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WHAT DOES DEPRESSION FEEL LIKE?

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October 6, 2023 – It’s common to feel turned upside down whenever something unexpected happens in our lives or because the state of the world is … well, not so great. When this occurs, we may often attribute our lingering sense of doom and dread to depression.

Diagnoses of depression have been on an upward trend, particularly during the Covid-19 pandemic, with nearly all populations experiencing increases in depression. In The Bahamas, many persons suffered post-traumatic stress, anxiety and depression following the double impacts of Hurricane Dorian and the Covid-19 pandemic. In 2020 alone, depression wascommon among nearly 1 in 10 Americans and almost 1 in 5 adolescents and young adults (ages 18 to 25).

COVID-19 not-withstanding, current numbers reflect 5% of Americans over the age of 18 self-report regularly having feelings of depression — but what does depression really feel like? And how do you know if you’re depressed or just temporarily weighed down by everything that’s happening around you?

Clinical Psychologist at Cleveland Clinic, Ohio Dawn Potter, PsyD, explains in detail what sets depression apart from common sadness and when it’s important to reach out for help.

How depression really feels 

Depression is often characterized as “deep sadness” — but it’s actually a complex condition that’s about more than just feeling sad.

Everybody feels sad and it’s normal to feel sad sometimes. But there are a couple of differences between depression and sadness,” clarifies Dr. Potter. “One thing that sets them apart is how often it is and how long it lasts. But another is that depression comes with a whole bunch of other symptoms that are beyond the feeling of sadness. We don’t diagnose depression based on just a subjective sense of feeling sad alone.”

To receive a diagnosis of clinical depression (major depressive disorder), you would typically experience a consistent and persistent depressed mood or loss of interest in things you enjoy and/or in your day-to-day activities along with at least three or more of thefollowing symptoms for a minimum of two weeks. If you do not have both depressed mood and loss of interest, you must have four of the other symptoms:

  • Sleep disturbances, like sleeping too much or too little.
  • Low energy or fatigue.
  • Excessive feelings of guilt, shame or self-blame when it’s not warranted.
  • Difficulty concentrating or focusing.
  • Psychomotor agitation (like observable fidgeting, restlessness, pacing or difficulty sitting still) or psychomotor slowing (like reduced cognitive thinking, decreased movement and slower speech than you’re used to).
  • An increase or decrease in your appetite that may result in weight gain or weight loss.
  • Thoughts of suicide or recurring thoughts of death.

“Depression is very physiological,” says Dr. Potter. “Depression is more than feeling sad, and a person doesn’t necessarily have to feel sad to be depressed. Depression can sometimes feel like the absence of something rather than the presence of sadness.”

It’s a whole-body experience that affects your physical, mental and emotional health. If you’ve ever heard the saying, “You see the world through rose-colored glasses,” depression, says Dr. Potter, is like viewing the world through gray- or blue-colored glasses.

“With depression, you really only see the negative side of things,” she says. “Depression can cause us to have disturbances in our evaluations of ourselves and other people and it can lead us to make persistent, negative attributions about our self-worth.”

For example, someone without depression may get a bad grade on a test and think to themselves, How did I get here and how can I do better next time? They might then take the necessary steps to study more or plan more efficiently for the next exam. But someone with depression may internalize their feelings and attribute the result of their exam to having been a failure.

“It’s persistent, it’s internal and it forces you to put blinders on,” explains Dr. Potter. “It’s thinking, I’m going to fail at everything, rather than being situational, and that’s what keeps people depressed — that negative thinking.”

But solving depression isn’t always as simple as getting out of the loop of negative self-talk. For some, depression can make everything feel more difficult. You can feel like things are out of control or that you can’t focus on anything meaningful. You might feel weighed down by ruminating thoughts or feel stuck in a fog.

“For someone who’s depressed, it can be hard to take back agency in your life and you can often lose sight of the ability to do things for yourself,” notes Dr. Potter. “That’s why we suggest therapy because it can help you can find a way to do things differently and manage your symptoms if you’re given enough support and information.”

Do symptoms vary by severity? 

Some people may experience depression for shorter periods of time that seem to come and go (as tends to be the case with seasonal depression or seasonal affective disorder). That’s not to say symptoms of seasonal depression are any less severe than other types. But some people can experience symptoms of depression for prolonged extended periods of time. And the longer depression goes undiagnosed, the more severe it can become.

