Bespoke Therapy


We are very experienced in working with Depression at Bespoke Therapy.

Depression is at an epidemic proportion globally and in the top 3 problems we work with on a day-to-day basis. Even though anti-depressants can be helpful and are generally given out to people because approximately 1 in 4 are suffering this horrible condition at any one time, there is still a stigma attached to it. Anti-depressants will generally take the edge off of depression, but they will not solve the problem only mask symptoms and leave you suffering on a long-term basis unless you do something else to help you. There is no single cause of depression, it can be reactive depression, brain chemical imbalance, hormonal, genetic, current long-term issues or historical emotional problems.

What Depression Feel Like?

Crushed, overwhelmed, devastated, torn, these waves of feelings wash over those who suffer, blinding most if not all vision and hope. 

There is so much to say about Depression that we cannot cover all of the information in depth on our web site. 

We will try to cover the basic types, causes, affects and methods for recovery, also keep the information relatively straightforward because it can become complex.

The stigma still attached to depression brings with it misconceptions and misunderstanding.

Prevalence of Depression

While anxiety disorders are the most common mental illness, depression is not far behind. Here are the current depression statistics:

  • 300 million people around the world have depression, according to the World Health Organisation
  • 6.7 percent of all adults in the country—have experienced a major depressive episode in the past year.
  • 2 million UK adults experienced an episode that resulted in severe impairment in the past year.
  • Nearly 50 percent of all people diagnosed with depression are also diagnosed with an anxiety disorder
  • It’s estimated that 15 percent of the adult population will experience depression at some point in their lifetime.

Seasonal Depression

Depressive disorder with seasonal pattern (formerly known as seasonal affective disorder) is a pattern of depressive episodes that occur in line with seasonal changes. Most commonly, it is diagnosed in winter in people who live in colder climates.

Although the stigma of mental health and depression prevents a lot of people looking for help we cannot get away from the fact that people have about a 20% chance of suffering with Depression in one form or another in their life time. It does not mean madness or insanity.

Often called " the Black Dog" depression is very difficult to define, it can be like a moving invisible fog coming from nowhere, settling on you, then either moving away or staying for days, months or even years. Sometimes it is a reaction to a life event and this is normally easier to work through. The trouble is, it does not just settle on and in your head, it invades your whole body including the way you think, your mood, bodily functions, perceptions, rationality and so on. The worst thing to say to a depressed person is pull your socks up, shake yourself off or pull yourself together, it just does not work and in a lot of cases makes the sufferer feel even worse. One of the other horrible effects of depression is the level of suffering. The symptoms vary considerably from person to person, although generally there are some common denominators. A majority of the time a sufferer will not understand it, unfortunately this makes it very hard for the carers of depressed people to have enough patience and the required coping/helping skills to ably give the right type of support. The key word for any carer is patience because what you see and hear from the sufferer simply may not make much sense a lot of the time. 

Typical Symptoms of Depression

All of the above symptoms can join together in changing the inner and outer world of a person suffering with Depression, it could be described as a nice little snow ball beginning to roll down a hill, but by the time it arrives at the bottom it is huge and uncontrollable.  It also takes a very long time to melt back into the nice little snow ball you had at the beginning.

It is estimated that 5-10% of the population suffers from depression and needs help at any one time (that is this minute).  This means that in a crowd of 50,000 at a football match as many as 5000 may be depressed. This is on a growing trend and it will become the second most common illness after heart problems within a years. 

  • The average age to start suffering is between 20 and 40 years, and 20% of people are between 35 and 44.    
  • It does not matter if we are male or female, what our background is, how much money we have etc. Depression shows no respect and doesn`t discriminate. 
  • It costs the UK about £9 billion per year in medication and time off work.    

Women Are More at Risk Than Men. 

In some studies, women with Depression out-number men 2 to 1, especially at certain times of their life. The days and weeks following childbirth and menopause are the main factors. Depression and irritability are common symptoms of pre-menstrual syndrome and it is said to be precipitate in some women by oral contraceptives. In England alone there are over 1000, new cases per week of Postnatal Depression and many are still unrecorded or undetected.   

Many famous people throughout history have suffered, here are just a few.  

  • Winston Churchill                                    
  • Vincent Van Gogh
  • Ludwig van Beethove                      
  • Abraham Lincoln              
  • Mark Twain             
  • Oliver Cromwell             
  • Isaac Newton 
  • Les Dawson                                     
  • Stephen Fry
  • Angelina Jolie
  • Will Smith
  • Robin Williams

A major Depression is usually recognised as a combination with 5 symptoms that occur together and last for at least a two week period without any significant improvement. Below we have listed some the main symptoms that generally need to present in a two-week period. 

  • Loss of interest in everything, even hobbies etc.
  • Continually sad, anxious, depressed, irritable.
  • Pessimistic, no hope, can`t be bothered, don`t care.
  • Feeling worthless, helpless, useless, and dead inside, unemotional, guilty.
  • Restless, agitated, stressed, not concentrating.
  • Loss appetite and loss of weight, conversely over eating and weight gain.
  • Loss of memory, unable to make simple decisions, can`t think straight.
  • Loss of energy, chronic tiredness, over sleeping, under sleeping, (insomnia).
  • Markedly lower hygiene standards, shaving, washing etc.
  • Constantly thinking of death, suicide, or just not wanting to be here anymore, it`s just to hard and I want some rest from it.. 

This list is just for your information and offered to increase your understanding, if you are in any doubt about yourself or another person please ask for advice or make an appointment to see your doctor and Bespoke Therapy. 

There Are Many Different Categories For Depression.

Uni-polar (Monopolar) Depression (20% of people)    

Clinical Depression

Reactive Depression 

Endogenous/Autonomous/Psychotic/Biological Depression 

Neurotic Depression: 

Organic based Depression 

This is caused by illness, such as strokes and cancer or the effects of the drugs and medication. 

Chronic Depression 

Bipolar Depression (Manic) 

Seasonal Affective Disorder (SAD) 


Bespoke Therapy will help with Mindfulness, Cognitive Therapy and other positive techniques such as, relaxation, body awareness, challenging negative thoughts etc. A lot of Depression is caused by unresolved pain and anger either from the past of in present.



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