Depression

Depression is more than simply feeling unhappy or fed up for a few days.

Most people go through periods of feeling down, but when you're depressed you feel persistently sad for weeks or months, rather than just a few days.

Some people think depression is trivial and not a genuine health condition. They're wrong – it is a real problem with real symptoms. Depression is not a sign of weakness or something you can "snap out of" by "pulling yourself together".

The good news is that with the right treatment and support, most people with depression can make a full recovery.

I had a black dog, his name was depression — WHO video

What causes depression?

Depression can affect anyone, and there is rarely a single reason why it develops. Research suggests that depression is usually caused by a combination of factors rather than one specific event or circumstance.

Everyone's experience is unique. For some people, depression may be linked to difficult life events, ongoing stress, or physical health problems. For others, there may be no clear cause or trigger at all.

Several different factors can contribute to depression, including:

  • Childhood experiences and early life challenges
  • Major life events, such as bereavement, relationship difficulties, or job loss
  • Patterns of thinking, including self-critical or negative thought processes
  • Struggling with other mental health difficulties, such as anxiety or trauma-related experiences
  • Physical health conditions and long-term illness
  • Family history and genetic factors
  • Certain medications and their side effects
  • Alcohol and recreational drug use
  • Lifestyle factors, including sleep, diet, and physical activity

Understanding the possible causes of depression can help you make sense of your experiences and find the right support. If you are struggling with symptoms of depression, remember that help is available and recovery is possible.

Physical symptoms

  • Moving or speaking more slowly than usual
  • Changes in appetite or weight (usually decreased, but sometimes increased)
  • Constipation
  • Unexplained aches and pains
  • Lack of energy
  • Low sex drive (loss of libido)
  • Disturbed sleep, for example, finding it difficult to fall asleep at night or waking up very early in the morning.

Mental symptoms

  • Continuous low mood or sadness
  • Feeling hopeless and helpless
  • Having low self-esteem
  • Feeling tearful
  • Feeling guilt-ridden
  • Feeling irritable and intolerant of others
  • Having no motivation or interest in things
  • Finding it difficult to make decisions
  • Not getting any enjoyment out of life
  • Feeling anxious or worried
  • Having suicidal thoughts or thoughts of harming yourself

Changes in behaviour

  • Avoiding contact with friends and family and taking part in fewer social activities
  • Spending less time on hobbies and interests
  • Doing less around the home
  • Neglecting self-care