Over half of the people with COPD are coping with depression there are many reasons that a chronic illness can change our lives. With breathlessness lack of sleep no energy the feeling of loss that comes with no longer been able to do the things you did can bring clinical depression. Untreated this can reduce health further sinking into depression not following treatment not exercising looking for a crutch that will lift the mood using alcohol even cigarettes all deepening the depression ruining health.
Looking out for the signs that it has gone past having a bad day that happens for everyone spiralling down into something more feeling irritable and angry sadness for a long time broken sleep lethargy with no interest in the things that once brought happiness the humour has gone from the jokes feeling worthless and sensitive to criticism a feeling of guilt that family are losing the support that came from the healthy you.
Accepting there is a need for help breaks the spirals downward path that is only negative with mental health a subject that often gets brushed under the carpet in the same way we could tell breathing was getting worse ignoring this meant we did not notice the spiral working. Get help its commonly needed there is no shame or weakness using a positive input that removes the isolation of depression.