How do you know if you’re depressed? Signs of depression
- For those experiencing suicidal thoughts, please contact the 988 Suicide & Crisis Lifeline at 988
- For those experiencing abuse, please contact the Domestic Violence Hotline at 1-800-799-SAFE (7233)
- For those experiencing substance use, please contact SAMHSA National Helpline at 1-800-662-4357
If you suspect you may be living with depression, knowing how you’re feeling can be challenging. Depression can cause a persistent low mood which may feel like prolonged sadness or apathy. To understand how you’re feeling, it can be helpful to understand depression’s impact on your mental health and the various screening resources that may be available to you.
How do you know if you’re depressed?
Temporary feelings of sadness can be normal, and many people have them. However, some may struggle to recognize the difference between a few bad days and lasting depression. Depression screenings can help you determine if you want to take a wait-and-see approach or seek behavioral health treatment.
Feeling down can be uncomfortable sometimes, but prolonged feelings of a low mood can signify a more serious concern, like major depressive disorder (MDD). Major depression is the leading cause of disability for people in the United States between the ages of 18 to 44. Mental illness that is not managed correctly can cause lapses in social and personal functioning.
Depression that persists for weeks and affects how you work and interact with others may benefit from professional support. Clinical depression is common globally, and over 280 million adults worldwide are diagnosed. In addition, it can be essential to receive treatment, as treatment is highly effective for depression. Untreated depression can lead to suicidal thoughts and urges.
What causes depression?
Like other mental illnesses, there is no singular cause of depression. Factors that increase an individual’s risk of developing depression include brain chemistry, family history of mental illness, past trauma, and the presence of another behavioral health condition, such as an anxiety disorder, eating disorders, and substance misuse.
The US Department of Health and Human Services (DHHS) discusses the connection between mental illness and substance use disorders. They have found that one in four adults with serious mental illness also has a substance use disorder. Substance use and mental illness often co-occur, as some people might use substances to cope with the symptoms of depression. DHHS recommends behavioral health treatment to address both conditions. Evidence-based dual diagnosis treatment includes rehabilitation, psychotherapy, medication, and support groups.
The value of depression screenings
At times, sadness may not indicate depression. However, if your mood does indicate a more profound concern, it can be essential to know early on to prevent dangerous symptoms. You can quickly assess your mood by taking a depression screening test, which may offer the following benefits:
Acknowledgment that you might be living with a mental health condition
Self-awareness and an understanding of how your mood is affecting you
The desire to reach out for professional help due to the results of the test
An open mind to the possibilities
A reduction in stigma about depression and mental health
Test results can be helpful in a clinical depression evaluation, as well. If you take a test and are prompted to follow up with a mental health provider, you can bring the test results to your appointment and discuss the questions and responses.
Types of depression tests
Several tests have been developed to assess whether someone is living with depression. Below are a few options you may have available to you.
Diagnostic or screening tests from a mental health professional
If you don’t want to take an unofficial test or want to discuss results from an online test further, you can work with a mental health professional to take a professional diagnostic or screening test. They may administer advanced tests, take interviews, and consider your lived experiences.
Online screening tools
An online test is a preliminary option for those seeking information about depression. These tests are not a substitute for professional help, but they can help you understand whether it might be beneficial to reach out for support. With an online screening, you can read the depression questionnaire and submit your chosen answers. After the test, you’ll receive a result letting you know if there is a risk factor for depression. One of the most reputable screening tests for depression is the Mental Health America test.
Pen-and-paper tests
Tests you take with a pencil and paper may be similar to online tests. They can ask the same questions, give the same options for answers, and be scored similarly. Some people prefer this type of test if they feel rushed online and want to take their time considering the questions.
If you or someone you know wants to take a pen-and-paper test, you can get it from a mental health clinic or download and print it from an online source.
Self-assessment screenings
Various self-assessment tests are available for people at different stages of life, including the following.
PHQ-9
The Patient Health Questionnaire nine-question test has proven reliable in determining the presence and severity of depression. This test is short, but many professionals give it to patients to fill out before their medical appointments. You can take the PHQ-9 screening online, but ensure you discuss the results with a professional.
Zung Self-Rating Depression Scale
The Zung Self-Rating Depression Scale is a short, 30-question test that rates depressive elements in your feelings, somatic (body) symptoms, and other psychological symptoms. You can take this test online or with a pen and paper. If your score is 20 to 44, your mood is within the normal range. However, if your results reveal a score of 45 or higher, you may be living with depression. A score of 70 or above indicates a severe risk. Reach out to a provider to further discuss these results.
Major Depression Inventory (MDI)
The MDI is available online. This test, unlike some other self-report depression inventories, can be used by a professional in diagnosing clinical depression. However, if you take this test independently, bring the results to a professional to discuss them further.
