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Depressive Disorders

“Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say 'My tooth is aching' than to say 'My heart is broken.'" ― C.S. Lewis

Depressive Disorders

“Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say 'My tooth is aching' than to say 'My heart is broken.'" ― C.S. Lewis

All of us have moments where the world seems drained of color. Moments where life can seem grey, moments without hope. Sometimes these moments happen because of life circumstances, such as the death of a loved one or a financial difficulty. Sometimes we experience them randomly, seemingly disconnected from any event or cause. It can feel like a thunderstorm that appears from a clear sky, only to vanish as quickly as it came.

There are other times where the rain settles in, however. When grey skies persist for weeks or months or years. Maybe there's a break in the clouds for an instant, a glimmer of hope, but it disappears before you can fully embrace it. When depression becomes constant, it can feel inescapable. It can make you feel isolated. You feel adrift, without purpose, lost in monochrome. Friends and family are unable to reach through the fog, making them feel helpless. It can be hard to admit you're depressed. Difficult to acknowledge that it's been raining for a while, and it shows no signs of abating.

But it's okay. You're okay. And we're here to help. You aren't alone, and there are blue skies above the clouds. At Four Stones Collaborative we are committed to walking alongside you, partnering with you as you seek those clear skies and fresh air. Our skilled team will meet with you, listen, and let you know that you're not alone. We can evaluate and diagnose various depressive disorders, and create treatment plans with you. Whether therapeutic or medical, there is a solution. There is hope. There are sunny days ahead.

sad child

At Four Stones Collaborative, we treat a wide variety of depressive disorders, including:

Major Depressive Disorder:
When depression lasts more than two weeks, it can properly be classified as major depressive disorder. Symptoms include the inability to feel pleasure in normally enjoyable activities, loss of appetite, compulsive thought patterns regarding worthlessness or regret, lack of sexual arousal, and recurring ideas concerning suicide or death. If these symptoms persist for two years or more, a diagnosis of persistent depressive disorder may be appropriate.

Perinatal Depression:
When the symptoms of major depressive disorder occur in a female during or after pregnancy, she may require treatment for perinatal depression. Hormonal changes and various genetic traits are hypothesized to contribute to this type of depression, but its causes are still the subject of research. A milder form of perinatal depression has historically been referred to as the "baby blues" and can often be treated effectively by lifestyle changes and social support, but women experiencing depression lasting longer than two weeks should seek professional treatment.

Seasonal Affective Disorder:
When depression occurs cyclically during the year, based on the change of seasons, seasonal affective disorder is a likely diagnosis. Grey skies outside can mirror a person's emotional state, especially in the winter, when this disorder most commonly expresses itself.

The National Institute of Mental Health lists the following symptoms of the various depressive disorders. If you are experiencing two or more of these symptoms, contact us to schedule a consultation.

  • Persistent sad, anxious, or “empty” mood
  • Feelings of hopelessness, or pessimism
  • Irritability
  • Feelings of guilt, worthlessness, or helplessness
  • Loss of interest or pleasure in hobbies and activities
  • Decreased energy or fatigue
  • Moving or talking more slowly
  • Feeling restless or having trouble sitting still
  • Difficulty concentrating, remembering, or making decisions
  • Difficulty sleeping, early-morning awakening, or oversleeping
  • Appetite and/or weight changes
  • Thoughts of death or suicide, or suicide attempts
  • Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment

Depression can make you feel like the grey skies will be there forever. At Four Stones Collaborative, we believe your sun will rise again. Through therapy, testing, consultation, coping strategies, and medication where appropriate, we will help you to look past the clouds and see blue skies on the horizon.

If you or someone you know is struggling with Depressive Disorders