Is Depression Hereditary Or Inherited?: Exploring Treatment Options For People With Depression

Medically reviewed by Melissa Guarnaccia, LCSW and Dr. April Brewer, DBH, LPC
Updated May 27th, 2025 by 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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Is depression hereditary? Genetics, heredity, and environmental factors influencing depression

Depression usually develops due to a combination of biological and environmental factors. It is possible to have a genetic predisposition to depression, particularly if someone in your immediate family has experienced the disorder. However, this does not necessarily guarantee that you will ever develop depression.

Depression treatment usually involves a combination of therapy, medication, and lifestyle changes. Getting regular physical activity, having a strong support system, practicing emotional awareness and intelligence, implementing regular self-care, and developing adaptive coping skills may defend against the development of depression. If you’re experiencing depression symptoms or any other mental health concerns, reaching out to a therapist can be helpful.

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Are you experiencing symptoms of depression?

Understanding mental health conditions: What is depression?

Researchers at the American Psychiatric Association define depression as a “common and serious medical illness that negatively affects how you feel, the way you think, and how you act.” While sadness can be a typical part of the human experience and something everyone feels on occasion, if your feelings persist for weeks or even years, affect how you perform at home, work, or other parts of your life, and cause you physical or emotional distress, you may be living with depression or another mood disorder. Depression can be treated, and though no permanent cure may currently exist, you can often effectively manage symptoms to reduce their impact. 

Common depression symptoms

Depression can affect you psychologically, emotionally, and physically.

Psychological symptoms 

Psychological symptoms, or symptoms that affect how you think, can include trouble concentrating or making decisions, fixating on past failures, and anhedonia, the inability to find pleasure in things you used to enjoy. Psychological symptoms may also include suicidal thoughts or actions.

Emotional symptoms

Depression can affect your emotional stability by causing intense feelings of sadness or hopelessness, a consistently depressed mood, irritability, frequent crying, and excessive guilt.

Physical symptoms

Many people experience physical depression symptoms, such as drastic changes to eating habits or sleep patterns, weight loss or gain, low energy and persistent fatigue, difficulty sitting still, pacing, decreased speed of speech, thoughts, and movements, and unexplained pains with no apparent cause, such as headaches, stomachaches, and muscle pain. 

Is depression hereditary or inherited from family genes?

It is believed that those with a first-degree relative—parents, siblings, or children—with depression have a two to three times higher risk of developing depression than the general public. However, having a close relative with depression doesn't necessarily mean you will develop the condition. Many people with this genetic predisposition never develop symptoms, and many without a family history of depression can also experience the disorder.

What increases the risk of depression?

While depression often runs in families, researchers haven't named a definitive cause for the disorder. Instead, the medical community generally believes depression develops due to a complex interaction of biological factors, such as genetics, and environmental factors, such as personal experiences. 

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Common risk factors for depression may include the following:

  • Genetics and family history
  • Significant changes to life circumstances
  • Traumatic experiences and post-traumatic stress disorder
  • Certain physical illnesses
  • Medication interactions
  • Brain chemistry irregularities
  • Severe stress
  • Biological differences in the brain
  • Hormonal imbalances
  • Low self-esteem
  • Lack of emotional support
  • Poor sleep hygiene
  • Inadequate nutritional intake
  • Inability to get reliable necessities, such as food, clothing, or shelter
  • Abuse, neglect, or other trauma during childhood

Brain chemistry and depression

In the late 1950s, the chemical imbalance theory gained traction. The theory suggested a potential link between the neurotransmitter serotonin and mental health conditions like depression, anxiety, and other mood, personality, and behavior disorders. Current scientific evidence has generally disproved this theory, but experts have spent decades researching the connection between mental health and brain chemistry.

While neurochemistry might not play the role initially theorized, it can affect many physical and emotional functions, such as sleep, behavior patterns, memory formation and recollection, appetite, mood, cognitive processes, pleasure, stress responses, arousal, and brain development.

Is depression hereditary? Biological factors and family genetics vs. environmental factors

Biological factors, such as genetics, brain function, and neurochemistry, likely play a significant role in the development of depression. However, environmental factors, like personal history, current circumstances, and level of emotional support, can also impact depression prevalence. While researchers have yet to determine how much biological and environmental factors affect depression development, both are often involved.  

