Therapy
If it is hard to get out of bed, nothing you used to enjoy excites you anymore and the tiredness doesn’t go away with rest, what you’re going through has a name and has treatment.
Depression is not simply being sad: it is a sustained drop in mood and energy that switches off interest in things that used to matter. It is not chosen, and it is not overcome by “willpower” — it is a state that affects the body, thought and relationships, and it needs to be treated as such.
It shows up as tiredness that doesn’t go away with rest, difficulty getting up or starting the day, listlessness even toward what used to be enjoyable, changes in sleep and appetite, trouble concentrating, and thoughts that revolve around guilt, failure or a lack of meaning.
I work with behavioral activation — gradually recovering activities and contacts that provide support — together with cognitive therapy to identify and review the thoughts that feed the distress. A philosophical perspective also helps to rebuild a sense of meaning, when the underlying question is “what for?”.
