Issue link: http://viewer.e-digitaledition.com/i/772695
WHEN DOES A NORMAL TIME OF CHANGE TURN INTO A MENTAL HEALTH PROBLEM? A CRISIS— OR DEPRESSION? AS PEOPLE ENTER middle age—between the ages of 40 and 60—they can experience a midlife crisis. For men, who may have put off dealing with long-standing emotions for many years, a midlife crisis can be particularly disruptive. During this period of transition, both men and women may begin to confront feelings of being unlovable or unworthy. They may begin to realize they have unfulfilled goals. However, more serious symptoms may actually indicate signs of depression. "Characteristics of a midlife crisis include a desire to change a career or job, to seek new creative outlets, to buy things that make you feel good, or to simplify life," says Toni Simonson, PhD, FACHE, Executive Director of Behavioral Health at HSHS Sacred Heart and St. Joseph's hospitals and Prevea Behavioral Care. "Characteristics of middle-age depression include being constantly fatigued, experiencing a change in sleep patterns, feelings of hopelessness or being trapped by responsibilities, and thoughts or attempts of suicide." THE DIFFERENCE FOR MEN Many symptoms of depression are similar between genders, including feelings of sadness or lack of self-worth. However, the ways in which these symptoms are expressed often differ between men and women. "For example, women more often express themselves with visible signs, such as crying, whereas men tend to be more rigid and show less emotion," Dr. Simonson says. "Additionally, men with depression are more likely to abuse alcohol or other substances; exhibit risky behaviors, such as driving recklessly or while under the influence; and show severe irritability or anger." While everyone experiences sadness from time to time, persistent symptoms lasting two weeks or longer mean it's time to seek help. "Reaching out for help is not a sign of weakness," Dr. Simonson says. "Rather, it is a sign of strength and a desire to improve. Most people cannot simply snap out of depression and feel better—depression is a medical illness. Unfortunately, the perception that others may view seeking treatment in a negative way can be a barrier, especially for men, to get the care they need." WHO TO CALL "Your primary care provider is the place to start if you think 4 I N S P I R I N G H E A LT H