Am I depressed?

Dear Reader 1 and Helpless,  

Depression is one of the most common mental health challenges in the world. It can be equally as difficult to diagnose as it can present like other mental health challenges. It can last for varying amounts of time, and its symptoms can be both physical and emotional. Plus, it can present differently for everyone that has it. The good news is that with psychotherapy, medication, and other supports, many people are able to manage their depression and live happy and fulfilling lives!  

What is depression? 

Though there are several types of depression, the term usually refers to major depressive disorder—a mood disorder that can be caused by a combination of biological and environmental factors. Some symptoms of depression can include: 

• Hopelessness or pessimism
• Irritability, frustration, restlessness
• Feelings of guilt, worthlessness, or helplessness
• Fatigue, lack of energy, sleep irregularities
• Difficulty with concentration or memory
• Changes in appetite or weight
• Physical pains or digestive problems
• Suicidal thoughts or attempts 

List adapted from the National Institute of Mental Health 

People with depression may experience some or all of these symptoms. Low mood and a lack of interest or pleasure in previously enjoyable hobbies or activities are often two of the most pervasive factors in diagnosing depression.  

How can you tell if you’re depressed? 

While you’ve both described some symptoms of depression, only a mental health provider can make a diagnosis. Depression is notoriously hard to diagnose because its symptoms can vary from person to person and may even resemble other mental or physical illnesses. For example, Reader 1, you’ve mentioned mood swings. This can be a sign of depression, but also of hormonal changes or other psychological conditions. 

In many cases, to make a diagnosis, a mental health provider will do a physical examination and ask you questions about your life and mental health. This is to help them get a fuller picture about your life. They may have you fill out questionnaires that ask about your mood and lifestyle. To feel more prepared for an appointment with a mental health provider, it may be helpful to think about or write down how you’ve been feeling, sleeping, eating, and acting lately. Some questions to think about when jotting down notes ahead of time can include: 

• How long have you felt this way?
• Have you recently experienced any major life changes, like a big move, a break-up, or the loss of a loved one?
• Do you know if there’s a history of depression or other mental illnesses in your family?
• Have these mental health challenges interfered with your ability to participate in regular activities like work or school?  

How is depression treated? 

Treatment for depression often involves psychotherapy and may also include medications or alternative treatments if necessary. Therapy can help you to figure out some of the reasons you feel the way you do and strategies you can start to help you feel better. In some cases, medication may also be prescribed. It might take a bit of trial and error to find the right treatment for you—but the time and effort may be worth it! 

There are also some things you can do at home that might help manage your symptoms. These include things like exercising, eating balanced meals, or trying to stick to a regular sleep schedule. In the case of mood swings, you might try to manipulate your mood yourself (like listening to slow music when you’re energetic or exercising or watching a funny movie when you’re feeling low). It also might help to talk to a close friend or family member, in addition to a mental health professional.  

Ultimately, a diagnosis of depression can only be determined by a qualified mental health professional. Many things can cause the symptoms you’ve described, but if you’re unsure or want additional support, reaching out to others may provide the help you need to feel your best. 

Here’s hoping you feel better soon!