We are aware some users might find it difficult to log into our site. We are working on this issue and hope to have it resolved shortly.

When the drugs don’t work

Feeling depressed has many causes, many of which are not obvious, writes Mental Health Practice editor Colin Parish

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


Want to read more?

Unlock full access to RCNi Plus today

Save over 50% on your first three months:

  • Customisable clinical dashboard featuring 200+ topics
  • Unlimited online access to all 10 RCNi Journals including Mental Health Practice
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • NMC-compliant RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests

This article is not available as part of an institutional subscription. Why is this?