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A Nurse’s Perspective on Depression

Health care practitioners generally receive few tools for working directly on the moods of their clients/patients. With depression we often try to protect ourselves from the impact of our patient’s emotions, since these can rub uncomfortably with our own personal shadow sides. Rather, we consider antidepressants a welcome aid as we attempt to re-integrate the depressed person into daily life. Today, when depression has become such a common phenomenon, more and more people receive antidepressants as their primary therapy. Prozac has become our answer to depression just as Tylenol is our answer to pain.


I feel this focus on antidepressants does not take into consideration the interplay between the environment and the individual. The crucial question is whether a chemical substance is the first solution, or whether it may be possible to arrive at a deeper understanding of depression and individual therapy. I would like to give you a practical perspective that considers personalized care of the whole human being: body, soul, and spirit.


In his book Care of the Soul, Thomas Moore asks the question, “What is revealed in suffering?” He makes it clear that symptoms must be respected as a voice of the soul. Only a deep interest in the patient, and careful observation of symptoms can bring about insights which become the basis for healing.


Therapeutic Implications

It is important that we hold back our primary thoughts and reactions, since we want to understand the phenomena that confront us. Grasping the image of the person that we see in front of us will lead us to the question: How can we address the healing forces within this person? We know that the will forces are needed for healing, and that the will must be activated from within. We know this must be done through nurturing, ensouled care. First of all, we must help the depressed person learn to perceive, to sense, and to feel boundaries again, to help bring the soul closer to the life forces. Second, we must be creative and search for ways to bring certain qualities into daily life by making small adjustments. Third, a form of long-term care can be given through biographical work which can help the spirit reconnect with soul and body.


Specific Therapeutic Suggestions



External Remedies

It is important to supplement medications with external therapies. The skin is a sense-organ and certain external therapies will help the person reconnect with the body.

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