Demoralization or Depression?

Posted by JVS @lacy2, Feb 16, 2021

Hi. Last week I stumbled across an article about Demoralization while doing a search re Depression-which I have been told I have along with generalized anxiety; and what caught my eye was the author explaining Demoralization was affecting some people and it was not necessarily "Depression"

To confuse the issue for me, another quick word search of the word Demoralization showed how it was used in warfare, law enforcement, to erode morale among the enemy etc. Another page I read listed symptoms such as:

  • Chronic of acute medical illness
  • Depressed mood
  • Past psychiatric history
  • Diminished functional ability
  • Younger age (not in my case)
  • Poor family cohesion
  • Poor quality of relationships
  • Avoidant or confrontational coping styles
  • Trait anxiety

In a case study on a USA site ncbi.nim.nih.gov... an article written 14 yrs ago told the history of an older man with terminal caner, persistent pain, insomnia, anorexia...frustration over a delay in dr being away and bowel issues who no longer enjoyed hobbies, family, friends. He felt like harming himself. His medical team considered diagnosis of agitated depression - but a psychotherapist felt it was "demoralization" ... that he was in despair because of his situation!

Also described demoralization as a state separate from depression: (another site said opposite) ...... that depressed patients found no happiness in anything; whereas demoralized patients had periods of "happiness" when they had a visitor, their pain was dealt with, etc. I have had this; like being on a carousel, up and down, up and down but not bi-polar.

So... asking myself ... have I been depressed or demoralized or yet another medical condition?
Extreme sadness, pain, loneliness, insomnia, distrust of prescription meds, fear, diagnosis of incurable illness and grief over and over again?

I do not have any medical training and my vocabulary/comprehension is not the best, and I am not an avid reader of medical case histories... it just popped up after a search: but I had kept telling my husband and adult children over and over how very sad I felt with brother dying, illness, etc. extreme stress and anxiety: could it possibly be or have been something other than "depression" - (although depression can form part of demoralization, apparently, according to what I read (wish I was smarter and could sort this out).

Or (perish the thought) could I, and others, have combinations of many things but easier to just combine it all and call it depression? For the average person like me, does it matter?

Regardless, why can some people overcome almost the exact same illness/circumstances and some can't. Why can some "keep going" like the energizer bunny? Maybe I would not feel so bad if I had a medical condition (demoralization) rather than a mental one (depression) or am I not understanding this ... am confusing even myself!

Any thoughts on this - or, as some people say ... "It's the same difference"?

Interested in more discussions like this? Go to the Depression & Anxiety Support Group.

Profile picture for JVS @lacy2

....so 1 step forward, 3 back. "Therapist" agreed to a phone appointment later today, she is in another area... just not up to a zoom yet. Not sure if I mentioned but in bed so went thru some papers and I "think" although had neuropathy, the "internal tremors" started around time started a lot of dental work (my last dentist was off work a year and passed away so only cleaning done). So then I clued in that perhaps its all the freezing - 5 visits - as I found drug reaction between lanocaine? and clonazepam ... so who knows . Shaking is not visible from outside but its all inside and it has been slowly progressing over the months but I put it aside to deal with other problems mental and physical. Am trying to find out from dentist what was used but also had freezing last Sept. when fell and needed stitch in hand... sorry if I am repeating. Yesterday when woke at 5am I suddenly remembred the doc at emerge when putting in freezing for stitch in my hand: : its the same stuff the dentist uses....now a long process to try and find out what that was as woke up the next morning shaking from head to toe for half hour but it went away, and i actually FORGOT about it til yesterday. IF it is something to do with the freezing there is no turning back/fix but not sure I can cope with this added illness. So crybaby me but if depression kicks in as it did few years ago after c.diff etc. etc., I dont thnk I can fight it this time around. Thanks.

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@lacy2 My daughter and I both react to shots you get at dentist. We get shaky,anxious and lightheaded. My dentist at the time said many people do that reaction.He has to adjust the dose.
I get trembling inside mostly when I wake up. Also Adrenalin rushes.
I found appointment with a pharmacist at my doctors office very useful. Also natural remedies.

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Brenda, many of the dental products, shots etc, contain epinephrine. One of my dentists years ago noticed my reaction, pale, heart races, feel jittery etc.[plus the examples you gave] and mentioned it to me. He quit using products that contained "epi" on me. He retired as has another dentist and some have just moved to other areas. I tell them all I have an adverse reaction to epi. I am not allergic but can definitely feel when it is there. Because I don't use products with epi, it takes longer to get numb and wears off faster. Not as convenient for the dentist. Unfortunately I've had to have lots of dental work.

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Profile picture for crabby55 @crabby55

Brenda, many of the dental products, shots etc, contain epinephrine. One of my dentists years ago noticed my reaction, pale, heart races, feel jittery etc.[plus the examples you gave] and mentioned it to me. He quit using products that contained "epi" on me. He retired as has another dentist and some have just moved to other areas. I tell them all I have an adverse reaction to epi. I am not allergic but can definitely feel when it is there. Because I don't use products with epi, it takes longer to get numb and wears off faster. Not as convenient for the dentist. Unfortunately I've had to have lots of dental work.

