But how DO I talk to someone with depression?

Snap Out of It from HDRF on Vimeo.

I was just talking about this with someone. If I said my kid had been in a car accident or had cancer, I'd get casseroles and prayers and offers to help. Saying my kid has severe depression and anxiety instead draws criticism, accusations that I have failed as a parent, and general negativity and avoidance. Saying I have struggled with it usually means I am written off as unstable, crazy, weak, and generally less reliable as a person. Depression is a real, serious medical condition. It is something that can be seen on MRIs and in autopsies. It is something that requires medical intervention to treat. It is something that whole families are affected by. It is also something that CAN be treated and there are ways to have positive conversations with people who are in the middle of it.

Worried about someone? The best way to talk to someone who has depression is to simply ask how you can help and be a support. This doesn't mean walking on eggshells assuming you have the power to push them over the edge, and it doesn't mean enabling unhealthy behavior such as staying in bed all day, avoiding all social interaction, self-medicating with alcohol, etc. Help and support is often just listening while the person talks themselves through a bad episode. It means letting them know they have a support person. Sometimes just knowing that there is someone out there who is willing to listen makes all the difference. It means giving them options and alternatives because they may not know that help and recovery are possible. It can also mean going that extra mile occasionally. Every task is overwhelming when in the grips of a bad depression episode. Some things you may have to do include:

• Helping with things like connecting to professional resources
• List of most common treatments for depression from American Foundation for Suicide Prevention
• Map connecting people to treatment resources in their states from Hope For Depression
• Contacting insurance companies to find out which resources are covered (or helping the person find an insurance program if they are uninsured) and to make appointments
• Take the person grocery shopping for healthy foods
• This not only gets them buying and eating things with the intent of promoting their health, foods which will give them the extra energy their bodies need as they fight their depression, it also gets them out of their rooms and moving, interacting with at least one other person, and focusing on something other than their depressive thoughts.
• This is called opposite action. More information about opposite action can be found here through Now Matters Now.
• Removing methods from homes (if they express suicidal ideations and say they have a method in mind, remove access to tools to complete that plan such as sharp objects, guns, medications, etc)
• Learn more about removing lethal means here from Now Matters Now
• Opening the curtains. Literally.
• This sounds like a little thing, but trust me it can be harder than it sounds. Depression causes a desire to burrow away into a cave. The person will most likely fight having the curtains opened up to let sunlight in. 
• This is also part of the opposite action technique for surviving depression, but it is one thing that is often overlooked and often needs another person to do for the person with depression.
• If you know they have a plan and are afraid they will follow through with it, you can take them to an ER or if you are out of town you can call the police to request a well check. Sure the person will not like either option, but keeping them alive is better than avoiding annoying them. As long as they are alive they have a chance at recovery.

If you are not sure if a friend or family member is struggling, the best thing to do is ask them. Also, watch their behavior closely to look for these clues from the American Foundation for Suicide Prevention. People with depression are really good at hiding it, but subtle slips do happen. Pretending to be healthy is exhausting and can't be maintained 24/7. You can also keep the Five Signs in mind as you interact people. 

Don't be afraid to start the conversation. They are most likely wishing someone would, but they think either people don't care or that they will be negatively judged or that the whole situation is hopeless so what's the point. Be the life saver and let them know they don't have to drown.

"Mom, can we talk?"

Sometimes listening, sometimes doing the talking.

School has started up again which means after school conversations are starting up again. Don’t get me wrong; I talk to my girls all year, not just after school. Our after school chats, however, are extra important and why I’m glad I have a schedule that allows me to take that time with them.

You know in the movie Tinkerbell when she is going through the various talents to find hers? (If you don’t know what I am talking about, ask a preschooler or click here.) Well, if I were a fairy the talent that would have lit up and sent a shock wave around would be the talking talent. I’m a talker-fairy which is good because that was my job for years as a retreat leader. I got paid to talk to people – lots of people – and listen to their stories. It was perfect and great prep for being a mom now.

The fact is talk saves lives. That isn’t being hyperbolic. It is true. We must talk and connect. We must be aware of what is happening in the lives and minds of the people around us. We must talk with our children to help them understand their lives and minds. We must talk through problems to find realistic solutions and create actions plans. And we must talk with our children to affirm and reaffirm and reaffirm again their value as intelligent, amazing human beings. It’s important stuff.

