HomeBlogPatientLinkin Park’s Chester Bennington & The Hidden Face of Depression Linkin Park’s Chester Bennington & The Hidden Face of Depression November 20, 2017Patient A picture is worth a 1,000 words. But not all of them may be true. In the days leading up to his death by suicide, Linkin Park frontman Chester Bennington was photographed smiling broadly, hanging out with his kids. In her Instagram post, Talinda Bennington said “This was days b4 my husband took his own life. Suicidal thoughts were there, but you’d never know.” Rolling Stone magazine reported: “Bennington had always been open about his struggles with addiction and depression, but those close to him were shocked by his suicide. The day after [Soundgarden frontman Chris] Cornell’s memorial, Bennington tweeted that he was ‘feeling very creative’ and had written six new songs. Around the same time, he told a friend, Rene Mata, ‘We have to stick together, and we have so much to live for.’” Caregivers and loved ones of people with depression may know their loved one is battling the disease, but can’t ever really know what their loved one is actually thinking or feeling. And they never really know when depression and depressive thoughts turn to suicide. How can a caregiver ensure they are giving the best help and support to a depressive patient? What are the warning signs of suicide and how – and how much – should you monitor your loved one’s behavior? The reality is that there are no easy answers, but understanding more about depression and suicide can help. Smiling Depression In a recent Psychology Today article, Rita Labeaune, Psy.D. talked about the very nature of hidden depression. She defined “smiling depression” as “appearing happy to others, literally smiling, while internally suffering with depressive symptoms.” “In my practice, those the most surprised to realize they’re experiencing some form of depression are those suffering from ‘smiling depression,’” wrote Labeaune. “Those suffering often discount their own feelings and brush them aside. They might not even be aware of their depression, or want to acknowledge their symptoms due to a fear of being considered ‘weak.’” Although people suffering from “smiling depression” may appear to have it together to their friends and families, their depression has many of the same symptoms: feelings of sadness, low self-esteem, sleeping too much or too little, lack of appetite or overeating, and, sometimes, suicidal thoughts. Discovering Hidden Depression When depression is hidden and the person seems “happy,” can loved ones pick up clues to how they are really feeling? According John M. Grohol, Psy.D., who wrote an article in PsychCentral.com, there are six signs of concealed depression: Sleeping, eating or drinking habits that are unusual for them. This could be sleeping too much or too little. Likewise, a person suffering from hidden depression may have a voracious appetite or just pick at their food. Additionally, a person may turn to alcohol to self-medicate. Forcing happiness and making excuses. A person who makes a lot of excuses for why they can’t get together may fear forcing happiness. As a result, they make up reasons for avoidance – some of which may not hold water. Talking philosophically. This could include everything from talking about what it all means, to what they’ve been able to accomplish so far in their lives, and/or the meaning of life. Asking for help, but taking it back. According to Grohol: “People with hidden depression struggle fiercely with keeping it hidden. Sometimes, they give up the struggle to conceal their true feelings and so they tell someone about it…but then they wake up the next day and realize they’ve gone too far.” Intense feelings. This could include acting outside of the norm. A stoic person may start to laugh loudly at inappropriate things or burst out crying at a normally benign situation. Pessimistic about everything. “Psychologists refer to this phenomenon as depressive realism… When a person suffers from depression, they may actually have a more realistic picture of the world around them and their impact on it,” wrote Grohol. If you observe this behavior in a loved one, it may be time to encourage them to reach out to a mental health care professional for help. If you are recognizing these symptoms in yourself, please consider seeking help. Recognizing Suicidal Risk Factors Sometimes, depressive thoughts and behavior can turn to suicidal thoughts. These thoughts or actions can look different in every person. However, there are warning signs that indicate a person may need urgent help. Because this is a matter of life and death, the list below is posted in its entirety from Save.org: “Talking about wanting to die or to kill oneself; Looking for a way to kill oneself; Talking about feeling hopeless or having no purpose; Talking about feeling trapped or being in unbearable pain; Talking about being a burden to others; Increasing the use of alcohol or drugs; Acting anxious, agitated, or reckless; Sleeping too little or too much; Withdrawing or feeling isolated; Showing rage or talking about seeking revenge; and Displaying extreme mood swings.” Chester Bennington’s widow shared an intimate look at her husband’s hidden depression through photographs and videos to help other people struggling with depression. If you or someone you know is considering suicide, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). If you