{"id":20847,"date":"2020-08-04T11:46:00","date_gmt":"2020-08-04T10:46:00","guid":{"rendered":"https:\/\/research.reading.ac.uk\/research-blog\/?p=20847"},"modified":"2021-11-03T13:35:10","modified_gmt":"2021-11-03T13:35:10","slug":"how-to-help-someone-you-live-with-who-has-depression","status":"publish","type":"post","link":"https:\/\/research.reading.ac.uk\/research-blog\/2020\/08\/04\/how-to-help-someone-you-live-with-who-has-depression\/","title":{"rendered":"How to help someone you live with who has depression"},"content":{"rendered":"<p>The coronavirus pandemic has meant sudden changes to our daily lives, with restrictions on free movement, imposed lockdowns and social distancing. Many of these measures will have taken a toll on people\u2019s mental health.\u00a0These changes have increased our exposure to known risk factors for developing depression, such as\u00a0<a href=\"https:\/\/ajp.psychiatryonline.org\/doi\/full\/10.1176\/appi.ajp.2018.17111194\">physical inactivity<\/a>, lack of structure and routine, lack of\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12888-018-1736-5\">social support<\/a>,\u00a0<a href=\"https:\/\/www.jaacap.org\/article\/S0890-8567(20)30337-3\/fulltext\">loneliness<\/a>, and limited opportunity to do enjoyable and valued activities.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-20850\" src=\"https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/Unorganized\/teenage-depression-1.jpg\" alt=\"\" width=\"640\" height=\"426\" srcset=\"https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/Unorganized\/teenage-depression-1.jpg 640w, https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/Unorganized\/teenage-depression-1-300x200.jpg 300w, https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/Unorganized\/teenage-depression-1-272x182.jpg 272w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p><!--more-->Also,\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)30460-8\/fulltext\">evidence from previous pandemics<\/a>, such as Sars and swine flu, suggests that disease-containment measures, such as quarantine and social isolation, may be detrimental to mental health. There is growing evidence that the effect of these changes on people\u2019s mental health across the age groups is significant, especially for\u00a0<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.06.16.20133116v1\">those who are younger<\/a>.<\/p>\n<p>Rates of depression in adults and young people are already concerning, and are predicted by the\u00a0<a href=\"https:\/\/www.who.int\/health-topics\/depression#tab=tab_1\">World Health Organization<\/a>\u00a0to rise. By 2030, depression will be the highest\u00a0<a href=\"https:\/\/www.who.int\/foodsafety\/foodborne_disease\/Q&amp;A.pdf\">burden of disease<\/a>\u00a0globally, which refers to the overall impact of a health problem, including the financial cost. So although the initial focus during the pandemic has understandably been on physical health, it is therefore crucial that we also turn our attention to people\u2019s mental health,\u00a0<a href=\"https:\/\/academic.oup.com\/ije\/article\/45\/1\/131\/2363790\">particularly as the two are related<\/a>.<\/p>\n<p>A lot of advice addresses the person with depression, but here we give advice on what you can do if you live with someone who is depressed.<\/p>\n<h2>Clues in their behaviour<\/h2>\n<p>Many people find it difficult to ask for help and to let others know how they are feeling. Don\u2019t assume someone is OK just because they say they are. It\u2019s better to ask more questions and risk being annoying than to miss something important, such as\u00a0<a href=\"https:\/\/www.mind.org.uk\/information-support\/types-of-mental-health-problems\/depression\/symptoms\/\">symptoms of depression<\/a>. If they don\u2019t want to tell you, watch their behaviour and notice anything unusual, such as sleeping much later, not eating, staring for long periods, cancelling and avoiding many things.