Depression Caterpillar Confidential Green Caterpillar Confidential Green 1
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) Also related to: • Premenstrual Dysphoric Disorder • Anxiety Disorders • Substance/Medication-Induced Depressive Disorder • Bipolar Disorders • Depressive Disorder Due to a Medical Condition 2 Caterpillar Confidential Green 2
Major Depressive Disorder • Depressed mood most of the day, • Fatigue or loss of energy nearly every day • Feelings of worthlessness or guilt • Lost of interest or pleasure in most • Problems with concentration or activities indecisiveness • Significant weight loss or gain • Suicidality • Insomnia or hypersomnia • Psychomotor agitation or retardation 3 Caterpillar Confidential Green 3
Causes and Risk Factors • Biology and genetics, • Drug, alcohol and other addictions brain chemistry • Childbirth, hormonal changes • Cognitive and interpersonal patterns, • Serious medical condition, poor social isolation. physical health status, medications • Environmental events, significant stress • Seasonal patterns 4 Caterpillar Confidential Green 4
Depression by the Numbers More than 300 million suffer from depression globally Women are 2x as likely as men to Depression is the #1 cause of disability worldwide have had a depressive episode Close to 800,000 die due to Suicide is the 2nd leading cause Fewer than 50% of people living with depression globally receive treatment of death among 15-29-year-olds suicide each year Source: World Health Organization (who.int) Caterpillar Confidential Green 5
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: o Psychotherapy (counseling) o Medications o Inpatient or partial hospitalization o Support groups o Alternative therapies – supplements, electroconvulsive therapy (ECT), eye movement desensitization and reprocessing (EMDR), vagus nerve stimulation (VNS), neurotherapy o Exercise Caterpillar Confidential Green 6
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: o Lack of understanding of depression as a common, chronic health condition o Lack of recognition o Misunderstanding about treatment options o Stigma, fear, and/or discomfort (for patient and others) o Lack of access to treatment resources o The illness naturally leads to noncompliance Caterpillar Confidential Green 7
Stigma and Blame Labeling a person or condition in a disgraceful, shameful manner • 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 Caterpillar Confidential Green 8
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 Caterpillar Confidential Green 9
Recognizing Depression: Subtle Signs Spotting depression can be tricky… • Changes in mood and • Accidents and injuries interpersonal relations • Sudden or significant deterioration • Difficulty with co-workers or in performance social withdrawal • Trouble making decisions • Loss of interest or effectiveness in • Difficulty accepting constructive daily activities criticism or guidance • Fatigue, changes in eating patterns, alcohol use • Excessive absenteeism or tardiness Caterpillar Confidential Green 10
Recognizing Depression: Men vs. Women Men and women can experience depression in different ways… Men Women • Angry, irritated and grandiose • Sad, apathetic, worthless • Fatigue and physical symptoms – weight gain and • Blame themselves, ruminate sleep loss • Susceptible to stressors • Blame others, social conflicts • Anxiety and fear • Suspicious and guarded • Avoid conflicts • Restless and agitated • Feel slowed down and nervous • Strive to gain control • Trouble setting boundaries • Reluctant to admit negative emotions • Prone to talk/share • Use alcohol, drugs, process addictions or other • Use food, friends and “love” to self medicate distractions • Lack of intimacy/drive Caterpillar Confidential Green 11
How to Help Someone Who May Be Suffering Talk about it… • During a moment of peace, share • Don’t judge or condemn your concerns • Suggest he/she speak to a • Give yourself plenty of time trusted person • Allow the person to talk freely • Have your resources handy • Listen – share more of your concern • Get him/her to a doctor, who can then than your observations evaluate, treat and refer • Avoid talking directly about him/her – • Don’t let the issue drop; be persistent but use “I” statements not controlling – you want to be seen as caring and helpful • Don’t blame, accuse, or criticize 12 Caterpillar Confidential Green 12
How to Help Someone Who May Be Suffering Show your support… • I’m here for you. • You can survive this. You will feel better. • You matter. • I’ll do my best to understand. • Let me help. • You won’t push me away. • Depression is a real thing. • I care about you. • There is hope. • We’ll get through this together. 13 Caterpillar Confidential Green 13
Referral Options • Family doctor • Clergy member • Trusted friend or family member who has influence • Company doctor/nurse • Private counselor • Employee Assistance Program (EAP) Caterpillar Confidential Green 14
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 Caterpillar Confidential Green 15
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 Caterpillar Confidential Green 16
Access the EAP By Phone Online My EAP App Onsite EAP counselors are CaterpillarEAP.com +1-866-228-0565 * For iOS, Android and available onsite in Blackberry +1-309-820-3604 many locations * For local provider phone numbers, visit CaterpillarEAP.com Caterpillar Confidential Green 17
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