How To Navigate A Depression Relapse
Depression is a mental illness that generally doesn’t have a cure, but many treatment options are usually available to help people manage their symptoms. Nonetheless, sometimes a relapse in symptoms can occur. A depression relapse generally happens when a person experiences a reoccurrence of symptoms after being depression-free for an extended time. Knowing what to watch out for can help you navigate a depression relapse, get the help you deserve, and feel better as soon as possible. Online therapy can be one way to address or prevent a depression relapse.
Symptoms of a depression relapse
A person can experience a depression relapse that differs from their initial episode of depression. Because of this, it can be beneficial to learn about possible symptoms that could be signs that it is time to seek help. Here are several relapse symptoms to watch for:
Lack of mental focus
Some may experience brain fog or difficulty concentrating, potentially making decision-making more challenging. A person may find it challenging to choose what to eat, or it may take them longer to complete tasks like laundry or paying bills.
Social withdrawal
People with depression may find it challenging to communicate with others. They may avoid social settings or isolate themselves. A depression relapse can impact relationships with family, friends, and coworkers.
Lack of interest in activities
It can be common for people with depression to lose interest in activities they once found fun and exciting. Losing interest in activities, such as hobbies, sports, or music, can be a sign that often shows up along with other symptoms, such as social isolation.
Sleep changes
A depression relapse can affect sleep patterns. Some may have trouble falling asleep or achieving a restful night of sleep. Lack of sleep may stem from being unhappy about something or focusing on an event during the day. Changes in sleep may also include sleeping too much.
Loss of sexual desire
Depression can make intimacy difficult to enjoy. Some may lose attraction to their partner or be too tired to engage in sexual activity. You may feel happy in the relationship but have no desire for sex.
Changes in weight and appetite
An episode of depression may change your eating habits. Some people may eat more and gain weight suddenly. Others may lack an appetite and lose weight without trying. If you experience sudden weight loss or gain, it can be helpful to talk to your doctor about possible emotional and physical causes.
Feeling Tired
Tiredness can be a sign you might notice when trying to complete daily tasks. Routine tasks may seem challenging. Many people coping with depression relapse recognize fatigue as a warning sign.
Being unusually annoyed
People experiencing a depression relapse may express irritability. They may be moody and express anger or snap at others unexpectedly. Others may become angry quickly or convey strong emotions indicating they don’t want to be bothered.
Feeling unworthy
Depression commonly leaves one feeling worthless. A person may feel undeserving of the good things in life. Feelings of low self-worth can be a depressive episode symptom frequently seen in major depression.
Feeling hopeless
Feeling hopeless for an extended period may be a strong indicator of a depression relapse.
Some of these symptoms can be a response to the ups and downs of regular life. However, if the feeling persists for longer than two weeks, it can be a sign of a depression relapse.
In addition, a depression relapse may lead to thoughts of self-harm. Thoughts of self-harm can be a red flag indicating you need immediate help.
Depression resource
If you are experiencing suicidal thoughts or urges, contact the National Suicide Prevention Lifeline at 988. Support is available 24/7.
Reasons for a depression relapse
People with a history of mental illness, like major depressive disorder, can experience a relapse. A relapse in symptoms may occur without warning or outside influence. Some people may experience a depression episode, even while being treated for previous symptoms. Because of the state of this mental illness and how it can affect people differently, it is possible anyone with depression may experience a relapse.
Some people have triggers for their depressive recurrences
- Stressful events, such as taking a test, meeting a deadline, losing a job, or feeling burned out
- The unexpected loss or passing of a loved one or pet
- Hormonal changes
- Family structure changes, such as a child moving out or a divorce
- Recalling or ruminating on hurtful memories or mistakes
It’s also common to quit depression treatments too soon
You could be more vulnerable to a relapse if you don’t stick with your treatment plan. If you notice changes in your mood during your treatment, it can be best to contact your doctor or therapist to review or revise your plan. It can be common for people with major depression to have their provider change their treatment plan over time.
Effective treatment options
In general, depression is a mental illness that requires ongoing treatment to improve or sustain good mental health. People are encouraged to seek treatment as soon as they recognize symptoms returning. Effective treatment plans may include medication, therapy, or both, along with lifestyle changes. Never start or stop any form of medication without consulting your doctor. Effective treatment will also depend on any comorbid conditions, such as anxiety, PTSD, bipolar disorder, and so on that would also need to be addressed.
Emotional support through psychotherapy
Psychotherapy can provide emotional support, education, and strategies for reducing symptoms and engaging in relationships with others. It can be common for people coping with relapses of major depression to work with a therapist. Two forms of therapy are often used to help people navigate a depression relapse:
Cognitive behavioral therapy (CBT)
You may work with a therapist to explore thought patterns that may contribute to depression symptoms. Together, you can strategize a plan to manage negative thoughts, feelings, and behaviors.
