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When the drugs don’t work

Feeling depressed has many causes, many of which are not obvious, writes Mental Health Practice editor Colin Parish
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As the days got shorter at the end of autumn last year my mood began to dip. I don’t enjoy winter as much as summer, but this felt different.

Colours faded, enjoyment seemed hard to achieve and my emotions fell flat.

I noticed that whenever people greeted me with a cheery: ‘Hello, how are you?’ I heard myself say ‘I’m alive,’ as if that was all I could really claim to be true.

People who know me well noticed I was not my usual happy self, but I shrugged it off as being the result of stress, the ageing process and a minor heart problem that means I cannot run or ride my bike.

But it got worse.

My morning commute seemed longer, work became harder and the sun lost its warmth. I felt emotionally disengaged from people around me.

As Christmas approached I

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