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When to Seek Professional Help
Everyone feels down and depressed every now and then. So how are you supposed to know when your depressive symptoms have reached a point when professional help would be a good idea? If your depressed mood:
- lasts for more than two weeks
- is seriously interfering with your ability to function at work, with your family, and in your social life,
- is causing you to think about or plan to commit suicide
then it would be a very good idea for you to consult with a mental health professional as soon as possible.
This advice to seek out professional help counts double with regard to any suicidal symptoms you may be experiencing. If you find yourself thinking seriously about suicide, please make an appointment with a mental health doctor (a psychiatrist, or psychologist) as soon as you can. If you are feeling very suicidal and feel that you will end up committing suicide within hours or days unless you receive some relief, then skip the advice about making an appointment with a doctor. You should take yourself immediately to your local hospital emergency room and tell them there that you are feeling suicidal. In such a case, there is no time to waste with making appointments.
Where to Find Help
Listed below are examples of the types of professionals and organizations who can offer you help for depression. The list is presented in roughly the best order of search. Those professions and institutions listed towards the top of this list will be more directly able to help you. Those listed at the bottom of the list will be able to provide you with appropriate referrals to other mental health professionals.
- Family doctor
- Mental health specialists, including:
- Clinical Psychologists
- Social Workers
- Licensed mental health counselors
- Employer provided Employee Assistance Programs (EAPs)
- Nearby university or medical school-affiliated mental health clinics
- Local hospital
- Community mental health centers
- Health Maintenance Organizations (HMO) or Health Insurance company
It is always best and most comfortable to work with a therapist, doctor or other health professional who comes strongly recommended by someone you trust. For this reason, don't be shy about asking around your social circle for therapists and doctors who come recommended by your family and friends, or by doctors you already trust.
If you are really unsure where to go for help you can access referral services who will help you find local caregivers. Our own searchable database of North American therapists is available here. You may contact professional societies and state licensure boards to see if they offer therapist or doctor referrals (Click here for licensure boards.) As a last resort, you can always search the Internet or the telephone directory under keywords such as "mental health," "health" "suicide prevention," "crisis intervention" "therapists", "physicians" or "hospitals". In times of crisis, including a suicidal crisis, the emergency room doctors at your local hospital will be able to provide temporary help, and should be able to offer referrals so that a more permanent care situation may be set up.
I have had major depression for m,any, many years. I do see a psychiatrist but nothing seems to help. I have taken all known antideopressants and even ect.. I feel so worthless and guilty. I am an adult who has had childhood sexual abuse. My family is very supportive but I feel terrible and cannot even perform daily life any more. Not suicidal--God and family but wish I werwe dead. What can I do? I am female and in my middle 60's.