Depression – What you need to know.

“A depressed person is very tough to be in a relationship with,” says Irina Firstein, LCSW, a New York City psychotherapist with 20 years of experience treating depression.


Loving someone with depression can be challenging. It can make you angry, frustrated and alone, as it can be an uphill battle to try and stay connected.

Depression has been largely misunderstood. It is a medical condition and should not be perceived as a weakness.

Depression can be from singular or cumulative events. The symptoms are present both internally and externally.

Physical symptoms are often more noticeable as their nervous system reacts to the high level of stress hormones produced. A depressed person may show the following external symptoms:

  • Constant tiredness.
  • Complaints of sore achy muscles.
  • Signs of low immunity such as skin breakouts and cold and flu symptoms.
  • Cramps and sore stomach.
  • Lack of sexual desire.
  • Insomnia.
  • Short-tempered and more argumentative.
  • Forgetfulness.
  • Increased alcohol consumption.
  • Increase of screen time on their devices.
  • Takes longer to complete daily chores.
  • Loss of appetite or increase in food binging.

The internal symptoms are often harder to pick up on. This may include:

  • Lack of intimacy.
  • Look of sadness or unhappiness.
  • Constant sighing.
  • Feelings of anger and frustration over little things.
  • Often appear distant and not engaging in conversation.
  • Appear more clingy and anxious if they know they are going to be away from you.
  • Unwillingness to participate in family gatherings or social outings.
  • Constant negative view of their self-worth.
  • Overly critical of any decisions you make.
  • Talks of running away to a place where they do not have to care about others.
  • Asking doom questions of what you would do if they die.

There will be many questions that are currently going through your mind:

  • Why am I here?
  • Is it worth waiting for her to get better?
  • Am I the right person to help him?
  • Am I in danger?
  • Can I help fix her/his/their problem?
  • Am I still loved?

Before you can help others heal, you must first learn to heal yourself. Your mental health is equally as important as that of your loved ones’. You may want to unpack your current experiences and emotions.

Do your mental health check by taking an online assessment. It gives you a good measure of your mental health inventory. If you need to talk to an expert or would like to bring along your loved one for couples counselling, please feel free to contact me here. If you have any questions you can submit an enquiry to me directly.

Anger Management

Anger management starts by first acknowledging the problem. If you are uncertain if you have an anger problem, I would encourage you to use one of the tools on this website called The Clinical Anger Scale. The Clinical Anger Scale was developed in New Zealand so it will take into account both universal and cultural-specific elements of anger. 

Anger can be thought of like this:

Trigger -> Internal Experience -> Outward Behaviour

Let us start with the outward behaviour which is the anger itself. We are starting here so we can create some motivation to change. 

Think about a recent specific situation where you got angry and ask yourself the following questions:

  1. What might be beneath your anger in that situation?
  2. What does that anger look like on a scale of 1-10?
  3. How long did that anger last?
  4. How did you feel afterwards? 
  5. What positive things came from being angry?
  6. What negative things came from being angry?

Now that you have taken a personal inventory of your anger, I would encourage you to think about what it would take for you to change this?

One thing we can change is to avoid the triggers that create anger. Stop the cycle right at the start!

However, if they are triggers from our partner, where we live or work, these triggers become more unavoidable.

In this case, I would recommend changing the way we think about them – the internal experience.

A commonly held internal experience is the thought of injustice – that things aren’t fair.

Talking to a counsellor such as myself can help rethink your internal experience. It can be a beneficial part of anger management. 

Think about your partner – what are her trigger points?

Often we know our partner’s buttons and triggers well.

When we want to win arguments we sometimes push these buttons to help us win or to get them back for making us angry. 

Being aware of some of these things can help us change our behaviours.

Keep an Anger Diary.  

Make a record each time you get angry. What were your thoughts on the situation, what was the trigger and how did you react? 

Anger isn’t just going to disappear, but working on it will help reduce the number of times you get angry each week.

Tracking your progress will help you see the improvements you are making.

People often talk about leaving or walking away from the situation

This is a good thing to do, as it gives everyone a chance to cool off! One thing to think about when leaving the situation is that the person may follow you. So it’s a good idea to discuss this idea of “getting some space” with the people around you before it happens. If everyone knows that leaving is an option to avoid arguments and that you or the other person will be back later to discuss the issue, it is going to work a lot better for everyone involved.

When getting away from the situation – Any kind of exercise is a great idea, as the brain will release chemicals that will reduce stress levels.

Counselling also helps some people become more aware of what they are doing and will then encourage them to think of options for change.

Listening is not about agreeing or disagreeing with the other person’s position, it is about understanding it! Once you understand their position, repeat it back to them in your own words and this can help improve your understanding of what they are saying.

