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Old 05.02.2018, 14:30
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depression - seeking for professional support

Hello,

I have a Japanese colleague (expat) who works with me.
Recently, we had the opportunity to chat a bit, and he told me he is facing a deep depression and seems that he is on the way to a burn out.

since he is alone (in general) and quite lonely, I would like to help him to seek a professional help.
I think in this case it should be an occupational psychologist, or someone in this direction, who can treat high stress, burn out and depression resulting from the working environment.

can anyone recommend such person/institute?

My colleague doesn't speak any German, and therefore it should be in English or Japanese
Preferably, in the area of Luzern, Zug or Zurich

Thank a lot
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Old 05.02.2018, 14:54
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Re: depression - seeking for professional support

Do you work for a big/international company? An anonymous Employee Assistance Program might be in place, perhaps not in your location but globally. They could help him dealing with the issue, and referring him to the right service.
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Old 05.02.2018, 16:21
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Re: depression - seeking for professional support

Check out Praevmedic - https://www.praevmedic.com/en/dynasite.cfm?dsmid=507193

A friend had used them and found them helpful.
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Old 05.02.2018, 16:55
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Re: depression - seeking for professional support

No offense, but taking this kinds of therapies and so on sometimes the person can get even more depressed, thinking about he/she is sooo depressed that he/she has to assist this kinds of therapies...

The best therapy is to go out, make new friends, a night out, etc... or to try to spend some time with family, eat more chocolate , see funny content and so on, get a pet, get a GF in this case...
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Old 05.02.2018, 17:14
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Re: depression - seeking for professional support

First thing for your collegue to do is talk to his GB. He will know where to get support.

But Martin 959 is right too and therefore if you want to be a friend you activate him/her. You take him/her out of the ordinary enviroments and you spend time with him/her as you said s/he is lonely. Lonelyness is most likely to be the largest stress-point here.

And you could learn Japanese
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Old 05.02.2018, 17:17
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Re: depression - seeking for professional support

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First thing for your collegue to do is talk to his GB. He will know where to get support.

But Martin 959 is right too and therefore if you want to be a friend you activate him/her. You take him/her out of the ordinary enviroments and you spend time with him/her as you said s/he is lonely. Lonelyness is most likely to be the largest stress-point here.

And you could learn Japanese
Have you seen any of the Hangover movies?... xD
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Old 05.02.2018, 18:27
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Re: depression - seeking for professional support

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Have you seen any of the Hangover movies?... xD
Nope, I don't watch movies when I have a hangover
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Old 05.02.2018, 18:48
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Re: depression - seeking for professional support

Depression can be a serious medical disorder requiring competent assessment and treatment. The afflicted person cannot "snap out of it and pull himself together". From his point of view all attempts to "cheer up" are hollow.

I have known a number of people having depressions. One said trying to get out of it was like trying to climb a teflon wall with one hand. Another tried to treat himself with herbal remedies. One day he disappeared leaving behind a confusing letter saying not to try to find him. Six months later some poor farmer found him rotting and hanging in a remote tree where he had killed himself.

Take depression seriously and get the person to professional help. You can't help him and he can't help himself. Treatment will most likely be covered by his Krankenkasse.
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Old 05.02.2018, 18:57
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Re: depression - seeking for professional support

I was about to type the same thing as J_T. Seeking professional help is the first step. Maybe he needs medication and therapy. Japan and Switzerland have some of the highest rates of suicide among modern countries. OP may be feeling double the pressure.

Yes, it's fine to hang out with mates but sometimes the pressure to "go out and have fun" just makes depression worse. Suggesting he gets a girlfriend is about the worst thing you can do, imo.
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Old 05.02.2018, 19:04
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Re: depression - seeking for professional support

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I was about to type the same thing as J_T. Seeking professional help is the first step. Maybe he needs medication and therapy. Japan and Switzerland have some of the highest rates of suicide among modern countries. OP may be feeling double the pressure.

Yes, it's fine to hang out with mates but sometimes the pressure to "go out and have fun" just makes depression worse. Suggesting he gets a girlfriend is about the worst thing you can do, imo.
Who said OP's friend should get a girlfriend?

