Demoralization or Depresssion ?
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”?