Depression Caterpillar Confidential Green Caterpillar Confidential - - PowerPoint PPT Presentation

Depression

Depression 101

In the Diagnostic and Statistical Manual of Mental Disorders (DSM5), depression is broadly categorized in the “Depressive Disorders,” which include:

• Disruptive Mood Dysregulation Disorder
• Major Depressive Disorder
• Persistent Depressive Disorder (Dysthymia)
• Premenstrual Dysphoric Disorder
• Substance/Medication-Induced Depressive Disorder
• Depressive Disorder Due to a Medical Condition

Also related to:

• Anxiety Disorders
• Bipolar Disorders

Major Depressive Disorder

• Depressed mood most of the day,

nearly every day

• Lost of interest or pleasure in most

activities

• Significant weight loss or gain
• Insomnia or hypersomnia
• Psychomotor agitation or retardation
• Fatigue or loss of energy
• Feelings of worthlessness or guilt
• Problems with concentration or

indecisiveness

• Suicidality

Causes and Risk Factors

• Biology and genetics,

brain chemistry

• Cognitive and interpersonal patterns,

social isolation.

• Environmental events,

significant stress

• Seasonal patterns
• Drug, alcohol and other addictions
• Childbirth, hormonal changes
• Serious medical condition, poor

physical health status, medications

Depression by the Numbers

More than 300 million suffer from depression globally

Depression is the #1 cause of disability worldwide

Fewer than 50% of people living with depression globally receive treatment

Close to 800,000 die due to suicide each year

Women are 2x as likely as men to have had a depressive episode Suicide is the 2nd leading cause

• f death among 15-29-year-olds

The Good News: Treatment Works

• Hundreds of studies have been conducted that demonstrate the effectiveness of modern-era

mental health treatments on social, health, and occupational functioning

• Common treatments include:
• Psychotherapy (counseling)
• Medications
• Inpatient or partial hospitalization
• Support groups
• Alternative therapies – supplements, electroconvulsive therapy (ECT), eye movement

desensitization and reprocessing (EMDR), vagus nerve stimulation (VNS), neurotherapy

• Exercise

Why Is Depression Undertreated?

• The World Health Organization “treatment gap” rate for untreated depression is

approximately 50% but as low as <10% in certain regions; for those who do receive treatment, it is often inadequate

• Depression is frequently undertreated due to:
• Lack of understanding of depression as a common, chronic health condition
• Lack of recognition
• Misunderstanding about treatment options
• Stigma, fear, and/or discomfort (for patient and others)
• Lack of access to treatment resources
• The illness naturally leads to noncompliance

Stigma and Blame

• Major depression often isn’t recognized as a legitimate medical condition
• Labels: lazy, crazy, weak, oversensitive, self-absorbed, grumpy, critical, “a

loner,” unmotivated

• Because depression is undertreated and reoccurs, people easily get labeled
• Even the depressed person may not recognize the legitimacy of his/her illness

Labeling a person or condition in a disgraceful, shameful manner

Combatting Stigma

• Be informed – drug companies have actually helped
• Talk openly about it as a health concern
• Own it – take it seriously, get help and talk about it where appropriate
• Legislation – Americans with Disabilities Act (ADA), Affordable Care Act (ACA)
• Build it into benefits and well-being efforts

Recognizing Depression: Subtle Signs

• Changes in mood and

interpersonal relations

• Difficulty with co-workers or

social withdrawal

• Loss of interest or effectiveness in

daily activities

• Fatigue, changes in eating patterns,

alcohol use

• Excessive absenteeism or tardiness

Spotting depression can be tricky…

• Accidents and injuries
• Sudden or significant deterioration

in performance

• Trouble making decisions
• Difficulty accepting constructive

criticism or guidance

Recognizing Depression: Men vs. Women

Men

• Angry, irritated and grandiose
• Fatigue and physical symptoms – weight gain and

sleep loss

• Blame others, social conflicts
• Suspicious and guarded
• Restless and agitated
• Strive to gain control
• Reluctant to admit negative emotions
• Use alcohol, drugs, process addictions or other

distractions

• Lack of intimacy/drive

Men and women can experience depression in different ways…

Women

• Sad, apathetic, worthless
• Blame themselves, ruminate
• Susceptible to stressors
• Anxiety and fear
• Avoid conflicts
• Feel slowed down and nervous
• Trouble setting boundaries
• Prone to talk/share
• Use food, friends and “love” to self medicate

How to Help Someone Who May Be Suffering

• During a moment of peace, share

your concerns

• Give yourself plenty of time
• Allow the person to talk freely
• Listen – share more of your concern

than your observations

• Avoid talking directly about him/her –

use “I” statements

• Don’t blame, accuse, or criticize

Talk about it…

• Don’t judge or condemn
• Suggest he/she speak to a

trusted person

• Have your resources handy
• Get him/her to a doctor, who can then

evaluate, treat and refer

• Don’t let the issue drop; be persistent but

not controlling – you want to be seen as caring and helpful

How to Help Someone Who May Be Suffering

• I’m here for you.
• You matter.
• Let me help.
• Depression is a real thing.
• There is hope.

Show your support…

• You can survive this. You will feel

better.

• I’ll do my best to understand.
• You won’t push me away.
• I care about you.
• We’ll get through this together.

Referral Options

• Family doctor
• Clergy member
• Trusted friend or family member who has influence
• Company doctor/nurse
• Private counselor
• Employee Assistance Program (EAP)

Caterpillar’s Employee Assistance Program (EAP)

• The EAP is a workplace program that can help you and your dependents with a

variety or problems and challenges, before they impact your lives at work or at home.

• The EAP is available to all regular full- and part-time Caterpillar employees and

their eligible family members.

• The EAP offers free clinical counseling – up to 6 sessions per family member,

per year, per problem

EAP Counseling, Coaching, and Consultation

• Short-term, goal-orientated support for work and life issues:

− Clinical counseling − Professional guidance and coaching − Information, consultation, and referrals for a variety of work-life issues such as legal, financial, and help finding childcare and eldercare

• Appointments are available without delay or wait
• EAP is confidential – no one will know you have used the EAP
• There is no cost for using the EAP
• EAP is available 24/7 by phone, online, or through the My EAP app

Access the EAP

By Phone Online Onsite

EAP counselors are available onsite in many locations CaterpillarEAP.com +1-866-228-0565* +1-309-820-3604

My EAP App

For iOS, Android and Blackberry