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7 Steps: Defeating Depression

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Torn between seeking medical or religious advice to #DefeatDepression?

Dr Muhammad Wajid Akhter says: you don’t have to choose.

“In my role as a general practitioner and previously having worked in acute mental health units, I have seen the profound toll that depression can take on individuals and families. This is especially sad because it is a very treatable condition. This webinar will combine medical and spiritual solutions to help us all begin to #DefeatDepression.”

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Dr Wajid is a medical tutor and a founding member of the Faculty of Medical Leadership & Management. He is also the founder of, and current board of advisors member to Charity Week for Orphans and needy children. www.onecharityweek.com.

Leave your questions and comments below for our Q&A session. Any questions that cannot be answered today will be collected and considered for future sessions and posts, insha’Allah.

 

Keep supporting MuslimMatters for the sake of Allah

Alhamdulillah, we're at over 850 supporters. Help us get to 900 supporters this month. All it takes is a small gift from a reader like you to keep us going, for just $2 / month.

The Prophet (SAW) has taught us the best of deeds are those that done consistently, even if they are small. Click here to support MuslimMatters with a monthly donation of $2 per month. Set it and collect blessings from Allah (swt) for the khayr you're supporting without thinking about it.

41 Comments

41 Comments

  1. Rahana

    November 14, 2015 at 12:59 PM

    How do you explain to family members how you’re feeling if you don’t understand it yourself?

    What if nobody has noticed that you are depressed and instead think you are just being an annoying person and they don’t try to understand why you are being the way you are or that it’s a cry for help, that it’s scary for you and you are having a hard time dealing with just about everything in life at present?

    What if every day is a struggle, from waking up and forcing yourself to get up and out of bed, to dealing with household chores whilst looking after small children?

    • WAJiD

      November 14, 2015 at 2:23 PM

      Walaikum asalaam,

      What you seem to describe is someone who may be sliding into depression (or is already depressed) but both her and her family are struggling to come to terms with this. It is worth having an open and frank discussion explaining how you feel and that you don’t want to feel this way anymore.

      It may take time. They may not accept or understand at first…. But do not give up.

      Then I would advise seeking help locally –> From an Imam you trust, from relatives or friends who DO understand what you are going through and from the medical community.

      Remember, you will get better inshaAllah. The only question is how long it will take.

  2. D.S.

    November 14, 2015 at 12:59 PM

    I would like to talk to someone but am ashamed to because I don’t want my family to think that there’s something wrong with me. But I don’t want to talk to a traditional American mental health professional because they don’t have any insight into Islam, and might blame it as the cause of my problems. Are there any options for me?

    • WAJiD

      November 14, 2015 at 2:30 PM

      Walaikum asalaam,

      There are always options inshaAllah.

      Regarding your family – they may already sense that there is something wrong. Many people worry about their family reaction, but no one in the world cares more for you and your health like your family does. They are the people most likely to help, even if they don’t understand or accept first.

      Regarding non-Muslim mental health professionals – being a professional means that they should not belittle the faith or culture of their patients while treating them. If they did so, they would likely get into trouble. You’ll be amazed at how far non-Muslim professionals may go out of their way to avoid showing any disrespect to our faith. I would not let this be a barrier. However, there are many Muslim mental health professionals around too. But do not discount a helper because of their faith, just like they should not discount a patient due to theirs.

      In the end, the person who has to do most of the hard work is yourself. Everyone else is their to help.

    • Amir

      November 19, 2015 at 10:45 PM

      Why not take a look at http://www.educatedanxiety.com. I started this to be a community of people dealing with anxiety and depression issues, from a muslim perspective. I have been suffering a lot, and I want to come together where we can eventually establish a solid community, and provide some avenues of relief.

      • WAJiD

        November 23, 2015 at 6:21 AM

        Walaikum asalaam,

        Such self help groups and websites are a real treasure MashaAllah. It is an important and vital tool in the arsenal of weapons to overcoming / living with mental health issues.

  3. R

    November 14, 2015 at 1:09 PM

    My marriage is suffering. It’s so hard for my husband and children but I do not know what to do about it :(

    • WAJiD

      November 14, 2015 at 2:33 PM

      Walaikum asalaam sister,

      I feel for you. I really do. That one sentence contains oceans of sadness.

      My advice is simple and easy.

      Seek help.

      For the sake of your marriage, your children and yourself… seek help.

      Seek help from a local Imam who will be able to guide you spiritually through the difficulty,
      seek help from your friends and family who understand what you are going through,
      seek help from the medical professionals (therapists/ doctors) who will be able to help.

      May Allah protect your family and bring back happiness to your lives.

