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Depression is not simply feeling low or sad. It is a genuine mental health concern that is triggered by several causes that you can be fraught with in your lifetime.

What sets it apart from sadness is that the latter is a brief bout of melancholy while depression will persist for at least 2 weeks. The severity of depression lies in the fact that it robs you of the simple inertia to function or in simple words act.
understand depression
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Types of Depression

25% of the people affected by depression do not consult and have been known to suffer silently. Great care, love and understanding on the part of the ones closest to you and proper medical attention with psychotherapy is sure to preserve you and bring back the vibrancy of life. This phase can be extreme and painful but it is not impossible to overcome. Help is available and with a little effort you can banish depression from your life.

Identifying the type of depression you are going through is the first step towards healing. There are three main types of depressive disorders.
Major Depressive Disorder

Major Depressive Disorder

Unipolar or Major Depression sets in when you are diagnosed with five or more of the typical depression symptoms. The ability to work, sleep, study, eat and experience life in general is crippled in this case.
Treatment Resistant Depression

Treatment Resistant Depression

This form might be chronic or longstanding and it does not respond to antidepressants. Often Electroconvulsive Therapy (ECT) is applied depending on the nature and severity of the condition.

Persistent/Chronic Depressive Disorder

This symptom persists for at least two years during which you will be affected by episodes of major depression accompanied by at least two other depressive symptoms. Also known as Dysthymia, this chronic form of depression interferes with your ability to function.
Understand depression better.What is Depression?

Other Types of Depression


Manic Depressive Disorder

Bipolar Depression tends to fluctuate between extreme bouts of manic mood disorders. Symptoms include – overly inflated self-esteem, insomnia, increased talkativeness, racing thoughts, distractibility, increased goal-directed activity or physical agitation and excessive involvement in highly painful activities.
Secondary Depression

Secondary Depression

Did you suffer or recover from hypothyroidism, stroke, Parkinson's disease, AIDS or a psychiatric problem such as schizophrenia, panic disorder or bulimia? The emotional and physical duress during these illnesses makes you more receptive to depression.
Psychotic Depression

Psychotic Depression

Don’t be afraid if you are experiencing severe depression along with some form of psychosis like delusion (false beliefs), hallucination (seeing or hearing things that aren't there) or paranoia (wrongly believing that others are trying to harm you). It is completely curable with time and proper treatment.
Postpartum Depression

Postpartum Depression

Mostly experienced by women after giving birth, this form of depression is different from the normal “baby blues”. Massive hormonal and physical changes coupled with the responsibility of a newborn can be overwhelming for some mothers. Almost 10-15% of women experience postpartum depression.


Substance-Induced Mood Disorder. It’s a given that certain drugs have the potential to gravely affect your mental health. The adverse effects of these drugs can result in manic or chronic depression.
Seasonal Depression

Seasonal Depression

Experienced during winter due to the lack of natural sunlight, it generally lifts at the onset of spring or summer. If you happen to go through such symptoms, light therapy with antidepressants and psychotherapies will help in lifting the gloom.
Masked Depression

Masked Depression

This form of depression is often masked by physical ailments for which no organic cause can be determined.

Symptoms of Depression

The severity, frequency and extent of depressive symptoms vary depending on the individual and their condition. Although no two person suffering from depressive disorders is known to experience similar symptoms, the following signs might help in an early detection.
  • Severe distraction, trouble in recalling details and making decisions
  • Insomnia, early morning wakefulness or excessive sleeping
  • Feelings of guilt, worthlessness, and/or helplessness
  • Feelings of hopelessness and/or pessimism
  • Overeating/ weight gain and appetite/ weight loss
  • Fatigue and decreased energy
  • Loss of interest in once pleasurable activities or hobbies, including sex
  • Loss of pleasure in life
  • Irritability and restlessness
  • Persistent aches or pains, headaches, cramps or digestive problems
  • Persistent sad, anxious or “empty” feelings
  • Thoughts of suicide or suicide attempts

Causes of Depression

When it comes to factors that cause depression, what really matters is to understand and accept that depression is a condition that doesn’t adhere to any particular causation theory – genetic affinity might or might not affect a person’s susceptibility to it.

