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Depression

Evidence-based Overviews   |   Treatments & Self-Management    Associated Conditions

 Videos and Podcasts    |   Decision Aids and Toolkits   |   Work Accommodation

Depression Organizations  |   Further Resources   |      Recommended Books    |     Suicide Resources

British Columbia Resources    

          

It is estimated that over 350 million people live with depression, and it is the leading cause of disability worldwide. Depression often starts at a young age, and it affects women more commonly than men. The burden of depression and other mental health conditions is on the rise globally.

Depression is different from occasional mood fluctuations and short-lived emotional responses to challenges in everyday life. Someone experiencing depression is struggling with persistent feelings that interfere with everyday life. Depression effects one’s emotions, physical health, relationships and work.

Symptoms also include behaviours, thoughts, and feelings:

Physical

  • Tiredness and lack of energy
  • Sleeping too much or waking up in the night
  • Eating too little or too much
  • Weight loss or gain
  • No interest in sex
  • Aches and pains

Behavioural

  • Crying, lying in bed in the day, not able to get up in the morning
  • Withdrawing from and avoiding friends and others
  • Drop in recreational activities
  • Drop in work or school attendance
  • Neglecting responsibilities and personal appearance
  • Becoming restless and agitated

Thoughts              

  • Self-criticism (I'm really hopeless)
  • Self-blames (It's all my fault, I should have done better)
  • Thoughts of death and suicide
  • Critical thoughts about others (He's not much of a friend)
  • Concentration and memory problems. Problems making decisions

Feelings

  • Sadness
  • No pleasure
  • Irritability
  • Guilt
  • Anxiety
  • Numb inside


People with chronic pain are at a higher risk of experiencing depression. Depression and pain can produce a cycle where one feeds into the other causing higher pain levels and greater depression. While using medication, exercise or other treatments for chronic pain is beneficial, it’s also important to pay attention to your mental state. You could start by finding ways to lower your stress levels, engaging in positive thinking exercises, and other self-management resources. Seeking counselling with a psychologist or counsellor who is trained in cognitive behavioral therapy may also be useful.​

Evidence-based Overviews  

  
Sponsor Organization
Depression
MedLinePlus - National Institutes of Health (NIH) (US)
Depression and Chronic Pain
National Institute of Mental Health, NIH (US)
Depression Fact Sheet
Here to Help Canada
Depression Overview
Canadian Mental Health Association
Depression: What is Depression?
World Health Organization
Depressive Illness - A Guide for People with Depression and Their Families [pdf]
Centre for Addiction and Mental Health (CAMH)
Pain and Your Emotions
Medline Plus
Scientific Evidence about Treatments for Depression
Australian National University - National Institute for Mental Health Research
What is Depression?
Mood Disorders Society of Canada

​Associated Conditions   

Anxiety

People living with chronic physical health conditions experience depression and anxiety at twice the rate of the general population.  View our Anxiety page for more information​, and for resources and tools that can help you to keep anxiety at bay in spite of your chronic pain.​

​Videos and Podcasts  

  
Sponsor Organization
CIRPD webinars – Chronic Pain and Mental Health
Canadian Institute for the Relief of Pain and Disability
CIRPD webinars - Self-Management
Canadian Institute for the Relief of Pain and Disability
Cognitive Behaviour Therapy – Real Stories
Anxiety BC
Helping a Loved One Access Help
Mood Disorders Association of BC
Managing Depression: A Self-help Skills Resource for Women Living With Depression During Pregnancy, After Delivery and Beyond
Centre for Applied Research in Mental Health and Addiction (CARMHA), Simon Fraser University
Mindfulness Webinars
Canadian Institute for the Relief of Pain and Disability
More webinar videos on anxiety and depression from the Anxiety and Depression Association of America
Anxiety and Depression Association of America
Webinar - Exercise Against Anxiety and Depression
Anxiety and Depression Association of America
Young People’s Experiences with Depression video series
WalkAlong – University of British Columbia

​Decision Aids and Toolkits 

  
Sponsor Organization
A Mindfulness-Based Stress Reduction Workbook
Are You Depressed? Quiz
Mood Disorders Association of Ontario
Depression Quiz
National Institute for Mental Health Research - Australian National University
Depression Symptom Checklists
Mood Disorders Association of Ontario and Mood Disorders Society of Canada
Doctor Discussion Guide (for Depression)
Mood Disorders Association of Ontario and Mood Disorders Society of Canada
Handbook of Adult Resilience - History of the research on resilience
Identifying Values Worksheet
Psychology Tools
iTunes U course: Understanding Depression Through Lived Experience
University of British Columbia
Living Beyond Your Pain: Using Acceptance and Commitment Therapy to Ease Chronic Pain
Managing Chronic Pain: A Cognitive-Behavioral Therapy Approach Workbook
Managing Depressive Thinking
Centre for Applied Research in Mental Health and Addiction, Simon Fraser University
Mood FX
University of British Columbia
Mood GYM
Centre for Mental Health Research - Australian National University
My Path: Develop a Management Plan
Mood Disorders Association of Ontario and Mood Disorders Society of Canada
Pain Resource Centre
Canadian Pain Coalition
Patient Decision Aids
Ottawa Hospital Research Institute
Psychology Tools
Self-Help Exercises - WalkAlong: Your Journey to Mental Wellness
University of British Columbia
Sleep and Depression Tools
Sleep and Depression Laboratory - Ryerson University
The Antidepressant Skills Workbook
BC Mental Health & Addiction Services and Simon Fraser University

