Page 39 - Branch Leader Guide

Charcot-Marie-Tooth
Association

Experiencing periods of depression is not unusual when trying to manage a physical
disability: We all go through a grief process as we cope with losses of function.
However, if the depression lasts for more than several weeks, affecting work or personal
relationships, professional help may be needed. The branch model may not be sufficient
for the clinically depressed member, so it is a good idea to recognize the symptoms of
depression and not be shy in taking the member aside to gently suggest that private
counseling could be extremely helpful. The leader must always keep in mind the needs
of the group as a whole.

Suicidal Members

As a branch leader, you may feel helpless and scared when a member expresses
suicidal thoughts to you individually or in the group. This rarely happens, but when it
does, it can be overwhelming. Keep in mind that many people occasionally have these
thoughts, but they are often a symptom of depression and more often than not will pass
on their own. If the group member has made the effort to attend the group, you can view
this as a plea for help. All comments pertaining to suicide should be taken seriously.
Take the time at the end of the group to talk individually to the member and ask a few
questions to find out a bit more information about the seriousness of his/her intent.
Remember: As a branch leader, you are not a mental health professional, so please do
not take on this responsibility alone. Gently inform the member that as much as you
would like to help, you are not professionally equipped to provide the necessary help
and strongly suggest professional help. Keep a list of counselors and contact
information for community health clinics with sliding scale fees. You might need to be
firm with a member who insists on speaking only with you. Don't be shy or feel guilty in
directing this person to a mental health professional. It is in both your best interests.

Suicide Warning Signs

• Excessive sadness or moodiness
• Long lasting sadness, mood swings and unexpected rage
• Hopelessness: Feeling a deep sense of hopelessness about the future, with little
expectation that circumstances can improve
• Sleep problems
• Sudden calmness: Suddenly becoming calm after a period of depression or
moodiness may indicate that a person has made a decision to end his or her life.
• Withdrawal: Choosing to be alone and avoiding friends or social activities also
are possible symptoms of depression, a leading cause of suicide. This includes
the loss of interest or pleasure in activities the person previously enjoyed.
• Changes in personality or appearance: A person who is considering suicide
might exhibit a change in in attitude or behavior such as speaking with unusual
speed or slowness. In addition, the person might suddenly become less
concerned about his or her appearance.

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