Strategies to help you deal with your anger around children. 

Take time out! By this, I don’t mean leave your kids at home –

but you can safely do this by telling them you are going to take a ten-minute break in the other room.

Remember your goal! A common goal most parents have is to; be a better parents than their parents were. Is what you are currently doing moving you closer to this goal? If not, ask yourself what you can do differently.

Don’t punish your kids! If it drives you crazy, chances are your kids know it, so it’s better to ignore it! Research shows us that rewarding good behaviour is much more effective than punishing bad behaviour.

Being Misunderstood & taken for granted can lead to anger.

Here are four ways to communicate more effectively:

  1. Listening
  2. Nonverbal communication
  3. Managing Stress
  4. Emotional Awareness

We can all work towards improving in these areas but choosing one to focus on at a time helps.

Managing Stress is most likely to affect the outcome of the others.

When we are stressed we are less able to listen to others, less aware of our nonverbal communication and in a stressed state, we are unlikely to have good emotional balance in our communication.

In a stressed state, the focus is more on what is stressing us and less on the other person.

How we can be less stressed

One effective way we can reduce stress is through better planning. Better planning means we would also be considering when is the right time to talk about it. The right time is important so that the conversation has privacy and we do not embarrass ourselves or the other person. It also means that we will have enough time to talk about the issue.

The Grief Cycle

People tend to be able to move through the grief cycle with greater speed when they have knowledge of it.

Benefits of forgiveness

There are a lot of benefits to forgiving someone. Forgiveness is not always an easy task, but when we remind ourselves of the benefits of forgiveness, it gives us encouragement. I don’t believe there is anything you can do to obtain forgiveness from somebody else. Forgiveness is like a gift that you will need to patiently wait for.  

We also need to remember to forgive ourselves; we all do things wrong and make mistakes. Focusing on things we could do differently has much more value than focusing on things we have done wrong.

Anger and the internet

When we speak to someone face to face, a large proportion of what we communicate is non-verbal. This leads us to tailor what we are saying and how we say it depends on the other person’s body language. When the internet is used there is none of this non-verbal feedback, so our messages can come off as very harsh to the other person. It can be a little like adding fuel to a fire because then the other person replies to us without the use of these filters and the whole situation has just become more escalated. Once a real mess has been made out of the situation and everyone’s tempers have been flared, the internet is a place where it’s all out there publicly and it is there to stay!

  “If you speak when angry, you’ll

make the best speech you’ll ever regret.” Groucho Marx

Family violence

Family violence is thought to be a learnt behaviour – this means if your parents were abusive, you are likely to pick up and learn abusive behaviour too. Frustrations from poverty and low education also correlate (are connected) with higher levels of violence.  Another contributing factor may be NZ’s culture of binge drinking, which is likely to provoke further violence.

Family violence affects children

Boys tend to see the abuse as a sign of strength and attempt to control their own environment by being an abuser too.

Girls may enter into a lot of self-doubt and believe there was something they could have or should have done. They also may start to believe that such violence is normal in a relationship and are more likely to become victims in their own relationships.  

Making changes happen 

Education – Abusers first need to acknowledge that they have a problem and what that problem is, this is key for any kind of change. Next, they need to learn new ways to respond to situations and then finally, they need encouragement and support for new behaviours to become consolidated (strengthened as normal behaviour).

Although abuse is not the victim’s fault, they do need to address problems such as how they view themselves (often blaming themselves) and their self-esteem.  They also need to learn what they can do to break the cycle they find themselves in.

What can you do if your partner is in denial that they need help?

You can involve yourself in a course (or support group) that is designed for people to get help with abuse. Your partner may or may not take an interest in it. However; most abusive relationships go through an apology stage after the abusive stage. The apology stage is when your partner has little or no denial and is open to help.  Don’t let your partner’s denial put off starting to do your own work!

Acknowledging the problem means that you have the opportunity to do something about it. People who don’t acknowledge the problem – often use blame and say that it is someone else’s fault, i.e. they might say “They made me, or they deserved it”.

Trigger points: Things like jealousy and mistrust are often mentioned. Perhaps you have caught your partner lying to you? This gives you a valid reason to have these feelings. But what do these feelings do for a relationship? NOTHING! Remember when you started the relationship, the feelings of Love and Trust? Going back to those – do what you were doing then. You have no control over what other people do, but you can decide what you want to do and who you want to be!   


This article has presented just a few of the tools and strategies to help you better manage your anger. We have focused on the trigger and outward behaviour areas of the anger management model. If you are serious about managing your anger, I would suggest you engage in one to one counselling to be able to better understand your internal experience and to reinforce new behaviour changes.