Understanding Depression

Depression is more than feeling sad—it's a medical condition that affects how you think, feel, and handle daily activities.

Depression is treatable. With proper care, most people with depression see significant improvement. You don't have to suffer in silence—effective treatments are available.

Medical Disclaimer: This information is educational only and not a substitute for professional medical advice. These descriptions are not diagnostic tools. Only qualified healthcare providers can diagnose depression through proper clinical evaluation.

What Is Depression?

Depression is a serious medical condition that negatively affects how you feel, think, and act. It's characterized by persistent feelings of sadness, emptiness, or hopelessness that interfere with daily life. Depression affects 1 in 12 adults annually and can occur at any age.

Types of Depression Include:

  • Major Depressive Disorder: Episodes of depression lasting at least 2 weeks
  • Persistent Depressive Disorder: Long-term depression lasting 2+ years
  • Seasonal Affective Disorder: Depression that occurs during specific seasons
  • Postpartum Depression: Depression following childbirth

Recognizing Depression Symptoms

Depression symptoms can vary between individuals but typically include persistent changes in mood, thinking, and physical functioning.

Emotional & Mental Symptoms

  • • Persistent sadness or emptiness
  • • Loss of interest in activities
  • • Feelings of hopelessness or pessimism
  • • Feelings of guilt or worthlessness
  • • Difficulty concentrating or making decisions
  • • Irritability or restlessness
  • • Memory problems
  • • Thoughts of death or suicide

Physical & Behavioral Changes

  • • Fatigue or decreased energy
  • • Sleep problems (too much or too little)
  • • Appetite changes or weight changes
  • • Slowed movements or speech
  • • Aches, pains, or digestive problems
  • • Withdrawing from friends and family
  • • Decreased work or school performance
  • • Neglecting personal care

Important: To be considered clinical depression, symptoms must be present most of the day, nearly every day, for at least 2 weeks and represent a change from previous functioning.

When to Seek Professional Help

Seek Professional Support If:

  • Symptoms persist for more than 2 weeks
  • Depression interferes with work, relationships, or daily activities
  • You're having trouble functioning at home or work
  • You're using alcohol or substances to cope
  • Family or friends have expressed concern

🚨 Seek Emergency Help If You Experience:

  • • Thoughts of suicide or self-harm
  • • Plans or means to hurt yourself
  • • Thoughts of hurting others
  • • Complete inability to care for yourself
  • • Severe confusion or disconnection from reality

Crisis Resources Available 24/7:

988 Suicide & Crisis Lifeline: Call or text 988
Crisis Text Line: Text "HELLO" to 741741
Emergency Services: Call 911 or go to your nearest emergency room

Evidence-Based Treatment Options

Depression is highly treatable. About 80-90% of people with depression eventually respond well to treatment. Most experience some relief from symptoms.

Therapy Approaches

  • Cognitive Behavioral Therapy (CBT): Changes negative thought patterns and behaviors
  • Interpersonal Therapy: Focuses on improving relationships and social functioning
  • Dialectical Behavior Therapy (DBT): Teaches emotional regulation skills
  • Acceptance & Commitment Therapy: Helps accept difficult feelings while pursuing values

Medication Management

  • SSRIs: First-line antidepressants with fewer side effects
  • SNRIs: Effective for depression with anxiety or pain
  • Atypical Antidepressants: Alternative options with different mechanisms
  • Combination Therapy: Therapy plus medication often most effective

Medication effectiveness varies by individual and requires professional monitoring.

Treatment Timeline

Most people begin to feel some improvement within 2-4 weeks of starting treatment. Full benefits typically develop over 6-12 weeks. Some people may need to try different approaches to find what works best for them.

Supporting Your Recovery

While professional treatment is often essential, these lifestyle approaches can support recovery and improve overall well-being.

Physical Wellness

  • • Regular physical activity (even 10-15 min daily)
  • • Consistent sleep schedule
  • • Nutritious, regular meals
  • • Limit alcohol and substances
  • • Spend time outdoors

Mental & Emotional

  • • Practice mindfulness or meditation
  • • Keep a mood journal
  • • Challenge negative thoughts
  • • Set small, achievable goals
  • • Engage in meaningful activities

Social Connection

  • • Stay connected with supportive people
  • • Join support groups
  • • Volunteer or help others
  • • Avoid isolation when possible
  • • Communicate needs to family

Recovery Is Possible

"Depression can feel overwhelming, but it's important to remember that it's a treatable condition. With the right support and treatment, people can and do recover. Small steps forward matter, and you don't have to face this alone."
— Keeley Haas, DNP, FNP-BC, PMHNP-BC

Expert Medical Review

Reviewed by: Keeley Haas, DNP, FNP-BC, PMHNP-BC
Doctor of Nursing Practice, Board-Certified Psychiatric Mental Health Nurse Practitioner
Last reviewed: August 10, 2025

Dr. Haas has extensive experience treating depression across all age groups using evidence-based therapeutic and medication approaches. Content is reviewed regularly and updated based on current clinical practice guidelines from the American Psychiatric Association and major depressive disorder treatment standards.

Take the First Step Toward Feeling Better

Depression is treatable, and seeking help is a sign of strength. Professional support can make a significant difference in your recovery.