Signs of Depression
- General signs
- Signs in women
- Signs in men
- Signs in teens and young adults
- Signs in children
- Signs in the elderly
- Types of depression
The signs of depression are many and varied. Depression is much more than a feeling of sadness; it is a medical condition that may cause severe, prolonged symptoms and disrupt a person’s daily functioning.
Depression is thought to be the most common psychiatric disorder in the world, with almost one in five Americans alone experiencing a depressive episode in their lifetime. Though the mental condition is widespread, it may be difficult to recognize; symptoms of depression may be masked by physical complaints or substance abuse, or hidden because of one’s fear of being stigmatized. Signs of depression may go unnoticed, and the condition is underdiagnosed, particularly in primary health care settings.
General signs of depression
- Persistent low mood; feelings of sadness, hopelessness, emptiness or even irritability, frustration and anger
- Loss of interest or pleasure in activities that used to be enjoyable; including sex
- Excessive guilt or feelings of worthlessness
- Tiredness and lack of energy
- Trouble concentrating and making decisions
- Memory problems
- Talking or moving more slowly than usual
- Restlessness or trouble sitting still
- Disrupted sleep patterns, including difficulty falling asleep, not being able to sleep through the night, waking up early or sleeping too much (excessive sleeping)
- Changes in appetite and/or weight
- Persistent headaches, other pains, or digestive trouble without a clear physical trigger
- Recurrent thoughts of death or suicide, or suicide attempts
- Ruminative thinking
- Self-harming (e.g. cutting)
- Substance abuse and addiction (including heavy drinking and smoking)
Signs of depression are typically present for more than two weeks. If you think that you might have signs of depression, try using the Ada app to find out more about your symptoms.
Depression varies in form and severity, and not everyone will experience all of the above symptoms. There are many different types of depression, and the condition may occur together with a number of other health conditions – psychiatric and otherwise. For example, depression may co-occur with an anxiety disorder, attention deficit hyperactivity disorder or personality disorder, or diabetes, heart disease and other medical conditions. The relationship between depression and other conditions is complex.
Depression is considered a treatable condition. For information on depression tests, diagnosis and treatment, including psychotherapy and antidepressant medication, see the resource on depressive episodes.
If a person shows signs of crisis – obvious indicators that they are strongly affected by depression or at risk of suicide – it is important to call a doctor, emergency services provider or suicide prevention helpline without delay.
Signs of depression in women
Females seem to be more likely than males to experience depression (this is probably due to biological, hormonal and social factors), and some of the signs of depression may differ between the sexes. For example, women with depression may be more likely than men to experience the symptoms of excessive guilt and anxiety.
- Increased appetite
- Weight gain
- Sleeping too much
- Lack of energy
Some types of depression are unique to women. These include depression experienced as part of premenstrual dysphoric disorder (PMDD) and perimenopausal depression. Perinatal depression, including postpartum depression, is strongly associated with women, though new parents of any gender can experience it. Women experiencing symptoms of depression are advised to consult a medical practitioner about treatment options, including psychotherapy and medication.
Signs of PMDD
It is estimated that between three and five percent of women experience a severe form of premenstrual syndrome called premenstrual dysphoric disorder (PMDD). Signs of PMDD may include symptoms of depression, such as anger, irritability and suicidal thoughts, sleep disturbances, changes in appetite, joint and muscle pain, bloating and breast tenderness, among others.
Signs of postpartum depression
Postpartum depression is a type of perinatal depression that may occur in the year after having a baby; some women also experience perinatal depression while they are pregnant.
Postpartum depression goes far beyond the mild “baby blues” that many new mothers experience for four to 10 days after giving birth, and can interfere with the new mother’s ability to care for herself and baby.
Signs of perinatal depression may include anxiety, extreme sadness and exhaustion – among other typical symptoms of depression. These signs tend to begin during the third trimester. Perinatal depression is relatively common.
Signs of perimenopausal depression
During perimenopause – the transition to menopause – some women may experience depression. To an extent, mood swings, sleep difficulties and physical symptoms like hot flushes may be normal during this time, but anxiety, irritability, extreme sadness and other depressive symptoms may be signs of perimenopausal depression. If you think that you might have signs of depression, try using the Ada app to find out more about your symptoms.
