Recognizing signs of depression

Longfellow wrote, “Into each life some rain must fall.” And each of us has ways of coping with the sadness that’s an inevitable part of life. But sadness that doesn’t go away or that keeps you from enjoying things you usually like could be a sign of clinical depression.

One type of clinical depression, seasonal affective disorder (SAD), is more common around this time of year, when the days are shorter and the nights are longer. Treatment for SAD usually involves light therapy and can also include talk therapy or prescription medicines.

Other kinds of clinical depression may be caused by a tragic event, a period of stress, an illness, changes in the brain that affect mood, or for reasons nobody understands. Getting help is important, because treatment, including medicines, counseling, or a combination of both, can reduce the suffering that comes along with depression and improve quality of life.

What to look for

Ongoing sad or “empty” mood for most of the day

Loss of interest or pleasure in almost all activities most of the time

Major weight loss (when not dieting) or weight gain

Being slowed down or restless and agitated almost every day, enough for others to notice

Extreme tiredness (fatigue) or loss of energy

Trouble sleeping – early waking, sleeping too much, or not being able to sleep

Trouble focusing thoughts, remembering, or making decisions

Feeling guilty, worthless, or helpless

Frequent thoughts of death or suicide (not just fear of death), suicide plans, or attempts

If you suspect you may be depressed, make an appointment to see a doctor. If you notice symptoms in a friend or family member, talk with them about getting help. If someone tries to hurt themselves, or has a plan to do so, urge them to get help from their doctor or the emergency room, or call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).