What is Depression?
Depression is the common cold of mental disorders — most people will be affected by depression in their lives either directly or indirectly, through a friend or family member. Confusion is commonplace about depression, for example, about what depression exactly is and what makes it different from just feeling down. There is also confusion surrounding the many types of depression (e.g., unipolar depression, biological depression, manic depression, seasonal affective disorder, dysthymia, etc.) that people may experience. There have been so many terms used to describe this set of feelings we’ve all felt at one time or another in our lives, to one degree or another, that it is time to set the record straight.
Depression is characterized by a number of common symptoms. These include a persistent sad, anxious, or “empty” mood, and feelings of hopelessness or pessimism. A person who is depressed also often has feelings of guilt, worthlessness, and helplessness. They no longer take interest or pleasure in hobbies and activities that were once enjoyed; this may include things like going out with friends or even sex. Insomnia, early-morning awakening, and oversleeping are all common.
Appetite and/or weight loss or overeating and weight gain may be symptoms of depression in some people. Many others experience decreased energy, fatigue, and a constant feeling of being “slowed down.” Thoughts of death or suicide are not uncommon in those suffering from severe depression. Restlessness and irritability among those who have depression is common. A person who is depressed also has difficulty concentrating, remembering, and trouble making decisions. And sometimes, persistent physical symptoms that do not respond to traditional treatments — such as headaches, digestive disorders, and chronic pain — may be signs of a depressive illness.
Do I Have Just The Blues… Or Something More?
Feeling down or feeling like you’ve got the blues is pretty common in today’s fast-paced society. People are more stressed than ever, working longer hours than ever, for less pay than ever. It is therefore natural to not feel 100% some days. That’s completely normal.
Depression can be a gradual withdrawal from your active life.
What differentiates occasionally feeling down for a few days from depression is the severity of the symptoms listed above, and how long you’ve had the symptoms. Typically, for most depressive disorders, you need to have felt some of those symptoms for longer than two weeks. They also need to cause you a fair amount of distress in your life, and interfere with your ability to carry on your normal daily routine.
Depression is a severe disorder, and one that can often go undetected in some people’s lives because it can creep up on you. Depression doesn’t need to strike all at once; it can be a gradual and nearly unnoticeable withdrawal from your active life and enjoyment of living. Or it can be caused by a clear event, such as the breakup of a long-term relationship, a divorce, family problems, etc. Finding and understanding the causes of depression isn’t nearly as important as getting appropriate and effective treatment for it.
Grief after the death or loss of a loved one is common and not considered depression in the usual sense. Teenagers going through the usual mood swings common to that age usually don’t experience clinical depression either. Depression usually strikes adults, and twice as many women as men. It is theorized that men express their depressive feelings in more external ways that often don’t get diagnosed as depression. For example, men may spend more time or energy focused on an activity to the exclusion of all other activities, or may have difficult controlling outbursts of rage or anger. These types of reactions can be symptoms of depression.
Symptoms of Depression:
- Persistent sad, anxious, or empty mood
- Feelings of hopelessness, pessimism
- Feelings of guilt, worthlessness, helplessness
- Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex
- Decreased energy, fatigue, being “slowed”
- Difficulty concentrating, remembering, or making decisions
- Insomnia, early-morning awakening, or oversleeping
- Appetite and/or weight loss or overeating and weight gain
- Thoughts of death or suicide; suicide attempts
- Restlessness, irritability
- Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain
- Bruce Buchanan, ACSW, LISW, BCD
- Kim Comer, MSW, LISW
- Maggie Conrad, MSW, LISW
- Yolanda Dixon, MSW, LISW
- Dennis Dornink, CEAP, LMHC
- Alison Ekwena, MSW, LISW
- David Grove, PhD
- Michele Hamilton, MSW, LISW
- Alice Harberts, MSW, LISW
- Hannah F. Lynn, ACSW, QCSW, LISW
- Susan McBroom, MS, LMHC
- Stephanie McFarland, MSW, LISW
- Paula McManus, ARNP, BC
- Diana Ortiz, MSW, LISW
- Colleen Reinhardt, ACSW, LISW
- Shannon Sandahl, MSW, LISW
- Cal Seda, PhD
- Eileen Swoboda, MSW, LISW
- Shane Ver Steeg, MDiv, LISW
- Alissa Wilkinson, MSW, LISW
- Lori Boehm Shereck, MS, LMHC
- Travis Semmens, MSW
In order for depression to be diagnosed, the person must experience these symptoms every day, for at least 2 weeks.