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@crabby55 Thank you for posting about Epinephrine.I‘ll remember that when I find a new dentist.
I want a dentist who is good with older people. I have a hard time turning my head to one side for treatment due to occipital neuralgia. Also Zenker derviticulum ,small bulge in throat,makes it hard to swallow. It would be difficult to swallow all the water collecting in your throat while they drill.
Thanks for reading my rambling

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After reading this I think I have demoralization.It all makes sense.
I have told many doctors I didn’t have depression because there are certain times I can laugh,and enjoy things.
The treatment of nasty doctors when I was a child in England set me up for this I think. The doctors there back in the late 40’s and early 50’s were cruel,and would smack children and shout them. Parents couldn’t say a word. They were too scared. Treated doctors and teachers like Gods.Of course they went through the same thing. My mother suffered with anxiety and depression or was it demoralization?

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Great post. I like the 'demoralizationn' concept - exactly how I feel, rather than depression. I have had several years of depression with fairly good results but 'demoralization' makes it easier to understand. I'm not depressed all the time but never saw a way out. Using the idea of demoralization it gives me a sense of hopefulness - knowing it will pass. Does this make sense?

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Profile picture for crabby55 @crabby55

Brenda, many of the dental products, shots etc, contain epinephrine. One of my dentists years ago noticed my reaction, pale, heart races, feel jittery etc.[plus the examples you gave] and mentioned it to me. He quit using products that contained "epi" on me. He retired as has another dentist and some have just moved to other areas. I tell them all I have an adverse reaction to epi. I am not allergic but can definitely feel when it is there. Because I don't use products with epi, it takes longer to get numb and wears off faster. Not as convenient for the dentist. Unfortunately I've had to have lots of dental work.

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@crabby55 A good dentist is important. I had some work done last week, the first in quite some time (I fortunately inherited my dad's teeth, not my mom's [although I did get her joints which is another story]). For the first time ever in my experience, the technician told me that I could possibly experience heart racing or palpitations, and monitored me after the initial injection before continuing. I've never had an adverse reaction (which I told her) and didn't this time either, but it's a dentist I only recently began seeing, and I felt like I was in really good hands. She put my safety first. It meant a lot to me.

I suspect dentists are getting more alert to what can happen, but patients still need to advocate for themselves when getting work done. I had a severe reaction to an anesthetic once, and with all the times I've had to be put under because of those joint problems, I've learned the importance of letting all providers regardless of their field know about any past troubles with any medications. One orthopedist tried to argue with me because the anesthetic is so commonly used, and I had to put my foot down and say no. They used an alternate mix, I was out for the duration, and recovered without difficulty.

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Profile picture for brenda1944 @brenda1944

After reading this I think I have demoralization.It all makes sense.
I have told many doctors I didn’t have depression because there are certain times I can laugh,and enjoy things.
The treatment of nasty doctors when I was a child in England set me up for this I think. The doctors there back in the late 40’s and early 50’s were cruel,and would smack children and shout them. Parents couldn’t say a word. They were too scared. Treated doctors and teachers like Gods.Of course they went through the same thing. My mother suffered with anxiety and depression or was it demoralization?

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@brenda1944 hi just found my old post and read comments... I was in UK too born 1943 and scared stiff of famiy doctor and the school nurse. Mum took me in to see Dr.Haytden Ihad a very very sore fingertip and it was white, I may have been 7... he took out a folding knife held my finger and cut the white end off! No prep etc. Even my Mum was shocked. However, never got it back he said a Whitlow? At school the teachers would hit boys knuckles with ruler if they were talking etc.... My Mum born during ww1 and had us duirng ww2 and never compalined but looking back I would say she was anxious, just didnt show it to we kids. Now I am 82 and memories and illnesses I sometimes wonder if I just had a broken heart.

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When I hear people say what worked for them and others saying nothing works for them. I want to say; Isn't it obvious that we all want to feel better, that some are able to for whatever reason, others cannot seem to get better? Is it because some have had more severe trauma or is it that some were never even taught that they are worth anything when they were infants and their mind was forming? I am not able to move forward at all, medication, exercise, meditation, positive affirmations, therapy....does it mean I am not trying or does it mean that my life experiences have formed my mind in such a way that I will never get better? This is my frustration when reading self help or these chats, why am I not getting it and others who have lots of issues are writing in here positive things? I can think of nothing positive at times.

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Profile picture for brenda1944 @brenda1944

After reading this I think I have demoralization.It all makes sense.
I have told many doctors I didn’t have depression because there are certain times I can laugh,and enjoy things.
The treatment of nasty doctors when I was a child in England set me up for this I think. The doctors there back in the late 40’s and early 50’s were cruel,and would smack children and shout them. Parents couldn’t say a word. They were too scared. Treated doctors and teachers like Gods.Of course they went through the same thing. My mother suffered with anxiety and depression or was it demoralization?

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@brenda1944 ...born during war in uk 1943 .. another word: anxiety. I know I was born anxious! I will attest to the mean-ness of both doctors and teachers. We were frightened and intimidated by both. However now many teachers dare not look twice at a pupil and family drs,. at least here are overworked. Yep when i was about 8 got the cane across hand cos anotehr child and i spoke to the workmen working in playgrounds when we had been told not to: do that today and probably the school would be sued.

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Profile picture for southcarolinagirl @southcarolinagirl

Quite a question. I have suffered for 30 years and I think that the only thing I have noticed that is distinctly different between the two is that demoralization can be helped with positive socialization and that relief can be long lasting. The depression is only mildly and temporarily helped through socialization and requires concentrated therapy and medication. This is based solely on my personal experiences. I am not a medical professional. I have always been intensively curious so am always seeking new knowledge.

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@southcarolinagirl
Demoralization, I feel like that could be more my issue then the depression. I never heard of the word being with depression or really the definition.Thank you for the information and I pray answers are found for all of us

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