That's the thing, depression that goes beyond situational (and even then) must be treated. A combination of talk therapy and meds is the best way to go sometimes. There is no shame in taking anti-depressants, but often, people fear it would be a sign of weakness.
The thing is, especially when someone is living with the pain of arthritis, treating the depression will also help to deal with the pain. Conversely, treating the pain will help to deal with the depression. There are many non-med based techniques that can help ease both (relaxation, meditation, prayer, stretching, exercise, good sleep, proper diet), but it's hard to wrap your mind around that when you're in the midst of pain and depression. That's where a truly good therapist can come in handy.
Warm hugs,