As I mentioned, OP's friend should see his GP to get the right addresses (also conserning language etc.).
And if OP wants to help, OP should be the friend that chases away some of the loneliness. Professional treatment alone won't help in the long run, it takes both.
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Old 05.02.2018, 19:19
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Re: depression - seeking for professional support

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t get a GF in this case...
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Who said OP's friend should get a girlfriend?
.
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Old 05.02.2018, 19:37
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Re: depression - seeking for professional support

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No offense, but taking this kinds of therapies and so on sometimes the person can get even more depressed, thinking about he/she is sooo depressed that he/she has to assist this kinds of therapies...

The best therapy is to go out, make new friends, a night out, etc... or to try to spend some time with family, eat more chocolate , see funny content and so on, get a pet, get a GF in this case...
Sorry, that is offensive.

If it's depression, the disease, then you don't "snap out of it", or lose it through chocolate, visits, a pet, or a companion.

Perhaps the OP should just tell his colleague "What you need is a plan!"

@Aladin: If your friend is aware that something isn't right, then get him to seek professional help. Aid him as best you can, and be there for him.

It's a really shitty disease.
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Old 05.02.2018, 19:45
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Re: depression - seeking for professional support

To bring this back to OP's question - is this something for which his colleague should first see the GP for a referral? Or can one self-refer to mental health professionals? I suppose it depends on the insurance?
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Old 05.02.2018, 19:49
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Re: depression - seeking for professional support

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To bring this back to OP's question - is this something for which his colleague should first see the GP for a referral? Or can one self-refer to mental health professionals? I suppose it depends on the insurance?
Normally you talk to your GP and have them refer you to a specialist.

Some GPs may prescribe a mild sedative, or even an antidepressive without referring a patient to a therapist. It depends on how serious (i.e. pathological) things are.

Depression is not just a stronger form of sadness.

Meds are covered by insurance.
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Old 05.02.2018, 20:02
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Re: depression - seeking for professional support

J_T (post 8) got it nailed. Depressed people need professional help, the sooner the better.
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Old 05.02.2018, 20:32
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Re: depression - seeking for professional support

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To bring this back to OP's question - is this something for which his colleague should first see the GP for a referral? Or can one self-refer to mental health professionals? I suppose it depends on the insurance?
You put me on ignore, huh?

If not: Yes - all good things are three - the GP first.

@JagWaugh: So far it's a "self-diagnosis". You know that "I'm depressed" is used easily when being sad for a while. So all a friend can - and should actually - do is send the person to the GP (oh, I mentioned that) and be there for him or her, including bringing some life into the ones life if appreciated. This is very often appreciated by foreigners who are here without family or friends.
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Old 05.02.2018, 20:38
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Re: depression - seeking for professional support

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You put me on ignore, huh?

If not: Yes - all good things are three - the GP first.

@JagWaugh: So far it's a "self-diagnosis". You know that "I'm depressed" is used easily when being sad for a while. So all a friend can - and should actually - do is send the person to the GP (oh, I mentioned that) and be there for him or her, including bringing some life into the ones life if appreciated. This is very often appreciated by foreigners who are here without family or friends.
Even if you know the person it's hard to tell how serious the problem is. The point is, if the friend expresses concern, and you think it's more than a "Let's make a pizza together, that'll cheer you up." moment, then yes, definitely, next stop GP.

One of the symptoms is to withdraw and avoid contact. This becomes a big problem in a short time if you're anyway not embedded in a social circle (like a non German speaking single expat is likely to be).
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Old 05.02.2018, 20:45
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Re: depression - seeking for professional support

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Depression can be a serious medical disorder requiring competent assessment and treatment...
Yes. It can also have a physical cause, so a full checkup is advised. I speak from experience.
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Old 05.02.2018, 20:45
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Re: depression - seeking for professional support

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You put me on ignore, huh?

If not: Yes - all good things are three - the GP first.

@JagWaugh: So far it's a "self-diagnosis". You know that "I'm depressed" is used easily when being sad for a while. So all a friend can - and should actually - do is send the person to the GP (oh, I mentioned that) and be there for him or her, including bringing some life into the ones life if appreciated. This is very often appreciated by foreigners who are here without family or friends.
Curley, you clearly have no qualifications to be on this thread - so please butt out.
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Old 05.02.2018, 20:49
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Re: depression - seeking for professional support

OP: Page 36 here.

The problem is that if your friend wants to chose without seing an GP first, it must be a phychiatrist. (Not a psychologist!)

In fact it must be a psychiatrist or a psychologist who works officially with a psychiatrist in order to get cost coverage by the health-insurance.
The GP will know, which professionals to contact.
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