Lately Lindsay hasn't felt like herself. Her friends have noticed it. Kia was surprised when Lindsay stayed home instead of joining their usual Saturday group at the mall. She spent most of the day sleeping.
Staying in more than usual isn't the only change in Lindsay. She's always been a really good student, but over the past couple of months her grades have fallen. She has trouble concentrating. She forgot to turn in a paper and is having a hard time getting motivated to study.
Lindsay feels tired all the time but has difficulty falling asleep. She's gained weight too. When her mother asks her what's wrong, Lindsay just feels like crying. But she doesn't know why. Nothing particularly bad has happened. Yet Lindsay feels sad all the time and can't shake it.
Lindsay may not realize it yet, but she is depressed.
Regular Sadness vs. Depression
Feeling sad, down, or discouraged are natural human emotions. They're reactions to the hassles and hurdles of life. We all feel this way at times.
We may feel sad over an argument with a friend, a breakup, or a best friend moving out of town. We might be disappointed about doing poorly on a test. Or perhaps we feel discouraged if our team can't seem to break its losing streak. The death of someone close can lead to a specific kind of sadness — grief.
Most of the time, people manage to deal with these feelings and get past them with a little time and care.
Depression is more than occasionally feeling blue, sad, or down in the dumps, though. Depression is a strong mood involving sadness, discouragement, despair, or hopelessness that lasts for weeks, months, or even longer.
Depression affects more than a person's mood. It drains the energy, motivation, and concentration a person needs for normal activities. It interferes with the ability to notice or enjoy the good things in life.
Signs of Depression
When people have depression, it affects their emotions and mood. It twists their way of thinking. Depression can also affect people physically, even causing body aches and pains. Not everyone who is depressed shows it in exactly the same way, though.
Here are some of the things people notice with depression:
People with depression may not realize they are depressed. Because self-critical thinking is part of depression, some people might mistakenly think of themselves as a failure, a bad student, a quitter, a slacker, a loser, or a bad person.
Because depression might affect how a person acts, it can be misunderstood as a bad attitude. Other people may think the person isn't trying or not putting in any effort. For example, a negative or irritable mood can cause someone to act more argumentative, disagreeable, or angry. That can make the person seem difficult to get along with or cause others to keep their distance. Low motivation, low energy, difficulty concentrating, and thoughts of "why bother?" can lead someone to skip classes or school.
Some people with depression have other problems as well. These can intensify feelings of worthlessness or inner pain. For example, people who cut themselves or who have eating disorders or who go through extreme mood changes may have unrecognized depression.
When depression is recognized and treated, it often clears the way for other problems to get treated, too.
There is no single cause for depression. Many things play a role, including inherited traits from family members who may have had depression, or living in a difficult family or social environment.
Depression can happen in reaction to difficult or stressful life events. Whether a person tends to be optimistic or pessimistic can play a role in depression, too.
Depression involves the balance of naturally occurring chemicals in the brain. These chemicals, called neurotransmitters, affect mood.
Many things can affect the brain's production of neurotransmitters — including daylight and seasons, a challenging social environment, life events, and certain medical conditions.
Sometimes a person can figure out how some of these factors may have contributed to feeling depressed. For example, in winter, when there's less light, some people have a tendency to a kind of depression called seasonal affective disorder (SAD).
Other times, a person can become depressed for no obvious reason. Not knowing what caused someone's depression doesn't make it less real, though.
Depression can get better with the right attention and care — sometimes more easily than a person thinks.
But if it's not treated, things can stay bad or get worse. That's why people who are depressed shouldn't wait and hope it will go away on its own.
Friends or others need to step in if someone seems severely depressed and isn't getting help. The right help can mean doing all of these things:
Get a Medical Checkup
A doctor can check for any health conditions that might be causing symptoms of depression. For example, conditions such as hypothyroidism can cause a depressed mood, low energy, and tiredness. Mono can make a person feel tired and depressed.
Finding out if another health condition is causing sadness or other symptoms that seem like depression can help someone get the right treatment.
Talk to a Counselor
In addition to a checkup with a doctor, it helps to meet with a mental health professional. A psychologist, psychiatrist, or other therapist can evaluate and diagnose depression and create a plan to treat it.
If someone has depression, talk therapy with a therapist or counselor is very effective in treating it. Here are some of the ways therapy can help with depression:
Treatment for depression might include talk therapy,
medication, or a combination of both. Sometimes, therapists might recommend
daily exercise, exposure to daylight, or better ways of eating. A therapist
might teach relaxation skills to help someone get a good night's sleep. All of
these things can affect the brain's production of neurotransmitters.
Many people find that it helps to open up to parents or other adults they trust. Simply saying something like "I've been feeling really down lately and I think I'm depressed" can be a good way to begin the discussion.
If you think you might be depressed, ask your parent to arrange an appointment with a therapist. If a parent or family member can't help, turn to your school counselor, school nurse, or a helpline to get help.
Friends and people who care about you can support you in other ways, too:
In addition to getting help from a professional therapist and support from friends and family, people with depression can do other things to help themselves.
Some simple things can have a powerful effect on mood. They include daily exercise, eating healthy foods, and getting the right amount of sleep.
Focusing on positive emotions and being with positive people can help, too. Do yoga, dance, and find creative self-expression through art, music, or journaling. Daily exercise, meditation, daylight, and positive emotions all can affect the brain's activity in ways that restore mood and well-being.
Depression can be effectively treated if you take the right steps:
Reviewed by: D'Arcy Lyness, PhD
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