Understanding Depression

Depression is a disturbance in mood characterized by varying degrees of sadness, disappointment, loneliness, hopelessness, self-doubt, and guilt. Most people tend to feel depressed at one time or another, but some people may experience these feelings more frequently or with deeper, more lasting, effects. In some cases, depression can last for months or even years.

The most common type of depression is what is referred to as "feeling blue" or "being in a bad mood." These feelings are usually brief in duration and have minimal or slight effects on normal, everyday activities.

In the next level of depression, symptoms become more intense and last for a longer period of time. Daily activities may become more difficult...but the individual is still able to cope with them. It is at this level, however, that feelings of hopelessness can become so intense that suicide may seem the only solution.

A person experiencing severe depression may experience extreme fluctuations in moods or even a desire for complete withdrawal from daily routine and/or the outside world.

Symptoms of Depression

Changes in Behavior and Attitudes

Physical Complaints

Causes of Depression

Depression is often the result of an unhappy event such as the death of a loved one. When the source of depression is readily apparent and the person is fully aware of it, the individual can expect the reaction to moderate and then fade away within a reasonable amount of time. In cases where feelings of depression exist with no apparent source or the source is unclear, the depression may get worse because the person is unable to understand it. This sense of loss of control may add to the actual feelings of depression.

Any number of stressors may be involved in depression. These can include personality, environmental, or biochemical factors. Shortages or chemical imbalances in the brain may play a significant role in some cases of depression. Such imbalances may be created by illness, infections, certain drugs (including alcohol and even prescribed medications) and improper diet and nutrition. In general, depression may be viewed as a withdrawal from physical or psychological stress. Identifying and understanding the underlying causes of such stress is a necessary step in learning to cope with depression.

Helping Yourself

Being honest with yourself about changes in mood or the intensity of negative feelings as they occur will help you identify possible sources of depression or stress. You should examine your feelings and try to determine what is troubling you - relationships with family or friends, financial responsibilities, and so forth. Discussing problems with the people involved or with an understanding friend can sometimes bring about a resolution before a critical stage of stress is reached. Even mild depression should be dealt with if
it interferes with your effectiveness. You might also try to:

Change your normal routine by taking a break for a favorite activity or something new - even if you don't feel like it;

Helping a Depressed Friend

Since severely depressed individuals can be very withdrawn, lethargic, self-ruminating, and possibly suicidal, a concerned friend can provide a valuable and possibly life-saving service. Talking candidly with the individual regarding your concern for his or her well being will often help bring the problems out into the open.

As you talk with your friend, the American College Health Association advises the following.

Your primary objective is to let the person know you are concerned and willing to help. If feelings of depression appear to turn to thoughts of suicide, urge the individual to seek professional help. If the person resists such a suggestion and you feel that suicide is likely - seek professional help yourself, so you will know how to best handle the situation.

When Professional Help Is Necessary

Depression is treatable and needless suffering of those who experience it can be alleviated. A mental health professional should be consulted when an individual experiences any of the following circumstances:

Qualified mental health professionals can help identify the causes and sources of depression and can help the individual find ways to overcome them.