I loved James Bishop’s suggestions of ways to support someone struggling with depression. You can’t go wrong if you follow his directions on what to say to a friend or relative about this topic no one wants to address. To read his blog post, click here.

1. Be On Their Side

The depressed person will often be defensive, so an accusatory tone is not helpful. Try to convey a sense of understanding. It isn’t helpful to say “Why can’t you just get out of bed?” Instead try “You seem to have trouble getting out of bed in the mornings. What can I do to help you in this area?”

The person may have lost perspective on how big a problem actually is. They will find it hard to hear that what is insurmountable for them is actually not such a big deal. It is unhelpful to say “What’s your problem? You’re upset about nothing.” Instead try “You seem to be finding this issue a big deal at the moment. Can we solve it together?”

When I was very sick, I often thought that my wife was trying to ruin my life. To counter that kind of thinking she would often say “We are a team. I am on your side.”

Depression is an awful illness, a whole world away from pure sympathy-seeking. So you should treat it as such. “I trust you. If you had a choice in the matter you wouldn’t choose to have depression. How about we search for some solutions together?”

2. Give Plenty of Reassurance

Many people suffering with depression feel unworthy of being loved. You need to reassure them frequently. For example “I love you for who you are. I am not going to leave you.”

In a similar vein, they may have lost the ability to recognize their positive attributes. You might reaffirm them with “You are a sensitive person who cares for others” or “People really love you a lot. They think you’re a great person.”

If said repeatedly and with absolute sincerity then it is helpful to say “If you ever need a friend, I am here.”

3. Give Understanding and Sympathy

People with depression can spend a lot of time ruminating on their situation and feeling sorry for themselves. Pointing it out to them is not helpful. Instead, try to sympathize.

“I can’t imagine how hard it is for you, but you have all my sympathy.”

“All I want to do is give you a hug and a shoulder to cry on.”

“I can’t honestly say that I know how you feel, but I want to help in any way I can.”

4. Offer to Help

“Let me do anything you need me to do to help.”

If you ask “What is the best thing I can do to help you right now?” don’t be offended if the reply is “Leave me alone”. Sometimes, that is the most helpful thing you can do at present.

Well meaning people often attempt to immediately fix the problem. “Have you tried aromatherapy? There was an article about it in the paper…” . This kind of comment can come across as trivializing the illness. If you want to introduce a treatment idea, make sure you are respectful about the seriousness of depression. “It’s important that you stay on your medication and keep seeing your doctor. I’ve found some information on aromatherapy. Would you like to look into it with me?”

While it is important to accept the person in the state they are in, don’t let it totally consume your life. Otherwise, you’ll fall in a heap and won’t be much help to anyone. You need to take care of yourself. “I am committed to you and to helping you. But I also need to eat / shop / go out for coffee / ring a friend / see a movie to recharge my batteries. Then I can look after you better.”