Depression: being different, ethnicity and sexuality

Who you are can make a difference to how you feel about yourself, how you deal with depression, and how people (including professionals) respond to you.

We heard from a whole range of people:  young, old, male, female, middle-class, working-class, Black, Asian, gay, and lesbian. For instance, one Black man believed there was an unwarranted fear in British society about Black men being dangerous and sexually rampant, and he still had to cope with other people’s negative attitudes in this day and age. He had become skilled at navigating white and Black cultures, but did not feel he belonged anywhere in particular.

Says black people are viewed as criminal, out of control and sexually rampant, and people can…

Age at interview 45

Gender Male

Age at diagnosis 32

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One man felt that being Brazilian was an advantage, because he was more comfortable talking about his feelings compared to white British people he had met. An Asian man who came to the UK as a young boy had anxieties at school when he moved to the UK. He felt different as a child, and also struggled with feeling very restricted by his family and wanting more space to do his own thing. One woman with mixed Italian heritage felt her British aunt and uncle could not express feelings, yet she could scare herself with the level of emotion she expressed at times. Another woman felt that being highly intelligent can be a disadvantage if it means you neglect your emotions.

Has moved away from his family a few times so he can have his own space and freedom, away from…

Age at interview 39

Gender Male

Age at diagnosis 32

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She gets angry and felt a need to break things, but felt frightened by her level of anger. …

Age at interview 39

Gender Female

Age at diagnosis 36

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Says that being intelligent can be unhelpful when depressed if it means you look for explanations…

Age at interview 47

Gender Female

Age at diagnosis 32

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Gay, lesbian, and bisexual people we interviewed had the added stresses of dealing with homophobia (the irrational fear and hatred of homosexuality) from an early age. This meant that they had to come to terms with their sexuality in climates where families, schools, friends, and neighbourhoods could be very hostile toward their sexuality. It was particularly difficult for older people we talked with because before the 1970s homosexuality was hardly visible and even much less accepted.

Even though there is now more community support for people to accept their sexuality and tell others, it can still be confusing and difficult for young people. And while telling people about your sexuality can take a weight off your shoulders, people must ‘come out’ to others again and again for the rest of their lives.

She had relationships with other women, and her mother reacted badly to one of her partners who…

Age at interview 33

Gender Female

Age at diagnosis 23

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Was bashed because he was gay, and was diagnosed with post-traumatic stress disorder. The…

Age at interview 49

Gender Male

Age at diagnosis 37

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Felt sexual feelings and love for another boy at school in the 60s, but was quite shocked by it,…

Age at interview 50

Gender Male

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Says that she fell in love with her best girlfriend and slowly came to terms with her…

Age at interview 20

Gender Female

Age at diagnosis 19

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He told someone accepting about his sexuality and felt elated, but then realised he would have to…

Age at interview 50

Gender Male

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Coming out can also involve challenges to your wellbeing. For instance, people who are gay, lesbian, bisexual or queer face possible rejection by family and friends, and need to learn how to negotiate LGBTQ+ social places like nightclubs. Some gay and lesbian people we interviewed suspected that homophobia was at the heart of some negative attitudes toward them, such as from their bosses at work.

Men can find it difficult to deal with emotions and their depression when they are expected to be strong and tough. One man found it very difficult to be on a general ward with emotional problems after an attempt at suicide because the ward was filled with ‘macho’ men who had been in car and sporting accidents.

Says the models of being male are either macho or too soft, with little middle ground, so it is…

Age at interview 31

Gender Male

Age at diagnosis 17

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Sexual relationships were difficult for several people. Not everyone was comfortable talking about sexual issues. For instance, some people referred to ‘female problems’ when they wanted to keep the issue secret. Others discussed sex in relation to depression.

One man recalls that as a teenager, sex was not discussed in his family, and he admitted to feeling somewhat bad about masturbation. Another man recalled a situation on holiday when he was young and ‘naïve’ and a man made a sexual advance that made him feel bad.

A few men who were taking antidepressants had trouble getting erections or ejaculating. However, this was not usually a big concern since depression and taking medication can reduce interest in sex anyway.

Some particularly sensitive people recall ‘losing a few layers of skin’ when people they were attracted to seemed to reject them. One woman noticed a pattern to her ‘breakdowns’ that involved very intense feelings of desire and love for people who did not return such feelings for her.

One man who felt rejected by a girl while he was a student at university felt the incident contributed to his attempt to die by suicide.

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