I know from watching others come in and struggle with leading small groups that this isn’t a skill that everyone comes to naturally. I also know from listening to the teens that this isn’t something that all parents seem to be doing, or at least aren’t doing well. I wonder if it is because parents, like adults thrown into leading small groups of teens without any training, aren’t sure where to begin or how to do it. So here are my top tips for starting those conversations, keeping them going, and getting the most out of them so more and more adults can build meaningful connections with the kids and teens (and other adults) in their lives.

1. Turn off the tv, computer, whatever screen is near you, and keep your phone put away. Have you ever tried having a conversation with someone who was looking at a screen instead of you? Did you really think you had their full attention? When we look at screens instead of the people we are with, we are nonverbally saying, “yeah, you’re important, but not interesting enough to drag me away from this more interesting thing.” Don’t think kids and teens pick up on that? They do. Just ask them.
2. Stop multitasking all together. Again, this is about showing the person you are talking to that that person is the most important thing in your life at that moment. Chatting while doing dishes or driving or vacuuming (if you can even hear each other) is fine for light conversations, but for real, deep connecting conversations stop everything else. Let your kid know he or she is the single most important thing in your life and give him or her your full, total, complete, nondistracted attention. The dishes can wait.

   

   Giving the girls our full attention. listening to how life's going.

3. Be genuine and 100% honest. Kids can smell a phony a mile away, and teens hate hypocrites and fakers. Once they think you are lying or putting on an act, you will have to work VERY hard to regain their trust. You want them to be honest with you? Be honest with them. Does this mean confessing all your sins in graphic detail or disclosing information about their emotional processing level? Of course not. What you do say, say truthfully. You don’t like broccoli? Say that! “I don’t really like broccoli, but I eat it because I know it is important for me to get vitamins and minerals from multiple food sources. It isn’t enjoyable, but the result of being healthy I do like.” If they pick up you are being honest, your words will carry more weight.
4. Be open. One thing I discovered quickly as a retreat leader was that for every ounce of my story I shared, I got a pound of the teens’ stories in return. Once I showed that I was open enough to tell them things about me, they felt more comfortable sharing their stories with me. I usually had to go first, as an ice breaker. This means I need to be comfortable with my story, and I am very selective about what parts I tell and limit details as needed, but usually the details are less important than the act of sharing at all. An example would be telling about your experience with your fifth grade teacher. Then wait and see if they share their experience. If they don’t, gently prompt. To listen, first we have to talk sometimes.
5. Open ended questions are the best prompts. Ask more specific things and follow them up with more questions. Follow up questions are key to getting to the heart of the matter. It’s unlikely I’ll ever get the full story from one question. I keep digging and never lose eye contact. Show them you really are interested and care about their stories. Keep digging! The simplest follow up is “why?” Just be sure to be clear with your questions. “Why do you think your teacher called on you less than the other kids?” “Why did you choose to play with those kids today instead of your usual crowd?” “Why do you think the principal made that a rule?”
6. Acknowledge – without judgment – their feelings. Whether or not you think their feelings are rational or the feelings you would have, if they voice those as the emotions they are experiencing, those are the feelings they have. Repeat them back to let them know you heard them. “You’re feeling angry and frustrated because your whole class was punished for a few kids talking in the hall.” When our feelings are acknowledged, we feel empowered to express more which just leads to better mental health. It also helps us feel closer to the person we are talking to. Once those emotions are disregarded, the kid or teen who expressed them will shut down and not feel comfortable sharing more. That leads to a dark place of bottling up feelings which is not healthy for anyone of any age or gender.
7. Finally, work TOGETHER to create an action plan if one is needed. Sometimes chat sessions are more about touching base or venting. Sometimes, though, change is needed. Rather than lecture (another way to shut down communication), say, “let’s find a solution together.” Listen to their thoughts about different options. If they say something is impossible, question further. Are they just overwhelmed? Can the problem be broken down in smaller parts that are more manageable and less overwhelming? They may have already tried to solve the problem on their own and know through trial and error that some things really don’t work. By working together, you not only tighten your bond and understanding, you also add a level of accountability. They have some ownership of the solution, and you know what steps to keep an eye out for progress on.

If in these chats you ever suspect your child or teen needs more help than you can give, never hesitate to seek the help. If you suspect they are battling depression or other mental health issues, get them connected to a professional to talk to. Because talk saves lives.

Blissful bonding - chatting, listening, sharing stories, touching base, etc.