are interested in this topic, you can read more here: https://genesight.com/blog/patient/recovery-to-remission-understanding-common-terms-to-diagnose-depression/ or view our infographic here: https://genesight.com/blog/patient/decoding-clinical-talk-remission-response/ Our articles are for informational purposes only and are reviewed by our Medical Information team, which includes PharmDs, MDs, and PhDs. Do not make any changes to your current medications or dosing without consulting your healthcare provider. The GeneSight test must be ordered by and used only in consultation with a healthcare provider who can prescribe medications. As with all genetic tests, the GeneSight test results have limitations and do not constitute medical advice. The test results are designed to be just one part of a larger, complete patient assessment, which would include proper diagnosis and consideration of your medical history, other medications you may be taking, your family history, and other factors. If you are a healthcare provider and interested in learning more about the GeneSight test, please contact us at 855.891.9415. If you are a patient, please talk with your doctor to see if the GeneSight test may be helpful. Patient Movement as Medicine: Solutions for Anxiety Moving forward. It sounds like a nice idea, especially when you’re feeling stuck deep in the throes of an anxiety spiral. But it turns out that physically m... Read more Patient Weight-Loss Drugs and Mental Health: What You Need to Know New medications for weight loss seem to be flying off pharmacy shelves these days. But could they be linked to mental health conditions? Researchers are ... 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What Healthcare Providers Should Know People who stop taking antidepressants may do so for many reasons: they may feel like it isn’t working, may feel unable to cope with side effects, or may not fe... Read more Learn more Learn more about GeneSight How to talk to your provider View our clinical studies
Patient Movement as Medicine: Solutions for Anxiety Moving forward. It sounds like a nice idea, especially when you’re feeling stuck deep in the throes of an anxiety spiral. But it turns out that physically m... Read more
Patient Weight-Loss Drugs and Mental Health: What You Need to Know New medications for weight loss seem to be flying off pharmacy shelves these days. But could they be linked to mental health conditions? Researchers are ... Read more
Patient 3 million patients (and counting!) have now taken the GeneSight test! We’re thrilled to share that 3 million patients (and counting!) have now taken the GeneSight test! We're so grateful to the dedicated healthcare providers who... Read more
Patient The Model Minority Myth and Mental Health The model minority myth stereotypes one cultural group, typically Asian Americans, as “intelligent, hard-working, and diligent and therefore more academically, ... Read more
Healthcare Provider How Clinicians Can Help Support Their Patients Who Are Being Bullied How Clinicians Can Help Support Their Patients Who Are Being Bullied Acts of bullying can cause feelings of fear, loneliness and sadness, as well as depressi... Read more
Patient Cyberbullying: Unique Challenges and Impacts ‘We lost our daughter to cyberbullying.’ McKenna Brown was an accomplished hockey player and scholar, known for her kindness, when she became the target of int... Read more
Going Beyond Green, Yellow, Red on the GeneSight Report This blog summarizes key points discussed during the March 2024 GeneSight® Engage webinar Participants: Bernie Ranchero, MD, MS, MBA, medical direc... Read more
Healthcare Provider Top 5 Reasons Patients Stop Their Mood Disorder Treatment Mood disorder treatment for depression can be challenging – and patients may become frustrated when treatments don’t work. In fact, when people with depres... Read more
Patient The Impact of Gratitude on Depression and Anxiety “Say ‘Thank you,” a mother reminds her young kiddo. “T.G.I.F.!” we cheer at the end of a long week. We know it’s important to be thankful. But do we ... Read more
Patient The Silent Thief: The 5 Things Depression Can Steal “Depression is a thief,” writes Abhinav Chaurasia, a marketing automation specialist in an essay on LinkedIn. “It steals your joy, your motivation, and your abi... Read more
Patient How to Talk to Your Doctor about Anxiety Medication “When I was 27, I felt bad all the time,” writes Joanna Goddard on the popular Cup of Jo blog. She describes her initial experience with anxiety in detail. ... Read more
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Patient Adult ADHD: Symptoms, treatment, where to start Many people may incorrectly think ADHD, or attention-deficit/hyperactivity disorder, only impacts children. After all, according to the Centers for Disease C... Read more
Healthcare Provider It’s time to talk suicide: addressing stigma around a difficult topic Trigger Warning: This webinar discusses suicide. If you or someone you know has suicidal thoughts, please call the National Suicide Prevention Lifeline at 988. ... Read more
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Healthcare Provider Antidepressant Withdrawal or Depression Reoccurrence? What Healthcare Providers Should Know People who stop taking antidepressants may do so for many reasons: they may feel like it isn’t working, may feel unable to cope with side effects, or may not fe... Read more