Persistent depressive disorder (PDD) is a form of chronic depression in which you experience symptoms of depression for most of the day on most days for two or more years. Sometimes, a major depressive episode can also occur as a result of having other mental health conditions. People who are more susceptible to experiencing depression may be diagnosed with:

In the most severe cases of depression, people may also experience elements of psychosis, a collection of symptoms that include hallucinations or delusions.

“People often self-report having anxiety and depression and we know those can coexist,” says Dr. Potter. “People with generalized anxiety disorder can be vulnerable to depression because they get exhausted from being worried all the time. And people who have experienced traumatic events or losses can also become depressed.”

When to reach out for help 

If you’re checking at least five of the boxes on symptoms of depression, it may be time to talk to a healthcare provider about getting a diagnosis for depression. And if you experience any suicidal thoughts, it’s important that you seek help from a medical professional immediately who can offer relief and assistance.

But even if you only experience a handful of symptoms or you have a baseline concern for your mental health and/or physical well-being, seeing a healthcare provider about your concerns can be beneficial.

“Even if you’re having less than five of these symptoms but you’re really having trouble with your day-to-day activities and things are feeling a lot more difficult for you to do than they normally would, or what you’re feeling is really bothering you consistently, asking for help can be an important decision to make,” stresses Dr. Potter.

“Because a lot of the symptoms have physical components to them, a healthcare provider might want to rule out other health problems or mental health conditions that could be contributing to your symptoms.”

Other resources for depression 

For anyone in need of additional assistance, these resources can be helpful in answering any questions you have and/or help you find a therapist no matter where you are with your mental health:

  • Suicide Prevention Hotline: (242)322-2763 or (242) 422-2763 (also known as theNational Hotline for Crisis Intervention)
  • The Community Counselling and Assessment Centre at Sandilands at (242) 323-3293/5.
  • Domestic Violence Hotline – (242) 376-3538
  • Domestic Violence and Counselling and Tips Unit – (242) 604-4300

“If you’re demotivated, feeling flat, empty or meaningless, you might have depression,” reiterates Dr. Potter. “You don’t want to self-diagnose, but if you recognize having any of these feelings, it’s time to talk to somebody.”

Caribbean News

Fighting the fungus foe of the beloved banana

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How Venezuelan farmers are learning to grow and live with a devastating plant disease

 

In the fields of Venezuela, where the banana has been for generations a symbol of sustenance and tradition, a shadow fell across the land. In 2023, Venezuela’s National Institute of Integral Agricultural Health (INSAI) declared a phytosanitary emergency: the fungus Fusarium Tropical Race 4 (TR4) (Fusarium oxysporum f. sp. cubense tropical race 4; syn. Fusarium odoratissimum) had arrived in producing areas in the states of Aragua, Carabobo and Cojedes.

This fungus, considered a devastating disease of banana and plantain (Musaceae) trees, can remain in the soil for more than two decades, threatening production and the lives of those who depend on it.

In the state of Aragua in the north of the country, the Renacer community had been growing bananas and plantains on 20 hectares since 2018. Then Fusarium arrived.

“When the disease hit, the entire plantation began to deteriorate. We refused to ‘die’ with the trees because that was our livelihood. The visits of INSAI confirmed that we had to chop down the banana trees. I cried a lot because I had worked with my banana trees for years,” recalls woman farmer, Lesbia Margarita García, with a broken voice.

In response, INSAI implemented measures to eliminate the affected plantations and improve the soil health by changing to other crops that allow agricultural production to recover. The Food and Agriculture Organization of the United Nations (FAO) offered assistance by providing corn seeds, tools, biosecurity inputs and training, with teams of experts helping farmers to start again.

“Planting corn, thanks to the INSAI-FAO programme, gave us a harvest that benefited everyone. We have been improving the soil,” says Lesbia Margarita with a smile. “Now we rotate crops, observe soil health and have learned how to use natural fertilizers. Expert assistance has been key.”

The pilot project works directly with affected producers in high-risk areas, promoting alternative crops such as cereals and vegetables, delivering inputs and tools to mitigate damage and applying biosecurity measures for safe and effective containment.

“Beyond the corn received, we have already planted cassava, chili peppers, beans and pumpkin. We hope that by the end of the year [2025] we will be diversified and that each season we will have something to sell. These lands do not give up,” says Lesbia Margarita with conviction.

The Renacer community is beginning to see fruits. Their products are reaching local markets, generating income and rebuilding their livelihoods.

