How do you know if you’re depressed? Signs of depression

Medically reviewed by Laura Angers Maddox, NCC, LPC and Melissa Guarnaccia, LCSW
Updated October 29, 2024by BetterHelp Editorial Team
Please be advised, the below article might mention trauma-related topics that include suicide, substance use, or abuse which could be triggering to the reader.
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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.

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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.

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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

Depression may not respond without treatment and can worsen over time. If you’re looking to understand your symptoms, it can be helpful to take a screening test to see whether you might be living with depression. After taking a test, or if you want a more professional outlook, consider contacting a licensed therapist for guidance and support.
Depression is treatable, and you're not alone
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