Edinburgh Postnatal Depression Test
If you have recently had or adopted a child and are feeling depressed, you might be experiencing postpartum depression. If you are unsure how serious your depressed feelings are, you can take the Edinburgh Postnatal Depression Test online. However, note that postpartum depression is severe and requires immediate support. If you think you might be living with this condition, contact a professional for evaluation.
Geriatric Depression Scale
The Geriatric Depression Scale test is designed for older adults whose symptoms may present differently than those of younger adults. This test includes 30 items you can respond to for guidance on your mood. It is often used for self-reporting in hospitals but can also be used for healthy older adults.
What questions do depression screenings cover?
Depression screenings often group depression symptoms into three areas, including the following:
Emotional symptoms
Somatic symptoms
Other psychological symptoms
Symptoms of depression explained
Emotional depression symptoms may include the feelings you’ve been experiencing, somatic symptoms involve your physical sensations, and other psychological symptoms can make up thoughts and behaviors.
Tests administered by professionals
A self-assessment test may lead you to seek help from a behavioral health specialist. If so, they may take you through another, more comprehensive test. These tests are often done interview-style, are scored precisely, and are used as a part of making a formal diagnosis.
The Hamilton Depression Rating Scale (HAMD)
The HAMD is often given as a pen-and-paper test or in an interview at the start of a counseling appointment. The test has 21 questions and takes 15 to 20 minutes to complete. The test is only administered by a mental health professional.
The Montgomery-Asberg Depression Rating Scale (MADRS)
The MADRS test is available to view online, but it is designed to be given by a qualified counselor, therapist, or doctor. The test asks all three types of questions listed above, and the person giving the test rates each item by severity. Some researchers rate the MADRAS as more reliable than the HAMD.
Treatment for depression
Evidence-based treatment options for depression include psychotherapy, medication, and support groups. Cognitive-behavioral therapy (CBT), a popular form of psychotherapy for depression, focuses on challenging maladaptive thought patterns to influence one’s mood and behavioral health. This treatment format is flexible and can be available in multiple ways, including online.
Feelings of fatigue or social withdrawal can keep some people from leaving their homes. In these cases, online therapy through a platform like BetterHelp may be ideal. This type of therapy can be received from home and scheduled anytime, including outside of business hours. In addition, you can choose between phone, video, or chat sessions and take a depression screening online while speaking to your therapist.
If you’re concerned about the effectiveness of internet-based counseling, research has confirmed that online therapy is associated with positive outcomes for individuals experiencing depression. A recent UK study pinpointed that internet-based psychodynamic treatment could be particularly effective.
Takeaway
How do I know if I have some form of depression?
Diagnosis of depression is something that should be done by a trained mental health professional. However, there are some signs and symptoms that may indicate that it is time to seek out additional support.
Signs and symptoms of depression
According to the Substance Abuse and Mental Health Services Administration, common signs and symptoms of depression include:
- Persistent sadness or low mood: Feeling sad, hopeless, or having a persistently low mood that lasts for most of the day, nearly every day.
- Loss of interest or pleasure: Losing interest or pleasure in activities that were once enjoyable, including hobbies, socializing, or work-related tasks.
- Changes in sleep patterns: Significant changes in sleep, such as insomnia (difficulty falling or staying asleep) or hypersomnia (excessive sleeping).
- Changes in appetite or weight: Significant changes in appetite or weight, either an increase (overeating) or a decrease (loss of appetite).
- Fatigue or lack of energy: Feeling tired, lacking energy, and experiencing a sense of physical and mental exhaustion.
- Difficulty concentrating: Difficulty concentrating, making decisions, or experiencing memory problems.
- Feelings of Worthlessness or Guilt: Persistent feelings of worthlessness, guilt, or a sense of self-blame, even when there is no rational reason for these feelings.
- Agitation or slowed movement: Restlessness, irritability, or a noticeable slowing down of physical and mental processes.
- Physical symptoms: Unexplained physical symptoms, such as headaches or digestive issues, that do not respond to treatment.
- Social withdrawal: Withdrawing from friends, family members, and social activities, and preferring isolation.
What counts as feeling depressed?
Feeling depressed is more than just experiencing occasional sadness or low moods; it involves persistent and pervasive feelings of sadness, hopelessness, and a lack of interest or pleasure in activities that were once enjoyable. Depression is a mental health condition characterized by a cluster of symptoms that significantly affect a person's daily functioning and well-being.
What are the 4 main causes of depression?
Depression is a complex mental health condition with multiple contributing factors. It often results from a combination of biological, genetic, environmental, and psychological factors. While it's challenging to pinpoint specific causes for each individual, researchers generally consider the following four categories when exploring the origins of depression:
Biological Factors:
- Brain chemistry: Changes in neurotransmitters, such as serotonin, norepinephrine, and dopamine, are often associated with depression. These chemicals play a crucial role in controlling mood, and imbalances can contribute to depressive symptoms.