  4. R

    November 14, 2015 at 1:18 PM

    That is exactly what some people think, that I’m not grateful for what I have!!!

    I am suffering from so much pain in my body, I can’t do a lot of the things I used to be able to and I am so frustrated, mainly with myself, which then leads me to take it out on those who are closest to me. My illness/illnesses are so bad, which then manifests itself as an ugly, hideous person that even I don’t want to be around.

    I have changed so much! I’ve become anti social, angry and frustrated. Everything is so difficult for me to do on a daily basis. I need help! It’s destroying my family!

    • WAJiD

      November 14, 2015 at 2:39 PM

      Walaikum asalaam,

      Chronic pain and frustration can often lead to depression. And you are right, this is NOT you. This is a disease and it can make you behave in ways that do not reflect who you are.

      If it is difficult for you to understand how and why this happened, imagine how much more difficult for the outsider to do so. This is where unhelpful comments like the ones you mentioned come from.

      You have already done the hard part. You have accepted that you “need help.” Now, get that help, take that help and start the first steps towards defeating the depression.

      I would advise getting help from your local medical professional, your local imam and your friends and family. Like I said, you will beat it inshaAllah. It is only a matter of time.

  5. Zainab

    November 14, 2015 at 1:47 PM

    as salamu ‘alaikum. I am currently on sertraline for anxiety/depression. I tried to do without it for some time, using natural methods…exercise, diet etc. It has helped a lot, and I am now able to work on thinking positively when before I couldn’t even focus…no appetite, no sleeping, forgetful, bored of life.

    Alhamdulillah I am glad I went for the medicine, though reluctantly. Now my question is, what should I do when weaning off the medication in 4 months to not fall back into the condition…what kind of support from others, activities should I partake in to keep myself in the direction of healing…

    jazak Allah khair

    • WAJiD

      November 23, 2015 at 6:30 AM

      Walaikum asalaam,

      In terms of weaning off (it is actually very simple to do so) I would recommend that you do this when your doctor advises you it is the right time. He or she will be an objective 3rd party and can be frank with you. I personally like to leave the medication for a little longer to be sure that we didn’t wean off too early. My senior colleagues would advise me that it is better to wean off during the spring as most people feel naturally more positive in the summer and have more to look forward to.

      With regards to what you can do to cement the recovery, it is very personal to yourself. Counselling and psychotherapy is very good, but changes in your lifestyle (exercising, having a break in the week, planning a holiday etc…) are also useful.

  6. M

    November 14, 2015 at 1:56 PM

    Jazak Allah Khair for this brother, may Allah bless you! You have no idea how much this helped!
    I have noticed sometimes it’s the family that might be a cause behind one’s depression. Family is your first line of defense, it can make or break you. But what if it’s your family that the reason behind your biggest problem? How should one deal with it?

    • WAJiD

      November 23, 2015 at 6:37 AM

      wa iyakki. thank you for your kind words.

  7. someone

    November 14, 2015 at 2:01 PM

    Is it okay to use medical marjuana as a form of relief from depression?

    • WAJiD

      November 14, 2015 at 2:45 PM

      Walaikum asalaam,

      I am not a faqih, but as a medical doctor – the current view is that Marijuana (medicinal or not) is actually more likely to cause depression, paranoia, schizophrenia and many other mental health disorders.

      This is the guidance from the Royal College of Psychiatry in the UK:
      http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/cannabis.aspx

  8. zainab fida ahsan

    November 14, 2015 at 2:01 PM

    Q. Any naseeha for someone wanting to overcome procrastination but seems to be getting back to square one quite often?

    • WAJiD

      November 14, 2015 at 2:50 PM

      Walaikum asalaam,

      This is not strictly a mental health question, so the answer is my own personal view.

      Procrastination is common and sometimes the way of the mind getting you to take a mental time out…. but it can also be the luxury of those who have no goal in life or no urgency to reach it.

      If you find yourself procrastinating often, then either get a goal (if you do not have one), change it (if you do have one and it doesn’t inspire you to apply yourself) or change how you try and reach it.

  9. S

    November 14, 2015 at 2:03 PM

    I am depressed but I feel I have to hide it because family don’t understand and don’t want to help.

    • WAJiD

      November 14, 2015 at 3:02 PM

      Walaikum asalaam,

      I don’t know your specific situation so it is difficult to give advice. However, often we misjudge our family. They are the ones most likely to help and most able to help too.

      Hiding it is also difficult to do because they often know that something is wrong.

      But they may be scared on how to bring it up or make it a big deal and you may be scared how they will react.

      In any case, I would ask you to seek help locally inshaAllah and your local imam, therapist or doctor will be able to help you bridge the gap inshaAllah.

