It was once believed that all depression was nothing more than rage directed against the self. We now know it is, for some, a great deal more complex.
However, when an individual realizes that he/she has not completed an education, has not worked toward a career goal, has placed himself/herself in harm_s way by having to work semi-skilled and potential dangerous jobs, such injured workers often blame themselves.
Since such self-blame is intolerable, they become sullen, withdrawn, irritable and defensive. They are loathe to admit to friends and family that _this is really all of my own making_I should have never put myself in this position_
Instead, they become accusatory, self-righteous, defensive and blameful of others.
The resolution of this is to insure that the patient not become fixed in self-blame and begin to aggressively examine available options.
The one option that is not available to anyone is the capacity to change what has already occurred.
The option that is available is that directed to insure maximum utilization of the future. Few patients initially realize either of these, but can rapidly learn to do so.