8615 Ridgely’s Choice Drive
Suite 212
Baltimore, MD 21236
Tel: (410) 529-
Fax: (410) 529-
Suite 212
Baltimore, MD 21236
Tel: (410) 529-
Fax: (410) 529-
WebMaster: Edward Lehwald
Depression & Family Relationships
By John Lewis, L.C.S.W.-C
By John Lewis, L.C.S.W.-
Depression is a medical condition referred to as “clinical depression” or “medical depression”. A depressive episode can be precipitated by a major life event, such as the loss of a loved one, divorce, physical illness, or loss of employment.
Although clinical depression commonly runs in families it can strike anyone at any given time. Its onset may be gradual with symptoms usually being explained away. However, if left untreated symptoms will continue to worsen with little relief.
Clinical depression can have a significant impact on family relationships. In fact, one phase of treatment should focus on the difficulties the depressed individual may have in relationships due to increased irritability or withdrawal. Helping them address those issues is called “interpersonal psychotherapy”.
The depressed person may misinterpret what they see or hear from family members and people with whom they usually have close relationships. Sometimes a depression can be misconstrued by loved ones as laziness or lack of interest in the relationship. Family members may feel that they have done something wrong or have been insensitive in some way. They are frustrated when inquiries and concerns about the person’s changed behavior is met with anger or no response at all. The behavioral changes of social/ emotional withdrawal and lack of sex drive may be interpreted as drug use or infidelity. Others may believe the depressed person just doesn’t love them any longer.
Because of these misconceptions, it is important for both the clients and the family members to be educated about depressive illness and treatment. Empathetic, sensitive, informed partners can often be decisive in helping someone get treatment faster which equates to quicker recovery.
The depressed individual needs support and understanding, during this critical time; therefore, ongoing communication is essential. The communication process can be facilitated by the involvement of the family members in the therapy process. In addition, support groups and literature on depression can be useful.
It is important to remember that depression is a medical illness and not a weakness and it can be successfully treated with medication and therapy. The impact on family relationships can be lessened by education, communication, and the support of the depressed individual by family members.
Symptoms of Depression
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Feelings of fatigue or loss of energy.
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Depressed mood, sadness, feelings of emptiness, mood swing
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Inability to sleep or early morning wakening.
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Diminished interest or pleasure in activities; withdrawing to oneself.
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Significant weight loss or weight gain.
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Feeling agitated or slowed down.
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Feeling excessive or inappropriate guilt or worthlessness.
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