Treatment options for major depression

Depression is often treated with a combination of talk therapy and medication. A comprehensive depression treatment plan may include adaptive coping skills and meaningful changes to one’s lifestyle, behaviors, and cognitive patterns.

Psychotherapy

Working with a licensed therapist is a standard treatment for depression. Cognitive behavioral therapy (CBT) is a popular treatment option for depression because it focuses on the connection between how a person thinks and how they feel and behave. CBT sessions may involve examining past experiences and how they affect current thinking, as well as identifying harmful thought patterns. A mental health professional can help individuals with depression shift toward healthier thoughts, leading to improved mood and healthier behaviors. 

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Are you experiencing symptoms of depression?

Talk therapy for depression typically has three phases: the acute phase, the continuation phase, and the maintenance phase.

  • Acute: The acute phase lasts around six to eight weeks and generally focuses on symptom relief and helping the individual function in daily life.

  • Continuation: This phase lasts around four to nine months and involves reinforcing positive changes and learning how to manage triggers.

  • Maintenance: Maintenance therapy is a form of ongoing treatment often recommended for those with a high risk of recurring depression.

Medication options for the treatment of major depression

Please speak to your doctor or psychiatrist if you’re interested in trying medication for depression. While medication can effectively treat depression symptoms in many people, it can be important to remember that it does not typically address the underlying condition. 

Is depression hereditary? Tips for people with a family history of depression

If you are genetically predisposed to developing depression, consider the following methods to mitigate the risk of developing the disorder. 

Stay physically active 

Exercise can release endorphins, which are neurochemicals that can boost your mood. Regular physical activity can act as an early line of defense to safeguard your mental health if you have a genetic predisposition toward depression. 

Build a robust and active support system

Social isolation can contribute to the severity of depression symptoms, along with being a symptom itself.  Avoid social withdrawal by maintaining active social connections with friends and family. Use your emotional support network when you’re having trouble managing your feelings. 

Practice emotional intelligence, awareness, and literacy

Develop your sense of emotional intelligence to recognize and understand how you're feeling. Emotional awareness can ensure you can identify your feelings, anticipate reactions, and choose an appropriate coping mechanism. Emotional literacy can help you effectively communicate your feelings and needs to those closest to you. Depression may have a more challenging time taking root if you are aware of your emotions and know how to efficiently process the feelings associated with the disorder. 

Safeguard your physical, emotional, and mental health

Practice a regular self-care routine that safeguards your overall health and well-being. Get plenty of exercise, eat a balanced diet, and develop healthy sleep hygiene. 

Develop adaptive coping skills to manage a predisposition to depression and other mental health conditions

Coping skills can involve anything that helps you through difficult situations. If you have healthy, practical ways to address your stress and emotional reactions, you will likely recognize depression symptoms early and seek help. 

When to reach out for mental health support

It may be time to seek professional help from a doctor or mental healthcare provider if you are experiencing depressive symptoms that are interfering with your ability to function at work, home, school, or other parts of your life.

Benefits of online therapy for people with depression

If you’re experiencing symptoms of depression that are negatively impacting your life, it may be challenging to leave the house, even to attend therapy. If this is the case, consider connecting with a licensed mental health professional through an online therapy platform. You can choose between phone call, video call, and online chat sessions, empowering you to personalize your therapy experience.

Efficacy of online therapy

A 2020 study investigating the efficacy of online CBT for depression in comparison to the efficacy of in-person treatment found that online therapy was just as effective as face-to-face therapy. If you’re living with depression symptoms, online therapy may be a viable treatment option.

Takeaway

Genetics may contribute to the onset and development of depression, but it is not the only cause. Environmental factors also play a notable role in its development. This disorder is highly treatable through therapy, lifestyle changes, and medication. It may also be possible to safeguard against depression by developing healthy coping skills, practicing regular self-care, utilizing emotional awareness and intelligence, having a robust support system, and exercising regularly. If you have been living with symptoms of depression, it can be beneficial to speak with a therapist in person or through an online therapy platform.

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