The Art Of Showing Up: 6 Questions To Ask First When A Friend Is Depressed
A friend who asks these questions before any others is the most likely to help.
KrakenImages via Shutterstock It's really hard to watch a loved one be sad and not like their life. You feel helpless as they keep doing nothing about it. Like all you can do is wonder how to help them deal with their depression.
There are all kinds of depressions, from mild to pretty intense, and depression can result from a physical, emotional, or environmental dilemma, or a combination of these factors. Asking someone who is depressed some questions could help both of you pinpoint what the heck is going on and if there is something to be done about it. However, keep in mind that, as with everything else, it's ultimately up to them.
Six questions to ask first when a friend is depressed
1. 'How is your appetite?'
Recent research identifies the physiological causes of depression as sometimes originating in the gut. Serotonin is one of the chemicals (neurotransmitters) that gives people a relaxed and happy feeling. Ninety-five percent of your serotonin is located in your gut, the rest in the brain. So when your gut is happy and healthy, so are you.
If your friend is eating a lot of sweets and carbs, this can wreck their gut, encouraging bad bacteria to overtake the good bacteria like lactobacillus or bifidus strains. Scientists have found that overgrowth of bad gut bacteria actually directs negative behaviors, urging you to eat more unhealthy food so the bad bacteria get fed. When this happens, you feel awful, resulting not only in gut issues, but also potentially depression as well. The unhealthy environment in your loved one's gut may be adding to their depression.
2. 'Have you had a physical lately?'
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Depression can also be part of physical health struggles, such as thyroid or other hormonal imbalances, pain, autoimmune diseases, drug or alcohol use, and more. If the person you love never gets out of bed, hoards pills (or has another way to self-harm), never eats, sleeps poorly or too much, self-medicates, or shows signs of other self-destructive behavior, it may be time to take action.
3. 'What's been going on in your life lately?'
In addition to physical origins of depression, sometimes life brings environmental challenges that get a person down. Something happens, and instead of grieving, they can become depressed. Asking this type of question might help draw out any circumstantial problems that could be contributing to their pain, like the death of a loved one, problems at work, or money issues.
4. 'What do you think is making you feel so bad right now?'
Emotional causes can also be to blame for the onset of depression. Sometimes, past events in a person's life can still be alive in their mind or body. Even though they may have no idea what's making them depressed, those events could be affecting the person you love under the surface of their awareness.
5. 'Want to talk? I'm here to listen.
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Asking questions about the reasons someone feels depressed is a start. But often, what someone needs most isn't your help finding the cause. They need it's your presence most.
Imagine someone in a deep hole, sluggish, not much energy physically or emotionally, not much motivation to change things. Stuck. What do they need the most? Imagine it's you suffering from depression. What would you want? A willing, caring, non-judgmental ear. Someone to listen so you can pour out your troubles without necessarily wanting advice.
If your loved one can't even bear to talk, ask if you can just sit with them. Or, if they prefer to be alone, you can say, "I'm here when you're ready." It's helpful to put yourself in their shoes without joining them in their pain. Being sad with them won't help either of you.
While you're at it, ask yourself if you need them to answer your questions because you're worried and you want to get them out of their space, so you'll feel better. If so, take a breath and back off while you wait with them. Try to restrain yourself from giving advice that's not asked for or peppering them with a lot of questions. That will probably turn them off and push them away from you.
When you say things like, "Sounds really hard," or "I can imagine it sucks," or your own version of empathy, folks feel heard. Bring empathy and love without asking them to change. You give them a gift when you accept them where they are. And sometimes your presence and care are the key to unlock that stuck place.
If someone is seriously depressed, they may need professional intervention.
6. 'Are you willing to get some help?'
If they say, "Yes," find out what you can do to assist or support them in getting the help they need. Call doctors, hospitals, and mental health services to get advice on what to do next.
Thank you for caring! Depression is not something to be scared of. We all may feel that way one time or another. The fact that you're willing to ask questions of a loved one who feels down is amazing. You care, and that is the biggest gift!
Ann Naimark is a marriage and family therapist who has been in practice for over 30 years. She's the author of A Touch of Light, Opening to the Love that is You, and All Creation.