<\/p>\n<p>People\u2019s feelings are often linked to their thoughts and behaviour, and this is demonstrated in the\u00a0<a href=\"https:\/\/www.babcp.com\/public\/What-is-CBT.aspx\">cognitive behavioural therapy<\/a>\u00a0model. When people feel depressed, they often experience repeating streams of negative thoughts. It can be helpful to encourage someone who is thinking this way to try to look at different sides to a situation. Useful questions might be: \u201cWhat advice would you give a friend in this situation?\u201d or \u201cWhat would be a more helpful way of thinking about this?\u201d<\/p>\n<p>Depression gives rise to self-critical thoughts, such as \u201cI\u2019m no good\u201d, \u201cI shouldn\u2019t feel this way\u201d. Not surprisingly these thoughts then fuel the depression further. It\u2019s helpful to let the depressed person know that you can see how they are feeling and that their feelings are understandable and valid, and will pass in time. This type of validation can help someone who is depressed refrain from criticising themselves for having difficult feelings and to develop more\u00a0<a href=\"https:\/\/www.compassionatemind.co.uk\/resources\">self-compassion<\/a>.<\/p>\n<p>People who are depressed commonly withdraw from other people and activities. By doing fewer enjoyable and valued activities, it can compound a person\u2019s depression. Try to counteract this by helping the person to re-engage with things that are important to them. Start with small things such as putting some structure into the day and perhaps\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD004366.pub6\/full\">increasing exercise<\/a>, or time spent in nature, if possible. Help the person gradually re-introduce activities and social contacts that they see as valuable. Make some small plans together for the future (short, medium and long-term).<\/p>\n<p>A person with depression may commonly find it difficult to problem-solve, and daily activities and issues can quickly start to feel overwhelming. It\u2019s helpful to stay calm and keep conflict and stress in the house to a minimum. Support the person to generate\u00a0<a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/mental-health\/mental-health-self-help-guides\/problem-solving-self-help-guide\">simple solutions to problems<\/a>\u00a0and encourage them to put these\u00a0<a href=\"https:\/\/cedar.exeter.ac.uk\/media\/universityofexeter\/schoolofpsychology\/cedar\/documents\/liiapt\/Problems_to_Solutions.pdf\">solutions and ideas into action<\/a>\u00a0rather than avoiding things.<\/p>\n<h2>Seek outside help<\/h2>\n<p>There are a number of other effective\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/cg90\">treatments for depression<\/a>. Encourage the person you are supporting to seek extra help if needed. This might be in the form of\u00a0<a href=\"https:\/\/www.mind.org.uk\/information-support\/types-of-mental-health-problems\/depression\/treatments\/#TalkingTreatmentsForDepression\">online information<\/a>\u00a0and online courses for both\u00a0<a href=\"https:\/\/www.futurelearn.com\/courses\/anxiety-depression-and-cbt\">adults<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.futurelearn.com\/courses\/low-mood-during-covid-19\">young people<\/a>; through\u00a0<a href=\"https:\/\/reading-well.org.uk\/books\/books-on-prescription\">self-help books<\/a>; or by contacting your local healthcare provider or mental health services in your area.<\/p>\n<p>Remember, your wellbeing is extremely important when supporting someone with depression. Take time for\u00a0<a href=\"https:\/\/www.gov.uk\/government\/publications\/covid-19-guidance-for-the-public-on-mental-health-and-wellbeing\/guidance-for-the-public-on-the-mental-health-and-wellbeing-aspects-of-coronavirus-covid-19\">self-care<\/a>\u00a0so you can model positive behaviours and be replenished enough to provide this crucial support.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/research.reading.ac.uk\/andy\/AnDY_people\/3468\/\">Monika Parkinson<\/a> is Research Fellow and Clinical Psychologist at the University of Reading; <a href=\"https:\/\/researchportal.bath.ac.uk\/en\/persons\/maria-loades\">Maria Loades<\/a> is Senior Lecturer in Clinical Psychology at the University of Bath.