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The many manifestations of depression

Depression can present in different ways and have dire effects on all parts of life.

Depression doesn’t always manifest in a person by making them look depressed, sad and tearful.

In fact, says local clinical psychologist, Dr Koos du Toit, underlying depression in people often shows up in aggression towards others, being critical of their significant other or very irritable with everyone. Du Toit practices in Honey Hills and has over 20 years’ experience in his profession. He has taken a special interest in creating awareness of mental health issues and treats both adults and children.

“Only once these problems get out of hand, and the person or his family seeks treatment, is the underlying depression revealed and diagnosed.”

He added depression can be destructive in marriages or long term relationships and can often be a large contributing factor to divorce.

“I have seen many people who initially sought treatment for their marital problems; after careful evaluation it turns out that one of the partners have underlying depression. Only once the depression is adequately treated, can we then look at the marital problems, that are more often than not easier to resolve.”

Depression can also lead to alcohol abuse, in itself a destructive element in a marriage or relationship.

“I have found in many cases a person would present for treatment for alcohol abuse, but he has underlying depression for which he, unknowingly, uses alcohol as a form of self-medication.

“The problem is that alcohol in itself is a depressant, which worsens the depression in the long term.

“Curbing alcohol abuse and treating the depression then leads to the majority of the person’s issues being resolved.”

Du Toit reminds residents that depression is a treatable condition and has both psychological and biological components. Modern treatment methods include a combination of psychotherapy and anti-depressants, which has proved very effective.

“Unfortunately people often don’t recognise their depression and don’t seek treatment.”

Du Toit recommends seeking help sooner rather than later.

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