Every individual diagnosed with diabetes should follow up with a psychiatrist or psychologist. The burden of managing a chronic illness like diabetes, combined with the normal stressors of life, can be overwhelming and lead to depression. Establishing a relationship with a psychotherapist before problems arise is crucial. Preventive mental health care can help individuals cope better when significant life stressors occur, as seeking help during a crisis can be challenging.
The Link Between Chronic Illness and Mental Health
Chronic illnesses, including diabetes, are often associated with chronic inflammation. The inflammatory molecules released as part of the disease process can contribute to feelings of mental unwellness. The fatigue and low energy experienced during a common cold are due to inflammatory cytokines. Similarly, people with chronic illnesses have these inflammatory cytokines present chronically, affecting their mood and mental health.
Preventive Mental Health Care
It is beneficial for individuals with diabetes to engage in weekly psychotherapy and consider taking antidepressants, such as SSRIs, even if they currently feel well. Addressing mental health needs before they become critical can prevent potential crises. Combining drug and talk therapy early can help avert a mental health crisis, particularly given the biological impact of diabetes on mood.
Managing Life Stressors
Diabetes management can become particularly difficult during significant life stressors, such as a divorce. In the United States, medical expenses are a leading cause of bankruptcy, and the financial burden of managing diabetes can exacerbate stress. A significant life stressor, combined with diabetes management, can turn a manageable situation into an overwhelming one. Early and regular psychotherapy, along with pharmacotherapy, can reduce the likelihood and severity of such crises.
Breaking the Stigma
Patients should be open about their diagnosis and participation in regular psychotherapy and antidepressant treatment. They should not feel apologetic about seeking help for their mental health. If friends or family express stigma, patients can explain that depression related to diabetes has a biological cause, not a sign of mental weakness. SSRIs help restore natural biochemical levels. Once the initial stigma is overcome, patients can encourage their loved ones to consider psychotherapy during difficult times in their lives.
Conclusion
Diabetes significantly impacts both physical and mental health. Establishing preventive mental health care through regular psychotherapy and appropriate medication can help individuals manage the emotional burden of the disease. By addressing mental health needs proactively and breaking the stigma surrounding mental health treatment, individuals with diabetes can improve their overall quality of life and resilience in the face of life’s challenges.
