Hia, just thought I'd dip in because depression has become a big part of my life as well. My mum, who is a UK GP (doc) herself, up until 2 weeks ago just spent 4 months in a mental hospital. Her depression had been building and building over the years, she had developed 'immunity' as Graeme described, there is alot of inward turned anger and frustration, but ultimatley the last year and various 'sources' as you say contributed to her not being able to withstand the depression - initially to me it seemed like she was having a breakdown - but one like a whirlwind.
Anyway after a year full of lots of events, she progressively got worse and more erratic, isolated herself from people who could help further. At christmas she ran out of energy I think, she basically wasnt sleeping. She had finally acknowledged that she had been suffering from depression for the bulk of her life just before this and saw a recommended pscyhiatrist (let me tell you docs are the Worst patients!). Thankg he realised how severe her depression had become, I certainly didnt know what to do and hadnt even considered the idea that hospital was an option. But anyway what I was leading to was that my mum had entered what I refer to as a 'catatonic state', she was basically numb, lifeless, but not (crying, not coping, social phobia). Just after xmas I took her to be sectioned (voluntarily) so yes she was suicidal. I was obviously desperate that they help her, and knew about most of the past issues that I believed to be the root cause of most of this - and yes agree she is on route for it to take about 3 years for her to deal with. But to get to that point required medical help, not just therapy. I got so frustrated why they were just doing the medical therapy, thought they were wasting their time, they didnt care enough. But now that we are through that stage of it, my mum is realising about her problems and is committed to dealing with them, I can look back and realise the importance of what the doctor did.
He diagnosed her with acute 'clinical' depression. So I suppose this is where it could vary, if we havent got a miscommunication between countries. There was no way my mum was ready or in any fit state to begin to look at her problems until she was in a state where she was relatively stable and 'awake'. I was wary of anti-depressants, she had been on them for years and so couldnt really say they worked (and I really believe they caused the severe nightmares that lead to the lack of sleep the nov/dec), but they tried new ones, she's still on them. But they also tried ECT. I, had NO clue that this was still a method, or that even had really been a serious one, and I don't think I am prepared to watch 'one flew over the cuckoo's nest' just yet. It was the thing that got my mum out of the severe state she had been in, almost physically pain free. Though it was only after the course of (12) she had been on was that realised extent of 'short-term' memory loss that been warned could happen. What I'm trying to say though is that, at least in this case, therapy was not enough, medication was needed. but they still don't really have a clue what they are doing, thats the dangerous part. They haven't got a scientific explanation for ECT (which btw is electro-convulsive-therapy) beyond speculation about 'fits', the anti-depressants are hit and miss, with some potential badbad side-effects depending on how the patient reacts and that they may not have even realised about yet, and thats not even mentioning all the older ones which were even more dangerous. I'm sorry to hear about your dad. I'm an advocate for medical therapy now that its worked for my mum, but still very wary about whats developed. it seems like stuck in a rock and a hard place.
Mental health is certainly something that is not understood enough, by docs and the general public. and more common than people will admit (if they recognise they have such conditions at all).
Sorry for the long post, got carried away. had other points to add to the original topic but forgetton what, so will maybe add later.
Celia
"BTW, this are just examples from my personal experiences. In my long and diverse professional activity, I had the chance (or the mischance !) to manage a General Clinic with 45 beds and 2 operation-rooms during more than 4 years. Crazy world ! and the patients are not the craziest :wacko"
and yes, from all my exposre to the medical world, that description definetly fits.
(havnt quite got the hang of this very complicated quoting system yet ).