  10. E

    November 14, 2015 at 2:09 PM

    Thank you so much!
    May Allah reward you

    • WAJiD

      November 23, 2015 at 6:41 AM

      you’re welcome. jazakAllah khairun for your duaa

  11. A.S

    November 14, 2015 at 2:22 PM

    I would like to talk to someone about my issues. Can you recommend someone in Atlanta, GA?

    Thanks

    • WAJiD

      November 14, 2015 at 2:53 PM

      Walaikum asalaam,

      Unfortunately I don’t know anyone there. The likelihood is that someone in your community will be able to point you in the right direction much better than someone outside it.

      Just like when we go on holiday, you pay much more attention to the views of the locals about a restaurant and that of other tourists – similarly people in Atlanta who have experienced depression and got better will be able to recommend a counsellor /therapist/ medic/ community worker.

      I pray that you find the best people to help you, and in the end you overcome it yourself anyway.

      • A.S

        November 14, 2015 at 3:19 PM

        I am REALLY REALLY impressed by your prompt responses.

  12. Anonymous

    November 14, 2015 at 5:32 PM

    I think I’m Bi-Polar. I’ve self diagnosed myself couple of times and most results indicate that I’m extremely Bi-Polar. My mind keeps toggling everyday, I’ve a thousand thoughts racing on my mind and I’m unable to take and make any decisions. My condition sometimes makes me overly Islamic and sometimes close to being a bare minimum Muslim. I’m totally awkward and a big loser. I keep comforting myself that since I’m mentally sick, I don’t have to achieve and this also results in me having low self esteem and terribly low confidence. Many times I’ve also had suicidal thoughts, I’ve inflicted myself with wounds through sharp stuff.

    What’s the Islamic ruling on Bi-Polar? And do I seek medication? Alhamdulillah, I’m technically very sharp and also an Entrepreneur (having worked as an IT Engineer for many year).

    My mental illness is killing me terribly and making me a loner that sits glued to my PC, or smoking to release out my anger or frustration of not succeeding well (or whatever).

    Your insights would be of great help.

    JazakaAllah.
    Anonymous Bi-Polar

    • WAJiD

      November 16, 2015 at 4:01 PM

      Walaikum asalaam,

      I cannot speak of Islamic rulings as I am not a faqih. All I will say that fluctuations in Iman are not a sign of bipolar though and are natural to an extent.

      And I think it would be unwise of me to diagnose you virtually and also for you to self-diagnose yourself.

      There is one thing I can say for certain from your comments – you need help so that you can get an accurate diagnosis and help to overcome this disease.

      Seek help from a doctor/ psychiatrist/ therapist regarding your symptoms and begin the process of defeating it. Believe me, the number one thing most people say once they recover is that they wish they had sought help sooner.

      Just take the first step inshaAllah. I hope this is of some benefit.

      • Anonymous

        November 16, 2015 at 5:59 PM

        JazakaAllah Khair for your reply. I’ll go consult a Psychiatrist InShaAllah.

  13. nana

    November 17, 2015 at 7:56 AM

    As salamu ‘alaikum
    Glad that I stumbled upon this articles. I’m so depressed with my assignments and final year project. I’ve tried to do it little by little but seems like it doesn’t works at all. I have more than 15 assignments that needs to be submit on next week, research
    presentation and mid term test. I feel like I can’t do anything at all. I’m trying my best to get it done as soon as possible but I feel like this is just too much for me to handle. I can’t rest at all. I’ve been sleeping only for 2 hours this past weeks but still I can’t finish it at all. and the worst thing is I found myself in a constant grief. idk why but my chest feels so stuffy. I can’t concentrate while perform my prayers. I just can’t stop thinking about my undone works. Some people may think that this is just a trivial matters as a student but this is indeed something bigger for me. It’s not just that, I have a problem with my family too. Losing my father is not an easy thing to deal with.

    • WAJiD

      November 17, 2015 at 11:00 AM

      Walaikum asalaam,

      SubhanAllah – a hectic assignment schedule and the loss of your father is enough to make anyone feel low.

      I have a few recommendations that may or may not be useful:

      – The best way to devour a whale is one bite at a time. Don’t look at the 15 assignments that you have but the 1 that you have in front of you

      – Prioritise your assignments in order of most important or due the soonest

      – Escalate early. If the number of assignments are beyond your ability complete, an email to a tutor or anyone else with pastoral responsibility for you to highlight this may help them give you an extension

      However, it is difficult to judge whether you are under stress due to the situation you are in, or whether something more long term is at play. If, after you finish this busy period, you still find yourself with that “stuffiness” in your chest and you do not feel much better – seek help. Whether it be a doctor, a therapist, a teacher or family member … take that step.