- Genetics: Family history can be a significant factor in depression. Individuals with a family history of depression may be more predisposed to developing the condition themselves, suggesting a genetic component.
- Age: Young people may experience depression during life transitions such as moving schools, transitioning to the working world, or starting life on their own. While older individuals may experience depression due to children moving out, or growing apart from friends. Different ages have different challenges that may cause depression.
Psychological factors:
- Trauma and stressful life events: Experiencing trauma, abuse, or significant life stressors can increase the risk of developing depression. Traumatic experiences may have long-lasting effects on mental health.
- Personality Factors: Certain personality traits, such as low self-esteem, pessimism, or a tendency to ruminate on negative thoughts, may contribute to the development or persistence of depression.
Environmental factors:
- Life changes and loss: Major life changes, such as the death of a loved one, divorce, job loss, or other significant losses, can trigger depressive episodes.
- Chronic illness: Dealing with a chronic medical condition can impact mental health and contribute to depression.
Social and Interpersonal Factors:
- Social isolation: Lack of social support or feelings of isolation can contribute to depression. Positive social connections and a strong support system are important for mental well-being.
- Relationship issues: Strained or unhealthy relationships, whether with family, friends, or romantic partners, can contribute to depressive symptoms.
Is it hard to identify depression?
Identifying depression can be challenging for several reasons. The symptoms of depression can vary widely among individuals, and they may not always be immediately apparent. Additionally, some people may downplay or hide their symptoms, and others may not recognize that what they are experiencing is indicative of depression. Here are some reasons why it can be difficult to identify depression:
- Variability in symptoms: Depression can manifest differently in different individuals. While some people may experience classic symptoms such as persistent sadness and lack of interest, others may primarily exhibit physical symptoms, irritability, or changes in behavior.
- Stigma and denial: There is still stigma associated with mental health conditions, and individuals may be hesitant to acknowledge or discuss their symptoms due to fear of judgment or societal attitudes.
- Masking symptoms: Some individuals are skilled at masking their symptoms, especially in social or professional settings. They may put on a facade to appear "normal" while struggling internally.
- Overlap with other conditions: Depression often coexists with other mental health conditions, such as anxiety disorders or substance use. The overlapping symptoms can complicate the identification of depression.
- Physical symptoms: Depression can manifest with physical symptoms, such as changes in appetite, sleep disturbances, and unexplained pain. People may seek treatment or medical help for these symptoms without recognizing the underlying mental health component.
- Lack of awareness: Some individuals may not be aware that what they are experiencing is depression. They might attribute their feelings to stress, a difficult life situation, or personal shortcomings.
What do depressed people usually say?
People experiencing depression may express their feelings and thoughts in various ways, and there is no one-size-fits-all description of what depressed individuals usually say. However, some common themes and expressions may be observed in their language. It's important to note that individuals with depression can have diverse experiences, and not everyone will express themselves in the same manner. Here are some phrases or expressions that individuals with depression might use:
Expressions of hopelessness:
- "What's the point?"
- "Nothing will ever get better."
- "I don't see a way out."
Self-critical statements:
- "I'm a burden to everyone."
- "I'm a failure."
- "I can't do anything right."
Feelings of emptiness:
- "I feel numb inside."
- "There's nothing inside me anymore."
- "I don't feel anything."
Statements of fatigue or lack of energy:
- "I'm so tired all the time."
- "I don't have the energy for anything."
- "It takes everything I have just to get through the day."
Social withdrawal:
- "I just want to be alone."
- "I don't want to see anyone."
- "I'm better off by myself."
Expressions of loneliness:
- "No one understands me."
- "I feel so alone."
- "I don't have anyone to talk to."
What are the signs of anxiety?
Anxiety is a normal human emotion, but when it becomes excessive, prolonged, or interferes with daily functioning, it may be indicative of an anxiety disorder. Signs of anxiety can manifest in various ways, and it's important to note that individuals may experience anxiety differently. According to the National Institute of Mental Health, some common signs and symptoms associated with anxiety include:
- Excessive worry: Persistent and uncontrollable worry about various aspects of life, such as work, health, family, or finances.
- Restlessness: Feeling on edge or restless, having difficulty sitting still, and being unable to relax.
- Fatigue: Feeling easily tired, even without engaging in physically or mentally demanding activities.
- Muscle tension: Physical symptoms such as muscle tension, stiffness, or headaches.
- Irritability: Becoming easily irritated or having a low tolerance for frustration.
- Sleep disturbances: Difficulty falling asleep, staying asleep, or experiencing restless sleep. Some individuals may also have nightmares.
