Symptoms of Depression

Most of us feel sad, lonely, or depressed at times. It's a normal reaction to loss, life's struggles, or injured self-esteem. But when these feelings become overwhelming, cause physical symptoms, and last for long periods of time, they can keep you from leading a normal, active life.

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Symptoms

They can include:
  • Trouble concentrating, remembering details, and making decisions
  • Fatigue
  • Feelings of guilt, worthlessness, and helplessness
  • Pessimism and hopelessness
  • Insomnia, early-morning wakefulness, or sleeping too much
  • Irritability
  • Restlessness
  • Loss of interest in things once pleasurable, including sex
  • Overeating, or appetite loss
  • Aches, pains, headaches, or cramps that won't go away
  • Digestive problems that don't get better, even with treatment
  • Persistent sad, anxious, or "empty" feelings
  • Suicidal thoughts or attempts.
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Diagnosis



There isn't a "depression test" a doctor can use to see if you have it, so figuring that out often starts with a thorough history and physical exam.
Your doctor will want to know:
  • When your symptoms started
  • How long they've lasted
  • How severe they are
  • If depression or other mental illnesses run in your family
  • If you have a history of drug or alcohol abuse
You'll also be asked if you've had similar symptoms of depression before, and if so, how it was treated.

Treatment

If your doctor rules out a physical cause for your symptoms, he may start you on a treatment or refer you to a mental health professional. This specialist will figure out the best course of treatment. That may include medicines (such as antidepressants), a type of therapy called psychotherapy, or both.

Are There Warning Signs of Suicide With Depression?

Depression carries a high risk of suicide. Suicidal thoughts or intentions are serious. Warning signs include:
  • A sudden switch from sadness to extreme calmness, or appearing to be happy
  • Always talking or thinking about death
  • Clinical depression (deep sadness, loss of interest, trouble sleeping and eating) that gets worse
  • Taking risks that could lead to death, such as driving through red lights
  • Making comments about being hopeless, helpless, or worthless
  • Putting affairs in order, like tying up loose ends or changing a will
  • Saying things like "It would be better if I weren't here" or "I want out"
  • Talking about suicide
  • Visiting or calling close friends and loved ones.
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If you or someone you know shows any of the above warning signs, call your local suicide hotline, contact a mental health professional right away, or go to the emergency room.
If you or someone you know is having suicidal thoughts or feelings, get help right away.
It's important to understand that feeling depressed doesn't mean you have depression. That condition involves not only changes in mood, but also changes in sleep, energy, appetite, concentration, and motivation.
If you have physical symptoms like these and find yourself feeling depressed much of the time for days or weeks, see your doctor.

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