Safety Planning

Canada
June 18, 2007 11:11am CST
Do You have a 'Depression Safety Plan'? Many people who suffer with depression experience 'low times' where they aren't very interactive with others, where they feel very low, sad, frustrated, hopeless. They will often isolate themselves and be unable to successfully deal with their hopeless feelings for quite a time. This can extend the length of time that they're feeling 'the blues' - or worse - feeling severe hopelessness and apathy. Sometimes, the feelings can get overwhelming - especially since a person tends to isolate and not ask for help. The length of time that a person is isolated, feeling 'low' can dramatically be reduced if they have a 'safety plan' for times like these. And - if they share their plan with one or two trusted friends or family members. Sometimes, part of the safety plan can just be, "If you notice that I'm isolating, be kind...I'm in a sensitive state when this happens." This is just something for everyone to keep in mind. Often, a depressed person cannot help feeling depressed - especially if their condition is very largely biologically based (there are all different types of depression - some more rooted in physical, less manageable causes than others!). A lot of family members or friends who encounter others with depression really DO NOT KNOW HOW TO HELP - and sometimes their 'help' is harmful - if it involves an immediate 'CHEER UP' 'SUCK IT UP THAT'S LIFE - MOVE FORWARD NOW.' That may be what the 'helpful' friend or family member does if they realize they are feeling a touch of 'the blues,' however, this attitude often only works for people who aren't suffering from chronic, physiological symptoms of depression. Naturally, a tactic such as this isn't useful for everyone. "Get Happy" "Cheer up" "Change Your Attitude" "Why can't you just stop thinking about THAT and do something positive?" "Think Positively and Things Will Be Better" Those are actually pretty threatening hurtful words to some who begin to dip lower in mood and who has a legitimate depression disorder. Those statements and questions can actually begin a cycle of guilt, anger, self-blame, frustration, and an even LOWER and longer-extending mood than the depressed person began with in the first place. If depressed people knew HOW TO just 'change attitude,' believe me - almost ALL OF THEM WOULD - if it were that easy. They wouldn't suffer - and they DO SUFFER TERRIBLY WITH DEPRESSION - if the 'tools' for healthier people WITHOUT depression worked for them. Telling someone diagnosed with the condition of depression to 'just cheer up' is very much like telling a 5 year old to run out, start the car and bring it around front so the family can climb in the car and start their road-trip vacation. A 5 year old will understand every stage of the instructions and even WHY you want him or her to go get the car. A 5 year old has even watched, over and over again, how the car is started, driven, put into park, etc. But that doesn't mean that he or she actually has the skill and co-ordination to do the tasks. The child will even desperately WANT TO HELP and do the task so that the roadtrip can begin. In the same way - most people suffering depression desperately WANT TO CHEER UP so they can feel healthier. But the instructions 'cheer up' don't match up with their biochemistry or their coping skill level, for some reason. Safety planning with significant friends and family members can help a lot. There doesn't have to be a whole lot of discussion about 'what to do,' or any helpful-but-not-helpful words of advice with safety planning. Make the safety instructions 'Action-based' - like: "If you see me isolating and I seem depressed - allow me 1 hour alone - then book me an 'event' (like a walk to the park, just a walk to the store - something that gets the depressed person MOVING and OUT of isolation - but won't necessarily force the person to interact in a busy way) and let me know, in 1 hour that it's time for an 'action event' to help me manage depression." Sometimes depressed people DO NEED TO BE ALONE...just not constantly or for a length of time that interferes with healthy activities. Do you have some 'Safety Planning' tips you can share?
2 responses
• Philippines
22 Jul 07
PMS or what they call Pre-Menstrual Syndrome is one source or cause of depresion with women. I have a friend who freaks me out every month with such depression. She cries like a baby and gets depressed with anything around her. But I noticed that it always happen by the end of each month. So I started to take note of my observation bec she always picks me when she's down and think of something to avoid it. My safety plan for her is to give her something to do, then make myself unavailable till the week is over.
• Canada
22 Jul 07
Thx for the comment, myeganda11! I think a lot of people have 'regular' and recurring depression symptoms from PMS. (Thankfully, I've not noticed regular symptoms of this myself! I think I'm lucky). What kinds of things do you get your friend to do? Maybe I can use some of the same tips for 'distracting' some of my friends who suffer from PMS symptoms, too. Have you been using this tactic long? You said that you started to take note of the observation you had that your friend displayed crying and depression behaviors on a regular basis. Was this just quite recently? Or have you had a reasonable amount of time to judge that your methods are working faily well? Please let me know, as I know people who have issues with PMS, too. It seems a really awful and recurring set of symptoms for those people to deal with! Thanks again - take care!
• Philippines
23 Jul 07
She is actually my bestfriend. I met her 8 years ago. It was difficult at first,but she is special to me and no matter how much hurt she has caused me at times bec of her uncontrolled depression, I will always be there for her. Sometimes I invite her over a movie or visit some old friends we have. I noticed that different environment cools her down. A good diversion helps. Depressed people are not left alone, they should be accompanied by someone sometimes. When there's not much good movies to see, I also take her to have fun or drink with friends at our favorite resto-bar. It's like training her to be out and have fun every end of the month.
• Canada
25 Jul 07
Those are some really good ideas, myeganda11. Thank you for sharing.
@besthope44 (12123)
• India
20 Oct 10
Well, sometimes its unavoidable that we feel depressed for the day..but for the health its not a good side, i believe in Meditation which will balance our mind and helps to be normal at situations