​Work Accommodation  

  
Sponsor Organization
Antidepressant Skills at Work: Dealing with Mood Problems in the Workplace
BC Mental Health & Addiction Services and Simon Fraser University
Antidepressant Skills Workbook
Centre for Applied Research in Mental Health and Addiction (CARMHA), Simon Fraser University
CIRPD Webinars - Workplace Mental Health
Canadian Institute for the Relief of Pain and Disability
Disability prevention at your workplace
Canadian Institute for the Relief of Pain and Disability
Guarding Minds at Work
Centre for Applied Research in Mental Health and Addiction (CARMHA), Simon Fraser University
Interventions to help depressed people resume work
Cochrane
Mental Illness and Substance Use in the Workplace
BC Partners for Mental Health and Addictions
What I Wish I Knew
MoodFX, University of British Columbia
Work with Us
Mood Disorders Society of Canada and The Arthritis Society

​Depression Organizations 

  
Anxiety and Depression Association of America
BC Directory of Health Researchers and Trainees
British Columbia Psychological Association
Canadian Mental Health Association
Canadian Mental Health Association – find your local CMHA
Canadian Network for Mood and Anxiety Treatments: Depression
Centre for Addiction and Mental Health: Depression
Heart and Stroke Foundation of BC and Yukon
Mindfulness Based Stress Reduction - BC Chapter (MBSRBC)
Mood Disorders Association of BC
Mood Disorders Association of Manitoba
Mood Disorders Association of Ontario
Mood Disorders Society of Canada
Richmond Mental Health Consumer and Friends Society (RCFC)

​Further Resources  

  
Sponsor Organization
"Psychology Works" Facts Sheet: Chronic Pain
Canadian Psychological Association
"Psychology Works" Facts Sheet: Depression
Canadian Psychological Association
BC HealthGuide
HealthLink BC
Cognitive Behavioural Self-Management Course [pdf]
Get Self Help UK
Cognitive-behavioural therapy: an information guide [pdf]
Centre for Addiction and Mental Health
Coping with Suicidal Thoughts
Centre for Applied Research in Mental Health and Addiction, Simon Fraser University
Crisis Centres Across Canada
The Canadian Association for Suicide Prevention
Depression and Pain
Harvard University
DepressionHurts.ca
Mood Disorders Society of Canada and Mood Disorders Association of Ontario
Here to Help
How Can CBT Help?
Get Self Help UK
Improving Mental Health
BC Partners for Mental Health and Addictions
Learn more about the different types of antidepressants
Centre for Addiction and Mental Health
Psychology Fact Sheets
Canadian Psychological Association
Psychology Works Facts Sheet: Chronic Pain [pdf]
Canadian Psychological Association
Stress Reduction
Canadian Institute for the Relief of Pain and Disability
What is Depression? [pdf]
Mood Disorders Society of Canada

​Reccommended Books  

  
A Mindfulness-Based Stress Reduction Workbook – By Bob Stahl and Elisha Goldstein
ACT on Life not on Anger – By Georg Eifert, Matthew McKay and John Forsyth
Calming the Rush of Panic – By Bob Stahl and Wendy Millstine
Don’t let your Emotions Run Your Life – By Scott Spradlin
The Dialectical Behavior Therapy Skills Workbook – By Matthew McKay, Jeffrey Wood, and Jeffrey Brantley
The Mindfulness and Acceptance Workbook for Anxiety – By John Forsyth and Georg Eifert
The Worry Trap – By Chad Lejeune

General Mental Health Resources  

Suicide Resources   

  • Coping with Suicidal Thoughts – Centre for Applied Research in Mental Health and Addiction, Simon Fraser University
  • Crisis Centres Across Canada - - call a Crisis Centre if you are in crisis, or if you need support for someone you know. If you cannot find a crisis centre near you, any of the listed 24 hour toll free numbers in your province will be able to help - The Canadian Association for Suicide Prevention 

If you are in a crisis and require emergency assistance, visit your local emergency department or call in Canada  911

British Columbia Resources 

  • Mental Health Information Line – provides taped information on provincial mental health programs as well as symptoms, causes, treatment, support groups and publications relating to a number of mental illnesses. This is a 24 hour line.  1-800-661-2121   Vancouver: (604) 669-7600
  • Helping a Loved One Access Help – video provides tips for accessing BC resources to help a loved one – Mood Disorders Association of BC

References

Depression Statistics

Symptoms List source

 

Reviewed by Marc White PhD, Scientific & Executive Director, CIRPD (See Review Criteria)

Last Modified: 9/22/2016 11:29 AM

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