Key actions to manage Fusarium TR4 are ongoing, including regular monitoring, continuous training, inter‑institutional coordination, updates to the national plan, information campaigns and producer impact assessments. INSAI is sustaining regulatory, surveillance measures and training —with FAO support—as part of a comprehensive long‑term strategy.

At the global level, FAO supports awareness raising, capacity building and international collaboration in the fight against Fusarium TR4 by facilitating the World Banana Forum and its Global Network on TR4.

“The objective is for countries to strengthen their operational and technical capacity, articulating actions between the public sector, the private sector and family farmers,” says Raixa Llauger, FAO Agriculture Officer in Mesoamerica. “FAO and local partners have promoted this approach in Venezuela.”

As an essential part of the activities, a comprehensive training programme was developed with activities that taught farmers how to identify the disease contain it and protect crops. In addition, FAO has distributed laboratory equipment, biosecurity tools and a multispectral drone to INSAI. Drones are an efficient and cost‑effective tool for phytosanitary surveillance, offering rapid, high‑resolution monitoring and early detection of plant pests and diseases.

Overall, the project strengthened biosecurity measures against the Fusarium fungus through the adoption of the National Action Plan and the establishment of partnerships with national and international institutions. In addition, the pilot initiative supporting smallholder farmers in key production areas and a nationwide awareness campaign with broad outreach improved surveillance, diagnosis and phytosanitary response capacities across the country.

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Caribbean News

Widow’s Testimony Recounts Night Haiti President Was Killed

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MIAMI, Florida — Emotional testimony from Martine Moïse, the widow of assassinated Haitian President Jovenel Moïse, has given jurors in a U.S. federal courtroom a chilling account of the night gunmen stormed the presidential residence and killed the country’s leader.

Martine Moïse took the stand this week in Miami as part of the ongoing trial of several men accused of helping plan and finance the July 7, 2021 assassination, a crime that plunged Haiti into political crisis and remains only partially solved.

She told the court that armed men forced their way into the president’s private home in the hills above Port-au-Prince during the early morning hours, firing multiple shots at her husband while she lay beside him. She testified that she was also wounded in the attack and survived by pretending to be dead until the gunmen left the room.

According to prosecutors, the plot involved a group of foreign mercenaries, including former Colombian soldiers, along with Haitian and Haitian-American suspects. Investigators say some of the men believed the mission was to detain the president, but the operation turned into an assassination.

The Miami trial is focusing on the alleged role of South Florida businessmen and others accused of organizing or financing the plan, part of a wider international investigation that has stretched across several countries.

More than four years after the killing, the question of who ultimately ordered the assassination remains unanswered, with suspects still in custody in both Haiti and the United States as the case continues to unfold.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Caribbean News

Jamaica Joins Afreximbank Agreement, Strengthening Africa–Caribbean Partnership

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CARIBBEAN — Jamaica has become the 13th CARICOM member state to accede to the African Export-Import Bank Establishment Agreement, further strengthening economic ties between Africa and the Caribbean.

The development was confirmed during the 50th CARICOM Heads of Government Meeting, where an Afreximbank delegation led by George Elombi and Kanayo Awani met with Jamaica’s Prime Minister Andrew Holness to advance cooperation.

Prime Minister Holness thanked the bank for its support following Jamaica’s recent hurricane, noting that Afreximbank financing helped restore critical infrastructure including water, electricity, sewage systems and roads, while also assisting reconstruction efforts aimed at building stronger resilience to future disasters.

The meeting also focused on broader development opportunities tied to Jamaica’s membership in the agreement. Discussions included rebuilding and modernising infrastructure such as railways, hospitals and other public facilities, while strengthening regional transportation and trade networks to improve the movement of people and goods across the Caribbean.

Afreximbank has been expanding its presence in the Caribbean as part of its strategy to connect Africa with the region often referred to as “Global Africa.” The bank has already committed billions of dollars in financing and trade support to Caribbean economies in recent years, including funding for infrastructure, trade facilitation and private sector investment.

By joining the agreement, Jamaica gains expanded access to Afreximbank’s financial instruments, technical support and trade networks designed to promote commerce between Africa and CARICOM states.

Regional leaders say the growing partnership could unlock new opportunities in areas such as trade, logistics, tourism, manufacturing and cultural exchange, strengthening economic cooperation between the two regions with deep historical and diaspora ties.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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