- Difficulty concentrating: Finding it challenging to focus on tasks or having a racing mind that jumps from one thought to another.
- Physical symptoms: Experiencing various physical symptoms, such as trembling, sweating, dizziness, shortness of breath, or a racing heart (palpitations).
- Avoidance: Avoiding situations or places that trigger anxiety, which can lead to social isolation or impairment in daily functioning.
- Self-harm: Individuals experiencing anxiety may engage in nonsuicidal self-injury, or self-harm.
What are the 3 primary types of depression?
While there are several types of depression, three primary types are commonly recognized:
- Major depressive disorder (MDD): Major Depressive Disorder, often referred to as clinical depression, is characterized by persistent and intense feelings of sadness, hopelessness, and a lack of interest or pleasure in activities. To be diagnosed with MDD, a person must experience these severe depression symptoms for most of the day, nearly every day, for at least two weeks. Other symptoms may include changes in appetite or weight, sleep disturbances, fatigue, strong feelings of worthlessness or guilt, difficulty concentrating, and thoughts of death or suicide.
- Persistent depressive disorder (Dysthymia): Persistent Depressive Disorder, or dysthymia, involves chronic, long-term depressive symptoms that last for at least two years in adults (or one year in children and adolescents). While the symptoms of dysthymia may not be as severe as those of major depression, they are persistent and can significantly impact daily functioning. Individuals with dysthymia may experience changes in appetite, sleep problems, low energy, low self-esteem, difficulty making decisions, and a sense of hopelessness.
- Bipolar disorder (formerly Manic-Depressive Illness): Bipolar Disorder involves mood swings that cycle between episodes of depression and mania (or hypomania). In depressive episodes, individuals experience symptoms similar to those of major depressive disorder. Manic episodes are characterized by elevated or irritable mood, increased energy, reduced need for sleep, impulsivity, and potentially risky behavior. Bipolar Disorder is categorized into different types based on the severity and pattern of mood episodes, such as Bipolar I Disorder and Bipolar II Disorder.
Should I seek help from a mental health professional or call a crisis lifeline?
For all depressive disorders, treatment is available. Depression treatment may involve making lifestyle changes and seeking emotional support through friends or family. It may also be beneficial to seek out a mental health professional who may provide you with talk therapy, antidepressant medication, or additional resources for managing depression.
What is the biggest cause of depression?
Depression is a complex mental health condition, and its causes are often multifaceted, involving a combination of biological, genetic, environmental, and psychological factors. It's challenging to pinpoint a single "biggest cause" of depression, as individuals may experience depression for different reasons. However, some common contributing factors include:
- Neurotransmitter Imbalances
- Genetics
- Personality Traits
- Negative Cognitive Patterns
- Stressful Life Events
- Childhood Adversity
- Relationship Issues
- Medical Conditions
How does depression affect a woman's body?
Depression can affect various aspects of a woman's body, both mentally and physically. The mind and body are interconnected, and the symptoms of depression often manifest in both psychological and physical ways. It's important to note that the impact of depression can vary among individuals, and not everyone will experience the same symptoms. Here are some ways depression can affect a woman's body:
- Sleep disturbances
- Appetite and weight changes
- Fatigue and lack of energy
- Pain and aches
- Gastrointestinal issues
- Menstrual irregularities
- Changes in libido
- Weakened immune system
What are the two biggest reasons for depression?
It's important to understand that depression is a complex and multifaceted mental health condition, and there isn't a simple answer to identify the two biggest reasons for depression. Depression typically results from a combination of various factors, and what may contribute significantly to one person's depression might be different for another. However, two broad categories often considered are biological factors and psychosocial factors:
Biological factors:
- Neurotransmitter imbalances: Changes in the levels of neurotransmitters (chemical messengers) in the brain, such as serotonin, norepinephrine, and dopamine, are associated with depression. Imbalances in these neurotransmitters can impact mood control.
- Genetics: There is evidence that genetic factors play a role in the risk of developing depression. A family history of depression can increase an individual's susceptibility.
- Brain structure and function: Alterations in the structure and function of certain brain regions involved in mood control have been observed in individuals with depression.
Psychosocial Factors:
- Life stressors: Exposure to significant stressors, such as trauma, loss, abuse, or major life changes, can increase the risk of developing depression. Chronic stress can contribute to the onset or exacerbation of depressive symptoms.
- Psychological factors: Personality traits, cognitive patterns, and thought processes can influence the development of depression. For example, individuals with a tendency to ruminate on negative thoughts or have low self-esteem may be more vulnerable.
- Social isolation: Lack of social support and feelings of loneliness or social isolation can contribute to depression. Positive social connections and support are crucial for mental well-being.
- Previous Article
- Next Article