Depression is a whole-body illness.
It involves the body, mood, and thoughts. Depression affects the way you eat and sleep.
It also can affect the way you feel about yourself and things. It’s not the same as
being unhappy or in a “blue” mood. It is not a sign of personal weakness or a condition
that can be willed or wished away. When you have depression, you can’t “pull yourself
together” and get better. Treatment is often needed and many times crucial to
Depression has different forms,
just like many other illnesses. The most common types of depressive disorders
Major depression. This condition is a
mixture of symptoms that affect your ability to work, sleep, eat, and enjoy life.
can put you out of action for awhile. These episodes of depression can happen once,
twice, or several times in a lifetime.
Dysthymia. This condition is a
long-term (chronic) depressed mood and other symptoms that are not as severe or
extensive as those in major depression. These symptoms can still keep you from
functioning at “full steam” or from feeling good. People with dysthymia sometimes
also have major depressive episodes.
Bipolar disorder. This long-term
(chronic) condition includes cycles of extreme lows (depression) and extreme highs
(hypomania or mania).
There is no clear cause of
depression. Experts think it happens because of chemical problems in the brain. Many
factors can play a role in depression. These include environmental, mental health,
physical, and inherited factors.
Some types of depression seem to
run in families. But no genes have yet been linked to depression. Depression occurs
people of all ages. Young people to older adults can suffer from depression that is
serious and that greatly affects their life.
Women have depression about twice
as often as men. Many hormonal factors may add to the increased rate of depression
women. This includes menstrual cycle changes, premenstrual syndrome (PMS), pregnancy,
miscarriage, postpartum period, perimenopause, and menopause. Many women also deal
additional stresses such as responsibilities both at work and home, single parenthood,
and caring for both children and aging parents.
Many women are especially at risk
after giving birth to a baby. Women have hormonal and physical changes on top of the
added responsibility of caring for a baby. These can lead to postpartum depression
some women. The “baby blues” are common in new mothers and last a week or 2. A
full-blown depressive episode is not normal and needs treatment.
These are the most common symptoms
of depression. But each person may have slightly different symptoms. Symptoms may
- Lasting sad, anxious, or empty
- Weight or appetite changes because of
eating too much or too little
- Changes in sleeping patterns. These
include fitful sleep, inability to sleep, early morning awakening, or sleeping too
- Loss of interest and pleasure in
activities formerly enjoyed, including sex
- Increased restlessness and
- Decreased energy, fatigue, and being
- Feeling of worthlessness or
- Lasting feelings of hopelessness
- Feelings of inappropriate guilt
- Problems concentrating, thinking, or
- Frequent thoughts of death or suicide,
or wishing to die
People who attempt suicide should get emergency medical care right away.
- Physical symptoms, such as headaches,
digestive problems, or chronic pain that doesn’t get better with treatment
Without treatment, symptoms can
last for weeks, months, or even years. The correct treatment can help most people
suffer from depression.
Depression can occur alone or with
other health problems such as heart disease, cancer, or diabetes. It can also happen
with other mental health disorders such as substance abuse or anxiety disorders. Getting
an early diagnosis and treatment is important to recovery.
A diagnosis is made after a careful
mental health exam and health history done by a psychiatrist or other mental health
Generally, depressive disorders may
be treated with 1 or a combination of the following:
Medicine. Many different medicines
are available. But it often takes 4 to 6 weeks to feel the full effects of
antidepressants. It’s important to keep taking the medicine, even if it doesn’t seem
to be working at first. It’s also important to talk with your healthcare provider
before stopping. Most medicines need to be decreased over a period of time, rather
than stopped all at once. This prevents uncomfortable withdrawal symptoms. Some
people have to switch medicines or add medicines to get results.
Psychotherapy. This treatment is most
often cognitive-behavioral or interpersonal therapy. It focuses on changing the
distorted views you have of yourself and your environment. It helps you work to
improve your interpersonal relationship skills, and to identify and manage stress
Electroconvulsive therapy (ECT). This
treatment may be used in people with severe, life-threatening depression that has
responded to medicines. An electrical current is passed through the brain, triggering
a seizure. For unknown reasons, the seizures help to restore the normal balance of
chemicals in the brain and ease symptoms.
You can also do things to help
yourself. Depressive disorders can make you feel exhausted, worthless, helpless, and
hopeless. Such negative thoughts and feelings may make you feel like giving up. It’s
important to realize that these negative views are part of the depression. They often
don’t accurately reflect true circumstances. Negative thinking fades as treatment
to take effect, often in a matter of weeks. In the meantime, if you think you have
depression, consider the following:
- Get help. If you think you may be
depressed, see a healthcare provider as soon as possible.
If you have thoughts of harming
yourself, seek help right away. Ask your provider, family, or friends for help. Or
call the National Suicide Prevention Helpline at 800-273-8255. Help is available
24 hours a day, 7 days a week. The call is free and confidential.
- Set realistic goals in light of the
depression. Take on only what you reasonably think you handle.
- Break large tasks into small ones and
set priorities. Do what you can as you can.
- Try to be with other people and
confide in someone. It is usually better than being alone and secretive.
- Do things that make you feel better.
Going to a movie, gardening, or taking part in religious, social, or other activities
may help. Doing something nice for someone else can also help you feel better.
- Get regular exercise. Try for 30
minutes a day. But if that is too much, 5 to 10 minutes of walking is a great place
- Expect your mood to get better slowly,
not right away. Feeling better takes time.
- Eat healthy, well-balanced meals.
- Stay away from alcohol and illegal
drugs. These can make depression worse.
- It is best to put off important
decisions until the depression has lifted. Before deciding to make a major life
change—change jobs, move, get married, or divorced—discuss it with others who know
you well. They will have a more objective view of your situation.
- Remember, people rarely “snap out of”
a depression. But with treatment they can feel a little better day-by-day.
- Try to be patient and focus on the
positives. It may help replace the negative thinking that is part of the depression.
The negative thoughts will disappear as your depression responds to treatment.
- Let your family and friends help
- Depression is a whole-body illness.
This means that it involves the body, mood, and thoughts. It is not the same as being
unhappy or in a “blue” mood. Treatment is often needed.
- There is no clear cause of depression,
but healthcare providers think it’s a result of chemical problems in the brain. Some
types of depression seem to run in families, but no genes have yet been linked to
- Women have depression about twice as
often as men. Many hormonal factors may play a role in the increased rate of
depression in women.
- Depression may be diagnosed after a
careful mental health exam by a a psychiatrist or other mental health provider.
- Depression is most often treated with
medicine, psychotherapy, or cognitive behavioral therapy. It can also be a
combination of medicine and therapy.
If you are with a person who has
suicidal thoughts or a suicide plan, take their comments seriously and seek help
Tips to help you get the most from a visit to your healthcare
- Know the reason for your visit and
what you want to happen.
- Before your visit, write down
questions you want answered.
- Bring someone with you to help you ask
questions and remember what your provider tells you.
- At the visit, write down the name of a
new diagnosis and any new medicines, treatments, or tests. Also write down any new
instructions your provider gives you.
- Know why a new medicine or treatment
is prescribed and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated
in other ways.
- Know why a test or procedure is
recommended and what the results could mean.
- Know what to expect if you do not take
the medicine or have the test or procedure.
- If you have a follow-up appointment,
write down the date, time, and purpose for that visit.
- Know how you can contact your provider
if you have questions.