http://www.detroitbusinesstoday.net
| Downturn leaves men in recession depression |
| Inability to work and support family becomes a health issue |
| Published Thursday, January 7, 2010 7:02 am |
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| FILE PHOTO |
| Urban League of Central Carolinas CEO Patrick Graham leads the organization’s job development program, which helps clients build competitive workforce skills. |
Dontavious Clyburn said being without a job made him feel like less than a man. “I was a high school dropout with no skills. I was tired of struggling, begging for help and facing my children without feeling any pride about myself,” he said.
Clyburn’s experience isn’t uncommon among African American men. According to a study conducted by the Urban League, 30 percent of black men are unemployed, and for many the effects are emotionally devastating.
Urban League of Central Carolinas CEO Patrick Graham said being unable to provide for a family is “psychologically damaging” to a man.
“You begin to view yourself as less than human when you are not able to provide for your family,” he said.
For many men, the stress leads to depression. An estimated 6 million men are living with depression. Many experts believe those numbers are much higher because it is so underreported, especially in men. Men are less likely to talk about it or ask for help.
“There is a very strong aversion or apprehension for men to speak about depression,” said Dr. Steven Gilchrist of Blakeney Family Physicians Steelecroft.
Gilchrist said men often internalize their feelings, which is one reason why suicide rates for men are nearly three times higher than for women.
“With the African American population, particularly in Charlotte, there is a high rate of depression among men, and again most of it goes undiagnosed,” he said. “Sometimes there is even more of a stigmatism among African American men as far as going to the doctor’s office versus any other race. And they are typically more chronically and severely depressed by the time they reach our doors.” he said.
Gilchrist said extensive studies have linked unemployment to increased levels of stress and depression.
“If you break that down into communities certainly the African American men will rate pretty high on that totem poll,” he said. “Within the (black) community there is a strong stigmatism against not being able to provide for the family.”
Clyburn sought help through improving his situation. He enrolled in the Urban League’s Youth and Professional Empowerment Program, earned a GED, and became a certified technician with GTI Communications. He also married the mother of his two sons.
“I got my dignity back,” he said.
Men and women experience depression differently. Common symptoms include crying spells, feelings of hopelessness, change in mood, loss of interest in daily activities, weight loss or gain, or decreased communication between loved ones. Sometimes there are even physical ailments and pain.
“The number one symptom that you will probably see in men is insomnia or a lack of sleep or sleep disturbances, where they may go to sleep but there are frequent awakenings throughout the night,” Gilchrist said.
“Fatigue is another huge symptom, and sometimes instead of lack of appetite, you will see an increase in binging or overeating.”
“The things you have to recognize are a change in behavior. Especially if the change is long term, for four weeks or greater,” he said.
Gilchrist said that if a man experiences these symptoms he should talk to a doctor, but the misconception that depression has to be treated with prescription medication deters many from seeking help.
“That is not the only treatment,” he said. “Most of our job is therapeutic. One thing that is highly important is for the spouse or at least one member of the family to contact the physician and actually go in and talk with the physician to help facilitate what the real problems and issues are. That shows a strong sense of support. It also gives the person a confidence level that they can open up.
“Another thing I recommend for families is that exercise and diet are so important during a very stressful period of your life,” he said.
Gilchrist said there are a lot of resources online about depression.
“It is important to recognize the signs and symptoms, and once those signs are recognized, even if it’s not true depression, it’s probably a good idea to contact a physician at that point,” he said.
“Other things that I find to be helpful include talking to someone that you trust such a friend or a pastor to provide some type of support. It is important for people who are depressed to have a good support system. That is one of the ways that we initiate therapeutic treatment. The more people that show compassion, the better the outcomes are for most patients.”
Is it just stress?
Stress and depression have similar symptoms, but they have very clear distinctions. Knowing how to determine the difference is key in treating the problem successfully.
“Stress and depression sort of overlap many times. But you really want to make a distinction,” said Gilchrist. “Most of the time with stress, people are able to handle it and it does not affect their daily routine. This is typically a temporary situation. But with depression it is typically always going to be greater than four weeks. Typically it will affect the lifestyle of that individual whether it that’s the workplace environment, whether it’s the home environment or whether that’s the person’s health in general. So if that stressful situation or stress is present throughout an extended period of time and it starts to affect other facets of that person’s life, certainly this needs to be evaluated further for depression and I recommend that be done by a medical profession.”