Interpersonal therapy (IPT)
You may work with a therapist focusing on developing and establishing healthy, positive interactions with others.
Proactive coping strategies, such as intentional self-care
People managing depression are often encouraged to practice proactive ways to cope with their relapse. These may include reconnecting with friends or family, learning to focus on positive thoughts, and creating a regular sleep schedule to improve sleeping habits and overall mental health.
You can also practice self-care by taking good care of yourself. This can involve doing things that help you feel your best, such as exercising regularly and maintaining a healthy diet. Try to keep in mind that a relapse doesn’t mean you can’t get better. Just as you recovered before, you may do so again.
Ways to prevent a depression relapse
Navigating a relapse usually involves learning ways to prevent your symptoms from returning. You might consider lifestyle changes, such as stress management strategies, improved dietary habits, and regular exercise. It can also be crucial to keep your scheduled appointments with your doctor.
Staying in control of depression and its triggers
Staying in control of depression usually involves making necessary changes to your treatment plan. If you want to make changes to your plan, talk to your doctor before doing so to ensure a safe and effective outcome. Discuss any concerns about medication with your doctor, such as any side effects. In addition, consider keeping a record of your moods in a journal. Having notes about your symptoms often makes it easier to report what you’ve been experiencing when you talk with your medical provider. You may also find it helpful to engage in online or in-person psychotherapy.
Online therapy is a beneficial alternative
Many who are coping with a depression relapse find online therapy to be helpful and convenient. Talking with a therapist online may be more comfortable if you’re not ready for an in-person session. In addition, if you are experiencing depression symptoms, getting to an appointment might present an extra challenge. In this case, online therapy can be beneficial because of the flexibility of scheduling appointments and the ability to attend sessions from home.
Effectiveness of online therapy for a depression relapse
A growing body of evidence argues that online therapy for depression can be a valid treatment option. For instance, a 2023 study suggests that online therapy is generally as effective as face-to-face therapy. If you’re experiencing a depression relapse, please don’t hesitate to seek the professional help you deserve.
Takeaway
What is a relapse in depression?
A relapse in depression is a return in symptoms of depression.
How often do people with depression relapse?
Approximately half of all people with depression will relapse.
What is the risk of relapse in major depressive disorder?
The risk of relapse in major depressive disorder is approximately 50%. After a second episode, the risk increases to 70%, and further increases to 90% after a third episode.
Can you relapse on antidepressants?
It is possible to relapse while you are taking antidepressants, but it is less likely than if you are to discontinue your medication.
Is it common for depressed people to relapse?
It is common—but far from guaranteed—to relapse with depression. Over half of all people who are treated for depression or anxiety will have a relapse in symptoms within a year. Relapse prevention protocol, including adherence to medication and participation in talk therapy or a support group, can decrease the risk of relapse.
The National Institute of Mental Health recommends that you don’t stop your antidepressants without consulting your doctor, as this can contribute to a relapse.
Is relapse part of mental health recovery?
Relapse can be a common part of mental health recovery.
In what stage does relapse occur?
Relapse can occur at any stage of mental health recovery. Watching for warning signs, such as changes in your sleep patterns or mood, can help you realize that relapse is on the horizon. Problem-solving these warning signs and symptoms before a relapse occurs can help prevent another major depressive episode.
What is the consequence of relapse?
The consequence of a relapse in depression is the return of symptoms and possibly unhealthy coping strategies. Someone whose severe depression returns may feel self-loathing and low self-esteem. They may turn away from friends and family and experience substance abuse or weight gain caused by binge eating.
What does a relapse feel like?
A relapse feels like a return of your symptoms of depression or the appearance of new symptoms. You may feel hopeless, have trouble falling or staying asleep, or feel like most daily life activities require too much effort. You also may notice that the voice of your inner critic has returned, that you’ve lost interest in activities you once enjoyed, or that you’re avoiding friends and family members.
Is relapse permanent?
A relapse in depression is not permanent as long as you seek treatment and do the following:
Seek support from mental health providers
If you see signs of depression relapse, don’t be afraid to contact your therapist to seek help.
Consider medication
Ask your psychiatrist regarding proper medication for depression relapse and take any prescribed pills on time. Make sure that you follow the correct dosage and don’t miss any of it.
Use coping strategies
Practice healthy coping strategies such as exercising regularly, having a healthy diet, and sleeping on time. Socialize with people who can give you a positive influence and motivate you to do better.
Practice self-care
Take good care of yourself and do the things that make you feel better. Practice good hygiene and do the things that make you happy. Always think positive, and believe that you can recover.
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