Mark Baxter

Loneliness, isolation, estrangement, obesity, learning disorders, hormone changes, body dysmorphia, dissociative issues, medication side effects, head injuries, surgery, complicated grief, prolonged anxiety.

We could go on and on and on.

Yeah.

And so one of the problems with the diagnosis of depression, it doesn't really give us much information into what's going on there.

So it's really important that we start to get a little bit more curious about some of the things that are kind of contributing to what's happening.

And likely there's a mixture of kind of biological, interpersonal, social, psychological kind of stuff there.

Often there's an interplay between these sorts of bits and pieces and also the adverse childhood experiences I was talking about.

patterns and ways of coping a person's belief systems about their worthiness about being good enough so when I see depression I see this huge kind of like the tip of the iceberg like what's what's underneath that right and part of the journey with someone is

is not just launching straight into trying to kind of fix the problem, so to speak, but it's like really understanding what's happening and understanding the person's journey and relationship with what's happening in their life and living with this.

Sometimes if someone's been depressed for a long period of time because it's such a

A distressing and helpless and hopeless, meaningless kind of experience that the fact of living with it for so long and the impact on their life, that can be a giant thing in itself.

So there's lots to understand and lots to kind of unpack and get to know.

Yeah.

It's very tragic to see and to work with someone.

It's really heartbreaking.

So you've got this, you know, sometimes a deep despair and hopelessness.

But then you've got this kind of like guilt and shame as well that there's something wrong with me.

I'm not doing enough.

You know, I failed these treatments.

I know that came up the other podcast with… Oh, on OCD.