      May Allah make your affairs easy for you.

  14. LAILAM

    November 17, 2015 at 9:16 AM

    ASWR
    CURE FOR DEPRESSION
    I WAS DEPRESSED FOR 36years TAKEN LOADS OF MEDICATION WHICH USED TO MAKE ME MORE DROWSY COULD NOT CONCENTRATE ON MY SALAT LOST INTEREST IN EVERY THING
    RAMADAAN 2014
    FIRST TIME IN MY LIFE I PRAYED TAHAJUD BEFORE SUHUUR
    I CRIED SO MUCH TO ALLAH SWT TO CHANGE MY LIFE
    TO CONTINUE PRAYING NIGHT PRAYER PLUS READ AND UNDERSTAND QURAN
    AND TO FAST EVERY TUESDAY AND THURSDAY
    MAKE ZIKR ALL DAY
    ALLAHAMDULLA THIS HAS CHANGED MY LIFE COMPLETELY
    ALL MEDICATION GONE IN THE BIN
    WHEN I CANT SLEEP I JUST READ THE GLORIOUS QURAN
    THATS WHERE ALL THE CURES COME FROM

    • WAJiD

      November 17, 2015 at 11:25 AM

      Walaikum asalaam,

      MashaAllah, this is wonderful to hear. Of course, who would disagree that the shifaa and cure is from Allah and that the Quran and the remembrance of Allah gives peace?

      However, I would say that just because medications were not part of the solution for you does not mean that they won’t be for others. There is nothing wrong with the medication inherently and (according to research and their chemical properties) they do not make people drowsy, lose interest in things or lose concentrations. In fact, those are the clinical features of depression that you are describing.

      In any case, I am very happy that you have got better without medication but that does not mean others will not benefit from them.

  15. Noork

    November 17, 2015 at 9:52 AM

    I had a question about people suffering from mental illnesses that may have confused their situation with black magic and are therefore unable to face the fact that they are suffering from a mental illness, what advice would you give to help someone see their situation for what it is. Thank you.

    • WAJiD

      November 17, 2015 at 11:28 AM

      Walaikum asalaam,

      In Islam, the existence of black magic is real. So is the possibility of it affecting human beings in certain circumstances.

      However, it would be a tragedy to confuse a mental health illness (which is far more common being one of the most prevalent form of illnesses on Earth) with the much rarer black magic.

      This is why it is important that if someone is confused which they or a loved one is suffering from, they will do well to see an Imam and a mental health professional. Between the two they will be able to advise accordingly.

  16. Shareen

    November 17, 2015 at 1:11 PM

    Allah is always with us. What we need is patience and completely trust over Allah. HE always has a big master plan but we people failed to understand that. I got depressed because my parents arranged my marriage many times but before any good thing happen there comes any disaster and spoiled my family’s dreams. Sometimes in depression I’d like to stop doing namaz . After that I realise how stupid I was and completely turned my mind,body towards Allah. Now Allah has gifted me a good man who respect me and we are gonna marry very soon. May Allah bless everyone with good mental and physical health.
    Jazakallah

  17. Aafia

    November 18, 2015 at 1:22 AM

    I really appreciate this webinar.
    I have an advice for my sisters:-Dear Sisters ,we will never be happy with our Marriage everytime.Life has its own ups and Down.Ignoring is the best Policy.The more you tell the People about your Problems and discuss about it,the more you would feel lost.One thing I remind myself in time of distress is-“The Price of all this little troubles in my life is Paradise.Allah has Promised Paradise to a Woman with whom his husband is Pleased.So,Naturally it is not easy to keep him pleased everytime otherwise Allah wouldn’t have Promised such a big thing to us if that was so easy.”Just smile and forget.Everything heals with time.

  18. MsDee

    November 18, 2015 at 8:40 AM

    Assalamualaikum wbt.

    R’s comments above could have been written about me. I have always suspected that I suffered from varying degrees of depression ever since I gave birth to my first child 8 years ago. It all started from really really bad postpartum which sadly, was exacerbated by my own family member, my mother. I believe I was so scarred from this that it carried over to my firstborn (I breastfed him throughout, and I have heard people say that our emotions carry to our child during nursing. No wonder my son is so emotionally vulnerable until today).

    From then, I think I have never been able to quite fully recover from my up up and down bouts of depression, and I have tried to deal with it as best I could. Of course, I never sought professional help because of the stigma and because I was made to believe (by myself and others who were well-meaning) that it was all in my mind and I was allowing my emotions to take control of my life.