Depressive disorders are caused due to a combination of the bio-psycho-social model of causation and a few other factors.
Health conditions

Medical conditions like cancer, thyroid issues, chronic pain, stroke, heart attack, Parkinson’s disease, vascular diseases, Alzheimer’s disease, comorbidity with myocardial diseases, diabetes, hip fractures and hormonal disorders can cause depressive illness. This makes the person apathetic towards their own physical and mental needs thereby prolonging the recovery.


Hormones like norepinephrine, dopamine and serotonin responsible for various nerve communications are affected. Structural differences like reduced mass in the hippocampal volume along with orbitofrontal cortex, putamen and thalamus are observed in the brain images of depressed people; however, whether these differences are caused as the consequences of depressive disorder is still inconclusive. Maladaptation to chronic stress that alters the endocrine system in humans. Still further, several health issues are also considered as the causes of depressive disorders.


Low self-esteem, tendency to be overwhelmed by stress, and personality disorder are a few of the established psychological reasons that lead to depression. However these could very well be the early signs and not a pre-disposition to depression.


Adverse life changes, age (different for men and women), gender, family problems, children, marriage, divorce, close association with a sick relative, socio-economic status, past trauma or abuse, discrimination, isolation, difficult relationship, stress at work or school, etc. are a few social causes known to contribute to depression. Even positive events in life like a job change can trigger depression.


Men are physiognomically less prone to depression than women because of the hormonal transformations that women have to go through during menstruation, pregnancy and menopause.


Although children, adolescents and teenagers are known to experience depression, it is the older generation who are at higher risk.


About 30-40% of depressive symptoms are attributed to genetic pre-disposition. However, additional elements like stress at home, work or school are also triggers.

Trauma and grief

Physical or emotional abuse and the death of a friend or loved one can often trigger clinical depression. Excessive grief and physical vulnerability in such situations causes depression.

Medications and substances

Prescription drugs, alcohol or substance abuse can make a person more susceptible to depression. Also, certain medicines, if taken along with prescription drugs, can interfere with the effect of the latter leading to a heightened symptom. Caution is the word when such practices are a dire need.

Health Conditions

Diagnosis & Treatment

Diagnosis of depression is crucial in order to expedite the healing process. Often wrong medication and counselling leads a person experiencing depression to sink further into adverse conditions. Getting professional help from a doctor and a mental health expert is the right way to start. Treatments shall be initiated depending upon the type and condition of depression that you are being diagnosed with. It’s important to remember that involving yourself in ‘talk therapy‘ with your counsellor, letting him or her cross the threshold of your emotional resistance is crucial towards the healing process.

Individuals experiencing depressive disorders can be administered:
  • Medication
  • Tricyclics (older antidepressants)
  • Monoamine oxidase inhibitors (MAOIs)
  • Antidepressants
  • Psychotherapy
  • Interpersonal therapy
  • Psychodynamic therapy
  • Cognitive Behavioral therapy
  • Electroconvulsive therapy (ECT)
  • Vagus Nerve Stimulation (VNS)
  • Repetitive Transcranial Magnetic Stimulation (rTMS)

What can Depression trigger?

More often than not depression and other illnesses are interlinked, meaning that physical illness can lead to clinical depression and vice versa. It’s normal to feel a little down in the dumps when one is going through critical physical ailment but if the same continues over a two week period, it is time to take notice.

Common co-existing conditions of depression are:

Anxiety disorders

Panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, social phobia or generalised anxiety are the few types of anxiety disorders known to co-exist with depression.

Heart Diseases

18-26% of the people suffering from heart diseases and a good 30-50% of stroke patients can experience depression. Stress, poor lifestyle choices and reluctance to take care of oneself contribute to depressive disorders when it comes to heart diseases.


Depressive disorders are noticed in cancer patients when it directly affects one’s ability to carry out daily activities, hampers social relationships, causes immense pain or fatigue, etc.


Depression and diabetes follow a cycle that can cause more harm if not addressed at the right time. Diabetes causes inner turmoil, thereby initiating depression, which leads to demotivation resulting in higher blood sugar levels, greater fatigue, lethargy, worsened mood and even further depression.


The stigma associated with HIV/AIDS can lead a person into depression. Often as a defense towards the double humiliation, people turn to substance abuse and aggravate their condition. Newer and better treatments ensure that the person has a chance to live an improved and healthier lifestyle.