Signs of depression in men
While men may be less likely than women to experience depression, it is still a serious health problem that affects a large number of males. Men with depression are at a greater risk of suicide than women, which may be related to problematic societal norms and pressures. Men are statistically less likely to acknowledge their depression or seek help and treatment.
- Irritability or anger
- Behavioral changes, e.g. becoming controlling or violent
- Loss of interest in work, family or hobbies
- Difficulty sleeping
- Weight loss
- Headaches, chronic pain and digestive problems
- Substance abuse; including alcohol
- Risk-taking, e.g. unsafe driving or sex
Despite a loss of interest in work, some men with depression may work longer hours than usual to avoid showing signs of the condition.
While the signs of depression may differ somewhat between men and women, treatment is generally the same and typically includes talking to a mental health professional and taking antidepressant medication where recommended. Men experiencing symptoms of depression are advised to consult a medical practitioner. If you think that you might have signs of depression, try using the Ada app to find out more about your symptoms.
Signs of depression in teens and young adults
Teenagers can also experience depression, but it may be difficult for their caregivers to recognize the symptoms, and many cases go undiagnosed. Signs of depression in teens and young adults may differ somewhat to those in adults, and may include the following:
- Seeming annoyed by everything and everyone
- Being argumentative and picking fights
- Responding to minor provocations with emotional outbursts
- A strong need for social connection
- Promiscuity, substance abuse and risky behaviors
- Difficulties with school work
Other, more typical signs of depression, such as sleep disturbances, fatigue and loss of interest in activities that were once pleasurable, may also be present. It is important to distinguish normal teenage behaviors from teen depression. Significant changes in mood, together with changes in functioning, indicate that a healthcare professional should be consulted.
If a teenager shows signs of suicidal thoughts or actions, it is vital to take these seriously, and it is of the utmost importance to call a healthcare professional or suicide prevention hotline without delay.
Signs of depression in children
Younger children can also experience depression. However, because their behavior may change as they go through different childhood stages, and because they may exhibit different signs of depression compared to adults, it can be difficult for caregivers to recognize that a child is depressed.
- Clinging to caregivers
- Pretending to be ill and refusing to go to school
- Getting into trouble at school
- Being irritable and negative
- Being argumentative and picking fights
- Responding to minor provocations with outbursts of emotions
- Showing excessive anxiety about caregivers passing away
- Excessive sulking
- Excessive crying or tantrums
- Experimenting with alcohol or drugs
- Displaying a lack of care for things they used to value highly
Other more typical signs of depression, such as sleep disturbances, tiredness, changes in appetite and loss of interest in activities that were once pleasurable, may also be present in children with depression.
The symptoms of depression may interfere with the child’s ability to partake in social activities, complete schoolwork and enjoy family life. If a caregiver notices that their child’s behavior has changed significantly, it is recommended that they speak to a healthcare professional.
Like people of other age groups, children can show signs of suicidal thoughts or actions. If a caregiver suspects that a child is at risk of harm, they should contact a healthcare professional or suicide prevention helpline immediately.
Signs of depression in the elderly (geriatric depression)
Despite depression being more prevalent than dementia among the elderly, it remains underdiagnosed. Some of the signs of depression in older people may be different to those considered typical, and they may be mistaken for indications of other conditions, like Alzheimer’s disease. Depression in older adults is sometimes called geriatric depression.
- Aches, pains and other physical symptoms
- Neglecting self-care
- Confusion and agitation
- Difficulty getting up in the morning
- Behaving uncharacteristically
- Alluding to a depressed or anxious mood with vague language (e.g. talking about their “nerves”)
A senior citizen experiencing symptoms of depression is advised to consult a medical practitioner about treatment options, including psychotherapy and medication. If you think that you might have signs of depression, try using the Ada app to find out more about your symptoms.