<\/p>\n<p>This blog was originally published on <a href=\"https:\/\/theconversation.com\/how-to-help-someone-you-live-with-who-has-depression-141480\">The Conversation<\/a> and is re-published here under a Creative Commons licence.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The coronavirus pandemic has meant sudden changes to our daily lives, with restrictions on free movement, imposed lockdowns and social distancing. Many of these measures will have taken a toll&#8230;<a class=\"read-more\" href=\"&#104;&#116;&#116;&#112;&#115;&#58;&#47;&#47;&#114;&#101;&#115;&#101;&#97;&#114;&#99;&#104;&#46;&#114;&#101;&#97;&#100;&#105;&#110;&#103;&#46;&#97;&#99;&#46;&#117;&#107;&#47;&#114;&#101;&#115;&#101;&#97;&#114;&#99;&#104;&#45;&#98;&#108;&#111;&#103;&#47;&#50;&#48;&#50;&#48;&#47;&#48;&#56;&#47;&#48;&#52;&#47;&#104;&#111;&#119;&#45;&#116;&#111;&#45;&#104;&#101;&#108;&#112;&#45;&#115;&#111;&#109;&#101;&#111;&#110;&#101;&#45;&#121;&#111;&#117;&#45;&#108;&#105;&#118;&#101;&#45;&#119;&#105;&#116;&#104;&#45;&#119;&#104;&#111;&#45;&#104;&#97;&#115;&#45;&#100;&#101;&#112;&#114;&#101;&#115;&#115;&#105;&#111;&#110;&#47;\">Read More ><\/a><\/p>\n","protected":false},"author":143,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"__cvm_playback_settings":[],"__cvm_video_id":"","footnotes":""},"categories":[1785],"tags":[237,1596,571],"class_list":["post-20847","post","type-post","status-publish","format-standard","hentry","category-agriculture-food-and-health","tag-depression","tag-lockdown","tag-mental-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to help someone you live with who has depression - Connecting Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/research.reading.ac.uk\/research-blog\/2020\/08\/04\/how-to-help-someone-you-live-with-who-has-depression\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to help someone you live with who has depression - Connecting Research\" \/>\n<meta property=\"og:description\" content=\"The coronavirus pandemic has meant sudden changes to our daily lives, with restrictions on free movement, imposed lockdowns and social distancing. Many of these measures will have taken a toll...Read More &gt;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/research.reading.ac.uk\/research-blog\/2020\/08\/04\/how-to-help-someone-you-live-with-who-has-depression\/\" \/>\n<meta property=\"og:site_name\" content=\"Connecting Research\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/theuniversityofreading\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-04T10:46:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-11-03T13:35:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/Unorganized\/teenage-depression-1.jpg\" \/>\n<meta name=\"author\" content=\"Caroline Knowles\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@UniRdg_Research\" \/>\n<meta name=\"twitter:site\" content=\"@UniRdg_Research\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Caroline Knowles\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/research.reading.ac.uk\/research-blog\/2020\/08\/04\/how-to-help-someone-you-live-with-who-has-depression\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/research.reading.ac.uk\/research-blog\/2020\/08\/04\/how-to-help-someone-you-live-with-who-has-depression\/\"},\"author\":{\"name\":\"Caroline Knowles\",\"@id\":\"https:\/\/research.reading.ac.uk\/research-blog\/#\/schema\/person\/52eb219d2de7c8acd2dcbbf5f57de6e7\"},\"headline\":\"How to help someone you live with who has depression\",\"datePublished\":\"2020-08-04T10:46:00+00:00\",\"dateModified\":\"2021-11-03T13:35:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/research.reading.ac.uk\/research-blog\/2020\/08\/04\/how-to-help-someone-you-live-with-who-has-depression\/\"},\"wordCount\":778,\"publisher\":{\"@id\":\"https:\/\/research.reading.ac.uk\/research-blog\/#organization\"},\"keywords\":[\"depression\",\"lockdown\",\"mental health\"],\"articleSection\":[\"Agriculture, Food &amp; 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