    The sad thing is that I often take out my frustrations on my closest family members – my children and my husband. I have no family support save for my husband (I swore after my experience with my mother after my first child that I would never seek help from her again, and she isn’t complaining). Instead my family (parents and sibling) load me with their problems with no regard as to how I feel, so I often feel like I’m sinking or even slowly and painfully sliding into madness. My husband is empathic as best as he can be, but he’s just human, and when the battle is between me and him, he tells me that it’s all up to me and I just need to get a grip of myself. He doesn’t understand that I want to but I can’t. That has always been the crux of our fights during our marriage, especially after my first child.

    And then recently was the worst. I have been put on some medication to lower my estrogen levels for medical reasons and that has wreaked havoc with my hormones. Less than 1 month into it and I have slid into the very pits of hell. This has been a very testing couple of weeks because whatever depressive (but suppressed) emotions I had before this are now manifesting themselves and I have little control over it. I have been consulting my obgyn on a few occasions since, and told her that I do not want anti-depressants, but it had been very difficult. And so I have been trying to find alternative ways to resolve this. Your webinar however, has made me feel a little less frightened about anti-depressants (at the back of my mind, I feel as if perhaps that may be the only thing that can work, but I tried to banish the thought).

    Finding people who understand and be supportive has also been very difficult, but my husband has a better idea now and is trying to do better at this. Other than him and one Muslimah sister whom I am very blessed to have in my life, that’s it. Rightfully that should be enough isn’t it, but I think at the back of my mind I still carry the heavy sadness that I could not find that support from my own parents and that they would either never believe it something if I were to tell them this, or they would not pay much heed to it as they are more focused on their own issues. I know that is also my great test as their daughter, but it does make the relationship a very difficult one to carry. :'(

    Pardon the lengthy comment. Your webinar struck a nerve, Masha’Allah.

    • WAJiD

      November 18, 2015 at 4:18 PM

      Walaikum asalaam,

      SubhanAllah. So much suffering and so much strength.

      I am glad that the webinar helped you become a little less worried about medication, but remember – discuss with a specialist first if that is the best option or whether counselling is better or even both together.

      When it is your own family member that you feel has helped trigger the depression or exacerbated it, it can be very difficult. However, for good mental health – I would always advocate rebuilding relationships especially within the family. It can be through small and simple steps and it may take some time, but it is important. I believe this is one of the reasons that the Prophet (SAW) forbade cutting off ties of kinship.

      Remember, depression and low mood is not a once in a lifetime experience. Like chest infections or broken legs, you may get it again but the important thing to remember is that YOU WILL GET BETTER again inshaAllah. This is not me that is saying this, but Allah says this in the Quran and any mental health professional will tell you this as well.

      • MsDee

        November 19, 2015 at 8:13 AM

        Jazakallahu khayr. I take great, great comfort in the fact that you took the trouble to reply to my comment. May Allah bless you for your efforts to help us, aameen.

  19. Amir

    November 19, 2015 at 10:57 PM

    My issues most recently have been with my relationship with Allah and Islam. I have fallen into the lowest point of depression, despair, over feeling rejected by Allah in my relationship with Islam. I am a full time Islamic studies student living in Saudi Arabia, and I am totally feeling rejected and demotivated to study because I have not found the comfort in Islam I once had, with so many confusions and demotivations, and an overall feeling of decline in religion to the point where I feel rejected and not good enough, even for Allah. the fact that the Quran provides cure is established, yet, I have never been more unhappy in my life just having Allah and trying to come closer to Him. Feeling pushed away, adds to my old beliefs that I am not good enough, no matter what I try or do. Also dealing with so much stress and pressure in religion, that I have felt like giving up completely because of all the stress.

    Anyways, I started a blog and community for sufferers dealing with anxiety and depression issues, from an Islamic perspective. http://www.educatedanxiety.com. Please join the community and I hope that we can start developing that community and help each other survive. Any imams or psychologists are welcome as well, to increase the help and support would be a great thing.

    Counseling and Therapy gets to be expensive, and I feel that having this avenue will do wonders for us.

    • WAJiD

      November 25, 2015 at 2:19 PM

      Asalaam alaikum brother Amir,

      I would like to make a point that I also made in the webinar – be careful of turning your low mood into a spiritual crisis. Us Muslims, we are spiritual beings and many times we have a crisis in one area of our lives (our health, finances, relationships etc…) and we manage to transform it into a crisis of faith.

      It need not be that way.

      This is not to say that spiritual crises exist. They obviously do. However, if you are feeling low or flat – seek help from mental health professionals first and when you are better, then it will be interesting to see if those spiritually low feelings still are present.

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