is very concerning for me.
Is there any way I can assist him within my personal capacity, or are there methods to alleviate his emotions without him having to see a doctor? I believe he is unlikely to seek medical help in the short term.
What should I do? Thank you for your response, Doctor.
Maji, 20~29 year old female. Ask Date: 2018/02/02
Dr. Qiu Junda reply Psychiatry
Hello.
It's great to see that you continue to care about your friend's situation.
I suggest you encourage him to continue seeking medical treatment in Malaysia without interruption.
Additionally, you could send some information about combating depression to help him.
It should be beneficial.
Thank you.
Reply Date: 2018/02/02
More Info
Supporting a friend with depression, especially from a distance, can be challenging and emotionally taxing. It's commendable that you want to help your friend who is struggling with depression, particularly given the complexities of their situation. Here are some strategies you can consider to provide support while also taking care of your own emotional well-being.
1. Open Communication
Encourage your friend to talk about their feelings. Let them know that you are there to listen without judgment. Sometimes, just having someone to talk to can be incredibly beneficial. Use open-ended questions to invite them to share more about what they are experiencing. For example, you might say, "I’m here for you. Do you want to talk about what’s been on your mind lately?"
2. Validate Their Feelings
It’s important to acknowledge your friend’s feelings without trying to fix them. Phrases like “It’s okay to feel this way” or “I can’t imagine how hard this must be for you” can help them feel understood. Avoid saying things like “Just think positive” or “It could be worse,” as these can minimize their experience.
3. Encourage Professional Help
While it may be difficult for your friend to seek help, gently encourage them to consider reaching out to a mental health professional. You can suggest that they look for online therapy options, which may feel less intimidating than in-person visits. If they are resistant, you might say, “I know it’s tough, but talking to someone who understands can really help. Would you consider looking into it together?”
4. Share Resources
If your friend is open to it, you can help them find resources such as hotlines, online support groups, or mental health apps that provide coping strategies. Websites like the National Alliance on Mental Illness (NAMI) or Mental Health America offer valuable information and resources.
5. Check-In Regularly
Make it a point to check in with your friend regularly. A simple text or call can remind them that they are not alone. Consistent communication can help them feel supported and cared for. However, be mindful of their responses; if they seem overwhelmed, give them space.
6. Encourage Healthy Habits
While you cannot force your friend to change their habits, you can suggest small, manageable activities that promote well-being. This could include encouraging them to take short walks, practice mindfulness or meditation, or engage in hobbies they once enjoyed. You might say, “I’ve found that going for a walk helps clear my mind. Would you want to try that together, even virtually?”
7. Be Patient and Understanding
Understand that recovery from depression is not linear. There will be good days and bad days. Your friend may not always respond positively to your efforts, and that’s okay. It’s essential to remain patient and continue offering your support without taking their reactions personally.
8. Take Care of Yourself
Supporting someone with depression can be draining. Make sure to take care of your own mental health. Set boundaries if you feel overwhelmed, and don’t hesitate to seek support for yourself if needed. It’s important to remember that you cannot pour from an empty cup.
9. Emergency Situations
If your friend expresses suicidal thoughts or intentions, it’s crucial to take this seriously. Encourage them to reach out to a crisis hotline or emergency services. You can also contact someone close to them who may be able to intervene. It’s better to err on the side of caution when it comes to safety.
Conclusion
Supporting a friend with depression from afar requires empathy, patience, and understanding. While you can provide emotional support and encouragement, remember that professional help is essential for recovery. Your friend’s journey may be long and complex, but your consistent support can make a significant difference in their life. Always prioritize your well-being as you navigate this challenging situation.
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