Often anxiety, physical and mental lethargy are associated with hyperthyroidism and hypothyroidism. Hence, it is important to get an additional diagnosis of associative depressive disorder so that proper medication ensues.

Sexual Dysfunction

A pre-diagnosed depressive condition can lead to a disinterest in most things in life including sexual activity while inability to perform in bedroom takes a toll on one’s confidence level leading to depression.

Digestive Disorders

Neglected dietary practices, excess release of stress hormones and digestive acids can lead to digestive problems during depression. On the other hand, inflammatory bowel disease (IBD), Chrohn’s disease and ulcerative colitis can cause depression too.

Substance Addictions

Mental illness can lead to substance abuse and vice versa. As a means to cope with depression misuse of tranquilizers, alcohol and other substances can lead to serious addiction issues.

How can I help myself?

Realising that one is followed by depression is something that won’t happen immediately. Often you would feel exhausted, helpless and hopeless about your life. It would seem next to impossible to find the will to do things you once liked or interact with anyone. Snapping out of depression is not an option, hence you need to begin with smaller steps towards staying happy and then strive towards larger goals.
Take professional help
Try to seek out professional help as soon as possible.
Avoid negative influences
Avoid negative influences.
Try to be active – exercise, go for a movie, a sport or another activity that you once enjoyed.
Expect your mood to improve gradually and not immediately.
Set realistic goals
Set realistic goals for yourself by breaking down large tasks into smaller ones.
Set some priorities
Set some priorities and do what you can.
Set some priorities
Spend time with other people even if it seems irritable, confide in a trusted friend or relative and try not to isolate yourself.
respond positively
When your sleep and appetite improve, respond positively to such developments.
Postpone important decisions
Postpone important decisions like getting married or divorced or changing jobs.
learn more about depression
Continue to learn more about depression.
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How can I help someone else?

When you find someone you know or is close to you experiencing depression, the three most important things that you can offer them is love, support and a gentle but firm push towards proper professional help.
  • Show emotional support, understanding, patience and encouragement
  • Speak to them, let them express and listen carefully
  • Never dismiss their feelings or undermine their pain
  • Never ignore references to suicide. Report them to your loved one's therapist
  • Invite your loved one out for walks, outings and other activities that they used to love once. But care not to push them too much if they are reluctant
  • Accompany them to the therapist if they ask you to
  • Remind your loved one that with time and counselling, they will overcome the depression
  • Do not be tough on your loved one, support them through the rough patch
  • Make them laugh and show them that you care and remind them of their strengths
  • Convince them to avail of professional assistance
  • Arrange for hospitalisation if they are experiencing suicidal tendencies, hallucinations or delusions
  • Don’t give up on the person — they might need to hear repeatedly from several people around them that they deserve to feel better


Frequently Asked Questions
Is depression a mental illness?
Yes, clinical depression is a serious, but treatable, medical condition; it is not a personal weakness.
Will someone who has had depression get it again?
Having experienced an episode of major depression does put a person at greater risk for future episodes. But not everyone who has recovered from depression will experience it again. Getting the right treatment is crucial to recovery and in helping prevent or identify any future depression.
How long does depression last?
If left untreated, various types of depressive disorders can last for months or sometimes years. A major depressive episode is characterised by a set of symptoms that typically lasts for a few months. Seasonal depression, or SAD, usually extends throughout the winter months and continues to improve during Spring and Summer. Bipolar disorder is characterised as “ups” (periods of mania) and “downs” (periods of extreme depression). Though these phases may change rapidly or slowly, bipolar depression can last until an effective treatment is found. Dysthymia is mild and more difficult to identify and may last for years if left untreated.
Are there any alternatives to the traditional treatments for depression that I can try?
Alternative therapy describes any treatment or technique that has not been scientifically documented or identified as safe or effective for a specific condition. Alternative therapy involves a variety of disciplines that include everything from diet and exercise to mental conditioning and lifestyle changes. Examples of alternative therapies include yoga, acupuncture, guided imagery, chiropractic care, hypnosis, biofeedback, aromatherapy, relaxation, herbal remedies, massage and many others. If you are interested in trying any of these options, talk to your doctor.