Types of depression
- Major depression: Also called clinical or unipolar depression, major depressive disorder or just depression, this is the most commonly diagnosed form
- Dysthymia (persistent depressive disorder): A milder, long-lasting form of depression
- Adjustment disorder with depressed mood: Symptoms of depression that are triggered by a major life stressor
- Seasonal affective disorder (SAD): Depression that affects some people in the cold months
- Bipolar disorder: A mental health condition characterized by periods of depression and mania
A person may experience a depressive episode as part of a chronic depressive condition, as repetitive bouts of depression, or as an isolated occurrence. For information on the causes, diagnosis and treatment of depression, see this resource on depressive episodes.
Signs of depression FAQs
Q: What are the first signs of depression?
A: Any of the symptoms of depression listed above, including persistent low mood, loss of interest in activities that used to be enjoyable, and excessive guilt or feelings of being worthless, may serve as “warning signs” for a depressive episode coming on. Additionally, research suggests that a person might experience a prodrome in the days, weeks or months before becoming depressed, in which the following early symptoms may be present:
- A vague sense of emotional discomfort, which may be expressed as “something not being right”
- Anxiety, sadness or irritability
- Difficulty concentrating
- Loss of interest and motivation
- Sleep disturbances, e.g. insomnia or sleeping a lot more than usual
These symptoms may be mistakenly attributed to external factors such as bad weather or stress. If a person thinks that they may be experiencing a depressive phase, it is recommended that they speak to a healthcare provider.
Q: Is sleeping too much a sign of depression?
A: In some cases, sleeping too much can be a sign of depression. Also known as excessive sleeping or hypersomnia, a person may experience it as part of a depressive disorder. However, sleeping too much can also be caused by a number of other conditions, including hormonal conditions like hypothyroidism, neurological conditions like narcolepsy, as well as certain medications. If you are concerned about sleeping too much, it is recommended that you consult a doctor.
Q: Is there a signs of depression test?
A: There are a number of self-assessment tests, checklists and quizzes available on the internet, varying in length and complexity. While some of these tests may help a person to assess how they have been feeling, they cannot replace a consultation with a GP or other healthcare professional. If an individual has any concerns or questions about signs of depression, it is important that they seek advice from a qualified medical practitioner. They can print out or take a screenshot of the quiz results and take them along to their appointment.
Q: What if a partner, relative or friend has signs of depression?
A: If you become aware that your husband, wife, girlfriend, boyfriend or loved one has signs of depression, you might be wondering how to help. It is important to broach the subject very carefully and tactfully, and encourage the person to talk about how they are feeling. Listening may be helpful, and, if it seems appropriate, the person could be encouraged to speak to their GP or another medical practitioner, or join a local support group. In addition, they could be encouraged to take small steps to help themselves, such as exercising and eating a balanced diet. It is important to be patient when interacting with someone who is depressed. If a person shows signs of crisis – obvious indicators that they are strongly affected by depression or at risk of suicide – it is important to call a doctor, emergency services provider or suicide prevention helpline without delay.
Q: Is it normal to develop signs of depression after the death of a loved one?
A: After the loss of a partner, friend or family member, it is normal to experience intense sadness and grief. While grief and depression can seem similar, they are not the same thing. As is the case with depression, a person experiencing bereavement-related grief may have difficulty sleeping and eating, and lose interest in activities they normally enjoy.
However, the symptoms of grief tend to fluctuate, while the symptoms of depression are typically present almost constantly. In some cases, grief can trigger or worsen a depressive episode, but it is important to remember that not everyone who is grieving will develop clinical depression. If a person who has lost a loved one finds that their symptoms are severe, they have difficulty functioning in daily life, or they have thoughts of suicide, it is recommended that they speak with a healthcare practitioner.
Q: Can preschoolers be depressed?
A: Many psychiatrists and psychologists now believe that children as young as two or three can present with preschool depression, also known as early-onset depression. Parents and caregivers may notice excessive and long-lasting sadness and irritability in the child, as well as excessive guilt, a negative and pessimistic self-image, and a loss of pleasure in play and normal activities. If these signs are evident, it is advisable to seek the advice of a pediatrician, or a child psychologist or psychiatrist.
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