Wednesday, September 3, 2008

The Black Community and Depression

The Black Community and Depression
By Brother Marcus (Girard)

Peace brothers and sisters. Have you ever come across an important book that once you read through the first few pages you instinctively knew this book would be transformative to you? Well if you have had that experience then you know what I must be feeling. For the month of September 2008, I will be discussing a book by Terrie M. Williams called, “Black Pain – It Just Looks Like We’re Not Hurting”. Although Williams is a highly successful social worker by training, and a public relations professional by trade she opens up to readers about her personal battles with depression as well as the stories of many others with readers in the book. She makes a point to let the reader know that depression isn’t something new but cultural influences shape how people of different races deal with the illness.

Depression is definitely something that all Nations, races and ethnicities need to pay attention to. Of the estimated 20 million Americans who are affected by some form of depression, 9.2 million have major or clinical depression and two-thirds of people suffering from depression do not seek the necessary treatment. Eighty percent of all people with clinical depression who have received treatment significantly improve their lives. The economic cost of depression is estimated at $30.4 billion a year but the cost in human suffering cannot be estimated. It is also worth noting that women experience depression about twice as often as men. By the year 2020, the World Health Organization (WHO) estimates that depression will be the number two cause of "lost years of healthy life" worldwide.

In a interview on her new book, Terrie Williams said, “There's a tendency to hide or ignore symptoms of depression, which include sadness, energy loss, feelings of worthlessness, thoughts of death or suicide, change in weight, and oversleeping or difficulty sleeping. That tendency means missed opportunities to hit the disorder with effective treatments, including talk therapy, antidepressant medication, or both. In the black community, depression is a sign of weakness. Black people would rather say that they have a relative in jail before they will acknowledge that they have a mental illness. But many of my white friends and colleagues who are very much more open will tell you that they can't make an appointment because they are going to see their therapist. But it's a very different experience in the African-American community. In our communities, we're perceived to be ones who can handle our business, and so there is that tendency to not recognize depression in African-Americans. In general, I think that there's a lack of knowledge about the black experience with depression. I feel that we are in such a major crisis. We haven't really named what's ailing us. Almost any given day, at any turn, you can see that we are a people who are hurting. I hear many different kinds of reasons. What I know is that we experience life in this country in a way that makes it very difficult to be.”

Again, Terrie Williams is not arguing that depression is a black thing. In describing the symptoms of depression that everyone deals with she said, “You run from yourself. It's a human thing to keep things locked up inside of you. When you're working 24-7 and you don't have the energy to do anything at all, when you have difficulty concentrating, when you're not doing work that fills your spirit — those are things that mean you have unresolved issues. And you may also sleep a lot because you're afraid to get up.African-Americans suppress and repress pain. [Still], there are many signs of depression that are like neon lights, but we don't really pay attention, or we don't have time to listen. With more dialogue, maybe, just maybe, there will be more sensitivity. Remember, everyone has a story. Assume that that person has a story just like you do, is just as fragile and as challenged as you are. I've always been a very sensitive person. I feel other people's pain and have a tendency to absorb it. I have a sense of the universality of humanity. I have a sense that underneath the face that everyone wears, we all share the same thing. People speak to you on so many different levels. I often will pay more attention to a person's body language than I will to what they say. That's what speaks really loudly to me. And a lot of times, I think three of the hardest words to answer honestly are, "How are you?" We usually lie, and when we do lie, it chips away at our spirit. So when we do ask this question, really listen to the answer.”

Here are some questions for you to answer. These questions are not designed to clinically diagnose you in any way but to perhaps put you on the road to seeing someone who can help you. Do you find yourself experiencing sadness throughout the day, nearly every day? Feeling sad is a natural part of life, but prolonged sadness can be a symptom associated with depression, especially if you find that your sadness interferes with everyday life. Have you experienced a loss of interest in or enjoyment of your favorite activities? If you have lost interest in the things you once enjoyed, like going to the movies, hanging out with friends, or walking in the community, you may be experiencing one of the common symptoms of depression. Are you experiencing feelings of worthlessness? Do you feel like you don't matter or that you don't deserve to be happy? Have you experienced these feelings for an extended period of time? Are you experiencing inappropriate feelings of guilt? Having excessive feelings of guilt should raise a red flag. Are you constantly blaming yourself when things don't turn out well? You may have done nothing wrong, but maybe you feel like what you do is never right. Are you experiencing thoughts of death or suicide? In one of the rap songs by the late great prophet, Tupac Shakur, called “Shed so many tears” he stated, “Now I'm lost and I'm weary, so many tears. I’m suicidal so don't stand near me. My every move is a calculated step, to bring me closer to embrace an early death, now there's nothing left.” If you are not suicidal then never think for a moment that the thought hasn’t crossed the mind of your teenage son or daughter. Thoughts of death or suicide are common in depression, and it's important to take these thoughts seriously. If you feel like giving up, call the National Suicide Prevention Helpline, 1-800-SUICIDE (1-800-784-2433).

Are you experiencing trouble making decisions? Are you having trouble making decisions? Do the little things frustrate you? Do some decisions seem too overwhelming or burdensome? Are you experiencing fatigue or lack of energy? Did you know that feeling tired or fatigued nearly every day may be associated with depression. Do you drag yourself out of bed each morning? Do you feel like you have no energy to make dinner or do laundry? Are you experiencing sleeping too much or too little? Sleeping too much or not enough may be a symptom of depression. Do you stay awake at night and feel sleepy during the day? Sleep studies suggest that 40% to 60% of outpatients—and 90% of inpatients—with depression may have sleep problems. Are you experiencing changes in appetite or weight? A weight change of more than 5% (up or down) in a month when you haven't been trying to gain or lose weight may be a sign of depression. Are you experiencing trouble concentrating? Has your performance at work or school gone down because you can't concentrate? Are you unable to focus on your daily tasks and projects? Is your mind always racing? Are you experiencing complaints of pain? Complaints of pain can be a symptom of depression. Do you have nagging aches and pains that don't seem to go away? Are you experiencing restlessness? Are you easily agitated? Do you have trouble sitting still? Do you pace back and forth?

Please listen to the Brother Marcus Show this week on Sunday at 8:00 p.m. to learn more about this powerful book and to have some discussion with Brother Marcus. We are all in this together. Depression doesn’t have to be a secret anymore.

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Peace and Love to you dear family. My name is Brother Marcus and welcome to The Knowledge Cafe. I am so honored that you have chosen to visit this blog and share your opinions with us. I have been blessed to work with thousands of youth and adults over the last fifteen years and I have decided to open this blog up to everyone who would like to enlighten folks with knowledge, wisdom and understanding. Please feel free to post your comments on whatever topic you may desire.