By Erich Schoeman | Clinical Psychologist
Introduction
Understanding depression is an important starting point. However, understanding alone is not enough. The next question is practical: how should one respond to it?
Depression affects motivation, energy, thinking, and behaviour. As a result, even simple actions can begin to feel difficult. For this reason, the response to depression needs to be structured, realistic, and consistent.
There is no single step that resolves depression. It requires addressing different areas of life in a clear and practical way.
Recovery Is a Gradual Process
Recovering from depression is possible. It usually involves a gradual process where adjustments and small, consistent steps are taken over time.
For some, the effect of interventions can bring immediate relief, but for others it takes a few combinations applied over time to improve their mood. Since many types of depression are not merely circumstantial in nature but also due to internal processes (like thinking patterns), change happens over time.
However, some forms of depression can transform within a shorter period. This will depend on the cause and type of intervention needed. A helpful expectation is that progress will be steady, not necessarily instant.
As seen in the first article, Understanding Depression, the origins are from multiple sources (he Bio-psycho-social-spiritual model). Therefore, the interventions will cover various areas. Let’s start with our bodies.
Addressing Physical Factors
Depression affects the body as well as the mind. In some cases, there is a biological component that may require medical support. It is therefore important to consider consulting a medical professional, whether medication may be appropriate, and whether there are underlying physical health conditions.
Medication can be compared to a cast around a broken bone. It contains and stabilises the limb until healing has taken place. Some people fear taking medications due to the side effects, but usually the pros outweigh the cons.
In addition, basic areas such as sleep, nutrition, and physical activity are crucial to well-being and working towards stabilising these will be beneficial. These areas are easily neglected and often disrupted in depression, contributing to ongoing symptoms.
Re-engaging with Daily Activity
A key feature of depression is withdrawal from others and daily living. Individuals often reduce activity, avoid responsibilities, and disengage from normal routines. While this may feel necessary, it tends to reinforce the depression.
A healthy response is to begin re-engaging with activity, even at a small level. This may include completing basic daily tasks, re-establishing simple routines, and engaging in one or two manageable activities. It is important not to wait for motivation. In many cases, action comes before motivation.
Addressing Patterns of Thinking
Depression is closely linked to patterns of thinking. Common patterns include seeing oneself it a negative and critical light, hopelessness about the future despite areas of hope, overgeneralising problems despite positives and breakthroughs, and viewing situations in extremes (e.g. either I feel depressed or happy, not space for a mixture of feelings).
These thoughts often feel accurate, but they are not always balanced and realistic. Part of responding to depression involves examining these patterns more carefully. This includes asking whether a thought is accurate, important information is being overlooked, and whether there is a more balanced way of understanding the situation.
This process often benefits from structured guidance, such as counselling or therapy.
Maintaining Relationships
Depression often leads to self-isolation. Withdrawing from others may feel easier, but it tends to maintain and escalate the problem. Human beings function best in connection with others.
Re-engagement does not need to be extensive. It may involve maintaining contact with one or two trusted individuals, being honest about your situation, and allowing others to provide support.
Consistent connection is an important part of recovery.
Developing Effective Coping Skills
Depression is often associated with difficulties in coping effectively. This may include challenges with managing stress, solving problems, setting boundaries, and regulating emotions.
Developing these skills is part of the recovery process and requires intentional effort. Professional support can assist in building these areas in a structured way.
Engaging Faith in a Grounded Way
For Christians, the spiritual dimension forms part of the response to depression. However, depression should not be reduced to a purely spiritual problem. At the same time, spiritual life should not be neglected.
Scripture shows that faithful individuals experienced deep emotional distress. Depression is therefore not a sign of weak faith. At the same time, Scripture provides stability and perspective.
“The Lord upholds all who fall and lifts up all who are bowed down” (Psalm 145:14).
During depression, engaging in your spiritual life is often less emotional and more intentional. It involves continuing in truth, even when feelings are low. The good news is that God is with you even if you don’t feel Him now. He is working at helping you through the current struggle.
Addressing Unhelpful Coping Patterns
In attempting to manage distress, individuals may turn to substance use (alcohol, food etc.), pornography, overworking or escaping reality (like gaming, media etc.).
While these may provide temporary relief, they tend to reinforce the depression over time.
Recognising and addressing these patterns is an important part of recovery.
Working through Loss
Processing losses like the death of a loved one or divorce can mimic depression. Allowing yourself time to grieve is important. Finding yourself in a place of adjusting to such radical changes can be challenging, but possible if done one day at a time.
Painful feelings can piece the heart and make life feel hopeless. Expressing these is vital and allowing others and the Holy Spirit to comfort us is important. Loss usually leads to inner growth beyond what we thought possible.
Taking Responsibility for the Process
Depression is not simply a matter of personal failure. However, recovery does involve taking responsibility for certain steps. This includes seeking appropriate support and engaging with practical changes, albeit small steps.
This helps restore a sense of direction and agency.
Understanding the Process of Change
Depression affects how a person sees themselves, others, and the future. It often creates the sense that things will not change. However, this perception is part of the condition itself.
From both a clinical and biblical perspective, change remains possible. In most cases, this change is gradual and requires consistent effort over time. I have battled depression and felt like it would never get better. It took a multi-modal intervention over a period of two years to help me through it (spiritual revival, physical exercise, diversification in work, reduction of long work hours, more rest, medication for a time, increased self-care, improved marital communication, gentler self-talk etc.)
Conclusion
Responding to depression can feel impossible. Yet, it is doable and asks for a clear and practical approach. Progress develops through addressing various areas of one’s life, one small step at a time. These include physical health, patterns of thinking, daily behaviour, relationships, and spiritual life. The process might feel long and have setbacks, but with the support of the Lord and other people, and continual inputs, these steps begin to create meaningful change. Before long you might find yourself in a totally different place and enjoy life again.
